Dietitian?

[RetCurious]

Before I jumped into peptides at all, my GP recommended that I talk to a dietitian for nutrition.

I will be frank; I balked at the idea because no amount of "balanced nutrition" can possibly address my elusive, hard weight loss plateau. I honestly think that my GP told me to see one because she didn't believe me when I told her I did everything right and still got stuck.

Anyways, I saw one today because it was free, and I was told what i thought was the most absurd thing ever....

"Instead of zero sugar soda, eat nuts because they have protein and fiber between lunch and dinner."

.....did she forget that nuts are really high on fats?

Hopefully what you are witnessing are the dying gasps of a failed line of thinking in medicine.

 

[AngieHolmes 53745]

Before I jumped into peptides at all, my GP recommended that I talk to a dietitian for nutrition.

I will be frank; I balked at the idea because no amount of "balanced nutrition" can possibly address my elusive, hard weight loss plateau. I honestly think that my GP told me to see one because she didn't believe me when I told her I did everything right and still got stuck.

Anyways, I saw one today because it was free, and I was told what i thought was the most absurd thing ever....

"Instead of zero sugar soda, eat nuts because they have protein and fiber between lunch and dinner."

.....did she forget that nuts are really high on fats?

Sounds like she might have been trying to address hunger between meals? Diet soda is known to be pretty destructive for your metabolism. Nuts might be better, on balance; it's not all about calories. Did you ask her about the fats?

 

[Calm Logic]

The dietitians should be leading the way with tips to mitigate GI sides on GLPs, with at least small studies of their own. But nothing really it seems, except the standard advice or even this unpopular strategy of getting off GLPs sooner than later:

GLP-1 Side Effect Management: Nutrition Training 2026

Learn how nutritionists manage GLP-1 side effects through diet, hydration, and specialized counseling. Discover training programs for this growing field.

www.nutritioned.org

In many cases, the best thing that medical and nutritional professionals can do to help treat side effects is to keep the course of medication as short as possible.

The standard advice to prevent GI sides:

Clinical Recommendations to Manage Gastrointestinal Adverse Events in Patients Treated with Glp-1 Receptor Agonists: A Multidisciplinary Expert Consensus - PMC

Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are indicated in type 2 diabetes and obesity for their high efficacy in controlling glycaemia and inducing body weight loss, respectively. Patients may develop gastrointestinal adverse events (GI ...

pmc.ncbi.nlm.nih.gov

[Imported image pending local asset: attachments-1786755955272-webp.35850]

 

[lastresort]

Sounds like she might have been trying to address hunger between meals? Diet soda is known to be pretty destructive for your metabolism. Nuts might be better, on balance; it's not all about calories. Did you ask her about the fats?

My fat ass body, my soda choice lol.

We talked about some thing like omega 3 and stuff but I m already taking omega 3 for my high TG level, which has been well down since but i m taking anyway

 

[Just A Cat]

Wow. A lot of people have had bad real life experiences. It is probably for the best that I have actually been uploading real meal logs to an AI and have received good nutritional advice that has actually helped me.

It is truly sad when an AI is being a better nutritionist than the people who hold the job.

I will leave a few bits of true nutritional info here (that I have learned) for what it is worth.

Nuts have a place in weight loss, but you have to watch them. Portions must be carefully managed.

Protein is so important that every meal should have protein. Your diet can be based on protein plus fats (keto) or protein plus carbs. What you don't want to do is base your diet on fats plus carbs. Basic biology of the insulin response dictates that high amounts of fats with carbs directly stimulate fat cells.

If you do moderate to severe keto, it can be helpful to have one day that you increase carbs and decrease fat on that day. This gives the glycogen tanks in your skeletal muscles a chance to refill.

What you eat is important but there are a lot of subtle things that can trip you up. Sometimes the order in which you eat a meal can affect how your body processes the meal. So do you want to eat protein first or do you want to eat protein last is something you should know. What about fats and what about carbs?

How often you eat is critical. You do need fasting periods and feeding periods. Both are important.

