Hopefully.
Anywho, this week I had my first appointment with my
nutritionist and it was awesome. I was leery because I have heard so many bad
stories especially from people who follow certain non-typical diets like I do. More
concern (unsupported) stemmed from dealing with a military doc at a military
facility- I had no idea how they would handle my situation. I was preparing
myself to hear “you need to eat meat/dairy” in order to lose weight/fat. I was
also preparing myself to say screw that shit if that is what I was told.
But that is not at all what happened. My nutritionist was
awesome. She had read through my file in
advance and had a ton of information prepared for me in regards to my current
diet. Actually my primary care doc wrote vegetarian in my file (which is
technically correct since veganism is just a type of vegetarianism, but I
digress) so she was a little thrown but she recovered nicely and still came up
with a lot of great ideas for me.
First we started with just general Q&A; what I eat, what
type of activities do I do, what are my goals, etc.
Then we talked about each area in depth. Prior to my arrival
she had calculated my metabolic rate (which she had to go back and recalculate
once she knew my activity level) and so part of our discussion was about my
daily calorie intake, in total not net. For me to lose weight slowly she would
like me to consume 1600-1800 calories a day. Preferably, closer to 1800. Which
makes me happy- 1800 is a number I can live with, happily.
Once the calorie goal was set we worked on the actual
breakdown of how that will work for me as far as servings of fruits, veggies,
grains, proteins, etc. This was probably the most helpful part for me and I
should note here that we did not make any drastic changes to my diet- we are
just fine-tuning at this point, her words not mine.
She gave me this huge chart that denotes the number of
servings I should be eating for each food group based on my calorie intake. It also has this cool stop light type format
that breaks down every food group listing the foods in that group and categorizes
them as green, yellow, or red. Green of course meant go- foods to eat
frequently, yellow meant caution- foods to eat in moderation, and red meant stop (well kind of)- foods to eat
sparingly. It was kind of cool to see everything laid out and see all of the ‘red’
foods I eat daily. Yikes!
But it was also good because we had a really helpful
conversation about my vitamin, fat and protein intake. See, I don’t eat much
soy and I really try to limit my intake of processed foods- especially fake
meats. And based on how I currently eat I do currently intake enough protein- if we are just looking at the
numbers. But my doc wants me to move away from eating so many grain/bean/seed
based proteins (even the complete proteins like quinoa) and move more to soy
milk, tempeh (which I do happen to love), tofu, edamame (yes, I realize I just
listed 4 soy products) as my main protein source since they are all high in
protein, low in carbs. Not that I can’t still eat beans and grains and all the
other foods I love just she doesn’t want me to count them as my protein (“meat”)
source. They fall into their own categories. Another reason she wants me to
move to eating more soy foods and soy milk is because they are fortified and
although I am currently consuming enough vitamins she is concerned that because
I eat such a high fiber diet that my body isn’t able to absorb them quickly
enough so she wants to make sure I am getting in plenty of calcium and vitamin
D. She also recommended I try to increase my fat intake (which helps with the
absorption of vitamins) by incorporating more flax and walnuts into my
diet. I am on board with all of these
changes for sure!
She also told me to back off the cardio a bit. She loves
that I am doing yoga and boot camp- both strength training which are helping me
to build that lean muscle mass I lack- but that at this point the amount of
running and cycling I am doing isn’t doing anything for my body other than
providing me with endorphins and stress release (which are both still great
reasons to be active) and so she wants me to scale back the amount of cardio I
am doing to more like 30 minutes at a time just a few times a week and to try
to incorporate more interval work to change it up a bit. She is ok with me doing
more than that but she doesn’t want me to feel like I need to, if that makes
sense? She is trying to help me/my body
find its healthy activity balance.
She also had a custom (re: vegan) food guide that we went
over with ideas for meals/snacks and we did briefly talk goals, which I really
didn’t know what to tell her they were when she asked. I used to have this
magic number in my head (150) that was where I wanted my weight to be. Now, not
so much. Now I really don’t know where my weight should be. To me it is a place
where I feel comfortable in my skin, can realistically maintain, and still be
in good health. Nowadays I like to say 160 is that number because for almost a
year it was all three of those things. And now, somehow (I had a really great
month), that’s where I am weight wise- well technically 161.0 lbs this morning-
and am ready to try to continue losing (or at least implement all of the
changes she had suggested to help me continue) and see if getting, and staying,
below 160 is an actual possibility. Who knows if it is and honestly I don’t
care either way.
I am happy.
I am healthy.
And I am back to my ‘fighting weight’
Which means….
This morning I gave my primary care doctor the green light
to submit the request for a plastic surgeon consult for an abdominoplasty. On
my last visit I told him I wanted to wait until I was back to 160 before I
would have the surgery but to me 161 is close enough. I am pretty sure I can
lose one more pound between now and whenever I have the operation. I am excited
and nervous, anxious and scared. It’s a big deal. I put it off for 2 years
because I wanted to be ready both physically and mentally. The last thing I
wanted to happen was to come out of this surgery and start nitpicking apart the
rest of my body. This surgery is for medical reasons (well at least for the
most part – sure there is a part of me- my vain side- that is excited to lose
all this extra skin) and earlier this month I had a rough time dealing with a
patch of sores/chaffing on the excess skin on my lower stomach that made me
realize how bad it really is and how it is something that needs to be fixed. My
flabby arms and thighs and saggy breasts absolutely do not. And I am ok with
that. I am 100% ok with them looking how they do now for the rest of my life.
My stomach is a different story. There is a legit medical
issue (infections) which is why my insurance covers it and my doctors have been
pushing for it. There is a difference.
And I think my brain finally gets that .
And I think I am ready for this surgery.
So that is where I am at right now. I am to schedule a follow
up visit with the nutritionist in 4-6 weeks and I should be hearing about the
surgery consult in the next ten days. In a perfect world I will be able to
schedule my surgery for right before Christmas and use the two weeks the university gives us for holiday as part of my recovery time.
If not, I probably will have to wait until sometime next year (because of work
constraints) to have it. Either way would be fine by me but Christmas just
works better since it is during a work holiday- no one will miss me.
Oh, and in other news….the Fitbloggin’ 2014 location has
finally been announced and next year it’s heading to Savannah, GA. June 26-29.
Mark your calendars. I’ll be there. It’s drivable for me. No way in hell will I
miss this one! Portland was beyond amazing and I know Savannah will be too! This year
I would like to make a vacation out of it so if you are coming and plan on
extending too let me know. Or if you live anywhere in the Savannah area I could
easily be convinced to take a road trip to see you J
Happy Friday everyone!
So much exciting news! It sounds like you found a great nutritionist and primary care doc that are both on your side. I've never really thought about the excess skin that's left after weight loss until reading you and Mae talk about it on your blogs. I can see why removing the skin is way more than a vanity issue and I'm so glad you're taking the step to get it fixed up. You deserve it both for vanity reasons and because you didn't come this far just to have to deal with icky sores and wear compression gear for the rest of your life.
ReplyDeleteAs for Fitbloggn' I'm so freaking excited that it's driving distance. I'm really hoping to be able to make it. I need to start saving now. =)
Yay! I am really hoping you get to experience FB in 2014- it is life changing...and I am not exaggerating at all!
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