Wednesday, June 23, 2010

Wise Beyond Her Years, Gorgeous Beyond Belief: S.O.B. Angie!

Beautiful, Smart, Thoughtful, Funny, Honest, Real, and SKINNY!   (With a killer bod, the one we all covet!) 

These are just a few of the things I think about when I read Angie's awesome blog, I am in repair.  Angie truly is wise beyond her years - so insightful and self-aware, more "adult" than most of the adults I know!

And talk about smart.  First of all, getting the band in your early twenties is just freaking BRILLIANT!  I know so many of us 30-40-50-somethings wished we had the opportunity to do this 10 or 20 years ago.  Every time I read one of Angie's posts, I am just so thrilled for her -- knowing that she will be spared so many  years of riding the weight loss roller coaster, and knowing that she has become the very best version of herself at such a young age.

I also totally love Angie's commitment to exercise, which is so inspiring.  While serious exercise is not necessary for all successful Bandsters, I think many of us really do need it to reach our goals (um, like ME!)

Angie is the 24-year-old we all want to be when we "grow up."

Thanks Angie.  You are a TOTAL success and completely HOT!
  



1.        All about You! 

Hi everyone!  It was incredible of Gen to ask me to write here, and I am honored that you all feel like I am a superstar.  I struggle to feel the same, and I’ll touch on that in here.

I am 24 years old and grew up in Toronto, Canada.  I have struggled with my weight since childhood, and had not been in the normal BMI category since the age of seven.  I was banded on March 4th, 2009. 

I was banded by Dr. Chris Cobourn at the Surgical Weight Loss Centre in Mississauga, Ontario.  As with all Canadian patients, I was self-pay with my surgery and after-care for life costing $16,000.  This is obviously a great expense and I am beyond lucky that my family was able to incur this cost for me.  I am quite happy with my experience at the SWLC - I have not seen my doctor since I was in the O.R. except for when a nurse brought him in to see how much I’d lost, but the nurses are incredible there and have provided me with a ton of support via e-mail and through their fills.

I did a pre-op diet from HELL. I was supposed to drink three Meditrim shakes a day for two weeks. I couldn’t get the down and consumed nothing but the occasional Diet Coke. I wish I was joking.  It was a ridiculous and completely disordered move on my part, and I am lucky that I was able to have my surgery. Pre-op was ROUGH. Definitely the hardest part.

 It’s funny - a therapist suggested I look into lap-band years ago.  Bypass seemed too extreme and irreversible for me.  However, Winter 08 my mom saw something about the Gastric Balloon procedure being performed at the SWLC.  The balloon is inserted through the mouth and is kept in for six months and then removed.  I liked how it seemed less serious, less... “I have to resort to surgery.”  My mom and I went in for the consultation, and Dr. Cobourn told me frankly I was too big and too young for the balloon (the ideal candidate is the 40 year old woman who’s gained 40lbs post-divorce, apparently.) He also told me he thought I would do incredibly with the band... And the rest is history.

2.       Your Weight Loss:

       Please let us know your starting weight and/or size, and current weight and/or size

My highest weight was 270 and my current is around 160.  I started at a 18 jean, 2XL and 24 dress, though I wouldn’t admit to myself I needed such big sizes and mostly stuck to leggings and tunics.  I am currently a 28/29 jean, and depending on the top range from a medium in most things to a L in button downs. Dresses are harder with my chest still being quite large, but around a 12 now.
  
 How long did it take you to get to your goal weight (or first 100 lbs. lost)?

I achieved my first 100lbs down on March 26th, so about two weeks over a year.

As you got closer to your goal, was your weight loss slower?

Absolutely. I had to check on that date, and realized, wow, I’ve been in the 160s for almost three months.  But that’s ok. The 160s are pretty comfortable on me.

 Did you experience plateaus?  What did you do to shake up weight loss stalls?

Absolutely.  And they’re rough.  I mostly just persevered with the  knowledge that if I continued to do everything right, then the weight would drop off.

I also had to step back and examine my choices a number of times.  The band has stopped me from overeating, but it has far from made my emotional issues with food go away, and stopping to acknowledge that and be more mindful about is often enough to get me back on track.

How did you decide on a goal weight? 

I chose the initial goal weight of 170 because it was a nice round 100 down.  I am currently pressing on - my next goal is 155, and we’ll see how I do from there.  I would love to get into the 140s, but I am waiting to see how I feel and look.  As I said on my blog - this is all bonus. I’m healthy now.

Is your final goal weight considered “normal” on the BMI charts? 

Yes - my BMI is currently 24.5.  I spent most of my life hating on the BMI chart, and I’ll be the first to say it’s not right for everyone, but for me, I feel like it represents a healthy range.

3.       All about Food!

Do you follow any of the band rules religiously?  (For example, no drinking with meals, etc.)

I’m a bit of a rebel, but certain things I keep on track with.  I mostly don’t drink with meals, I can’t, I will get stuck or uncomfortable, but if I’m out at a nice restaurant I will sip my wine throughout a meal.

I do however exercise a bare minimum of 6 hours a week, and strive for 10-12.

Which band rules do you think are most important?

I try to eat slowly and consciously.  There was a time I was pb-ing too often, and I believe it was because I just hadn’t learned to really eat like a bandster yet. I think it’s incredibly important to exercise, and I think it’s also important to drink your water. 

I am currently working on the rule of eating when I’m hungry but skipping it when I’m not.

Did you track calories or log your food while you were losing weight?  Do you do this now?

Sometimes. It helps when you feel like you should be losing and you’re not, or to find out that pistachios are the delicious devil.
  
Did you measure your portions?  Do you do this now?

Sometimes, but more because I’m curious as to what a portion looks like.  Yesterday my mom and I bought pretzels with 130 cals/0.5g of fat for 40g/140 sticks. I wasn’t about to count out the sticks, so I used the food scale and realized half of that was more than enough for me.

Describe a typical day of eating for you, both during your weight loss phase and now.

And this is where I don’t feel like a superstar.  I’m bad a lot of the time. I skip meals. I eat fast food.  But I’ve gone into my old myfitnesspal.com account to give you an example from when I was more in the zone and then I’ll tell you about yesterday.

Weight Loss Mode:
Breakfast:
10am: Activia yogurt with homemade granola. Probably after the gym, because no matter how many times I’m told I never want to eat before I work out.

Lunch:
1:00pm 1.5 chicken fingers, a couple of fries, half a serving of coleslaw.  I love that the band will let me eat these kind of foods when my life calls for it, and keeps the portion a lot smaller.

Snack: Skim milk latte, a couple of Oreos (remember, these are one of my trigger foods)

Dinner:
8:pm 1 glass Malbec, 1 crab cake (if a restaurant were serving two) with sauce, green beans and mashed potatoes.

11:00 100-calorie Ice Cream Sandwich.

When I type it out it’s not all bad, but I’m clearly not getting enough proteins or veg in.  I also was kind of low on the calories when you considered how much I exercised.  I’m writing this not because I think anyone should follow my diet.  I do however hope that some newbie out there who feels like she can’t imagine dieting all the time and how her life would cope with the band can see that you don’t need to be perfect to lose with this device.

Now:

9:00 1-oz salted almonds and a 1/2 cup of apple juice. I was on a plane.

11:30 am leftover mexican - 2tbsp spanish rice, 1-oz steak, 1-oz cheddar with a bit of guac and sour cream.

3:00 2 swedish meatballs with half a serving of pretzels

5:00 an apple and half a banana

6:00 a ridiculous amount of homemade croutons when they came out of the oven

7:30 homemade caesar salad with croutons and sauteed garlic shrimp. About 3/4 salad with two shrimp.

9:30 two bites of a blizzard that my friend was eating when she came over.

Still not perfect - more fruit and veg and protein would be great. I’m working on it!


