
The name of this blog, The Svelte Angel, refers to the angelic help from God, friends, family, my doctor, and myself to find the thinner, healthier side of me. It is also about the evolution of my mindset towards self-love and self-help, or awakening the svelte angel within me. If it is helpful for you to follow my progress as I evolve, mentally and physically, then I invite you to follow me.
I have a serious weight problem. Doctors, who love to label and depersonalize, have called me obese, and even one doctor said I had "gross morbid obesity." Gross and morbid, huh? :) I have spent a lifetime fighting my weight, and I do mean "fighting", and a lifetime of beating myself up emotionally. I have even had weight loss surgery twice--but nothing has worked so far. I say this not to elicit pity, far from it. It just is what it is, and I needed to state the facts.
Since some rather unfortunate experiences with a number of apathetic doctors and pitiful weight loss groups over the last 30 years, I came to believe I was so weight-loss resistant that I could not lose weight. I honestly believed that, and I have some pretty good evidence to back it up! But recently, when I visited a surgeon in Houston to discuss my THIRD weight loss surgery, he said something that really hit home to me. Because of what I had been told through the years, I honestly believed that in order to maintain my excessive weight, I would have to eat three pizzas a night, which I was not doing. My diet isn't bad, actually, in fact it is a lot better than a lot of people who are not large. This surgeon told me that a person does not get my size by eating three pizzas a night. He explained that people get my size by taking in an extra hundred calories a day over a very long time, and that as they get larger, their activity level goes down and they need fewer calories. A hundred calories?? Really?? One extra Coke a day, or one banana a day could have done this? That almost feels tragic to me--all of those years I just assumed I was powerless and could not stop this steamroller that has slowly taken over my life. I guess I could cry into my pillow and feel like a failure again, or I guess I could rejoice that I feel empowered for the first time in my life to fix this without surgery and throwing up. I choose to be thrilled.
I understand that I still have this weight-loss resistance problem, but now I know that doesn't mean I cannot lose weight! I am thrilled and relieved that I actually know I can lose weight now. I need a doctor that will believe me and not accuse me of sleepwalking and eating (true story), and who will test my blood for all of those things that make you hoard fat. I have never understood why doctors are so reluctant to do this. Doctors understand that people my size are generally pretty hopeless, and for some reason they never try to help. My sister rode next to a bariatric surgeon on an airplane once, and he told her that the only permanent solution was surgery. Even the surgeon in Houston told me I had a 95% chance of failure on my own--my, my, those doctors love their numbers, don't they? Fortunately, I have the best doctor in the world who, for the first time in my entire life believes me and wants to help me. Why do most doctors just send the obese to surgeons instead of treating the underlying condition, anyway?
My doc drew 8 test-tubes of blood from me to see if he could help me, and I just got the results this week. He tested my Insulin, hormones, lipids, certain vitamin levels and Thyroid. While we were waiting on the results, he put me on a low carb, restricted calorie diet--about 1200 calories a day. He explained that for the Insulin resistant (which he had a gut feeling I was), that we don't metabolize carbs effectively, and it gets stored as that awful "fluffinees" that has kept me out of swimwear for years! My initial reaction to the diet reflected all of the beliefs and angst of my past--I started out on an insane 800 calories a day. I was terrified that I would not lose weight again unless I literally starved and ran 5 miles a day! I couldn't see it then, but my head was getting in the way. I had nightmares about failure and was so afraid--this is one of those areas that make me feel awful about myself. After a week, I decided that I just could not maintain 800 calories a day--I was miserable. Then something clicked in my head, or maybe one of my angels talked to me. Whatever it was, I suddenly became clear that I needed to relax into this and go easy. Whatever I do, I have to live with this for a long time, actually for the rest of my life. I decided to bump up my calories to 1200 calories a day and just see what happened.
