depression

Keto Background

I wanted to give a little background about what made me decide to give this a try.

Read this post for the explanation about the weight gain. After trying a different medication that made me really really sick (and the doctor told me to stop it immediately), I went back on the prozac at the lowest dose possible. I haven’t gained any weight on the low dose, which is good. But I still had that pesky 10 pounds I gained last year. Oye.

Anyways. I talked to my doctor about a few things. I just have not felt like myself since I had Logan. The weight was hard to lose. I wasn’t a lucky girl who shrank back to my pre-pregnancy body with breastfeeding (NOPE I gained weight breastfeeding). I thought once I quit breastfeeding I’d lose the babyweight, but it was a hard, hard slog. I got close. I got down to 9 pounds left when I gained it all back on the prozac. So I felt particularly angry about that!

I talked to my doctor about how hard it’s been. I actually asked her about a diet drug. I know, I know. I was feeling pretty desperate. But a friend of mine had lost about 40 pounds on Contrave and I asked my doctor about it. She was willing to prescribe it for me, even though it wouldn’t be covered by insurance. I’d have to pay out of pocket (very expensive too) and I actually considered it. And then after further discussion, I decided against it.

Basically, Contrave is a combination medication of Wellbutrin (an antidepressant that I’ve had success on in the past) and some kind of opioid blocker that helps people get off drugs? At least that’s my understanding of it. It basically blocks the part of your brain that makes you crave/obsess about food and overeat. My friend said it made her have no appetite and food just didn’t seem appealing. Except when I talked to my doctor about it, the dosage of Wellbutrin in the Contrave was INSANE. I forget what it is now but it was the max dosage that you can take and way back in the day I took the max dosage of Wellbutrin and had seizures on it.

Needless to say, I decided Contrave was not for me.

It was a moment of weakness, anyways, to consider it, but I’m glad I got more information and I’m glad I made the decision for myself.

When I talked to my doctor about it and told her I wouldn’t take it, she suggested I consider the Keto diet. She said that there were a lot of people in her office doing it for the new year and being successful and happy on it. She had another doctor who was an expert in it call me and tell me more about it. She gave me some tips and ordered some blood work.

Well, last week I did two things. 1) I weighed myself for the first time since before Christmas and 2) I got my fasting glucose tested.

My official starting weight: 177.2

(Pre-prozac I was 166, my pre-pregnancy weight was 157, my goal weight is 150)

I would like to lose 20 pounds. 27 would be AMAZING. Talking to Michael, I tried to figure out what would be a realistic goal for the first month of the Keto diet. Somewhere between 4-6 pounds for the month of February? I really don’t know. I’ve never done such a severe low carb diet before. Even when I did the low-ish carb thing before, I still had a lot of carbs. I didn’t give up my coffee creamer or my fruit or my yogurt….so we’ll see.

As for the fasting blood test. I was honestly pretty surprised at how high it was:

I’m not pre-diabetic but i’m getting there. Could it be because I had the flu and didn’t work out for almost two weeks before the test? Maybe? I have no idea. I’ve made a lot of changes to my diet in the past few months (for the better) but still my fasting sugar levels are high. Too high.

So here’s to hopefully a successful go at Keto!

Positive Thinking, Positive Change

I wanted to give an update about a post I wrote about medications and weight over the summer. Read that post for the background but the cliff notes version: I gained 10 pounds on a medication this summer.

I had a choice to make, try a different medication, or just keep going with prozac, which was working very well for my anxiety. I decided to give the buspar a chance per my doctor. I stopped the prozac and switched to the other one. Right off the bat, I was not a fan. It did absolutely nothing for my anxiety. I gave it over a month, waiting with white knuckles for it to finally kick in and start working…and nothing.

I was even having occasional panic attacks, which was not traditionally a component of my anxiety. So that was fun! I talked to my doctor and he increased the dosage. Within a few days of that, I started having really awful side effects. The biggest one was heart palpitations. Like constantly. It took me a few days to realize that the never ending heart palpitations might be because of the meds. I googled it and sure enough, “if you have this side effect, call your doctor immediately”. YAY! 🙁

So I stopped the buspar immediately and within a day or so the side effects were better and mostly gone. That’s the good news. The bad news? I was still in the same boat as I was before.

I went back on a low dose of the prozac and I am trying to manage my anxiety with mindfulness and a relaxation app I downloaded. The one I usually use is Breathe2RelaxI also use the Oak app. I like them and they work pretty well when I’m in the middle of an anxiety attack.

As for the weight I gained this summer…I am making good choices to lose it.

  1. No candy/dessert (which has been very hard with all the Halloween candy that’s EVERYWHERE!) but I am doing well with that so far.
  2. No alcohol Monday-Thursday and on Friday/Saturday nights I can have 1 drink (instead of my usual 2).
  3. Reminding myself it’s ok to be hungry sometimes.
  4. Taking the stairs at work. I go up and down between several floors multiple times a day and I’ve started using the stairs instead. It’s the little things that add up.
  5. I’m still working out my normal 5 days a week with 2 rest days.
  6. I’m counting my calories still but I am trying to actually create a deficit instead of eating back all of the calories in the gym.
  7. Weighing myself once a week. When I was in maintenance mode I was weighing once a month, or even less. If my clothes got tight, then I’d weigh myself, but I basically stuck at the same place.

The first week I lost almost 2 pounds. The second week I lost another pound. Over that weekend I wasn’t feeling 100% so I skipped drinking for the most part. I also didn’t have much of an appetite, so I think that helped jump start things.

As far as the mental aspect, I am doing well. My anxiety is “ok” and I’m feeling super focused on losing the weight. I am finding it easier to resist treats and things that are my downfall, so I think my mind is IN THE GAME on this.

Then Thanksgiving weekend hit–pie, wine, carbs…you know the drill. I didn’t weigh myself for 2 weeks and finally got back on the scale. This weekend I weighed myself after taking a few weeks off from the scale and was happy to see a few more pounds gone! I am now down a total of 7 pounds since October! WOOHOO!

I will keep you posted on my progress.