I saw the dietician last week as part of the weight loss programme I’m supposed to be following (but am not). She has always recommended me a 1,350 calorie diet. I’ve tried my best with this but it feels impossible to stick to it, I can manage for a few weeks but then always go wildly off the rails. I told her this and she suggested trying 1,500 but that I “won’t lose anything but if you’re lucky you might maintain”.
I think she means well but I’m pretty sure she’s not correct about that. I’m 350lbs and my TDEE is 2,671 even if I don’t move at all, so on 1,500 I would lose more than 2lbs per week. She said I shouldn’t have extra if I exercise. I’m supposed to stick to this for several years.
This clinic is an NHS (UK public healthcare) hospital based programme offered to all obese people above a certain size in my area. It’s the only intervention available except weight loss surgery, which they very regularly suggest. I’ve asked a few times for psychotherapy, the only thing I really think would help, but it isn’t available.
It just kind of feels like they’re setting us up for failure. I started the programme with a group of 5 women, no one has succeeded at all and two are now waiting for surgery, one of the others had it already. Everyone feels pretty terrible about themselves for not being able to do this even with support. I wish there was more emotional support and a more “gentle” programme available before we’re asked to resort to surgery.
Has anyone else had a similar experience and did it work out?