Never Give Up

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  • Name: Lisa33167
  • City: Tampa
  • State: FL
  • Country: US

My Weight Loss

Height:
Start weight: 299.00lb
Current weight: 191.00lb
Goal weight: 150.00lb
Lost to date: 108.00lb
Remaining: 41.00lb

My Calendar

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November '08
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2007 New Eating Plan

Almost 6 weeks after taking myself off the Phen I ordered via CustomHRT,  I decided to go visit my pcp's new weight loss clinic and check out his program. 

He put me on 37.5 Adipex and an eating plan that cuts out all dairy & breads. Adipex made the world of difference, the brand is more expensive but worth it. 

The main difference I found is that I don't have that "rush" that I got with Phen, instead it's more of an even feeling of appetite control throughout the day and it seems to stay a bit later in the day.

NONE of the "emotional" problems I felt on Phen are there with Adipex, which is great. I really think it depends on how much you weigh and what mg meds you are taking too, but diet/nutrition does play a big part as well as exercise.

You can't eat carrots, bananas, breads, pastas, corn, cereals, shellfish or red meats. (lots of intestinal bloating and natural sugars)

sample menu:

From March - August 2006 I did EAS shakes 3 times a day and 2 chicken salads, plus some fruits for snacks. I started Phen on August 1, 2006 and could eat so little, that I just watched my intake.

Dec & Jan were a disaster with trying to find the right prescription and place to fill it (long story) I found one and took it until March 2007, when I went off Phen totally.

My pcp's office opened a new clinic and I started there April 27th. Along with a new eating plan, I started interval training with walking/jogging on May 1, 2007.

You can't eat carrots, bananas, breads, pastas, corn, cereals, shellfish or red meats. (lots of intestinal bloating and natural sugars)

sample menu:

  • Low Sugar or no Sugar Oatmeal, Chicken or Tuna for breakfast
    (When I do canned chicken, turkey, ham or tuna, I use 1 TSP. low fat mayo or the lowest fat dressing I can find and I like)
  • EAS Protein Shake (100 cal 6 g fiber) or protein bar
  • Chicken Salad w/ veggies for lunch; low cal/low fat replacement meals or a protein supplement - WW/Lean Cuisine etc
  • White meats; salad; veggies and fruits for dinner or save your fruit for dessert
  • 1/2 of your plate at dinner with salad; 1/4 with meat/beans; 1/4 Fruits
  • EAS Protein Shake (100 cal 6 g fiber) or protein bar

    If I haven't eaten enough cal during the day, I have an oatmeal on the go bar at night
  • 1200-1500 calories daily;
  • 1/3 from Protein;
  • 1/3 Carbs;
  • 1/3 Fats


You need to calculate your BMR (basic metabolic rate) http://www.bmi-calculator.net/bmr-calculator/ and cut 500 cal from that daily OR add enough exercise to burn that much or make it even with calories.

This Phase is for Optimum weight loss; and if I don't lose enough each week then they lower my carb intake for maximum weight loss.

My dr says what they do is when you get close to your lowest "ideal weight" they slowly phase you off of meds and ease you into a "normal" eating pattern and up your exercise to a daily routine so that compensates for the added foods.

This Phase is for Optimum weight loss; and if I don't lose enough each week then they lower my carb intake for maximum weight loss.

My dr says what they do is when you get 20 lbs above my "ideal weight" they slowly phase you off of meds and ease you into a "normal" eating pattern and up your exercise to a daily routine so that compensates for the added foods.

His plan isn't the most conventional, but it's better than alot of the weightloss clinics/doctors who put you on 500-700 calories I'm just glad after a full year of being of strict discpline, I've found another eating plan that helps me continue to lose

After a year of strict discipline and a complete lifestlye change, I have lost  104 pounds. I have found that "eating plans" and "exercise routines" must change or I don't continue to lose. Our bodies get used to things and we have to switch every so often.

The next phase is a lower carb plan and higher intensity exercise when I quit losing or plateau.

When I started this plan in May 2007; I started interval training with walking & running. I started out with a warm up - 10 min walking, 1 min running @ 3.0 and then 5-7 min walking, then repeat and then a cool down of 10 min.

