6 Month Update

This week marks 6 months post-op. Time has flown so fast. Here's where things stand currently:

Total weight lost - 71.8 lbs
Lost since surgery - 49.8 lbs.
Percent weight lost - 21.8%
Total inches lost - 33.5

Between my last post and now I'm shy of 20 pounds lost in 3 months. I have to keep telling myself it's not just "only" 20 pounds lost. I'm still in the supposed honeymoon phase and supposed to be losing around 10 pounds a month. It's been one of my mental blocks for the last couple of months. I'm slowly working around it.

It's odd when I sit here and say to myself I've only lost so much weight when I look at the total amount I have lost a lot. It's also been rough mentally because I don't see it a lot of the time. I'm still wearing old clothes because they still fit. Although just barely in some cases. It's left me guessing if it's the style of clothes I purchased or if they fit that bad on me 6 months ago. I think it's a bit of both if I'm honest. Some days I see it. Some days I don't. It's kind of what it is at this point. I think it's going to stay this way for a while.

The biggest struggle recently is just the number on the scale. Not the fact that I'm not as low as I want. It's more of the fact, I'm closest to the lowest I've been in my adult life. The last time I was in the 250s was when I was still living in South Dakota and had first joined T.O.P.S. Getting under 250 will be a huge milestone for me. It has lead to a mental block and scares me at the same time. I have tried and failed so many times. To get past this number will be a relief and I know it's not just going to be for "now". I don't feel like I'm explaining it well.

There's also a lot of unknowns on the other side of that number. I do truly see it as a wall in my mind to get over. Or maybe under, around or through. Who the hell knows. I'm just tired of the mental struggles with it. It even led to me eating things I wasn't supposed to and I know that played into my stall. I also wasn't tracking my food. Now that I've gotten back on track the last couple weeks the scale is moving in the right direction.

Aside from the usual mental games I play with myself, things are going really good. Dr. Greene is really pleased with how well my scars are healing and my general progress. I need to do my best to stay away from grains and fruits still even though I can eat them in small quantities. As for other foods, I can eat damn near anything and be ok. I'm finding chicken, ground turkey, and fish sit best in my new tummy. Steak is far too heavy and sits like a rock. Ground beef is ok. It depends if I've cooked it into something like burritos or if it's a burger.

I joined a gym at the beginning of the year. I've been missing not going the last 10 days. At first, it was because I was getting some of my scarves ready to sell at a convention this weekend. So I was focused on that.  Then with the coronavirus starting to spread so quickly, I decided it was best to stay away as gyms can be very gross. Which bums me out a bit. I've gotten back into swimming and I'm loving it more than ever before.

Right now I'm swimming about 1400m in an hour. In October I'm doing the swimming portion of a triathlon relay with a team from work. I'll have to swim 1900m. So I've been working on endurance mostly. But it's still so easy for me to get lost in the swim and not realize an hour has gone by. I've also been getting back into strength training which is helping me swim faster. So all around I'm loving my workouts.

Here are some of the other non-scale victories I've had over the past 6 months:

• Better balance
• Not getting winded walking up 3 flights of stairs
• Lunges don't hurt my knees anymore (or at least as much)
• Wrap a towel completely around me
• Smaller shoe size (from 9-9.5 to 8-8.5)
• Ring size from 8 to 5.5
• Less low back pain
• Can buy XXL shirts and skirts it the normal sizes section
• Had to move the seat forward in my car
• Discovering I actually have collar bones and a tailbone (note: I have to be careful how I sit and for how long)
• Finding I do, in fact, have knees
• Feeling more comfortable in pictures
• Playing a game of "do I still like this food?" or "will I like this food"
• Daring to take part in a triathlon - even as just part of a relay
• Can walk for several miles without issue and not be dead afterwards

This morning I also got a notification when I put in my weight into MyFitnessPal. I didn't realize I was so close to the halfway point, and I'm actually at 51% of the way to my goal weight. That blew my mind. Then I started thinking and realized I'm less than 40 pounds away from the top end of the range I set as my goal range. I put in a 40-pound range because I didn't know where my body would end up being happy and what would be maintainable. To actually feel so close to goal is....different. I can't explain it beyond that.

That's it for now. If you made it this far, thanks for reading. :)

July 2019

February 2020

2 1/2 Weeks Post-Op - Struggles & Updates

My two weeks off from work to recover flew by honestly. My recovery went really well, thankfully. I did much better than I expected too. I've been able to drink fairly easily without any nausea or vomiting, which is awesome. Overall I have felt really good physically.

Mentally, this has been rough. It's been especially rough the last few days. It all came to a head yesterday. It's been a combination of things. Diet, lack of progress, and my hormones being out of whack have all contributed to it. I'll get into the rough stuff below, then into the better stuff from today.

