Nearing a Year Post-Op

It’s only early June, so it is not quite 11 months since my gastric bypass. It’s been a hard year, but it has also been a good year. The hard part is the ongoing battle against deeply ingrained habits related to food. They’re much harder to change than I’d ever imagined. It’s a daily struggle to not eat too fast or too much, and it’s a struggle I fail many times. Those failures typically result in my feeling nauseated – which is a powerful motivator to change. I’m slowly VERY SLOWLY making progress.

My fear is that I will stretch out my stomach. I never want to regain the weight I’ve lost and have to deal with all those health problems again. It feels good to feel good!

The “good” part is that this morning I weighed 143.6 – a new low. I think the last time I weighed that low was sometime in the late 1960s or early 1970s. Even when I lost a lot of weight taking Phen-Fen in the mid-1990s, I only got to the upper 150s.

I’m enjoying doing Pilates on M-W-F when I’m at home. It’s good for me, and I don’t dread it like I used to when I’d work out at a gym. I like that it doesn’t make me hot and sweaty – and yet it’s a good workout. I can see more definition in my muscles.

One thing that has surprised me is the loose skin. I was under the mistaken impression that I was not so overweight that my skin wouldn’t bounce back. Nope. My arms, stomach, butt, and thighs have loose skin that bothers me – especially sitting on my butt – it’s like the skin folds in on itself and is uncomfortable. My arms and legs just have that old-lady look. I’m sure if I’d had gastric bypass 10-15 years ago my skin would have bounced back better. As so often is said, “It is what it is.” And I am 73 years old!

However, I will take all that any day over the excess weight and health issues I had before. I am happy with my weight now, and am perfectly satisfied to stay right at this weight the rest of my life.

We are at the lake right now, and most days here I hike up and down the driveway – about 1.34 miles – without having to slow down and without getting out of breath. All three dogs usually go with me, and they love it. And I’m loving wearing smaller size clothes, too.

I’m glad I had the surgery, but it is MUCH harder than I ever imagined it would be. It’s funny but the nausea I experience when I eat too much or too fast doesn’t even bother me as much as I thought it would because it is over fairly quickly. And, if I remember to eat very slowly and chew my food very thoroughly, there is no nausea. Like I wrote earlier, though, eating fast is a very hard habit to break. My body reminds me frequently to be a deliberate and mindful eater.

Some good news is that I had elevated bilirubin and liver enzyme numbers, but they’re going down. I will have a liver scan in a couple weeks. However the doctor thinks the elevated numbers are likely related to my surgery and that it will all even out soon. My liver panel blood test last week showed improvement. So hopefully he is right.

The Highs and Lows of Losing Weight

I’ve had a lot of highs and lows in the past six months. I’ve lost a little over 57 pounds, which is incredible! With the weight loss, I’ve gone down several sizes in my clothes. I have gotten rid of most of my clothes and replaced them with smaller sizes. I wore a size 10 pair of jeans today, and they were a little baggy. So I’ve got several size 8 jeans ready to go.

I’m able to do more without getting out of breath. When I go walking, I don’t have to stop to catch my breath. I can walk as much as I want. I need to do more of it, though. Along those general lines, I will be doing Pilates starting tomorrow – one on one with an instructor that Larisa, Lily, and Sophie use. I’m looking forward to starting that because the weight loss has left behind some flabby skin. I need to build muscle and tone, flexibility and stamina.

I still have significant restriction in how much I can eat. However, if I stretch a meal out to 30-40 minutes, I can eat a fairly regular (but smaller) portioned meal. Ron bought a single filet mignon steak the other day. We always cut a filet into two pieces crossways with the thinner portion for me since I like mine not quite as rare as Ron likes his. I assumed I wouldn’t be able to eat my entire portion, but I did. It was probably only 3-4 ounces at most, but that’s good because I’m able to get more protein in.