My 3rd week,  I was up to 6 min warm up walking @ 2.5, then I run/jog for 4 min @ 3.7 mph, then walk for 6 min then repeat run/walk until 50 min and a 10 min cooldown.

My goal for the month is to walk @ 2.5 mph and be comfortable at 4.0 with running. I'm trying to up my intensity for running speed so the margin between walking/running is a bit more to build strength and endurance.

By upping my running time and speed each time I've been doing this, I went from 1 min @ 3.0 to 4 min @ 3.7 in 15 days. I was quite shocked that I could run @ 3.5 mph for 12 min

My ultimate goal in 3 months is to find a happy medium between 4.5 - 5.0 running for 20 min then walking for warm up, cool down 3 times a week. On the off days, burn extra calories I'll do the walking routine and some strength training.

I've been doing resistance bands a couple of times a week for 15 min or so also - which I'm going to do plus add in the 5 step dumbell workout on my step aerobic days.

I can't do step aerobics anymore :( I found I was having too many problems when I did the step; I have a separated pelvis that was crushed in a wreck 9 years ago, so that is going to take some time to work into.

On this plan, I have not felt the stomach bloating that I have in the past or felt hungry and tired. In the past year, I have utilized low carb, low fat, low cal plans, but nothing has worked the way this plan has.

WEEKLY WEIGHT LOSS PROGRESS STATS

WEEKLY WEIGHT LOSS PROGRESS STATS
10/2005 - 12/31/05 296-299 pounds - started low fat diet (not sure the highest weight though)

1/16/06 289 pounds -- Drs appt BMI 45.3 Morbidly Obese
3/1/06 272.0 Hydroxycut (bleh!)
3/31/06 274.5 Low Carb/High Protein Diet
4/1/06 Exercise 1-2 times per week
6/1/06 Exercise 4-5 times per week
6/23/06 269 Drs appt
7/21/2006 265 Drs appt -

8/1/06 264.5 Started Phen and Low Cal Diet -
Chicken Salads & EAS carb control shakes (lots of vitaimins & minerals) plus a small dinner
8/4/06 263
8/11/06 258
8/18/06 256.5 BMI 39.9 Severly Obese
8/25/06 253.5 (8/21 ToM)
9/1/06 250
9/8/06 249
9/15/06 247 Started CLA
9/22/06 246 (ToM)
9/29/06 247
10/4/06 244 Started Low Fat Diet again
10/10/06 242
10/12/06 240 BMI 37.6 Severly Obese
10/13/06 (ToM - 2days)
10/14/06 Super Dieter's Tea 2 times a week
10/17/06 237.5
10/22/06 (ToM again ugh)
10/24/06 237.0
10/30/06 235.0
11/7/06 233.5 BMI 36.6
11/18/06 Restarted Phen (10 day break)
11/20/06 ToM
11/25/06 231.5
12/2/06 227.5 (stomach virus)
12/9/06 227.0
12/16/06 225.0
12/31/06 ToM

1/3/07 Started CustomHRT Phen
Exercise 5-6 days a week 30-45 min each
2/1/07 1.5 37.5 tabs a day
2/2/07 ToM
2/5/07 221.4

3/9/07 219
 
4/27/07 232.8  Started PcP's new plan
4/28/2007 230.8  
4/29/2007 227.5  
4/30/2007 226.8   
5/1/2007 225.4  
5/2/2007 223.2   
5/3/2007 224.1  
5/7/2007 221.8  
5/9/2007 221.2
5/14/2007 219.4
5/19/2007 218.8
5/21/2007 217.4
5/22/2007 214.2
5/28/2007 213.8
5/29/2007 213.4
6/1/2007 (4) ToM
6/7/2007 (2) ToM
6/9/2007 209.8
6/16/2007 206.5
6/20/2007 204.3
6/26/2007 202.8
6/1/2007 (4)ToM
6/7/2007 (2)ToM
6/9/2007 209.8
6/16/2007 206.5
6/20/2007 204.3
6/26/2007 201.1
7/1/2007 (2) ToM
7/3/2007 198.8
7/5/2007 (3) ToM
7/10/2007 196.6
7/13/2007 195.2
8/21/2007 193
GW 175 (for now) BMI 27.4 Slightly Overweight

