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Patrick Coates, M.D.
Dr. Coates did my surgery and was assisted by Monica Marple, PA. They were excellent and I would highly recommend them to anyone. I had top notch care!
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  • Comment by totalfreedom on 8/13/08 10:24 am
    Hi, good luck on your surgery and cheers for a speedy recovery! I am sure you will do well. Keep us posted... Kelli
  • Comment by lulu_48080 on 8/12/08 9:20 am
    Woo hoo! Good luck, can't wait to here how everything goes!!!
  • Comment by Jackie W. on 8/10/08 9:34 pm
    Good luck on your PS!!!!! Hope you have a speedy recovery!!!! Can't wait to see pics!!! Have a safe trip!!
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rleepac's Blog



Time to update
on September 28, 2008 9:14 am

I sit here on a Sunday morning with my SF, LF soy latte in hand and listen to the birds outside.  My family is gone for the week so I have the house all to myself and I've taken this time to reflect.  To reflect on my life, my family, and my WLS journey.  In the hustle and bustle of everyday activities I think I take for granted the wonderful things in my life and instead focus on how much I have to do and how many people I have to take care of.

Yes, this is going to be one of those deep, meaningful posts...

My husband...He is by far the most wonderful man on the planet.  Sorry gals, but I've got him and I'll never let him go.  Of course he has his flaws...I didn't say he's perfect.  But wonderful - yes.  He's the kind of man who helps lost dogs and stops to help ladies with car trouble.  He'll spend hours talking with elderly folks who don't have anyone else to talk to.  He loves to spend time with his family and goes out of his way to make sure that our daughter always has the best experiences possible. He loves me, respects me, and is my best friend. 

My daughter...she's the oldest 6 year-old I know!  She is beautiful, smart, and kind. She has her daddy's good nature and she is so logical sometimes that it's scary.  She gets mad at me if I find a lizard in the house and bring the cat to get it for me...she says "mom, he only wants to go to his family - just catch him and put him outside..."  She has a soft spot for animals.  She is definitely going to go places in her life - hopefully we can give her the confidence and foundation to do whatever it is she decides to do.

My sister...she's 3 years younger than me but we've been told we look like twins. She is always there for me and always seems to understand me.  Sometimes I feel like she's the older sister because she calms me down and brings me back down to earth just when I need it. She had RNY 4 years before me and she is my role model.  My goal was to be successful...like her.

My sister-in-law...for whatever crazy reason she married my brother.  I love her to death and I can't imagine life without her.  She's the nostalgic one that loves to look at baby pictures and scrapbooks and helps remind me where I came from. She is starting her WLS journey and I only hope that I've been an inspiration and a positive role model for her as my sister was for me.

My friend Moni...she performed my surgery. Normally she assists the surgeon, but he pretty much let her do my case and he assisted her - LOL! She has been my friend since PA school and she is my confidant and my voice of reason.  Even with the turmoil in her life...she is always there for me and would come if I called at 2 o'clock in the morning.

My friend "Susie"... I'm usually quite introverted and don't make friends easily.  But I met Susie on OH and we just clicked.  I feel like I've known her my whole life and like we've been bff's forver.  We understand each other and spending time with her always feels like a vacation.

The point is...I've got some very wonderful people in my life and I don't ever want to take them for granted.

 

Me... Not only do I have wonderful people around me but I feel that in all other areas of my life I'm successful as well.  I am a Physician Assistant and have a wonderful job where I'm well respected and appreciated. I'm in the process of starting up a side business doing metabolic testing for weight loss/weight management. I own 3 homes.  I say these things not to brag, but to tell myself how good I've got it.  Like I said - things get so hectic that I forget to see what I have and to take time to appreciate what I have.

My WLS journey has been essentially uneventful but successful.  That's a good thing!  No complications other than occasional dumping.  I take my vitamins religiously and I still meticulously track all my intake.  I had plastic surgery on 8/13/08 with Dr. Quiroz in Tijuana Mexico and it was a wonderful experience.  I'll have to write a separate post about that, but I'm very happy with the results.  I had a lower body lift and a breast augmentation.

My husband teases me that my new hobby is being thin.  It's sort of funny but sort of makes me sad too...I don't really want that to be a "hobby" but I never want to be fat and unhealthy again so out of necessity...I guess it is my hobby.

I've been away from the gym for a while because of plastic surgery but I plan on going back in another week.  I think I'm ready and I'm actually looking forward to it.

Overall I'm extremely happy.  My health is the best it's been my entire adult life and I wake up every morning feeling like I have a new lease on life.

Life is what happens while you're making other plans...

1 comment | Click here to leave a comment.

Late night babble
on May 25, 2008 10:45 pm
I have a cold - boo hoo! Anyway, I slept on and off throughout the day so of course I'm not tired now that it's almost 11 o'clock at night. Oh well...good time to update the blog!

As I expected I dropped below 100 pounds. 2 weeks ago I was 98.8. It's bounced up to 100.1 but I don't think I'm done losing yet. I'm supposed to be getting in at least 1500 calories a day and I just can't seem to do it. I'm averaging about 1200 a day. Quite frankly I've not been trying that hard. Why you ask?

