3

votes

What to say to a nutritionist...

Answered on August 19, 2014
Created September 13, 2011 at 1:32 AM

I am going to see a nutritionist, as recommended by my doctor since I need to gain weight. I have been paleo for about 9 months and lost a little too much. I have started to up my carbs with sweet potato and white rice and am eating more frequently (was doing IF with 2 meals a day). However, I don't know how to convince the nutritionist that these steps will be sufficient, since I have already seen one nutritionist who said I was going to have to eat bread and not limit my sugar intake if I wanted to gain weight (thankfully I am not seeing her again.) Any suggestions?

F1b39d4f620876330312f4925bd51900

(4090)

on September 13, 2011
at 05:06 PM

I think if you have to bring a paleo book with you, then you are more educated than the nutritionist -so you might as wells spend you appointment money on some more great books and your time off as a dedicated reading day.

F1b39d4f620876330312f4925bd51900

(4090)

on September 13, 2011
at 05:05 PM

I agree -there is no point in wasting your time and money if you are booked to see a traditional nutritionist with a heavy foundation in the food plate/pyramid. It will be frustrating too!

1d0497f8781845ab371b479455bfee8e

(11157)

on September 13, 2011
at 11:23 AM

Exactly! I don't understand why one is acceptable and the other is not.

C4ed6ba382aed2eefc18e7877999a5de

(1579)

on September 13, 2011
at 11:14 AM

For this appointment I am required to bring a food log of the past 4 days, so hopefully that will help her make some suggestions. It may just be that I need more calories and she could help with that.

25b139cc1954456d9ea469e40f984cd3

on September 13, 2011
at 06:15 AM

I am not sure this is necessary, but if you do this, arrive with a list of everything you have eaten for the past week or two, and with precise quantities noted. Also note your beginning and ending weight and bodyfat %. Presumably, if nothing else, he or she can crunch the data and offer a daily calorie goal to shoot for--typically maintenance +500.

Fff58a1fd1e29d93fd6a25d3fdebbade

(400)

on September 13, 2011
at 02:43 AM

Couldn't you just add some heavy cream to your diet?

E5c7f14800c5992831f5c70fa746dc5c

(12857)

on September 13, 2011
at 02:35 AM

I do 5k in 3 meals :)

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:31 AM

+1 from me. You made a very pertinent analogy that I hope to use in debates in my chosen field. I plan to become an RD and it's true, dietitians make accommodations for vegetarians, vegans, etc., why not for Paleo?

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:28 AM

When I was big-time into weight-gaining before Paleo, I ate 7 meals per day and I gained 40 pounds in 3 months. I was 5'7", 170. I was a tank! LOL. But I was eating constantly and had little time for anything else other than sprinting to the bathroom. I used to wake up to pee in the middle of the night 5-10 times. Had to get my prostate checked. What a nightmare.

E5c7f14800c5992831f5c70fa746dc5c

(12857)

on September 13, 2011
at 02:24 AM

I'm just letting you know it takes a lot to build and will definitely require some pretty crazy overfeeding with paleo wholefoods. I have to eat 5000+ pretty consistently to build, I'm a little bigger though and have a higher training load but an additional 500-1k cals wouldn't hurt in your situation. If you feel comfortable at your weight I wouldn't sweat it but if you want to gain you pretty much have to eat absurd amounts of food. Refined foods can be a lifesaver in this situation.

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:19 AM

It's funny because every time I walk out of the kitchen, I'm carrying a plate oozing with some kind of grease. My roommates (all girls) are probably ready to strangle me. And they're half my age, literally.

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:16 AM

Cliff. I eat about 3,500 calories. I don't even want to know how many calories I need or how much it would cost for me to gain weight. As it stands, my bench press makes me the 12th strongest male (unofficially) in my weight class in the entire U.S. If I hit my target bench, I move up to 6th all-time. I'm closing in fast. How much healthier can I be? I consider that optimal health. Any force feeding beyond that is tampering with mother nature IMHO

6229cd9a7ca9882590259fae022e2647

(3209)

on September 13, 2011
at 02:12 AM

I envy all of you! I wish I had that metabolism.

E5c7f14800c5992831f5c70fa746dc5c

(12857)

on September 13, 2011
at 02:07 AM

Do you track how many calories you eat? For some us athletic males it takes a pretty extreme amount to gain

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:04 AM

And every day for the past 2-3 weeks I've been eating 1/2 pound brick of grass-fed organic cheese for my strength training. Not a single pound of fat. It's insane.

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7 Answers

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13
1d0497f8781845ab371b479455bfee8e

(11157)

on September 13, 2011
at 02:05 AM

I'd just lay it out there, and ask her/him straight off the bat whether they think they'll be able to help you gain weight within the Paleo paradigm. They shouldn't treat Paleo any differently than if you were a vegetarian, the omission of grains & processed foods presents them with as much of a challenge as people who don't eat meat.

If they can't or are unwilling to, ask them for a referral to someone who will. Write down your meals for the week preceding your appointment, so they have a better idea of what you're eating and what you should add/omit to reach your weight gain goal.

1d0497f8781845ab371b479455bfee8e

(11157)

on September 13, 2011
at 11:23 AM

Exactly! I don't understand why one is acceptable and the other is not.

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:31 AM

+1 from me. You made a very pertinent analogy that I hope to use in debates in my chosen field. I plan to become an RD and it's true, dietitians make accommodations for vegetarians, vegans, etc., why not for Paleo?

