Weighty Matters

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Road Trip Prep

I’m going on an overnight road trip — my first away from home since I started eating solid foods again.  Before I started thinking about what clothes to pack, I thought about meeting my nutritional needs.  This is a big deal for me.  Road trips in the past were like an open license to eat junk.  Fast food burgers, fries, milkshakes while driving.  Big restaurant meals when I’d stopped.

I brought out a small cooler today.  It has cheese sticks, a “to go” single pack of hummus, a “to go” small container of peanut butter, water and a yogurt.  The hotel where I’m staying serves a free breakfast to guests.  I put protein powder in a shaker cup and know I can mix it tomorrow morning with skim milk at the hotel.

My friend and I can still stop for lunch or grab dinner and I’m confident that I’ll be able to select food that I can eat and enjoy.  In the meantime, I don’t have to worry about stopping for a snack and then wondering if I’ll be able to find something that meets my needs.  I’m ready!

I’m counting that as a Non-Scale Victory because I’m looking ahead and taking care of myself.

In other news, I’m now 8 weeks post-op and down 57 pounds.  Woot!

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Body Dysmorphia — Or Not

I’ve been reading up on Body Dysmorphic Disorder.  I’d not heard the term before, but then ran across it in a magazine and it caught my interest.  I’ve spoken before about how I have “fat eyes”.  I always see myself as obese — okay, I have always been obese — but more to the point, I see myself heavier than I am, even when I lose weight.  I’ve lost over 55 pounds recently and everyone I work with tells me that they see the difference.  I still don’t.  Whether I look in the mirror or look at a picture, I still only see an obese, misshapen body.

Even with the caveat that I am still greatly overweight, I should be able to see some degree of difference with a 55 pound weight loss.  I can feel it — in my ability to move and walk, in my clothes, in the fact that I no longer struggle to put on my car seat belt.  I just don’t see it.

So, I wanted to research if this is just part of having always been overweight or if I actually have a disorder that requires treatment.   I started investigating the issue online.  I found a site that described and defined BDD.  It seemed to focus on people who focus on one aspect of their appearance that they perceive as horribly flawed or ugly and it completely wrecks their social interactions, drives them to seek out excessive plastic surgery, burdens them with shame, etc.  That site also separated BDD from people who have eating disorders and are overweight.  It didn’t seem to consider an image of perpetually heaviness as a qualification of BDD.

“Okay,” I thought.  “I do not have BDD.”

However, I do have a continuing negative self-image.  I can’t remember a time when I had a good body image.  Over Christmas, I was looking through my brother and sister-in-law’s wedding album.  I was darned slender for me!  My face, body, legs.  I even had a waistline!  I was surprised.  I clearly did not remember being that shape almost 30 years ago.

So, I started researching body image.  I took a self test and scored very high, which prompted this explanation:

You are suffering from a condition called body dysmorphic disorder (BDD) which is translated as body hatred. This is not a reflection of how you actually look or how other people see you, because there are very many people who have physical handicap, or, who look different from the norm. But they do not feel this badly about themselves. Similarly there are people who look very normal in reality but they experience this sense of deep hostility toward the way they look. BDD and a damaged sense of self-esteem go hand in hand.                           

People with BDD are at high risk of developing a variety of serious emotional problems such as social phobias, depression and eating disorders. Anorexia and bulimia for example, are examples of BDD, but BDD shows itself in many ways, some people develop an obsession with weighing themselves, seeking cosmetic surgery or engaging in punishing exercise regimes.     

So, I have this site telling me that I do have BDD and by reading this, I could start to believe that maybe the BDD lead to the eating disorder eons ago.

