Wednesday, June 06, 2012
When you get back in the habit of eating garbage...sugar, white flour, etc...and then you cut it out again...you feel lousy. How much simpler to just not give in to temptation and eat the stuff you know isn't going to make you feel good?
I'm in the first day zone...headache, cravings and hunger. I've eaten completely on plan, and will have had a great day of tracked food. Just have to get through this first couple days of withdrawl......
Wednesday, June 06, 2012
I'm recommitting/restarting my own version of the paleo program, as set for me by a great physician 18 months ago.
It consisted of 6 small meals a day, each with a protein, 2 fruits a day, all the veggies I want. No wheat, no potato, no grain. Essentially, the Wheat Belly program. I will also restart the supplements she had suggested at that time.
That doc came here 1x a month from a town 3-4 hours away. She isn't coming here any more. However, how serendipitous....my daughter moved to the town she practices in two months ago to take a new job. I'll be setting up an appointment with her sometime this summer and visiting my daughter at the same time.
When I started it, I felt great and I started losing weight. Then, I cheated. Once I got the wheat/grains started again, I couldn't shut it off. Ironically, in rereading part of Wheat Belly last night, he talks about exactly that..about "I ate cookie and gained 30 pounds!" - because once some of us have "just one" we literally can't stop..the cravings are so intense, we give in....until we decide to stop again.
The fiasco with the endocrinologist yesterday has lead me to reconsider my relationship with my PCP. He refers people to this guy all the time, he told me that and the endocrinologist said "oh, yeah, Tom sends me people all the time!". Really? I've sent Tom an email describing my visit with his preferred endocrinologist. If he doesn't have something very interesting to say to me, I might also be shopping for a new PCP - and I've already had some recommendations. I saw this guy because he was on my insurance and I just needed a copay. One of the doctors at my work had told me, "OMG don't go to him!!!" She was right, LOL. But I wanted to try the insurance-paid route first.
So, this a.m., back on the plan...only problem I'm really having is my creamer in my coffee...I don't like it black, shudder. I quit using sugar in it months ago, but I still really enjoy the french vanilla creamer. Today, I put less in than I usually would, and I'm going to keep trying to take it down. My partner kids me about "want a lil coffee with your creamer?" and it's true. And, it's a lot of wasted empty calories. But, I enjoy it very much. So, there's balance in life, eh? We'll see if I can train myself to enjoy it just as much with less of it!
I got an email reply from my PCP - pretty much horrified at my experience. He said he is going to work on developing a working relationship with another endocrinologist in the area and said he was deeply disappointed this guy didn't even want to talk about the PCOS symptoms I've had for years, as my PCP really believes this is an issue for me. Restored my faith in him a bit. :)
Tuesday, June 05, 2012
So, I went to the endocrinologist today. You won't believe what he said. I'm having a hard time believing what he said!
I walked in with my labs. He glanced at them, glanced at my paperwork and said "so you're here because....?" I said that I'd been diagnosed with insulin resistance about 10 years ago, I've had increasingly hard time losing weight, haven't been feeling good for awhile and I'm tired of being tired. He asked what I'd done to try to lose weight. I told him, WW. Supervised medical fast. Exercise. Counting calories. Jenny Craig.
And he said......
"You know, I just became a distributor for Medifast, it's a great program and you should give it a try!!" I said, um well, I've done one supervised fast and it was the same problem, I can lose about 20 pounds but then it stops. His response?
"Oh but the food is really good now!" and went on about what options there were with food and how tasty it is now. I replied, look I can't afford it.
For the next 40 min he asked me all the questions I had already filled out on the paperwork in front of him (which he did not look at). He looked over my labs and said "well, it's all within normal limits". He asked me if I tracked my food/exercise and when I mentioned Spark, promptly told me "all those programs grossly overestimate your calorie burn and calorie intake. Mostly useless".
He mentioned Medifast 22 times. I counted. At the end, when I again, firmly said I can't afford that, he said......
"Well, if you won't try Medifast, then I want you to cut your calories to 600-800 a day, eating 100 to 200 calories at a feeding. (he kept using the word feeding, which I found bizarre). I also want you to cut your exercise out for about a month, because you are going to be really hungry and working out will just make it worse. After about three weeks or so, you're body will start to burn fat. How about you come back in two months and we'll see how you're doing. If you decide to try the Medifast, just give me a call and I'll get you hooked up."
