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Have we though? I seriously doubt doctors are aggressively pushing eating well and exercising. Has anyone ever received a workout plan from their doctor besides

Have we though? I seriously doubt doctors are aggressively pushing eating well and exercising. Has anyone ever received a workout plan from their doctor besides some generic PT exercises? Do they develop nutrition plans tailored to you? Do they track your progress? Do they have any incentive for you to actually get better? Do they require regular blood tests and include all the tests that might actually tell them something? The answer is a resounding no. None of that. Even if you request a blood test, they will include the absolute bare minimum and fight you when you request something like vitamin D or testosterone. General healthcare in the US is farce. You must be your own doctor, do your own research and fight for the care you need and also tolerate doctors telling you that you don't know what you're talking about. Besides being prescribed antibiotics, no doctor has ever fixed any problem I've ever had. I had to do it myself.

iwanttocomment 3y ago
I seriously doubt doctors are aggressively pushing eating well and exercising. Have you ever... been to a doctor when you've been obese? I assure you that they will indeed push eating well and exercising to obese people. Even when you've already been eating well and exercising. This will not be an intervention by the PCP themselves - your primary can really just refer people to substantial interventions - but they will try to refer you to one of three things. First, they will recommend a book on healthy eating and exercising. Second, there is behavioral weight loss, which generally is a combination of an appetite-suppression medication like phentermine and a Very Low Calorie Diet through a pre-made controlled calorie diet (such as Medifast or Optifast). A program like this will absolutely require weigh-ins and blood tests. Third, they will recommend surgical weight loss, most likely gastric bypass, such as Roux-en-Y. There are guaranteed to be medical follow-ups after the surgery. If you are not clinically obese, and that's great, no, your PCP will not provide that type of advice. They're not there to help you with subclinical concerns with weight. There are plenty of dietitians out there who can. Anyway, that's not a resounding no - it is extremely common to be referred to these programs if you have any substantial level of obesity. If you're obese, and you haven't been referred to these programs by your PCP, that might be an issue with your primary. What's exciting about these new peptides is that a simple once-a-week injection might be able to be prescribed by a primary with limited intervention or without outside specialists or surgery and still have good results in terms of weight-loss, as opposed to the truly exhausting requirements of a medically-assisted VLCD or weight loss surgery. Finally, I have no idea what you're talking about Vitamin D. I've both been diagnosed with a Vitamin D deficiency by my primary (through blood tests!), and Vitamin D supplements are easily available over the counter without a prescription.
- SamoyedFurFluff 3y ago
  Legally in some states some doctors are mandated to bring up weight loss to sufficiently fat patients. But also, fat loss isn’t covered by insurance generally unless it’s paired with an existing health condition. So fat people who don’t have health problems don’t get help to lose weight but get all the shame. :)
- bluepizza 3y ago
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  - deleted 3y ago
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  - lazyasciiart 3y ago
    Vacuously false. Do you think "eat well and exercise regularly" is some kind of magic switch? One day you are 120lbs overweight but then you eat well and exercise for a week and star in a film?
    - bluepizza 3y ago
      Not a magic switch, but that's pretty much how the body works - a ratio between energy consumed and used. If you invert it, your weight will go down.
- paulpauper 3y ago
  If you are not clinically obese, and that's great, no, your PCP will not provide that type of advice. They're not there to help you with subclinical concerns with weight. There are plenty of dietitians out there who can. yeah. If you are losing weight unintentionally, docs will care a lot and will run tests. Otherwise, being overweight, not so much. Weight loss is a bigger concern than weight gain from the perspective of doctors.

iwanttocomment 3y ago

I seriously doubt doctors are aggressively pushing eating well and exercising. Have you ever... been to a doctor when you've been obese? I assure you that they will indeed push eating well and exercising to obese people. Even when you've already been eating well and exercising. This will not be an intervention by the PCP themselves - your primary can really just refer people to substantial interventions - but they will try to refer you to one of three things. First, they will recommend a book on healthy eating and exercising. Second, there is behavioral weight loss, which generally is a combination of an appetite-suppression medication like phentermine and a Very Low Calorie Diet through a pre-made controlled calorie diet (such as Medifast or Optifast). A program like this will absolutely require weigh-ins and blood tests. Third, they will recommend surgical weight loss, most likely gastric bypass, such as Roux-en-Y. There are guaranteed to be medical follow-ups after the surgery. If you are not clinically obese, and that's great, no, your PCP will not provide that type of advice. They're not there to help you with subclinical concerns with weight. There are plenty of dietitians out there who can. Anyway, that's not a resounding no - it is extremely common to be referred to these programs if you have any substantial level of obesity. If you're obese, and you haven't been referred to these programs by your PCP, that might be an issue with your primary. What's exciting about these new peptides is that a simple once-a-week injection might be able to be prescribed by a primary with limited intervention or without outside specialists or surgery and still have good results in terms of weight-loss, as opposed to the truly exhausting requirements of a medically-assisted VLCD or weight loss surgery. Finally, I have no idea what you're talking about Vitamin D. I've both been diagnosed with a Vitamin D deficiency by my primary (through blood tests!), and Vitamin D supplements are easily available over the counter without a prescription.

SamoyedFurFluff 3y ago
Legally in some states some doctors are mandated to bring up weight loss to sufficiently fat patients. But also, fat loss isn’t covered by insurance generally unless it’s paired with an existing health condition. So fat people who don’t have health problems don’t get help to lose weight but get all the shame. :)
bluepizza 3y ago
[flagged]
- deleted 3y ago
  [deleted]
- lazyasciiart 3y ago
  Vacuously false. Do you think "eat well and exercise regularly" is some kind of magic switch? One day you are 120lbs overweight but then you eat well and exercise for a week and star in a film?
  - bluepizza 3y ago
    Not a magic switch, but that's pretty much how the body works - a ratio between energy consumed and used. If you invert it, your weight will go down.
paulpauper 3y ago
If you are not clinically obese, and that's great, no, your PCP will not provide that type of advice. They're not there to help you with subclinical concerns with weight. There are plenty of dietitians out there who can. yeah. If you are losing weight unintentionally, docs will care a lot and will run tests. Otherwise, being overweight, not so much. Weight loss is a bigger concern than weight gain from the perspective of doctors.