Tuesday, January 31, 2012

Jan. 31, 2012: Off to a Clean Start!

My Tuesday morning started out great!  I was able to get in a brisk 15 minute walk this morning before work.  The AM fog had not yet lifted and it was a really neat time to go for a walk.  I wished I could have gotten more time in, but it was 15 min more than I usually do in the morning.  My morning scale weight was 211.2, so I'm guessing there is about a 3 lb difference between my scale and the one at the gym (with the gym's scale weighing lighter, surprisingly).

It wasn't as difficult as I had anticipated switching back into healthy eating habits.  Breakfast consisted of natural oatmeal & raisins.  Lunch: Chicken salad.  Snacks: Orange & apple.  Dinner: Salmon and roasted broccoli & sweet potato.  Evening drink: Aveda herbal tea.  A coworker talked about having a glass of wine after the long work day.  That sounded tempting, but I opted for the tea.  I am holding off on the wine for poker night.  ;>)



As I am also trying to get into healthier sleep patterns, I am going to make this blog entry short tonight so that I can get to bed before midnight.  I feel really good about starting this plan.  Thanks for all the supportive comments both on & off this blog!  

 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Feel free to join this site! Click on the "Join This Site" link on the right hand side, under the heading "Followers".
Also, don't forget that you can post your own goals: Post Your Goals HERE
Click HERE for additional resources.

Monday, January 30, 2012

Jan 30, 2012: Work Out & Weigh In

I had a long day at work.  It wasn't bad, just long.  I could have easily stayed until 10pm to try and fool myself thinking I could get caught up with paperwork, but I managed to get out of work on time so that I could make my appointment with my trainer and to weigh in.  The results are in: 209 on the gym scale.  That was less than I expected.  I believe I weighed in at 212 on my home scale.  I will take a morning weight for comparison as well.  So there's the number.  I will file that away as I refuse to let the scale consume my thoughts during this process.  After my morning weigh in, the scale will be put away for two weeks.

All in all, I don't feel too bad about the little bit of weight I gained back.  I weigh the same as I did when I started at the gym.  And that is still a notable & permanent 33-36 lb loss since August 2010.  Now with a renewed commitment, I hope to keep up on my exercise routine and start to feel better physically.  I was a little stressed after work.  There were just too many things on my "to do" list and not enough time to do it all.  When I workout, however, I usually tend to feel better, at least after I have started exercising (not the part where I have to actually get my body there and get on a machine).

I always had the idea in my head that exercise in the workplace would help decrease stress and improve worker productivity.  I ran across this article, which I almost hesitated to share: Exercise Linked to Reduced Worker Productivity  "Researchers examined 2,823 workers in Minnesota to see how physical activity affected their stress level as well as their productivity. They found workers with higher body-mass index (BMI) worked less, regardless of any other factors."  Boy, that does not bode well for those of us with a high BMI!  That stung just a little.  I wonder what the significance level was and how productivity was defined in the actual research.  "...after adjusting for BMI, the study revealed that workers with a high level of stress who also had a high level of physical activity were significantly less productive. On the other hand, physical activity did not result in as big a drop in productivity among workers with little stress."  The authors wrote, "This may indicate that some individuals essentially cope with high levels of stress by exercising more and working less."  They also concluded that "stress management is "at least as economically relevant" to encouraging good health and productivity among workers as other lifestyle factors".  (SOURCE: American College of Occupational and Environmental Medicine, news release, Oct. 4, 2011, as cited by Healthfinder.gov.)  So in other words, exercise does not cause reduced worker productivity, as the title might lead one to think.  But it clearly makes a case for the importance of reducing stress and encouraging good health, at least from an economic perspective.  


And here's another quick article/summary of some recent research on the importance of sleep and other factors as they relate to health and weight loss: Less Stress, Better Sleep May Help You Lose Weight.  Some notable preliminary conclusions:  1.)  People are more likely to lose weight when not impeded by sleep deprivation, stress or depression.  2.)  Managing stress is about physical health, as well as mental health. 3.) People of normal weight eat more when they sleep less. 4.) Improving sleep may be as important to lasting weight control efforts as modifying diet or exercise.  5.) Weight loss should be approached from a holistic context. 

