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Obesity after the virus

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By (user no longer on site) OP     over a year ago

If you're obese has the virus made you feel vulnerable? Has it given you the resolve into looking how you can change your medical status of obesity?

In 2018 I became aware of a push to highlight NICE guidelines regarding obesity and the referral programmes available. What I was not aware of, is whether this is reliant on Clinical Commissioning Groups or whether it exists outside of NHS England.

From NICE:

Lifestyle weight management programmes for overweight or obese adults are multi-component programmes that aim to reduce a person's energy intake and help them to be more physically active by changing their behaviour. They may include weight management programmes, courses or clubs that:

accept adults through self-referral or referral from a health or social care practitioner

are provided by the public, private or voluntary sector

are based in the community, workplaces, primary care or online.

Although local definitions vary, these are usually called tier 2 services and are just one part of a comprehensive approach to preventing and treating obesity.

The 2018 push I was involved in, was informing of a free 10 week programme of weight watchers or slimming World for those classified as obese (BMI 30 and above).

This began in recognition of behaviour re weight/dietary intake/activity. It's not your GP simply telling you to eat less and exercise more due to the complexity of obesity. IE the multifactorial causes/influences.

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By (user no longer on site) OP     over a year ago

After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

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By *hromosexualsCouple  over a year ago

Near Abercynon

In part, yes. I’ve always thought that I would work to get down to a “healthy weight” at some point but it’s always tomorrow. I’ve been lucky that although I’m overweight I’ve been pretty healthy. That said, I think I’ve pushed my luck as far as it will go and it’s time to make changes.

Mr

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By (user no longer on site) OP     over a year ago


"In part, yes. I’ve always thought that I would work to get down to a “healthy weight” at some point but it’s always tomorrow. I’ve been lucky that although I’m overweight I’ve been pretty healthy. That said, I think I’ve pushed my luck as far as it will go and it’s time to make changes.

Mr"

If you do down the suggested route, if you're feeling judged, think of it as your perception misfiring.

If you are being judged (and this is different from being given the facts and of being assessed), realise that the person doing so is ignorant. Not pig ignorant, but they are not fully aware of the complexes involved. It's a bit like those with poor sight, leading the blind

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By (user no longer on site) OP     over a year ago


"In part, yes. I’ve always thought that I would work to get down to a “healthy weight” at some point but it’s always tomorrow. I’ve been lucky that although I’m overweight I’ve been pretty healthy. That said, I think I’ve pushed my luck as far as it will go and it’s time to make changes.

Mr"

It is admirable you realise you may not stay "pretty healthy". Reach 50 and it's downhill for everything*

.

.

.

.

*Tongue-in-cheek but for some a reality or feels that way

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By *hromosexualsCouple  over a year ago

Near Abercynon


"

If you do down the suggested route, if you're feeling judged, think of it as your perception misfiring.

"

I don’t feel judged really. I don’t know if it’s different because I’m a man (it shouldn’t be) or if it’s just the way I am, but I don’t really see it as anyone else’s business.

I have heard all the arguments about how much I will cost the NHS etc, but I got to 43 without needing so much as a filling, yet a lot of dporty people I know have had many injuries needing treatment. Also, if I die early, rather than being retired for 30+ years then I’ll be doing the rest of you a favour

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By *hromosexualsCouple  over a year ago

Near Abercynon


"In part, yes. I’ve always thought that I would work to get down to a “healthy weight” at some point but it’s always tomorrow. I’ve been lucky that although I’m overweight I’ve been pretty healthy. That said, I think I’ve pushed my luck as far as it will go and it’s time to make changes.

Mr

It is admirable you realise you may not stay "pretty healthy". Reach 50 and it's downhill for everything*

.

.

.

.

*Tongue-in-cheek but for some a reality or feels that way "

Yes, my luck will run out. It’s time to change and the first change is to pretty much cut out beer and wine

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By *ittleMissCaliWoman  over a year ago

all loved up

Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though

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By (user no longer on site)  over a year ago

I have generic malignant hypertension. I'm well aware my weight won't be helping. However my own GP once said to me

'you don't drink, you don't smoke, you're life is not easy, don't deny yourself chocolate and cakes if they make you feel better. There are many worse things than being a bit overweight'

I appreciated that at the time. And now if I genuinely felt I was trying and not able to shed the lbs, I know I could go to her and she would help rather than judge.

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By (user no longer on site) OP     over a year ago


"In part, yes. I’ve always thought that I would work to get down to a “healthy weight” at some point but it’s always tomorrow. I’ve been lucky that although I’m overweight I’ve been pretty healthy. That said, I think I’ve pushed my luck as far as it will go and it’s time to make changes.

Mr

It is admirable you realise you may not stay "pretty healthy". Reach 50 and it's downhill for everything*

.

.

.

.

*Tongue-in-cheek but for some a reality or feels that way

Yes, my luck will run out. It’s time to change and the first change is to pretty much cut out beer and wine "

Only if you want to. The odd red wine is deemed to have health benefits but if one glass always leads to a bottle or two, then yes.

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By (user no longer on site) OP     over a year ago


"Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though "

You're aware of the related behaviour. I presume you'll need a new behavioural coping strategy. Perhaps look into that online?

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By *hromosexualsCouple  over a year ago

Near Abercynon


"In part, yes. I’ve always thought that I would work to get down to a “healthy weight” at some point but it’s always tomorrow. I’ve been lucky that although I’m overweight I’ve been pretty healthy. That said, I think I’ve pushed my luck as far as it will go and it’s time to make changes.

Mr

It is admirable you realise you may not stay "pretty healthy". Reach 50 and it's downhill for everything*

.

.

.

.

*Tongue-in-cheek but for some a reality or feels that way

Yes, my luck will run out. It’s time to change and the first change is to pretty much cut out beer and wine

Only if you want to. The odd red wine is deemed to have health benefits but if one glass always leads to a bottle or two, then yes.

"

I have never put a lid back on, or a cork back in a bottle. Booze and takeaways made me fat, no excuses

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By (user no longer on site) OP     over a year ago


"I have generic malignant hypertension. I'm well aware my weight won't be helping. However my own GP once said to me

'you don't drink, you don't smoke, you're life is not easy, don't deny yourself chocolate and cakes if they make you feel better. There are many worse things than being a bit overweight'

I appreciated that at the time. And now if I genuinely felt I was trying and not able to shed the lbs, I know I could go to her and she would help rather than judge.

"

Having confidence in your GP is brilliant

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By *ittleMissCaliWoman  over a year ago

all loved up


"Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though

You're aware of the related behaviour. I presume you'll need a new behavioural coping strategy. Perhaps look into that online? "

I'm quite happy with it really. I eat when I'm stressed and I'm normally more active than I am now. My other coping strategies arent available to me in lockdown..

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By (user no longer on site) OP     over a year ago


"In part, yes. I’ve always thought that I would work to get down to a “healthy weight” at some point but it’s always tomorrow. I’ve been lucky that although I’m overweight I’ve been pretty healthy. That said, I think I’ve pushed my luck as far as it will go and it’s time to make changes.

Mr

It is admirable you realise you may not stay "pretty healthy". Reach 50 and it's downhill for everything*

.

.

.

.

*Tongue-in-cheek but for some a reality or feels that way

Yes, my luck will run out. It’s time to change and the first change is to pretty much cut out beer and wine

Only if you want to. The odd red wine is deemed to have health benefits but if one glass always leads to a bottle or two, then yes.