Oh, I ran it thru my AI and asked it to fact check and correct if needed. I give you it's version. It added the resistant starch trick (which I knew of but did not think of while making my list)

Here is your final, polished, and scientifically accurate list of lesser-known nutritional tips and trivia, perfectly framed for anyone looking to understand how the body actually processes food.

Nuts and Calorie Absorption — Nuts have a place in weight loss , but your body actually absorbs far fewer calories from them than the nutrition label says. Because our teeth cannot completely crush a nut's tough plant cell walls during chewing, a significant amount of the fat remains trapped inside and passes right through your digestive system unabsorbed.

The Fat + Carb Trap — High amounts of carbohydrates combined with high amounts of fat trigger a dangerous metabolic trap. Carbohydrates cause a large spike in insulin , which acts as a key that unlocks your fat cells and forces them to efficiently store all the dietary fat you just ate right alongside those carbs.

The Strategic Refeed Day — If you follow a moderate to severe ketogenic diet, implementing a periodic high-carb day where you simultaneously decrease your fat intake can be beneficial. Lowering dietary fat on this day prevents fat storage while giving the glycogen tanks in your skeletal muscles a safe, effective chance to refill.

The Power of Meal Sequencing — The order in which you eat the components of a meal drastically alters your postprandial glycemic response . Eating your fiber (vegetables) and protein/fats before your carbohydrates slows down gastric emptying and creates a digestive mesh that significantly flattens your post-meal blood sugar spike.

Fasting vs. Feeding Windows — Constant grazing keeps insulin levels perpetually elevated and prevents your cells from resting. Incorporating deliberate fasting periods alongside feeding windows is vital because letting insulin drop low enough allows your body to initiate autophagy, a crucial cellular cleanup process.

The Reheated Starch Trick — Cooking starchy foods like rice or pasta, letting them cool completely in the refrigerator overnight, and reheating them chemically alters their structure. This cooling process turns digestible starches into resistant starch , which bypasses digestion in the small intestine, acts like fiber, and causes a much smaller blood sugar impact.

 

[lessthanhalf]

Nuts are not necessarily a nutritionally bad choice in a lot of contexts, they are high in fiber and vitamins and minerals and healthy fats, and are relatively filling, but are also high in fat and very calorie dense, 5+kcal/gram so in the context of someone struggling to get their calorie intake down, adding small volumes of super calorie dense foods is usually a good way to add extra calories for not a lot of extra satiation. And it is just way too easy to eat a lot of nuts and get in a huge number of calories. I added some nuts into my diet not that long ago but only measured out in 20 gram quantities per day. Sounds more like she failed to tailor her advice to your particular needs, which is essentially her job.

I always found fairly low calorie density but high protein snacks to be most effective for hunger control, like low fat high protein yogurt, very lean meat, low calorie fruit, salad/raw veges etc, but I am on a diet with 40-50% of calories from protein and most dietitians would be a bit horrified by that.

The science on artificial sweeteners is so complex I do not think anyone fully understands it, there is so much contradictory info out there that interpreting it is almost impossible. Maybe they mess with satiation or post ingestive hormonal responses but far from definite.

One of the most useful things I did was input my diet into chat gpt, as it is very repetitive to minimise gut symptoms I could just use 1 day to represent it fairly accurately, but if the diet was more normal you could make a diary of everything for a week including weights and shove that into chatgpt in research/scholar mode and get it to analyse calories, fat, protein, carbs, fiber etc. I found it pretty informative, it is the kind of thing a dietitian could do, but chatgpt is going to be quicker and possibly more accurate, and I found chatgpt could give sensible dietary advice, at least the way I used it .

Just saw the above post after finishing writing this with at least 2 things the same included.

 

[Just A Cat]

Just saw the above post after finishing writing this with at least 2 things the same included.

Cool. There are now more of us. Our numbers are growing. Mwahahaha

 

[AngieHolmes 53745]

My fat ass body, my soda choice lol.

We talked about some thing like omega 3 and stuff but I m already taking omega 3 for my high TG level, which has been well down since but i m taking anyway

Honestly you don't sound like the most receptive client lol