Information Overload!!

Those were the main words I was thinking when I walked out of my appointment yesterday with the obesity/bariatric specialist. I have to start by saying that I really enjoyed the appointment and he was a very entertaining physician! I loved his bedside manner. His easygoing nature helped take some of my fears away as soon as he walked in the room.


It was a two hour appointment, so I'll give you the Cliff's Notes version.

The appointment started with intake, which means weigh and measure. I'm shrinking... 5'5 3/4" *sigh* She then weighed me on a special scale that read my body composition. The results weren't pretty. Finally, she measured my belly circumference - again, not pretty - and then did the normal blood pressure, history, etc.

When the doc came in, the first thing we discussed were my composition numbers, what they meant to him and what they mean for me. In a nutshell, we started the appointment by him telling me he wants me to lose 45 pounds in the next six months to a year. \


He said it may take longer, and that's fine, but in the end it's not how fast I lose it, but that I lose it and keep it off for two years. Studies show that those who keep the weight off for two years have an 85% chance of keeping it off. Okie dokie then!

Once the appointment got moving we started discussing dietary needs, choices of foods and what I should be focusing on. He was impressed that I already drink a protein shake every morning for breakfast and that I choose to make my own to eliminate sugar. I showed him a couple of my meal plans from my Trim Healthy Mama weeks on plan and he said they were spot on. He wants me to eliminate the treats for a while, but I know I'll need a fall back during the holiday season when everyone is eating cookies and pies, so he was happy I had a low-carb alternative with natural ingredients. In the food area, I was definitely on the right track with THM. YAY!

Then we started to discuss my PCOS and my insulin resistance. These are the evil roadblocks I have constantly come up against in my journey to a healthier me. They make weight loss so incredibly difficult. I either struggle to lose, or I gain a horrendous amount of weight after one bad day of eating, which then messes with my willpower and my mood - there starts the vicious cycle of falling off the wagon.

While I've been doing a lot of things right, sometimes you just can't fight genetics, so he's going to give me some help. We're going to start with me going back on Metformin. This is a common med used for PCOS patients to help with insulin imbalance. Many know it as a pill diabetics use. Insulin resistance isn't diabetes, but some of the meds will help both. I've taken it before and my guts hated it, but maybe things will be different this time. If not, we have a backup plan.


So... here I go! Again! This time with a bit more ammunition than the last time, but I'm starting from ground zero again. It sucks when you gain back everything you worked hard to lose, but such is life! I am traveling for work at the end of the week, so I'm holding off on starting my meds just in case my tummy still hates it. I'll start putting together my game plan this week and Saturday I'll hit the grocery store.



It's the holiday season and it's 12 days before Christmas. Why not swear off carbs, sugar, caffeine and alcohol for the holidays?? This will be a challenge, but one I will accept. The doc wants me to start with seven days of zero carbs for a quick sugar detox, then I can ease back into my THM lifestyle with my Metformin sidekick.

There'll be no waiting till January 1st for this gal! My next appointment is January 12th and I will have to show him a full month's worth of food journal entries. This is scary as hell... 45 pounds is a big number, but it's not unrealistic. I want my fat pants to stop being so tight and I want to get back to feeling happy in my own skin again.

Hopefully Santa brings me some extra willpower for Christmas!!


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