Bariatric Betty's Batwings and Blessings

 

A reality of bariatric weight loss (or any huge weight loss) is loose skin.  Our bodies and skin have had to stretch to accommodate too much excess body mass, and the skin can simply not snap back.  It is beyond stretch marks.  It is flaps of skin that must be managed.  For appearances, we learn to stand certain ways (for example, arms are usually down, or at least close to our sides), some enjoy body shapers like Spanx to compress the excess skin around our abdomen, and some have to deal with skin infections that we become prone to with the folded skin.  Think about the care that owners of Sharpei dogs have to put into cleaning the folds of skin on their dogs.  Now imagine that the dogs wear clothing over their folded skin, which traps the dead skin cells, sweat, and bacteria in the folds.  I have been very lucky to have only minor problems with my "skrinkles" as we call them.  No infections.  But still, it has a psychological effect on me.  Every morning I see my flaps around my arms, abdomen, butt, and legs.  Most of the time I find it amusing.  Sometimes I find it awesome -"Wow - that all used to be filled with fat!".  Sometimes I am surprised - "Huh, there's a new fold there!".  Yes, muscle-building and weight training helps give the rest of my body a better shape, but to fill up all the excess skin I have now, I would need to bulk up like a world champion weight lifter/ Popeye. 

I took some pictures of my bicep to give an example.  This is what my arms look like when I'm wearing a bathing suit and my arms are down.

 

 

Pretty normal, right?  And this is what my bicep looks like when I hold it out...

 

I lost about 6 inches around my bicep.  So, I now have 6 extra inches of skin hanging down.  Well, I guess it's three inches folded.  I have the same kind of flaps around my waist that give me a totally different version of a "muffin top".  And then there are the folds under my non-existent butt.  It's so flat it's practically concave now, but has these lovely little folds right under where your underwear stops.  Hee-hee, under where your underwear...  Anyway - those actually give me the most trouble.  They are the smallest flaps of skin I have, but they rub against each other the most when I'm sitting down, squatting, etc - and I get patches of dry skin/ eczema there now.  Oh, and you won't be seeing pictures of any of those flaps ;)

 

I also have trouble sitting down on soft chairs or bucket seats, because the padding that I used to have on my behind is pretty much gone.  My tailbone is now very prominent, and gets very sore.  In a soft seat it is pressed on immediately - I literally can't stand driving in my car for over a 1/2 hour now.  On a hard chair that is flat, I can lean forward a bit and keep the pressure off.  I ended up buying a firm chair pad with a space cut out for your coccyx/ tailbone that I used sitting at our table now, and for longer car rides.  Mostly, I try to think of it as a blessing, because it makes me not want to sit around on my A** that much, so I stay more active!

 

Speaking of blessings, I am happy to say that I have now signed up for a mini-triathalon and 2 5ks in April!  The mini-tri is at our local rec center on April 7th.  Instead of seeing how fast you can run/ bike/ or swim, they time you and you see how FAR you can go in the set time.  15 minutes for the swim, 20 for the bike (on spinning bikes) and 20 for the run/ jog.  It's all indoors, which is a good thing for Cleveland in the spring.  The two 5ks are the 14th and the 27th.  The first is the Cleveland Clinic Health and Wellness Run/Walk here in Solon.  The second is The Color Run in Akron.  I can't believe how my life has changed since bariatric surgery.  I didn't used to be able to run or jog at all, and now I realize I can handle racing two weekends in a row. 

 

I haven't been jogging as much due mostly to bad weather.  A couple of days I have taken advantage of dry ice-free sidewalks and jogged 2 miles, and found that I don't even break a sweat!  Weird, but cool.  We have an excellent rec center with an indoor track that I can jog at, but recently I've been making other choices.  I started doing some upper body weight training, but mostly when I'm there with my kids, I have had to start staying with them in the gym.  My 12 year old pictures himself as a b-baller who can play with the high school boys, and tries to.  Sometimes it works out, sometimes it doesn't.  There have been a couple incidents of bullying, so now when my boys want to play basketball at the rec we sit there and watch like a hawk.  There was one older kid who threatened to whip my son with his jump rope when his basketball rolled over and interrupted his rope skipping.  And there was the high school student who threw the ball into my sons head three times in a couple minutes.  The rest of the time it's great, and we're there just in case we see something out of line and then we can let the rec admin know.  Playing street rules (instead of rec league rules) with people 4-6 years older than you means you WILL be knocked down.  He doesn't quite get that yet, so we're working encouraging him to play with kids his own age. 

