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.

The doctor is not being supportive particularly after cancer treatment. 1-2lbs a week is good. You aren’t going to drop huge amounts if you only have a little bit to lose.
I would ask for a second opinion.

Was about to post something similar - but you've beaten me to it (and more articulately).

It's great that OP doesn't have diabetes - or even pre diabetes - and so with long term changes to her lifestyle should be able to avert that.

I had to check this thread wasn't in AIBU - and even though in Weight Loss. I agree it's brave poster who asks for advice on a forum with the legendary chicken feeding a largely family for a long time and a large salad defeating even the most voracious of eaters 🤭

@MyrtlethePurpleTurtle do you mean that the chicken I bought this morning won't last the rest of the month.🤣🤣🤣

It's now I appreciate my DH, he has never wanted cake or chocolate so nothing is in the house to tempt me.

The GP is concerned she will develop prediabetes

100% agree!

Ha ha - probably not, but that large salad should see you go good for the best part of a week.

Again, well done!

I think that is good steady weight loss, please don't let gp dishearten you, you are doing really well.

Your weight loss sounds like an ideal rate of loss. You'll likely keep it off doing it this way.

Well done. It's no mean feat losing 5kg in 6 weeks especially as we get older. Don't let the GP let you feel crap. Fast weight loss is rarely the start of any long term change of outlook/diet.

Keep doing what you're doing. Just make sure you enjoy what you eat and that you're getting the fibre, protein, vitamins you need and you'll be fab.

I eat bloody tons of grapes and bananas, they’re good healthy sugar. I’ve lost nearly 3 stones in the last 4 months. I was eating tons of chocolate previously- which is not good sugar! I’m not beating myself up for eating fruit. The nutritionist at the prediabetes course said eat a handful of walnuts or Greek yogurt with them to help balance any sugar spikes

I also prefer three meals and a couple of small, healthy snacks a day to balance sugar spikes. Something else recommended by the diabetes nutritionists. Potatoes, pasta and rice are absolutely not the enemy. Carbs are necessary for health. But choose whole meal or brown versions.
We need to train ourselves to eat a balanced healthy diet of good, healthy, whole food. Fads are not the way forward for the long term.

I think you've done fab losing that much at your age in 6 weeks, gp is a cow.
Just keep an eye on your weight and carry on what you have been doing.

Well done on your loss. See another GP, they sound awful.

They are not a total no-no as the other poster said, but two portions of fruit a day is ample, like, say, a medium banana and 80-90g berries. You'll still get other natural sugar from dairy, starchy veg and whole carbs.

This!

Yeah I had a brain fog brain fart, big wow

And no I wasnt and didnt say weight loss is perfectly linear, it wont show like that over a short period of a week or a couple of weeks, but over a sustained period like 6 weeks, if OP is eating to the calorie deficit required to get 1.5lbs down a week, then even if its up and down during a short period of time, over 6 weeks she would show a similar loss to the previous 6 weeks. Its not foolproof but generally the case.

I don't understand the advice of not having any milk - I have semi skimmed milk with my cup of tea and I have shreddies as cereal occaisonally if I cannot be bothered cooking eggs in the morning. Shreddies is full of fibre and B12 vitamins. You could also have porridge as an alternative with skimmed or semi skimmed milk. I've been on Mounjaro and been losing at least a pound or two a week - this is nice steady weightloss.

Ooh ouch sorry to hear that 😞

I think your gp is terribly misguided. That weight loss is fine. If your hbac1 is below 39 (threshold for prediabetes) at 56 years, then you’re not doing badly, bearing in mind what’s else you’ve coped with.
i was diagnosed as actually diabetic with a reading of 49 and decided myself to get it down. The surgery agreed to hold off on meds etc pending my next blood test. Over four months I got it down to 45, back into prediabetes. I only lost a few pounds in weight, but I reset my exercise levels, rehashed my diet to exclude the majority of carbs, and began to practise intermittent fasting (ie I had a very early dinner and a late breakfast). I’m hoping my next hbac1 will be towards the lower end of the prediabetes band. I accept this is my life now - I have the tendency towards moving up to diabetes and I don’t want that.
my weight loss is steady at around 1-2lb a week, and I have no wish to go beyond whatever it is when I hit 25 BMI which I think will be around 65kg. My troublesome joints feel much much better.
i swim twice a week, do at least half an hour of gentle weights and Pilates indoors during the day, and have downloaded lots of 1970s/80s disco music so have a kitchen disco whenever the fancy takes me.

@rightoguvnor my hbA1c when I went into A&E last August with some alarming symptoms was 104!! Apparently me still being stood up and functioning was surprising. 1 year, Mounjaro and too much time trying to figure out how the scary machines in the gym work and it’s down to below diabetic range now, last reading was 32.

OP, really just keep on doing what you’re doing, if you are losing weight at a sensible pace, which you are, then you will be doing your body so much good.

I personally think it’s silly restricting nutritious, natural, healthy food. I probably eat six or seven portions of fruit a day, and probably another seven portions of veg. And am steadily losing weight plus still enjoying my food.

Do you think shes inferring you should get the jabs and go down quicker?

Its not healthy for you if you have problems with your blood sugars is it. Not that hard to understand. OH has a list of fruits he isnt allowed and he has to restrict it anyway due to the sugars, he is type 2.

I was prediabetic, as I said. My levels have come right down since I lost some weight (I was only borderline pre, which sounds like the op is). The lady from the prediabetes program said it’s fine if you eat something protein first, it lessens the sugar spike from fruit. Now it might be a bigger deal if you’re actually diabetic I guess, but the op isn’t even pre yet. But most people will be able to swerve type 2 diabetes by losing their excess weight and getting more active - that’s the reason they run the prediabetes courses. And yes they mention that some fruits are better than others, but there is no advice to avoid them or limit to two portions. Perhaps that comes further down the line when you are diagnosed as diabetic.

I’ve bought a glucometer- it’s useful to keep an eye on your numbers. Mine have been fine, even with my fruit.

I wasn't pre-diabetic but with PCOS likely had some insulin resistance. I only average 1400-1500 calories a day so definitely wouldn't want to use them up too much on pounds of fruit. I'd rather have a bit of chocolate in moderation, or some wine.

Five portions of veg and two of fruit a day is the Aussie recommendation which always seems quite sensible to me. Though I eat quite a lot of cucumber and tomatoes which are technically fruit, but not sugary.

Eggs mushrooms and baby tomatoes

Berrys and Greek yoghurt with nuts. I do a toasted granola that I make myself that only has 20 g oats per portion no sugar

so it’s low carb rather than no carb

omlette

5kg in 6 weeks is a lot. That is about 2lb a week, which is the higher end of sustainable rate.