Showing posts with label pre-op. Show all posts
Showing posts with label pre-op. Show all posts

Sunday, May 17, 2009

My journey in pictures

Dr. Elliot, my surgeon, has informational seminars for patients who are thinking about having WLS. It's a fairly standard practice, and that's what anyone who is interested in having it has to do as a first step. We recently got an email from the guy who leads our support group saying that they were looking for post-op patients who would be willing to come and speak at the seminars just to share their story. I told them that I would be happy to (because you know how much I like to talk about my surgery!). I didn't think they would really ask me, though, because 1. I say everything I think and it's not always the "right thing" and 2. I had gastric bypass and most of Dr. E's patients have Lap-Band. Well, I got a call on Friday asking me to come speak at the seminar on Monday. I'm a little nervous about it. Anyway, that leads me to...

I've been taking pictures of my weight loss all along and saving them on the computer. I kept meaning to put them together in an album but hadn't gotten around to it. So this was my motivation to get it done. That was today's project, and it was fun. I put my pictures in an album with little notes saying the date and how much weight I'd loss. Now, for those of you who don't see me regularly, here is the digital version:

August 3, 2007
1 year pre-op


March 28, 2008
294 lbs.
My "before" picture


July 1, 2008
Day before surgery
-27 lbs.


August 12, 2008
-59 lbs.



Sept. 2, 2008
-71 lbs.


Oct. 9, 2008
-89 lbs.


Nov. 2008
Celebrating 100 lbs. lost!


Nov. 15, 2008
-104 lbs.



Dec. 27, 2008
-110 lbs.




Jan. 7, 2009
-121 lbs.




Jan. 31, 2009
Costume party!
(not something I would have done pre-op!)




March 5, 2009
-134 lbs.


March 28, 2009
My first race!
10k (6.2 miles) in 70 minutes



Current pic. - early May 2009
-140 lbs.
(I'm the one on your far left, if you don't know me well enough to recognize me...)


Thanks for indulging me!

Tuesday, July 1, 2008

Surgery Eve

Well, tomorrow's the big day. It's hard to believe that my surgery day is finally here. I've been waiting and planning for so long that I'm not quite sure how I feel about it! I've been in sort of a denial/procrastination mode where I really haven't been getting the things done that I should have been. (i.e., sitting here typing instead of working on cleaning) I'm not sure it's quite real to me yet - although the fact that I can't eat anything today is driving the point home somewhat :)

So my surgery is tomorrow at 7:30 am at Henrico Doctor's Hospital (Parham). Which means I have to be there at 5:30. Wow, that's early - but it suits me. I might as well go ahead and get it over with. And do you think I'll really be able to sleep tonight anyway? My mom is coming up tonight and staying with me for a week. Bless her - tomorrow is her birthday! Barring any complications, I will be in the hospital until Friday morning.

I'm nervous, but not really having second thoughts. I've come too far for that. Honestly, I'm more worried about the next 6-8 weeks of recovery than I am about the long term. I won't be laid up that long, but that's how long it will take my "pouch" to heal so that I can eat real food again. I'll be on full liquids only for 2 weeks, then 4 weeks or so of soft and mushy foods. I know that eventually - after a year or so - I'll be able to eat pretty much anything, just very small amounts, so I'm not really worried about feeling deprived long term. To be successful, though, I'll have to be careful about what I eat. I feel prepared for that. Let's get on with it already!

So today I'm cleaning my house (so my mom doesn't see what a slob I am!) and running some last minute errands - getting my anti-nausea prescription filled for tomorrow, doing lots of laundry (I have to be very clean tomorrow - wash with antibacterial wash, sleep on clean sheets, etc), buying my vitamins, packing my bag, etc. A friend brought me over lots of protein for the shakes that I'll have to live on for the next two weeks (Thanks, Cherritta!) She had Dr. Elliot as well and has done wonderfully!!!!!!

