Showing posts with label physical changes. Show all posts
Showing posts with label physical changes. Show all posts

Tuesday, May 18, 2010

Not all the changes are good...

Sometimes I think the fact that I have been fat all of my life (well, since 4th grade of elementary school) has one tiny blessing when it comes to weight loss. That is the fact that I have never had an attractive body. For as long as I remember, I have had fat legs, a belly apron, and a large behind. I've always had lumpy cellulite and breasts which were not beautifully shaped.

The reason this may be a blessing is that I am not freaked out by all of the changes brought on by weight loss. I don't expect there not to be stretch marks all over me or bat wings on my upper arms. I don't expect a flat stomach or firm thighs and a nice behind. I can't expect these things because they have never existed on my body. When I lose weight and things start to sag and droop, it's pretty much just a variation on what my body has always been.

I think a lot of people when they lose weight, and the ridiculously idealized bodies people choose for their avatars on weight loss forums would seem to support this notion, want to end up firm, toned and "hot". Such an expectation would never be on my radar so I face no disappointment at the end of the road. My body is not going to look "good" naked when I have reached my goal and I'm okay with that because my body is like an old, well-worn, stretched-out sweater that can't get back its shape and I'd have to be delusional or have a ton of cosmetic surgery to have it end up otherwise.

The benefit of this is that there isn't disappointment waiting for me at the end of the line when I inevitably fail to meet some absurd ideal form based on the images we see of people in the media. Such people are Photoshopped, plastic-surgeried-into-perfection or have nothing better to do than to work on their bodies for several hours a day and do not represent our potential so much as our distorted expectations of what is achievable. That being said, even someone with my low expectations can find some disappointment in the results of weight loss.

As I have mentioned before, for my weight, my face has never been particularly fat. Of course, it has been "fat", but I haven't had much of a double chin for someone who was closing in on 400 lbs. and my cheeks haven't been too plump. While this was "good" when I was fatter, as I lose weight, I'm starting to find that the skin on my face is getting thinner. This makes parts of my face look younger as it's a bit like a face lift as the fat droopy areas start to thin out.

However, weight loss is causing the skin around my eyes to get very, very thin and bringing out all of the wrinkling one might expect with my age of 45. The wrinkles are shocking and not something I expected at all, but there is also the fact that my pale skin reveals bluish darkness around my eyes because of the coloration beneath. I first looked younger due to weight loss, now, I'm starting to look older.

Some people who are losing weight say that others remark that they are looking "sick" and are perhaps losing weight too quickly or losing too much. The person who is losing weight gets upset at this, but my experience is enlightening me about why others may have such a perception. My face, and my eyes in particular, are starting to look drawn (from the wrinkles) and tired (from the darker coloration showing through). I can easily see how someone who has seen my plumper, less-wrinkled, and pinker face at a higher weight for years would view me as looking "sick" as a result of this change. It's a reasonable conclusion, though one that they only reach because of their point of comparison and not because I'm actually ill or my weight loss is "bad". If anyone ever tells me I'm looking bad because of my weight loss, I'm not going to get mad; I'm going to understand where they are coming from.

Monday, May 17, 2010

It gets easier

When I started trying to lose weight, it was unbearably hard trying to eat less than my body required. The hunger nearly drove me mad at times. In retrospect, I wonder if, at a starting weight which was probably around 380, I made it harder on myself than necessary by picking an arbitrary number and saying that was how much I’d try to eat that day to lose weight.

I don’t think I experienced “starvation mode”, because I didn’t count calories everyday at first and didn’t greatly restrict my eating 6 out of 7 days a week at first. I do think, however, that things could have been just as effective, but smoother had I eaten 500 calories below my basal metabolic number everyday from the start. That is, if 3800 was what I needed to stay at 380, I may have been able to lose weight on 3300 calories per day. I don't’ know if that would have worked, but I think it might.

At any rate, I don’t regret the choices I made because they helped me to incorporate delayed gratification into my life quite effectively. Weight loss plans aren’t a perfect science. They’re more like alchemy in which you’re making wild guesses at what to do and on rare occasions it works and most of the time it fails.