I have never put a lid back on, or a cork back in a bottle. Booze and takeaways made me fat, no excuses "

Well if you can put these on a back burner and reserve them for a well earned treat, and find you lose weight (as well as save money), then you are indeed one of life's lucky bastards

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By (user no longer on site) OP     over a year ago


"Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though

You're aware of the related behaviour. I presume you'll need a new behavioural coping strategy. Perhaps look into that online? I'm quite happy with it really. I eat when I'm stressed and I'm normally more active than I am now. My other coping strategies arent available to me in lockdown.. "

I fully understand the importance of mental wellbeing.

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By (user no longer on site)  over a year ago


"I have generic malignant hypertension. I'm well aware my weight won't be helping. However my own GP once said to me

'you don't drink, you don't smoke, you're life is not easy, don't deny yourself chocolate and cakes if they make you feel better. There are many worse things than being a bit overweight'

I appreciated that at the time. And now if I genuinely felt I was trying and not able to shed the lbs, I know I could go to her and she would help rather than judge.

Having confidence in your GP is brilliant "

She's been great actually. I have a huge hospital phobia and because My BP was always so high previous GPs would be insistant on sending me to hospital failing to see it made it worse and I then avoided them.

She took time to understand my fears, she has notes put on my file about them. It went in all my referral letters for cardiology and guess what I now even take the pills and go for reviews! She saw me, rather than difficulties.

I hope there are lots of GPS like her but sadly she seems rare. Possibly because they are all overworked.

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By (user no longer on site) OP     over a year ago


"I have generic malignant hypertension. I'm well aware my weight won't be helping. However my own GP once said to me

'you don't drink, you don't smoke, you're life is not easy, don't deny yourself chocolate and cakes if they make you feel better. There are many worse things than being a bit overweight'

I appreciated that at the time. And now if I genuinely felt I was trying and not able to shed the lbs, I know I could go to her and she would help rather than judge.

Having confidence in your GP is brilliant

She's been great actually. I have a huge hospital phobia and because My BP was always so high previous GPs would be insistant on sending me to hospital failing to see it made it worse and I then avoided them.

She took time to understand my fears, she has notes put on my file about them. It went in all my referral letters for cardiology and guess what I now even take the pills and go for reviews! She saw me, rather than difficulties.

I hope there are lots of GPS like her but sadly she seems rare. Possibly because they are all overworked. "

She is treating you holistically rather than, as you indicate, the illness. It is supposed to be like that but yeah time is a very real restraint.

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By *heBirminghamWeekendMan  over a year ago

here


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available. "

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

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By *ellbound_GhoulwarpWoman  over a year ago

Fifth Circle of Hell

I am classed as morbidly obese with a number of health issues and I smoke, however things like my cholesterol levels are in a very healthy range, BP is good and dr recently said my heart and lungs sound "lovely".

Its health issues with my reproductive system is what causes my weight issues, not as simple as put the cake down fatty and spend £50 a month going to the gym. Meds to help control the hormones haven't worked, I've been dieting and exercising for years and only ever lost half a stone in total.

If they gave me a hysterectomy there's high chance my weight would plummet to a "healthy level". Not all weight issues are caused by people overeating and not exercising.

I was diagnosed as obese and malnourished at the same time

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By (user no longer on site) OP     over a year ago


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

"

What old and outdated information?

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By (user no longer on site) OP     over a year ago


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

"

Incentivise is excellent, I'm just saying it won't be (or rather unlikely to be) new. The govt was promoting something in the community recently as a new concept. My ex department was doing it well over a decade ago.

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By (user no longer on site) OP     over a year ago


"I am classed as morbidly obese with a number of health issues and I smoke, however things like my cholesterol levels are in a very healthy range, BP is good and dr recently said my heart and lungs sound "lovely".

Its health issues with my reproductive system is what causes my weight issues, not as simple as put the cake down fatty and spend £50 a month going to the gym. Meds to help control the hormones haven't worked, I've been dieting and exercising for years and only ever lost half a stone in total.

If they gave me a hysterectomy there's high chance my weight would plummet to a "healthy level". Not all weight issues are caused by people overeating and not exercising.

I was diagnosed as obese and malnourished at the same time"

I gave an example of weightless in the ordinal obesity/virus thread. Losing a small % of what "normal" people (no metabolic impediment) do can be soul destroying. Many hormal problems can result in either weight loss or weight gain. Unfortunately I do not (yet) know the pathology of this.

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By (user no longer on site)  over a year ago


" I was diagnosed as obese and malnourished at the same time"

Is this not common? malnourishment is your body not getting the appropriate nutrients, rather than volume of food

not all calories are created equal in terms of nutritional value and therefore it would be not only very easy to eat both too many calories and get not enough nutrition at that same time , but actually very likely due the fact that often high sugar items with low nutritional value make you have a sugar crash and crave more

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By *heBirminghamWeekendMan  over a year ago

here


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

What old and outdated information?

"

As I understand it current guidelines, recommended or followed by GPs, schools, hospitals etc. for the last 50 years, are based around a low fat, high carb diet.

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By *ellbound_GhoulwarpWoman  over a year ago

Fifth Circle of Hell


" I was diagnosed as obese and malnourished at the same time

Is this not common? malnourishment is your body not getting the appropriate nutrients, rather than volume of food

not all calories are created equal in terms of nutritional value and therefore it would be not only very easy to eat both too many calories and get not enough nutrition at that same time , but actually very likely due the fact that often high sugar items with low nutritional value make you have a sugar crash and crave more "

Yeah I believe it is common, haven't done a lot of research though. For me for a whole month in an attempt to lose weight and not be too much of a burden, I ate nothing but a small handful of rice and bland chicken breast for dinner and that's all and more exercise rather than take more medication, advised not to do that again lol

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By (user no longer on site)  over a year ago


" I was diagnosed as obese and malnourished at the same time

Is this not common? malnourishment is your body not getting the appropriate nutrients, rather than volume of food

not all calories are created equal in terms of nutritional value and therefore it would be not only very easy to eat both too many calories and get not enough nutrition at that same time , but actually very likely due the fact that often high sugar items with low nutritional value make you have a sugar crash and crave more

Yeah I believe it is common, haven't done a lot of research though. For me for a whole month in an attempt to lose weight and not be too much of a burden, I ate nothing but a small handful of rice and bland chicken breast for dinner and that's all and more exercise rather than take more medication, advised not to do that again lol

"

ouch! yeah i think thats good advice , not much point making yourself ill over it

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By (user no longer on site) OP     over a year ago


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

What old and outdated information?

As I understand it current guidelines, recommended or followed by GPs, schools, hospitals etc. for the last 50 years, are based around a low fat, high carb diet.

"

No and it hasn't been for some time.

NICE guidelines are being updated through research all the time. Even the visual plate has changed - now it's the Eatwell plate.

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By (user no longer on site) OP     over a year ago


" I was diagnosed as obese and malnourished at the same time

Is this not common? malnourishment is your body not getting the appropriate nutrients, rather than volume of food

not all calories are created equal in terms of nutritional value and therefore it would be not only very easy to eat both too many calories and get not enough nutrition at that same time , but actually very likely due the fact that often high sugar items with low nutritional value make you have a sugar crash and crave more "

Malnourished simply wasn't a term used with obesity. Undernutrition has practically replaced the term malnourished for indicating, not only lacking calories but poor supply of the five essential food groups (6 including water). Malnourishment is now the umbrella term.

