Tuesday, November 19, 2024

Medical diet

Hi, I’ve lost 30 pounds through the conventional method, but I’ve been at a standstill since last September when we had to go back into the office. A standstill until the past 6 weeks when I gained 10 pounds. My doctor told me about her hospital’s weight loss clinic. They have very low calorie options (no thank you) and a low calorie option of 1200. I told her that I know myself and I know that going straight into 1200 is an automatic failure for me. She said they can start me off at a higher calorie level.

I’m considering doing this as I have over 100 lbs to lose and I’m a 53 year old woman. My main concern with doing this is that I’m going to lose too fast and have a lot of excess skin. But after being morbidly obese for 20 years, and being 53, that’s going to happen anyway, right? Even if I lost only a pound a month there would be loose skin, so might as well do lower calories and lose as much as is healthy under a doctor’s supervision. Am I right about the skin?

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Monday, November 18, 2024

Lost 70lb, 11 months. Just crossed into normal BMI range. (46m)

I was going to wait for the 1 year mark and/or 80lb before doing my post but I crossed into normal BMI and am finally feeling like a "skinny" person. I am super stoked right now and wanted to tell someone. I have not been this weight since I was 19 years old.

Over the course of my weight loss I revised my goal weight 3 times lower and am going to continue to lose weight into the middle of the normal BMI range and continue the diet for the rest of my life, but this is the point I told myself I would pull back some and work on gaining back some muscle mass.

My diet is a non strictly enforced, but counted 1200 calories (for around 1600 deficit vs pre-diet). Enforcement was mainly via cutting out breakfast (or having a packet of oatmeal or salty nut bar), having a "snack" lunch. (leftovers or ramen or small prepped meals), and eating half sized portions for dinner (roughly 600 calories)

I have a desk job but I have always been relatively active. I backpack/bike regularly and I walk/jog 3 miles a day, but that isn't new, I can just do the entire distance jogging now. I also got a dog this year, which is new :).

Some notes synopsized from from my weight diary.

  • 2 mo. -20lb First 20 pounds came off very fast. Hungry constantly. Bad heart burn, started taking Zantac.
  • 4 mo, -30 lb, I plateaued around this point for about a month. Probably my body adjusting and actually loosing the fat vs water weight from the diet change? Less hungry.
  • 6 mo, -47 lb. This was my first goal weight. But I still had quite a belly and wasn't noticing much physical change to appearance besides my wife commenting that my butt was gone, so I revised my target. Pant size is down 5-6 inches and I have to purchase new pants.
  • 7 mo, -53 lb. My stomach size has adjusted I think. I can no longer physically eat full sized portions without becoming very uncomfortable. Appetite seems reduced. BP down 35 points and cholesterol has reduced from alarming to low. Doctor reduces dosages for BP and cholesterol medication.
  • 9 mo, -60lb. Actual rate of loss has slowed a LOT. But I am seeing the physical effects. I can no longer wear XXL shirts and comfortably fit some L's. I have a lot of loose skin under arms and my belly appears flat from the side without sucking it in. Considerable improvement to mood and energy. Lowered anxiety and depression.
  • 10 mo. -65lb. I am not "trying" as hard anymore but am still losing weight, just eating enough to not feel hungry. Waist is down 8 inches. I had to purchase new shirts. XL shirts now look frumpy and too large. I'll never be a medium with my height.
  • 11 mo. -70 lb.

One interesting note is that I didn't really see "major" physical differences and people noticing the changes until 3/4 of the weight was lost. Then change seemed to come very fast in the areas I and other people notice even while the weight loss had slowed down.

I feel like at some point I hit a self-sustained level. Before I lost the first 50lb my body was actively fighting me losing weight at every step. Now I feel like I am craving just a bit more than the right amount of food. I know that's a trap, but it doesn't feel like my body is fighting it as hard, it's better balanced.

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A Dietitian’s Guide to Setting Realistic Weight Loss Goals During the Holiday Season

Can you lose weight during the holidays? Sure. But let’s be real for a minute. This is the time of year when many diets fail. Stress, sleep deprivation and indulgent festivities make this season extra challenging for anyone managing their weight. So how do you handle it?

One option is to rely on your willpower. Try to push through, stick to your plan and avoid every temptation. But, as a dietitian, I will tell you this plan may be the quickest way to sabotage your long-term goals.

Why? A rigid, all-or-nothing mindset during the holidays (or any time) leads to feeling deprived, guilty and sometimes resentful when you miss out on the things you enjoy. That’s a perfect setup for yo-yo dieting, where you end up fluctuating between extreme restriction and overindulgence.

