How Have I Been Doing?
Kathy 1032 writes:
Three years ago as I was approaching my 50th birthday I was exercising and thanks to your book, about 20 pounds lighter than any other time in my adult life. I did your "diet" for about a year and then slowly slipped back into old habits. Now I am approaching 53 and want to get back there again. Have you written any new books, not cookbooks, and how has YOUR life been going since you wrote the one in 2003. I don't see any "contact us" spots on any of your web pages so I am trying this. Thanks.
First of all, no, I have not written another non-cookbook. I turned in a proposal for one last year -- I wanted to write about keeping the weight off, and staying low carb long term. I got a couple of hundred great stories from readers, both successful and unsuccessful. Since no publisher picked up that book, I hereby promise to go through those stories again, and start writing about them here. Heck with the publishers.
(Okay, I didn't really mean that. If you're a publisher, and you're reading this, and you'd like to pay me to write a book about long-term low carb success, hey, I'd still love to write it. But I'm not going to wait around for you.)
About me and my long-term low carbing? (I'm assuming that's really what Kathy was asking about. My life since then has been -- well, stressful. See my very first blog post for heart-rending particulars.) Here, in boring detail, is the saga of my low carb ups and down:
I started low carbing on the day after Labor Day, 1995, so I'm approaching my thirteenth low-carb-iversery. (I meant to do something special on the website for my tenth, but life got in the way. Maybe for my fifteenth?)
I weighed between 195-200 pounds, and was a size 20. Well, okay, I hadn't bought any size 20s yet, but I was asking a whole lot of my size 18s, if you know what I mean. I had gained rapidly all summer on my low fat diet, and for the first (and last!) time in my life I sat down at the free blood pressure machine at the grocery store to discover I had borderline high blood pressure. I also had nasty energy swings.
I was getting panicky -- I was doing everything the "authorities" told me should result in weight loss, high energy, and great health, and I was getting fatter and sicker by the day. It was at this point that I read Gayelord Hauser's New Treasury of Secrets, a nutrition book from the 1950s I had picked up at a used book sale. One statement leapt out at me -- that obesity has nothing to do with how much you eat, but is, instead, a carbohydrate intolerance disease. I thought, "What do I have to lose?"
I'd been fascinated with nutrition for 17 years at that point, so I was clear on which foods were high in carbs. I didn't pick any particular diet, I just stopped eating bread, potatoes, cereal, pasta, starchy vegetables, most fruit, and low fat butter pecan ice cream with Hershey's syrup ("Now, as always, a fat-free food.") Three days later my clothes were loose, and my energy level was skyrocketing. By a week in my blood pressure was low normal. Clearly, I had figured out what my body wanted.
(I have to mention that carbohydrate restriction was not a new concept to me. When I was growing up, everyone knew that if you wanted to lose weight you gave up potatoes, spaghetti, bread, and sweets. Youngsters would be shocked to realize just how new the idea that grains and beans are the Golden Road to Health and Slimness really is. Late 1980s, kids. That's about as far back as it goes. Before that, "diet plate" meant a bunless hamburger patty and a scoop of cottage cheese with lettuce and tomato.)
Between September 1995 and Spring 1996, I lost 40 pounds. I was excited, and read everything I could get my hands on -- Dr. Atkin's New Diet Revolution, The Carbohydrate Addict's Diet,The Zone and a bunch more. I tried several approaches, including The Carbohydrate Addict's Diet (hated it!) and The Zone (hungry all the time!)
I also joined a low carbohydrate email support list, where I learned that approaches that weren't great for me were working brilliantly for others. Big lesson, that.
My weight loss leveled off at around 40 pounds down. (You'll note my inexactitude -- I weighed "between 195 -- 200 pounds" and my loss leveled off at "around 40 pounds down." You know how it is -- you weigh more at night, less in the morning. You weigh more at some times of the month than others. You eat something with hidden carbs in it, and bump up a few pounds worth of water for a day or two. Etc.) This loss put me at the low end of a size 14/high end of a size 12. Not skinny, but within spitting distance of the size 13 I was when I graduated high school. I'm built like a fire hydrant -- short and stocky, with a short waist, a huge rib cage, and a big chest; willowy is not in the cards. I would have liked to be a little slimmer, but was thrilled with my new body just as it was.
I stayed around the 40 pounds down mark for a couple of years, during which I wrote How I Gave Up My Low Fat Diet and Lost 40 Pounds. I worked out at the local Y, firming myself up even more. That Nice Boy I Married put up $3K of his money, and we prepared to self-publish and self-distribute the book.
Then a funny thing happened while the book was at the printers in the spring of 1999: I discovered breathing exercises. And by the time the book came back from the publisher, I was down another 10-12 pounds. My size 12s were loose on me. Very heartening when I was facing television and book signings for the first time in my life.
