Sunday, April 12, 2020

Telogen effluvium and associated treatment? (23M)

Hey all! I hope everyone and their family is well during these times.

I had a question about if anyone here has experienced telogen effluvium, and if so, how/when did it resolve?

While I haven't been formally diagnosed with it and at first thought it was male pattern baldness, upon further research I think I many be experiencing telogen effluvium. I have long hair, but I noticed that I'm losing big chunks of it, it's a lot thinner than it used to be, and I have beau's lines on my nails (horizontal ridges) which is also associated with this kind of hair loss.

I've heard that rapid weight loss can cause it. I started in late January 2019 at 241.5 kg (532 pounds) and now I'm at 136.6 kg (301 pounds). I'm guessing this is the cause of it without being sure.

My question is, should I bother trying to seek treatment for it at this stage? I obviously have a lot more weight to lose, so I'm not sure if it's worth looking into treatments such as biotin or minoxidil if they won't show me any results due to continued weight loss.

If you have experienced it, how long after you reached your goal weight did you notice your hair return to normal? I'm pretty self conscious about this! Luckily I can now somewhat hide it with a manbun, but I'm worried it will become more obvious soon. Any advice?

Thank you all!

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I'm so close to my goal. Why have I lost my drive?

Hi all,

After struggling with my weight for as long as I could remember, I decided to make a post here asking for advice. It's been almost a year since then, but lately I've started to feel as though I'm back at "square one" with my attitude towards weight loss. I'm wondering if anyone else has experienced this?

For several months I felt like I'd finally gotten it. Something had clicked in my head and I knew I was going to lose weight. Between August and December 2019 I lost around 50lbs through exercise and the CICO method. It was the most I'd ever managed to lose, and at my lowest weight I was only about 20lbs away from my goal.

Then I took a short break over Christmas. Since then I've been stuck in a sort of plateau. I've been logging my weight weekly and for the last 5 months I've been fluctuating between 169-178lbs. I haven't started to gain again, but I also haven't been losing.

The thing is, I know what I need to do. I understand how CICO works and I know how many calories I need to be eating. My budget at my current weight is just under 1500 calories a day. But all of a sudden I just can't stick to it! Every day I start out with the best intentions, but 9 times out of 10 I'll end up overeating.

I'm proud of myself what for what I've achieved so far, and you'd think being so close to my goal would be a major motivation... but it just isn't. I don't understand what's changed and I'm starting to get really fed up.

Does anyone have any advice?

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Best ways to lose weight?

First time on reddit, but was hoping for some advice...

I am a mid 20 female who weighs between 250-260 pounds. I hate being this weight, and finally want to stop being scared of making that change. I don't really have a clue how to do it, and I keep reading conflicting articles on weight loss. As of recent, I have cut out many processed grains, snacks, and sugars from my diet. Exercise ranges from 1 mile daily not counting treadmill time. I haven't been feeling hungry as of the past few days, so, I haven't really eaten anything other than 300 calories-mostly comprised of a veggie medley mixed with beans (no salt) I've gone down to 245-but know that isn't healthy and decided to join this reddit for some help. Due to financials, I'm putting off a dietitian/doctor for as long as possible. I am willing to do as much as possible to get down to 150 or so, but I want to make sure I do it right.

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Day 1? Starting your weight loss journey on Sunday, 12 April 2020? Start here!

Today is your Day 1?

Welcome to r/Loseit!

So you aren’t sure of how to start? Don’t worry! “How do I get started?” is our most asked question. r/Loseit has helped our users lose over 1,000,000 recorded pounds and these are the steps that we’ve found most useful for getting started.

Why you’re overweight

Our bodies are amazing (yes, yours too!). In order to survive before supermarkets, we had to be able to store energy to get us through lean times, we store this energy as adipose fat tissue. If you put more energy into your body than it needs, it stores it, for (potential) later use. When you put in less than it needs, it uses the stored energy. The more energy you have stored, the more overweight you are. The trick is to get your body to use the stored energy, which can only be done if you give it less energy than it needs, consistently.