1) I'm scared to death of regain and I know that it will happen (at least a few pounds) so I want to get as low as my body is comfortable with while I still have the fullest benefit of this wonderful tool.

2) Its almost impossible to eat that much in one day. I'm going to have to go with full fat options and higher carb options to totally stop the loss but I don't want to do that because I'm afraid of going back to old habits.

So the bottomline on why I'm still losing is FEAR! Fear of regain. Fear of going back to old habits. Fear of failure.

OK - moving on...

I finally have enough money saved up for plastics - yay!!! My friend (Susie Wong) and I are planning on going to CosMed Clinic in Mexico at the end of August. I'm going to have an LBL and BA. I'm very nervous about pain because I'm a whimp, but I'm going to get some good drugs from my PCP before I go so hopefully I'll live through it. I'm just so excited that I'll have breasts again and I won't have the extra skin hanging on my tummy and buttocks anymore.

Well I guess that's it for now. I'm coming up on my 1 year surgiversary so I'm sure I'll be updating again soon...
1 comment | Click here to leave a comment.

Have I lost control???
on April 15, 2008 2:29 pm
Well, I had changed my goal weight to 105 but apparently my body isn't done losing yet. I'm now 101.5 and in a size 00. Yup - that's a double zero folks! The only place I've found that size is at Ann Taylor but at least I found it!

According to my RMR and after wearing the calorie expeniture monitor for 2 weeks (I think it was called the Body Sense made by the people who make BodyBugg) I am supposed to be consuming 1500-1700 calories a day to maintain my weight. Um yeah, right - most days I can't get in more than 1200 but I'm trying to squeeze more in.

Food wise - I'm currently hooked on Chike Banana protein drink. It tastes like a Banana milkshake and I have one every night. Otherwise I still fall back on my old favorites and I've started eating more whole wheat products like whole wheat pita's and whole wheat tortillas to try and up the calories. But I don't eat them a lot because they fill me up too quick and I wouldn't have any room for protein.

My current nutrition goals are:
Cals: 1500-1700
Fat: 30-50g
Carbs: 80-100g
Prot: 100-120g
Fiber: 25-35g

Still trying to figure out this balancing act. But the way things are going I wouldn't be surprised if I dropped below 100 pounds within the next month or so. I still feel good and healthy and I COULD drop down to 90 pounds and still be in a healthy BMI range so I'm not panicking yet...

I'm doing weight training 3 times a week to keep my lean muscle mass up high enough that I don't look sick.

Hoping to have a breast augmentation and extended tummy-tuck (possibly lower body lift) in August... still in the works.

4 comments | Click here to leave a comment.

finding balance
on February 25, 2008 12:37 pm
The scale bounces up and down about 2 or 3 pounds and I don't worry about it because I know it's just normal variation. My "official" once a week weight is what I go by and that has remained at 106. I wish I could just drop one more stinkin pound so I can say I made goal! Oh well, I certainly feel successful regardless of what the scale says.

I've recently been researching Resting Metabolic Rate (RMR) - this is the number of calories per day that your body needs to function (heart, lungs, skin, digestion, etc). Anything below it is essentially starving your body from the energy it needs. During the first 6 months post-op it is okay to drop below this because you are being watched closely by your surg/nut but after that, it really should be increased to at least your RMR.

There are 4 or 5 different formulas for calculating your RMR or you can have it tested. My calculated RMR is somewhere between 1076-1297. I've been averaging 900 calories a day so my body is not getting what it needs. This would explain why I've been tired, had poor concentration, and just feel borderline yucky. So, for now, I've increased my intake to be around the 1200 mark for the past few days and I actually feel better. I do plan to have my RMR tested (if I can find somewhere around here that does it) because if you do regular weight training (which I do) your RMR is supposed to be a little higher. Just trying to fine tune to maintain and not gain.

I guess that's about the only update for now...
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changed my goal yet again...
on February 7, 2008 3:14 pm
So I was laying in bed last night and I felt something hard at the top of my butt... I went to feel under the sheet to see what my daughter had stuck in there, but no - nothing there except my bony a**. Literally, I could feel all the bones in my spine and my coccyx (tailbone). Then I felt my pelvis bones, my ribs, and my collarbones and I suddenly realized that I am starting to get too skinny. I never thought I would hear myself say those words, but I believe I have reached that point. It actually scared me a little bit and I promptly decided to change my goal.

Surgeon's goal for me was 124#
My original personal goal was 115#
My 1st revised personal goal was 110#
My 2nd revised personal goal was 100#

My new personal goal is 105# and I'm at 106# this morning so basically I want to stay where I'm at right now. I'm going to start maintenance eating (which I have to figure out) and hope that I don't lose any more.

I'm also going to beef up my weight training routine and try to build some muscle mass - hoping that will help prevent me from actually looking sick. I did this surgery to be healthy, not twiggy!

Sigh... this girl is just never happy huh?
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