I've been in planning mode ever since I got my pre-op date last week!
Entries in this blog
I knew once I signed a contract saying I'd keep my weight stable for this research study, I'd break that damn plateau. True to my word, I finally - FINALLY - fell below 300 pounds at last week's weigh in, and at Monday's weigh in, dropped another pound. No one at the study can tell me exactly what they consider to be stable - 5 pounds? 10 pounds? 5% of my body weight? - so I'll just keep chugging along. Even losing a couple pounds a week, I shouldn't lose more than 6 pounds before the pre-op phase of the study is over, so I'm focusing on the good - which is finally falling through that plateau!
I had the second visit for the research study today. I did indirect calorimetry - wearing a really tight face mask for 30 minutes to measure my calorie burning at rest - and a long form glucose tolerance test with blood draws every 15 to 30 minutes. They had an issue getting my sugar to come back up after I drank the sugar drink. My fasting was 85, and peaked at 146 about 30 minutes later, and then quickly returned to 85. Then 68. Then 60. Then 54. They called the doc, who said they could keep going as long as I didn't get symptomatic. I didn't feel shaky, just tired and headachey, which was more from lack of caffeine. Anyway, 3 hours later, my sugar was still at 62. Upside, they gave me a sandwich and orange juice before I could leave.
So two kinda cool things:
(holy crap already 8 weekly entries? I don't feel like its been two months...)
So my MRI cleared my foot and the reigning days of das boot are over! Which is fabulous, except my foot still hurts like mad. Docs aware, he just kinda shrugged and ordered some physical therapy for me to see if that helps. Grr. Physical therapy starts tomorrow.
Last week's class was otherwise about long term success with exercise - how to not burn out, try new things to stay interested, etc. Nothing mind blowing, but a solid course. I think today's class will follow in the same vein - long term behavioral success.
This week. Whew.
I share my office with another nurse, who lost 70 pounds last year after a visit to her doctor put her in the prediabetes range. She ate a ketogenic diet for 6 months and dropped it all. Since taking a desk job and stressing about a few things in her life, she's gained some of it back - and while she constantly talks a good game about needing to get the weight off, she's also one of those "frenemies" who constantly tries to push you into eating something. I don't think she does it meanly, I think she wants me to keep eating the way I used to because then I was her excuse, you know? "Delila ate x, so I ate some too!" But for the past couple months I pack a healthy lunch most days and this seems to have almost made her more aggressive.
No class last week because of the holiday - right back at it this week with a weigh in and group exercise class followed by an exercise lecture. However, I found out last week that I stress fractured my foot!
When I started looking into WLS, I was 75% sure I was just going to go with a lapband. Easily removable, I thought. No big malabsorptive issues. Just a bunch of restriction - a kind of hand-holding into making me eat the way I need to.
Then I began my real research, and saw the complication rates were higher, and the amount of appointments necessary were higher, and that overall weightloss was considerably lower. Many people complained of still feeling hungry - which makes sense, when you consider that the rest of your stomach is still there, still largely empty, and still playing on hormones like grhelin to mess with satiety.
So I began to slowly embrace the idea that "real" bariatric surgery was my answer. I've come a long ways since being stalwart in my belief that I didn't need WLS - even if it took me years to get there. For the last couple months, I've been pretty set on VSG.
Lately, fear is creeping in as I read the experiences and see the weightloss of those with VSG versus GB. Don't get me wrong, I see plenty of people who have done absolutely exceptional on VSG and I know it can work - I'm terrified I will make it not work. That I'll end up being one of those people who eats ice cream as a "pureed" food, manipulates what can go in, and will suffer with little weightloss because of it. That I'll need the further restriction and malabsorption offered by a GB in order to have real weight loss.
I've devoured every thread on "how did you choose?" here on TTF and I know that some of my questions will be answered when I finally have that sit down with a surgeon, but in the meantime, I keep adding to my list of "Am I going to be one of those people who goes through a major surgery just to sabotage it?"
I try to shake off the thoughts - I wouldn't be surprised if they're fairly normal. I'm doing well in my pre-op classes (small gain this week, but there was a considerable amount of partying for my parents anniversary this weekend). I understand all that the surgery brings, and I think seeing success after surgery will be a fabulous motivator towards continuing the plan.
All that certainly hasn't stopped the "what ifs" though! The mental part of weight loss is certainly exhausting.
Another week, another weigh in, another tiny bit closer to the operating room!
Today, I met with a psychiatrist for my pre-op psych appointment, and thought it may be about time I started logging my expedition