I've gotten nothing but support from family, friends, support groups, etc. Everyone has been really wonderful and, if I could just get this apartment clean!, I'm ready to get this show on the road! I'll see ya again on the other side........

Saturday, June 28, 2008

Cookout time!

Yesterday I attended a BBQ/Meet and Greet/Health Seminar hosted by Jackie and Sue, who I met through the OH board. They run a support group in Fredericksburg called Obesity Freedom. We had a presentation of Isotonix vitamins, ate (WLS-friendly food of course!), had a hula demonstration/lessons (thanks, Ann!), did some jewelry shopping, but most of all - talked. And talked. And talked. :) I was a little nervous about going - it would be a big crowd, and people that I knew "virtually". I had met a few of them in person, and they were great, but still. You never quite know, do you? What people will really be like? And it's easy to feel very anonymous on-line.

I had a great, great time. I loved meeting people that I knew on-line and people that I didn't. Everyone was so great. This is going to sound weird, I know. But I was amazed at how many of them knew who I was and knew that my surgery was coming up this week! (by the way, tomorrow I'm planning on posting about thoughts as I get ready for surgery - it's too much for today!) It made me feel accepted and like I was a part of the group. Which may not seem so important or exciting to any of you skinny and/or popular people out there - but trust me, it was.

Very few people were just as I had imagined them - I guess I need to work on my people skills! :) It's hard to tell online if someone is loud or quiet, or what kinds of things will come out of their mouths when they're not replying to a specific post. But I will say this - they all exceeded my expectations. There wasn't a lot of gossiping about others or negative talk (that I heard, anyway), just people catching up and sharing stories about life. I bounced from group to group all day - I think most people did - so I feel like I got to talk with a lot of different people.

Anyway, I'm happy to be a part of this group. My friends and family have been wonderful supports as I prepare for surgery, but it's also nice to be able to talk to people who have been there.

Wednesday, June 18, 2008

Pre-op testing DONE!

So I went today and had my physical with Dr. Elliot, then I went to the hospital to do my pre-admission testing. I got asked the same questions over and over and over again, did a lot of waiting for a lot of different people, signed a lot of forms, and watched a computer slide show about my procedure. All they did for my pre-op testing at the hospital was take some blood (actually, they took a lot of blood for a lot of different things) and did an EKG. If something comes up abnormal, Dr. E's office will call me but I don't anticipate that happening.

Dr. E gave me my manual, which I'm ready to dive into and read thoroughly. But here's the most exciting thing - he said that since I had lost so much weight already

I DON'T HAVE TO DO THE LIVER SHRINKING DIET AGAIN!!!!!!!!!!!!

I don't know if you can tell or not, but I'm pretty psyched about this :) He said if I could lose some more weight, that would of course be great, but all that he was going to require was that I not gain any weight in the next two weeks. Needless to say, I am one happy camper right now.

Tuesday, June 17, 2008

Body Age pt. 2

So I'm finishing up my pre-op Boot Camp at "the Center", and today they did a second Body Age test to see if I've made any improvements over the last 3 months. My first test, in March, said my Body Age was 50. Today's test, after 3 months of exercise and nutrition counseling, showed some significant improvements, including a new "age" of 36. The highlights:

  • I've lost 28 pounds.
  • They measured my neck, shoulders, chest, abdomen, waist, hips, biceps, forearms, thighs, knees, and calves. All of my measurement have decreased, adding up to a total of 28" gone.
  • My nutrition score went way up.
  • My bicep strength, situps, and pushups all increased. (In one minute, sit-ups went from 12 to 20 and pushups went from 12 to 22; bicep strength went from pulling 56 lbs. to 62 lbs.)

So I'm excited about all of that. I'm still stressed that with 6" gone from my waist, my clothes still aren't fitting any differently! There's something wrong here...maybe my clothes really were just super tight before. Anyway, hopefully that means that post-op losses will show up more quickly in my clothes. I'm really glad that I did this whole Boot Camp extravaganza, but I'll have to post my thoughts on that another time.

