Monday, January 9, 2023

I'm afraid my weight management doc isn't a good fit for me, anyone been there?

I've had two appointments so far, one on the 23rd coming up. I will say she gave me access to a GREAT weight loss program with videos and informative handouts - however, the videos are made by her and her staff and they can be a bit too "guilt/you need to be in diet mode" but this is for weight loss so I understand that. She also has me in physical therapy for my fibromyalgia and it's been great, I love my physical therapist and she's been awesome helping me to find exercises that are challenging but not too much for me.

I came in expressing that I didn't want to have a list of things to eat vs not eat because that doesn't work for me - macros are tough for me and I would rather tweak the diet I have now instead of eating totally differently to lose weight. What does she do? Give me a list "eat a shake or bar for breakfast and lunch, one from this category, this category, and this category for dinner. No bread, no pasta." I asked why I couldn't do whole wheat pasta and she said "that's for after weight loss." Like, I JUST told you that restrictions like that won't work for me? It was all about no carbs, high protein, meal replacements.

Then, she got really upset about what time I eat - my boyfriend comes home at 10 and we eat at 10:20ish-11 and are in bed at 1 or 2, that's just our lifestyle. She tried to get me to eat before he gets home every night and tried to give me a cutoff because "it's very bad if you eat too late, it makes it harder to lose weight." As far as I know, that's literally not true, it doesn't matter when you eat. Also she kind of made me feel bad about having a "second-shift" lifestyle (which was honestly kind of triggering to me because I had a therapist I quit with after two sessions because she mocked and belittled me for "going against nature" with my sleep schedule and that's literally all she wanted to talk about). I just find it really bizarre she got so hung up on that, because it's not like I'm binging at night, I'm just eating dinner.

I feel really guilty and embarrassed about not doing everything exactly as she wants, but I'm going to try and talk to her about what I've said here. I'm just afraid she'll think about not committed if I say "this isn't the way I need to do things." Is it just me or does she seem to have outdated ideas about weight loss? Am I just not giving this enough of a try?

I want to do this, but I'm not necessarily trying to drop a lot of weight super fast, I'm trying to lost weight by changing my lifestyle.

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