45Kg and 58 weeks after surgery … I am finally No Longer Obese !!! (and I have not been down to this weight for more than 30 years)…
According to my BMI, I am officially not Obese any more … but I am still Overweight (which I guess still makes me a Fat Bastard).
About Body Mass Index (BMI)
Body Mass Index (BMI) is the most common (and simplest) way of measuring whether or not your are overweight. But in recent years, more researchers argue that it’s not the most accurate way to measure body weight. For years, scientists have said that BMI can’t distinguish between fat and muscle, which tends to be heavier and can tip more toned individuals into overweight status, even if their fat levels are low.
BMI also doesn’t take into account different types of fat, each of which can have different metabolic effects on health. BMI cannot take into consideration, for example, where the body holds fat. Belly fat, which is known as visceral fat, is more harmful than fat that is simply sitting under the skin.
Your BMI is determined by a relatively simple calculation using your height and weight. The formula is BMI = kg/ m2 – where kg is your weight in kilograms and m2 is your height in metres squared.
So my BMI is currently 88.4/1.72 2= 29.88 – which allows me to just scrape out of the Obese range (over 30) and into the overweight range (25-30)… A BMI of 25.0 or more is overweight, while the “healthy” range is 18.5 to 24.9 …so my “healthy” range is 55-74Kg (apparently)
So Why BMI ?
BMI is still the preferred way to measure weight and evaluate obesity primarily because it is a relatively easy measurement for doctors to take during an office visit. Taking a person’s height and weight and plugging it into an equation produces a number that informs doctors about whether their patients are at high, low or no risk when it comes to weight-related health problems.
Using the BMI measure alone, an athlete such as the 19yr old up and coming Broncos powerhouse prop – Payne Haas – would be considered Obese (119Kg, 194cm = a BMI of 31)
There are better ways to measure body fat … that provide more useful readings on how likely a person’s weight will contribute to chronic health problems. CT scans and MRIs can provide a clearer glimpse at the body’s make-up by separating out fat from muscle, for example. But these are expensive and involved compared to stepping on a scale.
So without a viable way to change how we measure body fat, for now, BMI is still probably the best option.
Its been a little over 3 months since my last post… but how many times can you say “things are going great” ??
I’ve continued to lose weight and are now just over 90Kg…. That’s a total weight loss of 40Kg or nearly 1/3rd of my original body weight 🙂
I’ve continued going to the Gym… and am loving it…. In fact, for a while there I got a little obsessive and was going 8 or 9 times a week, but have scaled that back to just 5 or 6 … which I’ve found is actually more effective and efficient – my gym sessions are now longer and more powerful and my body is recovering better between sessions.
Since joining the gym – 7 months ago – I have lost an additional 10Kg in weight, which is pretty significant given that my muscle mass has also substantially increased.
I did a regular follow up with my nutritionist today… and all my blood tests are fantastic… except for Iron which is a bit low. This is completely normal (and expected) after a Gastric Bypass and I will continue to take Iron supplements (Maltofer) daily along with my multivitamins, although I can now stop taking Calcium supplements.
I am still not taking ANY diabetes (49 weeks since surgery), and my average blood sugar reading (HbA1c as per stats below) is continuing to drop.
Blood Sugar (HbA1c)
HbA1c is a blood test that is used to help diagnose and monitor people with diabetes. It is also sometimes called a haemoglobin A1c, glycated haemoglobin or glycosylated haemoglobin. It shows the average level blood sugar levels over the past 2 to 3 months.
Target Weight ?
I can expect to continue losing weight for another 6 months or so… although the rate of weight loss will slow down.
I have already lost more than I had hoped for, but at 90Kg and 172cm… my BMI (31) still puts me at borderline Obese…. I am now hoping to lose another 5 or 10kg – with a provisional target weight between 80-85Kg… This would still mean I was considered Overweight…. but at 172cm, the suggested “healthy” weight is considered to be between 54 and 72 Kg… which to me seems absurdly “skinny”.
So far, even though the quantity of food I eat has significantly reduced (I just can’t physically eat anywhere near what I used to), I have to admit that I’ve not been particularly careful about the types of food I eat.
I have decided that once I get below 90Kg (which should be any week now) I will make a conscious effort to make smarter choices about the types of food I eat and this should help me get closer to that 80Kg target 🙂
5 Months now since my Gastric Bypass Operation and I have reached another Milestone.
I am finally down to 100Kg … Losing now more than 30Kg
I have not been down to this weight since 2003 – more than 15 years ago !!!!
Time to hit the Gym….
I have been increasing daily exercise for a while… mostly walking… but I promised myself that once I had reached 100Kg I would join a gym and start building up my exercise regime.
I decided that I’d like to focus on boxing type exercises… but had visited a couple of local boxing gyms and they were pretty hard core… I was not that interested in actually hitting anyone (or getting hit for that matter), but I did like the types of exercises involved.
I wanted to primarily do some upper body toning and body core workouts… and thought that boxing/skipping exercises would be a good start.
12 Rounds Fitness
I checked around and discovered that my sister had (for months) been going to a gym called 12 Rounds Fitness. This is based around circuit training, with 12 different “stations” setup, each with 2 different exercises.
You arrive at whatever time you like, start at an available station of your choice, and spend 3 minutes exercise at each station, before moving onto the next. The types of exercises at each station change daily, and you are able to push it as hard as you like, or “tweak” the exercises to cater for specific exercise targets (or injuries).