Before You Start

The very first step is calculating your calorie needs. You can do that HERE. This will give you an approximation of your calorie needs for the day. The next step is to figure how quickly you want to lose the fat. One pound of fat is equal to 3500 calories. So to lose 1 pound of fat per week you will need to consume 500 calories less than your TDEE (daily calorie needs from the link above). 750 calories less will result in 1.5 pounds and 1000 calories is an aggressive 2 pounds per week.

Tracking

Here is where it begins to resemble work. The most efficient way to lose the weight you desire is to track your calorie intake. This has gotten much simpler over the years and today it can be done right from your smartphone or computer. r/loseit recommends an app like MyFitnessPal, Loseit! (unaffiliated), or Cronometer. Create an account and be honest with it about your current stats, activities, and goals. This is your tracker and no one else needs to see it so don’t cheat the numbers. You’ll find large user created databases that make logging and tracking your food and drinks easy with just the tap of the screen or the push of a button. We also highly recommend the use of a digital kitchen scale for accuracy. Knowing how much of what you're eating is more important than what you're eating. Why? This may explain it.

Creating Your Deficit

How do you create a deficit? This is up to you. r/loseit has a few recommendations but ultimately that decision is yours. There is no perfect diet for everyone. There is a perfect diet for you and you can create it. You can eat less of exactly what you eat now. If you like pizza you can have pizza. Have 2 slices instead of 4. You can try lower calorie replacements for calorie dense foods. Some of the communities favorites are cauliflower rice, zucchini noodles, spaghetti squash in place of their more calorie rich cousins. If it appeals to you an entire dietary change like Keto, Paleo, Vegetarian.

The most important thing to remember is that this selection of foods works for you. Sustainability is the key to long term weight management success. If you hate what you’re eating you won’t stick to it.

Exercise

Is NOT mandatory. You can lose fat and create a deficit through diet alone. There is no requirement of exercise to lose weight.

It has it’s own benefits though. You will burn extra calories. Exercise is shown to be beneficial to mental health and creates an endorphin rush as well. It makes people feel awesome and has been linked to higher rates of long term success when physical activity is included in lifestyle changes.

Crawl, Walk, Run

It can seem like one needs to make a 180 degree course correction to find success. That isn’t necessarily true. Many of our users find that creating small initial changes that build a foundation allows them to progress forward in even, sustained, increments.

Acceptance

You will struggle. We have all struggled. This is natural. There is no tip or trick to get through this though. We encourage you to recognize why you are struggling and forgive yourself for whatever reason that may be. If you overindulged at your last meal that is ok. You can resolve to make the next meal better.

Do not let the pursuit of perfect get in the way of progress. We don’t need perfect. We just want better.

Additional resources

Now you’re ready to do this. Here are more details, that may help you refine your plan.

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12 Weeks Journey

new Reddit account for weight loss since some friends know my personal one

2019 was a hard year for me. A lot of things happened and I actually reached my heaviest weight of 149kg. Being 24 and obese my entire life, I knew I had to change my lifestyle or else, it would lead to many health complications in the future. I stumbled upon a YouTuber (Cassey from Blogilates) and saw that she did a 90 days journey to be the best version of herself. So, on the third week of January 2020, I started a similar journey.

My main focus on the journey is to get out of my comfort zone, find an exercise or a sport that I love and to count calories. I did not give myself a weight goal since I just wanted to see how far I can push myself. The journey did have some ups and downs, including me falling sick on the first week and couldn’t exercise at all! However, this journey has made me excited to workout and to find things that I love. I even went to an indoor activity park, which I didn’t think I would while still being obese. But I had fun!

Throughout the 12 weeks, I only did dance workouts from Fitness Marshall on YouTube (highly recommend!) and log my food intake in MFP. I have gotten better in eating less and barely had any binge. Of course I overeat on certain days, but I get back on track immediately the next day. I also get excited to workout and lip sync while exercising. The best of all, I stopped being negative to myself and be supportive whenever I fail. That is the biggest change as I honestly thought I will forever be this negative. I never knew I could be this patient with myself and stopped trying to be perfect in the journey.

As for my weight, I started out at 146.6kg and right now, I weigh at 136.1kg! It may not be impressive, but I have never lost that much in my entire life. It is an achievement to me. I do have a longgggg way to go, but I kinda love the lifestyle change.