Right now I'm getting ready to go out for my "last meal". Tomorrow I have my pre-op appointments and I'm expecting them to put me back on the dreaded Liver Shrinking Diet. :O I really thought that I would be sad at the thought of saying good-bye to food, and feel like I needed to eat a lot tonight. But I don't. I really think that my attitude about food has changed and, while I'm still dreading the LSD, I'm ok with the changes in eating habits that the surgery will bring. I'm not worried about feeling deprived anymore. I think this is partly due to my research and talking with others, and partly to the changes that I've already made. But going out to a nice dinner is always fun. So we're going to Maggiano's, a really nice Italian place.

Tomorrow I'm in for several hours of test and being poked and prodded. Then I'm taking the train overnight to Charleston. I'll report back when I can...

Wednesday, May 28, 2008

Life goes on

So I've just been plugging along. Doing well with the eating and exercising some days, not as well the others. Still working on it.

Friday, May 23, 2008

Cheating

Hi from Charleston! I just got here (around 10 pm) so I won't get to see that sweet baby until morning. I can't wait!

I totally cheated tonight. On the way here, I did something I haven't done in a long time - stopped at McDonalds for dinner. I haven't had McDs in 6 weeks since I started all of the special diets. Also - I got a Diet Coke! I haven't had one since I gave them up 2 months ago. And guess what? It was gross. Hated it. All of it - even the coke. I couldn't even eat it. Before I would eat it when I wasn't even hungry.

So I guess I really am changing, which is a good thing. I know I have to be careful so I don't change back. But it makes me feel like I really can do this thing. I've been worried because one of the benefits of the RNY surgery is that you get sick when you eat things you shouldn't. In the past, that hasn't exactly stopped me from eating them. But tonight I learned that it can. And it will.

Happy long weekend!

Tuesday, May 20, 2008

Total meltdown

I completely melted down today. I'm so tired from running, running, running all the time and trying to think about what I'm eating and getting my exercise in and all the other 1,000,000 things that go along with preparing for this surgery in addition to the job and being in a new city and all. Of course, I had less than 5 minutes for my meltdown. So I don't know if that really counts or not.

Here's what prompted the meltdown - I fell in the shower. I had about 20 minutes to shower and get ready to go back out (cards with the girls!) and I got in and fell down. *Side note - I've been feeling very off-balance lately. I've almost fallen several times. Hmmmm* I wasn't hurt, but it shook me up. You know how falling can do that? And I did grab the shower curtain on the way back down and it pulled the rod out of the wall a little bit so now I have to call and get them to fix that.

Here's what I melted about - I went to work out with Bryan today and it was fine. He weighed me and I've lost 5 pounds since last week. Which is great. I know it is. I'm excited about it. It means that, since the liver shrinking diet, I've lost a total of 20 pounds (some of those pounds I've lost twice - put them back on and lost them again :) ) Which I am happy about. But here's the thing - I still don't look any different. I don't feel any different. And even my clothes aren't fitting me any better. There are two things I do notice - I fit into my jeans straight out of the dryer. (But once they're on, they feel the same as they did before once I had worn them a little bit) And I have to work harder to get my heart rate up. Which I know is a good sign, but all it really means is I'm working out really hard and my heart rate is like "*yawn* whatever. I'll just stay here in this mediocre range" Shouldn't I at least feel better or have more energy or something? Or my clothes feel a little loose? Generally, losing 20 pounds will take you down a whole size! Maybe my clothes were just really tight before...

Friday, May 16, 2008

Getting my butt kicked by 10 year olds

I have such a hard time with taking things slowly - I've been working out with Bryan for about 2 months now, so I am convinced that I should be able to do anything at all! Um, that is definitely not true. Remember how Zumba kicked my butt last week? So, ask me what I did. Go ahead. (And no, I didn't go back to Zumba)

I tried a different class. Basic Step. An introductory class. Advertised as "family friendly". There were three 10 year olds there - fresh from field day, no less! They kicked my butt. Totally kicked it. I'm not even going to mention their perfectly-clad high-energy jumping around mothers. I had to stop several times "for water". And I did some of the exercises on the floor instead of using the step. DANG it was hard work. Of course my heart rate was way too high, so that was another reason I took some water breaks. Live and learn. I'm pretty good and the living part - it's the "learning" I'm having trouble with. Remind me not to go back and do that again, ok?

