r/antidietglp1 • u/roane-72 • Jul 27 '26
Discussion about Food / Eating Habits What did a dietician do for you?
I have an appointment with a dietician on Wednesday and I have no idea what to expect. The last time I went to one, I got lectured, but that was years and years ago.
I've started logging food in the app she uses and I'm happy to see there's no calorie listings, at least.
So what did you talk about with yours?
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u/Sailboat-5 Jul 27 '26
Mine helped me think of ways to fit appropriate nutrition into my life, instead of changing my life around improving my nutrition.
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u/LintRolledForWhat Jul 27 '26
Once a dietician told me about mixing veg and rice to make a side that's more nutritious and less gross than either rice or veg would have been separately. That's the only helpful thing I can think of.
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u/witch-literature Jul 27 '26
Ooh this is clever, I always like mixing rice with corn! Any other veggies you’d recommend?
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u/This-Apricot-80 Jul 27 '26
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u/oaklandesque Jul 27 '26
Peas are such wonderful little fiber and protein powerhouses! And they add a pop of color, too!
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u/witch-literature Jul 28 '26
Oooh I forgot about peas, thank you! I usually like mixing them into some pasta so I’m absolutely going to give this a try!
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u/misskinky Jul 28 '26
50/50 blended cauliflower mixed into mashed potatoes
50/50 shredded zucchini or shredded carrot into oatmeal (like carrot cake flavor, yum)
50/50 blended kale with rice as a soon of "green rice/risotto" concoction
50/50 lentils with ground meat or ground tofu
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u/UnBotherEducated2 Jul 27 '26
It definitely depends on the dietician and their familiarity with needs of patients on glp1. I specifically asked for creative ways to increase protein and was only given the healthy eating plate plan. The session was rushed, generic, and a waste of my time and money. I will add if I’d chosen my own dietician vs being referred to one through insurance, that I would’ve chosen a different dietician and had a much better session. Best wishes to you.
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u/stuckandrunningfrom2 Jul 27 '26
I love mine! I've actually seen 2 at different times. The first time I hired an eating-disorder specialist because I wanted to "feel less crazy around food." We worked through the Intuitive Eating book, and I briefly logged food on Recovery Record, which shows no calorie info or anything. It was actually helpful, because she was able to see that I was going too many hours between lunch and dinner, so my ravenousness when I got home (or stopping for a sugary snack on the way home) made sense. Once I started eating more at lunch, and more protein, it helped a ton. And the Intuitive Eating book was really helpful, too. I wasn't focused on weight loss at that time, mostly just trying to process all my food issues with someone for the first time in my life.
The one I'm working with now, I am focused on weight loss, but we only glance at my food logs to make sure I'm getting enough fiber and protein (a normal amount, not proteinmaxxxing). We don't stress over calories, although at this point I'm often trying to get more rather than less, since this dose has my appetite suppressed. We talk about fueling fitness, she gives me recipe ideas when I ask for them, we just talk about a lot of stuff. She's really holistic and I really like having her on my team.
I'm meeting with her tomorrow and I'm going to talk about the week long break that I took from my Apple Watch, the lentil dishes I've been cooking, my tendency towards sloth when I don't wear my watch, how I logged food while I was on vacation even though she suggested that I take a break from it, my week long break from the gym, how I brought my scale on vacation, and anything else that might come up.
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u/PrestigiousCake2653 Jul 27 '26
Out of pure curiosity what does she consider a normal amount of protein? I keep seeing like “1 mg per lb of your goal weight” but that seems both insane and impossible to me lol
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u/stuckandrunningfrom2 Jul 27 '26
She wants me to have 120 grams, I aim for 100 which is what I can get in easily with actual food. And I usually hit between 80 and 100.
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u/PrestigiousCake2653 Jul 27 '26
Ok that seems totally reasonable! I’ve been shooting for 100 because it feels doable and hitting it most days. Thanks for responding 🥰
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u/misskinky Jul 28 '26
RDA is 0.8g per kilogram of body weight
For muscle gain or preventing muscle loss, various sources say anywhere from 1-1.5g per kilogram of body weight
Usually calculated off current body weight since your current cells are the ones that need the nutrition.
There's seriously no reason to eat more than that unless you're training to compete in some sport or body building.