I am convinced that I really need to start working on improving my sleep habits.  And speaking of sleep, it's getting late so I'm signing off for the evening.  Here's to good health & a good night's sleep! 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Please feel free to share your comments and to join this site! Click on the "Join This Site" link on the right hand side, under the heading "Followers".
Also, don't forget to post your own goals: Post Your Goals HERE
Click HERE for additional resources.

Sunday, January 29, 2012

1 More Day,... (It's NOT all about the number):

Monday evening I will officially weigh in and start my program.  While committing to 90-day of incorporating 3 healthy habits, I do want to remember that it's not all about a number on the scale.  I will take measurements at the start and end of the 90 days.  I will also weigh in every other week in order to have some sort of gauge on progress.  However, becoming healthier has little to do with the number, and more about the habits.  I want to stress this.  People who are overweight, according to the "charts" are not necessarily more unhealthy than skinny people.  Body Mass Index (BMI) is a very weak predictor of longevity.  The healthy habits are what's more important.   

I was reading a letter in the February 2012 edition of the Monitor on Psychology  yesterday.  The letter was written in response to an article in their December publication on American Psychological Association's (APA's) plans to write treatment guidelines for obesity.  In the letter, the author (Dr. V. Wood) pointed out that the scientific literature "shows that obese people are no different psychologically than so-called "normal-weight" people except insofar as they have symptoms resulting from their being victims of discrimination" (Wood, p. 4).   In that case, Dr. Wood points out, "no psychological measurement is able to differentiate overweight people from, say, African-Americans who've suffered discrimination".  Weight is generally NOT a variable that people can control, whereas healthy habits, such as good nutrition and an active lifestyle ARE (Wood, p. 4).  "...It is pretty common for obese people to be healthy via good habits while more slender people (not to mention the too-thin) can and frequently do have lifestyle-related cancers, high cholesterol, high blood sugar, and/or high blood pressure due to poor habits or simply bad genes" (Wood, p. 4).

Does this mean that being obese does not negatively impact health?  Of course not.  Anyone who has carried around a lot of extra pounds and has had the experience of losing the weight will likely be able to testify about the health benefits they have experienced, such as less stress on the joints and being able to walk up a flight of stairs without becoming out of breath.  The point is, the focus needs to be on accepting our bodies the way they are and making healthy lifestyle changes.  If we hyper focus, instead, on the scale number, the chances are good that we are not going to make the sustainable changes that we need to.  Does this mean we should not celebrate victories on the scale?  Absolutely not.  Progress should be recognized and celebrated!  The scale does matter.  Just don't make it all about the number.  

Wood cites the following article from the Nutrition Journal, which I highly recommend reviewing: http://www.nutritionj.com/content/10/1/9   The authors of this article talk about how programs focused on a weigh loss goal, per se, are generally ineffective.  There is a growing trans-disciplinary movement called Health at Every Size (HAES), which challenges the value of promoting weight loss and dieting behavior and argues for a shift in focus to weight-neutral outcomes.  Outcomes of randomized clinical trials are discussed. It appears that focusing on good health, vs. weight loss, is the way to go! Again, it's a must read for those interested in a focus on good health.          

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Feel free to join this site! Click on the "Join This Site" link on the right hand side, under the heading "Followers".
Also, don't forget that you can post your own goals: Post Your Goals HERE
Click HERE for additional resources.

Saturday, January 28, 2012

2 Days and Counting,... (What is Clean Eating?)

So Monday evening I will begin my program with an official weigh-in at my gym.  I will then have a 30 minute workout w/my personal trainer.  Tuesday my plan is to incorporate Clean Eating habits into my diet.  Again, if I can eat clean 80% of the time during the week, I will consider this a success.  I am avoiding extreme changes purposely.  I want to make changes that I am able to sustain.