Dream Weight 150-159 BMI 23.49/24.9 Normal Weight 
(I haven't weighed that in almost 25 years, so that may take awhile longer to achieve)
 
BMI Classification 18.5 or less Underweight 18.5 to 24.99 Normal Weight   25 to 29.99 Overweight 30 to 34.99 Obesity (Class 1) 35 to 39.99 Obesity (Class 2) 40 or greater Morbid Obesity

Aerobic vs. Anaerobic Exercise

Some more great info:

The quickest way to succeed in losing weight, and to keep it off, is by increasing your metabolism.

Don’t be fooled by all of the fad diets. Just think of all those lean body builders. How do you think they achieved their fitness goals? They have developed incredibly fast and efficient metabolism.

The problem with fad diets is that many actually cause the metabolism to slow down. A decreased metabolic rate is often the very reason that weight loss progress grinds to a sudden halt.

Increasing exercise often has no effect, and reducing food intake often won’t help either. Because the net loss of protein in the muscles continues to lower your metabolism, the body will adapt to the lower calorie intake.

It’s a physiological fact that when we lose weight, we also lose protein from our muscles. And the quicker the weight loss, the greater the loss of protein. Because there is less intake of protein from dieting, the protein in the muscles is broken down and used for energy or to create new proteins for our immune systems.

Unfortunately, a net loss of protein will always decrease the body’s metabolism.

As protein is lost from the cells, it gradually lowers the total lean body weight. This affects the body composition and lowers the metabolism. Because of this process, we gradually require fewer calories to maintain body weight.

If the current diet is continued, weight loss will eventually stop. In fact, it’s even possible to SLOWLY GAIN BACK WEIGHT if a dieter sticks to a very low calorie diet!

The more protein that is lost from the muscles, the more fluid that is also lost, because protein holds around four times its weight in water.

Thus a quick weight loss in the first few weeks of a new diet regimen is mostly a loss of fluid, not fat.

If someone lost five pounds in the first week, for it to be all fat loss there would have to be a deficit of 17,500 calories!

To reach that kind of energy deficit in that short period of time would require constant exercise!

Over the period of a week, about only one pound of the five pounds lost is fat, the rest is mostly water.

Protein and its fluid replacement is the main reason that many dieters regain weight after a diet.

An increase in the metabolism would result in a gain of fluid. Therefore, weight loss would be more gradual. This is one reason for the recommended weight loss of one to two pounds per week. By increasing your metabolism, you are giving your body a reason to hold onto protein, so that less water is lost.

Even if more exercise is undertaken, a net loss of protein can occur if caloric intake is too low. 

Remember that dieters reduce their caloric intake. But, since exercise uses extra carbs, the body must break down extra protein in order to convert into more carbohydrates. More carbs are needed because a less fit person often has an untrained cardiovascular system, and cannot, which cannot supply enough oxygen for cells to burn fat for energy during exercise.

Exercise will increase the metabolism, but the trick for those trying to lose weight is to perform the right exercises for their specific
body type, and not to cut too many calories too soon.

To lose fat fast, you should prepare the body by increasing your metabolism before cutting calories. This enables your body to establish a major fat burning energy metabolism while regulating the protein metabolism.

An increase metabolism provides many benefits to help maintain continuous and permanent weight loss:
  • less exercise would be needed - giving you more time

  • less effort if you did exercise - no need to try burning lots of calories during each session!

  • less chance of weight regain later

  • still enjoy some favorite foods - no need to be as strict on the diet

  • less time spent preparing low / non fat recipes and meals

  • save money from not needing to buy all the expensive low fat varieties

  • higher percentage of fat loss over fluid loss

Aerobic Exercise to burn fat directly

 

Aerobic exercise like walking or swimming will burn a greater percentage of body fat. Aerobic exercise is an effective way to lose fat only if you are motivated enough to workout frequently, aerobics only burn fat during the workout so if you want encouraging results you need to be able to exercise daily and for longer periods. 