The reason I’m thinking about how many calories one can eat and still lose weight is because lately it has gotten a lot easier to eat less. I haven’t weighed myself recently; in fact, I have scrupulously avoided it because I have a planned weighing for mid-June as that marks the one-year anniversary of my decision to try and change my life such that I’d lose weight. My sense is that I’m probably somewhere in the 260’s now, which means that I’m now aiming for 1500 calories a day with some “bonus” nibbling that might take me up to 1600. I’m easily falling in the mid to high 1400’s most days since deciding to scale back my eating a little more. Some days, I’m actually in the high 1300’s without effort.

The main thing which has changed since the early days of my efforts is the frequency and intensity of my hunger. I recall all too well how hard it was in my early one-day-a-week 1200 calorie days. Sometimes, I thought I would just go mad with hunger. I also have found even within the past 3 months that I was having problems throughout the day, but recently something seems to have changed. Either hunger isn’t hitting me as hard as it used to, or I’m much more capable of setting it aside and ignoring it (possibly both).

I can’t say for sure why this is the case, but my speculation is that my body’s energy demands have drastically gone done (as a lower weight means a lower BMI) and my cells and organs have slowly adjusted to the diminished energy levels. Whatever myriad chemical processes keep my body alive have finally gained some sort of cellular “understanding” that this is a situation which does not require klaxons going off in my brain saying, “eat, eat, eat.”

It’s also possible that I’m simply spending those calories better now and therefore I’m more easily sated than before. I consider this as a rather remote possibility because my eating style has not appreciably changed from the start. I still eat lots of chicken breast, quick breads made with fruit and Splenda for breakfast, eggs, controlled portions of rice, sweet potatoes, and whole wheat bread, fruit, occasional small portions of salted snacks, small portions of cheese, pureed vegetable soups, raw carrots and tomatoes, small amounts of chocolate, salads, and tuna and drink lots of tea and moderate amounts of Diet Coke. The diet really hasn’t changed, though I have been more consistent as I’ve gotten used to the (high) cooking and preparation demands. I can say though that I love the food I eat and rarely hunger for something that I feel I have to deny myself. It’s not that I’m such a “good girl”, but just that I have developed really good portion control and can incorporate nearly anything into my plans without losing control or overeating.

The way things have gone lately, and I realize this may be a temporary state (but I hope not), have given me a better sense of how other people manage to eat less on a regular basis without trying too hard. They do it because their bodies aren’t issuing demands and their psyche’s aren’t controlling the path from mouth to stomach. That being said, my psychology still drives me to food for comfort on occasion. Last night was stressful, and I ate about 200 calories at the end of the day as comfort. The only difference about what I did then and what I do now is that the amount I eat for comfort is very small, engaged in much less frequently, and usually within calorie allotment totals for weight loss (and never above maintenance numbers).

Besides the inevitable relief of not having to fight your impulses to eat all of the time or stave off hunger, this state of being feels more peaceful because I find that I ruminate on food much less often than I did initially. I used to go to bed every night thinking about food and imagining what I’d eat the next day. Now, I find that I rarely end up doing that. I also find that I am spending less time looking at the clock to see if enough time has passed between breakfast and lunch to allow me to eat again.

So, I’m glad to say that it gets easier after awhile. I can’t say it “gets easy”, but with practice and further reduction in body weight, it does become less difficult. It has taken nearly a year to get to this point, but I’m gratified to be at this current stage, and I hope it continues to last (or get even easier). I want to note this change because I think it's important to remember not only where I am at this point in the process, but where I used to be before. 

Thursday, April 1, 2010

Another Progress Pep Talk

Lately, I've been noticing some more changes to my body which indicate progress being made. Some of this comes under the heading of "too much information", so squeamish sorts may want to bow out before they reach the end (I'll issue a warning when the time comes). Nonetheless, if this is to be a record of all of the way weight loss is going for me, and improvements I'm experiencing, I want to be relatively thorough.

The biggest thing I've noticed physically is that there has been a profound change in the way in which I perceive the "layout" of my fat. The way I'm saying it makes it sound bad, but it's actually a good thing. In the past, my belly felt like a tire that went all the way around my body, and it still is a bit like that, but lately I've had more of a sense of it hanging mainly from the front of my body. This means my stomach is shrinking. It's pulling up from the sides such that I can see more of my thighs. I'm getting some sense of my true body structure as it follows my spine rather than feeling like some sort of amorphous blob. Oh, I'm still plenty fat, but things are changing in a noticeable way.

