Pain doc completely unrealistic! Wants me to do rapid starvation diet!

Discussion in 'Fibromyalgia Main Forum' started by Saoirse3, Oct 16, 2012.

  1. Saoirse3

    Saoirse3 Member

    My pain doctor IS a pain! She said the reason I am in pain is because of my weight, which I will admit is not where it should be. But she INSISTED she would NOT give me anything for pain until I lost 50 pounds, and she gave me a two week supply of Phentermine. I took one and I HATED it! It made me feel very dizzy, I had a sore throat for 3 days, despite drinking enough water to float an aircraft carrier, and I had to run to the bathroom every 15 minutes. She said to cut my caloric intake to 750 calories!

    I already eat a very low fat diet, drink a gallon of water or no-calorie drinks a day, play my Wii Fitness and stretching exercises for 30 minutes or more and don't eat sugar. Still, my weight remains stubbornly stuck. I did the HCG diet before and I lost weight, but collapsed because of hyperkalemia (almost a total depletion of nutrients). But she INSISTS that I MUST lose weight at any cost! And "all my problems will disappear"!

    Oh, so I WON'T have 3 crushed discs in my neck? And severe facet joint disease? My osteoarthritis will be cured, my liver will be brand new AND I will no longer have fibromyalgia? MOOSE MUFFINS! And I own oceanfront property in Nebraska!

    While I'll admit, my joints and muscles will feel better with less weight on them and I'll feel better as well, I am afraid of the rapid weight loss idea. I wish there WAS a safe way to lose weight fast because I sure would have done it! I can't have surgery of any kind because of a very low platelet count, but I am doing my best to lose in a way that will be HEALTHY for me! If anyone knows how to do this fast, then I am all ears!

    Thanks so much for listening! Soft hugs to all,
    Stacey
  2. IanH

    IanH Active Member

    If you are able to lose weight slowly and steadily it is better for you. Keep it up.

    If your weight has been stuck for more than a month you will need to re-examine your calorie judgement which stretches over time with all of us. (I should know this I did my PhD on it).

    Also there has been some research to show that in mice a large intake of sugar substitutes can reduce metabolic rate and cause weight gain but then you are not a mouse.
    How is your appetite?
    If you are 50 pounds overweight then you should be able to lose weight consistently on 1000 calories per day. (Only ever weigh yourself, if you do, no more than once per week).
    All the best.
  3. tamsyn

    tamsyn Member

    There is more and more research about gluten causing joint pain and weight issues. There is a super article about it on the home page of prohealth right now today. Have you looked into a gluten-free diet? Your doc does sound like a pain. Good luck!
  4. moi482001

    moi482001 Member



    So sorry that your doc seems to be approaching this in such drastic fashion without regard for the pain of Fibro.

    Losing weight is not easy especially if genetics are not on your side. But do not despair, losing weight gradually is a much more sensible approach. Exercise, although difficult, also has to be added to your daily routine.

    I have lost over 15 pounds by walking with my dog every day. It is difficult with Fibro and it takes a lot of willpower to do it on a daily basis. Start by doing what you can, never too much or you will get discouraged. Then rest while drinking water. Your walk can include walking in a shopping centre, walking thru town while window shopping. Anything to distract you and don't forget shopping for groceries is also walking.

    I have very bad sciatic pain and neuropathy in one foot but my dog keeps me on my routine. I hope you find something to motivate you. The exercise seems to help my moods and does help me to maintain some flexibility in my back.

    Hope nothing I said is offensive, that's the last thing I would want to do at a time like this. Good luck with whatever you decide to do.
  5. moi482001

    moi482001 Member



    So sorry that your doc seems to be approaching this in such drastic fashion without regard for the pain of Fibro.

    Losing weight is not easy especially if genetics are not on your side. But do not despair, losing weight gradually is a much more sensible approach. Exercise, although difficult, also has to be added to your daily routine.

    I have lost over 15 pounds by walking with my dog every day. It is difficult with Fibro and it takes a lot of willpower to do it on a daily basis. Start by doing what you can, never too much or you will get discouraged. Then rest while drinking water. Your walk can include walking in a shopping centre, walking thru town while window shopping. Anything to distract you and don't forget shopping for groceries is also walking.

    I have very bad sciatic pain and neuropathy in one foot but my dog keeps me on my routine. I hope you find something to motivate you. The exercise seems to help my moods and does help me to maintain some flexibility in my back.

    Hope nothing I said is offensive, that's the last thing I would want to do at a time like this. Good luck with whatever you decide to do.
  6. Nanie46

    Nanie46 Moderator

    I see that you already don't eat sugar, which is great. Hopefully that also means processed foods that contain sugar. When I cut out foods that contain sugar or high fructose corn syrup, any extra pounds came off.

    I stick to whole foods and also try to eat gluten free, dairy free and soy free.

    Avoid processed foods, and eat what comes from the earth....fruits, veggies, fish, chicken, meats, nuts, seeds (chia, for example)...and organic whenever possible.

    There are so many packaged "foods" that are not really food, but chemicals and other unhealthy ingredients disguised to look like food.

    I see you also eat a low-fat diet. Not sure what that includes for you, but there are alot of processed foods that are labeled low fat that are not healthy. They usually contain sugar to make up for the low fat content.