You know what?  I’m not convinced — not when there are conflicting opinions.   Maybe it’s a chicken and the egg kind of thing.  I’ve had an eating disorder, so I’ve always been obese and most obese people don’t like their bodies and that’s why I have this negative body image.  Or, maybe because I was chubby as a kid, I developed lousy body image and self-esteem and that’s caused me to always eat about it, descend into an eating disorder and just fuel the problem physically and emotionally.  Damned if I know.  I suppose the smart thing would be to consult a therapist about it and sift through the opinions to get to the real decision.

In the meantime, I’m trying to change my attitude.  I have seen the weight loss in my hands, of all places.  I can feel it in my clothes, like I said before.  I said I was going to take an updated picture and do a side-by-side comparison.  I didn’t because I hated still seeing myself in a way I considered to be obese and gross.  Looks like I need to bite the bullet and do it for real.

My intention is to improve my negative self-image and embrace my new self as I’m emerging.  Where I am today is still not great, but it’s surely better than I was two months ago.  Two months from now, it will be better still.

Hating my body and berating myself over it are not positive attitudes.  They do not belong in my every changing, ever-improving life!

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I Was Rewarded!

Yesterday, blog reader and commentor Judie accorded me a reward and an honor on her blog by passing on the Blog on Fire recognition.

 Thank you, Judie, for your kind comments about this blog and for including me.  It means a lot.

It is now up to me to pass on the award to another blog or blogs.  I read many so it’s a difficult choice.  However, today I’d like to pass it on to Jenny (aka Jennifer Crusie), Krissie (aka Anne Stuart and Kristina Douglas) and Lani (aka Lani Diane Rich and Lucy March) for creating the wonderful blog Reinventing Fabulous.  They’ve made a place where it’s okay to share about issues, struggles, journeys, progress and everything else.  Their openness and honesty engenders more of the same from readers and it’s become a lovely community of other ReFabbers.

Thank you to all of you who are reading the Weighty Matters blog.  I appreciate each and every one of you, whether you comment or lurk.  It’s just good to have you stop by with your energy.

Big hugs to all!

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New Reward System

I’ve mentioned earlier that food was often a club I used to beat up on myself.   It was also a reward.   How many times did I decide to “treat” myself with something scrumptious, rich, tasty and calorie-laden?  Special occasions, cool accomplishments, making it through a stressful day, making it through a not-stressful day.  It didn’t matter, delicious food was a way to reward myself for anything and everything.

I can’t reward myself with food anymore, at least not in the same way.  I guess when I start eating beef again, I can treat myself to an excellent piece of Kobe, even if I only eat a little at a time, but I’d far rather devise a new reward system for myself.

Most of the rewarding things that come to mind cost money.  I believe, in my newly growing self-esteem, that I’m worth the expense, but I can also justify spending the money on myself.  I’m eating so little that my weekly tab at the supermarket has dropped considerably.  I think it’s beyond okay for me to take some of what I used to spend on food and splurge on something that provides a boost of positive reinforcement to me for all of the hard work I’m putting into my weight loss and the ensuing progress and success.

I love being pampered.  I already get my nails done every other week and a pedicure done monthly.  I usually get a facial every couple of months, but I think that I’m going to make a point of scheduling one for myself on a more consistent basis.   All of the potions, lotions, masks, and massaging make me physically feel terrific and they also make my skin look great.  Super reward!

I adore fresh flowers in my house, so buying a bouquet to treat myself is another good reward.

Clothes shopping isn’t as much of a treat.  It’s more of a necessity, particularly the more weight that I lose.  So, going on a shopping spree doesn’t feel like as much of a reward.  So, what else can I do?  Oh, I musn’t forget my Promise List.  I can’t do some of those things yet, but when I’ve lost enough weight and regained enough fitness, you better believe that I will relish experiencing each of the promised activities.  I’m positive that visiting Hawaii sometime in the future will be very rewarding, and that’s just one thing on my growing list.

I guess I don’t need to design all of my rewards right now.  The most important thing is that I remember that I am worthy of being rewarded.   Yes, sure, some folks could say that living a healthier lifestyle is its own reward.  They aren’t incorrect, but where’s the fun in stopping with that explanation?

