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Weight loss saga continues
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<blockquote data-quote="Marguerite" data-source="post: 135896" data-attributes="member: 1991"><p>Thanks for the ideas, Dreamer.</p><p></p><p>I have to maintain faith in my specialist - he told me that liver and insulin resistance was his specialty. My GP was thinking along the lines of biliary cirrhosis, but that should have shown up in the biopsy. The ANF was slightly above normal, but not considered high enough to account for all this. And even if it was - I still would benefit from losing weight.</p><p></p><p>I'm not that big, compared to a lot of other people including in my own family. I'm smaller than my mother was at my age - I remember how large she was. And I know I'm smaller than HER mother was, I've seen her photo. And neither of them would have been taken on as fat lady in the circus.</p><p></p><p>The GP I saw yesterday was puzzled. Although it's the first time I've seen her as a GP, she is someone who knows me socially and I also know she is darn good at her job. I'm not changing doctors though, because I need continuity of care and I can't risk this practice folding and leaving me without a current GP. My pain medications require stability in GPs.</p><p></p><p>I see the liver specialist again in six months. From what I've read about Reductil, they should know well before six months if it's working. So if it's NOT working, and I'm not losing weight, I'll call and let him know, say at the three month mark. I'm hoping it will work, though.</p><p></p><p>A twisted bowel should be fairly specific in symptoms. Because I live on strong pain medications, it IS possible the pain is masked to a certain extent, but I wouldn't be passing much of anything, there would have been a change in 'output'.</p><p></p><p>I do get the feeling that there is something more going on, though. I know what my mother's diet was like - even though she did try to eat sensibly, food options were much more restricted back then and our meat was fattier. We didn't have a griller, meat was pan-fried. I hated meat and was not willing to eat much. We did have bread and dripping, but because my mother and sisters really liked it, I never got it often, or very much. The younger two of my sisters are slimmer than me, but the others are the same size or bigger.</p><p></p><p>I view my goal weight, if I were healthy and able to exercise, as being 70 to 75 Kg. At that weight, I know I'd be about the same size and shape as most women are at 60 Kg. I haven't weighed 60 Kg since my mid teens, when I was a skinny shrimp. easy child 2/difficult child 2 is about the same size I was then, and weighs just over 50 Kg.</p><p>That's why I used to diet - all the charts kept saying I was fat, overweight bordering on obese, when in fact looking back, I couldn't have been. easy child 2/difficult child 2 wears clothes that I wore back then (I kept some - the kids like to dress 'retro') and they fit her, apart from the bust. I was 65 Kg when I married, and while my wedding dress is a little loose on on her, it's only one dress size. And it was loose on me.</p><p></p><p>And to show I'm genuine and honest about this - my weight this morning was 96 Kg. After a week of dieting, I've not shifted much lard - maybe half a kilo, if that. My weight has been fluctuating between 95 Kg (what I have considered stable for years) and 97 Kg (what it recently went up to).</p><p></p><p>Malabsorbtion problems - worth considering, although the blood tests should have shown this.</p><p></p><p>I suspect the insulin resistance has been either brought on or aggravated by my long history of dieting, especially that period where I didn't eat. Plus, just after difficult child 3 was born, I was eating a lot of home-made muesli and got really ill with what seemed to be a chronic bowel problem. We finally worked out it was something in the muesli. I stayed off ALL muesli (any cereal with milk) because for a while we thought it was a dairy intolerance brought on by the extreme nature of the GI upset.</p><p></p><p>When I went back to eating commercial muesli, the problem returned. I examined my recipe, and the commercial ingredients, and assumed that one of the ingredients in common was the problem.</p><p></p><p>Some time later I tried again, testing each of those ingredients - and it was oats. So now I need a recipe for muesli that doesn't include oats.</p><p></p><p>According to the specialist, I do NOT have coeliac disease. But I wonder if, being sensitive to oats, there might not be an associated malabsorbtion issue.</p><p></p><p>I'm increasingly thinking this problem is multifactorial. Not enough elevation in triglycerides, fasting BSL to account for the degree of fatty infiltration (especially on a normal to low-fat diet). Not enough elevation in ANF. Possibly malnourished in some areas, due to caloric reduction already - the doctor doesn't seem to believe me, but I already WAS eating a lot less than is considered 'normal'. Individually, each one won't explain it, but collectively...</p><p></p><p>I'm hoping to take difficult child 3 to the beach in about an hour or so - his English schoolwork requires him to write a poem about the environment, he wants to write it about pollution at the beach, and we just had an educational program on TV about how to research for just such a poem! Perfect timing, because it means I can get in my exercise, AND some Vitamin D, at the same time!