Are doctors actually giving out nutritional advice? Do people go to doctors for nutritional advice? Serious question…
[quote]TD54 wrote:
Are doctors actually giving out nutritional advice? Do people go to doctors for nutritional advice? Serious question…[/quote]
Any primary care doctor (Family Medicine, Internal Medicine, Pediatrics), and specialists like cardiologists should definitely be giving patients nutritional advice. Since most of my patients are overweight or obese, I do a LOT of diet and exercise counselling. But as I said earlier, I really have picked up a lot of this from being interested in bodybuilding, and I didn’t learn much of this in school. I even have problems with dieticians who give what I think is poor advice- still focusing on low fat high carb diets, even for diabetics. I do think the medical profession as a whole is behind the curve on diet and exercise knowledge, and motivated people, such as many here, may actually know more. Or at least we agree more on what is the best diet.
[quote]Nikhil Rao wrote:
Learning about an irrelevant and esoteric pathway for a whole week when ‘too much uric acid is bad’ would have sufficed[/quote]
Funny, we learned that in 90 minutes.
Good post, very good post, but is canola oil really part of the basics?
What I consider the basics:
Calories in vs. calories out
Exercise at least a few times a week
Don’t eat pure crap
That cures at least 95% of all overweight patients. If you suggest the above to your patient, he or she is probably better off than if you’d drawn up a plan with macronutrients ratios, canola oil, carb cycling or whatever. As was mentioned, compliance (or is it called adherence now?) is bad enough as it is, we don’t need to suggest more complicated plans. Not being a fatass is really fucking simple in most cases.
If docs don’t know “my basics”, I’m scared. If they don’t know about canola oil or the currently most popular diet, who gives a shit?
As a medical student, i can tell you that it is true, most docs don’t know shit about nutrition. I would not consider myself an expert on it. Historically, we recieve very little training in it. The alarming rate of obesity and diabetes will change this though. The members of this site are just a little ahead of the curve. There are changes being made in medical curricula to teach more nutrition and musculoskeletal physiology. The fastest growing sector of medical schools are D.O.s . As for anyone who disrespects the profession itself, you clearly have no idea what you’re talking about either. There are people in my school who have backgrounds in exercise physiology, doctorates of pharmacy, dietetics, nurses, biochemistry, a few lawyers. These people are tremendously intelligent. I’ve had hour long conversations about glucolipotoxicity and microvascular damage with my peers and most of what we discuss is not meant for you. It’s meant for your mother or your grandmother. It’s meant to keep the ones you love alive. Doctors consider things that you don’t consider.
For example, most people on this site love protein, but you are young and have functioning kidneys. What happens when you combine a high protein diet with someone on hydrochlorothiazide, a beta blocker, or an ace inhibitor? What should your BUN/creatinine ratio be and what are the real dangers of azotemia? Its not that doctors are wrong, its that they aren’t focused on increasing your deadlift 1 rep max as much as they are keeping your grandmother alive.
[quote]Jonathanlind wrote:
As a medical student, i can tell you that it is true, most docs don’t know shit about nutrition. I would not consider myself an expert on it. Historically, we recieve very little training in it. The alarming rate of obesity and diabetes will change this though. The members of this site are just a little ahead of the curve. There are changes being made in medical curricula to teach more nutrition and musculoskeletal physiology. The fastest growing sector of medical schools are D.O.s . As for anyone who disrespects the profession itself, you clearly have no idea what you’re talking about either. There are people in my school who have backgrounds in exercise physiology, doctorates of pharmacy, dietetics, nurses, biochemistry, a few lawyers. These people are tremendously intelligent. I’ve had hour long conversations about glucolipotoxicity and microvascular damage with my peers and most of what we discuss is not meant for you. It’s meant for your mother or your grandmother. It’s meant to keep the ones you love alive. Doctors consider things that you don’t consider.
For example, most people on this site love protein, but you are young and have functioning kidneys. What happens when you combine a high protein diet with someone on hydrochlorothiazide, a beta blocker, or an ace inhibitor? What should your BUN/creatinine ratio be and what are the real dangers of azotemia? Its not that doctors are wrong, its that they aren’t focused on increasing your deadlift 1 rep max as much as they are keeping your grandmother alive. [/quote]
Hell of a first post. Good luck in school.
[quote]DJHT wrote:
[quote]Jonathanlind wrote:
As a medical student, i can tell you that it is true, most docs don’t know shit about nutrition. I would not consider myself an expert on it. Historically, we recieve very little training in it. The alarming rate of obesity and diabetes will change this though. The members of this site are just a little ahead of the curve. There are changes being made in medical curricula to teach more nutrition and musculoskeletal physiology. The fastest growing sector of medical schools are D.O.s . As for anyone who disrespects the profession itself, you clearly have no idea what you’re talking about either. There are people in my school who have backgrounds in exercise physiology, doctorates of pharmacy, dietetics, nurses, biochemistry, a few lawyers. These people are tremendously intelligent. I’ve had hour long conversations about glucolipotoxicity and microvascular damage with my peers and most of what we discuss is not meant for you. It’s meant for your mother or your grandmother. It’s meant to keep the ones you love alive. Doctors consider things that you don’t consider.
For example, most people on this site love protein, but you are young and have functioning kidneys. What happens when you combine a high protein diet with someone on hydrochlorothiazide, a beta blocker, or an ace inhibitor? What should your BUN/creatinine ratio be and what are the real dangers of azotemia? Its not that doctors are wrong, its that they aren’t focused on increasing your deadlift 1 rep max as much as they are keeping your grandmother alive. [/quote]
Hell of a first post. Good luck in school. [/quote]
He’s a patient lad. He waited over 2 years until the perfect topic for him came up.
I agree. Great post.
[quote]Jonathanlind wrote:
Its not that doctors are wrong, its that they aren’t focused on increasing your deadlift 1 rep max as much as they are keeping your grandmother alive. [/quote]
Or ya know, you could just do Ortho and use a powerdrill.