(long) Dear Big Cheese Weight Management Doctor:
I know you're the head of the entire medical system's weight management program, and I know you're in charge of all of their weight management drug studies, and you're the guy in charge of their bariatric surgery programs, too...so I really, really was hoping for more helpful advice from you than, "At your age and with your genetics, the best you can hope for is to level yourself down to 180. You're a pear. You're very clearly a pear, with some apple overlay, but that apple fat will fall away quickly. This around your hips and thighs, this hangs on. I really don't have a program for you. I wouldn't recommend any of the drugs on the market right now. There just aren't any that I think would work for you, not with the heart disease in your family.
You might consider becoming a strict vegetarian. And by that I mean eating mostly vegetables and some lean protein. No processed foods whatsoever. Barring that, I think your best solution is gastric bypass. Not lap band. The success rate just doesn't impress me. I think you should go with gastric bypass."
I said, "But that's permanent."
He nodded and said, "Yes, but this is a disease you're going to have to deal with for the rest of your life. If you were diabetic, we wouldn't take you off your meds as soon as your blood sugar stabilized. I've seen a lot of people in your condition (morbidly obese) get a new lease on life after gastric bypass."
I left his office feeling horribly discouraged. He told me I seemed to be very well-educated on diet, supplements, exercise, and all that, and that I should be grateful I don't weigh more, that it's only because I do eat so well and exercise so much that I don't weigh much more than I do. I'm in that class of people who were built to survive the starvation times back in the days when humans were still hunting and gathering. Great.
I barely contained the tears as I sat in his office listening to him telling me I have no hope of getting down to my ideal weight. The best I can hope for is 180? Really?
He made the point that my weight hasn't fluctuated all that much, even though I've had periods of little or no activity due to injuries, and periods of lots of activity when I'm actively training. My diet doesn't change all that much. I'm stabilized at 225 - 230. That's become my body's set point.
Can you imagine?
Then I saw this really hateful blog post on Marie Claire's site. It was shared by a Facebook friend. Basically this NYC fashionista declared that fat people shouldn't be on TV, that she's uncomfortable watching a fat person walk across a room, much less get intimate on TV (some new show calle Mike and Molly or something), and why don't we just step away from the donuts and "do us (skinny people, I guess) all a favor and go for a walk." She doles out a bunch of standard diet and exercise advice, and asks people whether or not by posting this if they all feel this way, or is she just being a jerk. She got a lot of responses, all negative and in the "jerk" column, but still, I got her message.
So I came home yesterday and did an hour on the treadmill, some of it while crying -- try catching your breath between sobs at 4 mph and a level 2 incline. Today I swam half a mile. I'm feeling better. Some.
Still...gastric bypass? How am I going to fuel a century with a gastric bypass?
Ugh.
Warning, don't open work, adult language.
((((Channlluv))))))
I'm sorry the Dr's are being such Richard Heads but that is what surgeons generally do, they cut, recommend cutting. You've done all the research, there's nothing wrong, now you're good to go.
Do you do intervals. hill repeats, weights? Have a coach? You're healthy, fit and strong. I'd ditch the scale. If you want to measure something measure the town line sprint, or speed up that "nemesis" hill, or a lap in the pool.
Get stronger and faster. :D The inches might fall off, you may still be the same weight but who cares. Being fast and strong is fun and looks great at any weight. Then if a Dr wants surgery you say:
"you, me, any day, any bike, any hill, let's go. If you can beat me you can do the surgery".
http://www.biggirlbiking.com/2010/07/i-dont/