</p><p></p><p>Keep those ideas coming, you're jogging my memory about things I need to discuss with my GP.</p><p></p><p>Thanks.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 135896, member: 1991"] Thanks for the ideas, Dreamer. I have to maintain faith in my specialist - he told me that liver and insulin resistance was his specialty. My GP was thinking along the lines of biliary cirrhosis, but that should have shown up in the biopsy. The ANF was slightly above normal, but not considered high enough to account for all this. And even if it was - I still would benefit from losing weight. I'm not that big, compared to a lot of other people including in my own family. I'm smaller than my mother was at my age - I remember how large she was. And I know I'm smaller than HER mother was, I've seen her photo. And neither of them would have been taken on as fat lady in the circus. The GP I saw yesterday was puzzled. Although it's the first time I've seen her as a GP, she is someone who knows me socially and I also know she is darn good at her job. I'm not changing doctors though, because I need continuity of care and I can't risk this practice folding and leaving me without a current GP. My pain medications require stability in GPs. I see the liver specialist again in six months. From what I've read about Reductil, they should know well before six months if it's working. So if it's NOT working, and I'm not losing weight, I'll call and let him know, say at the three month mark. I'm hoping it will work, though. A twisted bowel should be fairly specific in symptoms. Because I live on strong pain medications, it IS possible the pain is masked to a certain extent, but I wouldn't be passing much of anything, there would have been a change in 'output'. I do get the feeling that there is something more going on, though. I know what my mother's diet was like - even though she did try to eat sensibly, food options were much more restricted back then and our meat was fattier. We didn't have a griller, meat was pan-fried. I hated meat and was not willing to eat much. We did have bread and dripping, but because my mother and sisters really liked it, I never got it often, or very much. The younger two of my sisters are slimmer than me, but the others are the same size or bigger. I view my goal weight, if I were healthy and able to exercise, as being 70 to 75 Kg. At that weight, I know I'd be about the same size and shape as most women are at 60 Kg. I haven't weighed 60 Kg since my mid teens, when I was a skinny shrimp. easy child 2/difficult child 2 is about the same size I was then, and weighs just over 50 Kg. That's why I used to diet - all the charts kept saying I was fat, overweight bordering on obese, when in fact looking back, I couldn't have been. easy child 2/difficult child 2 wears clothes that I wore back then (I kept some - the kids like to dress 'retro') and they fit her, apart from the bust. I was 65 Kg when I married, and while my wedding dress is a little loose on on her, it's only one dress size. And it was loose on me. And to show I'm genuine and honest about this - my weight this morning was 96 Kg. After a week of dieting, I've not shifted much lard - maybe half a kilo, if that. My weight has been fluctuating between 95 Kg (what I have considered stable for years) and 97 Kg (what it recently went up to). Malabsorbtion problems - worth considering, although the blood tests should have shown this. I suspect the insulin resistance has been either brought on or aggravated by my long history of dieting, especially that period where I didn't eat. Plus, just after difficult child 3 was born, I was eating a lot of home-made muesli and got really ill with what seemed to be a chronic bowel problem. We finally worked out it was something in the muesli. I stayed off ALL muesli (any cereal with milk) because for a while we thought it was a dairy intolerance brought on by the extreme nature of the GI upset. When I went back to eating commercial muesli, the problem returned. I examined my recipe, and the commercial ingredients, and assumed that one of the ingredients in common was the problem. Some time later I tried again, testing each of those ingredients - and it was oats. So now I need a recipe for muesli that doesn't include oats. According to the specialist, I do NOT have coeliac disease. But I wonder if, being sensitive to oats, there might not be an associated malabsorbtion issue. I'm increasingly thinking this problem is multifactorial. Not enough elevation in triglycerides, fasting BSL to account for the degree of fatty infiltration (especially on a normal to low-fat diet). Not enough elevation in ANF. Possibly malnourished in some areas, due to caloric reduction already - the doctor doesn't seem to believe me, but I already WAS eating a lot less than is considered 'normal'. Individually, each one won't explain it, but collectively... I'm hoping to take difficult child 3 to the beach in about an hour or so - his English schoolwork requires him to write a poem about the environment, he wants to write it about pollution at the beach, and we just had an educational program on TV about how to research for just such a poem! Perfect timing, because it means I can get in my exercise, AND some Vitamin D, at the same time! Keep those ideas coming, you're jogging my memory about things I need to discuss with my GP. Thanks. Marg [/QUOTE]
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