Showing posts with label food plan. Show all posts
Showing posts with label food plan. Show all posts

Monday, February 20, 2012

Is Exercise A Good Way To Lose Weight? My Surprising Answer: Maybe Not at First!


Ok this post is for all my readers that have been courageous and made major lifestyle changes in the last few months—whether its becoming a new vegan, newly sugar-free, newly gluten-free, etc.  Lets see a show of hands if your New Year’s Resolutions included BOTH a new food plan AND a new exercise regimen?

If you are anything like me in the past than I’m going to see a lot of hands. 

Next question, how many of you are struggling to meet BOTH the dietary and exercise goals?

What if I told you that in my experience its best to start by focusing on ONE thing at a time?  If you are struggling, pick food first!  Let me tell you why.

In the past, every time I started a combined new exercise and diet program I failed!  So for the first 3-4 months of my 12 step based overeating recovery program I did something different—I just focused on diet without adding gym sessions to the mix.  And it was very successful for me.  I think the key is to be smart, start small & celebrate the little victories.  I say this because in the past I started big & specialized in punishing myself for not meeting my athletic AND weight loss goals!  For my overweight patients, I usually counsel them to pick food first, lose a bit of weight and then start exercising.

The issue is really the time it takes to make a successful behavioral change.  I think it is extremely time consuming to make a dietary change—we spend a lot more time thinking about what to eat, what to cook and how to shop.  Adding exercise into the mix can actually make things even harder to execute the plan!  And also, if you are very overweight, it can actually be dangerous at first.  

I don’t watch TV often but I did catch a few episodes of the Biggest Loser a few years ago and was pretty appalled.  The contestant's accomplishments were so inspiring and I am ALL for people losing weight, BUT, I could not believe the intensity of the physical activity portion of the weight loss program.  It is truly a miracle that these folks didn’t get seriously injured!!  And trust me, I’m a rehab physician!  Seeing folks with injuries due to starting ill advised aggressive exercise programs is EXTREMELY common!

In the past I often used exercise in to try to keep my disease of compulsive overeating in check.  One my main techniques to manage my weight was alternating periods of weight gain with periods of vigorous exercise.  Over the years the weight gain periods got longer and the vigorous exercise got more dangerous—I seemed to get injured every time I tried to hit the gym!  My body just couldn’t take the abuse—the obesity itself interfered with my movement by itself, but it also punished my joints! 

The end results of the pressure of my ever increasing body weight on my knees were muscle strains, sprains and (my favorite—just kidding) shin splints!  {Side note--I often tell my patients an interesting fact:  Did you know that your knees carry FOUR times your body weight?!  So extra bonus—for each pound you lose, you lose four pounds on your knees!  All my arthritis folks take note :-)}    

Important pointThis is not to say that exercise is not important—in fact it is CRITICAL to preventing disease and living a long life.  Check out this fun & entertaining video that the Healthy Librarian posted!  Exercise produces endorphins and elevates mood.  But you know what really makes you depressed (at least it did me), not being able to maintain my newly healthy lifestyle, staying obese, staying sick, staying sad.  So I’m here to tell you that unless your doctor is telling you to immediately start exercising vigorously than wait.  Wait just a month or two until you feel SOLID in your new food plan.  Be gentle with yourself!

Now I'm not saying that you should give up physical activity completely!   You may not be working a freestanding exercise program—i.e. doing aerobic videos, lifting weights, power walking, running, etc, but you do need to make a concerted effort to be more active in everything you do.

A few things I did during my waiting period before starting an exercise program included:
  • Parking my car further away in the parking lot so I had to walk a longer way to school and work
  • Making myself take at least one flight of stairs when moving between floors.  I would walk up one flight and take the elevator for the rest.  By four months in I could walk 4 flights without being out of breath!
  • I put a pedometer on during my work day and tried to walk more each day compared to the previous day.  I didn’t set a big goal, I just looked at what my steps were the day before and then tried to walk more than that the next day
Other things that are really easy to do to make your life a bit less sedentary include:
  • Doing tummy exercises while watching TV or sitting at your desk.  Every commercial break puff out your stomach to make it bigger and rounder and then pull your belly button into your spine as far as you can go.  Hold that for a few seconds and then release.  Work up to doing five per commercial break while watching TV or five per hour when you are at work or driving in the car (while at a stoplight of course!)  If you have cardiac or blood pressure issues, check with your doctor first before doing this because it increases pressure in your abdomen which could effect your heart if you health is fragile.
  • Put your remote control on top of the TV.  Every time you want to change the channel then walk up to the TV to get the remote.  This forces you to get out of your seat to avoid the commercials.
  • If you have dogs try walking them a bit faster than before.  Or a bit longer.  Just don’t go crazy.
When you have gotten a handle on the food, your body will be much better able to exercise if you have prepared it by creating a more active lifestyle in general!  Becoming more active during your regular day is easier than learning to set a new routine with gym time, video time, running time, etc.  It’s a good starting point.

Next time I’ll share about my experiences with exercise now that I’m coming back from my neck injury and starting a new fitness program (a struggle for me!).  

For now, I’d love to hear YOUR thoughts on this?!!  Maybe you all have experiences different from mine!   I’d love to hear your success stories and tips if you were able to combine both food and exercise together from the start!  I’d also love to hear if you are struggling. 

Oh!  And if  YOU have some tips to share on how to be more active in your daily life I’d love to hear them too (and so will the other readers!)!  