 

Luckily, I'm still getting plenty of steps in with walking daily (my job helps with that), and my weight is stable, shifting +/- 2 pounds.  Looking forward to Spring Break, and our first trips to Universal Studios and Sea World!



Bariatric Betty's strengths and weaknesses

I have signed up for my second 5k, The Color Run on April 27th in Akron, OH.  It looks like a LOT of fun!  You can watch a video about it here: http://www.youtube.com/watch?v=4EERSfHiqT8  Basically you run a 5k wearing a white shirt while people throw packets of non-toxic pigment on you.  What I've learned about jogging/ running is that I don't find it fun.  I feel better after I exercise daily, and I am glad I can do it quicker than the same amount of exercise I would do walking.  But do I look forward to jogging?  No.  However, I DID enjoy running a 5k race!

So now I'm looking for fun runs - I'm not trying to win a medal, I want the social aspect.  A bunch of people jogging/ running while wearing costumes, or running to raise money for a good cause, or in the case of The Color Run, running while being silly and finishing looking like one of Willy Wonka's Everlasting Gobstoppers.  This way I look at jogging as preparing for my next fun race, and I can work on improving my time from a race one year to the same race the next year.

I have also signed up for a mini-triathalon in the beginning of April.  It's being held at our rec center, and they have it down to a science.  You are assigned a wave time, and start out sharing a lane with one other person.  At your start time you swim as far as you can in 15 minutes while they count your laps.  Then you go to the spinning bikes where they track how far you bike in 20 minutes with an odometer on the bike.  Then you go to the indoor track where they track how far you run/ walk in 20 minutes.  That's it!  Well, that makes it sound easy - and I would find doing each of those components easy on any given day - however, doing all three in a row will be challenging, I'm sure!  Not to mention the decrease in my padding around the spin seat-area will likely lead me to stand for most of the ride.  I'm looking forward to it, and will be sure to let you know how it goes - with pics, of course.

One thing about walking and jogging being my primary cardio exercises is that my legs are very strong and in great shape.  However, my upper body has not kept up.  Just yesterday I was bringing in groceries and was reminded yet again that my arms aren't as strong a they used to be.  When I reach up to close my trunk while holding several plastic bags of groceries in each hand, my wrists and arms tremble.  Am I experiencing upper body weakness?  No.  But they aren't as strong as they used to be, partially because they aren't helping me support my extra +100 weight anymore and I haven't been giving them the attention that my legs have been getting. 

So yesterday before work I went to the Rec and did some assisted chin-ups, dips, captain's chair crunches, and torso twists against resistance.  Gotta love the machines that let you counter balance some of your body weight for chin-ups and dips.  I was only supporting about 45 pounds, and it was hard.  I plan on doing it 2-3 times a week and look forward to being able to do more weight and reps.

I went to my monthly support group last night.  I love my support group!  They are such a blessing;  these women are truly fabulous.  As one of the other members said "All of you are beautiful, and you have a 'glow' around you".  We have pre-ops, recent post-ops, people a year out, all the way to people 11 years out.  Good ideas, answers to questions, and tough love when needed.  The support of my family means so much to me - and unfortunately, not all WLS patients have that.  But the support of people who have traveled my road, who understand the challenges, temptations and inner demons I wrestle with - nothing can replace that.

Bariatric Betty's 1st surgiversary! Pics, measurements, and excitement

Yesterday I celebrated my first surgiversary - and it was AWESOME!  My day started off with my husband, 12 year-old and 9 year-old having me sit on a bizarre contraption.  My husband had balanced a pillow on top of a folded folding chair, on top of an upholstered storage unit.  Then he took the chair legs, one son took the chair back, and the other one grabbed the chair side behind me and they lifted me up!  I felt like there should be trumpets playing - or maybe Hava Nagila ;)!

