Wednesday, April 14, 2021

Struggling with health issues and need guidance

I'm a single guy in my late 20's. I'm really out of shape and suffering from a bunch of health issues. I realize I need to focus on getting fit now, otherwise things are going to get worse as I get older.

My diet isn't terrible, but is a bit carb heavy with no calorie tracking.

Current stats:

5'5" tall

Weighing 222 lbs

35% + body fat probably

Poor cardio fitness with a VO2 Max value under 26.

High resting heart rate (80-90+ BPM on average)

Averaging around 5-6 hours of sleep daily

I use a cpap machine for sleep apnea

I have a very sedentary lifestyle currently, walking up and down the stairs leaves me out of breath. My feet, my knees also hurt a shit ton, standing in place for a long period of time is impossible.

I also suffer from some health issues -

I've got essential hypertension and have been prescribed medication. Everything else looks ok, but I'm about to have my annual check up next week so who knows.

My fitness goals are to:

Track calories to keep to a goal

Lose weight

Get my blood pressure down

My issue is that I'm just plain tired all the time, and any amount of exercise seems to tire me out quickly and completely. Any suggestions on this front would be great.

My thought is I'll stick to walking and cutting my calories down to 1976 kcals a day, to see if I see any weight loss (based on a weight loss calculator)

But I'm kind of scared that even with that my sleep apnea will hinder my progress.

Am I fucked? Is it too late? Either way I'll try my best since I now realize how serious my situation is.

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I’ve lost 50 pounds in 10 months! Here’s my story and how I set myself up for success

Almost a year ago, I woke up one day and decided I didn’t want to be fat and miserable anymore. I was a 27-year-old, 5’2” woman, and at the time I weighed 200 pounds. I had gained 50 pounds a few years prior in a matter of months, after my mom was diagnosed with stage IV pancreatic cancer when I was 7 months pregnant. I couldn’t cope with all of the impending life changes and turned to food for comfort. I was in the best shape of my life prior to pregnancy, so when it was all said and done, I didn't recognize the body I was in. It was a source of a lot of misery for me, as I'd remembered vividly what it was like to be fit and in shape, and I missed that more than anything.

I had several non-starter attempts to get the weight off over the years and I was determined to set myself up for success this time. In order to do this, I approached the weight loss from a goal-setting mindset (that's all it is, after all). All I had to do was take my one big goal (lose 75 pounds) and break it up into smaller goals. I used a goal-setting technique I learned in business school called SMART goals.

A SMART goal is an acronym that gives you criteria to setting objectives – when setting a goal, try to make it:

Specific

Measurable

Attainable

Relevant

Time-based

So let’s take the smaller goal of “I want to lose one pound a week” – it is specific in the weight lost and the time frame, it is measurable because you can step on a scale and measure it, it is an attainable goal as a pound a week is a good and healthy rate of weight-loss, it is relevant to our overall goal, and it is time-based in that you give yourself one week to reach this goal.

My method of weight loss was r/CICO – and I believe this to be one of the most foolproof methods. With that in mind, I broke up the “I want to lose one pound a week” goal into even smaller and more specific goals that will help me achieve this goal. Starting out, I decided I first wanted to build the habit of weighing/measuring and logging my food, without worrying about restriction. So, for the first two weeks of my journey, I ate as I normally did with the simple goal of “log calories”. This goal doesn’t quite hit the SMART criteria but I was working up to that.

A great way of building daily habits like this one is what’s referred to as r/theXeffect. I highly recommend this as a way to kickstart new habits, and I think my cards in the beginning were crucial in my overall success. Basically, all you do is take a notecard, make a 7x7 grid, write down a habit, and put a big X when you do said habit and a big O when you don’t. The subreddit has weekly accountability built in that helps you stay on track. It's surprisingly motivating to get as many x's on that card as you can and minimize the ~shameful~ O's.

