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I'm seeing a nutritionist on Wednesday, and these are the list of questions I intend to ask. Would like to get advice of anyone in my position (vegetarian, blood results okay but on the borderline - especially LDL cholesterol and triglycerides, eat a range of food but not too focused on super healthy, don't weigh portions, decent amount of exercise). Also, am I missing any questions that I really should be asking?

Overview

  • I’m a vegetarian. I eat milk-byproducts, eggs, and all vegetables and fruits.

  • Don’t like mushrooms or aubergine/egg plant

  • Tofu is OK, seitan NOT ok.

  • No allergies to nuts or fruits except for black grapes and yogurt.

  • My family has a history of diabetes, high BP and cholesterol; They are on medication.

Questions to the doctor:

  • What’s the cause for high LDL and low LDL levels?

  • What should I do to increase my metabolism?

  • What should I do to prolong the time I can avoid medication for either of the above?

  • What is the ideal weight for me?

  • 3 big meals or multiple small meals?

  • Low-fat vs. Low-carb for weight loss?

  • What is one nutrition advice you give?

  • How can I support my immune system so I’m not as vulnerable to an auto-immune diseases/pathogens/colds/flu?

  • How might personal genetics influence how my body uses nutrients?

  • As a vegetarian, how can I make sure my protein intake is high enough?

What do I eat/drink on a normal day?

  • Exclusively use Olive oil for cooking in the house.

Breakfast (8am)

  • 1 small bowl Cereal (Tresor, Chocapic, and Kellogs… ?) - quantity?

  • 1 Sandwich with fresh cheese, lettuce and tomato

  • 1 Chocolate muffin

  • 2 cookies

  • NOTHING

  • Sometimes

    • Scrambled eggs with bread

    • Ramen

Lunch/dinner (1/8pm)

  • Pizza with cheese and vegetables.

  • White rice with

    • Lentils: Chickpeas, green peas, black beans

    • Vegetables

    • Egg fried

  • Tortilla

  • Vegetable pasta

  • Lentils: Chickpeas, green peas

  • Soup + sandwiches with cheese

  • Salad

    • Wild rice, apple, cucumber, feta and nuts

    • Quinoa, nuts, apple, avocado

Snack (5pm)

  • Crisp-bread with Emmental cheese and seeds

  • Chocolate

  • Assorted nuts

  • Sometimes a couple of beers.

  • Patatas bravas

  • Apples

  • Pears

  • Banana

What should I avoid?

What should I eat?

  • Can we define the quantity of food I eat?

  • Where will I get my vitamins? My minerals? My phytochemicals? My micronutrients? My omega 3’s?

  • I don’t want to weigh everything I eat ( we have a scale).

    • Can we define it in terms of units, handfuls, cups?

    • Is it a case of what I eat but less? or changing what I eat?

What exercise should I do?

  • Currently I swim about 1.5km every day (why is my pulse so high?, what can I do to reduce it?) Resting pulse of 68.

  • Walk to work (4km round trip)

  • Sometimes a regular home exercise

  • The rest of the day I am sitting in front of a desk

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    It's great you've planned it out! How long is your appointment? I recommend you actually print this list out, tell the doctor/RD you have made a list of your questions, and give it to them so they can decide how to prioritize the most important topics to make sure are hit at this visit. – DoctorWhom Nov 14 '17 at 8:19
  • This is my first visit, and I believe it is for 1 hour. Is there something else I'm missing to ask? I can't think of any and I want to make best use of the time I am paying for. – tandem Nov 14 '17 at 8:50
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    Very wise to have all your questions ready before your appointment. You have similar questions to these but these are some areas I feel are important. I'd ask for strategies to avoid having to weigh your food or count calories -- as it’s not very practical or sustainable. Also, what they recommend regarding B12 supplementation (ods.od.nih.gov/factsheets/VitaminB12-Consumer) -- as the supplement industry is essentially unregulated if they have a brand they’d recommend. – Mike-DHSc Nov 14 '17 at 10:15
  • Thanks for that, @Mike-DHSc. I'd add to that list of questions. I agree weighing food is not sustainable. It's way too much of a hassle. Being the old-school guy I am, I write it down in a book and update the App at the end of the day before sleeping as of now. – tandem Nov 14 '17 at 10:19
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    @larry909, I think the problem with some of the questions is the following: the website one maybe reading will not have detailed knowledge of the patients history, diet habits, what's actually going wrong, etc. I wanted a personal opinion of someone who was knowledgable in this area. Unfortunately, human body ain't nothing like Computer Science where you have (only) one correct answer for a deterministic problem. We, as humans, are very non-deterministic. – tandem Nov 16 '17 at 11:15

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