Today
I had the much anticipated appointment with the Weight Management
physician. It is part of the Weight Loss
Clinic that mostly does bariatric surgery.
I have been seen there before in 2007 and was pursuing gastric bypass
surgery, but thankfully, the decision on the part of the clinic and
psychologist was to not approve me for the surgery. I know that surgery wouldn't have been the answer
for me, this is something I needed to do on my own. I wanted a quick fix at that point because it
had gotten so out of control.
I
was somewhat disappointed with the appointment today. I think I was expecting more advice and help
than I got, but I'm thinking that might be coming in the future. I met with the physician for an hour and then
with a dietitian for an hour. I have to
have some lab work done to check for some things, but my lab work always comes
back just fine, so I'm doubtful that they will find anything metabolically that
explains why I am the way I am. The
doctor I'm seeing has a grant right now so her patients can see a physical
therapist to discuss exercise issues with a PT for free as part of the study
she is doing. I was very interested in
that so I set up an appointment for that for next week.
So
my current goals for the next couple of weeks are:
- Diligently track food intake and exercise on MyFitnessPal with a calorie goal of 1,650 a day. I can have about 200 extra calories on the days that I run, but non-running days I shouldn't go above that goal.
- Plan all meals and snacks 3-4 days in advance
- Focus on increasing veggie intake to 2 servings a day and continue 3 servings of fruit.
- Follow the "myplate" guidelines for meal portions
Both
the doctor and the dietitian were very encouraging and pleased with the
progress I have made on my own. They
think I have a great start on things and believe that I am doing a lot of what
I need to be doing to make this successful.
This is nice to hear but also frustrating at the same time since I have
stopped making progress. Since I am
doing most of what they recommend already, the doctor did recommend that I
consider trying a medication (appetite suppressant) short term to get me off of
the plateau that I'm on. I wasn't
completely sold on that today, so she put in the order and I can get it filled
if I want or leave it if I decide not to.
I
had a lot of questions for the dietitian because I feel like that is where I
struggle the most. Being active isn't a
problem for me, it is just wading through all the various advice related to
food that I struggle with. I asked her
if there were any particular foods or food groups that should be completely
avoided. She quickly answered with a no,
which I was happy about. I also talked
about struggling to find healthy and balanced recipes that are quick and don't
require a lot of exotic ingredients. She
recommended two websites: Cooking Light and Eating Well. I've gotten recipes off of both of those
sites before and enjoyed them, so I think I'll spend some more time looking
there. I seriously lack creativity when
it comes to cooking, so if I don't have recipes to follow, the default is
pasta. I'm looking forward to finding
some new recipes to try.
So
all in all, I've got a good base, just need to tweak some things and hopefully
things will start moving in the right direction again. I really would have liked for some super clear answer for why things stopped moving, but I'll take this is a starting point. One thing I know about this journey, it isn't easy and it isn't fast and it takes a whole lot of effort and planning. It is nice to know that just because I'm not
following a very specific or restrictive diet, they still have faith that I'll
be able to reach my goal.
So
that's that.
I've
got a long run this weekend (12.5 miles) and the weather does not look like it
is going to cooperate and I'm on call on Sunday, so I'm trying to figure out
how to work it in. I'm thinking I might
be running home from church on Saturday night if the weather cooperates, that
will be kind of fun!