But on June 1, 2000, I was in a serious car accident. I escaped without broken bones, but my right leg got jammed into the brake pedal at forty miles per hour. For a frustrating two years, leg and hip pain kept me from exercising. And for a few years after that, I had to be very careful what sort of exercise I did, for fear of setting off leg and hip pain again. It's been a long, slow process of discovery, learning which exercises give me the most fitness gain without setting off my old injuries. (Hands down, the breathing exercises give me the best return for the time and effort invested -- about 15 minutes before breakfast every day.)
During the two years I couldn't exercise, I kept on low carbing. Indeed, I have never stopped, or even taken a break from eating this way, just the occasional Indulgence. Still, unsurprisingly, I did gain weight, especially when I started working on cookbooks. Yes, all my cookbooks are low carb, but I still eat more, and consume more carbs, when I'm trying three or four new recipes every day. It's hard to get lower carb than plain fried eggs and plain broiled meat, but nobody wants that in a cookbook!
The worst of it was the spring of 2002; I got up to a size 16 again. But having turned in the manuscript for 500 Low-Carb Recipes, I shrunk back into my size 14s by that summer. I never have gotten back down to a size 12, but on the other hand I haven't gone back to a 20.
Most important, I'm healthy. My blood pressure, HDL/LDL ratio, triglycerides, liver enzymes, blood sugar, kidney function, all test great. I feel terrific, lots of energy. My doctor is pleased, and has been all along.
There have been some other challenges. In particular, I have apparently inherited my mother's hypothyroidism. As any of you who have a slow thyroid are aware, it does bad things to one's metabolism, not to mention making one feel downright rotten at times. I have learned that when I'm tired and depressed, and when -- big clue! -- one session of modest exercise leaves me flattened by pain for the next three days, it's time to see my doc and get my thyroid dosage adjusted. I suspect that my thyroid is part of the reason taking off the "accident weight" was so hard.
So where am I now? As I write this, I am wearing size 14 jeans I bought four years ago. This tells you two things: One, my clothing budget is pathetic. And two, I haven't either gained nor lost a lot of weight since then. (I don't know my weight. When I moved two years ago, I tossed my ancient scale, bought with S&H Green Stamps in the '70s. I go by my clothes.) Actually, I can, with a little wiggling, take these jeans off without unfastening them, so maybe I'm a little smaller.
Here's the current challenge: I was feeling frustrated that no matter what I did, I couldn't get my belly to shrink. You know how it is, those of us who are carb-intolerant tend to gain weight on our guts instead of on our butts and thighs. Still, hey, I'm a weight loss and nutrition type, right? You'd think I could shrink my tummy.
(WARNING: MAJOR PERSONAL INFORMATION ALERT! DO NOT READ FURTHER IF THIS SORT OF THING WEIRDS YOU OUT!)
Then I saw my doc, and got the news: I have a fibroid. Nothing dangerous, but it makes me look like I'm 5 months pregnant. I don't have a fat gut, I have a big fibroid. Which explains why I don't have a double chin, and my butt looks fine, but I still have the belly.
Well! I didn't know whether to laugh or cry. The good news is that it's not that I've been doing anything wrong. Indeed, since I'm still wearing my size 14 jeans, I'm probably really a 12, or even a little smaller, minus the fibroid. It was a nice reaffirmation that I'm doing the right thing.
The bad news is the rest of the world doesn't know it. People who see me casually may well be thinking "Geez, Dana talks a good game about diet and exercise, but look at that belly!" It kills me to think that they may dismiss low carbing as a result of that.
And the worse news is that the only way to change it appears to be major surgery. Which, I am not embarrassed to admit, scares the heck out of me. Scares That Nice Boy I Married, too; he's fond of me. Too, it's hard when I'm feeling so good to make the decision to do something that will make me feel awful for a minimum of four weeks, and maybe as much as six. I wouldn't even be allowed to drive for four weeks! And how would I explain to Nick the Pug why Mommy can't pick him up or let him sit on her lap?
But the alternative is to continue looking like I'm fat. Which sucks.
I haven't made any decisions. If I do decide to have surgery, I'll wait till winter; I don't want to waste my summer recovering.
In the meanwhile, I'll keep eating the same way I have for nearly thirteen years now. It hasn't solved all my problems, but it's improved my health, made me feel tremendously better, and has kept the majority of my weight off for a long time now. Plus it tastes really good, and satisfies my hunger in a way that a diet based on grains and beans never, ever did.
Speaking of which, my Caribbean-Style Ribs should be done about now. Think I'll go try 'em. If they're as good as they smell, I'll pass on the recipe.