I don't have a picture of that - everybody in the house with opposing thumbs was involved and I didn't know to get my camera set up with a timer!  I did try to take a picture of me "planking" sideways while they held me up later (I was trying to copy something I'd seen someone else do) and could have gotten us on America's Funniest Home Videos if we had been taping...  Also, word of advice to WLS patients who might think that sounds good - loose skin hanging sideways in a picture is NOT your friend.  So... this is a picture of two of them presenting me with roses later on :)

 

My family has been such a support to me during my journey, and I have great confidence they will continue to be.  Here's a picture of me one year ago:

 

 

 My family stood by me then, and they stand by me now.  They understand I can't let my social interactions revolve around food.  And when we do eat out together, they try to find places I'm comfortable to eat.  All day I kept thinking about "a year ago I was in pre-op right now, a year ago I was coming out of surgery, a year ago I was talking my first walk..."  It was very emotional. 

Here's another thing that was emotional for me to do.  Make a new composite.  This is 3 months pre-op, 1 month post op, 4 months post-op, 6 months post-op, 1 year post-op.

Now for some hard figures to spell it out.  My highest weight was 243.3 pounds.  On my surgiversary I was 143 even, just over 100 pounds lost.  In the picture on the left, my weight was 237.  Here is a comparison of measurements from 3 months pre-op to today:

 

                     November 2011                2/16/2013           Inches lost

Waist            45.3 inches                      33 inches               12.3

Hips            46.5 inches                      34.5 inches               12

Chest band         41.3 inches                   33.3 inches             8  

Thigh            24 inches                     18.8 inches                 5.2

Bicep              16 inches                      11 inches                  5

Total inches lost 43.5!  I didn't measure my neck, but I can guess I lost at least 6 inches there as well.  Insane. 

Volunteering at a school event that required standing for an hour used to leave me sweating like a pig.  Now I run 5ks. 

I used to be diabetic, taking oral meds and insulin injections 4 times a day.  My diabetes was reversed the day of surgery, and now my only concern is my Reactive Hypoglycemia, which I can avoid. 

I am still being treated for depression, but my meds have been cut in half.

I now have enough energy to work outside the home, at my son's elementary school. 

I no longer need to take naps to make it through the day (although occasionally I will take one for fun)!

My biggest change is one my husband helped me realize at about 4 months post-op.  He came down one morning, looked at me and got very concerned.  "Are you OK?  Is something wrong?"  "No, why?" I replied.  "You're not smiling.  You ALWAYS smile now.  I haven't seen you not smiling since your surgery!"  It's true, I'm a much happier person now.  I still get upset occasionally, the kids can still get on my nerves, and I can still have grumpy days, but for the most part I'm very happy.  I feel like I've got everything I have ever really wanted.  Loving friends and family, a safe home, being appreciated at work, and being healthy. 

This is GREAT, but now comes the hard part.  My sense of hunger is coming back.  My pouch can hold more than it used to.  There won't be much more changes in my measurements.  My weight is stable +/- 2 pounds daily.  I am going to keep trying to get my body fat percentage down a bit, but as it will be replaced by muscle, it won't show up on the scale.  The compliments will decrease as more and more people get used to seeing me, or never knew the bigger me.  I have to keep working the program, eating according to the rules, exercising the same - or I will regain.  My calorie consumption will need to stay about 1200 calories a day at my current activity level.  I dump, so I will not be able to indulge in carbs without getting sick - and that's a good thing. 

I will eat to live, not live to eat.  I will find ways to treat myself that don't have anything to do with food - like yesterday.  I was properly fitted for new bras by a pro named Nancy at Nordstrom's.  My 4 new bras cost over $300, but I'm going to be wearing the heck out of them so I know I'll get at least 100 wears out of each, and they do EVERYTHING I needed them to do, plus - they're PRETTY.  People who have never been obese might not know but it is very hard to find a really supportive and comfortable bra size 44DD/EE.  Forget about it being attractive.   It was hard to swallow that bill yesterday, but it was harder to swallow the similarly ones for bras that looked awful. 