I'm almost 5 weeks into my liquid diet. I am so over it. Beyond over it. I want to actually chew something. For those who know me, I have a massive sweet tooth. I can't stand anything sweet at the moment. Also, my tastes are changing. Protein shakes and water enhancers I loved before surgery I can't stand now. It's not just that though. It started Wednesday and got really bad yesterday, but I don't like the taste of anything at the moment. Plain water, water with flavor, any of my protein shakes, the protein soup mix, jello, none of it. It all tastes bad. I can't describe the flavor and I really don't want to. I have to drink 3 shakes and get 50-60 ounces of liquids in a day, and I don't want any of it. So I'm literally choking down stuff to make sure I don't get dehydrated. To top it all off, I found out my lactose intolerance is back. Lucky me.

All of the food issues would be bearable if I was seeing some sort of progress, but I'm not. The scale hasn't moved the last week. It's basically a nice flat line on a graph within a 1lb. range. I'm also looking at my clothes and not seeing any changes there. This is beyond frustrating given all the work and pain I've gone through these last months.

One of the other fun side effects of surgery is it plays havoc with your hormones. First off, by removing 80% of the stomach, you are removing a lot of the area that produces and secretes the hunger hormone ghrelin. The stress of surgery puts all of your other hormones out of whack, including all of the lady hormones. It can cause your period to start early and make the mood swings worse. So this week has been a bit of hell for me. It hasn't been all that fun for my husband either.

Yes, I know I'm only 2 1/2 weeks out. Yes, I know it takes time. These are logical thoughts and great ones. I was telling them to myself last night in an effort to get out of my funk. My emotions did a big old "Screw you!" and ignored all scientific fact and logic.

All of this built up in my head over the last couple days and the dam broke last night. I was absolutely regretting the surgery last night. I know most everyone has seen this picture:



I didn't feel like I was carving my way out of this body. I felt more trapped than ever. I felt like I was trapped in this horrid cage of a body and clawing madly with no way out. It was not a good night.

I woke up feeling a little better today thankfully. I also had follow-ups with my surgeon and dietitian since I start solid foods next week.

I talked to Dr. Greene about everything. It's all normal. Because of my starting weight and how long I've been on the liquid diet, stalls at 2-3 weeks out are exceptionally common in his patients. He was expecting it. Since I'm starting on solid foods next week, I should start seeing the scale move soon.

It's also normal for tastes to change. I knew from research and talking to Dr. Greene that my tastes would change. I thought it was just what I would and wouldn't like, but it's not. It's even how food tastes in general. They aren't sure what causes the tastes to change. The current theory is that between removing a lot of the hunger hormones and the changes in the bacterial biome in your gut, your tastes change. He apologized for it being so rough, but it happens to almost everyone.

Overall he is very happy with my recovery. I have no hernias at my incision sites. I'm almost done with my blood thinner shots. Thank heaven. They cause the worst bruising. If anyone needs some ideas for a color palette for zombie makeup, I can send pictures for your Pinterest board. I'm calling my belly a zombie dalmatian.

The dietitian is pleased with my progress too. We went over what I can and can't have the next couple of weeks. I'll get into that in another post.

So yeah. I'm doing better than I thought I would be. In some ways, this is harder than I thought, and I knew it would be a struggle going in. Thankfully no one has told me I took the easy way out by doing this. The way I feel at the moment I would bitch them out until kingdom come if they did. There is nothing easy about this. Worth it (from all I've been told), but far from easy.

Back on track and feeling hopeful

I haven't posted in a long long time it feels like. The holidays got in the way initially, then I felt like I didn't really have anything to say, and then I didn't know how to articulate what I wanted to say. I know I needed help, but I didn't know what I needed help with or how to ask for it. Silly I know. The last 4 months or so I have been maintaining my weight. I have yet to figure out if I took a true maintenance break or if it was a plateau. At least I wasn't regaining weight.

I have slacked off on my workouts lately too. I've been battling a head cold and sinus infection the last couple weeks. Part of it is dealing with a knee injury. The irony is the non-runner has runner's knee. I've only had two PT appointments though and my knee is almost completely better! The other part of it was February and March blahs brought on by just getting tired of winter and deep in hibernation mode. All that means is I was feeling exceptionally anti-social due to seasonal depression. I'm not one to be out in the sun a lot, but damn I miss it when it disappears for a few days. On the upside I have been trying to go swimming a couple days a week with a friend, so that's been a lot of fun. It's been great girl time.

This last week I finally feel like I've gotten back on track with my eating. I bought a lot of easy foods for healthy and fast meals last week. Breakfast has been eggs, toast, and coffee. Lunch was low-carb wraps, with a variety of fresh veggies, fruit, and some cheese. Dinner has been a variety of things. I immediately started feeling good again and having more energy.  I also noticed that my craving for sweets diminished quite a bit too. I ended up having a great loss at TOPS this week as well. It was 2.25 pound if I remember right.

Friday I had a follow up with Dr. H. I am down 3 pounds from the last visit. Again we had a great discussion. He was concerned because it looked like my weight loss had slowed down quite a bit. So he brought up if I thought the Contrave was still working, and maybe changing it out with a different one. He was also concerned about costs for me, which I appreciate. In the discussion about other possible meds to try we went on to discussing changing up my eating habits. We talked about three different options.

1) Go down to two meals per day. I wouldn't be cutting out any calories, just the number of meals. I'm not sure how feasible this is during the work week for me, but on the weekends this usually ends up being the case anyways.