 What is Clean Eating?  It's basically eating more natural, whole, healthy foods & less processed foods.  It involves eating lean proteins, complex carbohydrates, and healthy fats.  Similar to some of the changes Jamie Oliver is trying to make in the U.S. school systems, clean eating involves making decisions to fuel our bodies with healthy foods and not cheap, over processed junk that won't sustain us.  It involves learning about foods that will keep our blood sugars in check, fight off hunger and lethargy, and build & boost our bodies own natural immunities against cancers and diseases.  Tosca Reno published some useful resources on the lifestyle in her Eat-Clean Diet book and website.  For additional information, see the links on my Weight, Nutrition & Health page.

I am off to the Farmer's Market to stock up on healthy foods!


Friday, January 27, 2012

3 Days and Counting,... (Planning)

It's a rainy day in Central CA, but it's kind of refreshing.  There's something to be said about the cool, fresh air  after the rain.  It feels clean.

Today I'm thinking about the importance of planning when a person decides to set goals.  The plan should be broken down into smaller, achievable steps.  I wanted to share a few more relevant quotes found on the web:

"Planning without action is futile, action without planning is fatal" (Unknown)

"Failure to prepare is preparing to fail" (Wooden, John, 1910 American Basketball Coach)I think Benjamin Franklin was also cited as a source for this quote. 

"Plan well before you take the journey. Remember the carpenter's rule: Measure twice, cut once" (Unknown, Source).  

"Always plan ahead. It wasn't raining when Noah built the ark" (Cushing, Richard C., 1895-1970 American Roman Catholic Cardinal).

"It's not the plan that is important, it's the planning" (Edwards, Graeme). 

"It's never too late to start planning for the future" (Unknown, Source). 

Thursday, January 26, 2012

4 Days and Counting,...

I can't believe there are only 4 days left until the program begins.  Time flies when you're having fun!  I found a few quotes on the web that I wanted to repost here:

Dare to soar - how successful you are is determined by your attitude.

When you expect success, your mind focuses on success.

Never, never, never, never give up!

Wednesday, January 25, 2012

5 Days and Counting,...

How many times does it take to push the snooze button before it's considered excessive?

I made a cheap meal yesterday: Ramen Noodle Soup with spinach, canned tomatoes, red pepper flakes, and spices.  I'm pretty sure I gained 5 lbs of water weight from the sodium alone.  If I ate like that every day, I'd have to go back on blood pressure meds.  But it was good.  Sometimes I just get a craving,...  Thought it best to get it out of the way now. 

Today I am going to try and put a few extra steps in where ever I can.  Maybe I will avoid the trolly at work or take time out at lunch to take a walk. 

And speaking of which, it's time to get on the road.  Hope everyone has a good day! 

Tuesday, January 24, 2012

Weight, Nutrition & Health Resources:

This is just a partial list of some of the sites I'm interested in.  I don't promote/endorse any particular program.  However, the following were included in my list as I believe they have earned some merit in the quest to promote healthy lifestyles.  Feel free to share your own favorite sites.  More Links Coming Soon!

BMI Calculator (CDC)

Clean Eating

Dr. Oz Weight Loss Center

Eat Clean Diet

Health Management Resources (HMR)

Jamie Oliver's Food Revolution 

Mayo Clinic: Is Juicing Healthier than Eating Whole Fruit? 

Svelte Life

Weight Science: Evaluating the Evidence for a Paradigm Shift. Nutrition Journal (2011).

Weight Watchers

Wine & Health

World's Healthiest Foods

6 Days and Counting,...

Ugh!  I am NOT a morning person.  Sigh,... That would be a great healthy habit to change: Get enough sleep.  It is easier to lose weight if you are getting proper sleep.  I know I have read articles on this subject.  I will have to see if I can locate any.

Today's goal is DAMAGE CONTROL.  I do not want to eat out of control just because I have a few days left "off program".  And trust me, a lot of damage could be done in a few days.   So that's my theme for today and I'm sticking to it!

Monday, January 23, 2012

Post your Goals HERE:

Please post up to three healthy habits that you will incorporate for 90 days, starting Monday, January 30th (or later if you join us later).  Remember to keep your goals realistic.  I recommend reading the 90-Day Challenge before posting.

