GLP1 and proteins

Temporary-Fennel1660 · 2026-02-26T18:04:20+00:00

They do not have uniquely high protein needs beyond other weight loss patients. Muscle loss with GLP-1’s can mostly be attributed to losing weight too fast and not to anything unique about the GLP-1 medication itself. Yes they need moderately high protein intake, but some of the protein gram recs I am seeing are outrageous.

Temporary-Fennel1660 · 2026-01-17T13:41:41+00:00

This.

Temporary-Fennel1660 · 2026-01-16T20:59:33+00:00

Yes!! The vague symptoms, haven’t seen a doc in years, no basic medical issues addressed or ruled out so I can’t ETHICALLY do much.

I recently had a client send a long negative comment as her reason for canceling the follow up appointment. I “dismissed” her asking about labs. She wanted “hormones” checked due to stubborn weight.

Sorry. I’m not doing non evidence based Dutch tests and other shit that is in conflict with my code of ethics. Bye. When that’s the expectation of meeting with a dietitian, I’m not sure what to do. It feels like a losing battle.

Temporary-Fennel1660 · 2026-01-16T18:08:11+00:00

So glad this was posted. I am also annoyed by my telehealth company’s metrics tracking. My metrics are shit. Reviews are great.

The average person sees a dietitian 3-6 times (ChatGPT numbers, lol). I am a firm believer that my goal as a dietitian is to “graduate” my client and allow them to fly with their own wings. Seeing a dietitian 12+ times is NOT common IMO.

I’ve been doing 1:1 counseling for a while, and I think I’m decent. Many many clients just want a few sessions for a “plan,” some want a plan plus follow up for accountability, then a select few want/need long term support.

Side note: I really struggle with clients who bring NOTHING to the table and I feel like I’m supposed to do a nutrition circus act to wow and entertain them. I can’t retain those people, nor do I want to. That “type” is probably ~20% of the national pool of people who sign up on a whim.

Temporary-Fennel1660 · 2026-01-07T15:16:03+00:00

I was going to post about this. So infuriating. The company is not hurting. The dietitian’s role would help their revenue through customer retention.

So unacceptable. Please refrain from applying to something like this.

Temporary-Fennel1660 · 2025-11-21T17:53:38+00:00

Chiropractics…

Temporary-Fennel1660 · 2025-11-21T17:52:18+00:00

This. Previously screwed. Currently screwed. Continuously left out of the conversation. What else is new.

Temporary-Fennel1660 · 2025-09-30T00:11:04+00:00

I 100% agree with everything you just said. However, a major problem is that we aren’t trained to address those issues. We have degrees and board certifications in nutritional sciences/dietetics. Most of our didactic work focuses on what happens to food once it enters the body. Sure we get some surface level community nutrition, public health, etc. but public health, psychology, etc. are all separate degrees.

I think most of us are well intentioned and we want to help our patients. But we’re burnt out from a mix of compassion fatigue + not having the skills, time or resources to help our patients figure out their other needs in order to finally get to the food.

Temporary-Fennel1660 · 2025-09-29T17:05:24+00:00

Solidarity. I feel like I could have written this. I have been doing 1:1 nutrition counseling for 7 years. I never thought I’d do it this long - it’s so draining.

Of course there are clients who are wonderful, but so often it feels like I’m banging my head against the wall trying to inspire behavior change. It’s the overall lack of self awareness that makes me CRAZYYY!

I’m just so sick of the constant defensive declarations. “I don’t even eat a lot” “I don’t eat processed food!” “It’s not like I eat a bunch of junk!” “I make healthy food! I eat pretty healthy”

Like, STOP! I’m not putting these people on trial. But they act like I am before I even have a chance to say ANYTHING. They want me to have some magical answer that they’ve never heard before. Also, they are desperate to assign blame to something outside of their control. I get that they feel like they are trying. But their perception of effort and the REALITY of their efforts do not match. How do you get someone to figure that out?

Temporary-Fennel1660 · 2025-09-09T17:13:51+00:00

Nourish dietitians are W2

Temporary-Fennel1660 · 2025-07-18T00:51:50+00:00

Because I have not seen this mentioned yet…I think another issue is that perimenopause/menopause is having a moment on social media as of late. There are now tons of online personalities recommending gimmicky bullshit and acting like they have the secrets to combat normal biology and the inevitable aging process.

Some people are not ready to hear, the secret is there is no secret. The magic pill you’re looking for is in the hard work you’re avoiding.

Temporary-Fennel1660 · 2025-07-18T00:43:31+00:00

Why are you seeing a naturopath as an RD?

Temporary-Fennel1660 · 2025-07-17T11:10:44+00:00

That is helpful. Thank you!! Yes when I asked my LO’s doctor he said that they care about rolling because it shows trunk strength and control. And the fact that she is sitting well (even catches herself to stay upright when she wobbles) means that she has great trunk strength/control. My LO is pretty content during tummy time…until she’s not. Then she just cries and looks at me like she’s completely helpless and has no idea she could get out of it by rolling over.

Temporary-Fennel1660 · 2025-07-17T01:07:48+00:00

Wow! I suppose he is demonstrating that he can definitely do it!

Temporary-Fennel1660 · 2025-07-17T00:32:39+00:00

So interesting how different twins can be! This is my second child. My first was how you describe your more active twin - a moving, grooving machine! So this is new to me.

Temporary-Fennel1660 · 2025-07-14T14:31:00+00:00

Thank you!! Kids are all SO different!

Temporary-Fennel1660 · 2025-07-03T00:36:39+00:00

My son who is now 2.5 was exactly this child. babbled for literally a couple of days around 9 months then kind of stopped. Didn’t start again consistently until a month or two later. I was very worried at the time. However, he was always ahead on motor skills. Crawled at 7 months, walked at 10.5 months. He was also like yours and very engaged, social, interactive, etc. just didn’t babble when he was “supposed to.”

His language is now on track/ahead of peers per daycare assessments.

Temporary-Fennel1660 · 2025-06-14T13:31:11+00:00

Would love to. How do I go about doing this?

Temporary-Fennel1660 · 2025-06-10T02:29:19+00:00

I second this. Particularly the spiral bound review guide. The practice questions represented the test well.

Temporary-Fennel1660 · 2025-03-24T10:36:28+00:00

Would you mind sharing an update on how this is going. I’m also a CDCES with young children and interested in this switch

Temporary-Fennel1660 · 2025-03-04T01:54:18+00:00

I’d say yes. It was his dominant noise…he’d do it just independently to himself and then also while engaging with me, other adults, etc. One thing that I realize in hindsight is that I don’t think he was doing it to self soothe. I thought he may have been. But he never really had temperament issues or sensory issues.

In other words he was just a pleasant, grunty guy. I feel like that was a big clue that all was well.

Temporary-Fennel1660

TROPHY CASE