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Has the NHS enabled you to successfully manage your weight?
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<blockquote data-quote="NicoleC1971" data-source="post: 1890295" data-attributes="member: 365308"><p>My son is pretty chubby (technically obese probably) and the NHS sent me to the dietician who inferred that we were lying about his intake of McDonalds etc. She encouraged him to do more also.</p><p>On the other hand when I was a type 1 weighing 84 kg with bulimia(obviously not very good at it), I did get a referral to a psychologist to help me break the compulsion to mainline carbohydrates and even through episodes of stress and depression I am a stable weight.</p><p>The NHS is mainly stuck in the paradigm of changing people's obesity through behavioural measures. If the advice appears not to work and you believe in 'eat less, move more' then you are bound to conclude that your patient is greedy, lazy or depressed. </p><p>I don't know if things would have been better for me if I'd been guided towards the kind of nutritionally dense food that it is suggested helps brains function better. We all like to think that what we eat makes no difference to our mood and cognition given how it is human to want to feel in control of yourself. Part of my problem was self loathing at my inability to control my eating and my diabetes.</p><p>If I talk to anyone now about how to eat better I would say that in the carb centric and processed food world we live in, it is tough but that there are tactics we can adopt to help us change our relationship with food. The message to eat real food, not worry about fat and cut out as much processed carbs as possible should work for most people with suppport (see the work of Drs Unwin and MC Cormack and others) but is undermined by any focus on low fat (= hunger), obsession with the scales (not an accurate measure of health IMO) and the diet mentality (short term and calorie focused). If that fails to work then bariatric surgery is proven cost effective and life changing but is not an easy way out (popular culutre implies that the patient has failed morally if they require it and presumably gateway NHS doctors are influenced by this).</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 1890295, member: 365308"] My son is pretty chubby (technically obese probably) and the NHS sent me to the dietician who inferred that we were lying about his intake of McDonalds etc. She encouraged him to do more also. On the other hand when I was a type 1 weighing 84 kg with bulimia(obviously not very good at it), I did get a referral to a psychologist to help me break the compulsion to mainline carbohydrates and even through episodes of stress and depression I am a stable weight. The NHS is mainly stuck in the paradigm of changing people's obesity through behavioural measures. If the advice appears not to work and you believe in 'eat less, move more' then you are bound to conclude that your patient is greedy, lazy or depressed. I don't know if things would have been better for me if I'd been guided towards the kind of nutritionally dense food that it is suggested helps brains function better. We all like to think that what we eat makes no difference to our mood and cognition given how it is human to want to feel in control of yourself. Part of my problem was self loathing at my inability to control my eating and my diabetes. If I talk to anyone now about how to eat better I would say that in the carb centric and processed food world we live in, it is tough but that there are tactics we can adopt to help us change our relationship with food. The message to eat real food, not worry about fat and cut out as much processed carbs as possible should work for most people with suppport (see the work of Drs Unwin and MC Cormack and others) but is undermined by any focus on low fat (= hunger), obsession with the scales (not an accurate measure of health IMO) and the diet mentality (short term and calorie focused). If that fails to work then bariatric surgery is proven cost effective and life changing but is not an easy way out (popular culutre implies that the patient has failed morally if they require it and presumably gateway NHS doctors are influenced by this). [/QUOTE]
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