 Some lap band practices tell patients to eat only 3 small meals a day; some say 3 meals plus 1 or 2 snacks; some say 5 or 6 small meals.  What did you do when you were losing weight, and what do you do now?

I did and do 2-3 larger meals (sometimes breakfast is more snack-sized or skipped) with 1-3 snacks. It works for me. I probably don’t need most of the snacks, but I like em!

Approximately how many calories per day did you eat during your weight loss, and how many now?

It would range quite a bit, I’d say then it was in the 900-1300 zone, now it’s in the 1000-1400 zone... I lost best around 1200 I think.

What are some of your favorite band-friendly foods?

Mexican foods are great, crab cakes, protein-loaded chopped salads, chili.

Did you drink protein shakes during your weight loss phase?  Do you now?

UGH. I hate protein shakes! Definitely not!

Did you follow any special “diet” plan during your weight loss – for example, low carb, counting points on Weight Watchers, etc.? 

Nope! I had been on every diet out there before, I try to be healthy and avoid white flours, but I let everything in.

Are there any foods you cannot eat with the band (like meat, bread, etc.)?

White flour is hard in the form of really chewy breads, tortillas, pastas, etc.  But there are days where I can get them in.  It all depends, and if I go slowly enough I can tolerate almost everything.

What would a “splurge” day be like for you?

Every day kind of is - add some wine to yesterday and you’ve got one! I find the more I let myself just eat when I feel I need to and indulge when I want to the lower the pressure is. I get overwhelmed by this all pretty often, and I find that happens when I am trying too hard to be perfect and start to see any splurge as a failure.
  
4.       All About  Fills!

What size band do you have, and what amount of fill do you have?

I have an Allergen Small Lap-band, it has an 11cc capacity and I believe I’m somewhere in the 6s or 7s - I don’t really keep track, all it does is make me compare myself to others and that’s not helpful.

How many fills did it take you to get to your “sweet spot”? 

I think it took probably about 5, and then I’ve had a bunch since then to try to re-visit that spot. My clinic is conservative with fills as they are not something I have to pay for I can go back often.

Approximately how many weeks or months after surgery until you reached the “sweet spot”?

I started to really feel the difference around July or August, so 4-5 months post-up. I was losing up to that point, but that was the first time I felt like it got that bit easier was around then.

Did you ever have to get a un-fill?

No

Can you drink water and other fluids easily at your fill level?

Yes, some early mornings thicker liquids like chocolate milk I have to be careful about chugging.

 Do you get stuck and/or slime and/or PB very often?

Not if I’m smart.  Unfortunately, sometimes I’m not very smart.  I PB easily. If I feel a bit stuck or uncomfortable I can walk to the bathroom, bend over, and the food will often just come out.  I have learned in the past 6 or so months that this is not the way to do it - I’m not bulimic and I shouldn’t be acting that way.  Now I make a conscious effort to not eat foods that get me stuck, and to really wait it out if I get that familiar uncomfortable feeling.

5.          Share Your Secrets! 

And this is where I feel like a total fraud.  I feel like somehow I’ve lost all this weight, but I don’t have the secrets, I just lived my way through it and came out skinny on the other side! Let me try my best though.

Tell us your best tips for losing weight with the band.  What do you think contributed most to your success?

This one I can be sure about. Exercise. I exercise a ton. I love it. Which isn’t to say I don’t want to get up early some mornings to do it. But I do love it. I love having a trainer, I love the body exercise has given me.  I struggle a lot with how my body looks... My concerns are bad enough to have affected relationships.  The only thing that helps with that for me is exercise. I may hate my stomach, but if I know that I’ve got great arms that can support me through 120 push-ups and  legs that let me do five-minute wall-sits, I feel stronger and better.


What advice do you have for Newbies?  Is there anything you would have done differently if you could go back to the months right after your surgery? 

Just be patient with yourself. I know it’s hard. It reminds me of my favorite quote though:

..."...I would like to beg you dear Sir, as well as I can, to have patience with everything unresolved in your heart and to try to love the questions themselves as if they were locked rooms or books written in a very foreign language. Don't search for the answers, which could not be given to you now, because you would not be able to live them. And the point is to live everything. Live the questions now. Perhaps then, someday far in the future, you will gradually, without even noticing it, live your way into the answer."

Rainer Maria Rilke, 1903
in Letters to a Young Poet

I don’t know when it happened, but somewhere along this journey things will start happening. You’ll be just overweight and so stoked. You’ll start feeling strong. You’ll start feeling like the best version of you.  Celebrate your successes and share your struggles. I did and I know I felt so much better when I realized how common my experience was, because sometimes I felt like I was the only one writing about them.

What is the best band-related advice you received?

To move my body.  Everyday, I have the choice to eat 500 calories less to lose weight or to burn 500 calories exercising and get to eat what I want. For me, the choice is clear!

Another one that has been really important for me to remember is “Your lap-band will affect your weight loss.  Don’t try to let it change your life, that’s your job.”

How did you deal with “head hunger”?

It’s really hard. I still really struggle.  Acknowledge it for what it is.  Try your best to ignore it. If for thirty minutes, you can’t, eat a reasonable portion of what you want. Think about how you feel. It sucks. It’s really hard and it’s one thing the band won’t change, that we have to find it inside ourselves to deal with.

Did you find the mental aspect of losing weight difficult? (Including, for example, no longer relying on food for stress relief, getting used to seeing yourself as a “thin” person, or anything else)?  How did you deal with this?

Oh god yes.  I don’t want you to get me wrong, I am loving being me. I feel amazing. I love putting on my new size 28 Fidelity Jeans. I love being able to shop with so much more ease. But it’s so hard. I feel like an imposter - a fat girl faking it as a skinny one, who at any moment could be found out.  I struggled a lot with wanting impossibly perfect things, and feeling like being human as I am was a failure.  I try to take comfort in knowing I am doing the best I could possibly do.  It is very unfair that we can’t look the way we do had we never been overweight, but it is also not my fault, so not something I should feel guilty or ashamed about.  I hope other people who read this have an easier time than I do.  I think honestly I’m still just living my way through this one, my mind really needs to catch up to my body.

6.       The Dreaded “E” Word:  Exercise!


How long after surgery did you start exercising?

I started being active about 2 months post-op, but I didn’t get serious until 6 months.

What kind of exercise do you do, and how frequently?

I try to do at the very least two hours a week of phusia, a cardio dance class, 2 hours of spinning and 2 hours of personal training. When I do more it is more dance and spin and elliptical, not much more muscle work.  I also do my abdominal and push-up routine every single morning.

Do you think exercise is important to your success?

Absolutely.  It has allowed me to eat more, it has allowed me to feel strong and powerful, and it has connected me to and allowed me to love, for the first time, myself physically.

7.       Issues with loose skin/plastic surgery

Have you had any issues with loose skin?

Yes. My stomach looks awful. I get really sad about it sometimes. I am terribly self-conscious about the lower half especially, but I know that until plastics there’s nothing I can do about it, so I try to remember how much more it bothers me than anyone else, who probably would barely notice it.

What are your thoughts about plastic surgery?

I’m all for it - just find me the time! I would like to get a tummy tuck probably next summer, and possibly a breast lift/reduction, depending on how much more they go down in the next 10-15lbs.

8.       Anything else to tell us?

This journey has been amazing and amazingly hard all at once.  I have done the thing I thought I could not do, and it’s an incredible feeling.  I have to look at myself in the mirror and literally say it aloud sometimes “You are no longer fat.”  Sometimes I feel so good, I feel beautiful and fit and I get lots of attention and I love it.  Other days I feel fat and like a fraud and overvalued for something that isn’t truly me, and I hate it all.  I try to just live it.  Know that my body is winning the race right now, it is almost exactly where I want it to be, with of course one exception.  My head however is still coming through this - and that’s ok. I’m trying to see the value in everything I struggle with. I was speaking with a friend, telling him how I had been asked to write this and I felt like I shouldn’t, because I don’t feel like a success.  And he told me that that is the very reason I should.  I hope I can be the person out there who struggled along this path - but has made it out alive and healthier.  I don’t know when I’ll feel like a success, but I know for now I’ll just keep living as well and as holistically as I can.