The first time I weighed, I had lost 8 pounds over two weeks. I attributed that mostly to that awful week on 800 calories. Normally, when I try to diet, I can barely keep myself away from the scale because I am always wanting to take its temp and see how the diet is going. Usually I see weight loss, then plateau, then I assume my weight loss resistance has kicked in and I think it is useless and give up. This time, I decided to stay away from the scale--again, to relax. I didn't weigh for another four weeks when I returned to the doctor's office for the results of the blood work. While I had been a really good girl, I was completely prepared for poor results, I mean I was not starving, and I could not have lost weight. I was prepared mentally to re-examine, to add this or take away that, and most of all, to keep going. I was in tears the morning of the doctor's visit, anticipating the disappointment that had plagued me for my entire life. What I was definitely NOT prepared for was success. I LOST SIXTEEN POUNDS in four weeks, for a total of 24 pounds! I sincerely had no idea! The nurse told me that "he wished he had a camera to take a picture of my face, because my jaw was on my chest". OK, so you mean I CAN lose weight without it hurting, without severe exercise? I can lose weight without the doctor even prescribing meds for my metabolism? This may sound nuts to someone who has not taken my path, and who has not been subjected to awful doctors and crazies in weight-loss groups, and who has had weight loss surgery twice. I sincerely didn't know I could lose weight.
While I was texting my husband about the 16 pounds, the doctor came in. He told me that my blood work showed that I had a high insulin level, and that my vitamin D was really low. My blood sugar was fine, lipids were fine, everything else was fine, except for a couple of hormonal things that he said he was going to keep for later, to use if I stalled. He put me on a very low dose of Metformin, normally given to diabetics, but more and more given to people with Insulin resistance for weight loss. He also put me on 3000 IU of Vitamin D. When I googled vitamin D deficiency later, I found a number of articles about it being associated with obesity and how early research is showing people who are not deficient in Vitamin D lose more weight than others. My research said that you normally get Vitamin D from the sun and certain foods, especially cold water fish (which I really don't eat very often). The article said that you ultimately would expose 40% of your skin to the sun for 30 minutes every day (no sunscreen) to get the right amount of Vitamin D. This is also the source of the "winter depression" of people who live in the gloomy, sunless winters of the NW--a lack of Vitamin D also causes depression. Hmmm, I also can definitely do depression sometimes, too. I had to laugh over the 40% of skin thing--I haven't exposed 40% of my skin outside since I was 7 years old, and whatever skin I expose today has a generous coat of sunscreen on it now! Now I guess I have to choose between thin and wrinkles. Thins wins, no doubt about it!
My doctor also put me on a regular dose of fiber supplements (pills) to "move things along" so I absorb fewer calories, and help me feel full, and B12. All three supplements are over-the-counter.
The doctor told me to eat no carbs before lunch, to add a few carbs at lunch, and eat a snack between lunch and dinner to keep my metabolism humming. I usually eat bacon and eggs for breakfast (two eggs has 140 calories, each strip of bacon has 47 calories) and no carbs, something like tuna salad with high fiber crackers, or pieces of cheese or lunch meat with crackers (I like crackers!) or sometimes a salad from Subway. In the evening we generally grill something with a vegetable, or other lower carb meals. I am trying to add Salmon and Tuna for a bunch of reasons, but partly because it has vitamin D in it. I am not hungry, and I am not craving. The hard part is just that I am so busy and I have to plan my meals. Every evening, I think through all three meals the next day, so I know what I am eating and where it will come from. Where I get in trouble is if I get busy, get hungry, and don't have the right food to eat on hand. One day like that, I googled the carbs and calories of a fish sandwich at McDonald's, found it to be barely legal, and ran over and grabbed one without cheese (90 calories less). I was starving in 2 hours and was sick to my stomach too! That was an important lesson for me. Planning what I eat involved releasing another very old bad mindset. Years ago, a weight-loss group deeply engrained into my thinking that I should avoid thinking about food, ever. I now realize how ridicules that is; people SHOULD thoughtfully plan their meals, especially if they have a weight problem!
I am amazed at what is happening. The challenge for me is not giving up, but going at it too hard. In other words, to relax into what has to become the rest of my life. I would imagine the 5% of people who solve this problem are the people who can do this, if these statistics are true.
The reason I am doing this blog is selfish, I need to work through some stuff in a head that has been brainwashed for a long time. This blog takes some courage on my part, to expose my really soft underbelly, however I honestly believe that I can't grow unless I expose the secrets and therefore release their power over me. I also wanted to see if there are any more svelte angels out there--we all need support and encouragement. However, if anyone reads this and finds something that helps, that is just great!