2) Change up my calorie distribution - make breakfast my biggest meal of the day, and dinner the smallest. Easy enough change to make.

3) Intermittent fasting - Going 24 hours without eating. He would like me try it one day a week and see how it goes. If I'm feeling up to trying a science experiment. Damn him speaking my language! haha

All 3 options have had a variety of studies done and have been shown to promote weight loss. Those who participate in intermittent fasting usually do it 3 days week (every other day) but it has been shown to be helpful with even one day a week.

The biggest part of our discussion surrounded option 2. There was a study published this last week that had very positive and amazing results. It was looking at type 2 diabetics and what happened if they had 6 small even sized meals versus 3 meals with breakfast being the largest and dinner the smallest. Both groups at the same amount of calories. The group that ate the 6 small meals ended up gaining 2kg over the 3 month study and using 2 units of insulin more per day. The group that ate the small dinner ended up LOSING 5kg and using 20 units LESS of insulin per day. That's a huge difference! Dr. H said they weren't sure if it's the large breakfast, the small dinner, or a combo of the two that helps with weight loss. While I don't have to worry about insulin use, I will definitely be giving this a try.

Towards the end of our meeting I went back to the earlier discussion about changing up the med. He said he wasn't going to for two reasons. The first is I didn't seem particularly excited about it. The second is that given some comments I made about eating mindfully and the like, the contrave is working. He said he thinks he was just making a mountain out of a mole-hill. The slight gain I had was over the holidays. We'll see how things go this next month and go from there.

I'm so happy I started seeing him. He seems to know exactly what I need to feel like I'm getting back on track and get me moving in the right direction again.

In other news I was a division winner in my TOPS chapter this last year. Each division is broken up by how much you weigh at the start of the year. I lost 26 pounds last year.

 

 So far things are looking up. I really want to try and do more blogging this year. I enjoy the writing as an outlet. Hopefully I can keep this going.

Feeling it

I plateaued this week at weigh in and stayed the same. Everyone did this week in fact. To be honest, it didn't come as a surprise to me. With the major losses we have had so far (which a lot was water weight I am sure) it was bound to happen. And just knowing how my body is when I have worked out before, I was fully expecting to plateau either this week or next.

I had my weekly training yesterday evening. I went into it knowing it was going to be a rough workout since I had told Sandy I had plateaued, but it was rougher than I thought it would be. Part of the problem was I woke up later than I planned to get to the gym. I wanted to be to the gym by 5pm so I could get a 30 minute warm up in, and I woke up at 4:50. So I was groggy, moving in a panic because I was late, and didn't stop to eat anything before I worked out. Not eating was a mistake, at one point I started feeling a little sick but it passed quickly. Still it isn't a feeling I like. There was also a moment during the workout where I about just broke down in tears. It has happened to me before where I have pushed myself so hard it just pushes me over the edge emotionally and I just stop and breakdown and cry. It is an emotional reaction, but it is hard to describe the emotions that are brought up in that moment and why it happens for me. Luckily it too passed and things were good for the rest of the workout.

I felt kind of bad during my workout yesterday because I knew I wasn't my normal self. My trainer noticed it as well and kept asking if I was ok or if I was hurting. I really appreciated her concern, but most of it was I just wasn't fully awake yet. That and I would most definitely say if I was in pain. It wouldn't do either of us any good if I wasn't honest with Sandy about that.

 After my workout I started feeling A LOT better in so many ways. Of course there was the endorphin rush, and the general good feeling after a hard workout, but it was more than that. It took me a while to figure out what I was feeling and I finally figured it out after I had been at work several hours last night. I am starting to feel like I did even just 3 years ago, but more around 5 years ago when I had lost 30 pounds. I am feeling better physically and mentally. I am feeling stronger. I feel the strength building in my body and that I am moving better. I don't hurt as much as I used to. Even more importantly, I am starting to feel better in my own skin again. I feel  more like "me" and happy again. Not that I am just in a flabby shell. I am starting to feel beautiful and pretty again. I'm even feeling sexy *gasp*! I know I have always been these things, but it has been a long time since I have truly felt that way. I also feel like I am finally starting to lose weight and inches. We were all commenting at weigh in Monday night that none of us really felt like we had lost the weight that we have. I still really don't feel like I have lost 20 pounds even though I have. I don't know if it is because I haven't dropped a pant size yet even though I am down a shirt size or what it is, but I haven't felt like I have lost weight. I am starting to feel it now a little bit. Maybe I just shocked my body so much that it is just taking time to catch up and realize what the heck I have done to it!

As my Uncle told me the other night, I am at war with my body and right now it is fighting back. So just one day at a time and one step at a time. I'm not stopping now!

Quote for the day:
"Life is an opportunity, benefit from it. Life is a beauty, admire it. Life is a dream, realize it. Life is a challenge, meet it. Life is a duty, complete it. Life is a game, play it. Life is a promise, fulfill it. Life is sorrow, overcome it. Life is a song, sing it. Life is a struggle, accept it. Life is a tragedy, confront it, Life is an adventure, dare it. Life is luck, make it. Life is life, fight for it!"  -Mother Teresa