Thanks for listening.  We are all in this together.  Go team! :-)
The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.  Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. The Happy Rehab Doc expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.  By visiting this site you agree to the foregoing terms and conditions. 

Wednesday, February 8, 2012

How I Stay Healthy During Vacation!!! :-)

Well I wasn't planning on posting from vacation but I really love to write so I'm sending you all one from sunny Florida!!


I got inspired walking on the beach yesterday thinking about how vacation is different since I've been able to receive the gift of recovery from my 12 step compulsive eating recovery program. 


Basically, I'm a long-time food tourist.  Ask me about Greece & I'll tell you about baklava and moussaka.  Ask me about France, I'll tell you about pastry and Brie. Ask me about Texas & I'll talk about eating BBQ & potato salad.   And so on and so forth.


For years, every time I traveled I thought about the food before, during and after the activity.  I wish I could say that being in program and losing so much weight and gaining so much sanity has erased this dangerous habit--but that wouldn't be honest.  Its SO much better than it used to be but it is still an ongoing problem.  


That said, the exciting news is that I realized on this vacation that I'm actually really starting to become better at letting the food go!  Maybe its because I've enjoyed the pleasure of getting in a bathing suit and not feeling enormously uncomfortable.  The best thing is that there aren't any bulges escaping from the "slimming" panels of my swim suit.  In fact, I don't even wear those "slimming" suits anymore!  Yay plant-strong living!!!  I'm not quite ready for bikini action but I'm comfortable in my plain, no frills tank suit.  And that is a MIRACLE.  It makes me very conscious of the gifts that program has brought me.  And inspires me to change the way I operate with food on vacation.


I thought it might be helpful to share some of the techniques and tools I use to stay sane during vacation & lose/maintain weight during the trip.  So here they are!


1) I pack my own plant-strong snacks for the airplane and car rides: 


This is absolutely critical.  No matter what, take the time to get those ziploc bags out and fill them with fruit, homemade trailmix (for me its raw oats, some raisins & a few nuts), oil-free kale chips, crunchy raw veggies etc. See my snacks post or my kale post for more details.  At some point along the way you WILL want something around you that is not good for your body.  For me, I always look at those airplane snack packs with longing.  Yes I know those mini snack packs are not exactly the yummiest food when you actually eat them, but because I can't have them, my disease likes to throw a small tantrum in my airplane seat!  Thus the homemade snack bags.


2) I check to make sure every hotel I stay at has a fridge so I can bring my own food:  


Once again, very important if you are staying anywhere for an extended period of time.  Pack some Nalgene bottles or other empty water bottles in your luggage so you can fill them up with water at the hotel (of course ignore this tip if you are in a foreign country with questionable water sources--splurge and buy the commercial bottled stuff). Its nice to have something to drink to tote along with you--whether its to the beach or to the slopes (I'd put the water in a mini-pack if you're on skiis!) or hiking or driving etc.  Buy some of your favorite breakfast & snack foods at the grocery store--especially cereals and plant-based milks.  If worst comes to worst, you can have cereal for a meal if necessary!  Fruit is also an extra bonus to have on hand!


3) I grocery shop:  


One of the first things that the Happy Nurse and I did when we got down here is shop for some fresh fruits and vegetables to stock our hotel fridge.  I also got a few things I can fix for lunch or snack.  This makes a huge difference financially AND unless you can find gems of restaurants then eating at the hotel is always better than eating out nutritionally speaking.  


4)  I spend time pre-selecting what I'm going to eat at restaurants & when I'm traveling with others, I stay flexible:  


When someone suggests a restaurant on vacation I like to immediately go to the restaurant menu and check to make sure I can eat there.  I even call the restaurant ahead of time to make sure they have some decent options for me.  Depending on the restaurant I either say that I'm a vegan with a gluten allergy OR I say that I'm allergic to eggs, dairy, soy, gluten & I don't eat meat.  I can tell pretty quick if it isn't going to work.


Vacation is a great time to demonstrate to those omnivores you love who travel with you that vegan food can be delicious!!  This trip we've had a chance to take my brother and sister-in-law to two delicious vegan restaurants and they have actually LOVED some of the food at each!


When I'm out to eat on a special occasion at a restaurant location that is non-negotiable & there are very few or no vegan options, I'll be honest--I'll choose a piece of fish & go for rice & veggies if I don't think the rice & veggies alone will sustain me.  I still think that being 100% vegan is the way to go and I'm vegan 99.9% of the time, but occasionally I like to reduce the number of ripples I make in social situations & maintaining my abstinence is more important than anything else.  If I've consulted with the manager, the restaurant location is non-negotiable and I really don't have options (hello, remember soy-free and gluten-free and sugar-free too), then I opt for seafood. It is pretty rare that I find myself in that position but I did have to do it once this week.  There really wasn't anything I could eat on the menu & we were in a huge group.  I decided to just relax & go with the flow because sugar was a bigger temptation at the time and I needed something filling in my stomach to not eat dessert.  


Guess what?  That is ok. At least it is for me.  I do the best I can, and that is good enough.  I am 100% an imperfect vegan.  Just like I'm 100% an imperfect person.


5)  I try to be more active and exercise more often than I ever do at home:  


am usually exhausted by the time I make it to vacation.  But I find that if I force myself to get up every morning (even if I sleep in) and go for at least one solid walk outside (no matter what the weather) than I really feel so much more energized.  I've been walking on the beach for very prolonged periods of time this vacation and am finding it absolutely heavenly.  I've added in a little upper body routine where I mimic the motions I would do while weight lifting except I'm walking without weight.  I realize that many of my fellow beach walkers may look at me a bit funny doing chest presses in front of me as I walk but I love the result.  My body feels strong and healthy by the time I'm done.  Just feeling the sand beneath my toes is therapeutic by itself!  Water relaxes me and I try to vacation near water as much as possible.   


