DESP seeking food plan for plateau.. 4yrs out.. HELP!

HI I am Lynda from 2003 and NJ; i need a updated food planm and protein amount ( liquid) max that we all use.. i have been on low cal; high protein and some carbs and fruit.. NOT WORKIN.. also working out YES at curves and treadmill and home gym. I have not budged in 3 yrs and am up for my tummy tuck to remove the fat; but I need lbs as well to stay healthy! I am 190 and was 310 a big change; but 150 is my goal and That is realistic. I am diabetic controled by food alone now praise GOD and need a food plan; is 1000 calories coreect and 90 gms of protein.. the rest is easy; or how many CARBS total? Thanks and emaiil me at [email protected] asap! IM on Aim and yahoo is lyndaemail...

Lynda, You may need to change your exercise routine. Maybe a different gym, other than curves. As for a F/U doc and nutritionist, I don't know of anyone that far south but if you're willing to travel, I recommend Dr. Fares and John Bock, RD in Trenton. They are fantastic. Hope that is of some help. RobinNJ

At 190 lbs, 90 gm of protein is far more than you need. You probably only need 50 gm/day at this point (and that's generous). You REALLY need to contact a bariatric nutritionist. Given your location, I'd urge you to contact the programs in Philadelphia - I know Thomas Jefferson has a bariatrics program, and I'm fairly sure UPenn and Temple do also. Try doing the "calorie change-up" - two days of fairly low-calorie intake, followed by 2 days of higher-calorie intake (i.e. 2 days at 700 cal/day, then 2 days at 1400 cal/day, for an average of 1050 cal/day). The high-cal days will start your metabolism into high gear, then the low-cal days will give you a couple of days at high gear with no new fuel - so you'll have to utilized stored fuel (i.e. fat). The sudden switch back to high-cal prevents your metabolism from realizing that you've cut back and slowing down. Do that 2-on/2-off cycle for a week or two and see if you break your plateau. Without knowing your height and age, I can't advise you on a caloric target, but there's a metabolic rate calculator at http://health.discovery.com/tools/calculators/basal/basal.html