Guest guest Posted August 2, 2006 Report Share Posted August 2, 2006 Deb, You ask " what else " about negatives. I've known people that had serious negative reactions to the foods - later the patient told me it was the high chemicals/additives that turned out to be the problem, and couldn't get her nearly $1000 spent back. . . Just one anecdote, since you asked. I have NOT reviewd their foods to see if they are 'healthy' ingredients or not. Jan Patenaude, RD In a message dated 8/2/2006 10:16:16 A.M. Mountain Daylight Time, cohmart@... writes: I agree with Kathy. Some patients need this type of " mindless " system because, let's face it, they can't control their intake or even think how to plan a reasonable menu. Nor do they want to. How many times have we all heard..... " just give me some menus to go by. " It could be a great stepping stone for some, and I repeat, some patients. No one plan fits all patients. I see myself a facilitator for my patients. I never have a diet ready when they walk in the door. Usually my first question is, " Why are you here? " and my second is " What have you done in the past? What worked and what didn't and why? " I work with what they want and what is realistic to them. This gives them buy in and are much more open to my suggestions to " tweak " the plan. Cece Ohmart, R.D., L.D. Director of Nutrition Services Maine Coast Memorial Hospital 50 Union Street Ellsworth, Maine 04605 nutrisystem Good morning - A physician called me with questions about nutri system. He thinks it would be a good program for overweight patients. He thinks that it is simple to follow (you just eat the foods they send). I told him that the negatives are: 1. don't learn how to make healthy choices 2. not adaptable - what if people travel for business and do not want to eat the meals - etc 3. no research that documents success of program 4. they had to pay big fines to FTC for false advertising am I missing anything? I am not sure about the meals themselves..I am not sure about the me do they eat? (and is it too low to sustain) are the meals loaded with preservatives and such? I know that you are to add fresh fruits and veggies. Any information would be greatly appreciated Thanks Deb Boardley University of Toledo ---------------------------------------------------------- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/405 - Release Date: 8/1/2006 [Non-text portions of this message have been removed] Kathy Link M.B.A., M.S., R.D., L.D.N Nutrients 1st, Portions 2nd for a Healthier You! © www.nutritionmakescwww.nutr [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Jan Patenaude, RD Director of Medical Nutrition Signet Diagnostic Corporation _www.nowleap.com_ (http://www.nowleap.com/) (toll free) Fax: DineRight4@... Disease Management Programs for Irritable Bowel Syndrome, Migraine and Fibromyalgia caused by Food Sensitivity IMPORTANT - This e-mail message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this e-mail message. If you have received this communication in error, please notify the sender immediately by e-mail and telephone ( toll free) and destroy the transmitted information. E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late, incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2006 Report Share Posted August 2, 2006 I think people don't look at the long term - they look at the short term. As long as they lose the weight they are happy (only while they are losing). A few years ago the in thing at work was the Atkins diet - everyone was losing BUT they have all put the weight back on. Personally, I don't think the Nutrisystem is bad just for the reasons you state it wouldn't be top of my list. I have come to a conclusion after many years is that Americans have NOT turned the corner on obesity because it is too easy to overeat (be you poor or wealthy and everywhere in between). Maybe this sounds negative but I think we can talk until we are blue in the face but obesity won't change no matter who gives the advice until society changes...that is why I am for taking sodas out of schools and other such measures! Check Nutrition at: Nutrition.teach-nology.com Ortiz, RD nrord@... nutrisystem Good morning - A physician called me with questions about nutri system. He thinks it would be a good program for overweight patients. He thinks that it is simple to follow (you just eat the foods they send). I told him that the negatives are: 1. don't learn how to make healthy choices 2. not adaptable - what if people travel for business and do not want to eat the meals - etc 3. no research that documents success of program 4. they had to pay big fines to FTC for false advertising am I missing anything? I am not sure about the meals themselves... how many calories a day do they eat? (and is it too low to sustain) are the meals loaded with preservatives and such? I know that you are to add fresh fruits and veggies. Any information would be greatly appreciated Thanks Deb