When I was walking around shopping today, I caught a glimpse of myself in a full-length mirror, as I occasionally do, and felt as though I was definitely much smaller than I once was. I still am very pear shaped (and big bottomed), but my upper body in particular is much, much smaller. No one is going to mistake me for anything but morbidly obese, but I've shrunk a good 10 inches all over by now, and more in some areas.

The size 44 bras I bought last year which started out quite tight are now getting loose. I have to have the straps at their shortest to keep my breasts from wanting to fall out of the D cups. I couldn't use my 60-inch tape measure to get my bra size over a year ago, but now I can use it. The size around my body under my breasts is now roughly 42 inches. I'm hoping to deal with these bras until I reach the size of the 38C I've got in reserve. Bras are expensive, so I'd rather not splurge on interim sizes.

Though I never had much of a double chin for someone of my weight, the little bump of flesh under my chin is starting to flatten out a bit. This sounds good, but it looks bad to me. I'm 45 and it looks a little wrinkled at the moment. I'm wondering if I'm going to end up with some sort of turkey neck after I lose as much weight as I like. This certainly wouldn't stop me from deciding to lose weight, but it's not a happy ending to this process.

My legs have always been fat and I expect that they always will be, but I've noticed that they are starting to get smaller as well. I'll never have lovely, shapely legs, but my calves don't seem to be quite as obscenely huge as they used to be. My feet are also starting to feel too small for my shoes, which I believe were stretched out when my feet were fatter.

I've also noticed that I no longer need to lean on various things in order to clean difficult to reach areas in our apartment. I also used to have to sit while vacuuming because my back hurt too much to stand all of the time. Now, I only infrequently experience the sort of discomfort that prevents me from moving about and doing cleaning work in a normal way.

On the negative side, I continue to experience swelling in my hands when I walk, and I think it's related to overdoing weight lifting. Sometimes my hands feel like stuffed sausages after (and during) a walk. This is definitely a new thing, and I quit weight lifting for the time being to see if it abates, but I'm not liking it. I've also developed a "runner's toe" on my left big toe. It is black and blue and gets fluid under it. I think this is happening to me because my shoes fit badly, but also because my body is weak and not accustomed to so much walking. Still, these are minor issues, and I'm in so much better condition than before. My back problems are such that I can walk for about an hour now, and even then the main issue isn't my back as much as my joints or hips aching. I still wake up stiff in the mornings, but it isn't as painful as before and passes much more quickly.

Finally, I'm getting to the "TMI" section, so nervous types might want to close the browser tab or window. Before I started this, I had a lot of problems with irritable bowels. I would urgently have to defecate in the mornings shortly after waking up and had excruciating pain from my back while dealing with this. Often, I'd have diarrhea-like bowel movements and more often than not I'd have them 2 or 3 times in the same morning. I also had some hemorrhoids. All of this has gone away. In fact, now, I occasionally have difficult bowel movements, but I think that is related to water retention and hormonal changes. Nonetheless, my body is not accustomed to having to "force" a movement, and it's quite difficult trying to work those muscles now.

There's another toilet-related issue, and this one is quite humiliating, but I'll say it anyway. Because of my belly apron's size, back stiffness and difficulty bending and the narrow layout of my toilet (which prevents me from opening my legs wide), I have not been able to wipe my backside from a seated position for over a decade. I have always had to stand and prop my foot on the seat and wipe myself in that manner. I realized this week that my back has healed enough and my belly has shrunk enough that I didn't have to do this anymore. I can now wipe from a seated position like most people do, even in a narrow toilet space.

I also have found that my periods, which went away for about 2 years, have returned (note that this happened to me before - I didn't menstruate for a year in my early 30's and no cause was ever found). I thought it was perimenopause, but I think that my weight simply arrested menstruation. Now that my weight is between 250-280 (not sure of the number now since I rarely weight myself), they're back more or less on a regular basis.

On the brightest side of all, my husband has given intercourse another try after years of not wanting to for reasons I already discussed. He didn't do this because I was losing weight, but neither of us can deny that it is much easier now than before. I'm not pinned down by my weight and he has much easier access because my belly isn't in the way as much and I have greater flexibility. This is something which we're still working at (because it wasn't entirely only an issue due to my weight), but I'm much more hopeful now than before that we'll get back on track to something closer to what we once were (which was much more active and confident on both our parts).