My next treat will be getting my rings re-sized.  I have been winding medical tape around them to keep them from falling off.  It will take a while to save up for it, because I'm going to incorporate some stones from other rings (my 10th anniversary and my late mother-in-law's ring) as well. 

It comes down to making the right choices every day.  Most days I do really well, but some days I don't.  I recently read Al Roker's "Never Goin' Back" and feel the same way.  This will never be "over", but I will never go "back" either.  It is worth everything to be here for my family longer, and be able to enjoy life more.  I give thanks to my family, friends, surgeon, and God for this second chance at life.  Forward!
 

Bariatric Betty says "Don't hate me because I'm beautiful"

People treat me differently now that I'm not obese.  It was something I had heard from post-ops before surgery and prepared myself for.  The overwhelming majority of that change is positive.  It mostly makes me happy, but there is a downside.  It makes it very clear how much nicer some people are to "typical" weight people and how much many ignore or are even rude to overweight and obese people. 

Maybe it's because they identify more with a typical weight person?  Birds of a feather flock together?  But weight isn't someone's identity.  Yet studies how that people, even highly educated people, identify overweight people as lazy, undisciplined, and sloppy. 

Complete strangers are now much more likely to hold a door open for me.  More strangers start conversations with me, or tell me to go ahead of them in line.  The number of smiles I get from strangers has increased - and I've always been one to smile at strangers, so that hasn't been the source of the change.  I think it's just now that more of them are looking at me long enough to see that I'm smiling, so they smile back.  In general, it makes the world feel like a happier, friendlier place. 

Peers I see invite me to join them more often - I'm not talking about friends.  I'm talking about co-workers and people I know from my kid's schools.  I don't usually take them up on the offers, because it usually involves lunch out or drinks or something else that would be difficult/ impossible for me post-op.  But it's really nice to be asked.

Friends have also changed - although much less.  These were people who knew and loved me at my heaviest.  They accepted me as is then, and they accept me now - just with more compliments!  I can't tell you what it's like after most of a lifetime of being unhappy with how I looked to get compliments telling me I look "cute", "tiny", "healthy", or shockingly "hot!". 

There is a small minority, however, where the change is not positive.  I had been warned about this by WLS veterans.  They said that sometimes if you have a gang of girls, and you suddenly change your appearance by dropping a lot of weight, your social "position" in the group can become unstable.  Instead of being the supportive fat friend, or the funny fat friend, or the fat friend that makes the pretty girls look better in comparison, they don't know how to "classify" you in the hierarchy.  They might even feel challenged for what they see as their role as the "pretty" one. 

I didn't expect to face that - partly because I don't hang out with gangs of girls.  I tend to see my friends one at a time.  I was never one to go out to a bar with in a group.  Frankly, I wasn't one to go out to a bar!  Funny thing was, I was part of a gang of girls, I just hadn't realized it.  The neighborhood bus stop moms.

I live in a great neighborhood.  The day I moved in two different neighbors came over with brownies and cookies.  Another sent her girls over to show my boys around the neighborhood.  My next door neighbor came over and introduced herself and offered her help.  After the quiet community with a lot of retirees I used to live in, it was a little startling. 

Next week, 2/16/2013 is my first "surgiversary".  I can't wait to celebrate!  I told my husband to hold off on any flowers or anything for Valentine's Day, I would rather celebrate on the 16th (and it will be cheaper - bonus!).  I have my 1 year post-op next Wednesday with my surgeon and I'm really looking forward to it. 

 

11 months post-op with vacation pics

Next month is my first surgiversary!  This month my family went on our annual trip to the Kalahari Resort in Sandusky, Ohio.  I can not even tell you how different this trip was compared to my previous ones... I was almost brought to tears several times.  First, let me show you some pictures from our trip in January 2012  This is actually after I lost 25 pounds pre-op.