Honest to God. That's what my appointment consisted of. The 30 min drive back to the office, I alternated between being angry, being flabbergasted and feeling despair. I talked to a trusted friend, and I talked to my partner. Both were pretty horrified at his suggestions.
Hell, I'm horrified at his suggestions! Really? You want me to stop exercising for a month and starve myself on 600-800 calories a day? I lost 2 hours of work and paid you a copay to hear that "advice"?
So now, I'm thinking, what's next? What do I do next, where do I want to go. I believe strongly that I need to do exactly what I'd been doing, cutting wheat/grains, processed foods, etc. I need to eat 6 small meals a day, and I need to keep exercising. I need to be patient and I need to celebrate the small things like feeling my stomach lose the bloat I get from wheat/processed foods. Maybe I'll never lose all this weight, but I'll feel good.
Hours after the appointment, I'm still shaking my head and thinking, really?? Is this a joke? am I on Candid Camera? Wow.
Tuesday, June 05, 2012
Today is the appointment with the endocrinologist to talk about my metabolic syndrome (insulin resistance, possible polycystic ovary syndrome, basically 'pre-diabetes' stuff).
Why am I nervous? Well, I have about 25 years of unsuccessful attempts to get help.
In the late 80s, when I was having periods that would last 48 days, stop for 12 days and start again....I heard "oh, there's something wrong! we'll get to the bottom of this!". Thousands of dollars and everything "within normal limits" later - the neurologist they sent me to handed me an Rx for lithium and said I was "depressed or maybe bioplar". After two 10 min visits, he is qualified to tell me I'm bipolar???? Well, maybe I was depressed, but if HE had had periods that never stopped, betcha he'd have been depressed too! (later longterm work with a psychologist told me no, I was definitely not bipolar, I had PTSD).
When I went to the doctor saying I couldn't lose weight, was tired all the time, etc. and got my initial diagnosis of insulin resistance/metabolic syndrome, they did blood work. When I came back, the doc said "you have insulin resistance. It's basically prediabetes and you're at a greater risk for stroke or heart disease." I said, what do I do? and as she walked out, she said "lose weight". That was 10 years ago, and I've been trying - unsuccessfully - to lose weight ever since.
18 months ago, a doctor (who unfortunately left the area) DID give me some reasons: My hormones are out of whack, I have way too much estrogen. If I don't control my carbs, the insulin resistance is going to continue pretty much unchecked.
So what am I worried about? I'm worried he will want a million dollars worth of blood work to tell me "there's nothing wrong with you" or as the one doc did, say "lose weight" as he walks out the door. I. Can't. Seem. To. Lose. Weight. That's why I'm here.....Will he (like the one doctor who listened) say the only way to help myself was to go to a radically different diet (no grains, no potato, no rice)? While I've managed to cut a lot of that out, cutting it 100% has proven very difficult for me. I end up having one of those daily, despite my best intentions, or because of a very tight budget, I'm having a bowl of cereal for dinner kinda stuff.
Of course, I'm not losing weight doing it either. It would be motivating to keep working hard at it if I was losing. But to work freaking hard and lose nothing for weeks in a row? Very difficult to maintain my motivation.
Sooo. I'm a little nervous. On top of the warning by my primary care that he didn't want me to mention that I'm gay to him...because, and I quote, "He's really the best in town at what he does, but I'll be honest he's sort of a jerk and he's very conservative. I don't want him to treat you differently because you're gay".
Really? Gee, no that doesn't make me the least bit nervous. There are other endocrinologists in my town, but not covered under my insurance. I figure, I'll go to this guy to start and only have to pay a copay. If he is intolerable, I'll save up the $$ to go to the ones that aren't covered by my plan.
But it's all combining, the history of no help and the warning to not be myself, have me ...... nervous. I'm sure I'll be letting y'all know how it went, LOL....
Sunday, June 03, 2012
I walked a charity 5K this a.m., Heaven Can Wait - a fundraising walk for a local breast cancer program. Along with roughly 4,000 others, I walked a 5K (3.1 mile) course.
I've done this walk probably 5 years in a row. This was the first year I didn't train very well for it...and wow, did I hurt when it was done! Definitely felt some regret that I hadn't been diligent in training. But, it's done and after a couple Advil and a nap, I'm mostly recovered.
Finally got that hair cut I've needed so badly, and feel better already! Those simple acts of self care really do add up...
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