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11/13/09: Oh so many thoughts

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ldswims

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1) It's a Friday. It's the 13th. Friday-the-13th's tend to lucky days for me. I have won three contests in my life - and they've all been on Friday-the-13th's.

2) FIVE more months? REALLY? Ok. Four months and three weeks. But I want to start NOW - not play games...but here I am. I guess four months and three weeks IS better than five months IS better than six months....

3) How to eat post-band. How will it be different than now. I struggle to get my protein now, although becoming aware of this battle has helped. In the past two days I have been getting enough.

I have approached Atkins in the past as eat whatever I want - protein like. But you can't sustain that for very long without causing other problems for your body, I believe. But what if I'm incredibly selective about the proteins I select? Instead of bacon, I pick salmon. Instead of cheese cubes, I eat broccoli dipped in hummus. Can my body sustain THOSE choices longer?

I wonder. When I get banded, I am supposed to follow a high protein diet. Eat protein and then if you still can eat, then eat the veggies and then if you still can eat, then eat the carbs. Well. Out of seven days, I am supposed to avoid the carbs for six. On the seventh day, I can eat those carbs. It's my "cheat" day. If I pick a Sunday, though, to be my cheat day, then my cheat day should always fall on a Sunday. So hey, everyone, get your birthdays scheduled accordingly! Sorry, just a little blithe sarcasm, there.

Anywho, say it takes me a year to lose my weight. For a whole year - I have not really eaten "normally". When I get into maintenance mode, then the band would presumably be loosened a smidge. Which should mean my caloric intake might be sufficient for actually getting to eat the carbs. Wouldn't that cause my body to say "here we go again, better start hoarding?"

Now, Band_Groupie pointed out to me this morning that with restriction, by default, you essentially are doing an Atkins diet. You just quite simply can't eat enough food to get ALL the necessary protein AND ingest the carbs. Fair point. But as my weight decreases my necessary intake of protein will, too.

This has me wondering and I will do more research.

In esseance all of this came from - you guessed it - Band_Groupie's blog! It really got me to thinking when she was blogging about not wanting to diet. She’s been there done that – and this is a lifestyle change. I agree with that whole-heartedly. And that got me to thinking – so how is doing the Atkins AGAIN, even though with a band this time, not a diet?

But. But But But But But.

I can see why people would get into smoothies and shakes because although they are sliders – they also would be a way that you might actually be able to ingest the daily recommended protein and carbs (and all that other stuff that goes with them). I, like BG, do not want to be a smoothie/shake chick, either. With one exception. As is, right now, unbanded – and it’s been this way for years – I do drink smoothies in the morning. I will not stop that post-band.

Lots of thoughts in this one little thought. Lots of research to do, too!

Next…

4) I’m such a whiner. I don’t generally consider myself a whiner – but it sure is coming across that way when I reread my blog. I am sorry for that. With the insurance situation under check, I should be getting back to my non-whiny self. Sorry for the detour…

5) I am so glad I am done with all the Dr. appt’s. I have an appt with my cardiologist this afternoon. He had me do a stress test a couple weeks ago and stated I was cleared for surgery. Today is the formality of getting the written clearance that I can turn in. With this appt done, I literally only have the weigh in appt’s left. Two of those down – four to go…

6) Four appt’s to go sounds better than five months to go. I think I’ll switch to that song and dance…33% done.

7) I want to remember what it feels like to be bloated but thin. It’s bad enough that I have to be bloated on a monthly basis, but to be bloated and fat – well…that’s just downright uncomfortable!!!! I don’t remember ever feeling this uncomfortability (like my word?) before my heavy days. And even with the heavy days – it’s still pretty recent that it’s become so dagged uncomfortable. Now there’s a strange milestone for myself…

8) Maybe my cramps will get better, too! (TMI?)

9) Does anyone else see anything wrong with failing the unweightloss program on purpose? Does our insurance industry not get what they are causing here? Added expense, wasted time, a whole plethora of negatives by creating this game. My very own insurance company cites study after study in their very own weightloss surgery policy document. One such study states that a sample group of about ~300 patients was put together. ~50 of those patients were forced to do what I have termed the “unweightloss” program. ~250 were just given the surgery. (All cases used the Lap-Band.) The ~50 who were on the “unweightloss” program did it for real and were losing weight. Of those ~50 people, ~60% decided to not do the surgery. A year later all ~300 people were examined. The ~250 people who had the band surgery had ALL lost a minimum of ~50% of the weight they wanted to shed. Of the people who were on the weightloss program that did have the surgery, they had ALL lost weight, although not as much as those that just went straight to surgery since at the recheck they’d only been banded for six months vs. a year. But the people who thought the diet was going well and opted out of the surgery – they had ALL regained ALL of their weight back plus more, in most cases.

So here we have it. Cigna has a document citing what their policies are. In this document they backup those policies with study after study after study. And in this particular study it shows that the unweightloss program hinders weightloss! There are quite a few other studies cited in that document that show similar results. Quite a few show that the efficacy of the lap-band is substantially greater long term than any other weight loss surgery option.

And yet there they are, playing games.

Oh well. On with life.

Only four more appts to go!

I think I’ve blogged enough today. So with that, I bid you adieu. I will be back this weekend with additional thoughts I may or may not have.

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1) It's a Friday. It's the 13th. Friday-the-13th's tend to lucky days for me. I have won three contests in my life - and they've all been on Friday-the-13th's.

2) FIVE more months? REALLY? Ok. Four months and three weeks. But I want to start NOW - not play games...but here I am. I guess four months and three weeks IS better than five months IS better than six months....