3
Ed983a42344945b1ff70fd9597a23493

on September 13, 2011
at 02:10 AM

Why not just find a Nutritionist in your area who is Paleo friendly and familiar? Here's a link to a list of nutritional therapists who graduated from the same program that I did in case you're interested(WAPF associated, but most will be very Paleo friendly and familiar, Nora Gedgaudas is a fellow graduate)... http://www.nutritionaltherapy.com/Referral_List.aspx

F1b39d4f620876330312f4925bd51900

(4090)

on September 13, 2011
at 05:05 PM

I agree -there is no point in wasting your time and money if you are booked to see a traditional nutritionist with a heavy foundation in the food plate/pyramid. It will be frustrating too!

3
226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:02 AM

Ask your nutritionist how to best gain weight within the Paleo food groups. My guess is that you have to eat a crapload of sugary fruit like bananas, white potatoes, and saturated fat from grass-fed sources. Also try to cut down on your physical activity as much as possible. I wish I could do the same but I'm on a college campus and I have to walk about 2 miles/day. Plus I have a dog.

I eat a jar of honey per week. Nothing. 7 bananas. 7 pounds of grass-fed beef. 4 dozen eggs. 1 jar of coconut oil. 7 sweet potatoes. 7 cans of sardines. 7 avocados.

I could stuff my face all day long within the Paleo food groups and remain lean, flexible and agile but I remember when I first went Paleo and the weight flew off, some people thought I was sickly looking. Since then I've realized how much I had avoided fats then struggled with obtaining them and then struggled with trusting them in such high doses given all the myths about cardiovascular disease. Adding fats gave me a healthier appearance I think. You should really try to up fats if you can. And fruits are fun to eat. I love 'em all - kiwis, strawberries, blueberries, cherries, raspberries, mango, grapes, oranges, melons, cantaloupe.

6229cd9a7ca9882590259fae022e2647

(3209)

on September 13, 2011
at 02:12 AM

I envy all of you! I wish I had that metabolism.

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:28 AM

When I was big-time into weight-gaining before Paleo, I ate 7 meals per day and I gained 40 pounds in 3 months. I was 5'7", 170. I was a tank! LOL. But I was eating constantly and had little time for anything else other than sprinting to the bathroom. I used to wake up to pee in the middle of the night 5-10 times. Had to get my prostate checked. What a nightmare.

E5c7f14800c5992831f5c70fa746dc5c

(12857)

on September 13, 2011
at 02:35 AM

I do 5k in 3 meals :)

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:19 AM

It's funny because every time I walk out of the kitchen, I'm carrying a plate oozing with some kind of grease. My roommates (all girls) are probably ready to strangle me. And they're half my age, literally.

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:16 AM

Cliff. I eat about 3,500 calories. I don't even want to know how many calories I need or how much it would cost for me to gain weight. As it stands, my bench press makes me the 12th strongest male (unofficially) in my weight class in the entire U.S. If I hit my target bench, I move up to 6th all-time. I'm closing in fast. How much healthier can I be? I consider that optimal health. Any force feeding beyond that is tampering with mother nature IMHO

E5c7f14800c5992831f5c70fa746dc5c

(12857)

on September 13, 2011
at 02:24 AM

I'm just letting you know it takes a lot to build and will definitely require some pretty crazy overfeeding with paleo wholefoods. I have to eat 5000+ pretty consistently to build, I'm a little bigger though and have a higher training load but an additional 500-1k cals wouldn't hurt in your situation. If you feel comfortable at your weight I wouldn't sweat it but if you want to gain you pretty much have to eat absurd amounts of food. Refined foods can be a lifesaver in this situation.

226b10cbb6b1d3530b00d2d84a2dc86e

(3313)

on September 13, 2011
at 02:04 AM

And every day for the past 2-3 weeks I've been eating 1/2 pound brick of grass-fed organic cheese for my strength training. Not a single pound of fat. It's insane.

E5c7f14800c5992831f5c70fa746dc5c

(12857)

on September 13, 2011
at 02:07 AM

Do you track how many calories you eat? For some us athletic males it takes a pretty extreme amount to gain

1
E5c7f14800c5992831f5c70fa746dc5c

(12857)

on September 13, 2011
at 02:11 AM

Paleo junk food re-enactment is your best bet. Basically combine any carb source with equal calories from fat and add a little salt, combine this with adequate protien intake and gaining weight shouldn't be that hard.

0
Df45ff15a3b093b7f22f0fec5ae1237a

(260)

on September 13, 2011
at 02:05 AM

I found a dietician on the paleo physicians network. May be useful?

0
64433a05384cd9717c1aa6bf7e98b661

(15236)

on September 13, 2011
at 01:38 AM

If you can find the chart Loren Cordain made comparing the nutritional content per day of an average 2000 calorie paleo diet vs standard food pyramid diet that might be handy.

If anyone has a link for that I'd love to have it. I've seen it before but can't locate it at the moment.

0
7c9f81d68c78de1a31eab9c91c17b4b8

on September 13, 2011
at 01:36 AM

Well if you're like most of us then tell her that grains and sugar upset your stomach. Or if you want to lay it all out just bring your favorite paleo book with you and give it to her.

F1b39d4f620876330312f4925bd51900

(4090)

on September 13, 2011
at 05:06 PM

I think if you have to bring a paleo book with you, then you are more educated than the nutritionist -so you might as wells spend you appointment money on some more great books and your time off as a dedicated reading day.

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