My first post-keto visit with my Dr left me angry and frustrated

Yesterday I had a virtual appointment with my primary care doctor that left me so irritated that I’m going to start looking for a new doctor. After my last labs in October, I was very concerned about my high triglycerides and scheduled a follow up 3 months later with new labs. His advice was to cut out “rice, pasta, flour, and that kind of starchy food” to lower my triglycerides. If they didn’t improve, he wanted me to consider statins. That pushed me to reconsider a ketogenic diet because it had been successful for me 6-7 years ago for weight loss and it eliminated problem foods for triglycerides. So I got my lab work back and had my appointment yesterday. I had a whole page of notes on what I had changed and what I was doing to try to improve my health. He didn’t listen to anything he had to say. Basically, in 2.5 months on the diet, I had the following changes in my blood work: ​ |Measurement|Old value|New value| |:-|:-|:-| |Weight|325|293| |Fasting glucose|91|82| |total cholesterol|177|217| |Triglycerides|294|129| |HDL|24|24| |VLDL|50|24| |LDL|103|169| I tried to explain to him about my dietary changes and how that had improved my weight and triglycerides that he was so worried about and I was exercising more and feeling much better. He didn’t listen and his only comments on my retests were “Your LDL is too high. If it’s still high in another 3 months, I want you to consider statins.” I mentioned that the higher LDL was probably because I had lost 30 pounds and was actively burning fat and his response was “Weight loss does not raise LDL.” Is my doctor a jerk? How can your body use your fat stores for energy and not get it into your bloodstream? She then mentioned that I should cut back on red meat to 1 time per week as a treat. The fact that 1. 1. He didn’t listen to my feedback at all 2. 2. He gave outdated advice that ignored my diet changes and 3. 3. He didn’t seem to consider the changes on my chart and had tunnel vision on my score LDL Those make me want to start looking for a new doctor. I think he’s genuinely concerned, but the fact that he’s a dinosaur and doesn’t really listen to my comments really bothers me. The only thing that makes me wonder is that most of the doctors around here are even worse. It is very difficult to find someone good in this city.

Yesterday I had a virtual appointment with my primary care doctor that left me so irritated that I’m going to start looking for a new doctor. After my last labs in October, I was very concerned about my high triglycerides and scheduled a follow up 3 months later with new labs. His advice was to cut out “rice, pasta, flour, and that kind of starchy food” to lower my triglycerides. If they didn’t improve, he wanted me to consider statins. That pushed me to reconsider a ketogenic diet because it had been successful for me 6-7 years ago for weight loss and it eliminated problem foods for triglycerides. So I got my lab work back and had my appointment yesterday. I had a whole page of notes on what I had changed and what I was doing to try to improve my health. He didn’t listen to anything he had to say. Basically, in 2.5 months on the diet, I had the following changes in my blood work: ​ |Measurement|Old value|New value| |:-|:-|:-| |Weight|325|293| |Fasting glucose|91|82| |total cholesterol|177|217| |Triglycerides|294|129| |HDL|24|24| |VLDL|50|24| |LDL|103|169| I tried to explain to him about my dietary changes and how that had improved my weight and triglycerides that he was so worried about and I was exercising more and feeling much better. He didn’t listen and his only comments on my retests were “Your LDL is too high. If it’s still high in another 3 months, I want you to consider statins.” I mentioned that the higher LDL was probably because I had lost 30 pounds and was actively burning fat and his response was “Weight loss does not raise LDL.” Is my doctor a jerk? How can your body use your fat stores for energy and not get it into your bloodstream? She then mentioned that I should cut back on red meat to 1 time per week as a treat. The fact that 1. 1. He didn’t listen to my feedback at all 2. 2. He gave outdated advice that ignored my diet changes and 3. 3. He didn’t seem to consider the changes on my chart and had tunnel vision on my score LDL Those make me want to start looking for a new doctor. I think he’s genuinely concerned, but the fact that he’s a dinosaur and doesn’t really listen to my comments really bothers me. The only thing that makes me wonder is that most of the doctors around here are even worse. It is very difficult to find someone good in this city.

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