So much has happened in the last few days I am having trouble figuring out what order to write it down. Add to this the fact that it is 4:51 in the morning and I am laying wide awake is probably not helping my brain organization. Lets go back to Thursday.
Thursday: The yarn crawl started off with a bang. The store was packed and things were crazy busy but I took off on time to see the endocrinologist. I took a little close your eyes nap in the waiting room while I waited a half an hour to get in to see him. My expectations were rather small as 1. I was too busy to read up on him ahead of time and 2. I was still super annoyed at the scheduling snafu. I was pleasantly surprised instead. He first asked me why I was there...um given my morning and my little waiting room nap...I was left speechless. I pulled a poorly why don't you tell me what you do routine and he did the talking and questioning after that.
He went through the stuff that I know but always sinks in my mind to a doubtful self-loathing when the weight is piling on and I know I have eaten things I shouldn't.
- Your obesity is 80% genetics
- we know that even when you do the right things, have surgery etc. your body fights to get back to the weight it thinks you should be at.
- Menopause is evil (he didn't say that but..he implied it)
- the hormonal drop screws with your weight gain.
- the hormonal drop causes weight gain on a woman's waistline (of course he had to wave his hand at my tubby waist every time he brought this up)
- he explained the results of the LABS study (in generalities) that I was a participant in and they were so bad that they were no longer installing lap bands at the hospital.
- he explained how some studies use the term %of weight loss but that term is the result of a specific formula. the BMI weight expectations and then percent of the desired loss..as a side note: So one of the main studies I read before surgery said the average lap band patient loses 50% of excess weight. he said this translated to 20% of body weight. While I was there I took all this in but after thinking about it later it seems like the European study is a more reasonable way to look at it-sure I lost 50% of my body weight with the band but more importantly I hit goal or I lost 100% of the weight i wanted to lose. Seems like that second number is more important but who the heck knows what those bariatric types prefer. Right now I am sitting better than the European study average-50% of excess and I am at 90 lbs lost or 60% (Now don't get me wrong-I am not satisfied with this).
- He said that there are drugs..the cheapest is the one he started me on-half of the fen fen debacle is just fen :) don't ask me to spell there rest of the title.
- He said the drugs work on my brain to stop telling me I am so hungry.
- He listed the side effects: thirst, might feel like I have had 9 cups of coffee. Might not be able to sleep.
- He said these side effects will get better after two weeks or so.
- I asked him what I should do if they were really bad-He said drop to a half a pill for a week and ramp up.
- It tastes VILE. Like tylonol on steroids. Thankfully the pills are tiny and I could wash it down whole and quickly.
- I am rather sensitive to medications and I felt it hit in about an hour. slightly energized and a tiny bit nauseous. Definitely not hungry.
- The doctor said: Do not eat unless you are really hungry. If that means you do want not eat all morning or afternoon than don't. That is how these work. I wasn't hungry!!
- I am still not really hungry but I figured that after I finished with my night group in the store that I should eat something so I had hubby make me an egg. I ate 80% of the egg with cheese on it. It was good. I left the last bit not because my band said..hang on stop or your gonna pay. I stopped because I just didn't want anymore of the darned egg (wahooooo). How coolarific is that!
Update: Dream on..no sleep here. I am getting up at 7:12. Sleepy time is definitely done for me tonight..this morning..err whatever.