Friday, November 16, 2012

My Fat Butt - here we go again

So, after gaining another couple of pounds & giving up on trying to lose weight... I hit that plateau. Nice, in that I stopped gaining. Adds to my frustration in that months of trying to lose weight resulted in gains, then when I give up, my body says 'okay, I'll stop piling it on now'. Ugh.

So, I have still been trying to eat more veggies, get more exercise, and not eat out as much. But other than that, I eat what I want.

The news comes because I had my 6 month check with my endocrinologist today. Which I had somehow not marked on my calendar and had completely forgotten about until I got the appointment reminder call.

He thinks my insulin is out of whack again, and is putting me back on Metformin.

*to re-cap, no I am not diabetic. In fact my blood sugar tends to be on the low-side of normal, and I have been diagnosed as hypoglycemic (low blood sugar) since I was 15 years old. I have an insulin disorder that makes my levels go crazy high, then crazy low, and not remain steady. Contrary to popular belief Metformin does not increase insulin, it regulates your body's production of it (ie. evens it out). Or at least that's how my endocrinologist explained it to me.Basically, my weight gain actually began when I went off the Metformin just over a year ago. I guess I somehow hadn't realized it, but he went back thru my chart and showed me. While I've gained around 8 lbs in the past 6 months (feels like so much more), I've gained almost 30 lbs total in the 14 months since I stopped the Metformin. Just over half the weight I had lost.

So... back on the Metformin. Although, if you remember (for some reason I couldn't find the post, hmph), I went off of it because of severe gastrointestinal side effects. But apparently there's a new (or new to me) form of it that is supposed to be much gentler on the stomach. So we will try again.

I have the option of going back on the rest of my meds, doing the aggressive drug therapy all over again, but considering the side effects of the other medications as well, I'm not ready to do that.

He also basically told me that he recommends an actual weight loss medication as well. We didn't go into details, because I'm not ready for that, but essentially because I have a physical ailment (my spine injury) that prevents me from exercising the way I need to to lose & maintain a healthy weight, I'm an ideal candidate for weight loss medication.

He said that intense physical aerobic activity needs to be part of this plan, but weight loss medications' original intention were people just like me: patients who for one reason or another were currently unable to exercise. If I were healthy, no ailments, he'd tell me to start running. But he cannot in good conscious do that as a physician (although if I want to refuse my neuro's orders, that's up to me, LOL), since he is aware of my spinal injury. So we need to look at other, proven safe methods, for helping to bring my weight down to a healthy level.

I don't know. I am certainly not against the idea, and what he says makes sense, but... I guess part of me feels like it would be giving up. And I'm not ready to do that yet. Or maybe I just need to think on it longer.

I told him "screw my surgeon", so since it was my choice, he went over what exercises he recommends for his patients with similar metabolic disorders, and why (ie. did you know swimming lowers your metabolism? ack!).

So for now, back on a new type of Metformin, keep trying to eat healthier, and try to increase my exercise. I go back in a few months, and he's ordered a bloodwork panel to be done just before that appointment. We'll check insulin levels, A1C, etc. but he'll also run my thyroid again just to be safe. He said that even though my last bloodwork showed normal thyroid function, since I do have a family history of hypothyroidism, it's something we should probably check every couple of years just to make sure nothing new has developed.

I really love my doctor. He's very thorough, and also very good at explaining how the body works in this way, why we do (or don't do) certain things, etc. I'm a "why" kinda gal, so I like someone who pre-emptively explains, LOL.

Anyway, I feel like I just wrote you a book! And believe it or not, I left a good chunk of our discussion out!

So, as always, thanks for checking in! I'll keep you posted on my progress!


Unknown said...

Sorry to hear that. At least maintaining is better than gaining.
Good luck!

Julia said...

Stopping by from SITS, Every time I try to loose weight and end up gaining more than when I started but I have learned to be more active in all my years of trying to loose weight.

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