Every step we take on the journey to our goals takes effort, energy and commitment.  It’s important to remember that and pay ourselves on the back every once in awhile.

How do you reward yourself?  What makes you feel particularly great?  Don’t know?  Then what steps can you take to discover your own rewards?

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A Change I Could Do Without

Warning:  This post is not for people with weak stomachs.  If watching someone vomit has ever triggered a sympathy hurl, you might want to skip reading.

I hate to vomit.  Fortunately, I don’t often get sick.  The last time that I was ill enough from some sort of virus to throw up repeatedly over a few days was years ago.  There’s only been one time in my entire life that I drank enough alcohol to make myself kneel before the bowl.   That was back in college when I drank several different types of alcohol at one party.

Prior to recent weeks, I hadn’t upchucked (There are so many different ways to refer to vomiting.) since 2007 when I had an acute gallbladder problem which necessitated surgery two days later.  The gallbladder problem, not the actual vomiting.

In the almost eight weeks since my weight loss surgery, I’ve thrown up more often than the last 35 years total.  No lie.  Granted, these aren’t huge bouts of heaving, but that doesn’t mean I’m loving the process.

It all has to do with the drastically reduced stomach sitting at the end of my esophagus.   There isn’t much room down there and I’m learning to be very, very careful about not only how much I eat at any one time, but the pace at which I consume even small portions.   I’m working very hard to retrain my eating habits . . . taking small bites and chewing thoroughly; waiting between bites and swallows; not drinking for 30 minutes before a meal or snack; stretching my small meals over at least half an hour; stopping before I’m full; and so on.

Even all of this exquisite care doesn’t protect me all of the time.  Last night, I served myself a single baked chicken thigh and a quarter cup of carrots and broccoli.  I ate it in small bites that I chewed and chewed before swallowing.  I really engaged in mindful eating and was positive that I had not pushed the limit of my stomach.

I was wrong.  The final bite did me in.  First I was just uncomfortable, then the “foamies” set in.   Yes, it’s gross, but foam starts to form in my mouth and I begin to burp air.  If I’m really fortunate, I can breathe through the foamies stage and resolve the situation before it progresses.  last night, however, after the foamies, the secretion of salive drastically increased and that was my sign to proceed to a sink, toilet or trash can.  Within a minute, I gracefully “cast up my accounts” in one delicate, upheaval.  Problem solved.

Earlier today at lunch I slowly drank a Soup at Hand container of chicken soup.  I waited a while for it settle before slowly munching on a couple of baby carrots.  I honestly thought I was fine.  Twenty minutes later I went into a meeting with my bosses and realized that it felt like a piece of carrot was lodged at the base of my esophagus.   The process started again and I excused myself, went to the restroom and took care of matters, and returned to the meeting.  Thankfully, my co-workers know this sometimes happens and, when I assured them I was okay, we carried on as if there’d been no interruption.

I guess it sounds a little bit like I’m whining, and I really don’t mean to.  Most of the time I do just fine.  There are many more mealtimes that pass without incident.  I also know that this too will improve with time.  I’ve only been on solid foods for shortly more than a week and my stomach is still adjusting.

It just sucks to spend time mindfully eating and savoring flavors and textures like a wls patient who’s paying attention and walking the walk — only to have the experience revolt in, well, a revolting way.  I guess there’s always the opportunity to slow down even more and make the individual bites even smaller.  If I’m chewing twenty times now, I can increase that to thirty times.  It’s all part of the positive changes that I’ve already made and will continue to make.

In the meantime, more frequent hurling is a change I could do without.

Thanks for listening! 🙂

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Clothing Assessment and Purge

As of this morning, I’ve lost 55 pounds with the weight loss surgery.  Before the operation, I made up my mind that I was not going to hold onto clothes once they became too big.   I’m still sticking to that resolve with the exception that I’m going to get a few items taken in by a seamstress just to help me budget-wise.