My new water bottle came yesterday! On Dawn's recommendation, I ordered a Sigg water bottle. Mine looks like this:

I'm super excited about it and had fun carrying it around today. I'll admit, I like it because it's pretty :) But it's a good water bottle, too and we all know how important water is! I need to order the thing that goes around it with a caribiner attached, though, to make it easier to carry.
I also ordered an awesome lunch bag since I have to take my lunch now. Although you can see it's awesomeness from the picture, when I tell you that it has a zipper, you'll be even more wowed by it. Ready? It has a zipper. A red one.Clearly, I still need to work on short posts. Oh, well. It is about 8:15 on a Friday night and I'm about to head off to bed. It has been a busy, busy week.

Wednesday, May 14, 2008

Make new friends, but keep the old...

one is silver, and the other gold! (can you hear me singing it?!?! I hope I sound better in your head than I do in real life)

One great thing about getting ready to have this surgery is that I'm meeting some really great new people. Tonight I met some girls from the OH board to plan some social events for the Richmond area. It was a lot of fun. I will admit to being overwhelmed - we were loud, and all talking at once about 15 different things. But I met some great new people, and I look forward to getting to know them better. When Theresa sends me the pictures, I'll post one :)

I met with the doctor today - I've been to the "the Center" 3 days in a row this week to meet with Lisa the nutritionist (Mon), Sgt. Bryan (Tue), and Dr. Powell (Wed). They've all been very encouraging and told me that I'm doing well. I know that I'm not doing as well as I could (or maybe even should!) be, but it's good to know that they are happy with the progress I'm making. I'm working hard at it, but there's always one more thing to do...I guess life is like that.

Speaking of, Sue (the "life coach" - the only one I didn't officially see this week, although we did chat when I ran into her in the office) thinks I should try hypnosis to see if I can get past gagging on nasty foods. Hmmmm.... She gave me the card of a hypnotist that she recommends. Still thinking on that one.

Tuesday, May 13, 2008

Alas, I broke the watch

Ok, I didn't BREAK the watch, but I did mess it up a little bit. It turns out that I did something that messed up the calorie counting (I have no idea what I did. Don't ask.) So I didn't ACTUALLY burn 1630 calories at Zumba. Oh, well. I enjoyed the thought while it lasted. I did work hard, though :) Off to Game Club!

Friday, May 9, 2008

Forgiveness follows failure

So it's Friday and I am STILL a bit sore from Tuesday's workout with Bryan. Wow. Maybe I need to learn not to work out until it stops hurting. But I have to work out at least 4 times between visits and if I wait two days to heal up then I absolutely have to do every day until then. See what I'm saying? I did a new water aerobics class yesterday - it was ok. Then, brilliant as I am, I decided that I was ready to try a class not in the water. So I went to Zumba tonight. There was some belly dancing, some salsa dancing, and a whole lot of shimmying and hip shaking. It was actually kind of fun, but it kicked my butt. Clearly, I'm not ready for that yet. My heart rate monitor is supposed to keep me in my "moderate" zone, but I spent the entire class well into the "high" zone tonight. Don't know how the sgt. is going to feel about that, but I didn't want to quit. And I didn't - I finished the class! And, on the "good news" front, I burned 1630 calories in just over an hour!

