No Longer Obese !!! (Officially)

No Longer Obese !!! (Officially)

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.

Wow What a Year !!

Wow What a Year !!

12 months exactly since my gastric Bypass Operation – and what a fantastic year I have had…

I have :

  • Lost over 40Kg in weight
  • Stopped all Diabetes Medication
  • Drastically reduced my Blood Sugar and am now officially Diabetes Free
  • Joined a Gym (and am getting a little obsessed with it but am LOVING it)
  • Significantly improved my muscle mass
  • Been “dumped” by my Endocrinologist and Bariatric Surgeon… and even my GP doesn’t really want to know me 🙂
  • Never Felt Better !!!

49 Weeks – Feeling Fantastic

49 Weeks – Feeling Fantastic

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 🙂

Gym Junkie

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.

Blood Results

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 🙂

Diabetes Free at last !!!

Diabetes Free at last !!!

Today I had my final (hopefully ever) trip to my Endocrinologist and have been declared “Diabetes Free” at last …

HbA1c

I have not been taking ANY diabetes medication since my surgery (35 weeks ago), an now (as per my HbA1c stats below) I am finally in the “non-diabetic” range

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.

The graph above shows my HbA1c stats for the last 6 years or so – since I was diagnosed with Diabetes.  Soon after I was first diagnosed, I was able to control it pretty well with diet and exercise, but in 2015 it shot up and I started medication.  Over the subsequent years, despite increased medication it was never really well controlled… Since late 2017 it has gradually improved, but this was primarily as a result of increase medication (mainly mutliple daily insulin injections).  However, since my Gastric Bypass operation (35 weeks ago) I have been completely off all diabetes medication… and my blood sugar is finally back to “non-diabetic” levels.

This does not mean that I am “cured” – the underlying problems still exist, and I will need to keep an eye on it in years to come (diabetes has a tendency to worsen naturally with age)… but I am no longer conside4red “diabetic” and will not (as long as I stay diabetes free) be impacted by the many life shortening outcomes caused by diabetes.

In fact… not only is my HbA1c looking good, my cholesterol (which surprisingly was never that high) is down and everything else is looking great… except for slightly low Iron levels… sounds like a great excuse to eat a nice juicy eye fillet to me 🙂

Muscle is Denser than Fat … Apparently …

Muscle is Denser than Fat … Apparently …

As per my last post (Still Losing Weight & Getting Fit)… I started back at the Gym after reaching my 100 Kg Milestone… Without thinking too much about it, I had anticipated that this would give my weight loss a bit of a boost… I was WRONG !!!

In fact, rather than losing weight (I had pretty much consistently lost 1Kg per week since surgery), I actually started to put it on… and 2 weeks after joining the gym I was up by 1.5Kg…

Muscle vs Fat

I remember people saying “Muscle Weighs more than Fat“, so thought I’d do some research.

Of course 1Kg of Muscle weights exactly the same as 1Kg of fat… but Muscle is actually denser than fat, which means muscle occupies less space (volume) compared to fat.

Muscle has a leaner appearance due to its high density whereas fat occupies more space (volume) in the body. Two people could weight the same but could look very different depending on their body composition – a person with high body-fat percentage versus a person with high lean muscle percentage will probably be in two different sizes of clothes and health risk.

Muscles are made of long fibers tightly woven together. Fat, on the other hand, is composed of different sized droplets and some are more full than others. These droplets stick to each other but leave some empty space in between.

In the image above, one kg of muscle takes up less space than one kg of fat. This is why you might notice a slimmer waistline but no drastic change on the scale as you begin a new workout or meal plan regime – your body is burning light fat, but building heavier muscles.

Weight Loss Graph

Here is my weight loss graph since surgery… for the 1st 4 weeks at the gym (3 or 4 times a week – moderate intensity), I still had a net gain in weight of approx 1.5kgs… however, since then, my body seems to have figured out what’s going on, and my weight is (again) on a downwards path… In the last couple of weeks I have increased number of gym visits and intensity and seen a 3kg drop in just 2 weeks 🙂

Note: Even though I wasn’t actually losing “weight” during the 1st 4 weeks of gym, there was a noticeable change in body shape and toning.

5 Months after Surgery – Still Losing Weight & Getting Fit

5 Months after Surgery – Still Losing Weight & Getting Fit

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)…