I’m going to a convention in mid-April and I decided it was time for me to assess my wardrobe.    I have a whole closet of clothes that I usually only wear to conventions and conferences or the occasional business meeting.  Life here in the Keys is pretty casual, my job included, but I also have some other garments that I wanted to take a look at to decide whether it’s time to put them in the bag to be donated.

I spent a fun hour going through my “conference closet” and trying on various outfits.    Clothes that I could no longer wear when I gained a big chunk of weight now fit comfortably again. Other tops and bottoms that I bought in the largest sizes I’d ever had to wear are hanging on me like sacks.  The bottoms that are in good shape are going to the seamstress for alteration.  The tops are going into the donation pile.

I have enough clothes to see me through the April convention.  The pants that I get altered will help me transition through the next 20 or so pound reduction.  I have a few pairs of denim shorts that I can only wear if I roll the waist band over once.  I think I need to buy a couple of new pairs in my current size or ones that are a little snug, which will also get me through.  I think I have enough tops that fit okay to last me for another month or two, depending on how much weight I lose.

All in all, I’m in pretty good shape with my wardrobe — no pun intended.  My budget is happy,  too.  Hopefully the Salvation Army will be pleased with the big bag I’m dragging in tomorrow and those clothes will find new owners.

Even more than the money aspect, it was great to pull on outfits and feel the weight loss — both in the garments that now fit when I was stuffed into them before as well as those that are loose and baggy.   When I look at my body in the mirror, I still don’t see the weight loss.  (I need to read up on body dysmorphia.)  The clothing exercise really helped me greater appreciate the improvement in my body.

It’s going to be great fun to keep going through my closets in the coming months and fill more bags of clothes for donation.  I’m sure that I will also greatly enjoy buying new clothes here and there in ever smaller sizes!

 

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Not Using Food

Food was never only about meeting nutritional needs to me.   I used it as a crutch, a drug, and in my worst times, as a club with which to beat myself.   Eating huge amounts of food has comforted me and made me feel horrible.  Whenever I was scared, lonely, sad, overwhelmed, tired or happy, I ran to food.  When I wasn’t any of those things, I’d still use food because it was a compulsive habit.

Not using food in any of these ways any more is by turns miraculous, amazing, and somewhat frightening.   Right now, I still think about food a great deal of the time, but the intent is different.  I need to think about food and when to eat so that I meet my nutritional needs at the the right time.  I pre-plan, pack and take what I need, and, as the earlier post said, practice better time management.  When I say that the intent is different, I mean that I’m managing food with logic and reason instead of being relentlessly driven by compulsion and emotions.  That’s the miraculous and amazing part.

The fear comes from the “What if” and “What do I do instead”? questions that sometimes run in my head.  I’m not so naive to believe that life will be forever free of conflicts, upsets, pain, anxiety, or turmoil.  That’s life.  Shit happens.  But now I don’t have my old way to help me deal.   Since the day I decided to have weight loss surgery, I wondered and worried about giving up my crutch/drug.  Would I be able to do this successfully or would I somehow fall back down into the old way?

Granted, I am miles beyond my worst times of binge eating without control.   Over many years, I’ve recovered a lot and overall do a better job of taking care of myself and handling things.   However, while I might not have gorged myself on massive quantities of food when something upset me or I got sad about something, I still ate in unhealthy ways.  If I hadn’t, I would have lost weight naturally.

So the fear lingered.

A few days ago, something happened that caused me some definite upset and anxiety.   It made my stomach roil.  I couldn’t get it off of my mind.  It not only disturbed my sleep, but when I woke up the next morning, it was the first thing on my mind.   Not comfortable.

But I didn’t eat over it.

I didn’t run out and get a pint of ice cream or a giant chocolate bar.  I didn’t ransack my refrigerator and attempt to pile food into my stomach.  As uncomfortable as the feelings and emotions made me, I didn’t try to anesthetize myself with food.