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By *heBirminghamWeekendMan  over a year ago

here


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

What old and outdated information?

As I understand it current guidelines, recommended or followed by GPs, schools, hospitals etc. for the last 50 years, are based around a low fat, high carb diet.

No and it hasn't been for some time.

NICE guidelines are being updated through research all the time. Even the visual plate has changed - now it's the Eatwell plate.

"

And yet in the last 12 months advice from the clinic /dietician at the local hospital has been exactly this - “low fat high carb”.

Different messages are perhaps one of the reasons a new, better national strategy is needed.

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By (user no longer on site) OP     over a year ago


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

What old and outdated information?

As I understand it current guidelines, recommended or followed by GPs, schools, hospitals etc. for the last 50 years, are based around a low fat, high carb diet.

No and it hasn't been for some time.

NICE guidelines are being updated through research all the time. Even the visual plate has changed - now it's the Eatwell plate.

And yet in the last 12 months advice from the clinic /dietician at the local hospital has been exactly this - “low fat high carb”.

Different messages are perhaps one of the reasons a new, better national strategy is needed. "

The concept maybe the same, but if we relied in outdated evidence as you suggest, the complexity of obesity would not be recognised, nor would the requirement of behavioural support. For the majority of people the five essential groups in the approximate percentages as shown in the Eatwell plate is appropriate. Children and the ill, or post op would require more protein (growth and repair). Those who eat little and are emancipated may need calorific supplements and increase of lipids (such as increase of dairy products). All sorts of adaptations for different groups.

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By (user no longer on site) OP     over a year ago

Of course I mean emaciated

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By (user no longer on site)  over a year ago

so am i understanding this right?

the visual plate can change to the eatwell plate and be accepted as new

terminology can change from malnourished to undernourished and be accepted as new progress

but no matter what the government may suggest, they cant claim it is new, it can only be rehashed from stuff you saw 10 years ago?

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By (user no longer on site)  over a year ago

Smaller meals is the answer.

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By *heBirminghamWeekendMan  over a year ago

here


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

What old and outdated information?

As I understand it current guidelines, recommended or followed by GPs, schools, hospitals etc. for the last 50 years, are based around a low fat, high carb diet.

No and it hasn't been for some time.

NICE guidelines are being updated through research all the time. Even the visual plate has changed - now it's the Eatwell plate.

And yet in the last 12 months advice from the clinic /dietician at the local hospital has been exactly this - “low fat high carb”.

Different messages are perhaps one of the reasons a new, better national strategy is needed.

The concept maybe the same, but if we relied in outdated evidence as you suggest, the complexity of obesity would not be recognised, nor would the requirement of behavioural support. For the majority of people the five essential groups in the approximate percentages as shown in the Eatwell plate is appropriate. Children and the ill, or post op would require more protein (growth and repair). Those who eat little and are emancipated may need calorific supplements and increase of lipids (such as increase of dairy products). All sorts of adaptations for different groups. "

Actually I didn’t say this.

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By (user no longer on site) OP     over a year ago


"so am i understanding this right?

the visual plate can change to the eatwell plate and be accepted as new

terminology can change from malnourished to undernourished and be accepted as new progress

but no matter what the government may suggest, they cant claim it is new, it can only be rehashed from stuff you saw 10 years ago?

"

10 years ago?

The Eatwell guide published 2016, updated 2018.

Terminology from 2018 noted differences - current.

I cannot recall what the eatwell plate was previously called but it's not important.

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By (user no longer on site) OP     over a year ago


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

What old and outdated information?

As I understand it current guidelines, recommended or followed by GPs, schools, hospitals etc. for the last 50 years, are based around a low fat, high carb diet.

No and it hasn't been for some time.

NICE guidelines are being updated through research all the time. Even the visual plate has changed - now it's the Eatwell plate.

And yet in the last 12 months advice from the clinic /dietician at the local hospital has been exactly this - “low fat high carb”.

Different messages are perhaps one of the reasons a new, better national strategy is needed.

The concept maybe the same, but if we relied in outdated evidence as you suggest, the complexity of obesity would not be recognised, nor would the requirement of behavioural support. For the majority of people the five essential groups in the approximate percentages as shown in the Eatwell plate is appropriate. Children and the ill, or post op would require more protein (growth and repair). Those who eat little and are emancipated may need calorific supplements and increase of lipids (such as increase of dairy products). All sorts of adaptations for different groups.

Actually I didn’t say this.

"

No, I did .

Re clinic/dietician, recommendations for you as a patient?

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By (user no longer on site)  over a year ago

About 6 months ago i asked my GP for help to lose weight. She gave me information about local classes for weight loss and exercise. However they were all daytime when I'm at work so they are no good !

I am slowly losing weight but it's difficult at the moment.

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By (user no longer on site) OP     over a year ago


"About 6 months ago i asked my GP for help to lose weight. She gave me information about local classes for weight loss and exercise. However they were all daytime when I'm at work so they are no good !

I am slowly losing weight but it's difficult at the moment."

I know the NHS refer to Slimming World and Weightwatchers. If she suggested one, how about you looking if the other is available in your area or at least you can access, at an appropriate time. If there is she may be able to refer you there. It maybe she was looking in the GP area as opposed to the wider CCG area (happy to elaborate).

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By (user no longer on site) OP     over a year ago


"Smaller meals is the answer."

It can be for some people . For some you can actually "trick" your brain into thinking you're eating the same if you use a smaller dinner plate and serve your dinner in the same manner.

Alternatively try eating your dinner and consciously masticate slower. Stop when you feel full and you should have something left on your plate.

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By *heBirminghamWeekendMan  over a year ago

here


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

What old and outdated information?

As I understand it current guidelines, recommended or followed by GPs, schools, hospitals etc. for the last 50 years, are based around a low fat, high carb diet.

No and it hasn't been for some time.

NICE guidelines are being updated through research all the time. Even the visual plate has changed - now it's the Eatwell plate.

And yet in the last 12 months advice from the clinic /dietician at the local hospital has been exactly this - “low fat high carb”.

Different messages are perhaps one of the reasons a new, better national strategy is needed.

The concept maybe the same, but if we relied in outdated evidence as you suggest, the complexity of obesity would not be recognised, nor would the requirement of behavioural support. For the majority of people the five essential groups in the approximate percentages as shown in the Eatwell plate is appropriate. Children and the ill, or post op would require more protein (growth and repair). Those who eat little and are emancipated may need calorific supplements and increase of lipids (such as increase of dairy products). All sorts of adaptations for different groups.

Actually I didn’t say this.

No, I did .

Re clinic/dietician, recommendations for you as a patient? "

“ The concept maybe the same, but if we relied in outdated evidence as you suggest, the complexity of obesity would not be recognised, nor would the requirement of behavioural support.”

I haven’t suggested relying on outdated evidence, quite the opposite. A new strategy, based on new study/analysis which is fit for purpose in today’s society.

If the PM has the bit between his teeth and will chuck everything at this, then that’s a good thing .

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By (user no longer on site)  over a year ago


"so am i understanding this right?

the visual plate can change to the eatwell plate and be accepted as new

terminology can change from malnourished to undernourished and be accepted as new progress

but no matter what the government may suggest, they cant claim it is new, it can only be rehashed from stuff you saw 10 years ago?

