To think that he practice nurse could have been more helpful?

[curlywurlycremeegg]

Have put on 5 and a half stone on in 6 years, in that time I have also had 3 pregnancies. I am really struggling to loose any weight, have done weight watchers, slimming world, low carbing and after loosing abot 7lbs in the first couple of weeks the weight just goes back on despite me following the diet without "cheating".

Saw my GP about it a couple of weeks ago who took blood for thyroid function, she said if that came back normal I could either try Orlostat or see the practice nurse for weight managment advice. Chose to see the nurse as I really want to try and beat this weight gain without resorting to medication etc.

Saw the nurse yesterday and she has left me deflated and upset. I explained the situation, she weighed me (and had a sharp intake of breath.....not very reassuring!). My BMI is 40, I knew that so it wasn't a shock, in fact that was the reason I felt I really needed to loose weight, it's not about fitting in lovely clothes or looking good, it's about my health, I am very concerend about the impact of being this weight on my life.

She then proceeded to offer loads of excuses such as "are your parents overweight?, It may just be genetic" and "you have had four children".....well yes I know all that, I don't expect a washboard stomach but I really need help with this now. The best she could do was tell me to pick up some leaflets from the waiting room and to watch a programme called "food hospital" or something like that.

I will post in the weight loss section later but just feel really let down, I know there is no magic cure for my problem but she didn't even offer to see me again....not that I am sure it would have been helpful after the lack of advice she gave last night.

AIBU to have expected a bit more from her?

Good point about exercise too.

She could have been a little more tactful but other than that im my experience there is very little doctors/nurses can realy do to help if there are no underlying problems.
I sturggled alot since with my weight frim being a very overweight child then losing weight when i left home, i am pregnant with my fifth dc in 7 years so that doesnt help!. At the start of this pregnancy my BMI was 32 in the last ten years (since leaving home) it ranged from around 39 at 18 then down to 25 then up and down inthe high 20s and low 30s.

I know i am still overweight but obviously if i had carried on as i did as a chid/teeneager i woukd be one hell of alot more overweight by now. The ways i lose wieght when it gets high is mainly just calorie counting for a couple of months. I use an online calorie counter these days and just add everything up after a while i realise that although i feel like i havent changed my det i. Have slowly increased thing that im eating without even noticing. I tend to stick to it until i get down to around 10 stone then lose interest and gradually get bored if it then the whole cycle starts again! If someone could cure this it would be fabulous but i suspect it is going to be like that pretty much until i either give up totally or the rest of my life

Curly, you may need to concentrate on increasing your metabolic rate alongside whatever diet you are doing. Ideas for this are, 1. Try a bit of muscle building exercise every day, weights, squats, push ups if you can. Books in library can point you in the right direction. Muscle uses calories throughout the day. Fat does not. Obvs need to build in aerobic exercise too, but try swinging the balance more to muscle building for a few months 2. Try to eat early in the day to kick start metabolism, and if poss exercise early. 3. Eat 5 small meals eg breakfast, lunch, supper and 2 snacks. 4. Try not to eat after 8.30 pm

Inc'd metabolic rate will really help with managing weight loss.

Good luck

People tend to underestimate the number of calories in food / underestimate portion sizes. It's good to swap deep-fried chips for oven chips, but oven chips aren't healthy either and should be cut out altogether. If you keep an honest food diary and do exercise on a daily basis (and again, be honest about how many calories you are actually burning off), you will lose weight unless you have a thyroid problem or something similar.

It's a long, slow process, and it can be very demoralising, but the nurse can't stop you from eating too much and she can't force you to jog around the park - you need to do these things yourself.

Oh and don't forget drinking loads of water... A glass 30 min before a meal helps to feel fuller.

Perhaps she could have been more helpful, but really it's not rocket science is it? Eat less and move more.

I know this is unsympathetic but... your username doesn't really inspire confidence.

I'm a practice nurse.

I am not a dietitian.

All I can offer is to weigh people, point them in the direction of Slimming World and Weight Watchers and offer moral support.