I didn’t use food in any way other than nutritional necessity.  That, my friends, is a major victory and a sign of true progress and emotional healing.  I can build on that success and keep going with greater confidence and it feels great.

Just to bring the story around full circle, the next day at work I was able to take steps to address the situation that created the upset and resolve it in a way that relieved the remaining anxiety.  Another bonus!

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Time Management of Nutrition and Not Feeling Deprived

First off, sorry about missing a post yesterday.  I didn’t have a breather at all during the day and when I got home from Tai Chi class last night, my brain was far too relaxed to form coherent thought!

Today I’m doing well but I experienced something that really drove home the lesson that life has changed in a huge way.   Normally, I have breakfast — usually a protein shake — around 7:30 am – 8:00 am.  I then have a protein snack of some sort around 10:30 — a cheese stick, a thin slice of deli meat, or a little yogurt, for example.  Lunch hits around 12:30.  Snack around 3:00.  Dinner by 6:00.  The idea is for me to consume what I need nutrition-wise, in small portions, spaced out every two to three hours.

I don’t experience hunger in the way that I used to before my surgery.   However, whether I’m hungry or not, my body physically needs the calories, protein and other nutrients in order for me to appropriately function.  This morning I got thrown off.  Family visited the center where I work so I went out to spend some time with them mid-morning.  I remembered to bring water but forgot to shove a cheese stick in my pocket.  I probably would have been okay but then we got a surprise drop-in visit from someone who’d visited here 40 years ago and needed someone to look at his video, etc. etc.  Long and the short of it, I didn’t get back to my office until after 12 noon.  All of a sudden, I got the shakes.  Thankfully, as soon as I nibbled enough food over  the next 15 minutes, the trembling subsided and my focus came back.  I’m fine now.  Whew.  I will not forget this lesson.   I will not go out on grounds without a snack in my pocket.  Time management is key!

The whole incident pointed out some other differences to me, too.  Before, whenever I mustered up the drive and went on a diet, I’d cut out foods that I really liked.  Needless to say I always felt deprived.  I hated not being able to have chocolate or other sweets.  As soon as I knew I wasn’t eating fried foods, I’d begin to crave them.  I might feel temporarily virtuous about substituting spaghetti squash for fettucine, but inside my psyche was wailing, “I want pasta!”   Feeling deprived soon led to resentment.  I might be happy about the pounds I lost, but I was eternally grumpy about the measures it took for me to lose them.

I feel differently today.  Maybe it’s the honeymoon period, but for the first time in my life I understand the “eat to live, not live to eat” thing.  When I plan out my day’s worth of food, I don’t even think of what I’m not having and don’t feel deprived.  Instead I freely make decisions based on what my body really needs versus what I used to think I craved.  The priority is getting in the protein.  Just as a for instance, the other night a few hours after dinner I was ready for the evening snack.  At that time, I’ll often allow myself a little treat of a no sugar added Italian ice or sugar free popsicle.  (I’m slow working some more fruit back into my plan.)  However, that night I checked my day’s food counts and saw that I hadn’t met my protein target for the day.  So, instead of the Italian ice, I poured a cup of non-fat milk.   No cookies; just the milk.  I think I amazed myself.

I also don’t feel deprived that I can’t physically consume greater quantities of the foods that I do eat.  I’m doing much better with my mindful eating, so I thoroughly enjoy the small amounts of tasty food.   I’m satisfied physically.  If I ever get a regretful twinge that I couldn’t delight my taste buds with more at the time, I remind myself that there will be another time when I can enjoy that particular dish.

This is all very freeing and pretty empowering.  I’m transforming my relationship with food from one that was wildly dysfunctional at best to one that is healthy and nurturing.