Today was the end of Teacher Appreciation Week (I have been very much appreciated all week - the parents have been wonderful) and my kids all brought in gifts today. The PTA sent out a survey waaaaay back (as in before "Boot Camp" started) asking us about our favorite things. So for my favorite morning drink, I put Diet Cherry Coke. Which it is. I love it. But I can't have it anymore. I got two 12-packs and a 20-oz bottle today. Also got a bunch of caramels, which I love but can't have. And mucho gift certificates to Bill's Barbeque, which I love but probably is not high in Nutripoints. But that's ok. They were really sweet to do it, and except for one caramel on the way home (ok, two caramels - but that was IT) I've been ok with resisting it so far. I'm giving away the coke and the candy and taking my friends out to Bill's - because it would be ok for me to eat there once. Just not $40 worth of times. :) I also got several nice gift certificates to other places, which will be fun to spend.

Wednesday, May 7, 2008

Sgt. Bryan strikes again!

OH. MY. GOODNESS. I worked out with Bryan yesterday and I am sooooooooo sore today. My abs, butt and thighs are mucho painful. I don't know if it's because I didn't go last week due to being sick, or just because of something extra we did. He said he almost made me do 3 sets of lunges. If we had done that, I don't know that I would have been able to walk today :)

Didn't do as good a job today with the Nutripoints system, but I'm determined that tomorrow will be a better day. It was still better than a day before I was on it, so that's something I suppose.

Monday, May 5, 2008

Nutripoints Day 1

So Nutripoints was not bad at all today - it was actually one of those days when I would have rather not eaten at all. Cooking is such a pain. No wonder I ate at drive-throughs so often. When you go all day and get home at 8, who wants to cook? But I took a sandwich, an OJ, and some broccoli for lunch today. The goal is to get in 6 servings of veggies, 4 of fruits, 3 of grains, 4 of legumes and/or meats, and 2 of milk/dairy in a day. I end up drinking most of my fruits and veggies which is fine. There is also a point assigned to each food - the higher the points, the better the food is for you (more nutrition per calorie). You are also supposed to hit a certain number of points per day, but right now my goal is to get in all the right servings, while eating only foods with a positive point value. Now potatoes in several forms - including frozen french fries - are on my approved veggie list, but I am trying to get no more than 2 of my veggie servings from potatoes. I know that my "points" are nowhere near where they're supposed to be because I'm mainly eating from the low end of the spectrum - I probably get 50 points a day where you're supposed to get 150. But it's a big change for me anyway. I'll keep working on it.

Tomorrow it's back to see Sgt. Bryan for my workout and meeting with Sue the Life Coach. I was so bad last week (although I legitimately was sick and missed my apt. with Bryan), I'm embarrassed to go back, but I will. It's not going to get any easier!

Sunday, May 4, 2008

Happy Cuatro de Mayo!

I'm ready to give the Nutripoints system a try starting tomorrow. It really wouldn't be fair of me to criticize it so much without giving it a try. So hopefully I will start to see some positive results - and, after all, I am committed to some major lifestyle changes here.

I think I've realized the piece that's been missing in my WLS journey - God. How can I do this without him? That's big *duh* that's been smacking me in the face these past couple of days. So I'm really going to work on seeking His guidance and leaning on Him for making this work.

Friday, May 2, 2008

LSD thoughts

Well, I've been off the dreaded Liver Shrinking Diet for 3 days now, which is awesome! Getting ready to get started with the next phase of my nutrition plan - the Nutripoints system. I'm sooooo not psyched about this. It doesn't work well with what I like to eat (which I know is not healthy things, but still) and involves a lot of cooking, which I rarely do. I'm not happy with my nutritionist, because she doesn't seem terribly willing to be flexible and help me figure out a way to make it work for me. Her two comments were, "Maybe you're not ready for the surgery yet" and "Well, this is the program we do here so this is it". It's not a program that I can do post-op, so I'm feeling pretty negative about it and trying to get past that for right now.

But back to the ever-exciting LSD. Since it was a new idea to have patients do it this far out from surgery to "jump start weight loss and get them motivated", I've been collecting my thoughts. Not that anyone has asked. But I may share them anyway.

