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- GLP-1 medication Zepbound, Wegovy, access, side effects, progress, and support.
- Before surgery Compare procedures, plan ahead, and get honest pre-op answers.
- Post-op Recovery, food stages, symptoms, and support.
- Long-term Regain, labs, habits, and life after the honeymoon.
- Revision Explore revision options, complications, and next steps.
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I wonder if they have band friendly food in Narnia?
Aslan's a carnivore. He'll understand the need for protein. Of course, if he asks for a bite, I wouldn't say no...
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Boy, I needed that
Oh, sure, sounds like fun!
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Boy, I needed that
I had a difficult weekend. I've been stressing over a work deadline for the last week or two, but things are really coming to a head. In fact, I'm beginning to hear that whooshing sound a deadline makes as it goes shooting by me. It won't be the end of the world, as it's mainly a self imposed date, but I'm still frustrated with myself that I haven't been able to make it, so the stress is building. In the past, stress for me has always equalled overeating, so my head hunger has just been rising and rising lately. Yesterday, it got the best of me. I ate and drank way too many calories. Admittedly not as many as I could have, but still way more than I needed. Knowing that bad news at this point would only make me that much more likely to want to quit, I deliberately did not do my weekly weigh in this morning. I do that every morning right after I get up, after I've gone to the bathroom but before I put on clothes, and I record the result of each Monday's scale readout. Today, I officially took the day off. Of course, I couldn't stay completely off the scale, but I waited a couple of hours and weighed myself with clothes on. That way, I can pretend the number is inaccurate. Of course, the number was up so I started to get down on myself, Then, I realized something. I hadn't taken any measurements of myself in just over a month. Out came the tape measure. I don't take a ton of measurements, just three that are recorded in MFP, but I'm still really glad I remembered to do this. I've lost 3.3 inches! Knowing that was like a huge weight (no pun intended) lifted off my shoulders, because it means that what I'm doing is really making a noticeable difference. The numbers on the scale can get kind of abstract because they move up and down so easily and are influenced by so many things, like salt and water and TOM, that sometimes it doesn't feel like those losses are real. The ones on the measuring tape, though, those can't be disputed. I really needed the good news today. It helped me to get my head back on straight so that I can take a deep breath and get back to work, both professionally and with my band. I know this journey won't be quick and it won't be easy, but sometimes a reminder really helps. Once a month measurements, which I had planned to do all along, gave me that reminder today, and boy, I needed that!
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I Am a Duck
...the kind in the old saying: swimming serenely on the surface and paddling like a lunatic underneath. Actually, I've been doing fairly well ever since I got back on board with my band (3/8). The additional fills have made a difference and at 9.25cc, I've decided to consider myself I the green zone. I stay not hungry for about 4 hrs after a meal. I never experience stuck episodes or PBs, thank goodness, but I am a pretty conscientious chewer, which is good because my bite size varies depending on the texture of the food I'm eating. I make sure to get my minimum 50g of protein per day and I keep track of my calories, but other than that I don't stress abut counting anything else (fat or carbs). I still eat "bad" foods occasionally (like chips) but only in moderation, in premeasured servings, and I always count the calories and try to make sure that at the end of the week I average out around 1200 calories per day. I can eat bread, rice, pasta, asparagus, steak ... there is nothing I have ever tried to eat that I was unable to eat. I also don't ever feel like my band "stops" me from eating. My portions are usually 1 cup at a time, sometimes 1.5 cups, but I never feel stuffed after eating or that my band is telling me to stop. My mind tells me to stop because it remembers the rules given to me by my doctor. In reality, I'm learning to be okay with that. Part of me wonders if I'm missing some vital part of the bandster experience by not having a band that bosses me around, but I think this way is honestly probably less painful. I also hope that it is teaching me more than if I had a vocal band. This way, I know that what I'm doing is a choice and since I'm going to have to do this for the rest of my life if I want to lose and maintain a loss, getting into the habit of choosing right is probably a good thing in the long term. Sure, there are times when I wish I was one of those people whose band made them forget about food completely. When I read about someone who never has cravings any more, or who forgets to eat, or who loses interest in food--even really yummy food--after a few bites, I wish that were me, but I'm doing okay with the me I've got, so I get over it. The bottom line is that I am losing weight. Not huge quantities and not as fast as I would like, but since I would LIKE to be losing 10lbs per week, I'm focusing on being realistic instead. My 1-2 lb per week loss (really does usually fall around 1.5!) is exactly on track. All I need to do is to remember to stay the course and I will get where I want to be eventually. Better to get there slowly than to stay where I am. So, like the duck, I just keep paddling.