3) How to eat post-band. How will it be different than now. I struggle to get my protein now, although becoming aware of this battle has helped. In the past two days I have been getting enough.

I have approached Atkins in the past as eat whatever I want - protein like. But you can't sustain that for very long without causing other problems for your body, I believe. But what if I'm incredibly selective about the proteins I select? Instead of bacon, I pick salmon. Instead of cheese cubes, I eat broccoli dipped in hummus. Can my body sustain THOSE choices longer?

I wonder. When I get banded, I am supposed to follow a high protein diet. Eat protein and then if you still can eat, then eat the veggies and then if you still can eat, then eat the carbs. Well. Out of seven days, I am supposed to avoid the carbs for six. On the seventh day, I can eat those carbs. It's my "cheat" day. If I pick a Sunday, though, to be my cheat day, then my cheat day should always fall on a Sunday. So hey, everyone, get your birthdays scheduled accordingly! Sorry, just a little blithe sarcasm, there.

Anywho, say it takes me a year to lose my weight. For a whole year - I have not really eaten "normally". When I get into maintenance mode, then the band would presumably be loosened a smidge. Which should mean my caloric intake might be sufficient for actually getting to eat the carbs. Wouldn't that cause my body to say "here we go again, better start hoarding?"

Now, Band_Groupie pointed out to me this morning that with restriction, by default, you essentially are doing an Atkins diet. You just quite simply can't eat enough food to get ALL the necessary protein AND ingest the carbs. Fair point. But as my weight decreases my necessary intake of protein will, too.

This has me wondering and I will do more research.

In esseance all of this came from - you guessed it - Band_Groupie's blog! It really got me to thinking when she was blogging about not wanting to diet. She’s been there done that – and this is a lifestyle change. I agree with that whole-heartedly. And that got me to thinking – so how is doing the Atkins AGAIN, even though with a band this time, not a diet?

But. But But But But But.

I can see why people would get into smoothies and shakes because although they are sliders – they also would be a way that you might actually be able to ingest the daily recommended protein and carbs (and all that other stuff that goes with them). I, like BG, do not want to be a smoothie/shake chick, either. With one exception. As is, right now, unbanded – and it’s been this way for years – I do drink smoothies in the morning. I will not stop that post-band.

Lots of thoughts in this one little thought. Lots of research to do, too!

Next…

4) I’m such a whiner. I don’t generally consider myself a whiner – but it sure is coming across that way when I reread my blog. I am sorry for that. With the insurance situation under check, I should be getting back to my non-whiny self. Sorry for the detour…

5) I am so glad I am done with all the Dr. appt’s. I have an appt with my cardiologist this afternoon. He had me do a stress test a couple weeks ago and stated I was cleared for surgery. Today is the formality of getting the written clearance that I can turn in. With this appt done, I literally only have the weigh in appt’s left. Two of those down – four to go…

6) Four appt’s to go sounds better than five months to go. I think I’ll switch to that song and dance…33% done.

7) I want to remember what it feels like to be bloated but thin. It’s bad enough that I have to be bloated on a monthly basis, but to be bloated and fat – well…that’s just downright uncomfortable!!!! I don’t remember ever feeling this uncomfortability (like my word?) before my heavy days. And even with the heavy days – it’s still pretty recent that it’s become so dagged uncomfortable. Now there’s a strange milestone for myself…

8) Maybe my cramps will get better, too! (TMI?)

9) Does anyone else see anything wrong with failing the unweightloss program on purpose? Does our insurance industry not get what they are causing here? Added expense, wasted time, a whole plethora of negatives by creating this game. My very own insurance company cites study after study in their very own weightloss surgery policy document. One such study states that a sample group of about ~300 patients was put together. ~50 of those patients were forced to do what I have termed the “unweightloss” program. ~250 were just given the surgery. (All cases used the Lap-Band.) The ~50 who were on the “unweightloss” program did it for real and were losing weight. Of those ~50 people, ~60% decided to not do the surgery. A year later all ~300 people were examined. The ~250 people who had the band surgery had ALL lost a minimum of ~50% of the weight they wanted to shed. Of the people who were on the weightloss program that did have the surgery, they had ALL lost weight, although not as much as those that just went straight to surgery since at the recheck they’d only been banded for six months vs. a year. But the people who thought the diet was going well and opted out of the surgery – they had ALL regained ALL of their weight back plus more, in most cases.

So here we have it. Cigna has a document citing what their policies are. In this document they backup those policies with study after study after study. And in this particular study it shows that the unweightloss program hinders weightloss! There are quite a few other studies cited in that document that show similar results. Quite a few show that the efficacy of the lap-band is substantially greater long term than any other weight loss surgery option.

And yet there they are, playing games.

Oh well. On with life.

Only four more appts to go!

I think I’ve blogged enough today. So with that, I bid you adieu. I will be back this weekend with additional thoughts I may or may not have.

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Wow, that is a very interesting study. I can see how it would be. If I were successfully dieting, I could easily talk myself out of Lap Band. I didn't choose Lap Band because I thought it would be easy. I'm choosing it because I KNOW I need help. If I didn't need the help, I wouldn't be thinking of Lap Band. Does that make sense?

As for your uncomfortability :thumbup: I know exactly what you mean. With the extra weight that I have gained this year, which is only 6-10% of my body weight, I have become a true fat person. I'm just so darn uncomfortable. For a person that has ALWAYS been overweight, but never let it stop me from doing what I want...it is a STRANGE feeling. I don't like it one bit.

I'm not sure when my surgery will be, but it is nice to know that we can keep each other encouraged until it happens!

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I am new in all this too. I have my psyco-eval tomorry. I have heard people have not pass before. I am gearring up for it. Last thing befor they send it to my inc.

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