Thank you all for all your support through this journey.  I never attended a single in-person support group, but I could not feel more supported by our bandster community. I love you all.


THANK YOU ANGIE!  


P.S. Watch for Angie's Before and After Pics in the next S.O.B. Stories post!

Wednesday, June 16, 2010

Calling all S.O.B.s!!!! And Friends of S.O.B.s!

You know who you are!

I know I have asked a few of you to answer the S.O.B. questions for our blog, but I have been lame about following up.

So here it is:  If you meet the S.O.B. criteria (you've reached your goal weight OR lost 100+ pounds, and have had the band for at least one year), please consider sharing your success and secrets with all of us Wanna-Be-Superstars!

There is a link with the S.O.B. Questions at the top of this Blog.  Please copy and paste into a new document, and send it back to me.  That's all there is to it!

A few of the names I mentioned before:  Angie, Tina, Sally...and more!  I know there are MANY of you out there who have so much to share!

Here's the thing:  I don't want to miss anyone!  So DO NOT be shy about nominating yourself!

And, if you know someone who is a real S.O.B., PLEASE NOMINATE HER HERE by leaving a comment.

Finally, who can tell me how to link to an actual, separate document containing the S.O.B. questions so that our Superstars do not have to cut and paste their answers?

Thank you!

Thursday, June 10, 2010

Band Groupie Speaks!!!!

What can I say, this S.O.B. story is one for the books.  Literally.

Band Groupie is our amazing Band Rockstar who has done so well that she truly deserves to be on the cover of a Lap-band book!  And hopefully she will be soon, once the BG Band Bible she is writing gets published!  (Sorry BG, I'm sure you have a better title in mind.)

Many of us first encountered the endlessly entertaining, always informative, and unbelievably skinny Band Groupie over on lapbandtalk.com.  She was awesome there, and she is even more of a force to contend with on her excellent blog, The Sweet Spot.

I always learn something new and helpful whenever I visit BG's blog, which is why I was so thrilled to read her S.O.B. answers.  To be honest, I wish I could just permanently implant all of her great advice in my brain somehow.

But since I can't seem to do that, I think I'll just print out THESE pictures and carry them around for inspiration.



100 POUNDS!  Could BG look any hotter?

Congratulations Band Groupie!  You are such an amazing inspiration and a wonderful role model for us all.  Thank you so much!!!!!  We heart BG!

BG Speaks:


1. All about You! Tell us a little bit about yourself (age, how long you have had the band, etc.)

Hello my GF's (and BF's, yes we ALL have Boy Friends…thanks guys for putting up with all my female talk)!  I'm a 51 year old now SAHM with a wonderful husband who's my best friend and 3 great kids DD (22) living at home while she now waitresses and job hunts (double majors in Marketing and Intl. Business…just in case anyone is hiring), DS1 (20) sophomore this fall in college, DS2 (14) 9th grade this fall.  I have an Art Education degree and taught for about 8 years before our first move and my last job was at a Fortune 500 leading Business Process Improvement both internally and traveling to do this with a few of their customers (my creative side made me really good at seeing how to do things a better way…I'm a 'think outside the box' kind of person).  We've lived in seven homes and this is the longest (9 years) that we've been anywhere (just North of Pittsburgh).  I've always got some major 'project' going at home that keeps me busy and I love trying new things (thus the LB book project now).

After almost exactly a year from my starting research, I got banded 4/22/09...so about 13 months ago now.

2. Your Weight Loss

Please let us know your starting weight and/or size, and current weight and/or size
I started my 6 month pre-insurance diet at 248 lbs. at a BMI of 37.7 and I wore size 24/26W pants and a variety of tops (I think the biggest were 2x or I might have had a few 3x), and I'm about 5'8.5".   Now I'm 148 lbs. at a BMI of 22.2 and I wear a size 8 or 10 pant and Med. top.

How long did it take you to get to your goal weight (or first 100 lbs. lost)?
I reached my '10 pound goal range' of 90 lbs. down on 2/26/10 (10 months post-op) and I just reached my 'dream goal of 100 lbs. down on 6/3/10 (so a little over 13 months post-op).  I originally set my goal date spreadsheet for 2 years from when I started the 6 mo. Pre-op diet (or non-diet), which would have been this November (11/10/10)…yes, two years sounds like a long time to you, but remember 6 months of that was pre-op (not losing much) and I started in the low or 'Lightweights' BMI group so I expected my WL to be slow, and it was.

As you got closer to your goal, was your weight loss slower?
I lost an average of 1.52 lbs/week post-op up to that 90-pound goal (yes, it slowed way down long before that) and the last 9.5 pounds took almost 14 weeks at a rate of .68 lbs/week.  I named my last 25-30 pounds 'Goal Limbo' as you're so close and then everything slows down…it's hard because you're certainly happy with how far you've come and you sometimes feel like a cad complaining at this point when others are just starting out.  You can't exactly buy clothes yet and you often flip between frustration with how frustrating the last leg can be and then slip into 'maybe I'm happy where I am' which usually stalls your weight even more…it's just one big 'LIMBO', but if you keep focused on your goal you can get there (even if it's very slowly).

Did you experience plateaus? What did you do to shake up weight loss stalls?
I've been on every diet so I know they're just part of losing weight.  The interesting thing for me was that I kept this journey so positive (most of the time) that the plateaus weren't as upsetting to me as they had been in the past (I usually got madder about the scale going right back up after a new low, scale whore that I am, which is all part of this too).  My two toughest plateaus were a 4 week one and a 5 week one, so not terribly long.  A few times I started counting calories, protein and water for a few days just to check things and that was usually enough to keep me on track.  I kept my calories above 1000 and I noticed that adding more water usually helped me.

How did you decide on a goal weight?
Dartboard.

Actually, I picked 158 because I had been about 5 or so pounds more than that (and was that weight for exactly one day; youngest sister's wedding) when we moved here after losing my biggest weight ever on a diet (when I 'only' had 50 pounds to lose), so I knew I'd been close (by starving myself).  I was committed to making this a lifestyle change, not another diet, so I wasn't convinced the Band would get me there, since I had so much more to lose.  I added the 148 'dream goal' really never thinking I'd ever get there, but it rounded out my figure to 100, so it sounded cool…and 10 ten pound heads just looks nice on my ticker.  Honestly, like I always say, if I could have only gotten into the 'Overweight' BMI category and gotten rid of my health issues and been able to KEEP the weight off without dieting or starving…well, that would have been total success in my book too.  I'm SO thankful my surgeon never gave me a goal weight, as there's such a mental aspect on reaching goals and stopping.

Is your final goal weight considered "normal" on the BMI charts?
Anyone can tell you I'll never be normal.

I'm so glad this question was asked.  Let's face it, as much as you tell everyone not to compare yourself to others, we all do it.  As a lower BMI starter (37.7), I found a lot more value in seeing where others BMI's were.  I know BMI is certainly not the end all and be all, but it has it's applications…when you're comparing your WL to the others who were banded your same month (we had over 300 in my monthly group), it helps to know the person losing 5 pounds a week while you're losing 1 is at a 50 BMI.  Likewise, when other tickers say 200 lbs. to lose I often wonder where that puts them in the BMI chart at the end (I found lots of Docs set their patients goal in the Overweight category as long as their health issues are resolved…getting to 'Normal' doesn't always have added health benefits), but this also means they probably won't be going through 'Goal Limbo' at the end…so don't compare your slow down to them.  Finding others who would share this with similar BMI's helped me a lot in setting lots of realistic mini-goals along the way.

