Re: Metabolism and Weight loss

[Guest guest]

The tricky thing about metabolism is that every body is unique, and there is no

objective test to see what is going on with all hormonal and chemical reactions.

My advice is give it a try. Ask your patient for 2 weeks to do a bedtime snack

with a stable caloric ingestion and 2 weeks w/o and compare the results. In my

experience most of patients benefit from the ingestion of several small meals

between the 2 major ones.

Cátia Borges, nutricionista

ARS Norte, Portugal

>

> Good morning,

> I have a patient that often will eat dinner at 6pm and not eat again until

10am when she gets up. She eats two appropriate meals at 10am and 6pm and has a

snack in between. She is trying to lose weight and a nurse who is also working

with her told her that going this long w/o eating will slow down her metabolism

and make weight loss more difficult. She is recommending the patient have a

bedtime snack and says all the RD's she used to work w/ recommended this as

well. My thought is her metabolism is not slowing down enough to warrant adding

the extra calories at bedtime unless of course she is hungry. Does anyone have

experience or research to back up the right approach with this patient. Thanks!

>

> Conger, MS, RD, CD, CDE

> Outpatient Clinical Dietitian

> Pager number:

> karenc4@...

>

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[Guest guest]

It could be also a " simple " daily intake issue. If she eats only 2 meals and few

snacks within 8 hrs (10A-6PM) it is possible that bc of her long break from 6PM

she eats a huge breakfast. and heavier snacks and maybe even bigger dinner as

she is mentally , unconsciously, regionalizing that she won't be eating till

10AM. Altogether - resulting in increased total intake as oppose to is she

spread the foods through her awaken hours and maybe do eat a bedtime snack,

which its calories could be deducted from the rest of the day's intake. So total

intake not increased, and potentially, she might eat less throughout her waking

hrs.

Merav Levi, RD, MS, CDN, CSGA dietitian, not the food police.

http://www.linkedin.com/in/meravlevi

" Life is not measured by the number of breath you take, but by the moments that

take your breath away. " - Carlin " People don't forget the truth, they just

become better in lying " (Revolutionary Road)

To: rd-usa

From: catiapb@...

Date: Thu, 3 Nov 2011 09:27:08 +0000

Subject: Re: Metabolism and Weight loss

The tricky thing about metabolism is that every body is unique, and there is no

objective test to see what is going on with all hormonal and chemical reactions.

My advice is give it a try. Ask your patient for 2 weeks to do a bedtime snack

with a stable caloric ingestion and 2 weeks w/o and compare the results. In my

experience most of patients benefit from the ingestion of several small meals

between the 2 major ones.

Cátia Borges, nutricionista

ARS Norte, Portugal

>

> Good morning,

> I have a patient that often will eat dinner at 6pm and not eat again until

10am when she gets up. She eats two appropriate meals at 10am and 6pm and has a

snack in between. She is trying to lose weight and a nurse who is also working

with her told her that going this long w/o eating will slow down her metabolism

and make weight loss more difficult. She is recommending the patient have a

bedtime snack and says all the RD's she used to work w/ recommended this as

well. My thought is her metabolism is not slowing down enough to warrant adding

the extra calories at bedtime unless of course she is hungry. Does anyone have

experience or research to back up the right approach with this patient. Thanks!

>

> Conger, MS, RD, CD, CDE

> Outpatient Clinical Dietitian

> Pager number:

> karenc4@...

>

> Email Confidentiality Footer:

> The above email may contain patient identifiable or confidential

> information. Because email is not secure, please be aware of associated

> risks of email transmission. If you are a patient, communicating to a UW

> Medicine Provider via email implies your agreement to email

> communication; see

> http://www.uwmedicine.org/Global/Compliance/EmailRisk.htm

>

> The information is intended for the individual named above. If you are

> not the intended recipient, any disclosure, copying, distribution or use

> of the contents of this information is prohibited. Please notify the

> sender by reply email, and then destroy all copies of the message and any

> attachments. See our Notice of Privacy Practices at www.uwmedicine.org.

>