Positives:
  • I lost 16 pounds in 2 weeks.
  • I didn't die. Which is to say that I learned that I can live through it - and that, while I was cranky, I could have fun even when it wasn't centered around food.
Negatives:
  • I was very cranky and irritable the entire two weeks, although not really hungry.
  • It was inconvenient - I couldn't go out to eat with friends, had to be sure I had my special foods with me wherever I went.
  • This far out from surgery I'm not sure I'm comfortable telling everyone, and it makes it hard not to. I didn't really want to just tell half-truths - "It's part of a new diet program I'm doing" or make up stores - "I'm not feeling well", but I did both some. I did end up telling some people that I wasn't ready to tell (co-workers).
  • I didn't get to have my surgery at the end of it, and went a little wild food-wise the day after it was over.
  • It was hard to be motivated to do it, since jump-starting my weight loss did not seem like a good enough reason to me to be put through this. It did not make me feel motivated. I can understand having to do it to shrink the liver for surgery, but this didn't make much sense to me which made it much more difficult.
  • I felt like I was secretly being tested to see if I could do it.
  • My nutritionist, who put me on the program, didn't have a complete understanding of what the diet was supposed to be, so for the first week I had to eat that nasty sandwich every night.
So, overall, despite the fact that my jeans are a little bit looser, this was a very negative, discouraging experience for me. And people telling me that other people had harder diets (I don't believe it for a minute - NO ONE else I have ever heard of has to do this for four weeks. And people who have to do all liquids usually only do it for a day or two) or that this was a good thing to get me prepared for surgery only made me more irritated. I'm having a really hard time with the whole thing right now and questioning everything. It's hard planning for something which is so far away. My surgeon's support group meets once a month and I've been to two already and will go to one more before my surgery. Then there's one the day after I have my surgery (I'll still be in the hospital, so won't go) It's hard seeing everyone else losing so much weight when I'm so far out and not really being able to relate to much of what they're saying. On my online message board I see people come in new and have their surgery quickly while I don't get to do that.

So, I'm sorry - I feel like a lot of my posts about this are negative. I've been trying to make all these changes - exercising 5 days a week, giving up diet soda, giving up FOOD for two weeks, now this Nutripoints thing - most of which have been very, very hard and I'm just not feeling better because of it. It's been about 6 weeks since I first started exercising and 4 since I gave up soda and I have yet to feel better. In fact, I feel worse. I'm very much an instant gratification junkie and this is hard. I'm going to try and post positive things next time :)

Tuesday, April 22, 2008

Woooo-Hooooo!!! (LSD day 8)

So, as it turns out, I don't HAVE to eat that stinkin' sandwich every night! I just have to eat something low fat with less than 300 calories. WOW. I'm the most excited girl that you have ever met at this moment. I wish I could have the last week of choking down that nasty thing back, but hey - then I probably wouldn't enjoy this moment quite so much. Who would have though I could get so excited over choosing my own 300 calories?

In other news, I weighed myself today for the first time since I started this whole LSD excitement, and I'm down 11 pounds. So with those two things I finally feel like I'm going to make it through this. It's a good thing, too, because I was pretty close to becoming a complete basket case.

Sunday, April 20, 2008

LSD day 6

Well, I am sticking to the Liver Shrinking Diet but can't say that I'm enjoying it. It is INCREDIBLY hard to not eat all that good food out there...especially when you have to sit and watch others eat. It was a rough week, but this weekend was especially hard because I wasn't as busy. I was also with my family and traveling, which made it even more difficult to stick to. But I did.

The pre-op diet was what I was dreading the most about the whole thing and now to have to do it twice is really taking a toll on me. I'm cranky and cry easily. My poor kids this week....watch out!

I'm considering letting myself order DVR if I can lose 3o pounds before surgery (which is a realistic goal, with 4 of those 10 weeks being on the LSD!) It's only something like $12 a month, but I'm really not sure that I can afford even that. Maybe I can look through my statements and find a recurring payment that I'm making that I'm unaware of that I can cancel...that sort of thing happens to me all the time :) But I would LOVE to be able to watch the shows I want, when I want. Most shows I like come on after I want to be in bed, so I stay up too late watching them. So we'll see. 8 more days to go....