On top of the walking routine, I try to specifically look to get involved with high energy activities as much as possible.  For example, this time I made a sand castle with my nephews (elementary school age) and then played in the water with them for over an hour.  And let me tell you, that sand castle was no smoothing and piling sand operation--we were digging!  We dug a huge hole in the sand all the way to water.  My hamstrings and triceps were screaming the next day after leaning over and scooping sand for well over an hour but it was so worth it.  I felt alive and so grateful because four years ago it would have been impossible to do it!  


Wherever or however you vacation, you can always find something more active to do than what you are doing.  Don't hurt yourself, but do look to push yourself with fun activities!  Play with active kids and you won't even notice that you are doing a major workout until its over!  Trust me!!:-)


6)  I go to at least one of my 12 step compulsive eating meetings:  


The Happy Nurse and I checked the program's meeting list in our vacation location before we came down & we really enjoyed going to a meeting down here.  Its always fantastic for me to reconnect with program people who understand the struggles of being on vacation and wanting to "splurge" and reward myself for working hard!  Going to meetings helps me remember that my disease is always present even if I like to pretend it isn't.  And I remind myself that vacation is a great time to get to meetings--I don't have work or other demands to keep me from them!!


7)  I use my downtime to catch up on step work and readings:  


I haven't been doing as much of this on vacation this time because its been really socially active with my husband's family, but we do have some quiet time the next few days which will give me time for reflection.  I like to find a quiet spot--I remember fondly doing my Step 7 work on a deck on the back of the cruise ship where very few people came.  I was able to write and write and feel nature and just relax to let things flow.  It was incredible and I highly recommend scheduling in some "down-time" to recharge and reflect.
  
8)  I unplug:  


I really try to stay off my phone, my email, facebook and now, the blog.  I often turn my electronic devices off completely for the entire week (scary in this day and age eh!!:-))--I did do that on our vacation in October and it was wonderful.  Oh! And as much as possible, I resist the temptation to turn the TV on in our hotel room.  I find that once it is on, I get stuck in the room instead of out and about experiencing my vacation location.  I like to take time to relax in the room yes, but its a totally different relaxation experience without the TV chattering in the background!!


A few specific tips for food-challenging vacations:
  • Cruises--First, the basic thing: no snacking between meals, skip dessert & take advantage of the awesome exercise equipment on the ship.  Second:  talk to the maitre d and your waiter/waitress about your food restrictions.  Call them "allergies."  The chef can usually accommodate you without any fuss at all!  We love cruises--particularly on Celebrity (they are awesome last minute vacations--fantastic price reductions when booked within a month before & you feel so pampered!).  With their all-you-can-eat philosophy, they tend to be a real challenge for compulsive overeaters but I've managed to stay abstinent throughout two of them so far.   
    • Our first night on the ship on our honeymoon I let my waiter know about my dietary restrictions and from then on, he pointed out all the meals I could safely have on the menu each night.  
    • On another cruise the waiter called the maitre d over and each night before we left he brought the menu for the next night to the table and asked me what modifications I needed on the already planned dishes!  It was wonderful--and there was no extra fee or negative reactions to my requests.  
    • Just ask what you need--if you ask politely and nicely, they tend to bend over backwards to accommodate you! 
  • Bed & Breakfasts--this is one of the trickiest by far.  If you are staying at a place really remote than you need to call ahead and let them know about your restrictions.  If they can't accommodate you--don't go.  Really.  It will be incredibly frustrating every morning to come down from your room to a delicious looking meal that you can't eat.  Frankly, it can ruin a vacation for a food addict like me.  So choose a place that will work with you.
Ok!  I hope that is helpful!!  

Like so many of us, I wish I could stay on vacation forever but at some point I'm heading home.  And I can say confidently that I haven't gained a bit of weight during this vacation despite all the eating out!  Using the above tips have made that completely possible and I feel so good!

What techniques do YOU use on vacation to stay healthy?!

The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.  Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. The Happy Rehab Doc expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.  By visiting this site you agree to the foregoing terms and conditions.

Tuesday, January 31, 2012

So My Clothes Feel Tighter & I Know I Am Starting To Gain Weight?! What do I do?!

Perfection is impossible.  I've read that many times but somedays I just need to hear it again and again to remind me that I'm human!  I've shared with you all how I've felt when I'm soaring.  Now I'd like to share how I feel when I'm struggling!  Hopefully it will be helpful and most importantly, I want to make sure that I don't give you the impression that maintaining and continuing my weight loss is easy for me!  It isn't!  So if you struggle--let me tell you, you are not alone!!


As I have said many times in the past I don't weigh myself very often--the scale is an instrument of my disease of compulsive overeating, so I judge my health by how I feel and how my clothes fit.  Over the last two weeks I've been feeling my waistband on my pants getting a bit tighter.  I ignored it at first, but then as time passed and I wasn't feeling more comfortable, I knew I was gaining weight.  In the past this would have been cause for mass panic and an indication that once again I had FAILED another diet!  The result would be a massive week of restriction and then as result, BINGE craziness for the next month at least.  But not any more.  