Instead, let’s talk about how to set flexible, realistic goals that keep you feeling empowered, not discouraged.

Aim to Maintain

woman weighing herself to check in on holiday goals

First, rethink what success looks like for this season. Instead of aiming to lose weight, consider setting a goal to maintain your weight through the holidays. Shifting to maintenance mode isn’t giving up, it’s adopting a long-term approach, which research shows strongly predicts lasting success.

Think of it like the story of the tortoise and the hare: a fast start doesn’t matter if you can’t keep up the pace. Giving yourself the flexibility to enjoy the holidays might mean a slower journey to your goal, but it lowers the risk of throwing in the towel entirely due to feeling guilty or frustrated by unrealistic expectations.

Still, aiming to maintain doesn’t mean anything goes. People tend to gain one to two pounds over the holidays, so it’s still a good idea to be intentional about your choices. Here are a few simple strategies for mindful eating:

  • Listen to your body’s hunger signals and work with them, not against them. Avoid skipping meals or “saving up” calories for special events, as this can lead to overeating later. Instead, eat when hungry and focus on eating enough to feel satisfied.
  • Take time to enjoy your food. Enjoy your meals more by chewing slowly and savoring the flavors.
  • Fill up on nutritious choices. Load up at least half of your holiday plate with veggies, fruits or lean proteins before moving on to richer options.
  • Walk away from the table. Move away from the snack table once you’re satisfied to help prevent mindless eating while you socialize.

Set Healthy Behavior Goals Instead of Weight Goals

woman weight lifting at home during the holidays to reach goals

While you’re focusing less on the scale, you can still aim for non-weight-related health goals. Think about small, achievable habits to help you feel strong and energized in the new year. Here are some ideas:

  • Increase your daily steps. Maybe set a target to walk an extra 1,000 steps a day or take a 10-minute walk after each meal. Movement supports your physical health and boosts your mood, which can help during the holiday hustle.
  • Stay hydrated. Drinking more water can help control your appetite and support your energy levels. Try to keep a water bottle with you, especially during busy days.
  • Prioritize sleep. Strive for seven to eight hours of rest each night. Sleep deprivation can increase cravings.
  • Practice stretching. Even short stretching routines or gentle yoga can ease stress and improve flexibility. Use them as a way to center yourself during hectic days.
  • Start a journal. Take a few minutes daily to jot down your thoughts or set intentions. This can help you focus on your goals and reflect on what’s working.

Be Mindful of Alcohol

Christmas time. Serving drinks for new years party.

Holiday parties and family gatherings often include alcohol, and those extra drinks can add up. For example, going from two to three drinks per week to four to six might mean an additional 200-600 calories a week or more. Alcohol also tends to lower your inhibitions around food.

Here are some ways to stay mindful of alcohol:

  • Set limits before events: Decide how many drinks you’ll have so you feel in control and avoid overdoing it.
  • Alternate with water: Try drinking a glass of water between drinks. This practice keeps you hydrated and can help slow down your intake.
  • Choose lighter options: Opt for lower-calorie options like sparkling wine or light beer.

Make Self Care a Priority

Person practicing self care during the holiday season

The holiday season brings plenty of stress along with the celebrations. Between shopping, cleaning, cooking and family obligations, it’s easy to feel overwhelmed. And when stress levels go up, so do cravings for comfort foods. That’s because stress hormones can trigger the urge for quick energy sources, often sugary or high-fat foods.

Combat this by making self-care a regular part of your routine.

  • Schedule time for yourself: Even just a few minutes helps. Take a walk, read a book, meditate or do something that helps you relax and recharge.
  • Practice mindfulness: Try breathing exercises or guided meditation to help manage stress. Apps and online videos can make this easy, even for beginners.
  • Connect with supportive people: Spend time with low maintenance friends or family that make you feel good.

Make a Plan for the New Year

Woman Writing New Year's Resolutions

When the holiday season winds down, be prepared to shift back to your weight loss goals. Setting up a clear plan ahead of time can make this transition easier. Here’s what to include:

  • Set specific New Year’s goals: Make your goals measurable and time-bound. For example, “I’ll log meals in a food tracker three days a week (Monday, Wednesday, Friday) starting January 6” or “I’ll walk 20 minutes four days a week (Monday through Thursday) starting February 1.”
  • Build in accountability: Find an accountability buddy to support and share progress. Or consider pre-booking non-refundable workout classes to help you stay committed.
  • Prepare your environment: Make it easy to start strong by stocking up on what you’ll need. For instance, schedule a meal delivery service to arrive in early January so you’ll have healthy foods ready to support your goals.