Wednesday, April 16, 2008

LSD day 2

So it's day two of the Liver Shrinking Diet and it's had definite ups and downs. Yesterday was no problem - even went out to CiCis with 2 girls from the OH board and watched them eat pizza and was fine. Today was different. Most of the day at school I felt AWFUL - tired, nauseous, dizzy, headache, congested, you name it. (Ok, so maybe the congestion was from the pollen and not the LSD - you wouldn't believe the pollen around here) At one point I had to just tell my kids to go do math tubs because I was too nauseous and dizzy to even talk to them. Even walking in from recess one of the girls I teach with said I looked like I was about to fall over.

I had some drama with paying the fees from a traffic ticket so I had to go down to the court to pay it today, which meant that I didn't have time to exercise before I met with Sue (my "life coach"). This worked out very well, because it meant I got to go home and take a nap. I felt sooooooooooo much better after my nap and was able to get my second shake in on the way to see Sue. She wants me to find things that make me happy to look forward to each day now that I can't use food for that purpose. She said that don't have to be 10 on the happiness scale, just anything that I can look forward to. (I asked if I could use taking a nap! She actually said yes, but the nap sounded more like a necessity so we should chose something else as well) I haven't thought of anything yet - not that it has to be the same thing every day.

So after I left Sue I went to the gym to swim and ended up doing a water aerobics class which was fun. I may try and do it again sometime. I'm not having much luck getting this nasty sandwich and green beans down for dinner, though. I'm not hungry at all - right now I'm having more trouble getting in what I'm supposed to eat rather than wanting more.

Oh, and I have tried two new things - strawberry yogurt and baby carrots. Both were completely disgusting. They both made me gag. *sigh* I have no idea how I am going to start liking new things!!!!!!

Monday, April 14, 2008

An exciting new twist

So I met with the nutritionist for the first time tonight. I have been DREADING this meeting, since I know that what I eat is the worst thing about my health. And I just don't know how to start magically liking new things! It's taken me a long time to get in with her and apparently I waited too long, because in exciting news...

I get to do the two-week liquid "liver shrinking" diet
TWICE!

Apparently my surgeon's office has decided that at the beginning of meeting with the nutritionist, we should go ahead and do the liver shrinking diet to "jump start" our weight loss and get us motivated. Of course, then I have to start the Nutripoints system (which is NOT a good one for me, not that anyone will listen when I say that), and two weeks pre-op go back on the LSD. Yippeee!!! Here's what I have to do every day for two weeks:

Breakfast - Carnation Instant Breakfast pre-made or Slim-Fast High Protein (they are very specific)

Lunch - same as breakfast, with the addition of some fruit (which I don't like)

Snack - cottage cheese or yogurt (don't like either or these) or I can choose from baby carrots, grape tomatoes, or cucumber slices (don't like any of these) Here's what my nutritionist - the expert who's supposed to help me make this work for me said - "Oh, just try it." Because for the last 30 years I've just been avoiding them for fun.

Dinner - sandwich made with 4 oz. of Healthy Choice or Hillshire Farm 97% fat free turkey, chicken, ham, or roast beef and two slices of Nature's Valley double fiber whole grain wheat bread. 1 cup non-starchy vegetable.

I think that's it. So, there's clearly quite a bit of flexibility on this plan. I also have to get in 64 oz. of liquids during the day which includes all the usual no-sugar, no-calorie suspects but also fat-free broth, fat-free jello, and sugar-free, fat-free fruit flavored popsicles.

So like the obedient girl that I am I have gone out and bought all of this tonight (at 10:30 - I need to start setting bedtimes and sticking to them) and I am going to try one new thing a day. I'm not super-excited about this, so wish me luck!