10 years ago?

The Eatwell guide published 2016, updated 2018.

Terminology from 2018 noted differences - current.

I cannot recall what the eatwell plate was previously called but it's not important. "

you are proving my point that you seem to accept that any other source can learn adapt and improve, but without even waiting to see what it is you have decided the government stuff is the same with a new label

“ BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.”

i took the 10 year timeline directly from one of your comments... unless there is a new meaning to the word decade

“ . The govt was promoting something in the community recently as a new concept. My ex department was doing it well over a decade ago.”

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By (user no longer on site) OP     over a year ago


"After the virus, go see if your GP has a programme he/she can refer you to.

BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.

There are programmes available, this is true.

The efficacy of these programmes, developed from old and outdated information, may not be fit for society as it is today.

A new strategy, with the full backing of a PM with a “bone between his teeth“ has to be a good thing.

“Incentivise rather than take away”

What old and outdated information?

As I understand it current guidelines, recommended or followed by GPs, schools, hospitals etc. for the last 50 years, are based around a low fat, high carb diet.

No and it hasn't been for some time.

NICE guidelines are being updated through research all the time. Even the visual plate has changed - now it's the Eatwell plate.

And yet in the last 12 months advice from the clinic /dietician at the local hospital has been exactly this - “low fat high carb”.

Different messages are perhaps one of the reasons a new, better national strategy is needed.

The concept maybe the same, but if we relied in outdated evidence as you suggest, the complexity of obesity would not be recognised, nor would the requirement of behavioural support. For the majority of people the five essential groups in the approximate percentages as shown in the Eatwell plate is appropriate. Children and the ill, or post op would require more protein (growth and repair). Those who eat little and are emancipated may need calorific supplements and increase of lipids (such as increase of dairy products). All sorts of adaptations for different groups.

Actually I didn’t say this.

No, I did .

Re clinic/dietician, recommendations for you as a patient?

“ The concept maybe the same, but if we relied in outdated evidence as you suggest, the complexity of obesity would not be recognised, nor would the requirement of behavioural support.”

I haven’t suggested relying on outdated evidence, quite the opposite. A new strategy, based on new study/analysis which is fit for purpose in today’s society.

If the PM has the bit between his teeth and will chuck everything at this, then that’s a good thing .

"

I used the word suggest = indicating NOT = advocating as I think you think I meant.

I have pointed out that the govt is known to promote new concepts that aren't new. Of course if this promotes further uptake of what is already in existence, I concur it's a great thing.

BTW I apologise for the lack of pre-empting how people may interpret my words. I cannot articulate as well as I used to. I cannot process information as fast as I used to. I have holes in my memory that can be plugged with revision. I can forget what I was supposed to be discussing so going off on a tangent is common but can be rectified.

I will not find out if my cognitive impairments are a result of brain damage or the slow rehabilitation of my brain for another 2 years.

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By (user no longer on site)  over a year ago


"Smaller meals is the answer.

It can be for some people . For some you can actually "trick" your brain into thinking you're eating the same if you use a smaller dinner plate and serve your dinner in the same manner.

Alternatively try eating your dinner and consciously masticate slower. Stop when you feel full and you should have something left on your plate. "

You are spot on...they all work for me.

But try doing that at the same time as stopping smoking. Tis a bloody nightmare

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By (user no longer on site) OP     over a year ago


"so am i understanding this right?

the visual plate can change to the eatwell plate and be accepted as new

terminology can change from malnourished to undernourished and be accepted as new progress

but no matter what the government may suggest, they cant claim it is new, it can only be rehashed from stuff you saw 10 years ago?

10 years ago?

The Eatwell guide published 2016, updated 2018.

Terminology from 2018 noted differences - current.

I cannot recall what the eatwell plate was previously called but it's not important.

you are proving my point that you seem to accept that any other source can learn adapt and improve, but without even waiting to see what it is you have decided the government stuff is the same with a new label

“ BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.”

i took the 10 year timeline directly from one of your comments... unless there is a new meaning to the word decade

“ . The govt was promoting something in the community recently as a new concept. My ex department was doing it well over a decade ago.”

"

Again my bad for poor articulation - I should have put "have been doing so for at least the past 10 years" indicating it's ongoing.

There is a difference between the governing party crowing about something put into place that is done continuously through the "govt" institutions of NHS England, Public Health England, National Institute of Health and Clinical Excellence. So I don't have to wait to see what the governing party will crow about, just appreciate it probably means greater funding for that issue.

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By (user no longer on site) OP     over a year ago


"Smaller meals is the answer.

It can be for some people . For some you can actually "trick" your brain into thinking you're eating the same if you use a smaller dinner plate and serve your dinner in the same manner.

Alternatively try eating your dinner and consciously masticate slower. Stop when you feel full and you should have something left on your plate.

You are spot on...they all work for me.

But try doing that at the same time as stopping smoking. Tis a bloody nightmare "

I wouldn't smoke and eat at the same time, you'll get ash on your plate .

You realise you can get help with smoking cessation on the NHS?

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By (user no longer on site) OP     over a year ago


"so am i understanding this right?

the visual plate can change to the eatwell plate and be accepted as new

terminology can change from malnourished to undernourished and be accepted as new progress

but no matter what the government may suggest, they cant claim it is new, it can only be rehashed from stuff you saw 10 years ago?

10 years ago?

The Eatwell guide published 2016, updated 2018.

Terminology from 2018 noted differences - current.

I cannot recall what the eatwell plate was previously called but it's not important.

you are proving my point that you seem to accept that any other source can learn adapt and improve, but without even waiting to see what it is you have decided the government stuff is the same with a new label

“ BTW if Boris comes up with "innovative" programmes for the NHS just because of his experience - rubbish, there are supportive programmes already available.”

i took the 10 year timeline directly from one of your comments... unless there is a new meaning to the word decade

“ . The govt was promoting something in the community recently as a new concept. My ex department was doing it well over a decade ago.”

Again my bad for poor articulation - I should have put "have been doing so for at least the past 10 years" indicating it's ongoing.

There is a difference between the governing party crowing about something put into place that is done continuously through the "govt" institutions of NHS England, Public Health England, National Institute of Health and Clinical Excellence. So I don't have to wait to see what the governing party will crow about, just appreciate it probably means greater funding for that issue. "

Oops Health and Care Excellence. It's old name was National institute for clinical excellence.

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By (user no longer on site)  over a year ago


"Smaller meals is the answer.

It can be for some people . For some you can actually "trick" your brain into thinking you're eating the same if you use a smaller dinner plate and serve your dinner in the same manner.

Alternatively try eating your dinner and consciously masticate slower. Stop when you feel full and you should have something left on your plate.

You are spot on...they all work for me.

But try doing that at the same time as stopping smoking. Tis a bloody nightmare

I wouldn't smoke and eat at the same time, you'll get ash on your plate .

You realise you can get help with smoking cessation on the NHS? "

Yeah I tried it ,they give me patches and lozenges...ditched them and gone down the e cig route with a few puffs a day

And dont do a comeback with the 2 puffs

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By (user no longer on site) OP     over a year ago


"Smaller meals is the answer.

It can be for some people . For some you can actually "trick" your brain into thinking you're eating the same if you use a smaller dinner plate and serve your dinner in the same manner.