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March 2013: NOT the Dryer!!!!
Awesome!
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Slow and steady wins the race.. Or so I am told
The mental part of this journey is the hardest part. Like everything else, it takes patience and persistence, but you'll get the hang of it after a while. You've done great so far, so just hang in there!
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Good Food is a Good Thing
One of the best parts of getting back on track and living like a compliant bandster is the amazing food I get to eat. Nope, not kidding. I happen to be a pretty darned good cook. The problem is that when I'm not living right with my band, I get lazy. Cooking for one person half the time just doesn't seem "worth it," as if I'm not worth taking care of as much as the other people I cook for. That leads to take out, dining out, fast food, convenience foods, and processed foods. And that leads to weight gain. But when I'm concentrating on improving my life by working with the band, I eat not only healthier foods, but often tastier ones as well. Just in the past week, I made band friendly versions of beef Bourguignon, macaroni and cheese, braised chicken thighs with mushroom sauce, and for dinner tonight, Asian lettuce wraps with chicken and vegetables. It's all fresh, high protein, low fat, unprocessed, organic, and so much better than anything I could get at a supermarket or a cheap restaurant that it makes me shake my head that I ever made those choices. Even with the band, I love to cook, I love to eat, and I love flavorful foods. Now, I'm just finding ways to eat them the right way in the right amounts with the right ingredients. And it just rocks!
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A glass of wine?
I waited to have a glass of wine until I was back on solids and cleared by my surgeon to eat whatever my band would tolerate. Alcohol is not encouraged by my surgeon because of the empty calories, but it is allowed in moderation. If you want to be safe, clear it with your doctor first. Two words of caution though. Because we eat less now, the alcohol has a more potent effect on some people that before banding, so sip slowly. Also, restaurants routinely pour glasses of wine that are 6-8 oz. each. One actual serving should be no more than 5 oz, and wine lover that I am, at home usually pour myself only 3 oz, and it's plenty! Enjoy your date night!
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Reality Check
I really need to learn to do these often. I am the Queen of Unrealistic Expectations. I'm a smart girl, so I know and understand that 1-2 lbs per weeks is the average and is considered by my doctor and the entire bariatric surgery community to be good weight loss, but that somehow does not stop me from being disappointed when I don't lose more. So what do I do? I need to give myself a reality check. While I was moping about "only" losing 1.6 lbs this week after entering my progress into MFP, my eye caught on the list at the bottom of the screen of previous losses. That told the tale of how I lost weight during the first few months after surgery, before I got frustrated at not finding the green zone and gave up on my band. Before I regained about half of what I lost. And what did I see there? I had lost 25 lbs in less than 3 months. That was FANTASTIC! Maybe if I had focused on that accomplishment instead of becoming impatient and whiney over what I wanted to lose, I wouldn't have cheated myself out of all those months of real progress. Lesson learned. From now on, when I start to get impatient and frustrated and to compare myself to others who seem to be losing soooooo much faster, I'm going to remember to give myself a reality check. I'm not running a race, I'm changing my life. It WILL happen, as long as I keep working. So that is exactly what I will do.
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Not So Scary
Whole wheat elbows this time, but in the past I've made it with any small pasta that has enough curves to hug the cheese. Occasionally I find a pasta that's like a slightly longer elbow that's been twisted to add an extra curve. Those are awesome, too.
