GP not happy with my weight loss.

[Imfat]

6 weeks ago I saw the GP for the results of my blood tests.
She told me that I need to loose weight. At the surgery I weighed 91kg.
The next morning I weighed myself on my new scales. 90kg.
Since then I've weighed every Friday. Yesterday I was 86kg.
Yesterday I had another appointment for more results and she got me on her scales and it said 86.40kg.
That's not good enough she thought I should have lost more.
Preceded to tell me no white stuff, no cereal, no milk, more water etc.
I came away so disheartened as I thought slowly was best.
Yesterday I ate
Breakfast
Bran flakes with greek yoghurt with banana on top.
Lunch
Fresh salmon, baked potato, cauliflower and broccoli. No sauces or butter.
Dinner
Chicken and salad. No sauce or butter.
Mid afternoon I had a pear.
Plenty of water, 3 black coffees no sugar.
This is a typical day.

Is this the right loss or should I have lost more.

Congratulations on the start of your weight loss. As a (sadly) experienced dieter of around your age I can say 1- 2lb a week is perfect. Anymore than this and you will start to show it in your face and look unwell. Find a pattern of eating that suits you, if you impose an eating regime that you really don't like you will not be able to stick to it. I have omletes or poached eggs at the weekend for breakfast but I find shredded wheat ( no additives at all, just wheat) or porridge made with water and blueberries works well in the week. Be sure to weigh your food, I found to my cost I would let portion sizes increase and then i didn't lose anything. Good Luck, and perhaps see a different GP next time.

Well done for your weight loss, OP. You're doing the right things so just keep it up. It has to be sustainable.

I know it depends very much where you live, but in some areas there are weight loss programmes available on the NHS if your BMI is above a certain level (and/or if you have other risk factors). I am heavier than you and my BMI was 38. I self-referred to the NHS weight loss service and they asked a few questions and then gave me a voucher for 12 weeks of Slimming World, completely free. So it's worth finding out whether there is something similar available near you.

Everyone chooses the programme that works for them, but FWIW I think the SW plan makes a lot of sense. It's low fat, low sugar, high protein, high fibre, plenty of fruit and veg. There is an "allowance" of dairy each day to ensure you're getting calcium. And personally I find the weekly meetings are very helpful to stay motivated - the other people are a supportive bunch. So I'd recommend it if you'd like more support, especially as your GP is so unhelpful.

I would ditch the breakfast altogether. Don't eat until Noon. This is what I have been doing and it's working. It means you fast for 18 hours, and your body has to burn fat for energy. If you can't do 18 hours, even 16 or 14 would be good. If you are hungry a glass of cold water really takes the edge off.

Banana's and grapes are a total No-No, they are full of sugar. Try strawberries and blueberries instead. Any type of eggs are good. Potatoes, pasta, rice etc, are all the enemy, although I admit I do still have some in small portions.

Cereal and granola are not good either.

Try following Eddie Abbew, he's fab. He opens your eyes to what real food is. Our supermarkets are full of shite. If you couldn't eat it 200 years ago, don't eat it now!

The GP is nuts- that’s great weight loss and a really good example of a days nutrition. Don’t forget to let yourself have some of what you like- follow Sally Gunnel for inspiration on nutritional balance and building in some strength exercises. Well done!

A PP has already said but you do need to watch your fruit intake if you are heading towards being pre-diabetic “natures candy” I have seen it referred to. I am not saying you can’t eat fruit but try to keep to lower sugar fruits such as berries e.g. strawberries, raspberries, blackberries, Higher sugar fruits like bananas, cherries, grapes, mangoes, and dried fruits should be kept to a minimum.

I also think you weight loss is great, 1-2lbs a week is a safe level.

You’re doing brilliantly and your diet is excellent- ignore her

Well done OP! You've started a journey and are taking steps in the right direction. Speaking of steps, walking is good both for getting your baseline calories up and for improving bone density, which is important at your age. Anything over 6000 a day has been proven to boost longevity. If you don't want to go for a walk outside, there are walking workouts on youtube.