 

I smiled in those pictures only because I knew that these would be my last pre-operative pictures of me in a swim suit.  I didn't want to look at them much then, but I kept them because I knew I would want to compare them to pictures I could take a year later.  Here are the ones from this year.

 

 

OK, so the visible difference is huge.  But that's not even the big change.

 

It started when I we first got there and my sons wanted to do the Flow Rider - a simulated surfing experience.  Surprisingly, I wanted to try to do it, too.  This year I didn't care that I would be the focus of attention as I tried and then wiped out (everybody wipes out).  It's funny when people wipe out, people laugh - and last year I couldn't have handled that.  This year, I went for it.  And yes, I wiped out, but I didn't feel like people were laughing at the obese mom who flipped off the board, they just laughed at the mom who flipped off the board like everyone else.  And that difference felt huge.  I laughed, too!  I felt like a different person.  And after I flipped off I jumped right back on and performed tricks the lifeguard/ teacher showed me.  Here's a sample...

 

 

Letting go of the board with one hand to grab my foot - oooooo!



 

Letting go with both hands to pose... aaaaahhhh!

 



 

On this one I actually not only got up on my knees, I was able to sit up without balancing on my hands!  For this I got applause from the crowd and the guards.  Applause!  I'm such a ham... I loved it!

 

But here's the thing - I loved trying something new and showing off, but they weren't the moments that got me so emotional.  It was when I didn't have to worry about whether I could fit in the inner tube.  And when a guard asked me to sit in front of my son in a raft because the heavier person sits in front - and I got to smile and say "Actually, he's heavier".  Like the moment I realized I don't need to read the weight limits for the rides anymore!  And when I realized that I had so much more energy this year that I had ridden on more slides (and climbed more stairs) in one hour than I had in an entire day last year.  Last year I spent most of the time watching, and taking pictures of everyone else.  This time, I participated.  And I asked other people to take pictures sometimes, so I could be in them!  I could cross floating lilypad bridge by swinging arm over arm (think monkey bars made out of rope) with ease - I even got competitive and beat the person on the other one.

My planning for eating was thrown off by a mistake with the reservation - apparently my mistake.  According to them, the room that we've stayed in the last two years with the full kitchen is not the African Queen Suite, but the Combination Suite.  OK, it just so happens that I've requested the African Queen Suite the last two years and been given the Combination Suite?  Whatever, I know what to ask for next year.  The problem was that with no full kitchen, a lot of my meal planning was thrown off.  My husband stepped in and helped (especially the first night, when I was planning on making a big pasta dinner for everyone else).  After giving up on making pasta in the coffee pot, he figured out how to cook it in the small microwave in little paper bowl - in about 10 batches, that took over an hour!  Most of my own meals I could adjust to cooking in the microwave, but it made me really glad I had packed some Quest protein bars as a backup.  All that obsessive planning came in handy! 

It was a great three day vacation, and this has been a great first year as a post-op.  I can't wait for my 1 year post-op appointment next month!
 

Bariatric Betty finds fitbit sale!... and other news

OK, this is not my normal post, but my love of my fitbit Zip as a motivator and tool in exercise in weight loss is borderline obsessive.  This morning my mailbox had the new week's sales at Target and I saw that they are selling the Zip for $49!  That's $10 off, people!

If you are looking for a pedometer or just something to motivate you to be more active, I LOVE THE FITBITS!  They wirelessly upload your steps and other information every time you are within 20 feet of your computer (or in the case of the Zip and the Fitbit one, you can also set your smartphone to sync with them via bluetooth).  The Ultra and Fitbit One are souped up versions of the Zip where they also do sleep tracking and counting flights of stairs.  I love the Zip because 1) it's $40 cheaper 2) comes in bright colors so it's easier to find if you set it down and 3) the grip of the holder is much better - I have yet to have it fall off my clothing, unlike it's predecessors!  They all calculate steps, intensity, distance traveled  and calories burned, and all work with a fabulous website that calculates your metabolic rate and lets you log exercise not easily tracked (biking, swimming, weight training).  Best of all, in my opinion, is that the Fitbit site has partnered with www.myfitnesspal.com so that your activity is automatically uploaded in to my favorite food logging/ diary site.