I reached a Normal BMI at 167 lbs. (87 lbs. lost) at 9 months post-op.  It actually makes me prouder than saying I lost 100 lbs. to say I'm almost at the middle of the Normal BMI category (I'm at 22.2 and the mid point is 21.7).  Again, not because BMI means much, but because it gets so hard to lose weight the lower you get (especially for a long-time yo-yo dieter that killed my metabolism).

3. All about Food!
Do you follow any of the band rules religiously? (For example, no drinking with meals, etc.)
I didn't know the Band was a religion, but I guess we're a pretty devout group (and come to think of it I have praised the Band Goddess on many occasions).

Yes I follow them except what I'll mention here (remember I don't have the no caffeine or no carbonation rules, so I partake in both); I don't drink with breakfast or lunch or for about an hour after.  Dinner is another story…I've often broken the drinking with/after rule with dinner if we go out (I don't get out much) and as I've gotten closer to goal don't follow this with dinner at home (I really don't find it effects my hunger often as we eat late).  I followed the no snacking one very well at the beginning and have eased up on that, as I've gotten closer to goal.  I usually have some cheese or some nuts.

Which band rules do you think are most important?
Follow the conductor.

The two rules I focus on every day are the solid protein and water (water has been much harder; the protein is easy for me).

Did you track calories or log your food while you were losing weight? Do you do this now?
No and no.

I tracked a short time at the beginning and for a day or so a few times when I felt I needed to get back on track.  I've been on every diet (and hated tracking and logging on many of them) so I have a good idea of what I'm doing anyway.

Did you measure your portions? Do you do this now?
I still measure or weigh my meats and proteins often, and occasionally something else.  I often still use ½-cup punch cups to serve myself my sides so that helps keep me in check.  I still eat fairly fast, so I never get that 'full' feeling until long after eating, so setting portions in advance is important for me (I know from dieting that small changes in amounts can really add up over time and now that we're eating, so little a small amount of additional food can really add up.).

Describe a typical day of eating for you, both during your weight loss phase and now.
Other than the easing up on the snacks, nothing has changed at all.  I still eat my oatmeal/protein/fiber concoction every morning with SF syrup.  I have leftovers usually for lunch and I eat what my family is having for dinner.  Yes, I eat mostly protein and I take much less of the starches (last night I had 'opposite chili' with a few noodles on top and loads of real shredded cheese; Oh and I strained the chili first with a slotted spoon to make it more solid).

Some lap band practices tell patients to eat only 3 small meals a day; some say 3 meals plus 1 or 2 snacks; some say 5 or 6 small meals. What did you do when you were losing weight, and what do you do now?
My Doc says only three meals.  Like I've told you, I've add some snacks recently.

Approximately how many calories per day did you eat during your weight loss, and how many now?
About 1000-1200 and I'm not sure what will happen now at maintenance, but my weight is pretty stable now.

What are some of your favorite band-friendly foods?
Those that smile back at me.

Well, I'm not sure what's meant by 'band friendly'?  I think what others sometimes call 'friendly' are sliders for me and I try to avoid them unless I'm having a problem with tightness (shakes, soups, cottage cheese, mashed potatoes, refried beans, Greek yogurt, hummus, and carbs that are crispy i.e. chips…all sliders and I get hungry faster).   I'll tell you I've added a few things to our pantry; soy protein powder that I add to my morning oatmeal, greek yogurt that we all use now in place of sour cream (I do rarely eat this with preserves as a dessert knowing it's a slider, but on top of a solid protein).

Did you drink protein shakes during your weight loss phase? Do you now?
No and no.

If they told me I had to do these regularly I wouldn't have gotten the Band (to me I might as well have gone on a protein shake diet, but I get now how this works well for many, especially in the mornings).  The only time I had these was during healing and after fills (and it was my choice to add a few of these, at the time my orders were 'no protein shakes').  I bought one of those big jugs of fruit protein powder at GNC I would blend up with lots of frozen fruit and there's probably more than half left.

Did you follow any special "diet" plan during your weight loss -- for example, low carb, counting points on Weight Watchers, etc?
NO MORE DIETS J

Check with me in another year, if I've kept it off it's solely because I stopped dieting, or by then I'd be eating around my Band.  Deprivation of any kind is a recipe for eventual disaster for me.  You all know my motto, since long before banding I've said this…I got the Band to take off the weight (but I can do a big hunk of that myself), but really I got it TO KEEP IT OFF!

Are there any foods you cannot eat with the band (like meat, bread, etc.)?
Black licorice, milky coleslaw with raisins, Waldorf salad, and liver…Oh, I didn't like those anyway.

No…Doc says I should never have this list.

I have to be the most careful with nuts…and I eat way more of them now than I ever have as they're good for you (no problem with peanut butter though, go figure).  I am careful with reheated meats that I have some extra sauce or dip so they're not too dry.  There's nothing that I can't eat though and that's one of the tests my Doc has for telling if you're too tight.  I don't eat asparagus as much after the bezoar (go ask Rebecca 'The Losing Battle').

Yes, I keep my Band loose enough to eat hamburgers and hotdogs WITH the bun, steaks, all fruits and veggies, and even soft breads if chewed properly.  Again, deprivation is a recipe for disaster for me…my Band is plenty tight enough to help me stay SATISFIED between meals.  Remember, how tight you keep your Band is very much a matter of choice.

What would a “splurge” day be like for you?
Well, if a splurge is a binge…all my trigger foods…dips, and lots of chocolate and pastries.  I haven't had one of those 'days', but I've had quite a few splurge meals, and the occasional head-hunger beast binge.

I'd say most of my splurge days are what you would expect; on vacation or some event.  No biggie in this new lifestyle plan as skinny people have these days to, as long as they're not often it's just part of normal life (just be wary of the 'every weekend is a vacation' mode where you start losing and regaining the same few pounds every week).

4. All About Fills!
What size band do you have, and what amount of fill do you have?
I have a LB APS (10 or some say 11-12 cc's).  *see below for fills

How many fills did it take you to get to your “sweet spot”?
I had no 'primer' fill at surgery and I've had 4 fills (3 + 1.5 + 1.1 + .3 = 5.9cc's) since then (first one did nothing, second I felt a tiny change, third was a big difference and the fourth made it perfect).  My fourth/last fill was early Sept. '09.

Approximately how many weeks or months after surgery until you reached the “sweet spot”?
After my fourth fill (last one), I announced it at 4.5 months.

Did you ever have to get a un-fill?
No, thanks to those that have (thank you for your suffering and sharing it).

Thankfully, by reading what had happened to others I thought better about getting another fill when my WL plateaued one time and I already had a visit scheduled to the Doc.  I went back to what my Doc says about fills and thought about it (1-1.5 C, follow the rules, am I hungry before 4 hours?) and I realized I didn't need one…'not losing weight' is NOT the best criteria for needing a fill.  So those that have been overfilled have saved me from it so far.

Can you drink water and other fluids easily at your fill level?
Wine goes down really well.

I can't chug cold liquids (in the mornings), but I'd say I drink pretty normally.

Do you get stuck and/or slime and/or PB very often?
I almost NEVER just slime it's usually at the beginning or end of a PB and I'd say I have 'episodes' of PB's.  I seem to get in a cycle for a week or so (sometimes once a day for almost a week) and then it eases up…I'm learning to baby my stoma more after the first PB and nip this cycle in the bud (I'm a slow learner).

5. Share Your Secrets!
Tell us your best tips for losing weight with the band. What do you think contributed most to your success?
- Keep the journey POSITIVE!  You can't reach goals you never set.  Set 'shoot for the moon' long-term goals, but make sure you have TONS of short-term goals that are achievable (it breaks my heart when I see newbie's setting crazy goals that would be impossible to reach…yes, you need to work hard for a goal, but it needs to be attainable).  Celebrate all those mini-goals and every NSV.  This journey can be hard and frustrating at times, but it's also the most wondrous and magical adventure I've ever been on…you can't enjoy the ride if all you're thinking of is the next bump in the road…take the time to enjoy your progress as you go.  Be kind and forgiving to yourself…and remember this is a lifestyle…no one is perfect and skinny people sometimes eat junk too…I've had chocolate almost every day since Banding.