I have found that beating myself up is a waste of time.  My compulsive eating recovery program's 12&12 book reminds us that we MAKE mistakes but we are NOT A MISTAKE.  This was very hard for me to understand at first.  I think that my disease wanted me to feel like I was a bad person who deserved to be fat.  I hate that word but that is what I was:  fat, obese, angry, hating myself inside.  I could blame my weight gain on medication or depression or painful things in my past, but program has taught me to focus on MY side of the street.  I have to own my own behavior in order to be willing to give it up and change it!!  So, I take responsibility for 100% of every single pound of excess weight on my body.  I ate myself there, no matter what the cause,  I know that most have you have read my "Dear 268lb Me" post and it contains the rawness of my existence back then--and the emotional pain it caused me.  But to expand on the reflections in that post, I realize that I've spent a lot of time in my life looking harshly at what I'm doing wrong and ignoring what I'm doing right.  


I operate differently now because I have learned from my 12 step eating recovery program friends that "shaming" myself is not healthy or motivating--it is just self-sabatoge.  So instead, with my HP's help, I choose to remain sane and not just react impulsively because I'm scared of becoming heavy again.  

  • I calmly review what I've been eating and note any changes in my eating habits/patterns.
  • I look at what foods have made me feel ill  
  • I look at how much I'm eating & how that has made me feel
  • I look at whats been going on in my life outside of the food--emotionally, spiritually, etc.  
  • I look at whether I've been using the tools & the techniques I have been taught in my compulsive eating recovery program, in particular reviewing whether I've been writing down my "food plan" for the next day ahead of time
  • In other words, in the language of the business world:  I troubleshoot :-)

But I also look at what is working for me.  

  • What am I doing right that I should continue?  
  • What were my best food habits in the past?  
  • What activities and behaviors brought me the most serenity?  
  • Am I spiritually and emotionally centered--because I know from experience that a lack of balance in me gives my disease power through emotional chaos.  

So, looking back at the last two weeks, I started making lists of my reflections to help me find clarity and a path forward. 



What isn't working for me:

1) I'm eating take-out more & it has a MUCH higher fat and oil content than what I prepare at home!
2) I'm cooking with more oils/nuts & have gotten a bit unmotivated about cooking in general.  As you may have noticed, my eating plans each week are becoming too ambitious and I get overwhelmed cooking too many new dishes.  In addition, I've lost some motivation because my husband & I are working different food plans at the moment and its harder to be enthusiastic about cooking for one!
3) I haven't lost my abstinence, but I'm eating a much larger quantity of food--particularly starches and eating A LOT less veggies because I haven't been making time to buy enough produce & frozen veggies. 
4) I'm not going to as many 12 step compulsive eating recovery meetings as I could
5)  I'm not meditating & praying as often
6)  Its becoming easier for me to ignore my "full-meter" when eating and I've noticed that I've started snacking during meal preparation!
7) I'm not planning my meals the night before
8)  I'm using food as a "drug" to relax me because I've been very anxious about my exam last week



What IS working for me:

1) I've started exercising more
2) I've been doing my compulsive eating recovery program's readings daily and writing more compulsive eating recovery reflections
3) I've been keeping my house cleaner which makes it less chaotic (despite his work commitments, my husband usually is the primary household manager but I need to contribute to!). 
4) I've been spending more quality time with my husband which makes me feel good :-)
5) I've been sleeping better and trying to implement my therapist's recommendations for establishing good sleep hygiene because I ALWAYS feel SO much better with 8-10 hours of sleep.  I've been hitting that goal at least a few time each week for the last two weeks so that is such an improvement.
6) I've been giving service to my sponsees 
7) I've been more organized with my schedule & "To Do" lists


SOLUTION (determined after prayer & reflection): 
(and note that I am attempting to be gentle with myself--in the past the solution would be: "you MUST do this EVERY day."  That just sets me up for failure!  So instead, I try to make it a gentler path than that!)

1) Limit take-out to no more than once per week
2) More 12 step compulsive eating recovery meetings & continue my service to sponsees 
3) Continue exercising more--not every day, but more days than not each week
4) Continue my 12 step compulsive eating recovery readings & writings but add back prayer & meditation for just a few minutes a few days each week.
5)  SIMPLIFY--take a step back from all the cooking and start eating my way through the freezer. 
6) No snacking while cooking or prepping.
7)  Buy more produce and eat 2-3 cups of veggies per meal
8)  Continue my commitment to sleep appropriate amounts
9)  Each night, take a few minutes to plan what I'm going to eat the next day
10) Continue my commitment to helping my husband keep a tidy house
11) Schedule fun time with my husband
12) No seconds--revive the "one plate method" I talked about in my past post


And finally, I discuss all of this with my sponsor!  I've started implementing the solutions today so I'll let you know how this works!  It should--it has in the past!  If it feels like too many things to change or if it isn't working well, I will go back to the drawing board, pray and consult my sponsor!  Eventually, I will find the right combination!


The real key for me is more 12 step compulsive eating recovery meetings--the more I go, the calmer I feel & the more I seem to be able to accomplish!!  In my disease, I need the social support that group offers.


So that is the simple approach I use to re-center and continue on my journey to healthier living without shame, blame or self-sabatoge. I'm very grateful for having learned this method from others! 


I know it seems like a lot of work for me to stay abstinent, stay slim and stay strong but when I compare my worst day today with my best day pre-recovery, this new life wins EVERY TIME.  The work is SO worth it! (and trust me, I put a lot of work into getting heavy too--its nice to put work in the other direction!) 


Thank you for allowing me to be honest and share my struggles as well as my successes--this is such a wonderful, warm community of readers and I feel so grateful to have all of you in my life!


