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Metabolism and Weight loss

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Good morning,

I have a patient that often will eat dinner at 6pm and not eat again until 10am

when she gets up. She eats two appropriate meals at 10am and 6pm and has a

snack in between. She is trying to lose weight and a nurse who is also working

with her told her that going this long w/o eating will slow down her metabolism

and make weight loss more difficult. She is recommending the patient have a

bedtime snack and says all the RD's she used to work w/ recommended this as

well. My thought is her metabolism is not slowing down enough to warrant adding

the extra calories at bedtime unless of course she is hungry. Does anyone have

experience or research to back up the right approach with this patient. Thanks!

Conger, MS, RD, CD, CDE

Outpatient Clinical Dietitian

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