- AWARENESS; my whole 'working on my headband'.  I know I wouldn't have gotten as far as I had if I'd just treated this like another WL program.  Besides the Band itself, that's the piece that was always missing in my past WL programs…yes, I knew about head hunger before and emotional eating, but knowing about it and really doing the work along the way are two different things.

- My SPREADSHEET was an invaluable tool for me.  I kept track of my weight, BMI, measurements, fills, events that affected my WL and my restriction.  It helped me accurately predict things and helped me in so many other unexpected ways (i.e. Finding something to celebrate when the WL doesn't seem to be going as fast…I often found out it was right on track when I averaged it, or looked at the 10 pounds at a time).

What advice do you have for Newbie's? Is there anything you would have done differently if you could go back to the month's right after your surgery?
Set yourself up for success…have a plan that works for you.  Any Bander can tell you there is SO much more to this than your Docs know or tell you.  Know that you'll have to make a LOT of choices along the way (i.e. Where your sweet spot is).  Sometimes you won't even know you have a choice if you haven't done your homework (i.e. Port placement).

Differently?  I would have tell myself to be more patient, don't worry about the weight early on, and I'd eat smaller meals more often during Bandster Hell now that I know more about how complications are MUCH more likely then (OK, you know I wouldn't listen to the 'patient' part either).

Oh, and I'd suggest newbie's ask their Drs. they are thinking about using some very specific questions especially about fill schedules and their approach to using the band (see below).

What is the best band-related advice you received?
Get one.

First I'll agree with what someone else (Amy, I think said here) as my number one…the place you go and the staff there are SO important (remember, you could be seeing them for a LIFETIME).  I did realize that and went to three seminars at three hospitals before selecting, but after seeing so many other Banders go through this journey I'd say it's even MORE important than I knew.  I've seen way too many Banders struggle unnecessarily with this journey because of their Dr. or the staff there (bad fill schedules, differences in philosophies or diet, etc.).  There are way more variables in this journey than you start off knowing about.  My Doc has always listened to me…i.e. when I was losing weight during Bandster Hell but told him that it was me doing all the WL, not my Band.

OK, a new one for my second…Well, I'll put this in my own words to simplify it, but I'd say 'Full means not getting hungry for about four hours after a meal'.  Sounds simple, but it wasn't for me.  If it were up to me, I'd make every newbie recite that three times a day before each meal.

As I worked my way through Bandster Hell and started restriction and was differentiating 'head hunger' from 'real hunger' I kept hearing about stopping eating when you're 'full'…well, at least that's what a lot of our Doc's tell us.  The problem with that is that I never felt 'full' while I was eating (for me it took about 30 min. after) unless I was eating over a longer period and usually by the time I felt 'full' I was really 'over-full'.  I did a blog almost exactly a year ago called 'Redefining Full' where I used my awareness mantra and decided to start testing amounts of food and when I'd get hungry.  I found I could stay satisfied on less food than I was eating.  I redefined 'full' as being 'satisfied' until the next meal…it was an important distinction for me.  Your band should never be the 'hard stop' you get when you over stuff it…that's abusing your band.   It was never created to control your eating in that way (and yes, I've tested that too LOL).  The point is not to see how much you CAN eat after each fill, rather it's to see how LITTLE you can eat and still stay satisfied until the next meal.  With my Doc, I don't  tell him 'I can still eat 2 bowls of spaghetti' or '4 pieces of pizza…I must need a fill!'….instead I say 'I eat 1 -1.5C of food with 3-4oz. of protein first (as instructed) and I stay SATISFIED for 2.5 hours…I need a small fill.'

How did you deal with “head hunger”?
I feed it.  Seriously.

It's a beast and it takes awhile to figure it out, but once you do the head work…I mean really do it (have a plan of questions to ask yourself and things to do), you'll know when it's OK to just walk away and when it's better to feed the beast.  Sometimes it's better to just have some of what you want and usually it doesn't take a lot to feel satisfied…deprivation can lead to the beast taking control and then you've lost the control you might have had with the amount (the beast takes control and then it's a binge)…and I found that most times it was OK to walk away.  You'll find that the more you work through this the less it will happen, but it's always sitting in wait when you least expect it bwah-ha-ha-ha!!!

Did you find the mental aspect of losing weight difficult? (Including, for example, no longer relying on food for stress relief, getting used to seeing yourself as a “thin” person, or anything else)? How did you deal with this?
Well, I probably talk about this now as much as my Band.  I recognized that this was going to be something I needed to really work hard on from the moment I caught my first glimpse of that 'Before' photo on the camera and didn't recognize myself (my BDD).  It would take too long to explain it all, but the short advice is 'BE AWARE' and then work on what you find out.  Many people go through this process with blinders on so focused just on that number on the scale…I fear a little for them when they reach their goal and still have all the issues and bad habits to deal with that got them obese to begin with or that they'll suddenly realize that their world isn't suddenly sunshine and daisies because they lost weight.  I think a regain would be much more likely for me if I hadn't built my headband and did the work to change that person who'd rather be Obese inside as I went along.  I'm still working on it.

*Gen, I'm taking the liberty of adding one here since I had two people ask me this today.
What was the most difficult/challenging/hardest part of your WL adventure and how did you handle it?
Boy, this is a hard question…This?  Kidding.

I know this is kind of a cop-out answer, since it's multiple things, but I guess I'd say getting rid of my old WL habits (losing AND gaining) and truly making this a lifestyle change that would work forever.  I think most of this had to happen in my head (yes my beautiful headband that I'm been bedazzling along the way…this girl likes bling…and it's not finished yet!).  And it took a LOT of patience for me.  I've always said this is the hardest thing I've ever done for myself.

For someone who had been on every diet out there, had been both a successful yo-yo dieter and sometimes a terrible one (some diets just suck), who now had obesity related health problems, and after 30 years of doing all this was just beaten down and tired of it all, the Band was hardest thing I've ever done (and the easiest).  There was so much I had to go through at the beginning that it was 'hard' for a long while before I could get to it being 'easy'.  I'm a planner (yes, you know I'm almost OCD) and even though I think outside the box I like having rules (if only so I can decided that the rule doesn't make sense and find a better way for me).

Let me explain, I can be a GREAT dieter, I know how to count calories and log everything, etc., I have that all down pat…been doing it forever.  Tell me I have to make this a lifestyle change, NOT diet (my choice), exercise doing something you won't get burned out on and can keep up forever (still working to perfect this), and then throw in that I still have to lose weight…yikes!  For me this was a major mental change.  The 6 month insurance diet was the longest I'd stayed the same weight in a gazillion years (that was actually tough).  I'd always used a very strenuous exercise program in the past along with diets to accelerate the WL, but I didn't do that this time as I knew I couldn't do that forever.  Then I really had a hard time not using a structured diet or diet foods (I only have a few SF things I keep in the house and no other diet foods or meals).  I planned to have a chocolate treat every day (a very new concept during WL for me).  I didn't eliminate anything completely from my diet…I even continued alcohol in moderation.  I was sorely tempted at times (especially during Bandster Hell and plateaus) to go back to the diets I did so well on (Atkins works very fast for me and I still have boxes of those ketosis dipsticks).  It was hard to be losing weight so slowly when I knew I could be losing it 3x as fast if I'd only diet.  There were a few times when the scale was going up instead of down that I felt like at least eliminating some things from my diet, but I kept focused on the new strategy 'I'm not going to do anything differently now than I'll be doing in maintenance.'  It was my main rule and I worked hard not to break it.  I knew for a fact that any kind of deprivation was a recipe for disaster for me.  Once the restriction came and started helping me out and I realized 'I wasn't going to be the Bander this wouldn't work for.' (yes, everyone thinks that), then after a few months with working out the kinks in the learning curve it got a lot easier…the WL part at least!