Are any of YOU struggling?  


What works for YOU when you start to struggle with your weight?  Any pearls of wisdom to share with other readers?  The service of you sharing your story will really help others so I appreciate any comments to guide other readers!!


The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.  Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. The Happy Rehab Doc expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.  By visiting this site you agree to the foregoing terms and conditions.

Saturday, December 31, 2011

Dear 268 Pound Me: A Letter of Weight Loss Advice for the New Year

Happy New Year my readers!  When reflecting on what to write for my 2012 New Year's resolution post I started to wonder what advice I would have given myself four years ago when I weighed over 268lbs (last known weigh-in, likely more).  So I wrote myself a letter.  This was very helpful to me so I wanted to share it with all of you!  As usual, with any advice I give (even to myself! :-))--take what you like and leave the rest.


Dear Me in 2007


2007 Me
I know your body is hurting right now and you can't make it up a flight of stairs without becoming short of breath. I know you eat chips & dip while hiding in your closet and sweets when you think no one is looking.  I know that the take-out wait staff in all the local restaurants know your name and what meal you want to order. And I know you go home alone to eat enough food for five people while sitting in front of the TV.   I know you try to hide your secrets from your friends and family because you don't think anyone will like you if you are honest about who you are and what "bad" things you do.  I know that you dream about going to sleep in this body and then waking up thin like an overnight miracle from God.  


But more than anything, I know that you hate yourself for weighing 268+ lbs.  I know you are sitting in your house today, New Years Eve, plotting your strategy to lose weight in the New Year.  As a side note, I also know that you went to your favorite restaurant today and got all your best binge foods to have a "last supper" of sorts before the clock strikes midnight and your new diet begins!


I want to tell you that someday you will be able to laugh with friends who share your disease about the crazy things you did for and with food.  Someday you will even have a body that doesn't hurt every time you stand up and a large size set of women's surgical scrubs instead of a XXX size from the men's section of the locker room.  Someday you will be able to be comfortable enough with your slender body to fall in love and marry a wonderful man.  Someday you will be proud to be a doctor who is living the advice you give your patients. Someday you will actually like who you are--inside & out.  


But that someday is not today.  Today I'm going to challenge you to forget your usual resolutions with weight loss deadlines & detailed plans of how to get there.  All I'm going to ask you to do is to do five things.  


1)  Throw away your scale and the negative self-talk that goes with it.  


Every year you start to lose weight and then one day you get on the scale and discover that you've gained a pound instead of lost one.  You shake this off but berate yourself for being "bad" that week and vow to be "good" from here on.  And then things get stressful at work, you don't have time to cook and you skip the daily intensive workouts.  Then next month you get on the scale and discover that half of the weight you lost in January is back, or worse, you are actually heavier than you were when the year started!  So you give up and go get a "treat" to feel better.  You look in the mirror and are disgusted with your laziness and your inability to have enough will power to change.  


Lets do something different this year.  The definition of insanity is doing the same thing over and over again and expecting a different result.  So why don't you be a bit gentler with yourself and eliminate the opportunity for self-critique based on numbers on a scale.  


Guess what, you don't need a scale to tell you if you are gaining or losing weight.   You can feel what your body is doing--are your clothes getting tighter or looser?  Are you eating nutrient dense foods or junk?  Do you feel more energetic or extremely tired?  Let these questions be your scale. Weigh yourself every 3-6 months if you have to and tell your friends about your progress in clothing sizes.  Someday you will be able to say you went from a 26 to a 14.   


2) Write down your food plan each night & cook ahead on the weekends.  


You know this works.  So do it.  It doesn't have to be elaborate.  Keep it simple.  Buy a slow cooker.


3) Start eating more and more vegetables & grains until 100% of your diet is plants


You know that dying young is not your greatest fear.  Your greatest fear is becoming disabled and having your family have to care for you.  You know that most people who eat poorly or are obese don't die suddenly--they waste away, losing their independence slowly and painfully from strokes, congestive heart failure, pulmonary edema, GI bleeds, some cancers, depression and severe osteoarthritis.  Don't take chances and put food-based pleasure above preserving your independent lifestyle.  I know you don't like to change but you'll find that you actually really like vegan food when its done right.  And you will learn to do it right.  In fact, you won't even miss meat except at special occasions when its right in front of you.  But when that happens, you will look at your family over the dinner table, picture them having to take care of you as you age and that meat won't seem so important any more.  You will know that you made the right choice.


4) Give up sodas of all kinds, including diet soda


I know you love your diet sodas--especially your Fresca and your Diet Coke.  You gave up regular sodas and other non-water beverages years ago to lose weight and haven't picked it up since then but you think that diet soda is ok!  You may not have read this scientific literature but actually your soda is actively leeching calcium from your bones & changing the biochemical balance in your body to make you gain weight instead of losing it! So give them ALL up.


5)  Most importantly, find a free support group like a 12 step compulsive eating recovery program or form one of your own if the program is not for you 


I know you think you have this all figured out.  And I know you think that weight loss is just about the food & exercise.  Its not.  Its about a lot more than that.  You will discover that it has to do with your emotions and your spiritual center as well.  And to feel comfortable being honest about your overeating behavior, you need some supportive friends who share your struggles.  You need to hear encouragement from living, breathing success stories sitting in front of you.  You need to hear how someone hasn't eaten sugar in 20 years or that that cute guy over there lost 175lbs and you can't even recognize him from before even though you knew him.  You need to know the hard stuff too, that someone else hid in their closet to eat, snuck food from the refrigerator at night or ate until they felt sick but couldn't seem to stop.  