Boardley University of Toledo ------------------------------------------------------------------------------ No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/405 - Release Date: 8/1/2006 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2006 Report Share Posted August 2, 2006 Deb, In order to be completely unbiased and objective, some of the advantages of Nutrisystem, or any other pre-prepared meals weight loss/control program, should have been given to the physician. I would like to offer some of those as well. My experience with the program was personal, not professional, and I also raised as many or more objections when my husband, a physician, decided to use the program for himself in order to lose about 30lbs he was carrying. He was very successful w/the program, lost the weight at the rate of 2lbs per week, and did not suffer hunger. I'm sure the short-term use of this program did not compromise him nutritionally and he followed their instructions to the letter. The meals provide only the entree. The literature accompanying them includes instructions for additional foods to be eaten alongside the meals, and the amounts, such as non-fat milk, fresh produce and fruits, and wholegrain products such as breads. He liked them and was satiated with the meals and snacks, and stuck to the regimen for the first 20 lbs, then skipped it on weekends for the other 10lbs, not losing any of the momentum and going down to goal within a reasonable amount of time. From what I read, most of the meals and guidelines are based on eating low glycemic foods, controlling the portions, and lowering fat and sodium. He was given 1500-1600 calories and from my calculations it was what he would need for wt loss based on height, sex, age, etc. and not wanting to spend 8 to 10 months on the weight loss struggle. I tasted many of them, and some evenings made them my own meals since I get home from work and exercise after 8:30 or 9PM most nights; too tired to think of cooking. I found them tasty although I would have soon become tired of so much pasta, but that was his choice, and would have missed rice which is my daily staple, but that was his choice also and he was allowed to add some brown rice to the diet. The bonus for me was not having to worry about preparing any food. I prepared enough food on weekends or just had veggies (I plant my own) and rice for dinner, or a bowl of soup, as I said occassionally having one of his dinners (they send extras with each shipment). They are expensive. His were $280 a month and he purchased a 3 month supply of which he still has some due to the extras. I took a bunch to work for those days when I don't take anything from home and am too busy to go out and get lunch, or just don't feel like bothering thinking about what to eat. Even with my large capacity for eating, I find that one entree is enough for me. I tend to agree with the physician that contacted you. The program is easy to follow, and most people who spend that much money will most probably stick with it, at least for a while. If accompanied by nutrition counseling by an RD, I believe it would benefit many people who do not know what to do to lose/control weight. My husband has me for that (although I know sometimes he doubts my expertise since I'm so close to home...), and I think he learned more about nutrition as it relates to weight loss and gain from our discussions about his food and food choices and the instructions provided to him with the plan. I have no interest in Nutrisystem, financial or otherwise, and have never worked for them. Digna Cassens, MHA, RD http://groups.msn.com/RDForum Start by doing what's necessary, then what's possible, and suddenly you are doing the impossible. St. Francis Assis nutrisystem > Good morning - > A physician called me with questions about nutri system. He thinks > it would be a good program for overweight patients. He thinks that > it is simple to follow (you just eat the foods they send). > > I told him that the negatives are: > 1. don't learn how to make healthy choices > 2. not adaptable - what if people travel for business and do not > want to eat the meals - etc > 3. no research that documents success of program > 4. they had to pay big fines to FTC for false advertising > > am I missing anything? > I am not sure about the meals themselves... how many calories a day > do they eat? (and is it too low to sustain) are the meals loaded > with preservatives and such? I know that you are to add fresh > fruits and veggies. > Any information would be greatly appreciated > > Thanks > Deb Boardley > University of Toledo > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2006 Report Share Posted August 2, 2006 Being objective. Most people only listen to the first 3 words. So listing the negatives off first will stop any potential relationship. No one likes to hear to " No " . So ask some questions and then from that state the pros/cons of nutri system. IE if his