Alternatively try eating your dinner and consciously masticate slower. Stop when you feel full and you should have something left on your plate.

You are spot on...they all work for me.

But try doing that at the same time as stopping smoking. Tis a bloody nightmare

I wouldn't smoke and eat at the same time, you'll get ash on your plate .

You realise you can get help with smoking cessation on the NHS?

Yeah I tried it ,they give me patches and lozenges...ditched them and gone down the e cig route with a few puffs a day

And dont do a comeback with the 2 puffs "

I had to read that last sentence twice before twigging .

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By (user no longer on site)  over a year ago


"About 6 months ago i asked my GP for help to lose weight. She gave me information about local classes for weight loss and exercise. However they were all daytime when I'm at work so they are no good !

I am slowly losing weight but it's difficult at the moment.

I know the NHS refer to Slimming World and Weightwatchers. If she suggested one, how about you looking if the other is available in your area or at least you can access, at an appropriate time. If there is she may be able to refer you there. It maybe she was looking in the GP area as opposed to the wider CCG area (happy to elaborate). "

It wasn't either of those, it was just various classes (can't think of the right word there ) put on locally for people referred by their local GPs. I looked for local SW and WW groups too but none of them were at suitable times when I'm not at work. The Doc also prescribed some medication, i did lose weight but the side effects were awful and very difficult to cope with at work eg being on my own with a group of children and needing the loo straight away

I will keep on with it though

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By (user no longer on site) OP     over a year ago


"About 6 months ago i asked my GP for help to lose weight. She gave me information about local classes for weight loss and exercise. However they were all daytime when I'm at work so they are no good !

I am slowly losing weight but it's difficult at the moment.

I know the NHS refer to Slimming World and Weightwatchers. If she suggested one, how about you looking if the other is available in your area or at least you can access, at an appropriate time. If there is she may be able to refer you there. It maybe she was looking in the GP area as opposed to the wider CCG area (happy to elaborate).

It wasn't either of those, it was just various classes (can't think of the right word there ) put on locally for people referred by their local GPs. I looked for local SW and WW groups too but none of them were at suitable times when I'm not at work. The Doc also prescribed some medication, i did lose weight but the side effects were awful and very difficult to cope with at work eg being on my own with a group of children and needing the loo straight away

I will keep on with it though "

I am so glad you are motivated .

Are you aware of non-dietary tips such as

Drink more water, (when you're hungry drink a glass of water first - hunger signals may actually be thirst signals).

Eat slower (with the short breaks we have, it's habitual to eat fast), the body will feel fuller quicker.

Use smaller dinner plates (tricking the brain).

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By (user no longer on site)  over a year ago


"About 6 months ago i asked my GP for help to lose weight. She gave me information about local classes for weight loss and exercise. However they were all daytime when I'm at work so they are no good !

I am slowly losing weight but it's difficult at the moment.

I know the NHS refer to Slimming World and Weightwatchers. If she suggested one, how about you looking if the other is available in your area or at least you can access, at an appropriate time. If there is she may be able to refer you there. It maybe she was looking in the GP area as opposed to the wider CCG area (happy to elaborate).

It wasn't either of those, it was just various classes (can't think of the right word there ) put on locally for people referred by their local GPs. I looked for local SW and WW groups too but none of them were at suitable times when I'm not at work. The Doc also prescribed some medication, i did lose weight but the side effects were awful and very difficult to cope with at work eg being on my own with a group of children and needing the loo straight away

I will keep on with it though

I am so glad you are motivated .

Are you aware of non-dietary tips such as

Drink more water, (when you're hungry drink a glass of water first - hunger signals may actually be thirst signals).

Eat slower (with the short breaks we have, it's habitual to eat fast), the body will feel fuller quicker.

Use smaller dinner plates (tricking the brain). "

Yeah i know all that lol. I need stronger will power, to dislike chocolate and love fruit lol

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By (user no longer on site) OP     over a year ago


"About 6 months ago i asked my GP for help to lose weight. She gave me information about local classes for weight loss and exercise. However they were all daytime when I'm at work so they are no good !

I am slowly losing weight but it's difficult at the moment.

I know the NHS refer to Slimming World and Weightwatchers. If she suggested one, how about you looking if the other is available in your area or at least you can access, at an appropriate time. If there is she may be able to refer you there. It maybe she was looking in the GP area as opposed to the wider CCG area (happy to elaborate).

It wasn't either of those, it was just various classes (can't think of the right word there ) put on locally for people referred by their local GPs. I looked for local SW and WW groups too but none of them were at suitable times when I'm not at work. The Doc also prescribed some medication, i did lose weight but the side effects were awful and very difficult to cope with at work eg being on my own with a group of children and needing the loo straight away

I will keep on with it though

I am so glad you are motivated .

Are you aware of non-dietary tips such as

Drink more water, (when you're hungry drink a glass of water first - hunger signals may actually be thirst signals).

Eat slower (with the short breaks we have, it's habitual to eat fast), the body will feel fuller quicker.

Use smaller dinner plates (tricking the brain).

Yeah i know all that lol. I need stronger will power, to dislike chocolate and love fruit lol "

I found I ate less chocolate if was dark, flavoured and quality. Green and Black's dark chocolate with orange - yummy.

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By (user no longer on site)  over a year ago


"About 6 months ago i asked my GP for help to lose weight. She gave me information about local classes for weight loss and exercise. However they were all daytime when I'm at work so they are no good !

I am slowly losing weight but it's difficult at the moment.

I know the NHS refer to Slimming World and Weightwatchers. If she suggested one, how about you looking if the other is available in your area or at least you can access, at an appropriate time. If there is she may be able to refer you there. It maybe she was looking in the GP area as opposed to the wider CCG area (happy to elaborate).

It wasn't either of those, it was just various classes (can't think of the right word there ) put on locally for people referred by their local GPs. I looked for local SW and WW groups too but none of them were at suitable times when I'm not at work. The Doc also prescribed some medication, i did lose weight but the side effects were awful and very difficult to cope with at work eg being on my own with a group of children and needing the loo straight away

I will keep on with it though

I am so glad you are motivated .

Are you aware of non-dietary tips such as

Drink more water, (when you're hungry drink a glass of water first - hunger signals may actually be thirst signals).

Eat slower (with the short breaks we have, it's habitual to eat fast), the body will feel fuller quicker.

Use smaller dinner plates (tricking the brain).

Yeah i know all that lol. I need stronger will power, to dislike chocolate and love fruit lol

I found I ate less chocolate if was dark, flavoured and quality. Green and Black's dark chocolate with orange - yummy. "

It's worth a try, I'll get some from Tesco. Thank you

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By (user no longer on site) OP     over a year ago


"About 6 months ago i asked my GP for help to lose weight. She gave me information about local classes for weight loss and exercise. However they were all daytime when I'm at work so they are no good !

I am slowly losing weight but it's difficult at the moment.

I know the NHS refer to Slimming World and Weightwatchers. If she suggested one, how about you looking if the other is available in your area or at least you can access, at an appropriate time. If there is she may be able to refer you there. It maybe she was looking in the GP area as opposed to the wider CCG area (happy to elaborate).