You also need to know that some people's disease is mild compared to yours--they just were tired of failing diets or couldn't manage to eat the food portions they wanted.  You need to know that some people's disease is worse than yours--they eat out of the trash, have been hospitalized multiple times or can't make themselves eat enough to stay a healthy weight.   You need to know that no matter what problems people have with their food, they are all accepted and acceptable.  You need to see others having the courage to be honest and to ask you to be too.


You are not alone.  There is hope for you yet Cat if you are willing to recover.  


You can believe me.  I'm you, nearly 100lbs lighter, in four years.


Love, 
Me




    The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.  Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. The Happy Rehab Doc expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.  By visiting this site you agree to the foregoing terms and conditions.

    Friday, December 16, 2011

    Practical Stuff: Kitchen Appliances That I LOVE!! (Gift Ideas?!)

    Ok!  so as promised here are the kitchen appliances that I just can't live without now that I've started down this Esselstyn/ Vegan Road! 

    Three Kitchen Appliances I Love:
    I've never cooked so much in my life so these little machines really make a HUGE difference time-wise for me AND my husband (The Happy Nurse).  The Happy Nurse is actually the one who advocated for us getting the rice cooker AND the 3-in-1 Slow Cooker awesomeness!  Of COURSE the appliances he recommended turn out to be the most helpful items of all! And he says he isn't a good cook--HA!  Sure he isn't....Mr. Expert on Kitchen Equiment!:-)

    First we have the "Aroma" Rice Cooker.  It was $35 on Amazon and pretty much the best tool for us in the kitchen until the 3-in-1 Slow Cooker came along and nudged it out of the top spot!  The reason why this rice cooker is amazing is because basically it enables us to cook without being in the kitchen.  You fill it up with a grain and water.  Then you push the butten: "Cook" and leave it alone!  The cooker determines the cook time & off it goes--then it "dings" when its done! I love this thing AND love that it was cheap!  It cooks quinoa and all sorts of grains (including rice of course) perfectly!   I have to admit that I was a rice burner prior to using this (mostly because I would get distracted and forget to pull the pot off the stove at a certain point!) No longer!

    Next we have the 3-in-1 Slow Cooker!  This was an incredible find of my husbands at Walmart one day.  Only $36 and is AMAZING!  We can cook three different soups/stews AT THE SAME TIME! (in this picture we have Barley Soup, 12 Bean Soup and Aztec Corn Soup!) You can set each pot to low/high/off.  This is our favorite kitchen appliance.  Love love love! 

    My Cuisinart Food Processor! I have one because my Mom has had one since before I was born (she used it to make us homemade baby food!) and I have this particular model because my wonderful stepsister (a total foodie & kitchen expert & blogger for that matter) helped me figure out what to buy!  I love this thing--nothing like a food processor to make things easier!  Its the most expensive of my kitchen tools (it was painful to shell out the $135 it cost even though it was on sale at Amazon) but it really has been worth the investment.  I have the Cuisinart DLC-2009CHB Prep 9-Cup Food Processor in Brushed Stainless. It was top-rated in Consumer Reports & I can see why!  

    Coming Up:
    • BOOK REVIEW:  "29 Gifts!"
    • Best of the Blogsphere for THIS week!
    • What the Happy Nurse & I are Making for Christmas Dinner (x 2 houses!)
    NEXT WEEK from December 19-December 25th: 
    • ITS THE HOLIDAY HAPPINESS MARATHON!!!  Doctors, Nurses & Patients Share Special Medical Moments That Will Warm Your Heart During the Holiday Chaos!
    Coming Up After the Holidays:
    • SuperImmunity for Kids ~Part 2~!
    • Medical System TuesdayTip #10 For The Best Hospital Care:  Try Not to Be Alone! ~ Insider Tips on How to Get the BEST Medical Care in the Hospital ~
    • Treating Pain with Food--more thoughts
    The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.  Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. The Happy Rehab Doc expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.  By visiting this site you agree to the foregoing terms and conditions.

    Thursday, December 15, 2011

    Holiday Survival Tips: How I Stay Healthy, Maintain My Weight Loss & Still Have Fun in Cookie Season!!

    My Irish Wolfhound-Great Dane Mix waiting for Santa
    & trying to make himself as small as possible!!
    Ok so this time of year is always a challenge!  For goodness sake, I work in healthcare--the land of drug rep holiday gift baskets & nurse's homemade treats!  Anyone who has ever worked in health care can attest to the volume of unhealthy food available to you during the whole month of December!  I think that this is pretty much the same for ALL of you out there--whether you work in healthcare or not!  And then there are the parties!  And family dinners!  Ack--no wonder everyone starts January with all those weight loss resolutions!


    So I'm not perfect (by any small stretch of the imagination) but since the holiday season was my favorite binge-worthy, full-of-excuses extravaganza--I use a few tried and true techniques I use to stay on track despite the UNBELIEVABLE temptations everywhere!! (I literally just had leave the room averting my eyes from the table here at work to avoid some of my favorite sweets displayed in the nursing workroom)


    Here are a few Tips to Survive the Holidays based on what I do!  Scroll down to the end for details after this list!  As always, take what you like & leave the rest.


