OK. My doctor’s visit and also my coach there- was Very good. I’m going to write up a few points in case any of it is helpful to anyone else here - don’t worry about wading through it unless you’re just interested in this kind of stuff
So overall:
1. Probably my progesterone is a little off - not quite enough. Not enough progesterone causes weight gain, bloating, fluid retention, excessive fatigue, sweet cravings, sleep problems, anxiety/depression, heavy periods.
So I have all of the above, was worse a year ago when I first started taking it, but now that my body has adjusted to the fat loss (and related estrogen burn off) and also I’m a year further into peri-men, we have to get the levels adjusted better. I’m on bioidentical hormones and those can change effect right away, and already in 24 hours I’m better.
2. Thyroid likely is a little off, waiting for blood tests to make sure.
3. My symptoms of muscle pain and inflammation, skin crawling, not relaxed etc. that get worse late afternoon/evening are likely because I’m only taking magnesium at night, and magnesium only stays in the system for 8 to 10 hours, so I need to take in the morning also.
I’m typically really low in magnesium and respond really well to it.
The magnesium citrate in liquid form is a little more absorbable, but a little more intense, so I’m going to take the liquid every 3 or 4 days. I used to do it only when I was really feeling bad and esp. constipated, but she said don’t wait that long.
4. My body should not be so overly sensitive to a small amount of sugar or sugar alcohol that I am swinging 7 lbs in 3 days. They said I should be able to have a “regular” lifestyle, meaning I can have wine every week or so etc., without my body having such a radical reaction. This made me feel like not such a freak. They said if we can get my hormones levelled out I should be able to have a treat like that every week without my body swinging so intensely…. that will be good when that happens. So far I’ve been too afraid of wine to even consider it - I know it’s not a great thing for my body, but I would like to have the option at special events without having an over the top problem for a week after.
5. Stress and cortisol is playing into all of this - “the body is a complex machine” - and they said whatever I can do to trust and relax will also help. They are also going to test Vit. D, B-12, iron just to make sure all is well in those areas.
7. Within this year my body should be more adjusted to the radical change that has happened this past year and stabilize - not so many up and down lbs.
8. It’s fine to do P1/ or P2 even alt to reduce water retention after a higher calorie day or two - but try to keep the calories a little closer to 1200 to 1400 rather than VCAL like 1000. It will help my body stabilize.
9. Overall their main goal for me is that I learn to trust myself with food - to get away from whatever old mental patterning I have that I can’t be trusted with food - and learn what my body really needs. Over time I may not need to track everything and that might help me stay more in touch with what my body actually wants and needs, but for now it’s fine to track if that helps me feel safer. As long as I am sticking to lower glycemic guidelines I should be fine - they are not so concerned about me doing macros at any given time of day as long as the overall carbs and sugars are lower. And also to learn how to cut back for a few days without having a radical “I need to starve now” type of reaction and think I need to lose up lbs overnight- maybe just cut a snack for three days and see how that goes.
10. For me while I learn what my body needs I might want to experiment with eating “mini meals” - smaller portions, just so see what my body actually wants. One of the typical things that happens after larger weight losses is people mistake that “normal” eating is what the larger body needed, and they have to retrain themselves for what they are actually hungry for now that they are walking around in a smaller body. The portions needed to fuel that smaller body will be smaller of course.
I have noticed that I think when I eat yogurt for example, that I need to eat a cup of it to consider it a meal, it doesn’t occur to me that I might not be hungry for all of it, and then also I get in fear that I’m not going to eat again for 5 hours. Or if I’m going to eat a protein bar, I think I need to eat the whole thing. It’s like I’ve trained my body to only eat what I tell it to, like an extreme discipline, but I’ve stopped actually listening for signals because I haven’t trusted myself for so long. So it’s been interesting the last two days to start to let myself be hungry for a few hours - to eat less, but know when I get hungry, even if it’s an hour later, then I’ll eat some grapes or nuts or something. I’m a little surprised how little I actually need to keep my blood sugar stable for a few hours, as long as I am grazing when I need to.
This all is somehow pretty scary for me, but I’m up for it and think it will yield good results.
It’s all in alignment with the book I’ve been reading that several people here have recommended - “Refuse to Regain”.
11. A reminder that exercise is about feeling better but has little effect on weight. Might cause some water retention here and there but will even itself out - nothing really to worry about unless over 5 lbs, which is the general rule of thumb overall - if measurements are about the same and weight is within 5 lbs of goal, over or under, things are good.
12. They also kind of smiled at me and were overall just really positive because by the time I saw them 7 of the water retention pounds were back down, so on their scale I was .2 lbs more than a month ago, and the same measurements (1 inch more on my tummy which I knew because of bloating). So they just keep reminding me that all my upset of the ups and down days really is not that big of a deal as I have been within 5 lbs of goal for 6 months now which is a HUGE win.
And, the progesterone will help the swings, and thyroid & magnesium adjustments will help also.
OK that’s it for now… I’ll let you know if I discover other things or they give more info.
A nice balance overall of “yes, you shouldn’t feel like that, let’s figure out how to fix it” mixed with “and, you’re doing great, and these overall are minor things”.
The thing that struck me the most was a reminder and positive reinfordement from the doc that genetically nearly everyone in my family has some form of diabetes, and once that happens, it’s very hard to reverse, and taking insulin and constantly testing blood sugar is much, much harder than what I am doing now: my daily “how to do I do this” and focus on food will even out after a year or two of maintenance, but the whole diabetes and insulin thing would be much, much harder. So pick my poison, right?