I realized i didn’t put up diet that doctor suggested. Initially my Family doctor said try a low glycemic diet and basically when I look at diet Dr. Wharton obesity specialist at Canadian Bariatric Clinic) recommends it is very similar.
He initially asked I go on 1500 calorie a day to lose 1lbs a week. Yes- he wants you to lose only 1lb. a week! I have been averaging about 3 , however. ( Note: on 3rd visit correction as made- there was an input error made and I should be on 1800 calories a day- 700 calorie deficit, and was never meant to on 1500 kcals)
I have been aiming for 1500-1800 calories a day. I should aim for 30g of fibre ( harder think you think), 90 grams protein and 200 grams carbohydrate.
He also feels it is IMPERATIVE to eat throughout the day and to not go long periods without food or your body will go into “starvation mode” and your metabolism will drop. The best thing you can do is to eat something when you wake up.
Snack between meal ( about 1/2-1 hour before meal) and to avoid fruit juices.
In order to meat the nutritional requirements it is VERY difficult to eat white flour and lots of sugar.
My daily diet is broken down like this
A HIGH fibre cereal is a MUST if you have any hope of getting in 30 grams a day! I have been having Fiber1 which has 12 grams. Also with 1% milk and decaf tea in the morning. I will usually have a clementine or apple as well.
snack: almost always fruit or yogurt or both depending on the calories in fruit. I also carry a nutritional bar in purse so if I am out and don;t have acces to food will eat that- and drink with water!
lunch: I sometimes forget to eat so i will have a meal replacement shake, pretty much always vanilla flavour with frozen strawberries. Will also have sliced chicken sandwich with fruit and glass of milk.
other snacks- lower fat popcorn ( good for fiber) , raw veggies and low fit dip- either homemade or store bought.
dinner- I can usually eat what family is eating. I have found trying to eat more vegetarian meals is good way to reduce calories and increase fiber. So chicken, veggies, whole wheat pasta with lean or turkey meatballs, I tend to make a lot of Indian food as well… not for everyone but you can easily replace chicken with lentils and or chick peas. We eat a lot of basmati rice as well.
Any other thoughts? Would love to hear them!
Today is Day 4 taking weight loss drug Meridia.
I have noticed a couple of side effects. I stopped drinking caffeine of ANY kind about 3 years ago because it made me feel so racy – even a small amount. I notice with the Meridia I feel that way for the first few hours after taking it. VERY speedy and almost euphoric- I know the Meridia works in a similar way to anti-depressants so this must be whats going on. This morning I threw open my closet in and effort to “dress-up” and put make-up on for the first time in months.
This might be because I am feeling good and having “hope” again but could also be the drug.
I have been feeling very lethargic the last few months and trouble getting up in the morning and just want to watch TV for the first part of the day and force myself to do things.
Yesterday I woke up and was scrubbing bathroom floors and misting curtains with lavender water before I had my first cup of tea.
I would say I definitely have more energy.
On the down side- I am noticing a problem with sleeping. I know some people have problem with insomnia on the drug. I am having trouble getting to sleep- I feel wide awake at nigh although I do fall asleep. I wake up 2 or 3 times in night and wake up early. I am also have weird dreams and don’t feel quite asleep. I am hoping that goes away.
I am sure I have lost weight- I had been sick last couple of weeks so that;s contributed to it but I also feel like have taken off some weight. I am at doctors next week and will weigh myself them I think I will have lost at least lbs in the week.
I have been eating normally and being conscious of glycemic index foods. We had whole wheat pasta with meat balls and whole grain baguette bread last night for dinner, for example.
I do noticed less of an appetite and easier to say no to problem foods. I don’t feel like am dieting at all.
I am having problems with understanding the GI ( Glycemic Index) diet and got another book, The GI Diet Revolution yesterday and will read this afternoon.
I thought I knew what this diet was until I started reading book last night . My brother was on the diet last year and I sort of zones out when he was talking about it. I have been on LITERALLY every diet known to man. I have been “fat” since I was 10 years ols. My parents had me in an experimental research lab at 11 years old wearing a golf par counter on my wrist and counting mouthfuls, checking in at medical lab weekly and journaling my eating habits.