 

Anaerobic Exercise burns more calories than aerobic exercise because each movement generates more force from the cells. However when muscle cells contract with more force they switch to using carbohydrates as the main energy source. This type of exercise may seem incorrect for weight loss but in fact it helps produce an adaptive response with a side effect of an increased metabolic rate. During periods of rest the cells accelerate the fat burning process.

 

Aerobic exercise can develop into Anaerobic Exercise

 

Most exercises can be performed as aerobic (burn fat) or Anaerobic Exercise (burn mainly carbohydrates) the terms simply refer to the energy pathway required. For example walking is easy and a good aerobic exercise but if we increase the effort the body moves faster, eventually we end up running which then uses the Anaerobic Exercise energy pathway. The Anaerobic Exercise pathway means oxygen uptake becomes insufficient for fat to continue to be the main fuel source.

In fact most exercises or movements we perform result in a split between the fuels used, for example if the effort is about average like vacuuming a room or washing a car then we'll probably be burning about 50% carbohydrates and 50% fat.

 

Fast weight loss will come when the individual performs each exercise correctly and within their own unique capacity.

 

To change this rule you must burn stored fat indirectly by using anaerobic exercises to increase your metabolic rate.

 

Anaerobic Exercise

 

The words aerobic and anaerobic refer to energy pathways that are utilised during exercise. Aerobic means "with oxygen" and anaerobic means "without oxygen".

 

Fat needs oxygen to burn completely so in order to burn fat during an exercise we need to move slowly and smoothly. This enables muscle cells to be supplied with enough oxygen to continue with its aerobic capacity and utilize fat as the main energy source.

 

Anaerobic Exercise requires moving at an increased pace or with greater effort. Exercising this way burns more calories but results in a greater demand for oxygen which cannot be delivered in sufficient quantities to allow cells to continue burning fat. When we breath heavy we start to develop an oxygen debt and muscle cells switch to burning mainly carbohydrates, this fuel burns quickly and does not require oxygen.

 

Anaerobic Exercise such as sprinting or weight training require more effort and up to 95% of the fuel used will be carbohydrates.  

 

Although Anaerobic Exercise burn more carbohydrates they can be important in any weight loss program. They help burn fat indirectly by increasing the metabolic rate after an exercise session.

Medication Info

 

When the topic of Brand vs. Generic medications came up with a Wal-Mart pharmacist, I started researching.

 

This is just crazy - the SAME company can let their patent expire and then turn around file to sell a generic drug then sell to us the consumers, both the brand AND the generic...interesting.

Here is some information about the differences:

What are generic drugs?
A generic drug is a version of a brand drug. According to the U.S. Food and Drug Administration (FDA), compared to the brand drug, a generic:

  • is chemically the same
  • works the same in the body
  • is just as safe and effective
  • meets the same standards set by the FDA
  • often costs much less.

There are two forms of generic substitution:

  • A generic equivalent is made with the same active ingredient at the same dosage as the brand medication. You can expect the same results as with the brand counterpart.
  • A generic alternative works like a brand drug and may be used to treat the same condition. But the chemicals in a generic alternative differ from the brand drug or its generic equivalent. So, overall results may be somewhat different.

Important: Your pharmacist can usually substitute a generic equivalent for its brand counterpart without a new prescription from your doctor. But only your doctor can determine whether a generic alternative is right for you and must prescribe the medication.

Bioequivalence, however, does not mean that generic drugs are exactly the same as their innovator product counterparts, as chemical differences do exist.

Some doctors and patients emphatically believe that certain generic drugs are not as effective as the products they are meant to replace (ie. Prozac, Oxycontin), and consumers would undoubtedly benefit from more clinical studies done on drug by drug basis.

Generic drugs look different from brand-name drugs. This is because trademark laws do not allow generics to look exactly like brand-name drugs.

Colors, flavors, and other inactive ingredients may be different.

Quote:

These differences may cause slightly different effects. Some brand-name drugs may be more easily absorbed by the body. Brand-name drugs may cause fewer or weaker side effects. Never assume that a medicine looks different just because it is generic. Double check with the pharmacist that you have the correct medicine before you leave the pharmacy.