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Not So Scary
Today, my housemate very sheepishly asked me for a favor. She asked if it would freak me out or upset me if I made a batch of Mac n' cheese. I am famous across several states for my baked Mac n' cheese. No soupy sauces, just a cheese-laden bowl of goodness so dense that you could cut it into squares to serve it and each square would hold its shape until attacked with a fork. Oh, how I love the stuff. My first reaction was to think that I couldn't do it, because I couldn't face the temptation of having such a yummy, calorie laden treat around the house and me not be able to eat it. Then I stopped and thought. Yes, I have a band now, which means I have to make better choices with food, but I will be making those choices for the rest of my life if I want to be successful. Can I really contemplate an eternity without ever eating Mac n'cheese? Would I even want to? So I came up with a plan, and I have to say, I'm pretty brilliant. I made my housemate my old fashioned Mac n'cheese the way I always do. No weighing, no measuring, just put the stuff in til it looks right, then stick it in the over and let the magic happen. But at the same time, I made a second, much smaller batch just for me. For MY batch, I used whole wheat pasta to eliminate the white flour and raise the fiber content. Then I weighed and measured the exact amount of cheese that would go into the bowl. I measured each additional ingredient carefully and programmed the whole thing into My Fitness Pal so that it would calculate exactly how many calories are in each serving. And you know what? It's not nearly as bad as I thought it would be. Not only did it taste just as good as the orginial version, but my 1/4 cup serving had a good amount of protein between the pasta, cheese, egg and milk in the recipe. It also had an amount of calories that easily fit into my daily meal plan alongside a serving of lean meat. I found that 1/4 c just as satisfying as the bowl I would have eaten previously and it felt like a huge NSV to reshape the recipe and eat a healthy amount of a "normal" food. Go me! Now, that isn't to say that the lingering traces of the old me didn't think briefly about eating the entire batch in one sitting, but with my latest fill, I know that I honestly couldn't do it without getting sick. My band would stop me. Finally. But even more than that, I know I'll enjoy each small serving more knowing that I'm still living as a compliant bandster and that I'm still on track to meet my goals. So, I'll say it again: Go me!!!
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Self Control
Not the self control needed to keep from eating. Thanks to yesterday's fill, I'm currently honeymooning in the luxury resort of little food = long satiety. Yay me. No, I'm talking about the self control it takes me to remove myself from a conversation with no constructive outcome. The self control it takes not to yell and scream and tear out my hair when someone exhibits just how widespread the stigmatization of the obese in our culture has gone. It's so accepted in our culture to hate obesity and the people who suffer from it,that we have successfully convinced the obese to hate themselves. Personally, I hate being fat. I hate it so much that I underwent weight loss surgery in the hopes of becoming thin. But I spent enough years in therapy in the meantime to understand that the reason we hate obesity is the same reason why racists hate minorities and homophobes hate gays--because we are afraid of them, and afraid of what they tell us about ourselves. We have managed to convince ourselves that people with the disease of obesity (and yes, the National Association of Chronic Disease Doctors classifies it as a disease, as well as many experts in endocrinology and associated sciences) are entirely at fault for their own condition and should view them selves with the same condemnation and disgust and shame that our culture view them. Do people who are overweight generally eat too much? Yes, but science is only beginning to understand that there are biological reasons WHY we eat too much, that there are disorders systems in our bodies (endocrine, neurological, etc) that do not react the same way that those in individuals without the disease react. There is something more wrong with an obese person than that they eat too much and move too little. If eating less and moving more were a real solution, no one would be fat, and WLS would not exist. It makes me so angry and so emotionally hurt when people who struggle with obesity deny the idea that it is a disease, that it is not just a matter of being greedy and lazy and no damn good that makes us weigh too much, because if we agree with the rest of the world that we should hate ourselves, what hope for real happiness will we ever have, no matter how much weight we gain or lose?
