The Doctor Is In

As I mentioned earlier, I made a doctor’s appointment so I could get some sound advice on my current eating and exercise plan. 

The first thing we talked about was the caloric intake and what was feasible for me.  Currently I am at 1250/day and that’s where I was planning on staying.  Dr. R feels that is lower than is neccessary for ongoing weight loss (these opinions are obviously for ME and should be used by YOU with caution).  He figures that around 1350-1400 is a reasonable range and will still net weight loss at the end of the day (or week, as the case may be).  In that same vein he firmly stated that the rate of my weight loss is no longer a good thing.  With less than 30 pounds left to go the losing should be slowing down. 

The next thing we talked about was metabolism and whether or not it is possible to screw it up with diet. He maintains that it has never been scientifically proven that a low amount of calories for a long period of time followed by a reasonable increase will cause you to gain tonnes of weight.  What he did say (and forgive me, it was a lot of info in a short time so I will tell you what I understood) is that there are different versions of metabolism.  I didn’t understand exactly what he was saying but the general idea is that there is a limit to how much you can burn through ketosis (which is not a bad thing!).  Once that limit is reached, you don’t get any additional benefit from cutting more calories.  Once that ketosis limit is reached your body switches to a different sort of fat burning.

We talked about why I’m cold all the time and he said that it totally has to do with the weight loss, it has to do with the fact that my body was used to be insulated by a layer of fat that is no longer present.  Unfortunately, there is very little that I can do about it and just need to wait it out and that eventually my body will adjust to the new circumstances.

We also talked about how many calories I should be adding back for exercise.  Based on what I do and for how long, he figures that I should be putting about 200-250 back in.  Now, surprisingly he said that adding the 200 back in is sufficient for the increase that he suggests in the first paragraph.

He suggested also that I start to phase out Weight Watchers.  That surprised me a little.  What he said is that WW is great for teaching portion control and calorie content and getting you on your way.  He said that WW is not a forever plan.  For someone like me who has already lost a great deal and has only a small(ish) amount left to go that I need to start developing my own plan for how I’m going to live the rest of my life.

So, how do I carry all this out?  For starters, I will still be going to the weigh-ins every week.  That part is non-negotiable.  I think once I reach the target (below 170) I am going to stop going every week.  I know that once you are a lifetime member (goal + 6 weeks maintenance) you are supposed to weigh in once/month and that’s what my plan is (although I will have to purchase a scale for home because I won’t be able to stand not knowing for a whole month!). 

As far as increasing calories?  I’m going to monkey with it a bit.  Actually I’m going to combine some principles of the CORE plan with the points counting plan (FLEX).  I am no longer going to assign a points value to fruits and vegetables.  That frees up around 4-5 points daily and that should bring me right in line.  So I will still have 25 points/day but I will be over every single day.  That would make me insane to see the tracker be over so I will just assign the produce as 0 and still be on target.  I still need the accountability of the points program and I’m still learning some of the portion control lessons so I can’t ditch the points altogether.

It’s funny, because after he said that I need to eat more, the fat girl who lives inside me was pretty excited and thought that was a golden ticket.  It’s NOT!  It doesn’t really change anything that drastically.  He also mentioned that while I do need to eat a few more calories every day that they need to continue to be the healthy and nutritious ones that I am already eating (almost like he HEARD the fat girl inside start cheering!). 

So that’s where I am.  Still following WW but modifying it to suite my own needs even more than I already had.  Starting to build my own plan for longterm health, adding in some extra calories to cover off the exercise as well as allow me to eat more and dealing with being cold until my body adjusts.

All in all I’m very glad that I went.


  1. Marueze said,

    January 31, 2008 at 5:14 pm

    So glad that it appears that the Dr. has given you some peace of mind.

    Your plans sound pretty reasonable & should still give you your desired results.

    Everything makes sense. Please keep us all advised.

    One of those girls lives in my head 24/7 …sometimes she shouts louder than my voice of reason.

    Best wishese for continued success.

  2. Bev said,

    January 31, 2008 at 7:37 pm

    It all seems to make sense. Zero for fruit and vegetables is great. Was he concerned that your loss was too much per week? Or just that it’s time to increase your calories a bit. You are still right on track for goal in May (that’s right???). At a pound a week, which seems reasonable, that gives you about 16 weeks to the end of May.
    You’re doing awesome, I couldn’t be happier for you.

  3. Tarable said,

    January 31, 2008 at 10:43 pm

    I am so glad you went to see him and then wrote about it. This helps me answer a few questions that I have been thinking about myself lately.

  4. katapilla22 said,

    January 31, 2008 at 10:54 pm

    ok i should have read this post before I commented on the banana one. doh! (See my comment about phasing out WW) LOL
    I like Dr. R. Seems like some solid advise.

  5. marieclaude said,

    February 1, 2008 at 2:07 am

    This sounds like a very good plan! Very interesting post, your doctor has some rock solid advice that I think I’m going to implement as well…

  6. Comrade GoGo said,

    February 1, 2008 at 7:41 am

    Thanks for sharing all this info 🙂 I feel like I got to go to the doctor along with you! I’m especially interested in his advice to slowly wean yourself away from WW. It makes sense to me.

  7. Lady Shanny said,

    February 1, 2008 at 7:55 am

    Kathleen, I just about choked on my cereal (with a WHOLE banana) when I read your comment about phasing out WW. Aren’t you a smart cookie!

    Bev, the thing Dr R said about it being too fast was about the amount I’m losing every week. I was starting to get weirded out about it as well. It’s hard to shift the ‘lose, lose, LOSE’ mindset but I’ll do my best. I don’t really want the next 18 pounds to take forever but if it takes longer and I’m not INSANE then I guess it’s worth it.

    Tarable, I thought you might like some of what he said. He’s a very good doctor, as you know. I would have liked a bit more time with him to totally understand what he was saying about metabolism but he’s like any doctor and can’t linger with one person for too long. Carey suggested that a nutritionist would probably be just as helpful and able to spend more time. I might look into doing that….

    Comrade GoGo, while I was in the office talking to him I was making mental notes because I knew that you (and others) would be interested in what he had to say. It’s not very often that you get to read the nitty gritty details from someone’s doctors appt..but I’m nothing if not overly open about this kind of thing.

  8. lululeelee said,

    February 1, 2008 at 10:49 am

    Hi Lady,

    I wanted to tell you that I have the same “cold always” problem. Since I lost my weight I am always. My husband thinks I am in insane. When the heat is on he goes to bed in his undies. I wear flannel pjs and go under 2 blankets. Very sexy for him right LOL.

    It has been several years and I am still cold, but at least I am used to it by now. I am not sure if your body will ever adjust but a girl can dream.

  9. Krystle said,

    February 1, 2008 at 1:55 pm

    That is great that you went to the doctor!… I think everyone dieting should be doing that so we know how to continue after we are done with whatever weight loss program we are doing (if any). Thank you for sharing that with us… it’s great to get that input!

  10. Sybil said,

    February 3, 2008 at 8:05 pm

    Sounds like you have a great doctor with a good knowledge base. How lucky are you? :o)

    Totally sounds like a sensible plan that you have developed and it will be wonderful watching your continued success.

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