    1) Use the "One Plate Method" of eating at all events involving food
    2) Call ahead to events so you can plan your food strategy & if appropriate, offer to bring a dish
    3) Talk about "allergies"
    4) Make sure to have a lot of yummy meals on hand at home (your FAVORITES) throughout this season so you never feel deprived.
    5)  Eat at home before food events and eat the foods from Tip #4!
    6) Become willing to believe that there is NO SUCH THING as "one bite" or "just a little taste" or "just this one time" or "I don't want to offend anyone by not eating this lovely meal."
    7)  Use your resources
    8)  Remember the point of a party
    9)  Leave
    10) If you slip once, get right back up and march on as if it didn't happen!
    11) Make new traditions that don't involve food
    12) Be realistic


    Ok!  Here are a few explanations of the above suggestions:


    1) The One Plate Method
    • At all parties with appetizers, don't just eat off the trays.  Ask your host for a small salad plate or saucer & fill it up ONCE with samples of the appetizers (this is a MAJOR issue for me).  Eat slowly and try to talk a lot so there is still food on your plate until the cocktail hour ends.  If you end before, you give the plate back and ignore the food completely.  See Tips 7, 8 & 9 below.
    • At dinner, get ONE dinner plate & that is your plate for the evening.  You can fill it with whatever you want but no piling on.  Once it is filled, you are done.  No seconds. No bread at the table (unless you leave a space on your plate for it). 
    • At dessert, if you don't eat sugar than have a cup of coffee or tea and sip.  Leave the table as soon as possible.  Sometimes I go to the restroom to avoid the majority of the dessert time because pies are a major weakness for me (I had to do this myself at Thanksgiving this year).  Or if its close family or friends, I help clear the dinner plates & stay in the kitchen to give them the gift of washing the dishes for half the dessert time so the host can come back to a clean kitchen.  When everyone is done eating or nearly done, I slip back in and can still have social time.  If anyone asks me what I'm doing or if I'm ok, I rarely mention that I'm avoiding dessert b/c that starts a huge conversation on it.  I usually smile and say, "Oh I'm just trying to help out a bit" or "Oh I'm fine, how are you? (and then turn the conversation to them).
    • Try to keep an eye on your alcohol consumption--it really makes it easier to eat foods you cannot eat reasonably.  Practice Tip #7 for this challenge.
    2) Call ahead & if appropriate, offer to bring a dish
    • If its a big sit-down thing--like a dinner party where it would be really obvious that I'm not eating what others are eating, I call the host/hostess/organizer ahead of time.  I say:  "I just wanted to call you because I wanted to let you know ahead of time that I have a lot of allergies & food intolerances so I may not eat everything you serve. I want to make sure that you know so I don't offend you!  I'm so sorry!"  I'm really looking forward to the event!"  This works very well to reduce any discomfort at the event and it helps me plan.  Usually, either the host lets me know what they are serving (and I can plan accordingly and eat in advance if necessary) or they accept my offer to let me bring something to contribute to the meal.
    • When I'm going to a more formal event, I call ahead and ask the event planner (caterer, etc) what they are planning on serving.  I say:  "I have a lot of allergies and I just want to make sure whether I need to eat in advance or it will be ok to eat what you are serving!"  I try to be very polite and appreciative of the information.  
    • When I'm going to a work party I usually offer to bring food I know I can eat, if they say no, I eat before
    • When going to friend's of family they usually know my "allergies" or food restrictions so I can plan with them what to eat in advance.  I suggest to my sponsees that they call ahead and honestly ask one person (preferably the host) to help them.  For example, you could ask your Aunt to not leave you alone with the cookie tray or have someone else serve the foods that you have a hard time with.  Simple things like that make a difference.  My family still does the big traditional meals and I happily attend.  It isn't my job to tell others how to eat, its my job to maintain my own recovery.  So I just make sure I've brought food that I know I can eat & focus on that. 
    • If you ARE the host, be smart.  DON'T plan to serve dishes that are big problems for you.  Get creative & skip the traditional options.  If you have to serve dishes that are traditional & you aren't able/willing to change the menu than ask for help.  (For example, if you ARE the host & have an issue with sugar, ask someone else to serve dessert & pack it up immediately after dessert &  give it to your guests to take home with them.) 
    • The KEY to ALL Food Planning at the Holidays is SUBSTITUTION!  Try to find foods you are comfortable with to substitute for other foods.  For example, I may do the mashed potatoes (if vegan) instead of the sweet potato casserole (covered in marshmellows).  Or at dessert, I may bring a tasty, sugar-free treat (see blog list below for recipes) to have while everyone else eats the high-fat non-vegan stuff (note: always bring enough of that treat to share!) 
    3) Talk about "allergies"
    • If there is a food that makes you feel sick afterwards (i.e. you can't eat one chocolate so you eat the whole pound of fudge and then you feel uncomfortably full afterwards), guess what, I'd say you are allergic to it! Food cravings often are medically attached to allergy.
    • So feel free to say things like "I'm allergic to..." & "I have a sensitivity to ...." so I don't eat it. 
    • Its much harder for people to pressure you into eating if you use this term.  And it IS honest--you ARE allergic!  My allergies to food range from an actual dairy allergy (rash & headache) to "gluten-intolerance" which I explain flares my neck pain.
    4) Make sure to have a lot of yummy meals on hand at home (your FAVORITES) throughout this season so you never feel deprived.