After I built the habit of weighing and tracking my food, it was time to restrict! These two weeks of tracking without restriction also gave me an established baseline of intake that my mind and body was used to, therefore I was able to ease into the restriction. Part of SMART goals is making it Attainable, and I don’t believe that jumping from 2,200+ calories per day down to 1,200 is attainable. At the beginning of my journey, my body was used to about 2,000 calories per day, so I made my new goal 1,800 calories per day. This was harder than I thought – but the beginning is truly the hardest! I gave my body and mind a couple of weeks to adjust to this new intake amount, and once I felt comfortable, I would knock off another 100-200 calories. I did this until reaching my goal daily intake of 1,200 (I am short and at the time was sedentary so this was an okay level for me). Once I got down to 1,200 it was practically like autopilot from there, because I had built the habit and eased my mind and body into the restriction level.

I had some bumps in the road of course: over the last 10 months I had two surgeries, and during recovery from those I had to take regular pain meds that required me to eat closer to maintenance, so I gave myself a couple of weeks off to recover from the surgeries. I still logged my foods to keep that habit, but logged at maintenance. Around the midpoint of my journey (5 months in) I also had some old ED issues crop up where I was lying to my food diary and my doctor about my intake, but that was quickly addressed with my physician and counselor and at that point I bumped up my intake to ~1,300 for sustainability.

On top of restricting calories, I also walked for physical activity. I approached this in a similar way to my calories. I wore a FitBit every day and got an idea of where my body was at (at the beginning I was taking about 5,000 steps per day). I would then bump up that goal gradually by 500-1,000 steps until I hit my goal of 10,000. I used an X effect card for this habit as well that really enabled me to stick to it. Once you build these healthier habits, your body grows used to it and it isn’t as much of a struggle as it is in the beginning. Truly and honestly, the beginning is SO hard! Your body and mind are adjusting to the new intake/output and it takes considerable effort at first.

I have another 25 pounds to lose but have shifted more towards body recomp in the last few weeks. I’ve been fully vaccinated so decided to venture back into the gym and get personal training to learn my way around the free weights. I’ve also gotten back into cycling and rollerblading (I had to stop last year due to one of the surgeries). Finding physical activities you enjoy is also critical – if you don’t like walking, try something else on for size! I highly recommend walking as a starting point though because it has a low barrier to entry and it’s really hard to find justifications to not go for a walk!

The biggest key is to rely on discipline, not motivation. Keep your goals SMART and you’ll be shedding the pounds in no time.

Here is a progress pic! Thanks for reading 😊 I just wrote this up real quick during my lunch hour so please feel free to ask any questions or for any clarification.

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stopped, then started again - KEEP AT IT

just a personal anecdote as it relates to r/intermittentfasting.

for pandemic reasons, my restaurant had shut down, reopened and shut down again, starting me on an unintentional path down intermittent fasting as my eating window had shrunk to 6-8 hours a day. no income but the side effect of that being that i slowly lost weight and dipped below 200 for the first time in 20 years. it was a great feeling and i vowed to keep it up. at some point i had plateaued at about 195 and just couldn't lose any more even tho my eating habits hadn't changed and i decreased my intake even more. the advise in that sub was that a plateau was natural and to just persist. once my body had found its new equilibrium the weight loss would resume.

well, 2 months later, it has. i'm starting to lose again and it's exhilarating. nothing dramatic but the fact that the needle is moving again is fantastic. for anyone out there that feels like you've hit a wall, just remember to be patient. our bodies adapt and accept change at different rates. weight loss is one (important) component to a healthier life so even if the scale doesn't reflect change, just persist in eating smart and staying active.

life isn't like a movie, it's rarely exciting and hardly dramatic. it's the small decisions we make, the daily insignificant actions that compose the tapestry of our lives. let's not diminish their impact

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Gained weight after 100lbs loss

I’ve been losing weight since 2019, I was 250lbs and I got down to 140lbs. I’ve been ecstatic about this, my life has changed for the better and I’m the healthiest I’ve ever been. 2021 has been tough, I had abdominal surgery in January was bed bound for a month and shortly afterwards I lost someone to covid. I haven’t been feeling my best, a cheat day here and there has turned into week long binges and I’ve gained around 10lbs. It might not sound like a lot but I feel so unhappy and angry with myself that I’ve fallen off the wagon...I’ve put blood sweat and tears into this weight loss for 2 years and now I’ve blown it.. just had to get this off my chest

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How did you decide when to stop losing weight?