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The Breakfast Rant
Breakfast and I have never been friends. Then again, mornings and I are not on the best of terms either. I'm so not one of those people who get out of bed ready to face the world and any challenges that come at me. Rather, I get out of bed bitter, grumpy, semi-conscious, hostile, and mute. It takes a minimum of one cup of coffee before it's safe for anyone in the vicinity to approach me, let alone talk to me. If I attempt to eat sooner than at least 1 to 1-1/2 hours after I wake up, everything I swallow makes a return appearance. Before banding, I ate in the morning depending on craving, attitude, and general quirk of fate. Since being banded (while being compliant) I never eat breakfast. I know all the "rules" about breakfast. It's the most important meal of the day. You need to restart your metabolism after your overnight fast or your body will go into starvation mode. Eating breakfast makes your metabolism work harder all day to burn more calories. People who skip breakfast usually eat more calories over the course of the day than people who eat it. I've heard it all more than once, but the key word (especially in the last bit) is "usually." In other words, it's not always the case. Take me, for example. My normal routine is to wake up (reluctantly) about 8:30 or 9 (I love to sleep, and I work for myself, so I allow myself the luxury there). I shower, then stumble out into the house for a cup of coffee. Since I drink my coffee with cream (half and half, 20 calories worth, carefully measured), I try to limit myself to one cup. By 10, then, I'm usually ready to start my day. Generally, I get quite hungry by 12, so I begin fixing lunch and eat around 12:30. Then my tummy starts rumbling about 3 at the moment, since I need another fill. If it's not too terrible, I hold out til 4, when I have a small snack (cheese or something else protein rich). That keeps me until dinner around 6:30 or so. It's a system that works for me. I count all my calories and stick to my plan without issue. Well, every once in a while I start questioning myself about whether I might really be doing this all wrong, and I decide to have breakfast to see if everyone else is right. Today I planned to up my calorie intake anyway, so I decided that it would be a good day to experiment with breakfast. I got up at 8:30 and went through my routine, but at 10 instead of just finishing my coffee, I was sitting down to a healthy breakfast of about 300 calories. I ate it, finished around 10:30, and since enough time had passed, it stayed down. It was yummy, so I enjoyed it, and it was almost entirely protein, so it should have kept me satisfied until around 1 pm. By 11:45 I was hungry again. At noon I was ready to gnaw my own arm off, and all day since I've been hungrier than usual and exerting all my self control not to eat more than my planned intake. Now this may be evidence that my metabolism is working faster due to breakfast, but to me it's not worth it. I can lose weight without the boost, and I do it without the misery of constant hunger that breakfast seems to cause in me. Maybe that makes me a freak of some sort, but I've finally decided that what works for me is the most important thing. That, and losing the weight, of course.
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Putt-putt-puttering Along
Reality has set back in. For the first seven days after my last adjustment (first one in 6 months) I was in paradise. Scale kept dropping close to a lb per day. Yay! Thanks, Santa, that's just what I always wanted! Then there was the aberration of a 1 lb gain that I knew had to be bs, so I ignored it, checked my food log, and chalked it down to sodium. Since it was almost all off the next day, that's still my story and I'm sticking to it. Today, the scale just stayed still, so I'm exerting a lot of energy reminding myself that as long as I AVERAGE 1-2 lbs per week down, it's all good. I'm good. Everything is fine. Can y'all hear me chanting, "Ohhhhhmmmmmmmmmmmm?" I know I can't expect any weight loss to be smooth and perfect and steady downward every time I get near a scale (but, oh, wouldn't that be wonderful?), but it's tough to remember that when my inner toddler is whining, "Are we there yet?" every five minutes. It also doesn't help when my inner b***h can't stop pointing out that if I hadn't taken all those months off and regained, I wouldn't now be facing the extreme frustration of trying to lose 10 lbs I had already lost. She's so annoying sometimes. Still, I am what and who I am and where I am, and I can't change that by looking backward, only by moving forward. Went shopping today to stock up on lean protein and make sure I had enough variety in the house to keep from getting bored and cranky, which makes me want to break rules. No rule breaking here, just good healthy food and lots of protein (good thing I love chicken). I know I can do this, especially since I have another appointment coming up in 5 days with the promise of another fill if I need it (oh, I do, I do, I swear I do!). I can no question hold out until then. And after that fill, I will be able to hold out until the next one. If I weren't strong enough for that, I wouldn't have come back with my tail between my legs a week ago. I'm here, I can do this, and I'm too danged stubborn and cussed to give up now. So there!
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Sweet Success!!
Wow, sounds like you have great docs! Keep up the good work and enjoy your upcoming vacation.