The 90-Day Challenge,...

What is the 90-Day Challenge?  
It's simple: Select 1, 2, or 3 healthy habits that you wish to incorporate over a 90-day period.  Be careful to select goals that are realistic.  Okay, so "90 days without candy" may be tough for some of you.  But, for the 90 day period, could you commit to 5 or 6 days a week w/out candy?  Or perhaps 1 or 2 pieces of candy a day if you are accustom to eating a lot more?  Perhaps you want to cut your candy consumption in half?  Or even decide "I will eat a vegetable or piece of fruit, or drink a glass of water instead of munching on a piece of candy at least 50% of the time."  Some people may choose to add something to their diet.  For example, "I'm going to eat an orange every day."  Again, be careful that it is a goal that you really WANT to do for 90 days.  You may become really sick of oranges after that period of time.  Being that I am now a Central Valley California girl, I cannot promote any practice that encourages the aversion to citrus.  (And besides, I heard that some people have gained weight eating an orange every day.)  Start out small.

So then what??  Post your healthy habit here.  And keep coming back to post on your progress.  I also think it is important to post a weekly reward for yourself for achieving those goals.  It may be as simple as taking time out to do something you really like to do.

And then???  We come back to this site to motivate each other.  Post supportive comments.  And more importantly, we need to have fun along the way.  Making lifestyle changes can be tough.  But it's a lot easier with support and a touch of good humor.  Share your struggles and stories.  Share your successes as well!  And if you can make bloggers laugh, you get an extra point.       

Oh, and points!  Ah yes.  We do need to have a point system.  In the spirit of Drew Carey, the points don't really matter.  But there WILL be a point system.  With bonus points.  And surprise points!  But more on points later. 

So post away!  I'm anxious to hear from you!

7 Days and Counting,...

One more week until I start the 90-day Challenge! 
Today I am going to focus on the healthy habit of drinking plenty of water.  According to Mayo Clinic, "water flushes toxins out of vital organs, carries nutrients to your cells and provides a moist environment for ear, nose and throat tissues" (http://www.mayoclinic.com/health/water/NU00283).  I recall my doctor telling me to drink at least 8 eight-oz glasses per day.  As pointed out in this Weight Watcher's article, the scientific origin of the 8 x 8 rule is unknown:  http://www.weightwatchers.com/util/art/index_art.aspx?tabnum=1&art_id=56961&sc=808.  However, remaining hydrated is important.  It is especially important if we are adding exercise to our daily routine.

For those with hepatitis or other liver disease, getting enough water in the diet is essential.  Here is another read I found by Dr. Palmer on the importance of water and exercise, especially for people with liver disease, and some caution about drinking too much water if you have ascites: http://www.liverdisease.com/exercise_hepatitis.html     

Sunday, January 22, 2012

Hep C Resources:

Here are a couple short, easy to understand educational videos about Hepatitis C (HepC.TV.  Narrated by Mark Sulkowski, MD., Professor of Medicine, Johns Hopkins University):

Additional Web Resources:

    8 Days and Counting,...

    I want to be healthier.  I just don’t always want to do the work it takes to get there!  So I need a little extra motivation these days.  The gym I belong to is sponsoring a 90-day fitness challenge.  I thought that would be the perfect excuse to dive in.  The first weigh-in will be on Monday, January 30th.  That will be my start date.

    Why not start today?  Through my own experiences, I have learned that if I am making a serious commitment to a lifestyle change, it helps to prepare.  Planning & preparation is what helped me finally quit smoking for good, about 16 years ago.  I had “quit” several times prior, but never usually for more than short periods of time.  Part of what worked for me was telling family and friends about my plan to quit on a certain date.  At least I told the people whom I interacted with most and who I thought would most likely be supportive.  I prepared by stocking up the house with healthy foods.  I mentally prepared for how I would handle triggers/situations where I was more likely to smoke, such as in the car, after a meal, or around others who smoked.  I had a plan in place and when the time came, although it wasn’t easy, I was determined and prepared.  I don’t think I could have followed through otherwise.  So similarly, I didn’t want to join a 90-day fitness challenge on a whim, only to drop out a week later.  I set the date out in advance so I can mentally and physically prepare, as I want to increase the chances that I will follow through with this goal.