Logging food and exercise is very important in weight loss, but let's face it, it's not fun.  Anything that reduces the effort involved is golden to me. 

OK, this ends my unsponsored ad for Fitbit.  I received no compensation for this - it was just a combo of my love of deals and this nifty gadget that made me want to post it for my readers.  Back to regular programming.
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The last couple weeks have been good.  I'm considering joining a WLS friend for an event in Cleveland called Tackle the Tower.  It's a fundraiser for Ronald McDonald House held at a local upscale mall that is attached to an office tower.  Instead of running a 5k, you run the 38 flights of stairs in the tower.  My concern is my knees, which have always been week and used to pop/ dislocate occasionally in my teens.  They were part of the reason I never jogged/ ran (other than my weight, obviously).  But, as I've seen - things change.  Now I can jog without knee pain as long as I don't run to hard/ fast or too far.  So, I went to our rec center to try the Stair Climber dinosaur machines that look like escalators on steroids. 

Wow.  That kicked my butt.  I've never loved climbing stairs, and my muscles recognized that fact as I completed the 10th "flight".  I started to sweat!  No reactive hypoglycemia this time - I've been back on my regular super-high protein super-low carbs so THAT doesn't happen again.  No, it was a matter of using muscles that I'm not used to using!  I finished climbing 38 flights and stopped, feeling a little achey in my hips and knees.  I waited a few days and did it again, this time doing 40 flights without pain.  I'm still not sure I'm going to Tackle the Tower - climbing up is the hard part, but then you still have to climb back down, and I'm worried that might be too much for my joints...  I'll try it again this week and see how it goes.

My bra size changed again - my whole life I have thought that a "C" cup would be perfect, and imagine my surprise to find that I now fit in (some) "C" cups!  I never wore them before - as a teen I wore a B (skipped A entirely), then went straight to D and then DD.  At my heaviest I was 44DD.  Now I'm a 36C.  Most of my actual breast tissue is gone (it happens in rare circumstances to WLS patients during weight loss), so it's more like I have deflated skin that I stuff in to fill up my bra cups, but hey - once I'm dressed nobody sees those particular battle scars. I'm also hopeful that it reduces my risk of breast cancer, and assume that mammograms will be MUCH easier now.  :)  It's funny, because when I was starving myself to lose weight in high school and was 30 pounds less than I am now it never came off my chest - I stayed a DD.  I didn't have much hope that my cup size would go down.  Now it has.  It has literally lifted a weight off my chest - my back doesn't hurt as much as it used to.  What a blessing!

Next week our family is going to Kalahari - one of the largest indoor waterparks in the world - for our annual weekend visit.  Our school district has a fundraiser that makes the cost reasonable, and allows us to stay in a suite with a full kitchen, which makes eating a LOT easier for me.  I took my "before" bathing suit pictures there last year, and even though I've already posted some "after" ones I look forward to getting new pictures with the family (even if I'm in a swimsuit).

 We're also starting to plan a family trip to Florida - we've been twice before in the past 7 years, and both times we went to Disneyworld and once went to the Kennedy Space Center.  This time we're going to Sea World and Universal Islands of Adventure - one of my sons is into everything water and sea life, and the other loves rides and Harry Potter (almost as much as me).  I found out that Embassy Suites not only had some great deals, but your stay comes with a complimentary cooked-to-order breakfast including eggs and omlettes, so I'll have a bariatric-friendly breakfast each morning.  I'm not as nervous having taken the trip with our extended family to Williamsburg this last summer.  While we won't have the luxury of a kitchen on this trip, I feel confident that I can make do with a bag full of Quest bars - but I'm NOT touching any fruit salad unless I can verify it hasn't been sweetened this time!

