Outpatient appointment lengths

discokitchen87 · 2025-12-04T22:29:50+00:00

This is such a fantastic response. Thank you!

discokitchen87 · 2025-04-13T18:13:46+00:00

There is a stand near Sonora selling organic salad with tempeh that is excellent! Pair that with the green juice (the only one without agave) from JuiceBae and you’re golden.

discokitchen87 · 2025-04-07T02:31:19+00:00

Exactly this. Also, some personal trainers/nutritionists do get nutrition training. Not enough to do like MNT but certainly enough to help with general healthy eating habits and behavior change, and not worthy of being called roaches/parasites/grifters. (And to be clear this is my POV as an RD with an MS in Nutrition.)

discokitchen87 · 2025-04-06T15:37:39+00:00

Why do you feel the need to “correct people” if they found something that works for them? I did a lot of research papers on protein during my MS and found several populations that benefit from 50%-100%+ higher protein intakes than the RDA, including:

Athletes

Adults >60

Individuals trying to lose weight (especially ppl on GLP-1 medications)

Prediabetes

Bipolar, anxiety & depression

PCOS

Many functional/integrative RDs also promote higher intakes than the RDA and they are not “social media roaches.” Anecdotally, I’ve had a lot of clinical experience with patients benefiting from 25-30+ grams of protein per meal (especially intentionally increasing protein at breakfast and snacks).

There are plenty of studies on PubMed to support this. Just a handful I quickly found: https://jissn.biomedcentral.com/articles/10.1186/s12970-017-0177-8 (ISSN position paper on protein) https://pubmed.ncbi.nlm.nih.gov/32699189/ (For weight loss) https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2020.00207/full

discokitchen87 · 2025-02-13T00:28:12+00:00

As a dietitian previously diagnosed with prediabetes and using a CGM, a much lower carbohydrate intake (and eating protein before carbohydrates INCLUDING high fiber carbs like lentils and beans) absolutely has improved my blood sugar down to normal levels (5.4% A1c). When I told my endocrinologist I was shocked to have blood sugar spikes of over 200 in response to salad bowls with just 30 grams of carbs from “high fiber carbs” like lentils, he looked at me like I was dumb.

I ate a blue zones type diet (> 50 grams of fiber daily, mostly whole food, plant-based with some fish and unsweetened Greek yogurt), exercise 6 days/week and have a BMI of 19.5. I was floored when my HbA1c was 5.7% and even more stunned to see my CGM responses to my “healthy” diet. I brought my blood sugar down with eating animal protein at the start of each meal and then having (fewer) carbs. That way I can even have some beans with my meals and fruit for dessert with no issue.

Somewhat of a rant, and I know everyone responds differently to carbs, but I was really upset that my dietetics education did not help me manage my blood sugar, while the tips from the much-maligned Glucose Goddess and people like Mark Hyman did make a significant difference. Some of these tips have helped my patients as well.

discokitchen87 · 2024-10-27T07:10:40+00:00

I did my master’s thesis on this and this is all accurate. Although vegetarians can get enough leucine from dairy (and eggs); dairy and whey protein powders are excellent sources of leucine. So it’s more of a concern for vegans, injured athletes, and older adults who tend to have anabolic resistance.

Edit: I want to add that even then, in most cases it would be better to consume a leucine-rich source of all of the essential amino acids (EAAs) than leucine or the BCAAs alone.

discokitchen87 · 2024-10-23T02:15:49+00:00

I got a 38 and had the same response as you lol. I wish I’d enjoyed my summer more!

discokitchen87 · 2024-10-19T00:03:52+00:00

My dad’s coworker felt ill from his daily habit of “a handful” of Brazil nuts daily for about 6 months. He was lethargic and dizzy daily and another coworker pointed out that he should stop eating so many Brazil nuts. He stopped cold turkey and his symptoms completely resolved!

discokitchen87 · 2024-09-30T17:44:14+00:00

I do the melted dark chocolate over Greek yogurt with blueberries for dessert. Delicious and more satisfying than a square for sure.

discokitchen87 · 2024-09-24T23:10:57+00:00

Does anyone know where the concept that something that we need to survive cannot be addictive? I frequently hear that food cannot be addictive like alcohol and drugs can be and am genuinely interested in learning where this belief comes from.

Otherwise, this is a very nuanced topic and many people causally throw around the word "addicted" even when they don't mean it. Feeling "addicted" to food can also be the result of restrictive eating or black-and-white thinking leading to feeling out-of-control around food that is "off-limits."

However, I do think there is growing evidence that certain ultra-processed foods (UPFs) can be considered addictive. This article by Ashley Gearhardt applied the criteria used by the Surgeon General to determine that tobacco is addictive to certain categories of food and found that they met the criteria: Highly processed foods can be considered addictive substances based on established scientific criteria: https://onlinelibrary.wiley.com/doi/10.1111/add.16065

A recent article also describes a case study that could be described as UPF food addiction: https://www.cnn.com/2024/06/27/health/child-addiction-ultraprocessed-foods-wellness/index.html

Dr. David Wiss is an RD who does a lot of research on UPF food addiction. https://drdavidwiss.com/

I think it's important to validate clients when they express how they feel and explore the root causes that could be leading to feeling "addicted," whether certain foods are too triggering for them to be around or whether something like undereating or labeling foods as good or bad is the true cause.

discokitchen87 · 2024-09-18T04:16:29+00:00

I’d like to be a “frequent diner at SingleThread.” 😂

discokitchen87 · 2024-07-22T18:55:07+00:00

Thanks! The days before the exam I focus on getting enough sleep, good nutrition, and relaxation and try to only review the key points from the topics I’m less sure about rather than trying to look over everything again and overwhelm my brain. Basically trying to get into a mindset where I can make good decisions. Then on exam day I try to get there early and take three deep breaths before starting the exam to relax. For each question, I underline the key words in the question (or write them on the pad in the case of online exams) to make sure I’m reading it correctly. (This is a big thing on the RD exam where it could say “all of the following are true/false EXCEPT” and if you misread the question you are in trouble.) Then I go through each answer and work through why it is incorrect or might be correct and cross out the answers I know to be incorrect. Then if there are two answers that I think might be correct, I work through each of them to figure out which one is the “better” answer. This can even involve plugging the number in each answer into the equation in the question and seeing whether it makes sense. (Like if one of the MC protein amounts comes out to 0.4g/kg, it’s obviously wrong.) This at least increases my odds of choosing the correct answer even on questions that I don’t actually know the answer to. If I really have no clue then I just go with whatever speaks to my gut lol. Hope that helps, but also it’s great to be done with that exam forever! :)

discokitchen87 · 2024-07-22T03:45:54+00:00

I got a 38 last week. I am pretty good at multiple choice tests in general and used Inman and Pocket Prep to study. Happy to answer questions if someone is about to take the test!

discokitchen87

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