6. The Dreaded “E” Word: Exercise!
How long after surgery did you start exercising?
Well, as my followers know, other than some walking, it took me quite awhile.  I finally realized that I was afraid of messing up my 'last chance' with an injury, which put an end to so many other diet/exercise programs I'd been on before (I almost always married an intense exercise program with diets in the past).  Once I realized that was blocking my path, I started, but I'm no example in this area.

What kind of exercise do you do, and how frequently?
No and no.

Seriously, I will never be an inspirational Bander in this area (I'm holding out hope that it will be my next phase of this, but I wouldn't count on it).  I'm still trying out new classes and tapes and trying to find something I love…I'll let you know if I ever do.  I get a LOT of heavy work done gardening and lots of other active things all summer, but winters I tend to be more of a couch potato (I obviously need to move somewhere warm).  So my goal now is to find something consistent before winter.

The two things I do the most often are my treadmill and the Wii Fit.  Mostly, walking.  I'm trying to find my way toward making it more consistent.

Do you think exercise is important to your success?
If you'd asked 'Do I think exercise is important?', the answer would be absolutely yes!  You can be skinny and still not be as healthy as you could be if you were exercising, but if success means weight loss I'd have to say not a lot this time.  I know I could have lost much faster if I'd exercised more (I know, because I've done it before with diets), but this time was putting together a lifestyle change I could live with forever.

7. Issues with loose skin/plastic surgery.
Have you had any issues with loose skin?
Um yeah, and I've shown pics of most of it; my age and the amount of times I've yo-yoed probably hasn't helped as I'm like a balloon that has been inflated one too many times and is now completely stretched out.  Luckily, my stomach was the last to gain weight so other than a few wrinkles and stretch marks at the bikini line (that most women get from having three kids) my stomach isn't that bad…now my bum/thighs are another story.

What are your thoughts about plastic surgery?
If you want it and can afford it, get it…just don't go all Bratz Doll on me so I can't recognize you anymore.  Oh…for me?  Should I be insulted?

Well, I'm old enough for any Surgeon to have fun doodling all over my body with their sharpie just for aging.  My saddlebags have been there when I hardly had an ounce of fat on me and was young and teaching exercise classes on the side daily…if you'd asked me back then I would have lopped them off in a second if I'd had the money.  Now…well, I know I have several deflated areas; some that need pumped back up (boobs) and others that need tightened up (bum and thighs), and my face (Where did those new smile wrinkles come from? Must. Stop. Laughing.) and maybe my standards have been lowered or I'm just starting to see how far I've come and I'm accepting the flaws…I'm holding out any decisions for now (I've heard from many that the weight will continue to shift around in maintenance for up to two years), but I find it interesting that it's even something I'd consider now…like WLS it's just something I thought I'd never even consider LOL.

8. Anything else to tell us?
Yes, I want to mention that you have to find a way to stay accountable, and I'd urge you make yourself accountable to someone more than just yourself.  We've all gotten good at disappointing ourselves, but disappointing others is usually harder.

For me, this became my blog (if you're not a blogger, set a plan for weighing in with a friend/other that won't enable a regain…i.e. My DH alone wouldn't have kept me accountable, not that he's an enabler, but I'd gotten good at disappointing him with weight regains too).  I made a commitment to do everything I needed to for an entire year from Banding to get healthy and I also committed to weighing in and posting it once a week until goal…NO MATTER WHAT.  I can tell you that out of my 300+ Banders April month of banding group that started doing this on LBT there are now only three of us that regularly do this still (disappearing online isn't usually a good sign).  DON'T hide or disappear when the scale isn't moving…that's the time you need the MOST support and help.

So finally, I want to thank all of you for keeping me accountable…I wouldn't have reached goal without you.  I've made so many great friends through this process and I hope I keep them even when we're all just living our lives as skinny people happily ever after.

I also want to thank everyone who suggested all along the way that I write a LB book (and that I laughed at then, yes, you've gotten the last laugh)…and for your patience and support when I finally listened (what is that Oprah says about the world sending you the same message until you finally listen LOL).  I know there's only the slimmest chance that it will ever be published (99% never see publishing, so don't be disappointed), but it's given me the outlet I was looking for to at least try to pay-it-forward in a bigger way.  After 30+ years of my life being about my weight and the pain of yo-yo dieting I can't express to you the peace and happiness my Band has brought me and there's nothing I want more now than for everyone to find the same success I've had with it.

Friday, May 28, 2010

How about some Inspiration Pics? Catherine's Before and Afters!

Of course I did not forget Catherine's amazing Before and Afters!!!!  Just a little behind on everything these days....

Catherine's pictures truly say a thousand words, so look and learn....You can find many more incredible photos of the lovely (and skinny) Catherine here on her blog. 

Great job Catherine!




Wednesday, May 12, 2010

The NYC Superstar: Catherine!

Total score for the S.O.B. Blog and for all of us!!!!!!  The gorgeous, fabulous, elegant, and oh-so-skinny Catherine55 (from Chronicles From Bandland) is our guest this week!

She's the smart, sexy, wine-sipping, foie gras-eating, party-going New York Girl we all want to be when we grow up.  Our very own Carrie Bradshaw of the Band!  (Except she's even prettier IMHO, has way better boobs,  and totally rocks her designer dresses).

Full disclosure here:  Catherine's blog was the first one I read the night I decided, for sure, to get the band.  I started at a similar place and size as Catherine, and watching her shrink was hugely inspirational to me.  Catherine's blog is so informative, interesting, and helpful, especially for Newbies.   Catherine is just one of those S.O.B.s we all love to love.


What has been most amazing, to me, is the incredible transformation Catherine has experienced in just a few short months -- all while enjoying life to the fullest, dining out and traveling with friends, and just generally living a very cool lifestyle.  Catherine has reached her goal weight with grace and style -- embracing the "slowly but surely" approach to losing, and demonstrating that banded life need not be boring or especially difficult. 

Catherine's new-found confidence, happiness, and the joy she expresses living in her new body is truly a thing to behold.  We all heart Catherine!  And now, we have her best tips and tactics for living well and losing well with the band all in one place!  Catherine's S.O.B. answers, below, will be invaluable to new and soon-to-be Bandsters....so make sure you direct all the Newbies right here for some of the best advice around.

Thanks Catherine! 

1.  All about You!  Tell us a little bit about yourself (age, how long you have had the band, etc.)

Hi!  My name is Catherine and I’m a 39 year old trademark and copyright attorney living in New York City.  I was banded on October 23, 2008, which is about 19 months ago.  I’m what’s affectionately known as an “oil brat,” since I grew up moving around every few years (my dad worked for an oil company), and I’ve lived in seven countries. 

I love to cook and really enjoy good food and wine, and being banded has only added to my enjoyment of these things, which I didn’t expect at the outset of this process.  The reason for that is simple – it’s finally allowed me to stop feeling bad about my weight and to enjoy delicious food in reasonable amounts so that I don’t have to feel guilty about what I ate afterwards.

2.   Your Weight Loss

Please let us know your starting weight and/or size, and current weight and/or size

I began at 230 pounds, with a BMI of 37.  I am 5’6 inches tall.  At the outset, I was wearing a 1X, 14W or a Gap size 20 or XL.  These days, I wear a designer 10, an 8 in a few brands (which is a huge thrill, since 10 was the smallest I remember being as an adult), and buy mediums at The Gap and Old Navy (I love to see that M!!).

How long did it take you to get to your goal weight (or first 100 lbs. lost)?