    I have made a lot of improvements in my lifestyle over the past several years, but there are definitely areas in which I could afford to make changes.  I am not looking for perfection, by any means.  I just want to make enough changes to make a difference in my life.  
    One area in which I want to improve on is my weight.  My highest recorded weight was on August 6, 2010.  I weighed 245.2.  With a height of 5’2”, that put my BMI at about 44.8.  In other words, “obese”.  (Calculate your BMI here:  http://www.nhlbisupport.com/bmi/)

    I lost a little weight on my own.  Then I had large volume liposuction on 8/25/10.  Not everyone believes in cosmetic surgery, and that is okay.  I am not promoting surgery.  But I do have to stress that for me, I will never regret having liposuction.  I was very fortunate to be able to have the procedure done.  And it helped to have a fantastic surgeon.  My body shape was very disproportionate prior to surgery.  I was bottom heavy and it was very difficult to find clothes that fit.  Tops were always too big and bottoms were too small/never fit right.  (If I purchased a large top, I would need a 3X in slacks.)  I often worried about being able to sit in chairs or airplane seats because too often I just didn’t fit.  The surgery left me with a much more evenly proportioned contour.  I no longer needed a seatbelt extension when I traveled by plane.  I could finally buy coordinate top & bottom outfits in the same size!  I did not go into the surgery with unrealistic expectations.  It’s not a weight loss procedure.  And I was so very pleased with the results.  One side effect I didn’t fully anticipate was the level of motivation it left me with to lose more weight.  For the first time in a long time, I felt good about my physical appearance.  By 5/14/11, I dropped down to 198.2.  That is a 47 lb loss.  I hit a weight loss plateau, give or take 5 lbs, for quite a while, but was generally satisfied with where I was at.  On 10/22/11, I weighed in at 192.2.  Weight loss total: 53 lbs!    

    So here’s the rub: I have been slacking on my diet and exercise program.  I have gained weight back and the scale has tipped back over the 200 lb mark.  It’s time to get serious.  I worked too hard to lose what I did and I don’t gain it all back.    

    The ETOH Factor:  I grew up in Wisconsin.  Forgive my stereotype, but Wisconsinites know how to drink!  I will admit that I do appreciate a good wine w/pasta, or an ice-cold beer with pizza.  When I drink alcohol, my food cravings increase and I am likely to overeat.  Alcohol, in itself, is full of empty calories.  While a glass or two of red wine can have health benefits, drinking in excess can increase health problems.  For people with Hep C, even moderate amounts of alcohol can have serious negative consequences. Limiting or eliminating alcohol is probably the single most important factor in slowing down the progression of Hep C.       


    These are my goals for this 90-day challenge:

    1. Exercise aerobically for at least 30 minutes, 3 or more times per week.   
    2. Make healthy eating choices at least 80% of the time.
    3. Limit alcohol intake to 2 or less servings per week.       


    Introduction

    DESCRIPTION:
    This is a blog about making a commitment to 90-days of healthy habits.  Originally I intended to write a blog about Hepatitis C and making lifestyle changes to promote good health.  There are a limited number of blogs in cyberspace on this topic.  But then I thought, there are so many people out there with various health issues who really want to make some changes.  Even those who are relatively healthy can benefit from a commitment of healthy habits.  This blog is both a diary of my journey over the next 90+ days, as well as a tool for anyone who wishes to incorporate healthy habits into their life.  I hope you will join me on this journey.  I think it could be motivating AND fun!


