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Back to School #3: Room for Improvement?



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Your bariatric report card doesn’t look so good? That might be good news: a wake-up call, with some opportunities for improvement.



Back in the olden days, there was a space for teacher comments on the back of my report card. Here my teacher could write comments about areas in which I exceled or (more often) I needed to improve. Mine usually had to do with talking during class too much (except when I shut my mouth because I didn’t know the answer to a question). So, what opportunities for improvement await you this semester?

Here’s an example from my own WLS journey. It was an offshoot of my New Year’s resolution, which was to log my food every day. After weeks of living that resolution, I was dissatisfied with its effect on my weight, and suddenly realized that although I’d been faithfully logging my food every day, I hadn't been paying much attention to the resulting nutritional data.

In that instance, I had earned an A for effort and an F for achievement. That’s partly because I love keeping logs and journals. I can play with Excel documents 'til long after the cows come home, without any expectation of coming up with useful information. I analyze things just for the fun of analysis, so it’s far too easy for me to overlook the ways in which I might use all that stuff to improve my insight or change my behavior.

So if I don’t pay attention to the data in my food log, I can’t evaluate the quality of my food intake. I’d been logging about 1400-1500 calories a day (a calorie goal that accounted for my exercise level and weight loss goal) without taking the time to notice some major inconsistencies in my macronutrients, especially Protein. I need to pay attention to my protein intake not just because my body needs good-quality protein to repair the muscles I use during my daily workouts, but because low protein intake often represents maladaptive eating. Rather than slow down and eat carefully so that solid protein doesn’t cause me problems, I take the easy way out and eat the easy stuff, almost always in the form of carbs that don’t offer much satiety value, never mind nutritional value.

When I was a clueless little kid, I had to rely on adults to tell me exactly how to improve my school grades, but I’m glad to report that I’m not a clueless little kid any more. I’m an occasionally clueless adult. If my realization about the quality of my food intake had never materialized, eventually I would have asked an expert, like my dietitian or doctor, for guidance. Armed with their suggestions, I would get back on the bandwagon and give that food log another honest try. And (fingers crossed) eventually earn an A for achievement!

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" I need to pay attention to my Protein intake not just because my body needs good-quality Protein to repair the muscles I use during my daily workouts, but because low protein intake often represents maladaptive eating."

YES. THIS!!!
I LOVE that you brought up the maladaptive eating. This is one thing that I have had real issues with. I never even THOUGHT of it being directly related to my protein intake. Good stuff!!!

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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    • Doughgurl

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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