Doctor insights on:
How Many Calories Do You Need While Pregnant If Overweight
For women who have failed multiple ivf cycles, who may have pof (premature ovarian failure), poor egg quality or those who are of advanced maternal age (between 43-50 years old), donor eggs are an option when seeking another path towards motherhood. It has some advantages over adoption: by utilizing an egg donor the recipient can have a biologic child, although it ...Read more
Is it safe to eat 1500 calories during pregnancy since I'm overweight and my new diet is healthy (lean meats, veggies, fruits, whole-grains)?
Depends: It depends on your current weight and the level of obesity. You should talk to your Ob about it. As long as you take in the essential vitamins and have a good mix of diet choices, you should be fine. I applaud you in taking the initiative to maintain your weight during this critical time of your life. Best Wishes Dr M ...Read more
I'm overweight, borderline obese. If I get pregnant, is it ok to cut down calories while meeting my other nutritional needs? Is it ok to lose weight?
I'm overweight/almost obese and 4 weeks pregnant. Can I restrict to a 1200 calorie HEALTHY diet and workout (hiking, walking)?
Depression, Anxiety: I commend you for your desire to lose weight, walking and hiking. IT is NOT WHAT you eat It is What is Eating You! Let the wise woman within you understand what made you overweight- feelings of sadness hurt, guilt, resentment, frustration, boredom, or loneliness. Desperation to Diet of 1200 Cal/day in perspective of being pregnant. See Psychiatrist for Therapy for self-esteem, coping with weight ...Read more
IM overwight and mo pregnant. How many calories do i stay under to not gain alot more weight? i gained 17 so far and dont wanna gain much more
You haven't: provided enough information and this is too specific and important to be handled over the internet. Talk in detail w/your OB and see a good dietitian. ...Read more
2500: 2500. You only need 500 more calories a day when you are pregnant than what you need when you are not pregnant. Remember, it is important to continue to "keep it moving" while you are pregnant. You are not eating for two, you are eating for one, so you need to remember to be healthy. ...Read more
Not a good idea: Your calorie needs will change throughout pregnancy. In the first trimester, most people don't need extra calories. Later however, you will need extra calories. When you see your OB/Gyn for your regular checkups, you will be weighed and your Ob/Gyn can advise you on appropriate nutrition. ...Read more
Depends: On how much you weigh, 25-30 would be average but some of my obese pts sometimes do not gain much at all 10-15 lbs which is fine as long as the baby is growing. ...Read more
Ummmm..: Uh, oh, this question sounds like a disaster waiting to happen. Whenever, one asks a question in this manner, it brings up concerns about the possibility of an eating disorder. If you do have an eating disorder please be candid with your obstetrician & your nutritionist (should be work with one). ...Read more
Dr : Dr fowler's information is accurate - in general we expect a 15-25 % pregnancy rate in 41-42 year old women with ivf. This depends on many individual factors as well. Most women in their 40's have signs of diminished ovarian reserve (low egg supply) but this varies and some wil get pregnant relatively easily with ivf, while others struggle. The effect of weight on an ivf cycle is complex. Body mass index (bmi) is not a perfect measure of overweight/ obesity, but it is easy to measure and is a useful tool for studies measuring the effects of obesity as it takes height and weight into account, not just weight. It does not work for people who are low fat/high muscle weight like bodybuilders, but it's useful for the rest of us and is easy to calculate (see the link below). Bmi 18.5 to under 25 is ideal, 25-30 is overweight, and 30 or above is considered obesity. High bmi affects how well ivf drugs are absorbed into the body - most are given as subcutaneous injections (into the fatty tissue under the skin) - so higher doses of injectable medication may be needed. High bmi probably also affects how well embryos implant. Many studies show that high bmi (over 24, over 27, over 30) can result in reduced implantation rates (the chance that each embryo will 'take' in the uterus) without affecting embryo quality, and this leads to lower pregnancy rates with increased bmi. There are also studies that show that women with high bmi have the same success rates as women with lower bmi, but just need higher medication doses. The question has not been definitely settled. Very high bmi (40 or over) affects the safety of ivf - egg retrieval procedures are usually done on an oupatient basis. Many centers use md anesthesiologists, and it is normal not to intubate the patient during the procedure, as we would do for a laparoscopy or major surgery. It makes sense to have an upper limit of bmi for most centers in the us for ivf patients - this varies from center to center but could be in the 40-42.5 range. Pregnancy complications such as gestational diabetes rise with high bmi as well, and some fertility clinics will not treat women with bmi over 45 even with low-tech treatments like clomid, but again policies vary from clinic to clinic. For younger women, especially under 35 with normal ovarian reserve testing, it may be worth delaying treatment until after losing weight, for older women, as long as they are in a safe bmi range, it is often better not to delay treatment especially by 6 months or a year. I have seen successful healthy pregnancies in women with bmi in the low to mid 40's undergoing ivf. So exercise and losing weight is good for most americans, but for a 41 year old woman who needs ivf it's a discussion to have with her fertility md and it's usually better not to delay treatment unless she is in a weight range where her reproductive endocrinologist or anesthesiologist feels it's not safe to proceed. Hope this helps. Best wishes. ...Read moreSee 1 more doctor answer
I am starting on a 1000 calorie diet to lose my after-pregnancy baby fat. Do you think it will work?
If I am really overweight and i want to lose weight quickly but healthily, how many calories should I eat?
Be patient and go sl: Weight loss takes a lot of discipline and practice it for the long hall. Eat less, slowly cutting on daily calories gradually.. Stay under 1500 caloris a day. Also eat healthy food with ample vegetables, fruits and grains supplemented with proteins. Avoid fats and oily foods. Proteins are best found in eggs, tofu, fish and nuts and in. Low fat dairy and yogurt. Avoid sugars and too many sweets. ...Read more
A calorie is the amount of heat energy needed to increase a mililiter of water 1 degree centigrade, the calorie we talk about in foods is really a kilocalorie, that is the amount of energy needed to increase a liter of water 1 degree centigrade... So if you eat a food that is 500 calories that food if burned completely has enough energy to heat a liter of ...Read more
A reaction in some people to exposure to the dander on dogs that results in coughing and wheezing, red, itchy eyes runny, itchy, stuffy nose, sneezing or a rash on the face or chest. This is a result of release of histamine by immune cells. It usually is not the dog's hair or fur but flakes of dead skin as well as the saliva and urine of the dog that people ...Read more
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