Why my most popular post about my weight loss journey should not be as popular as it is.

Like the title says, my most popular post by far is one which I believe is only popular because it details extremely rapid weight loss in a mere two week period. And this is concerning to me, because it indicates that people — especially blogs with “fitness,” “weight loss,” “health” etc in their name are co-signing this approach, and it’s absolutely NOT what anyone should be doing unless they are directed to. It was a medically supervised diet which I, like all bariatric patients in Canada, was required to go on for three weeks before my bariatric surgery on October 19, 2021. The purpose is to shrink the liver so that the surgeon has an easier job accessing the stomach without the possibility of nicking the liver.

On top of that, the liquid diet called Optifast is absolutely miserable. Due to the artificial sweeteners in it, your stomach will not thank you. I’m here to be real and say that you will spend a lot of time on the toilet, either unable to have a bowel movement at all, or in my case, constant diarrhea. And I mean constant; it was to the point where if I had to go anywhere, I would fast for six or more hours beforehand so that nothing happened.

And then there were the headaches, the chills and constantly feeling cold (and I’m a hot blooded person who is always warm, and not just due to extra insulation, so to speak), and the changes in mood and sleep. These are all listed as side effects of the box.

This is not the way to lose weight unless it is medically prescribed to you and you are under the close care of a bariatric team, including a dietician!

I am so fortunate to live in Canada where although it does take up to two years in most provinces just to get accepted into bariatric programs to begin the process toward surgery, you are given constant guidance by highly trained professionals who will not approve you for surgery (ergo, you will not even get to the point of the liquid diet until you have been approved medically and psychologically by the program’s doctor, the registered dietician, bariatric nurse, surgeon, and in some cases, a psychiatrist or social worker). This may take anywhere for one visit with each depending on your health and the commitment you have shown to the lifestyle changes, to many visits with the doctor and dietician until they are confident that you are ready. The appointments with the doctor and the dietician are every three months, so it can take a while before you are referred to a surgeon. I was fortunate in that I had already lost weight and was active prior to beginning the program, and I am still young and healthy, and my tests came back negative for sleep apnea, and my ECG, bloodwork, and everything else were almost perfect (I was just below normal in my level of ferritin, which wasn’t completely unexpected as both a vegetarian and a woman of menstruating age).

There is absolutely no easy way out. You have to put the time, effort, energy, and remain dedicated to the process. Weight fell off rapidly during the liquid diet because that’s where the doctor prescribed diet is meant to do in order for medical procedures to go smoothly. Since my operation almost exactly two months ago, I am down nearly 30 pounds. I journal absolutely everything I eat and drink, and make sure I get at least 70 grams of protein a day. I walk a lot, do yoga, and have recently taken up working with a 15 lb kettlebell. And believe it or not, I essentially stalled for three weeks, with that only coming to an end this past week.

I will have follow ups with the wonderful staff at the program for many months and years to come. I’ve won the lottery, I truly feel like.

So, in conclusion to this post: don’t do the liquid diet. Stop liking the post just because it has rapid weight loss and rapid loss of inches over a short period of time. It was medically ordered.

If you want to lose weight in a healthful way but aren’t looking to have bariatric surgery, I recommend Weight Watchers/WW. Full disclosure: Keto is not much of an option for me as a vegetarian, so this is not meant ti malign that way of eating and the lifestyle: I had tremendous success with WW several times, losing 100 lbs when I was a teenager and about 75 lbs a few years after. Just because I gained the weight back does not mean that WW does not work or is not sustainable for life. Like anything, you have to be extremely diligent, but there is also a lot or genetics and emotional issues at play. The regain cycle and the body’s set point is something I will get into in another post today.

Sept 28 recap: Liquid diet day 2 out of 21 in preparation for weight loss surgery (WLS / VSG)

I’m not going to lie and say this is easy. In fact, it’s downright miserable. According to others in the bariatric program I belong to, the surgery where you get 85% of your stomach cut out is the easy part: the hardest is the three week liquid diet! Yesterday was the hardest day so far, because I keep forgetting that I can’t eat anything other than the Optifast or a cup of veggie broth. I’ve not strayed, but the temptation is there. I will not waver, however. I still haven’t taken my “before” pictures nor have I weighed myself as unfortunate the scale is presently out of batteries and I didn’t feel well enough to leave the house yesterday to get new ones. Yes, you feel that badly on Optifast for the first few days.

There is definitely a part of me that mourns the loss of food in the way I’ve always used it (yes, used, as well as consumed – I am addicted to food) and will always. I know that once I get my vertical sleeve gastrectomy that I’ll be able to have tiny portions of treat meals a few times a year after about 18 months post-op. But it’s a slippery slope for me, as I’ve lost significant amounts of weight in the past and have treated myself to “cheat” meals that became cheat weeks, and eventually turned into cheat years. Whilst I’m not as overweight as some of the people who get surgery, I wouldn’t have been approved for this surgery if I didn’t need it. I felt out of control with my eating for so long and I tried absolutely everything, and yes, of course sensible eating and lots of exercise. I always tended to shy away from fad diets like the cabbage soup diet or whatever restrictive diet of the day was, and I’d stick with programs like Weight Watchers, which is tried and true and healthy and balanced. I lost so much weight two or three times on WW over the years, but keeping it off longer than a few years was all but impossible for me. I always felt so ashamed when I’d gain the weight back, as though it was some sort of personal failing and an outward manifestation of some sort of character flaw and weakness.

There’s so much more to obesity than that. It’s so much more than people being lazy, gorging on fast food constantly, and drinking pop non-stop. For me, I ate quite healthy, just too much, and I was a grazer. Always looking for something to munch on, and on a 5’2.5 – 5’3 ft frame, that adds up quickly.

So. We’ll see what today brings. I have a group therapy class about changing eating habits and thoughts/emotions about food this morning on Zoom for an hour and a half — this will be the third week now, and it’s 4 weeks long, which means it will end just before my surgery on October 19. I plan to carry on with counselling after my surgery just to insure long term success. After all, this didn’t happen overnight, and it won’t be fixed by a surgery either — I’ll just be given a wonderful tool and what I do with that tool is up to me. And you can bet your ass I’m not going to fail after waiting two years on a weight list, and a further 5 months from orientation to surgery, with a zillion appointments with doctors, dieticians, social workers, phlebotomists, internal medicine doctors, surgeons, bariatric nurses etc etc etc etc.

I’m in this to win it. And I’m in not in competition with anyone but myself, and goddamn it, I’m proud of the woman I’m becoming, and I know that I’ll be shedding weight, but gaining so much more.

Life is about to begin. I’ve been given this opportunity and I will not do anything to screw it up.

Oh, and to those who think this is the easy way out? Kiss my luscious ass. I’d love to see you do this, and then eat tiny portions of mush for a further six months, with protein powder mixed in to absolutely everything you eat, and for the rest of your life only being able to sip water very slowly in small amounts or end up in extreme pain. No straws, no carbonated drinks, keeping track of not just carbs, calories, fat, but making sure you get in enough liquid and at least 90 grams of protein, and timing yourself at every meal so that you take at least 30 minutes with no distractions like your phone, a book, or even much conversation. Just pure mindfulness. Not to mention the pain, the hardship, and the judgment from others. Actually, I don’t care about people judging me — I think it’s worth it to share my story so that it may inspire others who are thinking of having weight loss surgery (don’t do the lapbands though – they are outdated, 90%+ get removed, and they cause health issues, and each removal costs between $3,000 and $14,000, meaning taxpayers are on the hook for up to $33 million).

I’ll have up some pictures and perhaps videos later on today or tomorrow.