object is to have something easy and mindless for the client to follow, then yes it'll work. If the object to start easy/mindless and then educate via an RD yes it will work. Our goal is to educate, but that's not everyone's goal. Some docs think over eating is like treating ETOH. They treat the behavior not the reason the person is consuming ETOH. " Ortiz, R.D. " wrote: I think people don't look at the long term - they look at the short term. As long as they lose the weight they are happy (only while they are losing). A few years ago the in thing at work was the Atkins diet - everyone was losing BUT they have all put the weight back on. Personally, I don't think the Nutrisystem is bad just for the reasons you state it wouldn't be top of my list. I have come to a conclusion after many years is that Americans have NOT turned the corner on obesity because it is too easy to overeat (be you poor or wealthy and everywhere in between). Maybe this sounds negative but I think we can talk until we are blue in the face but obesity won't change no matter who gives the advice until society changes...that is why I am for taking sodas out of schools and other such measures! Check Nutrition at: Nutrition.teach-nology.com Ortiz, RD nrord@... nutrisystem Good morning - A physician called me with questions about nutri system. He thinks it would be a good program for overweight patients. He thinks that it is simple to follow (you just eat the foods they send). I told him that the negatives are: 1. don't learn how to make healthy choices 2. not adaptable - what if people travel for business and do not want to eat the meals - etc 3. no research that documents success of program 4. they had to pay big fines to FTC for false advertising am I missing anything? I am not sure about the meals themselves... how many calories a day do they eat? (and is it too low to sustain) are the meals loaded with preservatives and such? I know that you are to add fresh fruits and veggies. Any information would be greatly appreciated Thanks Deb Boardley University of Toledo ---------------------------------------------------------- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/405 - Release Date: 8/1/2006 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2006 Report Share Posted August 2, 2006 I agree with Kathy. Some patients need this type of " mindless " system because, let's face it, they can't control their intake or even think how to plan a reasonable menu. Nor do they want to. How many times have we all heard..... " just give me some menus to go by. " It could be a great stepping stone for some, and I repeat, some patients. No one plan fits all patients. I see myself a facilitator for my patients. I never have a diet ready when they walk in the door. Usually my first question is, " Why are you here? " and my second is " What have you done in the past? What worked and what didn't and why? " I work with what they want and what is realistic to them. This gives them buy in and are much more open to my suggestions to " tweak " the plan. Cece Ohmart, R.D., L.D. Director of Nutrition Services Maine Coast Memorial Hospital 50 Union Street Ellsworth, Maine 04605 nutrisystem Good morning - A physician called me with questions about nutri system. He thinks it would be a good program for overweight patients. He thinks that it is simple to follow (you just eat the foods they send). I told him that the negatives are: 1. don't learn how to make healthy choices 2. not adaptable - what if people travel for business and do not want to eat the meals - etc 3. no research that documents success of program 4. they had to pay big fines to FTC for false advertising am I missing anything? I am not sure about the meals themselves... how many calories a day do they eat? (and is it too low to sustain) are the meals loaded with preservatives and such? I know that you are to add fresh fruits and veggies. Any information would be greatly appreciated Thanks Deb Boardley University of Toledo ---------------------------------------------------------- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/405 - Release Date: 8/1/2006 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2006 Report Share Posted August 2, 2006 I know someone who's boyfriend (an MD... mind you) used that. He lost the wt, the food was great, and he is a very upscale eater. Another thing - he said it showed him portion control and that's a big plus. To my understanding - the food is prepared in a cook-chill system, delivered frozen daily. I am not so sure, but not knowledgeable, of use of preservatives ect. I don't see why, but everything possible. It is not different from Craig, I think. the only problem I see with that - what happens when they stop.......and that's exactly what happened. You can't offer that to pts b/c of money issue ( and liability as someone mentioned) - is expensive. Even Opera Winpry had her ups and down with special chefs & dietitians. And she