It wasn't either of those, it was just various classes (can't think of the right word there ) put on locally for people referred by their local GPs. I looked for local SW and WW groups too but none of them were at suitable times when I'm not at work. The Doc also prescribed some medication, i did lose weight but the side effects were awful and very difficult to cope with at work eg being on my own with a group of children and needing the loo straight away

I will keep on with it though

I am so glad you are motivated .

Are you aware of non-dietary tips such as

Drink more water, (when you're hungry drink a glass of water first - hunger signals may actually be thirst signals).

Eat slower (with the short breaks we have, it's habitual to eat fast), the body will feel fuller quicker.

Use smaller dinner plates (tricking the brain).

Yeah i know all that lol. I need stronger will power, to dislike chocolate and love fruit lol

I found I ate less chocolate if was dark, flavoured and quality. Green and Black's dark chocolate with orange - yummy.

It's worth a try, I'll get some from Tesco. Thank you "

Might take a short while for taste buds to appreciate. Bournville tastes like a mouthful of sugar after this. Not that I liked it before (galaxy or dairymilk were my go to chocs). But I tried Bournville due to being cheaper and had to throw it.

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By *oruseandabuseCouple  over a year ago

chichester

Snacking is a major problem. There is no need to eat between meals. It is habit.

Also if you eat food that is full of short chain molecules (processed foods, sugars) you get Hungary. Eat food with long chain molecules.The food takes longer to digest and you don't get hungry. This is basic stuff for diabetics but works for everyone.

A simple example is whole flake porridge digests a lot more slowly than the instant stuff in a pot.

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By *ustKeepSwinging999Couple  over a year ago

Basingstoke

I'm classed as morbidly obese, but my concerns about the virus are not hightened because of this.

Like many others Ive put on some lockdown pounds to comfort eat against anxiety / loneliness / boredom.

Slimming world etc can work for many, i know a reasonable amount about nutrition, and understand the principle of calorie deficit. But I still don't lose weight. 23+ years of being overweight is a bad mental habit to break through.

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By (user no longer on site)  over a year ago


"About 6 months ago i asked my GP for help to lose weight. She gave me information about local classes for weight loss and exercise. However they were all daytime when I'm at work so they are no good !

I am slowly losing weight but it's difficult at the moment.

I know the NHS refer to Slimming World and Weightwatchers. If she suggested one, how about you looking if the other is available in your area or at least you can access, at an appropriate time. If there is she may be able to refer you there. It maybe she was looking in the GP area as opposed to the wider CCG area (happy to elaborate).

It wasn't either of those, it was just various classes (can't think of the right word there ) put on locally for people referred by their local GPs. I looked for local SW and WW groups too but none of them were at suitable times when I'm not at work. The Doc also prescribed some medication, i did lose weight but the side effects were awful and very difficult to cope with at work eg being on my own with a group of children and needing the loo straight away

I will keep on with it though

I am so glad you are motivated .

Are you aware of non-dietary tips such as

Drink more water, (when you're hungry drink a glass of water first - hunger signals may actually be thirst signals).

Eat slower (with the short breaks we have, it's habitual to eat fast), the body will feel fuller quicker.

Use smaller dinner plates (tricking the brain).

Yeah i know all that lol. I need stronger will power, to dislike chocolate and love fruit lol

I found I ate less chocolate if was dark, flavoured and quality. Green and Black's dark chocolate with orange - yummy.

It's worth a try, I'll get some from Tesco. Thank you

Might take a short while for taste buds to appreciate. Bournville tastes like a mouthful of sugar after this. Not that I liked it before (galaxy or dairymilk were my go to chocs). But I tried Bournville due to being cheaper and had to throw it. "

Ah ok

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By (user no longer on site) OP     over a year ago


"Snacking is a major problem. There is no need to eat between meals. It is habit.

Also if you eat food that is full of short chain molecules (processed foods, sugars) you get Hungary. Eat food with long chain molecules.The food takes longer to digest and you don't get hungry. This is basic stuff for diabetics but works for everyone.

A simple example is whole flake porridge digests a lot more slowly than the instant stuff in a pot."

Smaller meals and healthy snacking can keep blood sugars from peaking and troughing. So if a person snacks on crisps/choc/biscuits/cakes, its a good idea to switch to vegetables to snacks on. I like carrots.

Totally agree to avoid processed or refined foods.

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By (user no longer on site) OP     over a year ago


"I'm classed as morbidly obese, but my concerns about the virus are not hightened because of this.

Like many others Ive put on some lockdown pounds to comfort eat against anxiety / loneliness / boredom.

Slimming world etc can work for many, i know a reasonable amount about nutrition, and understand the principle of calorie deficit. But I still don't lose weight. 23+ years of being overweight is a bad mental habit to break through.

"

Have you chatted with your GP? A GP can always refer patients to a dietician. These professionals are obviously more knowledgeable than doctors and nurses.

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By *ustKeepSwinging999Couple  over a year ago

Basingstoke


"

Have you chatted with your GP? A GP can always refer patients to a dietician. These professionals are obviously more knowledgeable than doctors and nurses. "

Years ago, to a highly unenthusiastic nutritionist. A therapist would probably work better.

But in reference to your original question, I doubt CV will encourage me to lose more (than I may routinely attempt to).

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By (user no longer on site)  over a year ago

Hey cuppy

I'm renaming you fabs Dr Sarah Jarvis

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By (user no longer on site) OP     over a year ago


"Hey cuppy

I'm renaming you fabs Dr Sarah Jarvis "

Cuppy , guppy more like it.

*Goes to Google Sarah jarvis*

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By (user no longer on site) OP     over a year ago


"Hey cuppy

I'm renaming you fabs Dr Sarah Jarvis

Cuppy , guppy more like it.

*Goes to Google Sarah jarvis*"

I'm honoured (although half a decade younger) but more like a certain Florence.

Ooh there's a thought, Fab Flo

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By (user no longer on site)  over a year ago

I’ve gone exercise mad, eating healthy and now showing the results. Wasn’t overly fat before but was putting on the weight so had to kick my ass and change things

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By (user no longer on site) OP     over a year ago


"I’ve gone exercise mad, eating healthy and now showing the results. Wasn’t overly fat before but was putting on the weight so had to kick my ass and change things "

For many people healthy eating and decent activity is all you need. Sadly, for some that isn't the case.

BTW, well done for doing so, as you wouldn't have known it was possible if you hadn't tried.

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By (user no longer on site)  over a year ago


"Hey cuppy

I'm renaming you fabs Dr Sarah Jarvis

Cuppy , guppy more like it.

*Goes to Google Sarah jarvis*

I'm honoured (although half a decade younger) but more like a certain Florence.

Ooh there's a thought, Fab Flo "

Nah your around the same age

And forget the nightingale as they look more like being linked to new law courts

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By (user no longer on site) OP     over a year ago


"Hey cuppy

I'm renaming you fabs Dr Sarah Jarvis

Cuppy , guppy more like it.

*Goes to Google Sarah jarvis*

I'm honoured (although half a decade younger) but more like a certain Florence.

Ooh there's a thought, Fab Flo

Nah your around the same age

And forget the nightingale as they look more like being linked to new law courts "

She's 57 ya git

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By (user no longer on site)  over a year ago

Am going for a walk everyday and am going to drink slimfast.

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By (user no longer on site)  over a year ago

As a nurse I have yet to see an elderly obese patient. So either obese elderly people are healthy with no problems worthy of a trip to hospital, or.....