I found that during the first session a pre-existing back injury flared up again, so I have been able to focus on low impact and upper body exercises… and my back seems to be improving…
Interestingly, despite (or perhaps because of) significantly increasing my exercise program (and as far as I am aware not changing my food intake much), instead of losing additional weight, in the 2 weeks since I started I have actually gained 1.2 Kg.
Blood Sugar & Diabetes
I also recently re-visited my endocrinologist – hopefully for the very last time… The previous visit my hbA1c reading (which measures the average blood sugar over a three month period) was just a smidgen above 6.0 (6.1 actually)… and I was hoping that this time it would be below 6.0 and in the “normal” range… However, it was back up to 6.4 – despite the fact that I had lost another 6Kg 🙁 …
So it seems that diabetes is still lurking around, so I still need to keep a close eye on it…
I suspect that despite eating much less than I used to (I reckon it is about 1/3rd) I am being less careful about the types of things I am eating. Although I am eating significantly less Carbs, I need to focus a bit better on less sugary foods (i.e. cut out soft drink and Fruit drinks, which I now realise I had started having more of)…
Had a great (but brief) chat today with an ex-girlfriend of mine (from nearly 30 years ago) – lets call her Nelly.
Nelly has had a pretty much life long battle with weight (including a 20Kg weight gain within 12 months following the death of her mum), but finally (after a great deal of umming and ahhing) decided to go ahead with Gastric Sleeve Surgery in September last year (2017). She was VERY nervous in the lead up to the operation and very nearly cancelled it… But she has never looked back and wishes she had done it sooner.
Nelly apparently had lots of friends who had had various Bariatric Procedures over the years, but was still very nervous that her operation would be “the one” where everything went wrong…She need not have worried because now, coming up to 12 months after her op. she has lost 55Kg.
Nelly had 3 weeks of meal replacement prior to surgery, but found this pretty easy to manage, because she was focused on the operation and understood the reasons (and benefits) of the pre-surgery diet. Following surgery, she was on liquid diet for about 3 weeks and then mush for another few weeks… It was 3-4 months before she was able to start eating “real food”, and even then it was in very small portions and there was a long learning curve on what and how much she could eat without feeling uncomfortable.
Nelly was never particularly exercise focused or sporty, but now finds she wants to get out with her kids and and exercise more often…It is amazing how much extra energy you seem to have when you lose that much weight in a short period…. The body is used to dragging around a lot more extra weight.
Now she is starting to think about loose skin… Her arms and even wrists (and other bits I presume) now have saggy skin which are likely to improve somewhat over time, but could also be treated surgically for a faster more effective confidence boost.
Looking forward to a much longer chat to learn more about her experience 🙂
I woke up, had breakfast as normal, but when I had lunch, thought I had forgotten to salt my cheese/tomato crackers… I hadn’t….. I had lost almost all my sense of taste !!!
I can taste a hint of sweetness in some things, but have almost no salty taste at all…. I can put salt on my tongue without any taste of saltiness.
I sometimes crave savoury things, but if (for example) i try some hot chips, or babrbecue shapes… they are just a massive flavourless disappointment.
My “favourite” foods at the moment tend to be things whithout a lot of flavour (e.g. ham/cheese sandwich) because theye are not such a let downwhen they dont taste of much…. My favouritte food is probably carrots becasue they have a subtle flavour and LOTS of texture…
Apparent;y loss of taste is not that unusual, but it is usually associated with a cold and returns once the cold recovers… as far as i can recall I didnlt have a cold at the time, and I also hadnlt started on any new medications (latest new med I started 3 weeks prior… and have subsequently stopped it with no effect).
My smell doesn’t seem to be affected (in fact if anything it seems to be enhanced, (but this could be compensation for the loss of taste) and I don’t seem to have any other “nerve” related issues (no tingling, no sagging facial muscles, no vision issues, no headaches). Sometimes my taste seems to be improving, but that may just be that I am getting used to it.
My GP and Endocrinologust found this quite “interesteing” – it was something a bit out of the ordinary to them…they did some research and ordered up a series of blood tests – which didn’t show up anything unusual. Nex step is an Eear Nose & Throat specialist…. and then possibly a Neourologist.
I no longer find it “interesting” – it is really not very much fun at all when you can’t tell the difference (apart from textrure) between a slice of cheese, a slice of bacon, or a slice of apple pie !!! and the prospect of maybe not being able to taste anything ever again is not very pleasent – although I am hopefull that at some stage it may reappear as mysterouiusly as it disappeared.
I have not been that intetested in eating and have started many meals, only to get half way through and deciding there was no point in finishing. They say every cloud has a silver lining… and my reduction in food intake has certainly had a positive effect on my weight (lost 8kg in 8 weeks) and blood sugar levels (regularly under 5 – which had never happend before – so I have had to monitor closely and drop my med dosages accoridngly.
Now (8 weeks or so later) it is no better – in fact in just thel ast few days I have developed a cold, and it has actually got worse 🙁
In terms of my Bypass operation, I donlt know yet if loss of tastes is going to help or hinder the dietary constraints in the leadup to (2 weeks OptiFast meal replacement) and followup (2m eeks liquids, 2 weeks mush)… but assume that after a month or so of liquids/mush I will be craving “texture” so much that the couch will start to look appetising.