could afford it for as long as she wanted. But at the same time - I don't think it is our role to " block " it from them. We should tell them that its available, tell the consequences (financially and post-diet). Most people think they can handle that when they stop. nutrisystem Good morning - A physician called me with questions about nutri system. He thinks it would be a good program for overweight patients. He thinks that it is simple to follow (you just eat the foods they send). I told him that the negatives are: 1. don't learn how to make healthy choices 2. not adaptable - what if people travel for business and do not want to eat the meals - etc 3. no research that documents success of program 4. they had to pay big fines to FTC for false advertising am I missing anything? I am not sure about the meals themselves..I am not sure about the me do they eat? (and is it too low to sustain) are the meals loaded with preservatives and such? I know that you are to add fresh fruits and veggies. Any information would be greatly appreciated Thanks Deb Boardley University of Toledo ---------------------------------------------------------- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/405 - Release Date: 8/1/2006 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 2, 2006 Report Share Posted August 2, 2006 NutriSystem food is steripacked in sealed containers held at room temperature. It looks very much like frozen food with much sturdier plastics to ensure air tight seal and prevent deterioration. It is delivered monthly or more at one time (my husband chose the 3 months delivery system). It must have some preservatives and they're listed on the box. Asian cultures have been using this packaging method for years and years, and I have purchased many of them in Japan and Hong-Kong in the past. Ingredients lists include (out of 4 different packages) in addition to the main ingredient s such as beef, chicken, etc. The packages have a hotdog, a bbq chicken filet, NutriCinnamon squares breakfast cereal, rotinin wmeatballs and tomato sauce. NIacin, Ferrous sulfate, thiamine mononitrate, ribflavin, folic acid, evaporated cane juice, spices, soy flower (TVP), caramel color, soybean oil, partially hydrogenated soybean oil with TBHQ and citric acid, color (caramel and turmeric) vinegar, malt flavoring, baking soda, color (caramel and turmeric) molasses, salt, natural flavors, liquid smoke (water, natural hickory smoke flavor) splenda (water, sucralose) oleoresin paprika, *2% or less of potassium lactate, sodium diacetate, natural smoke flavor, sodium erithorbate, dextrose, sodium nitrate * (these last with * are on the hotdog lunch, but none of the others. I don't know, but these don't look too dangerous to me! I expect those of you who have expertise in food chemistry or preservatives will tell me. In any case, I had one for lunch today bc I haven't been eating much lately and the portions are small and since the food is saucy easy to eat fast. (the not eating much dt backaches, not dieting, and yes, I've had unintended weight loss!) Merav, you're correct that the portions are small, and it's a good way to learn to eat less and survive. As I said in a previous post, my husband was never hungry while on it. He's decided to keep a backup stock for days I don't cook, to eat at work instead of high fat outside food (which I am doing also), and as a reminder in case he starts to gain the weight again, he can use these. It did teach him portion control and to help him along on days I do prepare meals I portion his instead of letting him serve himself, which he appreciates. I also put all food away first so there are no second portions visible. Digna Cassens, MHA, RD http://groups.msn.com/RDForum Start by doing what's necessary, then what's possible, and suddenly you are doing the impossible. St. Francis Assis nutrisystem Good morning - A physician called me with questions about nutri system. He thinks it would be a good program for overweight patients. He thinks that it is simple to follow (you just eat the foods they send). I told him that the negatives are: 1. don't learn how to make healthy choices 2. not adaptable - what if people travel for business and do not want to eat the meals - etc 3. no research that documents success of program 4. they had to pay big fines to FTC for false advertising am I missing anything? I am not sure about the meals themselves..I am not sure about the me do they eat? (and is it too low to sustain) are the meals loaded with preservatives and such? I know that you are to add fresh fruits and veggies. Any information would be greatly appreciated Thanks Deb Boardley University of Toledo ---------------------------------------------------------- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.394 / Virus Database: 268.10.5/405 - Release Date: 8/1/2006 Quote Link to comment Share on other sites More sharing options...
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