August 16th, 2008 — about, motivation, weigh in
Pardon my french, but I am at a bit of a loss... I stuck to my diet more rigorously this last week than I had been since near the beginning of my journey. If anything my portions may have been a little large with the evening meal. I have started rehab on my ankle and it felt good to exercise more. My birthday was this last week and for my birthday dinner I only allowed myself 1 piece of low carb cheesecake (not dessert for dinner!). I didn't drink. I have been taking my blood pressure medication; although, that doesn't rule out water retention. I suppose there is a chance I wasn't eating enough and my body went into starvation mode, but I don't think so nor do I think that would account for a 2.2 pound gain. I probably ate too many calories with my larger than normal diet portions with the evening meal. My wife pointed out that I had a significant amount of salt the day before the weigh-in. In the end, I have to conclude that it was partially water retention and partially eating too much.
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.

So what is the plan?
I will be out of town during my next weigh in and so this plan will be in effect for two weeks prior to the next results.
I will swim a significant amount in the next week and the week after my rehab is allowed to begin in earnest. The doctor increased my dosage of phentermine to help with the portion control in the evening meal. I am going to redouble my efforts to watch my portion sizes. I will be weighing my food again using a food scale to remind myself of the correct portions for the diet. I will continue taking my blood pressure medication and I will try to avoid excessive salt.
My goal for the next two weeks is a total of 10 pounds.
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May 30th, 2008 — Meals, about, activities, diet, exercise, goals, gym, motivation, weigh in, weight loss
After 6 weeks on the medically assisted weightless program JumpStart medicine with Dr. Sean Bourke, I have lost 46 pounds in 45 days (just over a pound a day... Wow!) This week I lost 7.1 pounds and I am ecstatic to have achieved 109.2% of my goal. I have been feeling great, but the larger dose of Phentermine caused me to get light headed nearly to the point of passing out several time this week. (In addition to Phentermine, I have a weekly Methionine, Inositol, and Choline (MIC) Injection and daily I take Chromium, a multivitamin, B6 and B12 supplements.) I have decided I wanted to reduce the dose of Phentermine back to 30 mg (from 37mg). I had much less trouble with portion control on the higher dose, but the risk of passing out and falling is not worth it... I am 6'10" and that is a long way to fall.
Having over-achieved my goal of 6.5 pounds (the previous goal was set to 6.5 to make up for missing a 5 pound weekly goal several weeks ago.) I am setting a more modest goal this week of 5.4 pounds. Why 5.4? :) My weight at this weight was 344.4, so if I succeed I will weigh an even 339. Here's to a great week in the past and a great week upcoming.
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.

I didn't get a chance to work out as much as I would have liked because of work consideration... I didn't swim, play volleyball, or golf this week. I did play basketball twice and go on several walks... I am going to try and get to the gym for volleyball or basketball 5 times this week, I plan on playing (walking carrying my golf bag) at least 1 round of golf, and I would like to swim more than a few laps.
I plan to continue trying to eat less fat free cheese and more lean protein. I have been getting my dairy with a double tall non-fat no-foam latte from Starbucks.
I have not tried to stop my intake of caffeine, but my consumption of caffeine is drastically curtailed from where it was. (I need that morning java and coffee with skim milk just isn't the same.)
Good luck to all that are working on losing the weight...
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May 24th, 2008 — about, exercise, healthy eating, motivation, weigh in
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.

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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April 25th, 2008 — Meals, exercise, goals, healthy eating, medicine, motivation, weigh in
All I can say is wow! I didn't want to believe that my newly purchased bathroom scale was reading the proper weight, but my weigh in with Dr Sean Bourke at Jumpstart Medicine proved it to be slightly high.
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)...

I have lost 22 lbs in 10 days. Going from 390.1 to 368.0 pounds.
How?
Well I am on a 1200 calorie food based (low carb low fat) medically assisted weight loss program from Jumpstart medicine. I forget the exact term the doctor used, but I think it was something like protein assisted fast. The goal is to put the body into ketosis, which given my weight loss I would assume I have done.
I have a weekly MIC injection as part of the program and I take daily Phentermine, Chromium Picolinate, a multivitiam, a B6 supplement, and B12 supplement.
I stuck to the diet strictly. If anything I ate a too few carbs or at least too few fruits.
I exercised everyday. I varied the routine from a vigorous long walk with my dogs to walking 9 holes of hilly golf carrying my bag, to riding the stationary bike and lifting weights.
I drank lots and lots of water. Way more water than I ever have before.
To get past cravings I have found 2 nifty tricks.
- 5 almonds counts as 1 protein and is a great tasting salty snack.
- 1 cup of non fat chicken broth has 10 calories. Add a little black pepper and cayenne pepper and heat it up in a coffee mug. It is very satisfying and has almost no calories.
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April 19th, 2008 — Meals, exercise, healthy eating, medicine
Given that I have already talked about my new diet the medically assisted food based 1200 calorie low carb low fat diet and first full day and my weekly MIC injection with my second day it is time to talk about the rest of the week...
Before I tell you about the rest of my week I would like to point you at an interesting post on BMI... I wrote a post yesterday on using the BMI calculation to determine how much weight to lose... I wrote the article knowing full well that BMI will not accurately determine when I reach a normal weight (I have more muscle than most)... Lazy Man articulates this aspect of BMI very well in How Do You Measure your Body. Then for a lighter humerous post you should check out Fat People Cause Global Warming: Fat Isn’t Very Green by Fat Man Unleased.
I have been feeling mentally energetic, but a bit unfocused... This seems to be a normal initial reaction to the daily Phentermine HCI 30 mg (more on this drug tomorrow). Thus far I have been able to exercise every day... On Thursday when I was playing golf (I only played 6 holes because of 2 slow groups in front of me that skipped, but they were the hilly ones) I felt like I was very quick to get tired, but otherwise had no issues... Friday we walked from our house to downtown for dinner at a Japanesse steakhouse where you grill the food your self (a total walk of about 1.5 miles).
As far as food goes, I have not been hungry... And interestingly enough this may be the first time in my life... Oh sure, I have been stuffed to the gills... unable to eat another bite, but never have I felt the way I have for the last 4 days... Generally satiated and not hungry...
Thursday I had 3 1/4 cup servings of egg substitute with 1/3 oz low fat cheese with 2 tbls spoon of salsa for breakfast. For lunch I had to be creative... I was at a customer site and went to the deli fully expecting to just get turkey meat... Instead I had them make me a dry turkey sandwich using lettuce leaves as the bread with tomatoes and pepperonis -- it was delicious... For dinner I had 3 1/4 cup servings of egg beaters with 1/3 oz low fat cheese with 2 tbls spoon of salsa. I drank tons of water throughout the day... The only downside, I had to get up during the middle of the night.
Thursday I had 3 1/4 cup servings of egg substitute with 1/3 oz low fat cheese with 2 tbls spoon of salsa for breakfast. For lunch I had a greek salad with chicken and no dressing... It had salad, cucumbers, onions, tomatoes, and a little feta cheese. I ate all the chicken, but left about 1/2 of the rest... For dinner we went to the Japanese steakhouse Juban Yakiniku whose tagline is the art of grilling... I had Tofu, Zucchini, Shrimp, Ribeye, and boneless short rib all grilled and without rice. I know it sounds like a lot and I was full after 1/2 of the order, but everything is in small portions... I still need to work on doing a better job ordering... I think I felt like I was hungry or maybe I just have to work on my dinning out under ordering skills. Again plenty of water throughout the day and again the downside of having to get up during the night.
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