39 Pounds in 5 Weeks

After 5 weeks on the medically assisted weightless program I have lost 39 pounds... This week I lost 5 pounds which is incredible (the results of this diet and program are remarkable and fast.) 5 pounds was 77% of my weekly goal of 6.5 pounds per week. This week even though I lost 5 pounds I had trouble with portion control at the evening meal... This is been slowly building over the 5 weeks, but this week I asked my doctor if we could increase the Phentermine dose. So for this week I am on 37.5 mg (instead of 30 mg) of Phentermine.

I attribute missing the goal for the same reason as missing last week's goal... a later than normal and larger than normal (for a 1200 calorie diet) dinner last night and missing my regular movement this morning. I except that there are normal fluctuations in the weekly number as even on a daily basis I can fluctuate 5 pounds from morning through evening with the ups and downs of water loss and water consumption with the Ketosis and exercise.

Here is a graph of my weight loss (if you are reading this in the future this graph will have updated for future weigh ins as well)... Clicking the image will open to a larger image.
weight loss chart

So if I am to believe my claim that 1.5 pounds is within a normal fluctuation and that I am still maintaining a 5 pound a week average weight loss (from missing my goal last weigh in.) Then I need to set my weekly goal for 5 pounds plus the pound and a half that the scale failed to recognize lost in previous weeks. So my goal for next week is to end the week at 345 or to have lost 6.5 pounds for the week.

I played 2 hours of basketball twice and 2 hours of volleyball twice and went of several walks and played 9 holes of golf at Harding Park Golf Club. I did not get a chance to swim... My plan is about the same for this week, only with more swimming.

I was able to drastically reduce my fat free cheese intake and plan to continue with more lean meats instead... I feel more satiated and frankly they taste better too. I ran out of sugar free Metamucil (non water soluble) and switched to benefiber (water soluble). If Metamucil is an orange cream shake, benefiber is like dirty water (in plain water) and noticeable but ignorable in crystal light. I plan on switching back as soon as my current container is used.

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Weigh In #4 — One Month and 34 Pounds Lost

After 1 month on the Jumpstart Medicine medically assisted weightless program I have lost 34 pounds... This week I lost 3.5 pounds with was 70% of my weekly goal of 5 pounds per week. I attribute missing the goal to a later than normal and larger than normal (for a 1200 calorie diet) dinner last night and missing my regular movement this morning. I except that there are normal fluctuations in the weekly number as even on a daily basis I can fluctuate 5 pounds from morning through evening with the ups and downs of water loss and water consumption with the Ketosis and exercise. I highly recommed Jumpstart. I have a special offer for anyone in wanting to try Jumpstart in Redwood City or Mountain View: $25 off your first visit (just print it and bring it to your appointment).

Here is a graph of my weight loss (if you are reading this in the future this graph will have updated for future weigh ins as well)... Clicking the image will open to a larger image.
weight loss chart

So if I am to believe my claim that 1.5 pounds is within a normal fluctuation and that I am still maintaining a 5 pound a week average weight loss. Then I need to set my weekly goal for 5 pounds plus the pound and a half that the scale failed to recognize lost in the weigh in. So my goal for next week is to end the week at 350 or to have lost 6.5 pounds for the week.

My plan to accomplish the goal is to stick to the diet, reduce my fat free cheese intake and replace those proteins with more lean meat. My plan to address the lack of a normal movement is to continue to consume a 2 regular servings of sugar free Metamucil.

I had a good week for an exercise perspective... I played almost 2 hours of basketball twice and almost 2 hours of volleyball twice. I went for a short swim and several walks. My plan is about the same for this week, only with more swimming.

In talking with the doctor about my long term goal, he was hesitant to talk about a final weight number. Instead he focused on Body Fat percentage. At this week's weigh in we did the electroanalysis again and my body fat percentage was 36% (down from 39% when I started). He thought he first goal is to get the BFP below 25% and ideally below 20%. At that point my actual weight is irrelevant. So, even though I have a number in mind for my final weight (230-260), I am now officially making it my goal to get to under a 20% body fat percentage. If I can continue to lose 5 pounds a week I should be able to reach my goal by the end of the year.

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Importance of Maintaining Adequate Hydration

Today I had a scary and interesting event... I went to the local rec center to see when the open gym occurred...  It turns out that I timed it well and that there was an open gym for volleyball.  My thought was that this was fortuitous... I played on a competitive intramural volleyball squad in college (think decent high school level) after I stopped playing D1 basketball.  I need to exercise.  I found out when the future open gyms will occur.  Win Win Win...

The problem is that I was not prepared for the lack of a working water fountain at the gym.  They had a water fountain, but the pressure made it very difficult to consume enough... I have been drinking copious amounts of water as part of my current diet...  Internally, I acknowledged that I should be careful and listen to my body...

We played for about 2 hours...  I was fine (very out of shape but fine) and played decently for the first hour.  Then after a particularly long and grueling point I felt light headed...  Being on the 1200 calorie diet I have felt light headed before and the doctor said it was a possible side effect of the diet and the medications.  Being a former athlete I didn't think too much of it...  Yes I am tired at this point.  Tired is good.  I pushed on.  Getting water in between the matches, but never enough...

Through the next hour I got more and more light headed with less and less physical effort on my part.  Eventually I decided that my body was telling me something and stopped playing...  I should stress that while tired I didn't fell spent.

I sat down and the lightheadedness didn't dissipate...  I eventually worked up the energy to stand up and walk to my car.  When I went outside my eyes were extremely sensitive to the light... driving home I felt distant.  I probably shouldn't have driven...

Once home I had 5 almonds drank a 16oz bottle of water and a diet fresca...  I had another 5 almonds and another bottle of water and took a shower...  The whole time my eyes were sensitive to light, I was light headed, and my arms and legs felt week. 

After the shower I laid down and had another bottle of water.  When my wife got home I was still feeling pretty shitty and I called my doctor from Jumpstart Medcine, Dr. Sean Bourke.  Talking to me over the phone I answered a series of questions and he concluded that it wasn't a heart arrhythmia or something worse.  He conclusion, dehydrated and possible low of salt and potassium.  His prognosis, drink a large mug of chicken borough, half a banana and eat my next meal sooner rather than later.

I highly recommed Jumpstart. I have a special offer for anyone in wanting to try Jumpstart in Redwood City or Mountain View: $25 off your first visit (just print it and bring it to your appointment).

Having followed doctors orders I am feeling well enough to write this blog post.  I will continue to play volleyball (after today I don't think my body is up for basketball just yet...), but in the future I will bring LOTS of water to the gym with me.  Also, I will try to be more aware of my body so that I don't push myself to that point again.

It was a scary event... If you take one thing away from this post... take this...  Always drink lots of water prior, during, and post exercise.  Listen to your body.

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