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By *elshsunsWoman  over a year ago

Flintshire

It’s all well and good talking about healthy eating and exercise yes that helps but for a majority of women in the menopause and after the menopause who often feel they appear pregnant from the appearance of fat on the stomach ... it’s hormones !!! So no matter what you do it won’t shift the belly fat until you address this issue ..., estrogen levels fall until everything is out of sync ... so your hormone levels need to be addressed ...

Also intermittent fasting where you eat for just 8 hour window and fast for 16hr I’ve been doing this for 2 weeks and I feel great .. but it’s not for everyone !!

I’m very lucky I’m 60 and I have no underlying health issues apart from getting my hormones under control ... I do yoga and Pilates 3 times a week and walk ... this was all before this virus as I had high blood pressure when my partner was terminally ill but even that can be lowered with losing weight exercising and meditation ...,

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By (user no longer on site) OP     over a year ago


"Am going for a walk everyday and am going to drink slimfast."

I really like the banana one. Tried a premade vanilla shake (different make, sooooo gross).

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By (user no longer on site)  over a year ago


"Hey cuppy

I'm renaming you fabs Dr Sarah Jarvis

Cuppy , guppy more like it.

*Goes to Google Sarah jarvis*

I'm honoured (although half a decade younger) but more like a certain Florence.

Ooh there's a thought, Fab Flo

Nah your around the same age

And forget the nightingale as they look more like being linked to new law courts

She's 57 ya git "

Probably only 49 if she was on here

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By (user no longer on site) OP     over a year ago


"As a nurse I have yet to see an elderly obese patient. So either obese elderly people are healthy with no problems worthy of a trip to hospital, or....."

Over twenty years I've seen plenty. BMI classification is a very poor indicator for this age group due to loss of muscle mass and bone density.

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By (user no longer on site) OP     over a year ago


"It’s all well and good talking about healthy eating and exercise yes that helps but for a majority of women in the menopause and after the menopause who often feel they appear pregnant from the appearance of fat on the stomach ... it’s hormones !!! So no matter what you do it won’t shift the belly fat until you address this issue ..., estrogen levels fall until everything is out of sync ... so your hormone levels need to be addressed ...

Also intermittent fasting where you eat for just 8 hour window and fast for 16hr I’ve been doing this for 2 weeks and I feel great .. but it’s not for everyone !!

I’m very lucky I’m 60 and I have no underlying health issues apart from getting my hormones under control ... I do yoga and Pilates 3 times a week and walk ... this was all before this virus as I had high blood pressure when my partner was terminally ill but even that can be lowered with losing weight exercising and meditation ..., "

Manopause too . The decreasing androgen, eg testosterone and oestrogen decrease, lowering metabolism. I've recently started using a natural supplement to increase testosterone to increase metabolism. So I might end up as conchita wurst, a slim bearded lady

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By (user no longer on site) OP     over a year ago


"It’s all well and good talking about healthy eating and exercise yes that helps but for a majority of women in the menopause and after the menopause who often feel they appear pregnant from the appearance of fat on the stomach ... it’s hormones !!! So no matter what you do it won’t shift the belly fat until you address this issue ..., estrogen levels fall until everything is out of sync ... so your hormone levels need to be addressed ...

Also intermittent fasting where you eat for just 8 hour window and fast for 16hr I’ve been doing this for 2 weeks and I feel great .. but it’s not for everyone !!

I’m very lucky I’m 60 and I have no underlying health issues apart from getting my hormones under control ... I do yoga and Pilates 3 times a week and walk ... this was all before this virus as I had high blood pressure when my partner was terminally ill but even that can be lowered with losing weight exercising and meditation ..., "

Sorry to hear about your partner. Glad you have found an exercise regime suitable for yourself.

Feel free to share what hormones you managed to control and how

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By *ittleMissCaliWoman  over a year ago

all loved up

My biggest issue on lockdown is I can't exercise properly at all.

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By (user no longer on site) OP     over a year ago


"My biggest issue on lockdown is I can't exercise properly at all. "

You are keeping very active though, that is good.

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By *rHotNottsMan  over a year ago

Dubai & Nottingham

Having worked in government for 10 years I’m dubious about how effective anything they do is, often by the time provision is delivered it’s gone through badly designed funding, procurement, over administration and is often picked up by innovative business people who know how to manipulate the system and deliver rubbish.

Look at back problems - everyone knows the solution is standing desks (which also deals with weight) but what % of UK desk workers stand?

They will have overweight people sitting all day , then off sick with disc problems, referred to pain clinics and then on obesity programmes rather than deal with problem

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By *J swingCouple  over a year ago

North

my self don has list weight as our car has not moved very far since lock down i have cycled to work every day also saved money on fuel

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By (user no longer on site) OP     over a year ago


"my self don has list weight as our car has not moved very far since lock down i have cycled to work every day also saved money on fuel

"

Brilliant that you've been able to do that

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By (user no longer on site)  over a year ago

Nope.

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By *eddy and legsCouple  over a year ago

the wetlands

I don't see why the virus would make anyone think differently, obesity is and always has been known to be a killer, there are many more urgent reasons for it to be tackled than Covid 19

The cost in both financial terms and loss of life due to diabetes alone should be enough, before I even start into cardiac issues.

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By (user no longer on site) OP     over a year ago


"I don't see why the virus would make anyone think differently, obesity is and always has been known to be a killer, there are many more urgent reasons for it to be tackled than Covid 19

The cost in both financial terms and loss of life due to diabetes alone should be enough, before I even start into cardiac issues."

The fear associated with covid 19 may cause people to reconsider doing something about the obesity (my hypothesis).

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By *elshsunsWoman  over a year ago

Flintshire


"It’s all well and good talking about healthy eating and exercise yes that helps but for a majority of women in the menopause and after the menopause who often feel they appear pregnant from the appearance of fat on the stomach ... it’s hormones !!! So no matter what you do it won’t shift the belly fat until you address this issue ..., estrogen levels fall until everything is out of sync ... so your hormone levels need to be addressed ...

Also intermittent fasting where you eat for just 8 hour window and fast for 16hr I’ve been doing this for 2 weeks and I feel great .. but it’s not for everyone !!

I’m very lucky I’m 60 and I have no underlying health issues apart from getting my hormones under control ... I do yoga and Pilates 3 times a week and walk ... this was all before this virus as I had high blood pressure when my partner was terminally ill but even that can be lowered with losing weight exercising and meditation ...,

Sorry to hear about your partner. Glad you have found an exercise regime suitable for yourself.

Feel free to share what hormones you managed to control and how "

I have a friend who is helping me with the natural supplements for the hormones he studied physiology nutrition and alternative medicine .,, ... it was 4 yrs ago now since he has gone I’m in a better place now thanks xx

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By *elshsunsWoman  over a year ago

Flintshire


"I don't see why the virus would make anyone think differently, obesity is and always has been known to be a killer, there are many more urgent reasons for it to be tackled than Covid 19

The cost in both financial terms and loss of life due to diabetes alone should be enough, before I even start into cardiac issues."

.

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By (user no longer on site)  over a year ago

I have a feeling people will be changing their lifestyles.

Reducing obesiity

Dealing with hypertension.