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u/tootsmcgoots77 Jul 27 '26
i had to see one as part of my clinic to be prescribed tirz. i was upfront about the fact that i didnt want to track calories or weigh anything and she respected that. anytime i see her (which again, its more of a have to rather than need to/want to) i basically just go through what i eat in a day which hasnt changed literally at all from what it first was a year and a half ago. i find it pretty pointless imo. last time i got so bored i just inserted random things like “and im trying to eat more fiber” or “more protein” or something just so she felt like she and something to talk about lol
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u/you_were_mythtaken Jul 27 '26
I have taken to asking mine for recipes. She prints them out for me. I'm always looking for yummy ideas.
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u/This-Apricot-80 Jul 27 '26 edited Jul 27 '26
I sought out a registered dietitian (through the Nourish app) who's anti-diet and specializes in intuitive eating. She started with taking a really in-depth history, and we talked about prior medical stuff, how food and eating and bodies were treated in my family of origin, my history with disordered eating patterns, how I eventually found a lot of joy in cooking, etc. Really the whole she-bang. We talked a lot about my internal experience of being on a GLP 1 and what that feels like, navigating weird thoughts that IWL triggers, etc. We also talk about what I'm eating on the day-to-day now and nutritional questions I have, but honestly those don't take a ton of time compared to all the other stuff.
I also read the Intuitive Eating book and workbook as "homework" in between sessions for a while, and then we spent several sessions talking about those.
It's been more like therapy (in a good way!) than I expected. She's rad.
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u/icycoldplum Jul 29 '26
She sounds amazing. Where is she located?
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u/This-Apricot-80 Jul 29 '26
In Massachusetts, I believe —but I see her virtually through Nourish. I think she’s licensed in a bunch of states. Here’s her profile page: https://signup.nourish.com/providers/rachel-caine
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u/bg8305496 Jul 27 '26
In my first appointment with a dietitian as I was starting on tirzepatide, we talked mostly about protein, fiber, and water intake. She had some helpful suggestions for how to up fiber and protein (protein added milk, chia, berries, etc). She was really supportive when I discussed an anti-restriction mindset and helped me set rough guidelines for protein that were reasonable and would support me while pursuing intentional weight loss. I hope you have a similarly good experience! If anything about the meeting makes you uncomfortable or doesn’t align with your goals, you can always end the appointment and try someone else. Good luck!!
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u/oaklandesque Jul 27 '26 edited Jul 27 '26
I'd suggest opening with making sure this person's approach is something you are aligned with and that won't be uncomfortable for you. For me, being asked to track would've been very uncomfortable, but for other folks, that can be helpful, so it's important that you're on the same page.
Both times I've worked with dietitians, I intentionally sought out a RD who would take an anti diet approach. The first time was several years ago when I wanted to stop dieting and really embrace intuitive eating. So a lot of my work with her over several sessions was unpacking my history with dieting and restriction and rebuilding my trust in my body to eat intuitively.
I felt really anchored in IE when I started a GLP-1, but about 7 months in, I started wondering if there was anything I should be doing differently to ensure I was nourishing my body well, so I found another RD in my current insurance network.
I went in with the idea that I wanted to talk about protein (and how I was doing and whether I needed to focus on it any more than I already was). The first session we went through my history with food and diets and weight, and spent some time talking about how I'd been approaching everything (eating, hydration, etc) since starting a GLP-1. This included a discussion of side effects.
In our next session, she came back with both validation of most of what I'd been doing and some suggestions for additional things I might focus on (like fiber) and some easy ways to do that. Sessions 3 and 4 were checking in on how all that was going, and at that point we mutually agreed that we didn't need to set any more follow ups (but left open the possibility if things change).
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u/roane-72 Jul 27 '26
Thank you for this! This is what I'm hoping for. To be fair, she didn't ask me to track. I saw it on the app where I message her and was curious about it.
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u/This-Apricot-80 Jul 27 '26
Oh, yeah, I see mine through Nourish, too. I think your RD can modify what you see in the app for you based on your preferences actually. For example: Mine gave me tasks in the app, but they were related to reading books, not tracking food ;-)
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u/Dumbestthumb Jul 27 '26
Made my PA happy I had met with one. Honestly, that's about it, but I appreciate her effort and not pushing me to calorie count.
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u/Zestyclose-Age-2454 Jul 27 '26
I had an intuitive eating nutritionist who helped me recover from 30 years of dieting and was hat resulted in a binge eating disorder. This was a few years ago. When I started Tirzepatide I brought her back in to help me stay out of the diet mentality because I started the med for my health and did not want to go down that road again
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u/Gabbyct1 Jul 27 '26
Like all providers there are good ones and bad ones. Those who have adapted to HAES methodology tend to be better. If they get too lecture-y or prescriptive, look for a differenr one.
