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Re: Frustrated with doctors' lack of knowledge..
From: Kris (anonymous@obgyn.net)
Sun, 27 Jul 2003 11:00:07 -0500 (CDT)
Dear Natasha,
I feel just like you do. I get the same response from docs. They
really don't understand how all this works. If it were as simple as a
diet, we'd all be ok. It's not that simple, and we all know it. We
need to get these docs to understand. I'm still looking for one to get
it. I see from here that maybe an obgyn is the wrong place, maybe we
should try an endo? At this point I don't know really what to eat, but
I'm leary of trying any radical diet. Instead of looking at top obgyn,
let's try top endo. What do you think? My regular doc put me on
metformin and started me at 1000 per day and said after two weeks go to
2000 per day. The first two weeks were...OK..then at 2000, I got so
sick. I went back to 500 twice a day. I keep trying to add a little
more after my stomach calms down, but I can't seem to tolerate more than
1000 a day. So, I'd be careful of how much you take. It can really be
tough on your stomach. Good luck and hang in there. I'm off to check
for a good endo....
Kris
At Sun, 27 Jul 2003, Natasha wrote:
>
>Hi again, girls..
>
>I just felt like posting again, as I'm getting increasingly frustrated
>by all the doctors' responses. How can this be? They barely seem to
>know anything about PCOS and how it works. I recently visited a top of
>the line obgyn for the second time, and he told me to take the next 6
>months to lose weight. (Gee, why didn't *I* think of that!?!) This is
>supposed to determine whether or not there is really any hope for me,
>and if I should seriously consider getting my stomach stapled, as has
>been suggested by 2 other doctors besides him. The guidelines that he
>set are roughly: No sweets whatsoever, no carbs at ALL, no eating after
>6PM. Exercise should be done twice a day, once in the morning, and once
>in the evening.
>
>Well.. I'm having a little problem with that. First of all, I have
>been on Atkins (among a thousand other diets), and it didn't work for me
>past the first 2 months (Total time spent on the diet was 1.5 years in
>strict induction phase). I've come off it, but as I've mentioned when
>posting before, I still cut most of my sweets and simple carbs out, and
>am very mindful of the ingredients I utilize. However, I'm really
>hating myself lately for all this weight(256lbs at 5'8), and find that
>the energy to start working out again is proving to be more than
>difficult. Plus, I'm really tired of having doctors look at me as if I
>have no self-control whatsoever. You girls know what I mean.. they
>treat you like it's completely your fault you have PCOS. It's making me
>feel even more embarrassed and uncomfortable about my weight than I
>already am (if that's possible). I know starting to exercise again is
>crucial, but I couldn't take all the bulky muscles I would get every
>time I did any kind of exercise (even from just walking). I'm hoping
>this time might be a little different, as my testosterone levels seem to
>have gone down. It's just I find that going to doctors can be so
>counterproductive.. you get so depressed after the visit, and then it's
>even tougher to find the energy and motivation you need to keep going.
>
>As far as my metformin intake is going, I've been on it something like
>4-5 months (500mg 3x day), but my doc started me off with a large dose,
>and my stomach never quite got used to it. I still have major bloating,
>and other probs. I don't want to lower the doseage though, because I've
>lost a few pounds (about 17 now), and my insulin level has gone down
>from 28.5 to about 22.
>What do you guys think I should do in terms of the metformin? I just
>read that it's considered to be IR if insulin levels are over 10, so
>should I be taking a larger dose to get the insulin down more? What
>about what the obgyn suggested (the diet/exercise routine)?
>
>I'd really welcome any input. Thanks so much for your time in advance.
>
>--
>-Natasha
>
--
Kris
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