Hey all! This is my first time posting on Reddit, though I’ve been lurking on this sub for awhile now. I really appreciate the positive and supportive vibe here!

About a year ago I decided to make some healthy changes, and I’ve since gone from 200lbs to 130 (I’m 29F and 5’4”). My initial goal weight was 140, which put me in the healthy BMI range and at my lowest weight since middle school. Once I hit that goal, I was still feeling good about my eating/exercise routines and decided to keep them up without an explicit focus on weight loss. I figured my weight would soon plateau, but I’ve continued losing an average of 1lb per week. At this point, I’m not attached to seeing any particular number on the scale; I just want to be fit and healthy and to keep taking good care of myself. But without a specific goal weight in mind, I’m wondering how I’ll know when it’s time to shift to maintenance and focus on my other fitness goals.

I’d love to hear from other folks about how they navigated that decision. How did you know when you were done losing and ready to switch to maintenance? What did you do to make that transition successful? Any insight or advice you guys have is greatly appreciated! Thanks in advance!

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Nosey but well-meaning BF making CICO impossible

My boyfriend is supportive and really wants to help me with my weight loss goals in any way he can. Right now I’m focusing on CICO around 1250 calories. He’s never wanted to, or had to diet in his life, and is incredibly uninformed about food basics. Like, no idea about caloric density, or any idea how many calories something like a salad dressing has, and why you can’t just slather it on.

I feel like I’m constantly having to work twice as hard at my weight loss goals and especially my motivation BECAUSE of him. I’m constantly having to argue with him about what I can and can’t put in my body, and why. It’s like, I can hardly handle my OWN cravings and my OWN motivation for staying on track, much less convincing somebody else to get with the program. He’s like the devil-on-your-shoulder but in the flesh.

For example last night he was arguing if we fried vegetables in 1 tablespoon of olive oil, that you wouldn’t be eating ALL of that 1 tablespoon of oil, some would stick to the pan and someone would burn off, some would incorporate with veggies that aren’t part of your “portion”. He was saying that you don’t need to count all of those calories from the 1 tablespoon.

He also refuses to measure anything. He’ll insist on whipping up a side salad for me and then just squirting out the Ranch until I put my foot down and say, “Hey dude, whats going on here? How much is that? What did you measure it with? Now I can’t eat this.”

I’ve told him repeatedly that if he enjoys cooking for me and wants to do that as part of his love language, I understand, but he needs to play by my rules. No more eyeballing shit, or rounding down with the calories. I’m starting to have major anxiety about him touching any of my food. Especially because at first, I was less assertive about the “rules”. But now after my first week of calories restriction, eating what I THOUGHT was UNDER 1200 calories a day, I actually gained 2 pounds.

SOS please :(

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Weight Loss Stalling - Advice?

Hi all,

Wanted to preface this with my stats-

5’6” Male Current Weight: 155.6 pounds Starting Weight: 160 pounds (about 3.5-4 weeks ago)

Calorie intake: 1710 per day (150c,50f,165p) Exercise: 5 days/week Cardio: 5 days/week (3 mile mornings runs)

What’s going on:

I’ve been eating at a strict deficit (food scaling my portions) while training for strength and doing a lot of cardio, to the point where I’m constantly exhausted.

However, despite all of this, my weight loss has completely stalled for the last two weeks. 14 days ago I weighed 155.4, I fluctuated between 154-155 for two weeks and ended up right back to 155.4 again this morning.

My deficit/cardio combo is for 2 lbs/week yet I’ve stalled completely and have had 0 pounds in over two weeks. Any ideas on what could be causing this? I’m confused on what steps to take.

TLDR: on a strict 2lb/week cut/exercise regime with accurate food portioning, but weight loss stalled for over two weeks now.

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