I had my first negative experience with straws today.  Many post-ops are warned off drinking with straws because if we swallow too much air it can become very uncomfortable in our pouches.  I've tried it a few times without problem, but for the most part sip out of water bottles.  Today I finished my drink and was still 1/2 hour from home (and a refill) so I got a Light Lemonade at McDonalds.  At first I was fine, but less than a mile from my house I started feeling uncomfortable.  By the time I was pulling into our driveway my pouch was hurting bad enough I was almost crying.  Luckily, just walking around the house dislodged the air bubbles and the pain went away, but it took a few more minutes to figure out what had happened.  Ouch!  But, no damage and another lesson learned. 

A couple of weeks ago I entered a contest with www.tout.com and Zappos where we were supposed to talk about what inspires us - and I talked about my Weight Loss Surgery Support Group.  The contest has ended, and they will be announcing a winner in a couple of weeks, keep your fingers crossed for me!

 

Bariatric Betty starts 2013 with Reactive Hypoglycemia

Scary.  That's how I can sum up my first (and hopefully last) experience with Reactive Hypoglycemia.  Reactive Hypoglycemia occurs 1 - 2 hours after a meal and is when your blood sugar plummets.  It's a complication some post-bariatric patients get about a year out from surgery, and apparently I am part of that group.  Non-WLS people can have experience R.H. by eating very high carb unbalanced meals, or by diabetics injecting themselves with too much insulin.  Studies have shown that starting 6 months post-op the pancreas of WLS patients (particularly the gastric bypass patients like myself) have a big increase in insulin reactivity.  One study I read said that the reactivity increases 20 times normal (duadenal switch and gastric sleeve WLS patients had a 6 time increase).   It's part of the same mechanism that reverses our diabetes with surgery, but in overdrive.

So, what happened?  Last night I made homemade black bean soup from a bariatric-friendly recipe, and had a bowl with some cheese sprinkled on top for dinner.  I also ate 1/4 of one serving of a baguette, a rare grain "treat".  I had eaten the black bean soup acouple times before as part of a meal - eating 1/4 of a serving along with 3/4 serving of my favorite lentils/onions/ greek yogurt/ cheddar cheese dinner.  Then about 1 1/2 hours later I went to the gym and hopped on the treadmill, because I hadn't gotten my 10,000 steps in for the day yet and it was TOO COLD to go walking outside.

Looking back, my first clue that something was wrong was that about 20 minutes into the walk I realized I was sweating.  Sweating?  From walking?  Ridiculous - I jog 5ks now, why would walking for 20 minutes make me break out in a sweat?  I decided that the gym must have bumped up the thermostat, and since I was on the top floor I was just getting an extra dose of heat.  I was trying reading while I was walking and I started having trouble reading at about the same time.  Of course, that wasn't how I was thinking of it then - I thought "Wow, suddenly the light reflecting off the screen of my Kindle is making it hard to see the words" and "Huh, I'm losing the thread of this chapter - maybe I shouldn't try reading while walking, I'll just turn it off and watch the TV.  Then I started feeling a little clumsy and irritable.  My brain started to signal "Hey, maybe you've done enough" at about 27 minute, but I thought "Nah, just 3 more minutes..."  By the time the 30 minutes was up I was definitely not feeling great. I felt light-headed, sweaty, and when the machine tried to add an additional 5 minutes of cool down walking I got mad.  I got mad at a treadmill.  Yeah, they should list that among symptoms - if you start to fume at inanimate objects, you might want to check yourself for hypoglycemia. 

Compare this to how I usually feel after a 35 minute jog - warm but not sweaty, sharp, and pleased with myself.

So I went down the stairs carefully because I felt a little dizzy.  "Must have not had enough water..." I thought.  So I drank some and headed into the basketball courts where my kids were playing.  I saw my one son, but didn't see my other son.  Then I realized that the other son was standing next to where my first son was sitting - weird, how did I miss that?  My younger son wanted to stay, so I went to sit down.  Then my older son said he wanted to get home and I agreed.  By this time I had decided that I must not have had enough protein that day.  I had only logged my breakfast so far (15 grams of protein), and had a Quest bar for lunch (20 grams) and I knew that the black bean soup wasn't as protein dense as lentils... yeah, that must be it, I was low on protein.