There are still some changes I'm very much looking forward to, and some of them are embarrassing things. I know it may seem that I've already talked about the worst of it, and I may have, but there are a few more. One thing that has been happening for many years is that my belly apron catches on the lip of the toilet seat when I lean over to get up and off, and it sort of grabs it and picks it up a little and it falls noisily back down. This still happens, but not all of the time. I think that it should stop by the end of this summer as my belly size should soon be small enough to not get a good enough grab.

There's also a narrow doorway leading from our bedroom to our kitchen which I'm too fat to walk through. There's another entrance that is wider that I can use that is not far away, so I always use it. My husband uses the narrow one, and I want to be able to use it, too. Of course, I'm also very much looking forward to the day when I don't outweigh him.

Sunday, October 18, 2009

4-Month Progress

I've been at this now for 1/3 of a year and I want to note the progress I've made in concrete terms so that I can look back after 4 more months and see how far I've come. It's so easy to look at how far I have to go that I think it's important to see how far I've come. Here are the improvements I've made in 4 months:
  • I initially could not walk for 5 minutes without great back pain and a sense of being out of breath. I had to sit down often to keep walking and walked slowly. I can now walk for up to 15 minutes, sometimes longer, without sitting due to back problems, and I can often walk and stand for as long as 45 minutes with only one brief rest. I walk much faster, though not as fast as most people, and don't feel the need to rest because I'm out of breath. My longest sojourn out and about on my feet (but still needing to sit down because of my bad back) has been two hours at this point.
  • Shirts that were comfortably loose on me before are now so large that I feel like I'm swimming in them. Shirts that were uncomfortably snug before that I rarely wore now fit properly and comfortably.
  • My pants are much looser and longer. Though I've hemmed the ones that are too long, they are starting to bag at the thighs and hips even though they are stretchy pants. Pants that I couldn't get on at all before fit tightly now.
  • My hands and feet don't swell up as much overnight and look as puffy. When my hands are cold, my wedding ring is too loose to fit without slipping off because I've lost weight in my fingers.
  • My forearms are visibly thinner and I'm finally starting to see a loss in my lower calves such that my "cankles" aren't so pronounced or pudgy.
  • When I sit down, I notice that my body shape is starting to show some definition rather than looking like just a blob of spare tires. It's not much, but it's a start.
  • My face is definitely a little thinner and younger looking, though my double chin (which was never very pronounced for someone of my weight) is about the same.
  • I used to be afraid to have to walk around, even for a short time because of pain. I no longer have that fear for the first time in years. While I still need to sit down, I know I'm not going to be in agony after a brief period of time.
  • I don't have sugar cravings and severe blood sugar fluctuations driving my eating. I believe I've broken my physiological sugar dependency through portion control and changes in diet.
  • I feel fuller faster and with less food. Half as much food makes me feel just as full as twice as much did 4 months ago. I'm certain my stomach has shrunk due to gradual portion alterations.
I still have a terribly long way to go and still find myself eating compulsively and when under stress. The main difference is that I eat much less when I do this (and don't do it for such a prolonged period of time), but it's still a point that needs to be worked on. The scary part is that the food is often in my mouth before I even realize that I'm acting on emotional eating urges or a compulsion. I think it's hunger at the time, but recognize after the fact that it is not.

At the moment, this compulsive eating is more of a concern for me than fighting off hunger and failing. At least the hunger is real and understandable as giving your body fewer calories than it needs to sustain itself will result in real hunger. The compulsive eating is absolutely unproductive and part of an urge to take comfort in food.

This comfort is not an illusion, but it is a destructive and temporary solution to emotional distress. It's the aspect of my eating which caused me to regain all the weight I lost after so much hard work in college. If I don't conquer this, I'm doomed for a repeat next time I undergo a severe change in my life.

My deadline for having to face changing my work is, at the minimum 2 years and 2 months away, and at the maximum 2.5 years away. Seeing the time ebb away is a little scary for me because I'm uncertain that I can maintain my current rate of progress through time due to natural slowdowns in weight loss and limits on my time to increase physical activity. If the rate of loss remained as steady as it has so far, I wouldn't worry at all as I think I'm on track, but I guess I'll have to worry about crossing that bridge when I get to it.