NEW GOAL?

I have been amazed and humbled by how fast I have lost so much weight.  I have always had to work so hard for weight loss - no matter how low my calories and high my exercise level, it has always been a struggle.

October 2012 I had already lost almost 20 lbs pre-op.

Now not quite 9 months since surgery and I am down 126 pounds.  Today I updated my "weight loss ticker" and see I am 4 pounds from my original goal and am wondering what my new goal should be.

 I am already focused on my fitness, so that continues to be something I want to challenge.  I had a great meeting with a trainer and got a whole bunch of new stuff to work on.  Tom and I did  25 miles on the bikes today and it was so easy -  now I need to see if I can do more hilly rides to challenge myself (I had to walk the bike up one hill today...)

But the weight thing, I am not sure about.  I have not been especially weight focused through life because I have always "weighed more" than I look.  Maybe aiming for a clothing size?  I am not all that attached to being a certain size but it was a bit of a thrill to buy a pair of size 12 capri pants.  Most of the things I have been buying are 14 or a large, but I have a couple of mediums, now, too.   I was a 12 when I got married and even though size 12 is bigger now than it was then - hey - a size 12 is cool with me!

July 4, 2013

Some people do lose more weight after this surgery than they plan on.  I really hope I will not be one of the people who end up having an issue with that.  I am noticing every week now that I can eat more at a sitting and make an effort to add more fruits and veggies to my daily meals in addition to the required protein.

I try to add fat where I can, too.  Sounds funny in this fat phobic world, but I need more fat since I only absorb about 40% of what I eat.  Fat is good for hair, skin, digestion and vitamin absorption.

This morning we went out to breakfast on our bike ride and I had 1 egg with some cheese scrambled in and 2 1/2 slices of bacon.  I was amazed I could eat all that!  I couldn't last month.  So if I keep this up I should be able to stop the weight loss and start the life long maintenance of my new, healthier bod.

A BARIATRIC SURGEON SPEAKS OUT - NOT THE EASY WAY OUT

I just read this great article written by a Bariatric Surgeon.  He is tired of people commenting about his profession - that he is an "enabler" for lazy, unmotivated fat people taking the "easy way" out of obesity.

He lists not only the difficulties of losing weight and maintaining that loss, the hoops people have to jump through to even get surgery and the fact that the AMA this year has declared obesity a disease and not just the cause of other diseases.

As a life long exerciser, a healthy eater and someone with knowledge of nutrition and of my own psychological issues - I can attest that it is not just a matter of eating less and exercising more.  Yes, for many people there is an issue with eating poorly and not exercising.  For many more of us it is far beyond that simple formula.  No one can really explain all the factors involved but the medical researchers are gaining awareness of the multiplicity of factors which affect different people.

Just as some people can smoke cigarettes all their lives and not get lung cancer, some people live long lives on a high fat diet and others drop dead in their 30's following a spartan diet and running marathons.  None of it is simple.

I had wanted to try weight loss surgery for over 10 years before I was given the opportunity.  As soon as I was aware of the Duodenal Switch I knew it was the solution for me.  I have never been a volume eater.  I have generally been a healthy eater - yes I have binged like pretty much anyone, for the most part I have been eating a high protein, low carb diet for 15 years so I knew I could maintain the dietary requirements.  When people "fail" following weight loss surgery and gain weight, it is probably because they didn't learn enough or know themselves well enough to commit to what it takes to be successful.

The surgery is a tool, not the final solution to the problem.  After all, we still have to eat!

THE SLOW DOWN



One of my favorite snacks. Even better than on bread or crackers!!

 My weight loss has really slowed down in the past month.  I went from losing 5 pounds a week, to 3 pounds and now I am at 2 pounds which is pretty much what I managed pre-op on a good diet with lots of exercise.  This brings me to the point where I need to be much more mindful of all of my food choices.

For those who think that weight loss surgery is a magic bullet and you can eat whatever you want afterwards - forget that!!  It is a tool.  A really big, helpful tool, but only that.  The human element still factors in every single day.  (Something my co-worker can't understand because he is always trying to get me to eat stuff like donuts he brings in.  Friday he brought me a croissant thinking that was a better choice than a donut.  Sigh.)

Now I need to stop adding that little spoonful of brown rice to my dinner, and skip the potato in the pot roast, add Splenda to the coleslaw dressing instead of sugar.  The carbs need to be monitored much more closely.  The big plus for me to giving up bread and sugar is that I don't have to be concerned with fat* - so I picked up some brie to add to my lunch and used full fat mayo when I made deviled eggs yesterday!

In fact, a tip I learned onone of the DS forums was to add whipped cream to greek yogurt to cut the aftertaste and up the fat. I find it impossible to find full fat yogurt anywhere and I feel lucky when I find 2% instead of non-fat. 

The thing people don't realize in all their fat fearing frenzy is that the food companies fill in the flavor lost by taking the fat out by adding sugar.  So the non-fat Fage I just bought has 38g of carbs!!  This is simple vanilla yogurt - no fruit added to up the carbs. Sugar is a MUCH bigger problem in our diets than fat and it is added in everywhere, especially where the fat has been reduced out. 


*Actually, I really need the fat to help with my dry skin and hair.

