Dietitian?

[RetCurious]

lastresort said:

Long before I touched peptides, my GP suggested I go talk to a dietitian about nutrition.

I will be frank: I balked at it, because no amount of "balanced nutrition" could possibly explain away the stubborn plateau I was stuck on. Honestly, I think she sent me there because she did not believe me when I said I had done everything by the book and still got nowhere.

Anyway, it was free, so I went today - and I was told what has to be the most absurd thing I have ever heard....

"Rather than zero sugar soda, have nuts, since they give you protein and fiber between lunch and dinner."

.....did it slip her mind that nuts are really high on fats?

What you're seeing there may well be the last gasps of an approach to medicine that never worked.

 

[AngieHolmes]

lastresort said:

Long before I touched peptides, my GP suggested I go talk to a dietitian about nutrition.

I will be frank: I balked at it, because no amount of "balanced nutrition" could possibly explain away the stubborn plateau I was stuck on. Honestly, I think she sent me there because she did not believe me when I said I had done everything by the book and still got nowhere.

Anyway, it was free, so I went today - and I was told what has to be the most absurd thing I have ever heard....

"Rather than zero sugar soda, have nuts, since they give you protein and fiber between lunch and dinner."

.....did it slip her mind that nuts are really high on fats?

Maybe her aim was to deal with the hunger that shows up between meals? Diet soda has a reputation for doing real damage to your metabolism. On balance nuts are probably the better pick; calories aren't the whole picture. Did the fats come up when you talked to her?

 

[Calm Logic]

What the dietitians ought to be doing is leading on strategies to reduce GI side effects from GLPs, ideally with a handful of their own trials to point at. Instead there's essentially nothing beyond the usual boilerplate — or that rather unpopular idea of coming off GLPs earlier rather 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.

Click to expand...

The usual guidance for heading off GI side effects:




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



Indicated in type 2 diabetes and in obesity alike, glucagon-like peptide-1 receptor agonists (GLP-1 RAs) show high efficacy at controlling glycaemia and at inducing body weight loss, respectively. Gastrointestinal adverse events may develop in patients (GI ...

pmc.ncbi.nlm.nih.gov

 

[lastresort]

AngieHolmes said:

lastresort said:

Long before I touched peptides, my GP suggested I go talk to a dietitian about nutrition.

I will be frank: I balked at it, because no amount of "balanced nutrition" could possibly explain away the stubborn plateau I was stuck on. Honestly, I think she sent me there because she did not believe me when I said I had done everything by the book and still got nowhere.

Anyway, it was free, so I went today - and I was told what has to be the most absurd thing I have ever heard....

"Rather than zero sugar soda, have nuts, since they give you protein and fiber between lunch and dinner."

.....did it slip her mind that nuts are really high on fats?

Maybe her aim was to deal with the hunger that shows up between meals? Diet soda has a reputation for doing real damage to your metabolism. On balance nuts are probably the better pick; calories aren't the whole picture. Did the fats come up when you talked to her?

Lol, my body, my soda choice.

Omega 3 came up, but I'm already on omega 3 for my high TG level — the numbers have come down nicely since, and I'm staying on it regardless

 

[Just A Cat]

Wow. Plenty of folks here have clearly had rough experiences in real life. Which probably works in my favour, since what I've been doing is feeding actual meal logs into an AI, and the guidance coming back has genuinely helped me.

It really is a strange state of affairs when software outperforms the humans who are paid to do the job.

I'll drop in a handful of nutritional points I know to be accurate, for whatever they're worth.

Nuts do have a role in weight loss, but they demand attention. Serving sizes have to be tracked closely.

Protein matters so much that it ought to show up in every meal. You can build your eating around protein and fats (keto), or around protein and carbs. What you should avoid is building it around fats and carbs. At the basic biology level, the insulin response means combining a lot of fat with carbs speaks directly to your fat cells.

For those on moderate to severe keto, it can pay off to pick one day where carbs go up and fat comes down. That lets the glycogen stores in your skeletal muscle top back up.

What you eat matters, though plenty of subtle details can catch you out. At times the sequence of a meal changes the way your body handles it. So knowing whether protein goes first or last is worth something. And where do fats fit, and carbs?

When you eat matters enormously. Fasting windows and feeding windows are both needed. Neither is optional.

By the way, I put all of this through my AI and asked it to verify and fix anything wrong. So here's its version. It introduced the resistant starch trick, which I was aware of but didn't think to include while writing 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.