Reducing health risks in general and improving fitness

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By *eoeclipseWoman  over a year ago

glasgow


"Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though "

You can turn that stress on it's head & use it as a motivator, exercise is excellent for stress management, a little more each day builds up

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By (user no longer on site)  over a year ago


"Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though

You can turn that stress on it's head & use it as a motivator, exercise is excellent for stress management, a little more each day builds up "

Fresh air, cycling or running clears my head definite stress relief

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By *ittleMissCaliWoman  over a year ago

all loved up


"Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though

You can turn that stress on it's head & use it as a motivator, exercise is excellent for stress management, a little more each day builds up "

not when I cant exercise due to pools being closed I can't

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By (user no longer on site)  over a year ago

Medically I’m vulnerable anyway as I have a brain condition called pseudotumor cerebri. Basically all the symptoms of a tumour without a tumour, the cause of it can be idiopathic but is down to my weight.

There was a study that found overweight women of child bearing age were the highest percentage of suffers with this condition. I qualify for WLS because of it and just before COVID I had an appointment booked with a consultant, sadly have to wait now!

Thankfully this pandemic has made me actually take my eating more seriously and I’ve been exercising a lot more. Obviously I find it easier since I’m working from home.

Been chatting with friends and family and so many of us have made lifestyle changes, three family members have stopped smoking, a couple others are losing weight and we’ve been doing social distancing bike rides recently.

I think a lot of people will be changing their lifestyles to be honest.

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By *eoeclipseWoman  over a year ago

glasgow


"Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though

You can turn that stress on it's head & use it as a motivator, exercise is excellent for stress management, a little more each day builds up not when I cant exercise due to pools being closed I can't "

You could go out a walk, you don't need facilities to exercise I do however understand that water makes this easier as you feel "lighter" and can ease pressure on joints etc

Personally my cardio is pants despite appearances, I'm a slow & steady type really, if I take up exercise to improve my cardio such as running I use silly things like 1 lamppost further than last time & walk to catch my breath when I need to, over time you improve.

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By (user no longer on site) OP     over a year ago


"Medically I’m vulnerable anyway as I have a brain condition called pseudotumor cerebri. Basically all the symptoms of a tumour without a tumour, the cause of it can be idiopathic but is down to my weight.

There was a study that found overweight women of child bearing age were the highest percentage of suffers with this condition. I qualify for WLS because of it and just before COVID I had an appointment booked with a consultant, sadly have to wait now!

Thankfully this pandemic has made me actually take my eating more seriously and I’ve been exercising a lot more. Obviously I find it easier since I’m working from home.

Been chatting with friends and family and so many of us have made lifestyle changes, three family members have stopped smoking, a couple others are losing weight and we’ve been doing social distancing bike rides recently.

I think a lot of people will be changing their lifestyles to be honest. "

A silver lining to this crisis

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By *ittleMissCaliWoman  over a year ago

all loved up


"Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though

You can turn that stress on it's head & use it as a motivator, exercise is excellent for stress management, a little more each day builds up not when I cant exercise due to pools being closed I can't

You could go out a walk, you don't need facilities to exercise I do however understand that water makes this easier as you feel "lighter" and can ease pressure on joints etc

Personally my cardio is pants despite appearances, I'm a slow & steady type really, if I take up exercise to improve my cardio such as running I use silly things like 1 lamppost further than last time & walk to catch my breath when I need to, over time you improve. "

I cant go for a walk though. Not enough to be exercise and it doesnt make me feel better. I have to use water to exercise

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By *eddy and legsCouple  over a year ago

the wetlands


"Well I've put on over 2 stone since Feb... and I was already classed as morbidly obese.

When and if I feel like losing some I will do something about it. It's unlikely while I'm stressed though

You can turn that stress on it's head & use it as a motivator, exercise is excellent for stress management, a little more each day builds up not when I cant exercise due to pools being closed I can't

You could go out a walk, you don't need facilities to exercise I do however understand that water makes this easier as you feel "lighter" and can ease pressure on joints etc

Personally my cardio is pants despite appearances, I'm a slow & steady type really, if I take up exercise to improve my cardio such as running I use silly things like 1 lamppost further than last time & walk to catch my breath when I need to, over time you improve. I cant go for a walk though. Not enough to be exercise and it doesnt make me feel better. I have to use water to exercise "

Take Captain Tom as a motivator. One step and one day at a time

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By *ittleMissCaliWoman  over a year ago

all loved up


"

Take Captain Tom as a motivator. One step and one day at a time"

I will go back to exercising once pools open.

I have no currently intention to address my weight issues. But I do need to stop gaining any more x

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By (user no longer on site)  over a year ago

This virus is showing just how dangerous obesity is to health.

We need to have the same campaign against obesity as we have had with smoking.

Constantly chipping away at smoking, with propaganda and restrictions year after year has reduced the number of smokers to 17% of the population.

We need to do the same with obesity and with food manufacturers and take-aways. Make them produce healthy food or drive them out of business.

Strongly encourage more people to eat less and move more.

Don't believe those who say they cant do anything about it because it's their metabolism - nobody is born obese.

As the saying goes, there were no fat people came out of Belsen.

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By *hetalkingstoveMan  over a year ago

London


"

Don't believe those who say they cant do anything about it because it's their metabolism - nobody is born obese.

"

There are plenty of medical conditions and side effects from necessary medications that make losing weight really really hard. Or just plain ordinary life circumstances can make it hard.

Yes, being obese can be harmful.

Telling people who are in that situation that they're lazy/greedy does not help them get out of it. I know you haven't outright said that, but you're really close.

You can Google 'effects of fat shaming' and see studies have been done to show that it doesn't work.

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By (user no longer on site)  over a year ago


"This virus is showing just how dangerous obesity is to health.

We need to have the same campaign against obesity as we have had with smoking.

Constantly chipping away at smoking, with propaganda and restrictions year after year has reduced the number of smokers to 17% of the population.

We need to do the same with obesity and with food manufacturers and take-aways. Make them produce healthy food or drive them out of business.

Strongly encourage more people to eat less and move more.

Don't believe those who say they cant do anything about it because it's their metabolism - nobody is born obese.

As the saying goes, there were no fat people came out of Belsen."

You only have to go back to the 60s and 70s, there was about 400 in my school and I think there was one or maybe two kids over weight. And they was one medicaion if I remember correctly.

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By (user no longer on site)  over a year ago


"

Don't believe those who say they cant do anything about it because it's their metabolism - nobody is born obese.

Telling people who are in that situation that they're lazy/greedy does not help them get out of it. I know you haven't outright said that, but you're really close.

You can Google 'effects of fat shaming' and see studies have been done to show that it doesn't work.

I said "strongly encourage people"

That's a world away from fat-shaming

Learn to read.

"

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By *oruseandabuseCouple  over a year ago

chichester


"This virus is showing just how dangerous obesity is to health.

We need to have the same campaign against obesity as we have had with smoking.

Constantly chipping away at smoking, with propaganda and restrictions year after year has reduced the number of smokers to 17% of the population.

We need to do the same with obesity and with food manufacturers and take-aways. Make them produce healthy food or drive them out of business.

Strongly encourage more people to eat less and move more.

Don't believe those who say they cant do anything about it because it's their metabolism - nobody is born obese.

As the saying goes, there were no fat people came out of Belsen."

So what bit of government thinking allowed takeaways to reopen but not gyms?

Not least we (thought the government) are paying huge subsidies for people to stay at home. They could be cooking heathy food, saving huge amounts of money and loosing weight.

we need a brave government to tax ALL junk food the same way they tax tobacco.

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