TYPICAL DAYS

 I mentioned in my last post that I would list a typical day or two of eating at 4 months post op.

I start each day with about 1/4 cup of grape juice with my potassium supplement mixed in.  Then I usually have a protein hot chocolate and a protein bar.  I make my own and I have an assortment of them from different companies. I try to make sure they are at least 10 g of protein. So usually my breakfast is between 20-30 g protein.

This is what the taro one looked like!

Mid-morning I have a snack, right now I am enjoying Trader Joes Protein Banana Muffins - 7 g protein but 22 g carbs, so I don't eat them too often! Otherwise I might have some sunflower seeds, nuts or finish my protein bar from breakfast.

Lunch is when I get the most variety and opportunity to experiment.  Costco had a good price on Bay Shrimp so I bought a few pounds and portioned them into baggies and put them in the freezer.  If I take one out the night before, it is thawed enough to add some chopped celery, mayo and seasonings.  I have been putting it in a container with 1/2 avocado and it makes a great lunch with some Wonderslim crackers - 19 g protein. I also look for soups with higher protein and add the protein pretzels or crackers to up my intake.

The other day my boss took me to lunch at a Dim Sum place (I managed to get a customer to finally pay off a $10,000. bill he had owned since last April!) I had almost 4 pieces of Dim Sum.  I am terrible about the names, but one was shrimp in a translucent wrapper, two were minced shrimp and pork dumplings and one was taro with something in the middle.  It was great and I was thrilled that I could eat so much.  I suspect the "wrappers" added up carb wise - but what the heck.  It was a treat!

In the afternoon I sometimes have a protein bar/chips depending on how much I ate for lunch and when I managed to take a lunch break.

Dinner, for some reason, is the meal that I have trouble with.  By the end of the day I am hungry but my stomach is easily upset.  I usually have a small portion of chicken and few bites of veggies.  One recent dinner I added about 1/4 of a potato skin (potatoes scooped out but with butter and salt!)  I have been trying out a lot of recipes from low carb cookbooks to expand my dinner menus. If my protein isn't adding up to 90-120 g for the day, I have a protein drink or another protein hot chocolate.

For a treat, I love to have my red grapefruit sections.  The other night I was wanting something different so I melted some semi-sweet chocolate chips and put roasted almonds in the melted chocolate, spread them out on wax paper to harden and broke them into pieces.  A few of these nuts is a nice treat with hot tea at the end of the day.

FOOD NOW

I was on You Tube looking at some videos a friend directed me to - nothing to do with weight loss or surgery - but I saw there were also some videos done by weight loss surgery post-op people so I clicked over.  Guess those Internet cookies do hook people in...

Anyway.  there was a young woman talking about her experience 12 weeks out from surgery. She sounded very sad and I can relate.  While it is exciting to lose weight at such a fast pace, to hear the compliments from others - having your world turned upside down is difficult.  For many people, food is a pleasure.  Planning meals, cooking and eating is a big part of our lives. Those of us who indulge in too much food have a set of problems that people who can enjoy without going overboard don't have.

One of the little talked about effects of weight loss surgery is that you not only lose your appetite, you lose your enjoyment.  Things taste different, things you liked to eat not only don't taste the same they make you feel bad when you eat them.  And I am not talking about indulgences - I mean things like eggs or yogurt or chicken.

The young woman in the video was sad about this, worried that it wouldn't change back and she wouldn't achieve her dream of becoming a chef because of it. I worry , too.  I struggle to get the 800 calories a day I am supposed to be eating.  Most days I don't.  It is hard to eat when you feel bad and nothing tastes right. 

I went to the movies the other night and took a chance on a small bag of popcorn. I felt pleasure in food for the first time in 10 weeks.  It tasted good.  I nibbled slowly and made it through almost half the bag in the 3 hours I sat there.  I am not "supposed to" be eating carbs - but  it was worth bending the rules to know I could feel that pleasure again. Then yesterday I was cutting up a pineapple and I ate 3 chunks of it - oh, my.  It was so good. 

So the old pleasure is there to be had - right now not in the protein foods I need to be focused on, but it's there waiting for me to be healed and healthy again.

GIVE IT A REST

It's been a bumpy ride for the past month.  My healing stomach is not happy about most things I put in it and suddenly the day before Thanksgiving it decided it didn't want ANYTHING in it.

Doctors advice - just give it a rest.  So 24 hours with nothing - yes, on Thanksgiving - and then sips of tea and juice for 24 hours then try some chicken broth.  So far those 3 things are the only things that don't make my stomach cramp.  But I keep trying clear and blended soft things.  Am I worried about my lack of protein and nutrition in general?  Yes.  Can I do anything about the state of my stomach?  No. Got to give it time.

If I believed in a higher power that wished to teach me a lesson, I would say this is one of humility.  I went into this with an attitude that I would just sail through the recovery steps.  Clearly not happening!  So I must back myself off my expectations and do what I can. There is no point in forcing anything in this process and if I am the oddball that can't eat an egg or tolerate protein drinks 4+ weeks out, I need to find what I can tolerate and eat until then.

What I am doing is walking more, and using some small hand weights for upper body strength training.  I am working pretty much full time again.