I hit my goal weight at 75 pounds down, and my aspirational goal will bring me to a total of 85 down.  Right now, I am 76.4 pounds down.  It took me from about October 15, 2008 until April 5, 2010 to get off the first 75 pounds.  That’s just under 18 months.  I am a relatively slow loser compared to many other bandsters. 

I know that 18 months may seem like a long time if you are at the beginning of this process.  But the beauty of this is that, since I got banded, I’ve actually felt good about my weight, my progress and my body for the first time in my entire life – including when I was at my current weight in my 20s.  Back then, I felt “fat” and did not appreciate how good I had it!

So, while 18 months may seem like a long time, it’s been an incredibly enjoyable time in my life.  Being free from waking up every day feeling bad about my weight and berating myself for getting so fat and letting things get so out of control is one of the most incredible things that being banded has done for me.

As you got closer to your goal, was your weight loss slower?

Absolutely!  I lost about 40 pounds in the first 6 months of being banded (so, about 1.45 pounds a week on average. . and that includes the healing phase. . . and the 5 pounds I gained during Bandster Hell and subsequently lost).  The second six months, I lost roughly 25 pounds (just about .9 pounds a week).  And, during this last just-over six months – when I’ve been very close to my goal, I’ve only lost 12.4 pounds (about .4 a week). 

Here’s the weird thing. . . that last 12.4 pounds probably makes a bigger difference in my overall appearance than the first 30 did.  Crazy, right?  But that last bit took me from being slightly overweight to being within my “ideal” BMI range and to looking like a (gasp!) reasonably thin, in-shape person.

Did you experience plateaus?  What did you do to shake up weight loss stalls?

Totally – everyone does.  It’s SO ANNOYING!!!  But it’s part of the process, so you just have to wait it out.  I shook things up by doing a bunch of different things.  Sometimes I’d up the exercise, and other times, I would actually up my calories for a day or two.  Another annoying thing is that my scale bounces up and down between every pound lost.  I had to learn to be calm by the constant boing-boing-boing action on the scales and not to worry if I was up .4 from one day to the next.  A new lowest number would always eventually appear.

How did you decide on a goal weight?

I picked 155 because it took me within a hair of my “ideal” BMI range and also because it was a weight where I felt great in my 20s.  I set 145 as my aspirational goal because that was a weight that I achieved in 1997 (with the help of a phen fen diet) and I had felt absolutely amazing at that weight.  These are very reasonable weights for someone who is 5’6.  I just want to look healthy, strong and as attractive as I can manage!

Is your final goal weight considered "normal" on the BMI charts?  

Yes.  154 actually put me in the very highest part of the “ideal” range, and 145 has me a bit more toward the middle of the range. 

I don’t really put too much stock in the on-line calculators though.  I’ve been working out like a fiend for the past year, and I have to believe that with all of the muscle I’ve built, my BMI is actually much lower than it was when I was at this same weight in my 20s, but nowhere near in this good of physical shape.

3.   All about Food!

Do you follow any of the band rules religiously?  (For example, no drinking with meals, etc.)

Yes.  I stopped my daily Diet Pepsi cold turkey before my pre-op diet.  I really don’t miss it at all.  I am careful to chew my food, and that has become second nature to me.  Also, I take my vitamins (2 Flintstones chewables) every day, and I focus on getting enough protein in my diet.

I do ignore the rule about drinking during meals, especially when I am out, and I will drink a beer on occasion. 

On the vitamin front, some people may laugh at me taking Flintstones chewable vitamins for kids (I take two every morning).  But, the truth is that I love those vitamins, so that means that I will actually take them!  If I had another kind, I am sure I wouldn’t be so good about taking them every day.

Which band rules do you think are most important?

To stop eating when you are full and to chew your food.  If not, you are going to make yourself uncomfortable, and potentially get stuck and have to PB.  Highly unfestive . . .

Did you track calories or log your food while you were losing weight?  Do you do this now?

No.  I hate doing that.  One thing I love about the band is that this just isn’t necessary for me.  I’ll think back over my day and mentally go over what I ate, but I don’t write it down, count points, or do anything like that.  For some people, tracking is a useful process, but I’m just not one of them.  To me, it feels like an onerous chore, and I just don’t enjoy it.

Did you measure your portions?  Do you do this now? 

No.  I do think about portion size when I serve myself and when I prepare a meal, and I am generally conscious of it, but I don’t measure anything.  My band keeps me in check.  This just isn’t necessary for me.

Describe a typical day of eating for you, both during your weight loss phase and now.

What I eat hasn’t changed too much, though at the beginning, I was having SlimFast shakes for breakfast pretty regularly (I went through a phase where I was really loving the vanilla and cappuccino flavored ones).  Nowadays, I usually have a lowfat yogurt for breakfast.  Lunch is usually either soup or something protein-rich, like sashimi, grilled salmon, or maybe a Thai green curry with chicken.  Dinner varies quite a bit depending on whether I go out or not.  Tonight, I had ½ of a very high-grade hamburger patty and a glass of red wine.

One thing I did early in this process that I found really helpful was to make home made soups and freeze them in individual containers.  I love to cook and found some great recipes that I really liked – like butternut squash soup ("Cooking with Catherine"), or chicken, cheese and chilies soup ("What's Cookin").  This let me take soup to work for lunch every day, helped with portion control, and I also knew that I was only eating high-quality band-appropriate ingredients.  I posted some of my favorite recipes on my blog, with photos, if anyone is interested. 

Some lap band practices tell patients to eat only 3 small meals a day; some say 3 meals plus 1 or 2 snacks; some say 5 or 6 small meals.  What did you do when you were losing weight, and what do you do now? 

I generally have 3 meals every day.   Sometimes I also have a snack, particularly on days when I am going to my Boot Camp workout, since I like to have the extra energy to burn!  It’s a tough workout!

Approximately how many calories per day did you eat during your weight loss, and how many now?

Yikes – I never really counted.  If I had to guess, I’d say around 1200.
 
What are some of your favorite band-friendly foods?

Soups, fish, sashimi, baked potatoes with Greek yogurt (and butter and cheese. . not low cal!), yogurt, scrambled eggs, poached eggs, and – weirdly – Amy’s Organic Cheese Enchiladas frozen dinner.  For some reason, that dinner goes down pretty well for me – I usually keep a few in the freezer for quick dinners. 
 
Did you drink protein shakes during your weight loss phase?  Do you now?  
 
I hate real protein shakes.  I actually drank the Isopure drink that tastes more like Gatorade (they sell it at GNC) during my healing phase and early in the weight loss phase.  I liked the flavor pretty well, and it has about 24 grams of protein and zero carbs, so was a great alternative to the gross shakes. 

That said, I did drink a whole lot of SlimFast for breakfast during my first six or so months post-op.  I know it’s not the greatest shake, protein-wise, but I just found them really tasty!  These days, I’ll occasionally get a fruit smoothie with an extra shot of protein as a breakfast treat.

Did you follow any special "diet" plan during your weight loss -- for example, low carb, counting points on Weight Watchers, etc?

No – I didn’t need to do this, and I really didn’t want to do this.  I view banding as a life change, and I didn’t want to think of it as being on a “diet,” especially since I had never been able to lose the weight and keep it off with a traditional diet in the past.

Are there any foods you cannot eat with the band (like meat, bread, etc.)?

Not really.  I’m careful about eating red meat and chicken in restaurants, since I can easily get stuck on those foods if they are a bit dry or if I do not chew well enough.  I stay away from bread that becomes “gummy” when you chew it, but I can usually have a bite of a baguette or other crusty bread if I’m in the mood.

What would a “splurge” day be like for you?
Yikes. . . It would probably start with some foie gras and some really nice wine. . . then something amazing for dinner, like a flaky fish. . . and maybe some dessert.

4.   All About Fills!

I have a 5 cc Inamed band.  Right now, I have 3.0 ccs in it.  My fill situation is a bit different than that of many other bandsters because I hit my sweet spot at 2.85 ccs and stayed there for about 11 months without needing a tweak. 