These strategies can help you find a balance that works this holiday season. Remember: progress, not perfection.

References:

  1. Koritzky G, Rice C, Dieterle C, Bechara A. The Biggest Loser Thinks Long-Term: Recency as a Predictor of Success in Weight Management. Front Psychol. 2015;6:1864. Published 2015 Dec 8. doi:10.3389/fpsyg.2015.01864
  2. Díaz-Zavala RG, Castro-Cantú MF, Valencia ME, Álvarez-Hernández G, Haby MM, Esparza-Romero J. Effect of the Holiday Season on Weight Gain: A Narrative Review. J Obes. 2017;2017:2085136. doi:10.1155/2017/2085136

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M23, 5’10, 260lb, need help with weight loss

I need help figuring out what meals would do best with what I’m trying to do. I want to stick to 1,600 kcals a day to stay on track to losing about 2 lbs a week to cut as quickly as possible to 190. I want to incorporate protein a lot, but it absolutely makes using the bathroom a chore. I'm mainly wanting to focus my meals around the "real good chicken" tenders, which have 23g of protein a serving, with doing 112g of protein a day. I definitely need fiber as well. If anyone that is knowledgeable about this stuff can help me figure out what I can do, I’d appreciate it. I've Googled so much and have come to no kind of meal plan. What kind of sides should I add to hit my fiber need and any other nutrients I may need? Thanks in advance.

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Sunday, November 17, 2024

After weight loss

There’s really no point of this post it’s more like something that’s been on my mind that no one in my life can relate to.

About me - Female, 22 H: 173cm (5’9) ST: 93kgs CW: 68kgs

So my entire life my parents have been weird about my weight. Like they’d look at how much food I’d take, they’d judge what I ate. Even now.

Since I could even remember, my dad would make little comments about my weight, calling me heavy, comparing me to my siblings, he’d ask me to step on the scale in front of him when I was like 11.

When I was 11 he offered me some chocolate (like one of those huge blocks of chocolate) and I took a row (4 pieces) and I started laughing like “sorry I’m taking the row it just broke off” then he got really mad and started yelling and calling me fat. It really stuck with me but I never reacted.

Ever since then I pretty much had an eating disorder. I would binge eat for days and then I would starve myself for days. And that went on for years.

I feel like I’m in the best shape I’ve ever been in my life right now because I improved my relationship with food and I have a bit of muscle. But losing weight gave me severe depression and social anxiety and I think I have body dysmorphia. I still haven’t processed that I’ve lost the weight and I still see myself as fat. But my sister jokes and says I look anorexic sometimes. After losing the weight my dad said “are you okay? You look skinny. Don’t lose too much weight you can’t be underweight and you can’t be overweight” pretty much implying that I look underweight and unhealthy now. And mind you I’m at a healthy weight.

You just can’t win. People will always have something to say so just focus on yourself and improve yourself. I know my dad was probably just trying to make me understand that it’s unhealthy to be overweight but he never really helped me. Honestly he would just judge me and mock me. I wish that as a kid my parents would try and help me instead of pass a comment.

Idk what the point of this post was but I thought I’d share since nobody in my personal life can relate and you all probably know what it’s like to be fat shamed by your own people. Feel free to share your stories.

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Starting my weight loss journey!🎀

Hi everyone! I (18 F) am just starting my weight loss journey, and I think this is the best I’ve ever done so far! It’s been three weeks, and I’ve managed to stick to a calorie deficit and go to the gym for an hour every day.

I’ve always been very overweight, starting out at 276 lbs at 6 ft tall. I’m now down to 270 lbs, and I’m so excited about this progress! <3

This is the most consistent I’ve ever been, and I’m feeling really motivated to keep going! My first goal is 200 lbs, then we go from there!

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Stupid question, can I count calories during the week but just not think about it during the weekend? Will I still see progress?

I’m on a pretty big weight loss journey, basically because my doctors said I will die if I don’t lose weight lol. For the past few months I’ve been counting calories on the weekdays because it’s easier to watch what I eat at work, work pays for dinner so I grab salads and on the mornings I’ll have something small, but on the weekends I just wanna relax and eat ice cream cream that’s actually good, and not these sad diet ice creams bars. Will this still help me lose weight or will the weekends ruin it?

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