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Old 05-19-2011, 02:13 PM   #1
Barrett Reznick
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Bad doctors advice

While working with people to create lifestyle changes to help them be healthier I came across the most crazy advice a doctor told one of my members.

He told a 6'2'' 284lb man who workouts 5x a week to eat 1100 calories a day!!!

I told my member that his doctor was killing him...(bit harsh I know)

BUT I was thinking... Was there any reason, medically, that a doctor would tell someone that size to eat so little other then weight loss?

I instructed member to eat more...a lot more
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Old 05-19-2011, 03:07 PM   #2
Jared Ashley
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Re: Bad doctors advice

Because that's what the textbook says and doctors are not dieticians.
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Old 05-19-2011, 03:13 PM   #3
Rebecca Roth
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Re: Bad doctors advice

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Originally Posted by Jared Ashley View Post
Because that's what the textbook says and doctors are not dieticians.
Except that they aren't any better.
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Old 05-19-2011, 03:40 PM   #4
Barrett Reznick
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Re: Bad doctors advice

Ok!

Thats what I thougt. Just making sure I wasnt missing anyhting. That doc probably tells people to take statins like candy too.
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Old 05-19-2011, 03:42 PM   #5
Scott Allen Hanson
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Re: Bad doctors advice

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Originally Posted by Barrett Reznick View Post
While working with people to create lifestyle changes to help them be healthier I came across the most crazy advice a doctor told one of my members.

He told a 6'2'' 284lb man who workouts 5x a week to eat 1100 calories a day!!!

I told my member that his doctor was killing him...(bit harsh I know)

BUT I was thinking... Was there any reason, medically, that a doctor would tell someone that size to eat so little other then weight loss?

I instructed member to eat more...a lot more
Not saying the advice is correct or sustainable, but his BMI is 36.5. Equals obese in the current health paradigm. There are too many variables to say that he actually is obese, but if so, his risks of metabolic diseases such as diabetes and cardiovascular disease, cancer, etc. are much higher than for non-obese individuals. Do you know what is other risk factors are? CRP, BP, etc?
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Old 05-19-2011, 04:01 PM   #6
Michael Dowling
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Re: Bad doctors advice

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Originally Posted by Scott Allen Hanson View Post
Not saying the advice is correct or sustainable, but his BMI is 36.5. Equals obese in the current health paradigm. There are too many variables to say that he actually is obese, but if so, his risks of metabolic diseases such as diabetes and cardiovascular disease, cancer, etc. are much higher than for non-obese individuals. Do you know what is other risk factors are? CRP, BP, etc?
i was going to say something similar, the doctor may be privvy to test results you don't know about. if he is at real risk of heart disease, diabetes etc... the doctor may be recommending 1100 calories as a way to get him out of a danger zone quickly and putting him on an extreme diet.

i read somewhere that when obese losing 10% of your bodyweight can cut your risk of heart disease and diabetes dramatically (i'm admittedly paraphrasing)
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Old 05-19-2011, 04:10 PM   #7
Barrett Reznick
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Re: Bad doctors advice

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Originally Posted by Scott Allen Hanson View Post
Not saying the advice is correct or sustainable, but his BMI is 36.5. Equals obese in the current health paradigm. There are too many variables to say that he actually is obese, but if so, his risks of metabolic diseases such as diabetes and cardiovascular disease, cancer, etc. are much higher than for non-obese individuals. Do you know what is other risk factors are? CRP, BP, etc?
I know a lot about him, blood work, bmi, medications, lifestyle...Thats my job...Does it matter what health risks he has and how obese he is or if he has diabetes? If YOU know of any situations where it would be justified for him to eat far less then his body needs for an extended period then just say so. I am not looking for a diagnosis and I am not looking to give too much information about a member due to HIPPA.

I know of at least one other medical professional who couldn't think of a reason, so there cannot be too many options to talk about.

I don't need to list specific examples about x member. You just need to list x reasons why it MIGHT be justified.
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Old 05-19-2011, 04:11 PM   #8
Barrett Reznick
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Re: Bad doctors advice

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Originally Posted by Michael Dowling View Post
i was going to say something similar, the doctor may be privvy to test results you don't know about. if he is at real risk of heart disease, diabetes etc... the doctor may be recommending 1100 calories as a way to get him our of a danger zone quickly and putting him on an extreme diet.

i read somewhere that when obese losing 10% of your bodyweight can cut your risk of heart disease and diabetes dramatically (i'm admittedly paraphrasing)
Great answer....hadn't thought about that
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Old 05-19-2011, 04:54 PM   #9
Katherine Derbyshire
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Re: Bad doctors advice

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Originally Posted by Michael Dowling View Post
i was going to say something similar, the doctor may be privvy to test results you don't know about. if he is at real risk of heart disease, diabetes etc... the doctor may be recommending 1100 calories as a way to get him out of a danger zone quickly and putting him on an extreme diet.

i read somewhere that when obese losing 10% of your bodyweight can cut your risk of heart disease and diabetes dramatically (i'm admittedly paraphrasing)
This. The risks escalate pretty dramatically as weight goes up. No, I don't think 1100 calories for an extended period of time is a good idea, but dropping 20-30 pounds quickly and then moderating his intake might be.

(Key word: *might*. I know even less about his situation than you do.)

Katherine
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Old 05-20-2011, 07:08 AM   #10
Darryl Shaw
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Re: Bad doctors advice

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Originally Posted by Barrett Reznick View Post
You just need to list x reasons why it MIGHT be justified.
According to the Oxford Handbook of Nutrition and Dietetics -

"Losing 10 kg is associated with a reduction of:
* >20% total mortality;
* 10 mmHg systolic and 20 mmHg diastolic BP;
* 50% fasting glucose;
* 10% total cholesterol and rise of 8% HDL cholesterol."
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