 How many fills did it take you to get to your “sweet spot”?  
It took me five fills to really get to my sweet spot, but I had restriction from my third fill on.  My doctor (Dr. Ren at NYU) was great about letting me come in for fills frequently until I got to restriction.

My first fill put 1.7 ccs in my 5 cc band and really didn’t do anything.  I went back a week later (December 16, 2008) and was bumped up to 2.0 ccs, which still didn’t really get me there, but I was wary of being too tight over Christmas, since I was visiting people who did not know about my band.  On January 10, 2009, I got bumped up to 2.2 ccs, went back in and was filled up to 2.75 on February 24, 2009, and then on March 13, 2009, I was filled to 2.85, where I stayed for about 11 months.

Right now I’m at 3.0 ccs in my 5 cc band and I’m just a teensy smidge too tight.  Somewhere between 2.9 and 2.95 would probably be perfect.  I’m going to see if I can work that out during my next doctor’s visit.
 
Approximately how many weeks or months after surgery until you reached the “sweet spot”? 
It took about five months to get to my true “sweet spot,” but I had some decent restriction from about 1 ½ months on and was losing steadily.  I have been very wary of getting over-filled and risking a slippage, so while I’ve been very proactive about getting fills, I have been conscious of not wanting to go too far.  Also, I enjoy life more when I can eat a bit more easily, and I haven’t really minded losing at a slow and steady rate.
 
Did you ever have to get a un-fill? 

No, thankfully.  However, I’m thinking about getting a teensy weensy unfill the next time I see my doctor.  If she could take out just a fraction of a cc (like .05 cc), I think I’d be exactly perfect.  I’m just the tiniest bit overfilled at the moment, and it makes it more difficult for me to enjoy eating out than is strictly necessary.  It doesn’t help with weight loss to be this tight because I just wind up having less food choices and have been eating too much of things like cheese and soups.

Can you drink water and other fluids easily at your fill level? 
Yes – it’s not usually a problem. 

Do you get stuck and/or slime and/or PB very often? 
I don’t view it as often, but my answer is actually the same as Amy’s!  I tend to slime maybe twice a week.  This usually happens when I’m stuck talking on the phone at night as I’m trying to eat my dinner.  I probably don’t chew as well as I would otherwise and then wind up sliming.  I really hate that and make an effort to get the heck off the phone when I’m eating, but it’s not always possible.

5.      Share Your Secrets!

Tell us your best tips for losing weight with the band.  What do you think contributed most to your success? 

Enjoy your life.  This isn’t a diet, and it’s not a prison.  This is a tool to let you enjoy food in moderation while vastly improving both your health and appearance.  Don’t sabotage yourself by loading up on slider foods.  Be honest with yourself about how you are eating, and give serious thought to it if you get off the path.  Also, try out a bunch of different things exercise-wise, until you find something you really enjoy.


What advice do you have for Newbies?  Is there anything you would have done differently if you could go back to the months right after your surgery?  

Take before photos and take your measurements!!  You will want to have those things as you go through this journey!  Also, think long and hard about your privacy.  Do you want to tell everyone about your surgery, or do you want to keep it private from – for example – your work colleagues or friends or relatives who may be judgmental and/or say hurtful things?  There is no right way to do this, but you should make a conscious decision, regardless of how you decide to manage your privacy.  I also strongly recommend writing out a Pro/Con List ("Reflections on my pre-op journal") with your reasons for, and concerns about, getting banded.  This really helped me in making my decision.

Commit to working with your band.  Write out a post-op plan for success (Post-op plan for success), listing the things you will do to help yourself succeed.  Make a list of the things you are looking forward to about being thinner, and things you want to do as you lose the weight that you have not been able to do in recent times.  It is very exciting to look back on those lists and realize that you are doing everything you wanted, and that the things you hoped would happen really did.

What is the best band-related advice you received?

When I was debating the band, I made a pro/con list about the surgery.  I was talking to a friend about it and realized that my biggest fear about the surgery was about having to drastically change my approach to food.  My friend said, “Catherine, regardless of whether you get the band, you are going to have to either drastically change your approach to food or reconcile yourself to being overweight.”  That just rang so true to me, and it was like a light bulb went off above my head.  I knew I didn’t want to accept being obese, and I expected that changing my approach to food would be easier to do with the help of a band.  And, it certainly has been.

How did you deal with “head hunger”? 

When I find myself looking for food, I ask myself “Are you really hungry?”  If I am, I eat something.  If not, generally I don’t, but sometimes, I’ll eat something very small.  It doesn’t take much for me to feel satisfied, and “head hunger” isn’t a big problem for me at this stage in the game.

On the hunger front though, when I’m actually hungry these days, I’m pretty darned hungry!  I try to make sure that I plan regular meals because. . . no one wants to see me turn into Little Miss Crankypants!! :)

Did you find the mental aspect of losing weight difficult? (Including, for example, no longer relying on food for stress relief, getting used to seeing yourself as a “thin” person, or anything else)?  How did you deal with this? 

No.  I love it.  I was around my current weight for most of my 20s, so now I am back to feeling and looking like my old self.  It’s a thrill to see that person in the mirror, instead of the puffy, more matronly person I’d been seeing for the last 6-7 years.  It’s nice to get more attention from guys as well.

6.               The Dreaded “E” Word:  Exercise!

How long after surgery did you start exercising?

I was terrible.  I did BS exercise for the first several months.  Seriously . . . total BS workouts, and not very frequently, either.  I finally re-hired my old personal trainer and worked out with him a bit once I was about 36 pounds down.  That helped me get back on track.  About a year ago, I joined an incredible Boot Camp workout program called Pure Power Boot Camp (www.purepowerbootcamp.com).  It’s a military-style workout and will KICK YOUR BUTT!!  I’ve seen people throw up in that class on a few occasions, and it is very intense.  I’ve been doing that workout throughout the past year, and I have never been stronger or in better shape. 

Also, I hated my butt for my entire life up to now – I thought it was too big and wide.  But a few thousand squats, squat thrusts, burpees, miles run, etc. and I actually like it now!  I did not imagine that would ever happen!

What kind of exercise do you do, and how frequently?

I do my Boot Camp 1-2 times a week and a yoga class on Saturdays.  If I only make it to Boot Camp once, I usually run 30 minutes and do abs at my gym another night during the week.

Do you think exercise is important to your success? 
Absolutely.  It not only helps to burn calories, but it has shaped my body, made me leaner and stronger, and given me good muscle tone.

7.    Issues with loose skin/plastic surgery. 

Have you had any issues with loose skin? 
I am very lucky on this front.  Because I was a lower BMI patient (37 BMI pre-op) and am under 40 years old (just barely. . .), so my skin was flexible enough to shrink back into shape.  I do not have any extra skin, and the “girls” have bounced back much better than I expected.  I thought I would at least need a breast lift when I hit goal, but I don’t.

What are your thoughts about plastic surgery? 
I would get it in a heartbeat if I really needed it.  I could do with some lipo to get rid of the saddlebags on my thighs, but I doubt I’ll do that.  Honestly, I’m just so much happier with my body now that I can live with the flaws!

8.   Anything else to tell us?  

If you are banded, or going to be banded, embrace and enjoy this process.  There are NSVs (non-scale victories) to be found at every turn.  Enjoy being able to go out for a nice meal and not having to feel like crap later because of what you ate.  Take pleasure in being able to wear heels and dance without your feet being in pain.  Become a part of the bandster community, whether through boards like LapBandTalk.com or through the blogging community.  There are so many wonderful, supportive people going through this process, and it is great to be able to talk to and get advice from others who are experiencing the same things that you are.

THANK YOU CATHERINE!  WE HEART YOU!


Look for Catherine's stunning "after" pics in the next post!