    • Make a list of your favorite healthy foods & make sure they are in your house fully stocked.
    • Do not do what I used to do and rely on parties to fuel my appetite (justification: free food!) OR be so busy getting all the gifts etc that I don't stop to eat at home.
    • Plan your food for the week as usual and make grocery shopping and cooking happen ahead of time.  This is a good time to cook in bulk and freeze for reheating after a chaotic day.
    • MAKE YOUR HEALTH THE PRIORITY--What are you going to do if gifts don't get wrapped properly or you've been running all over and still can't find the right toy of your kids' dream?  Guess what--I've discovered that no one really cares or remembers--if you pop your gift in a gift bag it is ok (not perfect of course--once again perfection=impossible) & your kid will forget that toy until January when they will be ecstatic when you surprise them with a late gift.  Trust me.  What you WILL care about & remember is feeling awful on December 26th.  And you will always remember starting the slow climb of self-punishment with a week of negative self-talk before Jan 1st starts your new resolution. So STOP and put your health first before errands or people-pleasing. (This has been an ongoing challenge for me which is why I share it!)
    5)  Eat at home before food events and eat the foods from Tip #4!
    • This is where calling ahead REALLY is helpful! 
    • If there is the potential for you to be unable to eat 50% of the meal--eat a FULL meal of your FAVORITE food before you leave.  Not some dinky bowel of cereal--trust me, if you eat something you aren't enthusiastic about before you leave, you WILL want desperately to eat toxic things at the event.
    • If you anticipate that you will be able to eat more than 50% of what you are served eat a snack & pack a small ziploc of emergency snacks and put it in your coat pocket or purse to access if needed.
    • Pick things to eat with lots of fiber so you actually ARE full!
    6) Become willing to believe that there is NO SUCH THING as "one bite" or "just a little taste" or "just this one time" or "I don't want to offend anyone by not eating this lovely meal."
    • Just don't do it.  Those phrases are lies we tell ourselves that allow our disease to take over and make us sick.  Don't take that first bite or taste.  I use my Higher Power & my OA friends to get me through (see Tip #7).  Choose what YOU need and use it.
    • If you feel like you are about to cave in to that temptation voice, then practice Tip #9 below.
    7)  Use your resources
    • Get a buddy.  Call them before and after the party and txt or call them halfway through if its a HIGH temptation situation.  This may seem extreme but you'll feel so much better knowing someone is there to support you if you can't get the support from the other party members.
    • If you get a specific enough menu, write down what you are going to eat and only eat that at the party.  Commit it to someone else.  It helps.
    8)  Remember the point of a party
    • If its a purely social event that you look forward to--focus on your friends instead of the food.  Be a good listener & ask them questions.  Give them your FULL attention (this may be the first time you've done this!).  Not only will you avoid the distraction of food but you will give them the gift of your genuine interest in who and how THEY are. 
    • If you notice someone new at a party, be kind.  Go up to them and introduce them to others.  What does this have to do with food?  All service to others gets us out of our heads and away from our disease of overeating.
    • If its a work party--its really about networking, not about eating.  Once again, focus your attention on others. Everyone likes to talk about themself.  You'll be surprised at how much a relationship can change by practicing this--people love undivided attention.  And you can really be of kind service.
    • If its a party you DREAD (an obligatory event) or find uncomfortable, once again focus on others BUT before the party write down a gratitude list for the event and keep it scrolling in your brain so you don't pout internally and seek food for comfort. For example: "I'm grateful for not having to sit next to John because he yells in my ear when he talks.  I'm grateful that this event is only once a year...etc"
    9)  Leave
    • If you feel unsteady, emotional or are seriously craving food you see, do not hesitate to:
      • Leave the room
      • Leave the house/building
      • Leave the event (if it is absolutely killing you not to eat it).  Explain later.
    10) If you slip once, get right back up and march on as if it didn't happen!
    • I've been taught that no one is perfect and it is impossible to attain perfection.  Period.
    • If you eat something you know is toxic for you, make the next meal a good one.  NEVER say "well this day/week is over!  Might as well eat what I want, I'll start eating better next week!"
    11) Make new traditions that don't involve food
    ***Remember that you are modelling behavior for your (and other people's) kids.  Help them stay healthy--try to ignore the pleas for candy (SO much easier said than done!) and spend time with them doing other activites instead.  It'll keep the candy out of the house (good for you and for them) AND reduce the temper tantrums and crankiness when they are coming down from a sugar high! It is so so much more peaceful without the sugar, it is truly unbelievable! Try it and see!***


    12) Be Realistic
    • If you deprive yourself none of these methods will work. 
    • Be gentle with yourself, restrict ONLY certain foods not EVERYTHING unhealthy.
    • Remember you are not on a diet.  Diets don't work in my experience.  Healthy living is forever. 
    Ok!  I hope this LOONNNGGG post is helpful! 


    What strategies do YOU use?:-)  More ideas are always welcome!!

    Coming Up:
    • BOOK REVIEW:  "29 Gifts!"
    • Practical Stuff:  Kitchen Tools That Help Make Staying Healthy Easier! (Gift Ideas?!)
    • Best of the Blogsphere for THIS week!
    • What the Happy Nurse & I are Making for Christmas Dinner (x 2 houses!)
    NEXT WEEK from December 19-December 25th: 
    • ITS THE HOLIDAY HAPPINESS MARATHON!!!  Doctors, Nurses & Patients Share Special Medical Moments That Will Warm Your Heart During the Holiday Chaos!
    Coming Up After the Holidays:
    • SuperImmunity for Kids ~Part 2~!
    • Medical System TuesdayTip #10 For The Best Hospital Care:  Try Not to Be Alone! ~ Insider Tips on How to Get the BEST Medical Care in the Hospital ~
    • Treating Pain with Food--more thoughts
    The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.  Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. The Happy Rehab Doc expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.  By visiting this site you agree to the foregoing terms and conditions.
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