Why do generics typically cost less than brand medications?
When a brand drug first becomes available, the manufacturer usually receives a patent. This patent protects their investment in the new drug by keeping other companies from copying and producing it for several years.

When a patent expires, other manufacturers can produce a generic version of the drug – and the cost goes down. On average, a generic drug costs 30 to 80 percent less than its brand counterpart.

The generic version works like the brand-name drug in dosage, strength, performance and use, and must meet the same quality and safety standards.

All generic drugs must be reviewedand approved by FDA.

Why do generic drugs look different than brand drugs?
Trademark laws require that a generic drug look different than a drug already on the market. So, a generic equivalent will be a different size, shape and/or color than the brand drug.

Although the active ingredient in a generic equivalent is always the same as the brand counterpart, the generic may have different inactive ingredients, such as a coating or flavoring.

In addition, since more than one manufacturer may produce a generic equivalent for the same brand drug, generics can vary based on which supplier or suppliers your pharmacy uses.

Bioequivalence, however, does not mean that generic drugs are exactly the same as their innovator product counterparts, as chemical differences do exist.
 
Some doctors and patients emphatically believe that certain generic drugs are not as effective as the products they are meant to replace (ie. Prozac, Oxycontin), and consumers would undoubtedly benefit from more clinical studies done on drug by drug basis.

For more reading visit:

U.S. FDA CDER Home Page
Office of Generic Drugs Home Page

Here's another way of thinking about it; alittle easier to comprehend than the medical jargon they have on the FDA website:

In the United States, the Food and Drug Administration (FDA) requires that all drugs, whether a brand name drug or a generic drug, meet standards of safety, strength, purity and effectiveness

A drug may be chemically exact but not bioequivalent.

In other words, two different products of the same drug may not get into the body in exactly the same way.

Bioequivalence depends on how the drug is formulated and how it is absorbed and eliminated by the body.

Other ingredients can affect the absorption of the drug. These include starch fillers, gum-like substances and other products which allow a drug to be formulated into a pill or capsule.

Factors such as a person's age, body mass, kidney, liver and intestinal function can also affect the absorption of the drug by the body.

The human body is always changing, and factors such as diet, metabolic rate and hormones can affect how a drug acts in the body.

For the most part, these changes are not cause for alarm, but it is important to realize that a person may try the same brand or generic medication and have a different experience at different times.

However, in most instances, the generic and brand name drugs are both working in the body.

To summarize, generic drugs, if they have been approved by the FDA, are as safe and effective as the brand name product.

Wow I wonder how true this is?  This is from drugs.com:
Why you sometimes have problems with Generic Drugs
Some people have disagreed with me when I explained about the 20% plus or minus difference that the FDA allows for generic drugs, some have insisted this was only for the inactive ingredients.

I have done some more research on this subject, and NO! the 20% difference IS NOTjust limited to the inactive ingredients.

Here's an article with some information, and the name of the law that allows this:

http://counsellingresource.com/medic.../generics.html

Are There Any Differences Between Generics and Brand-Name Drugs?

...it should be noted that current regulations permit a variation of up to 20% either way in the bioavailability of the active ingredient.

(See this Food and Drug Law Institute overview of the Hatch-Waxman Act of 1999.)

In one study (Borgheini 2003), a 31% variation was found in the blood plasma levels of a particular medication after a patient switched from a branded to a generic product.

(Why does this happen? It may be accounted for by differences in the manufacturing process yielding different particle sizes that are absorbed at different rates, as well as other factors.)

So yes, this gives them a leeway of 40% on manufacturing these drugs, they can be significantly different than their name brand counterparts, and in some cases the effect can mean a drug doesn't work at all, or may have too much of the active ingredient, resulting in serious effects or even fatalities!

Here's the overview of the law in question that allows these differences:

http://www.fdli.org/pubs/Journal Online/54_2/art2.pdf

For some of you, I know this will be a relief as you can now know for sure that if a generic seems to work different, it is not all in your head. Simply said, poor quality control and poor testing, means poorly made drugs from some companies.

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