Like many others on this thread, I'd recommend trying to build some muscle too. Muscle will up your calorie expenditure, obviously make you stronger, and help protect your body into old age. Even just starting with some beginners bodyweight exercises such as squats and wall push ups can really help.

@Imfat id be asking for a referral to someone more specialise within the nhs.

no calcium etc and healthy fats from milk? Fruit may have sugars that are affecting you..

ask to speak to a nationalist who can advise better.

your weight loss is healthy and slow and steady but you still need balanced fats etc

My GP comes to SW with me and she's lost 14lbs in 8 weeks so if that rate of loss is good enough for a Doctor its good enough for anyone and it goes to prove the GPs are often just as clueless about diet/weightloss/healthy eating as the rest of us are

Your GP is going to push you into an unsustainable diet which you cant maintain forever. Just keep doing what you are happy doing. The getting outside for walks will help - not so much with the loss but helps keep the mind healthy as well as the body

I would only suggest cutting the fruit portions back and eating more veg. Fruit is just a sugar hit and the body will store that as fat

Im 62 and my diet is protein and fibre rich , with some non white carbs , loads of veg , keep the diary low - Ive lost 2 stone and am maintaining. I do keep the fruit intake low

You are doing fantastic

Kindly! What a joke! Have you ever been on Chemo? Because I have, a cocktail of chemo, hormones and steriods and I gained five stones!

Well done OP, just keep on keeping on. I'd also question the no milk, calcium is really important as we age. Milk is not something I'd cut out completely.

All these suggestions for a nutrionist referral, how realistic do you think that is for just the average dieter.

You cant get those easily for someone with an ED let alone someone who is just a couple of stone over weight and doing well in her weight loss.

What would the referral be for? To have a chat, you need to pay privately for that.

I’d consider complaining about her. Her diet advice sounds poor.

That's certainly at the upper end of weight loss - which is usually put at 1lb - 2lbs a week (if you're doing well)!, When I tortuously lost a stone on WW (whilst still remaining 'obese'), my GP was so happy I thought she was gong to give me a hug

< edited to say sorry I don't do kilos! >

This looks great, you’re doing well, maybe check portion size on the salmon and chicken. I have a boiled egg and spinach for my breakfast, no idea if that’s better.

You’ve done amazing. She should be encouraging you. I would be asking next time what she wants you to lose a week? 5 pounds or more?

Losing 1.5 pounds a week is 5.5 stone. Which is incredible.

It might be worth just ignoring the bit where she wants you to go faster. I had problems with being too thin for years and after a while I realised that GPs don't have training in nutrition. They do tend to talk quite a lot of garbage when they get into the specifics of it.

I had a very restricted range of things I could eat. Each time I managed to add one more thing to the list of things I could eat, guaranteed a GP would say "you shouldn't be eating that!". It wasn't even unhealthy things either.

I gave up worrying about it in the end.

The main thing I think with being too thin or too fat is to look after how we feel. Being sad about stuff can really mess with appetite.

If you can be proud of what you are doing and not worry too much about what the GP said, it will probably really help you to keep going with it.

You are doing a great job. Well done.

@Racheloates Wow that's so helpful. Thank you.
That's something I need to give me different ideas for what I eat..

I also think that commercial boxed cereals are a terrible dietary choice.

I eat a mix of oat flakes (soaked overnight) with fresh fruit and skyr type yoghurt (greek yogurt would be equally good).
The thing is to read labels and avoid foods that have lots of ingredients you don't understand.

Edit: my yoghurt has ONE ingredient - "yoghurt made from skimmed milk". No sweeteners or flavours, and no artificial thickener (corn starch or guar gum).

And be left writhing around in pain while on a waiting list like i was.

Yeah, I chuckled too at the maths being so far out! (along with the notion that weight loss is perfectly linear)

IMO you’re doing well. I’m 65 too.

I’ve taken two yrs to lose two stones and my GP is delighted with me. I need to lose at least another two stones, probably more.

This is a great change then 😊
Your description of what you are eating now shows a balanced diet. And something you can sustain over a long period. Well done. Try not to be disheartened.
If you can, try to add more movement and structured exercise into your week