For my non-WLS readers, most adults only need about 45 grams of protein a day.  Post-bariatric surgery we aim for 60 - 80 grams.  Our bodies metabolise things quite differently, and having to live on great reduced calories requires a large protein load to reassure our bodies that we are not - in fact - starving after having been shipwrecked on a deserted island (in which case our bodies would start to consume it's own muscle tissue in addition to fat, BAD). 

So I called my husband as I started the drive home, explained I was low on protein and not feeling great, that my 12 y.o. was complaining of being lightheaded as well (meanwhile he started telling me from the backseat that he wasn't lightheaded and never said that). My younger son backed me up saying that my older son HAD said he was light-headed, but at this point I realized that I wasn't even sure what he had said any more, because I was feeling confused and irritable.  I SHOULD have realized "That means you shouldn't be driving, dummy!" but I didn't.  Luckily we got home safe and sound.  My hubby was waiting in the driveway with some cheese for me.  I ate half of it and started making some popcorn for my son.  I finished the cheese, had 2 cups of popcorn and went online to log the rest of my food for the day. 

Wow!  I hadn't realized that the disparity between the protein in black beans and lentils were so huge.  I always try to eat between 20-23 grams of protein in a meal, and apparently even with the cheese on top, I had only had 11 grams.  I ate another 1 1/2 ounces of cheese to bring me up to 60 for the day.  My overall calories had been low, too.  Good thing I had eaten some popcorn (I had no idea how good until this morning).  OK, everything looked better.  I signed off and went into the other room to sit with my family while they watched TV.  Within 15 minutes I fell sound asleep.  My husband woke me up and walked me upstairs to bed.  I had horrible dreams about feeling confused and thinking I was having a TIA (mini-stroke).  It wasn't that far off.  My brain was being glucose deprived. 

This morning I woke up feeling much better and something clicked.  Reactive Hypoglycemia.  I went online and reviewed studies and articles until I was sure.  It wasn't just lower protein, it was lower protein mixed with higher carbs (although not enough to make me dump) and then working out (even though it was low intensity) two hours afterwords - which is right about when my blood sugar plummetted.  I rushed through the low level and landed in moderate hypoglycemia and luckily had the popcorn and cheese before it got to severe (which includes seizures, unconsciousness, and potentially death).  If I hadn't eaten the popcorn it might have been worse.

To treat hypoglycemia you eat a small amount of carbs paired with protein (in my case, cheese and popcorn).  Non-WLS people might drink juice or eat a small amount of candy to boost up their blood sugar short term until the protein kicks in, but in gastric bypass patient that will cause a potential dump and a larger blood sugar crash shortly after, putting them in greater danger.  In non-WLS someone might have hypoglycemic symptoms after not eating at all for a long time, or about 1-2 hours after eating a huge amount of carbs (like 120 grams) and no/ low protein.  I ate about 30 grams of carbs, but only 11 grams of protein and BAM!  Lessons learned... whew. 

A big thank you to all my WLS friends who have written and talked about their experiences with R.H. - it was remembering your experiences that helped all of this make sense his morning. 

One fun/ funny experience to share - I was on Zappos' Facebook page and saw joint contest with Delivering Happiness and Tout.com where you shared a 15 second video of what or who inspires you for a chance to win a $500 Zappos gift card.  SWEET. I need new waterproof snowboots, and had been wrestling with whether or not I can afford some nice ones...plus heck - that could be several pieces of new clothing!  So, I made the video about how my Weight Loss Support Group inspires me and posted it, checking the box that said "only you" can view this on your timeline.  Imagine my surprise when my friends started commenting on it!  Great comments, too - saying I was cute, adorable, and my favorite "HHHHOTTT!"  What a great reminder that in our internet world, just because it says something will not be seen doesn't make it TRUE!  I'm so grateful for the support of my family and friends, and grateful that the thing that inspired me wasn't embarrassing or "private" in any way.   Here's hoping I win the gift card!