She wasn’t a surgeon but an ARPN who had been in that sphere including the surgical part of it) for around 30 years. That her program for me was the standard LCHP approach that had me eating 6 times a day, small meals other than one larger dinner with the reasoning that it only spikes my insulin in smaller amounts in timing with the pulses rather than large amounts tells me, in hindsight, all I needed to know about where she was at then.
I was making decent progress on the 2 follow up visits I had with her but of course I was. I went from eating 8000-15000 calories, probably 600g-1000g of carbs per day and zero activity to limiting my calories to 2200 and my carbs to 85g and walking 1-4 miles per day through the neighborhood. It doesn’t take a rocket scientist to do that math for success at the beginning on that plan. It is the sustainability that is the issue not to mention the health benefit and longevity difference.
And it wasn’t even as if keto was something she wasn’t familiar with at the time. At one of my last visits she said, “It is crazy. You know, I have another patient that I put on the same plan you are on and it just wasn’t working. We switched her from high protein to high fat and the weight just started coming off.”
That seemed crazy to me at the time, like this woman must have a really weird metabolism if she is eating a lot of fat but losing fat but you know what? I am just a normal human being without decades in the bariatric and nutrition arena. She should have known exactly WHY it worked for this woman. It wasn’t that she had some mutant gene or something… it is biology and physiology.
When my doctor recently praised me for the success I have had and admitted that I was way out of his comfort zone and knowledge base with regards to the IF, Fasting and deeper intricacies of the ketogenic way of eating, he recommended I talk with one of their dieticians. I told him that if they are part of the Weight Loss & Bariatric Clinic on the 3rd floor I will have to pass as I don’t have a lot of faith in them at this point.
I am happy to help him learn in an effort to help him help his patients more because he wants to keep learning more and more. I am even looking forward to sharing what comes out of my upcoming appointment with Dr. Naiman regarding my cholesterol but I am not looking to fight the entire establishment of dieticians and nutritionists who still think that the answer to everything is eat less, exercise more and avoid fat.