    Diet changes can really help with symptoms.

    Have you ever watched any of Dr Terry Wahl's youtube videos? She reversed her progressive MS through diet. She wrote a book called "Minding My Mitochondria".

    If you are not sure how to adjust your present diet, you could consider posting your intake for a day or more and members can try to help you...just a thought.

    Rapid weight loss does not usually work for the long term. Slow and steady wins the race.

  7. zenouchy

    zenouchy Member

    How frustrating to have a doctor who is so unforgiving. She should know how hard it is for anyone to lose weight, much less that most illnesses complicate the matter.

    All anyone can do is their best, which you are, and you're so spot on that rapid weight loss is dangerous and most people don't keep the weight off long term that way. Your doctor should know that and have a more balanced, sound approach. Limiting your body to 750 calories won't give you enough nutrients that you need every day, which is also critical. Wow, don't mean to sound opinionated, but she sounds wacky.

    Is there another pain specialist you could try that is more realistic and empathetic? A doctor should work with your unique health needs and listen to you as well. Wishing you the very best in your search and the help you need and deserve.

    Soft hugs,

    Erika
  8. MikeT

    MikeT New Member

    I had the same problem, lost 50 lbs, and feel less pain. I did it by eliminating almost all carbs, except for a small green salad (plain) and a few green vegetables. Take out all simple carbs, flour and grain products (i.e sugar, pasta, breads, rice, potatoes , etc). Give up all sodas(sweetened or diet) and eat 90% protein and fat. Fat doesn't make you fat. Eating low fat only substitutes fat with sugars and carbs) A piece of chicken or plain hamburger patty makes a good breakfast....or omelettes or any egg dish.
    Try this and the pounds will quickly shed, as well as less severe pain.
    Good Luck!
  9. ksp56

    ksp56 Member

    Sound's like a pain in th a** and not a compassionate doctor.

    Losing weight is always good for most of us. And it does help with some pain in our body. I have fought my weight every since chemo induced early menapause an being diagnosed with Fibro/CFS. I agree with what other's have said. BUT, to not give pain medication truly needed unless you meet her 'goal' is utterly ridiculous.

    I have just had it with doctor's and the medical field for the most part. Gee, does it show?! LOL Are there any other doctor's you could try in the area you live? If so I would suggest seeing every one of them until you find someone who is concerned about how you feel. It's easier to do all thing's when pain is at least, somewhat managed. And that include's changing food habit's.

    I will pray for you and hope you find someone who treat's you kindly and in a humane way.

    Take care!

    Kim

  10. Mikie

    Mikie Moderator

    Such a drastic cut in calories is dangerous. Find a good doc who can help with a change in eating habits. Low-fat diets are often very high in calories. Good fats do not make us fat. Bad carbs do. Forget white rice, white potatoes, sugar, corn syrup and bread. Eat lean meat, foul and fish with all the veggies you want, with the exception of peas, corn and the white potatoes. Eat low-glycemic fruit as a snack by itself in between meals. Don't mix carbs with fats. If you eat yogurt, get no-fat yogurt because it contains lactose, a carb. Suzanne Somers has several books with recipes and you can always get the book on the Mediterranean Diet. Read labels and avoid transfats. In fact, avoid processed food. Eat everything fresh.

    Just make sure you run this past a good doc who will help you.

    Love, Mikie
  11. luigi21

    luigi21 Member

    yeah i understand pain clinics goal is to taper off medication they don't appear to understand the way Fibromyalgia works. Physiotherapists actually tell you to take pain meds so you can exercise, all rather contradictory, but you shouldn't be made to suffer pain thats just cruel, there doesn't appear to be any help out there where one medical professional can deal with the multifaceted problem so you get misunderstood, and pushed from pillar to post with no real help.
  12. Saoirse3

    Saoirse3 Member

    I did NOT go on the starvation, lose 50 pounds in two weeks diet, but instead just stuck with what I am doing now. My average caloric intake is between 750 to 1,000 a day, not because I am restricting myself to that, just because that's all I can eat! I'm not a big eater anyway, and have 6 smaller meals. I couldn't eat an entire " appetizer to dessert" meal at a restaurant if my life depended on it!

    What I AM is in pain. My doc seems to think Lyrica is a cure-all, and some days I have muscular aches and stiffness that I KNOW the Lyrica isn't going to do anything for. Though I am not supposed to take ibuprofen, it's all I have. Some "pain specialist"!! I think I am better off with the natural stuff, thank you very much! My lab results said pretty much what I expected. My blood is crappy, my platelets are still low, I don't have lyme disease. Tested high for B-12 (must be the vitamin) and my A1C is 5.9 WITHOUT insulin (not too shabby). Thyroid is out of whack (am I the only one who notices these things?). Ah, well, back to the drawing board!

    Soft hugs,
    Stacey
  13. Mikie

    Mikie Moderator

    Dr. St. Amand's Guaifenesin Protocol? You can find it in his book, "What Your Doctor May Not Tell You About FIBROMYALGIA.? I was bedridden most of the time and on morphine for pain before I decided to do this protocol. It didn't work overnight, and it's not an easy treatment to follow, but it did work for me and I no longer have to take pain meds, Rx or OTC.

    At any rate, the book is worth reading for the info it contains. Good luck.

    Love, Mikie