 

 

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Social Eating

I’m going out to dinner with friends tonight.  It’s the first time since I’ve been on “solid” foods and only the second time since the surgery almost seven weeks ago.  Most of the time I either eat alone at home or here at work which are not exactly social occasions.

I’m confident that I will find something on the menu that I can eat.  Even though I’m ostensibly on a solid or “regular” diet now, it doesn’t mean that I can pick anything that I want.  The nutritional guidelines tell me to gradually reintroduce my body to different foods, preferably at the slow rate of one “new” food every few days.  My stomach is not yet ready for me to feed it filet mignon or a pork chop.  The guidelines suggest starting with flaky, mild fish (I hate seafood.) or dark meat of chicken.  The dark meat is more juicy and tender and they tell me I can ingest that more easily.

I know the restaurant where we’re going.  I know I can get a chicken dish, even if I’m not able to specify thigh or leg meat.  That’s okay, I’ll make sure to eat the chicken breast slowwwwwwly so it doesn’t stick anywhere.  Oh, the things to think about!  Actually, I hope that they still make their pistachio encrusted chicken wrap.  If I remember correctly, there are spring greens inside the wrap and serve it with rice and black beans.  If that’s on the menu, I can deconstruct it by picking out the cut up chicken and adding a small dab of honey mustard if needed to moisten.  I couple of modest forkfuls of beans (more protein) and rice with some spring greens and I’ll have a more than satisfying meal.

As long as I pay attention.  Social eating is a challenge to mindful eating.  It is hard to focus on what’s on the fork while simultaneously chatting and laughing.  So, that’s the big reminder that I need to take with me to the restaurant.  Whatever I order to eat, I need to still concentrate on what and how I’m eating in the moment.  I can stay within my guidelines and food plan and not overstuff myself.  Can I do it and keep up with the conversation?  I guess I’ll find out!

Since I don’t plan to live the rest of my life as a food hermit, I need to begin learning how to mindfully eat even when I’m out with others.  I know it can be done.  It’s just another new experience.  Hopefully it will work as another tool to put in my kit!

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The Earth Moved

Okay, I exaggerated a bit.  The Earth didn’t actually move by any sense of the insinuation, but the number on the scale finally did.  Down a pound after well over a week of no weight loss progress.  Just that little bit of downward motion further enhanced the serenity I began to experience yesterday.  Going through the first stall proved to be a valuable lesson.  I learned that I need to not let the old diseased thinking and emotions get out of control.  The emotional and mental aspects are as important as the physical if this is to be a progressive, steady recovery.

I’m also taking time to reflect and give myself a pat on the back for not using it as an excuse to deviate from my healthy food plan.  I stayed on track and that’s a big plus.  Each day that passes with me following my food plan; each meal that I eat mindfully; every positive healthy choice that I make for myself is a great positive reinforcement.  These are all building blocks for a strong recovery.  I feel strong and confident and those good feelings are growing over time instead of diminishing.

I think I needed to go through the stall which engendered fear and self-doubt to remind myself of how I used to react on diets when things didn’t go my way or when I started eating off of the plan.  Fear and self-doubt always arose those days and then swiftly caused despair, depression and self-loathing.  That I’ve gone through my first stall, experienced my rockier moments, and still stayed on track to reach a place of strength and serenity is a break through.

Speaking of on track, I’ve remembered throughout every day to input my food, water and exercise into my diary on myfitnesspal.com.  It’s been a couple of weeks now.  Even though I can’t say that I’ve developed love of this tool, at least I continue to use it despite my love-lack.  It really does help me, otherwise I would never know where I was with my daily protein, carbs and calories.  I can’t possibly retain the different numbers and percentages in my head.

This week I pledge to focus more on increasing my exercise.  My commitment to myself is to take a brisk walk five times a week, whether outdoors or via my in-home walking DVD.  I’m also going to practice my Tai Chi three times at home in addition to the two classes I take each week.

With the additional physical activity, the Earth might not move, but I sure will!

 

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