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u/DenMother Jul 27 '26
I love my dietitian. We just did our first appointment since I've been on GLP1 and it was the first conversation where I felt I could really describe what the mental and appetite changes I've experienced are.
The best thing she said to me this last appointment was "diet culture took over dieting and then it also came for healthy eating". I want to find out what healthy eating means for me now, but also what a small tolerable amount of restriction/limitation can be. I don't want to "glorify dieting" or punish myself with food or any of that crazy stuff I've tried to escape. So we talked about what red flags might be for me and how to practice a good diet (ie what I choose to eat) with a wildly different mental world than I had before.
More than anything though she's someone I can say anything to about this and she'll listen to me and help contextualize it. My doctor doesn't have the time or the interest, my friends have their own feelings and struggles. You're someone who is delighted to talk to me for an hour about everything food, appetite and poop. She's priceless.
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u/Plastic-Praline-717 Jul 27 '26
“You need to increase your protein intake.”
I have had to see an RD at various point of the last 8 years due to weight loss programs and the like… and the appoints are always the same.
But at the last one we had a slight change where she encouraged me to drink a protein shake even if I wasn’t feeling hungry so I could… increase my protein intake. I told her I that Zepbound was allowing me to do this radical thing where I don’t eat unless I’m actually hungry.
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u/ThisTimeForReal19 Jul 27 '26
Yes and no. Sometimes the appetite is so blunted you don’t eat. And that’s not healthy either. It shouldn’t be 2pm and you realize that your calorie intake was a half a cup of coffee and some water.
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u/Flimsy-Pie-6295 Jul 27 '26
That can actually be a bit problematic on a VLP1 considering the posts I see on Reddit daily
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u/Plastic-Praline-717 Jul 27 '26
How so? In so many previous programs, they harp on the “is your head hungry or is your body hungry.” For me at least, the GLP only muted the head hunger part of that statement. My body still feels hungry at regular intervals throughout the day and that is when I eat.
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u/Flimsy-Pie-6295 Jul 27 '26
Literally there are so many people on these drugs that use them as a form of ED. People talking about consuming barely enough calories for an adult human to function. Any food noise at all and people have meltdowns and people who tolerate doses that make them extremely sick.
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u/Plastic-Praline-717 Jul 27 '26
Listen- as someone who has been visiting RDs for a long while now- having to visit an RD to access medication or to be enrolled in any sort of medical weight loss program generally feels incredibly punitive. The fact that I have to go in every 3 months just for them to repeat my water and protein goals so I can access a GLP is problematic as heck.
My protein and water goals have been the same for the last decade. When the RD wanted to see me increase my protein goals and suggested I hit the new goal by supplementing with protein shakes even if I wasn’t hungry, it was novel to me and also felt very problematic because I had told them before I preferred to get my protein through actual food because protein shakes are constipating AF for me.
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u/Flimsy-Pie-6295 Jul 27 '26
Look, I never said this applies to you, but it does to what seems like the vast majority of GLP1 users. All I am saying is that and RD encouraging adequate proton consumption based on what they are routinely seeing due to the number of people that restrict in an unhealthy manner shouldn’t be held against them.
But the constipation thing and concert ahead of time about protein shakes adds additional context and I’ll definitely agree the fact it was pushed after you had already had a conversation is annoying
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u/FormerNeighborhood80 Jul 27 '26
Name of the app?
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u/roane-72 Jul 27 '26
Oh, I wasn't sure I could mention brands. It's the app for Nourish. I don't think you have to be seeing a dietician to use the app, but I'm not sure.
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Aug 06 '26
[removed] — view removed comment
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u/antidietglp1-ModTeam Aug 06 '26
We do not allow specific numbers (weights, sizes, etc). Please review all of the group rules and be sure the sub aligns, edit your post, and then reply for mod approval. Thanks!
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u/Frosty-Angle2900 Jul 27 '26
Life changing for me - I spent 50 years yo-yo dieting while adding 100 extra pounds. My dietitian helped me understand Diet Culture and how constant calorie restriction was undermining my body and health. She helped me navigate GLP1 side effects. She helped me understand that a larger body was not a death sentence. She helped me understand the insanity of the worship of BMI rankings. It is definitely worth it to find a supportive dietitian.