What I wish I knew as a 350lb doctor?

❌eat all food in moderation
✅Fuck that, eat satiating real food with no limit and then if hungry eat more 🥩🍖🍗🥚🍳🥦🫑🥑🍓🍤

❌eat 5-7 small meals
✅Fuck that, if you aren’t hungry don’t eat & when you are hungry eat real food

/thread
❌breakfast is the most important meal
✅I haven’t eating breakfast in 7 years & I’ve kept 150lbs off

❌eat whole grains
✅this is just a way to get you to eat Kellogg’s & General Mills processed shit food… if they are advertising “fiber” or “whole grains” you are being conned
❌if you want chocolate or ice cream just have a little
✅either don’t have it OR if you need it find a version without sugar, plenty of low carb alternatives out there, takes some of the addictive qualities of the food out (yes and calories)
❌you need to count calories
✅actually counting calories typically helps restrained eaters like your orthorexic dietitian or doctor, real people are ALWAYS off and typically say it saps their motivation
❌balance diets are healthier
✅no good interventional evidence to support that

Also wish I realized how much diet impacts mental health, chronic pain, migraines and even seizures - data is out there, find someone who knows it

/end

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr. Tro

Dr. Tro Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @DoctorTro

19 Nov
THREAD:

Why I personally never took the influenza vaccine, despite recommending it to many of my higher risk patients...
I was told as a first-year, medical intern that my refusal to take the influenza vaccine was a disgrace.

I want to outline why 10 +years ago I refused the flu shot & haven't taken it since...
Around that time the previous recommendations were for the flu shots to be given to the high-risk and elderly.

After all, the shots were changed annually and there were no high-quality studies definitively showing it improved outcomes in the general population
Read 25 tweets
11 Nov
First of all, love @mackinprof work on protein

The love stops there m… THREAD
To equalize diets to some concept of “whatever works” is a lazy approach to obesity. FULL STOP.

Diets work for very specific reasons in certain individuals, not understanding those reasons needs to be states and it wasn’t

What happened instead?
Some koombaya nonsense that the efficacy of diets is based on adherence. Besides that being circular reasoning it again shifts the blame to the disenfranchised people with obesity & not the dumbfucks who portend to be experts
Read 4 tweets
28 Oct
I met a person in the gym who went to a bariatric surgeon, was evaluated by a psychotherapist, psychiatrist and then had bariatric surgery.

She lost some weight but gained it all back several years later. No one reached out to her, nobody followed up.

/thread
When I asked her why she thinks it happened, why she gained weight, she said “it’s my fault”

She said “she ate too much, maybe she was emotionally eating”

And this is basically where I lost my shit (keep reading)
They cut out her stomach, forced her to “eat the size of her palm”… they cleared her for surgery and provided no support, no clear vision of what she is up against… but they did collect fact check$

THEY did this to her, SHE WANTED HELP… and yet she says “it’s my fault”
Read 5 tweets
10 Oct
I have patient who is an 18 year old male who recovered from documented COVID & is being mandated to take 2 (?3🤔) mRNA vaccines

Can we as a profession appreciate our amazing tools & therapies (like vaccines) but still acknowledge the need for an individualized approach?
As a profession we need to be able to have honest and open discussions about the balance between population health and individualized approach.
YOU CAN STILL SUPPORT & APPRECIATE VACCINES & DO ALL OF THESE:
- acknowledge rare side effects
- acknowledge ideal populations/exceptions for a vaccine
- stand up for patient-physician shared decision-making
- not support coercive measures

Vaccines are STILL an amazing tool!
Read 5 tweets
29 Sep
🚨THREAD

Why calories NEVER mattered...

1/n
We have known as far back as 1982 that tracking calories, food logging is inaccurate & doesn’t predict weight loss

10.1093/ajcn/35.4.727.

2/n
Meta-analysis in 2008 by Harnack and French, then follow-up in 2014 from Eblel, Kiszko reviews and assesses the evidence on the effectiveness of calorie labeling at the point of purchase

"Concerns on the effectiveness of calorie labeling policies"

10.1007/s10900-014-9876-0

3/n
Read 15 tweets
20 Sep
If you haven't read my thread on how fear and anxiety are driving off-label use of drugs...

I now want to talk about how fear and anxiety are leading to inappropriate assumptions about the vaccine and witch-hunting anyone who disagrees with you as being "anti-vaxxer"
In our practice we have recommended many patients get the COVID vaccine despite unknown unknowns and unclear adverse event profiles like clots with JNJ and myocarditis with mRNA.

These discussions and decisions are between patients and us as their advocates...
In any case, what I have noticed among the pro-vax, pro-mask, pro-mandate crowd is that they have let FEAR and ANXIETY drive there decision making.

Its like the flip side of the same coin regarding people using alternative treatments
Read 8 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Thank you for your support!

Follow Us on Twitter!

:(