    ABOUT ME:
    I was first diagnosed with Chronic Hepatitis C (otherwise known as Hep C or HCV) in 2009, after bouts of unexplained chronic fatigue and joint aches.  I really just thought I had an extended flu bug, or that my weight was once again catching up with me.  My doctor called me at home with the news and his condolences: “I’m really sorry”.  A wave of fear came over me.  There were so many unknowns, and I began digesting all of the written information on HCV that I could.  I attended seminars by leading hepatologists in the field.  Although treatment, similar to what cancer patients receive, was available at the time, the medical experts agreed that there was “no cure”.  I had heard things like “Hepatitis C is the leading cause of liver cancer” and told that the disease will likely shorten my lifespan.  My genotype (1a), coupled with my high viral load, length of time infected (likely about 25 years), and high BMI put me in a category of someone unlikely to have a positive response to treatment.  So even though I could choose to go through a year-long process of ribavirin pills and weekly interferon shots with very nasty side effects (flu-like symptoms, fever, fatigue, hair loss, anemia, rash, headaches, depression, confusion & other cognitive problems, etc.), l was given only about a 35-40% chance of responding favorably to treatment.  I didn’t like those odds.     

    Here’s some of the good news!  Many people diagnosed with Hep C die with Hep C, not from Hep C.  There ARE a lot of things people with Hep C can do to live healthier longer.  That includes losing weight, limiting alcohol consumption, quitting smoking, eating a liver-friendly diet, and exercising.  And most exciting in the treatment side of things, a new drug (called a protease inhibitor) has been recently approved by the FDA.   Adding this newer drug to the ribavirin/interferon standard of care treatment has proven to be more effective.  The length of treatment with the protease inhibitor added has been cut in half (6 months as opposed to 1 year for most patients).  My chances of curing the disease have increased from about 40% to about 70% with the new drug.  I like those odds much better!

    My concerns, complaints, whines & considerations about treatment:
    • Not everyone with Hep C needs treatment.  Many people with Hep C can live a normal life without many complications from Hep C.  For others, Hep C can lead to serious liver complications, which can be fatal. 
    • There are serious side effects from treatment.  Although memory and other cognitive problems are not one of the better documented side effects, if you spend any length of time visiting HCV support groups or discussing side effects with others who have been through treatment, you will likely find that to be common complaint.  For a psychologist, the thought of increasing the chances of memory/cognitive impairments is frightening.  On the other hand, as my doctor reminds me, it is almost guaranteed that a person with a severely damaged liver will suffer cognitive impairments.  If the liver cannot filter the blood, there will be a negative impact on brain functioning.  So keeping the liver healthy is vital. 
    • Another concern I have about starting treatment was the fact that I am fairly newly licensed and have been at my place of employment for less than 3 years.  I do not want to take a significant amount of time off of work due to illness. 
    • Being overweight can have a negative impact on treatment effectiveness.  My chances of clearing the virus on treatment will increase if I can lower my BMI. 
    • The current standard of care treatment regimen is very new; less than a year since FDA approval.  Long-term side effects are not well known.   
    • Vanity: I don’t want to lose my hair!  And even if I don’t lose it altogether, I cannot afford for it to get any thinner than it already is.  Sigh,…         

    There are a lot of things to consider.  But all in all, treatment options for people with Hep C are improving.  So why take the risk of talking about something so personal in a blog?  In part, much like the issues people face when they they are obese, or for people seeking mental health services, those who deal with having a diagnosis of HepC are often faced with stigma and fear.  Silence = shame.  I want to help combat the lack of education and stigma associated with this disease by openly discussing it on this forum.  The same can be said for future discussions on this blog that focus on obesity.  As well, I want to share my journey over the next 90+ days to help keep me motivated and accountable.  If anyone else takes anything positive away from my blog, even better!

    Having a diagnosis of Hepatitis C & facing the possibility of a shortened lifespan can be scary.  However, certain lifestyle changes can help keep you healthy longer.  That can probably be said of most anyone dealing with any number of chronic health condition.  I am a psychologist diagnosed w/Hep C.  I am also a human being who understands some of the challenges of making healthy choices.  My goal is to commit to 90-days of improving habits.  Hope you join me!   

    DISCLAIMER: This blog is for personal purposes, as well as to be educational, motivating, entertaining, and informative.  It is not a substitute for professional medical, psychiatric or psychological advice.  If you decide to use any of the information in this blog, you are doing so at your own risk.