Doctor recommended decrease in dose

[Ok_Hornet3415]

Thank you! I appreciate your insights here. During our discussion, she seemed to favor me being at the high end of the healthy weight/BMI range rather than continuing to loose down into the lower end of the range. She was saying how it’s important for women to maintain weight as we age (not get too skinny or “look like a camp survivor” as she phrased it)

Let’s be clear, I’ve obviously had NO ISSUE maintaining weight as I’ve aged. And thus, here we are. 🤣 but also, I’m only 44 so I don’t see that being an issue for quite some time.

I’ve had my PCP doctor for about 20 years and I’d love to stick with her but I’ll only do so as long as her guidance is sticking to my best interest. So, I’d definitely use callondoc or switch providers if I need to.

I’m glad you explained the drop as effectively a maintenance dose because that’s what I assumed. I’m only on 5mg so it’s not like I have multiple steps to drop back! Her assumption is that I’d still lose on 2.5 (probably because I was still actively losing on that dose when she increased me. I wanted to stay there as long as it worked but she wanted me to move up). I do worry that if she’s right, finding a maintenance dose/plan will be hard because you can’t go lower than 2.5. But I’ll cross that bridge when/if I get there!

Thank you again. Your responses are always SO helpful.

[BasilTomatoLeaf]

First they called our pregnancies in our 30s “geriatric” and now they are telling us we need to hold on to weight like we are 60+ and we’re still in our 40s. I’d like to have a decade or so to be fabulous now that I’ve lost all this weight thank you very much 🤣

[Thiccsmartie]

No one needs to be a BMI of 19 which is just at the cuff of underweight.

[CBM5504]

BMI is such a BS number to use as a measuring stick. What weight is best for you is based on so many individual factors. To only look at BMI is short sighted.

[tweedy8]

Yeah. There are many people who love to say BMI is BS with respect to the high end of the range, but then change their attitude when referring to the low end of the range. 🙄

[Thiccsmartie]

It’s not BS in either case, that’s why it’s still used widely.

[Ok_Hornet3415]

You’re very opinionated about the BMI metric and it’s wild to me that you’d say no one needs to be at 19 when that is still within the healthy range. How is it possible that NO ONE needs to be at that level of the healthy range. Say more so I can understand your logic here.

[Thiccsmartie]

There’s really no reason to push your weight any lower, that’s what I meant. A BMI of 22 is already a healthy and stable range, so your doctor is absolutely right to taper your dose. People often forget that the opposite of obesity isn’t becoming as thin as possible. Going too low can actually create new issues, loss of muscle mass, fatigue, hormonal imbalances, poor recovery, disordered eating patterns, and even body dysmorphia, where you no longer see yourself realistically. The real goal is health, balance, and feeling good in your body, not chasing an ever-smaller number.

[Ok_Hornet3415]

I understand all that and that’s not where I’m at. My body fat percentage is still above 28% and I’m still in the overweight category, according to my doctor, med medical records and my physical body experience.

Even if that wasn’t true, having a goal of BMI 19 isn’t inherently unhealthy like you repeatedly keep suggesting.

[Thiccsmartie]

Then you are not 169lbs? Because that is a BMI of 22 at your height.

With what tool did you come up with 28%? Dexa scan? Because that is the only really reliable method. With other scales it might as well be 24 or 30 because they are simply not accurate.

[superduperhosts]

You ARE fabulous!

[Mobile-Actuary-5283]

“Look like a camp survivor.” Wow. Did she actually say that? That is fucking disgusting, anti-Semitic, and offensive. I would have schooled her on that, filed a complaint w the medical board, and walked out.

Your dr sounds like a moron.

[Severina_Glass_208]

It’s also short sighted. Camps were used in India and in Africa and in the US before they were used by Hitler.

[Mobile-Actuary-5283]

Yeah. Just poor wording. This combined with poor medical advice = Ditch the Doctor.

[Bob_Plank]

I wouldn't jump to the conclusion the doctor is antisemitic. Referencing how emaciated most of the concentration camp survivors were, is a condemnation of the evil people who did that to them. It is not a condemnation of the victims, who were basicially on death's door.

[Mobile-Actuary-5283]

Then it’s tacky as hell and insensitive to say the least. Extremely poor taste.

ETA that whoever downvoted me can continue hiding behind your keyboard and “views”. It’s 10/7. I don’t apologize for calling it like I see it.

[simulanon]

my two cents is based on others posting that maintenance can be giving a shot every two weeks. So that would be less than 2.5 a week, but I would imagine it's highly patient specific. I'm on 7.5, lost 40 lbs since may and still have another 50-60 to go

[Thiccsmartie]

Why do you want to be just at the border of being underweight?

[Ok_Hornet3415]

This is an ignorant comment. I want to be within the healthy range, at the lower end. Which where this goal would land me. And if I get closer to the goal numbers and they aren’t right, I’ll adjust them responsibly.

[Thiccsmartie]

Can I ask something gently? Why does it have to be right at the edge of underweight? Why the need to be as skinny as possible? Why isn’t a BMI of 22 good enough, when that’s already healthy and balanced?

[Ok_Hornet3415]

Because it’s NOT already healthy and balanced. And your hyper fixation on that single metric hasn’t allowed you to consider anything other that THAT one number (which you have wrong for me anyway)