My dad was crazy good looking ( cross between Paul Newman and Harrison Ford) and competitive squash player, went to University on Gymnastics scholarship does heli-skiing, etc. My mom is also quite beautiful- although the year of alcohol abuse have taken their toll.
Good lucks were a premium in our home. I think it was an affront to him that he had a chubby daughter.
I find it interesting that all three of the kid have serious weight issues. Neither my brother or sister as severs as mine but both have BMI over 35-40. I struggled my entirely life and brother and sister in their mid-20’s.
At any rate, I have dieted since I can remember. I was on a low-carb diet when i was 15 and lost TON of weight ( though this was probably more because of binging and purging)
I did manage to stay “chubby” well into my 20’snefore seriously packing it on. I went up to 250 lbs and then Slim-fasted my way to 165, and it was then for the first time in my life I felt really beautiful. I remember one day walking down the street and catching a reflection myself in shop window and not knowing who the person was- and then crying because I had DONE it.
Four years later I was got married. I weighed 273 lbs on my Wedding Day (11 years ago).
I hovered around that weight a long time. I even lost some weight when i got pregnant.
I left my husband when my baby was 6 months old. He began abusing alcohol in a frightening way and was become increasingly violent. I met some one new 3 years later and re-married ( he is wonderful). I was still around the 275 mark. That was 7 years ago and I had another baby 4 years ago and now weigh 313 as of yesterday.
In between those years I went to Jenny Craig ( went for 270 to 210… then back again) Weight Watchers ( 3 times). I never had much luck with Weight Watchers- and one week I even gained. Was a vegetarian for 3 years. Joined countless gym’s, hundreds of dollars worth of exercise videos and dvd’s. Yoga classes, Pilate’s, swimming, biking- you name it and and it was always going to be the answer.
I have tried : Fit for Life, Pritikin, Cabbage Soup Diet, Low Carb, Atkins, Food combining , counting fat and fibre grams, etc.
So I am sceptical. I repeat myself- but I am faith-less. Each new diet or program does seem like start of another failure. On the outside I look excited and family and friends would never know. But deep down I feel entirely without hope. I am trying to turn that around- and “behave” my way out of despair, but I have vowed to myself that I will be entirely honest on this blog- and strip my emotions down. I am without hope.
Yesterday I felt a glimmer when I went to pharmacy to fill the Meridia prescription. Last night I read the Glycemic Index diet book. I felt old feeling return. That sensation of- “could this be it? “… and “I can’t bear it if it isn’t. ”
It really has been a year. I have neglected this blog- mainly because I have neglected myself as well. I just couldn’t face this blog because every time I came on it I was reminded of my failures.
I have re-newed hope this week. I started taking weight-loss drug, Meridia and beginning a low glycemic diet. After waiting 4 years ( yes 4!!!) to see obesity specialist I received letter in the mail to tell me the specialist has moved his practise.. then gave e the name of another, Dr.Sean Wharton. I saw dr. today and they faxed over referral and I HOPE to him in October. I know he really pushes Opti-fast ( a low carb liquid protein) diet that cost- get ready for this – 3500.00 for the program!!! Yikes.
He is also refers some of his patience to surgeons in New York… Gastric Bypass surgery seems so scary to me. I have been really looking into it this week- and I am not sure I am there yet. I am currently 313 lbs and a BMI of about 46.00. I am desperate- desperate not to get sick or die too early- but the thought of being so out of control that I need to remove part of a major organ is so frightening to me, I would like to try other avenues first. So will give this drug, the Meridia a try. I started taking today and bought a Glycemic Index diet book at Chapters today.
So many times when I start something new – it has lately seemed like the start of another failure. For this first time I have some hope. My doctor today told me that it is quite likely that my metabolism in screwed up for the 30+ years of dieting and this may help. I will post often about this. One of the main side effects to watch out for is higher blood pressure- so I go back every two weeks to check for first bit. My heart rate went up quite a bit today at pharmacist’s when I went to pay- 150.00 for one month! My health plan may cover- have to get prior authorization form filled out.