TLDR: went through a 12 weeks journey and lose 10.5kg by dancing at home and counting calories.

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F/29, 5'8 - Weight loss journey starts today

--History--
6 years ago, I was 23 years old and weighed in the 145-150 lbs range. I worked out 4 times a week and generally ate healthy, with little alcohol and little fast-food/candy/soda. I had a relatively active lifestyle, working as a teacher assistant for pre-school kids.

Then I started college to get myself a proper education.

--April 2020--

I'm 29 years old, have finished graduate school at master's level and am now working full-time but the infamous freshman 15 have stayed on and multiplied. I now weigh in at 188 lbs, meaning that in the 5 years I studied and the nearly 1 year of working full-time, I have gained and kept on roughly 40 lbs.

My work is in an office and is quite a sedentary type of job.

This is not a situation I'm happy with because:

  1. The extra weight is bothering me and I generally feel unhealthy and lacking energy.
  2. All my clothes are becoming too small and it will be expensive to replace my entire wardrobe.
  3. I am now solidly overweight according to various BMI calculators (28.5), and I'm not very far (8 lbs) from being classified as obese - which is scary and would put me at risk for a whole lot of other health problems! I don't want to go there.

Three very good reasons to do something about this, in other words!

I have absolutely no stamina whatsoever when it comes to cardio, and I haven't really done any strength training in a couple of years, except bouldering indoors but that's not targeted strength training, it's just fun. With covid-19 all bouldering gyms are closed indefinitely anyway.

My only form of exercise now is biking to and from work on my electric bike some days per week. A lot of potential for betterment!

So, I have decided to start on my journey.

My weapons of choice will be:

  1. the MyFitnessPal app (unless there's a better alternative out there for CICO?)
  2. my Fitbit watch
  3. a yoga mat
  4. a brand new pair of Nike running shoes bought at an 80% discount sale, bonus - they're pink!
  5. some kind of youtube channel which will take me through at home, no equipment workouts which are not too hard for absolute beginners (suggestions most welcome!)
  6. the vast forested wilderness near my home with prepared hiking trails and gravel roads
  7. the 1500isplenty and 1200isplenty subreddits for food inspiration (other suggestions for subreddits or websites very welcome)
  8. a bullet journal where I keep track of my work-outs, measurements and goal progress.
  9. a gym in winter, because the weather and temperatures here really makes it impossible to exercise outside.

My goals:

Short term (~june 2020)

  1. Have gotten into a routine where I log my food and is able to keep a deficit of roughly 3-500 calories per day.
  2. Have acquired an "eye for calories" which will allow me to introduce a more varied diet.
  3. Have started and kept up with a couch to 5k free running program.
  4. Have started and kept up with an easy home-based strength program.

Medium term (~september/october 2020)

  1. Be able to run a 5k.
  2. Have explored more of the forested areas near my home.
  3. Have established a routine of one longer walk/hiking trip per week.
  4. Have kept up the calorie deficit while still eating a healthy and varied diet.
  5. Have spent at least 3 nights outdoors since April.

Medium to long term (~spring 2021)

  1. Have signed up for a relay race and a 5k race set in 2021.
  2. Have found and kept up with a gym-based work-out programme for winter.
  3. Have established a routine of one longer walk/hiking trip per week.
  4. Have kept up the calorie deficit while still eating a healthy and varied diet.
  5. Have spent at least 3 nights outdoors since April.

Long term (~summer 2021)

  1. Be able to do one pull-up (I have never been able to do this)
  2. Be within the healthy weight range for my height (135-160 lbs)
  3. Go from a deficit to maintenance once I reach the upper-middle to middle values of said range.
  4. Improve my stamina and be able to run a 10k race by the end of 2021.

So, now I only have to start all of this!

I'll keep this thread updated for each of the different goal phases to keep myself accountable.

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Saturday, April 11, 2020

Please Help

I’m really struggling tonight.

