Medical Weight Management: Another bump

Jun 06, 2014

I had what I thought would be my last medical weight management session yesterday, but Nope that is not the case. I met with the Nutritionist and the  NP and the verdict is that i need another session. I have not demonstrated sufficient changes in my life to indicate that I will be a successful candidate and worse in their eyes at least is that I gained a little bit of weight since the last one. Well, regarding changes. I wasn't really aware that I had to. They made their suggestions seem like just that, suggestions. and not that if I didn't take the suggestions if would affect my ability to receive clearance. So.... It does and if I still want the surgery I am going to have to take some of the changes and lose some weight.

Oh another thing. They completely discounted how tired I am since it seems to be a psycho somatic reaction to finding out I have sleep apnea. The NP said i've had it for years and coped fine I should be able to last the two weeks until the scheduled fitting of the CPAP machine. So my coping pattern  for the next two weeks is nap where I can (not likely, I hope to get some napping in on the weekend but I have to work on Saturday), take ibuprofen early before the headaches get unmanageable. and get by without thinking too much.

But back to weight management. One of the "suggestions" is that I replace one meal a day with an appropriate protein shake: One that  is under 200 calories, has at least 15 grams of protien and there is one more requirement for the drink but I forget what. Low sugar? maybe:  I need to look it up. So I am going to try that by replacing my beloved bagel in the morning with the shake and see how I do. I am not sure of  what the definition of "do" is.

Fast food. It is "suggested" that I do away with fast food. this may be difficult because I tend to do it 3-4 times a week, mostly because it is east but also because it make meal times happier with picky children around. But the good new is that my DW is supporting this but we haven't determined what to replace fast food with. I am having trouble getting my mind around this one. See "Tired" above.

We also discussed exercise. I am to add between 30 minutes to an hour of additional exercise to my day.  See tired above. But I did discuss with DW and she proposed getting treadmill and I can add some walking in the evening in front of the TV. We'll see. Usually I sit on the couch in the evening trying to stay awake long enough to go to sleep at a reasonable adult hour. Seems like a huge jump. 

So Next Medical Weight Management is End of July, so no surgery until August I guess.

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