The lows are mostly fears of returning to previous bad habits. Over the past month I’ve seen how some bad habits and cravings are rearing their ugly heads again. Thus I am working to stick with my healthier and smaller-portioned food choices. I’m still drinking my homemade protein shake every morning for breakfast. Nothing else sits well with me. Eggs make me sick. I have a slice of bacon most mornings because Ron makes bacon and sausage most mornings and always adds a slice for me. So I get about 40 grams of protein each morning for breakfast.

Another improvement is my daily pill intake. Only four pills a day – my big multivitamin with iron, my blood pressure med, my cholesterol med, and my anti-depressant. Since Vandy monitors my vitamin levels, I’ve learned I don’t need all the supplements I was taking. That has cut down on my daily pill intake tremendously.

The Voices in My Head

I have voices inside my head. We all do. Mine can be quite mean! I find myself muttering things like, “That was stupid!” “Why on earth did you do that?!” “You fat slob!” I still worry and obsess at times about things I did when I was a child – a teen – a young wife and mother.  I think about what I “should” have or “should not” have done or said. Guilt sometimes seems to be the leading emotion of my psyche. I’m unkinder and harsher to myself than I would ever be to anyone else.

In the past few years I’ve thought a lot about “grace” – specifically extending grace to others. However, I also want to extend grace to myself. I know I’m doing my best. I know I have struggles and areas of weakness.

At various times over the past five years I’ve gone to a therapist – Melinda. She helped me a lot. She stopped doing therapy this past winter. So I won’t be returning to her. One time several years ago she said that I seemed to lack “affect.” I wasn’t sure what she meant, and I asked her to elaborate. She said that I seemed unemotional – didn’t get excited or upset about much at all. I’m paraphrasing what she said. I imagine when I described some of the unpleasant situations of my life, I didn’t appear upset about them.
When I got home, I looked it up: “As nouns, the difference between emotion and affect is that emotion is a person’s internal state of being and involuntary physiological response to an object or situation, based on or tied to physical state and sensory data while affect is one’s mood or inclination; mental state.”
My affect: I’ve learned to do my best to keep my outward emotions in check and neutral. I don’t see that as necessarily a bad thing. It is the way I am. As a teacher, it was important not to over-react. One of the classroom management techniques I learned was that as a class got louder, if I started talking softly, everyone would strain to listen; whereas if I tried to talk above the noise, the noise tended to get louder. I was able to get the class’s attention more quickly by whispering. As excitement rose, I purposefully grew calmer (at least outwardly).
I have dealt with emotionally volatile people, and I’ve learned that it is important to do my best to stay calm and not respond emotionally since that only escalates a situation. So I work hard to keep emotions in check – to keep calm – to keep my feelings hidden. I’ve had the experience of having my words, facial expressions, and actions misinterpreted – sometimes with the worst possible intentions applied. So I have worked to keep everything neutral. That’s me – and it can be good, and it can be bad.
And perhaps that is part of the reason I’m not particularly kind to myself. With myself, I can let all the emotion out. I can say what I want to say without repercussions. 

I’ve been working on being kinder to myself – treating myself with the courtesy and kindness I treat other people. I want to give myself the grace I extend to others.

Digestive Issues

So I have always had a sensitive stomach. I’d get nauseated easily, have diarrhea multiples times a day, and deal with diverticulitis a few times a year. Often after a meal, I’d need to sit or lie down to rest in order to handle the stomach issues I’d have immediately after eating – or else I’d have to rush to the bathroom. Although I have my binges and lapses, in general, I’ve never been a terrible eater. I eat mostly healthy – just way too much with lots of snacking in between meals.
Observation: Since beginning Weight Watchers again on July 19th, I have not had many of those issues. Definitely my stomach issues have calmed down to a great extent.  I still have lots of snacks, but the snacks are mostly fruit. I still have to poop multiple times a day – but it’s 3-5 times a day instead of 9-10 – most of the time. 
Yesterday morning, the two youngest granddaughters (who had spent the night with us) wanted to take a walk to the end of our driveway and back. I was able to easily walk with them. The big hill coming back to the house was a challenge, but I handled it okay and didn’t have to stop to rest along the way. 
Food for thought.  And another reason to continue with Weight Watchers.