Long story kinda short, I been overweight all my life mostly. I was actually a pretty big boned kid (genuinely, my bio parents are just naturally hefty people and a lot of people in their families are too). However, I was so active as a child. I swam for hours and hours in our pool and I rode my bike around the block countless times, racing my neighborhood friends. I was in soccer and volleyball up even until I was about 14. Even then, I wish I could still be what I considered “fat”. Maybe 180 at my highest.

I don’t mean to find reasons to blame my problems on other things but I have come up with an abbreviated list of reasons as to why I feel I’ve gotten to the point of being less than a month shy of 23 and weigh nearly 400 pounds. I think my highest weight has been 380. Essentially, I have struggled with mental illness all my life. I was adopted and I learned over time that my entire bio family is as well. I was medicated for multiple things like BD, ADHD and other things honestly still not entirely sure what my actual diagnosis is since it has varied. But it all came to a head when I revealed at age 15 that I had been molested for years by a very close friend of my family. I have reasonably deduced that my unhealthy relationship with food stems from that. I have told many therapists a revelation: if I’m fat and ugly then maybe no one will want to touch me like that again. (I know this is obviously very poor line of thinking, but I believed it long enough to do damage. So along with gaining over 70lbs in 3 months on lithium as a 14 year old, my food as a coping mechanism and just hating myself in general- I was also diagnosed with hypothyroidism as if this cauldron lacked enough spice. Just...a lot. I carried myself well. Having Latina genes, being short and curvy just worked I guess. Until I was no longer genuinely curvy but sedentary and rotund.

So, fast forward to now. I had a more active lifestyle when I lived with my ex fiancé and worked a lot. Then I started going downhill again (thanks bipolar and not managing my emotions) and that slowly merged into me spending the last almost year, maybe 9 months 100% sedentary in my own tiny apartment and stuffed my face I deep, dark depression. Whatever sliver left I had of “I’m just curvy” and fitting into clothes and all that left. I ballooned. None of my clothes fit, I couldn’t breathe just getting up. I couldn’t really fit in my shower anymore...it was terrible. I started to do something about it in November when I FINALLY found a good doctor at a college system in my state. She began running tests immediately and found I am still only somehow prediabetic, I had sleep apnea of over 150 apneas per hour. For those of you who don’t know about apnea- severe apnea is anywhere over like 15-30 moments per hour. I had been smoking cigarettes for years and needed to stop that. (Been nicotine free for almost 3 months now!) I met with a weight loss specialist who got the ball rolling for a gastric bypass surgery (RSY or something? a little fuzzy as it’s late here for me. I can double check.)

All was going great. I made huge changes in my diet and had quit smoking. I was way more active. I had lost close to 15 pounds in like 3 months. The surgeons wanted me to lose about 20lbs before hand. I finished all of my Medicaid requirements and attended some useful classes. I had a tonsillectomy scheduled for me so I could get my apparently huge tonsils removed. Things were looking up!....

And then, Corona hit. I well, not all at once but it was a slow trickle. I have generally been sick with Strep throat and pneumonia in the last 5 months really. I was super super ill but I still made changes and in the down times I was way more active and generally happier despite feeling like crap. Then, I got what everyone suspects to be COVID-19 and I have been in quarantine for over 2 weeks now. It’s throwing me back to my terrible spiral in that apartment last year. It’s an involuntary quarantine. I’m so scared that because of my anxiety and stress, I’ve been guiltily gorging myself, knowing it’s bad. And I’ve hardly left my front door in general fear, let alone my own bed.

So if you’ve read this far...this is where I’m at right now. My motivation is crushed. All of my surgeries were cancelled. And unfortunately I’m going through a bleak albeit mutual break up with my ex of 4 years due to distance (he’s 1200 miles away and still supportive but I’m still heartbroken). I was looking so much forward to being healthier and moving to him and starting school again. I’m only 22 and I am already on disability for being obese. I can hardly get dressed or, pardon for being so crass but even wipe my own ass without wanting to collapse. I don’t want to die young and I was trying so hard.

Thank you for listening. I know this was a lot. If anyone has any encouragement or advice I would be so extremely appreciative of it in these lonely, stressful times. I hope all of you are well.

Edit: sorry guys I am typing on a new phone and I’ve got expectedly fat fingers so I’ve missed a couple marks as far as spelling goes.

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