1. 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.
   
2. 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.
   
3. 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.
   
4. 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.
   
5. 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.
   
6. 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.

Click to expand...

 

[lessthanhalf]

Nuts aren't automatically a poor choice nutritionally in many settings — they bring fiber, vitamins, minerals and healthy fats, and they satisfy reasonably well — yet they're also fat-heavy and extremely energy dense, at 5+kcal per gram. So when somebody is fighting to bring their intake down, layering in small amounts of a heavily energy-dense food tends to pile on calories without buying much extra fullness. And eating a big pile of nuts is far too easy, which means a big pile of calories. I did work nuts into my own eating not long ago, though always weighed out to 20 gram portions a day. This sounds more like advice that never got adjusted to your particular situation, which is the core of her job.

For keeping hunger in check I've always done best with snacks low in energy density but high in protein — low fat high protein yogurt, very lean meat, fruit that isn't calorie heavy, salad or raw veges, that kind of thing. My own plan takes 40-50% of calories from protein and most dietitians would probably be appalled by that.

Artificial sweeteners are such a tangled area of research that I doubt anybody has it figured out; the conflicting findings are so abundant that drawing any conclusion is nearly hopeless. It's possible they interfere with satiation or with hormonal responses after eating, but that's a long way from settled.

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 with a more normal diet 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 noticed the above post only after I'd finished writing this, with at least 2 items overlapping.

 

[Just A Cat]

lessthanhalf said:

Nuts aren't automatically a poor choice nutritionally in many settings — they bring fiber, vitamins, minerals and healthy fats, and they satisfy reasonably well — yet they're also fat-heavy and extremely energy dense, at 5+kcal per gram. So when somebody is fighting to bring their intake down, layering in small amounts of a heavily energy-dense food tends to pile on calories without buying much extra fullness. And eating a big pile of nuts is far too easy, which means a big pile of calories. I did work nuts into my own eating not long ago, though always weighed out to 20 gram portions a day. This sounds more like advice that never got adjusted to your particular situation, which is the core of her job.

For keeping hunger in check I've always done best with snacks low in energy density but high in protein — low fat high protein yogurt, very lean meat, fruit that isn't calorie heavy, salad or raw veges, that kind of thing. My own plan takes 40-50% of calories from protein and most dietitians would probably be appalled by that.

Artificial sweeteners are such a tangled area of research that I doubt anybody has it figured out; the conflicting findings are so abundant that drawing any conclusion is nearly hopeless. It's possible they interfere with satiation or with hormonal responses after eating, but that's a long way from settled.

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 with a more normal diet 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 noticed the above post only after I'd finished writing this, with at least 2 items overlapping.

Great. More of us now. The headcount keeps climbing. Mwahahaha

 

[AngieHolmes]

lastresort said:

AngieHolmes said:

lastresort said:

Long before I touched peptides, my GP suggested I go talk to a dietitian about nutrition.

I will be frank: I balked at it, because no amount of "balanced nutrition" could possibly explain away the stubborn plateau I was stuck on. Honestly, I think she sent me there because she did not believe me when I said I had done everything by the book and still got nowhere.

Anyway, it was free, so I went today - and I was told what has to be the most absurd thing I have ever heard....

"Rather than zero sugar soda, have nuts, since they give you protein and fiber between lunch and dinner."

.....did it slip her mind that nuts are really high on fats?

Maybe her aim was to deal with the hunger that shows up between meals? Diet soda has a reputation for doing real damage to your metabolism. On balance nuts are probably the better pick; calories aren't the whole picture. Did the fats come up when you talked to her?

Lol, my body, my soda choice.

Omega 3 came up, but I'm already on omega 3 for my high TG level — the numbers have come down nicely since, and I'm staying on it regardless

As a client, you really don't come across as especially open to suggestions lol

 

[lastresort]

For anyone who cares — probably nobody does, but I'm just testing the waters here — I discovered that a lot of people have been complaining about this nutritionist, lmao.

 

[Slaine]

lastresort said:


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?

Click to expand...

Has keto or keto-carnivore OMAD been something you've given a go? When it's done properly, the results are feeling great, having plenty of energy, dropping a huge amount of fat, and avoiding loose skin. As for me, I shed 40kg (roughly 90lb, if I've got that right) over 4 months, and that was before I began peps.