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Fibroids
LKM
I'm sure that you have discussed various treatment options with your MD re the fibroids but I'd like to share my experience with you. I had endometrial ablation and the procedure took care of the problem for about 2 years. Although my fibroids grew back (apparently that happens for 30% of women) I don't hesitate to recommend ablation. It did require some weeks before the procedure on a drug that propelled me into symptoms of menopause (mostly hot flashes) but it was still better than major surgery. Of course, there are different kinds of fibroids and some don't respond to ablation. Have you researched uterine artery embolization? That "starves" the fibroids by interrupting the blood supply. I seriously considered that when the fibroids reappeared but I was close enough to natural menopause (when most fibroids go away) to just wait it out. What I wanted to avoid was hysterectomy, which every doc I talked to immediately recommended until I found a gyno who specialized in fertility issues. My thought was "I came into this world with this uterus and, unless someone can prove that there is disease, I'm going out with it."
Fibroids
I'd like to avoid hysterectomy, too. As I told my OG/GYN, "It's my uterus. I grew it my very own self, and I'm kind of attached to it. I'd like to keep it if I can." In defense of the docs, the reasoning is often that women are past childbearing anyway, and hysterectomy is the only treatment that assures that fibroids will not return. It's also a simpler surgery than myomectomy (removing the fibroids only, and repairing the uterus,) and thus is thought safer -- the less time you're under anesthesia, the better.
That being said, I've been reading about other options. Don't believe ablation is possible for me, but have been studying the various forms of myomectomy.
As for UAE, no thanks. My fibroid is the size of a freakin' grapefruit. I am utterly squicked out by the idea of something that size DYING INSIDE ME and slowly necrotizing. Uh-uh. No way.
The other option, of course, is to simply wait till I hit menopause, when most fibroids shrink naturally. I have no symptoms other than a big belly (a "twenty-week uterus" according to the doc) -- no bleeding, no pain. So there's no real reason not to wait, except that I hate looking like this. Truly, I think of myomectomy as being cosmetic surgery for me. The problem with waiting till menopause is who knows how long that will take? If I knew it would be, say, 18 months, I'd probably wait. If I knew it was going to be another 5 or 6 years, I'd get the surgery.
I've been considering acupuncture. I've had good results with traditional Chinese medicine in the past. But of course my insurance won't cover it, and it would cost about $1000. That's a lot of money to spend on a speculative treatment, you know?
I'm very fortunate that I have the option of "watchful waiting." Many women with fibroids do not.
I don't know if it was the low carb but nothing else changed.
I had surgery a few years back and felt like they had dragged me out in the parking lot and used me as a speed bump. It was not even major surgery but I was down for weeks.
Last year I had a fibroid removed. I felt yucky for about four days and on the fifth started helping with the kitchen remodel that was in progress in the next room. By the time my two week check up came around, my only medical complaint was concrete in the blisters in my hands. The doctor told me not to do anything that made me hurt and I wasn't hurting only sore a bit. I really think it's the better than average diet that made me heal so fast.
Low Carb and Healing
Now that's encouraging! It did seem likely to me that I'd heal faster than many people because of my nutritional status. Nice to have some confirmation of that.
That Nice Boy I Married already knows that I'll be counting on him to bring me protein in the hospital, if I do this. No way could I make it on hospital food.
Questions, questions
Dana, have there been any other Lowcarbezines since March 2007? Also, is there a better way to ask questions or is there a chatroom?.
Thanks for the update.
I've noticed, too, that since I have been lower-carbing, when I do put on a few pounds, it is right on my belly. Why can't it go to my boobs, is what I'd like to know. ;-)
I've also noticed that since I've turned 40, I can't get away with eating as many carbs as I used to eat when I first started lower-carbing.
What a drag it is, getting old!
Why can't it go to my boobs
As a girl who has had to buy progressively bigger bras over the years, I have to tell you it's overrated. :-p
Hi, Dana, Thanks for the
Hi, Dana,
Thanks for the great response to this good question. I've been wanting to ask you the same thing. I responded to your request for lc stories for your book proposal and was sorry the book didn't happen.
After my third son was born six years ago, I developed congestive heart failure, which eventually resulted in a diagnosis of obstructive sleep apnea (Of course, it took a physician's assistant with apnea to recognize it; all the other doctors' responses were basically, "Well, you're fat. All health problems happen to fat people because they're fat. If you'll be not fat, you won't have these problems you have because you're fat." Stop me if all this medical jargon confuses you.). Once I got the apnea treated, I felt better than I had in many years. I weighed about 280 then. Soon after that, I began low carbing, roughly on the Atkins plan. I lost about 40 pounds easily in about six months. I was at the same time exercising -- 45 minutes on a treadmill four or five times a week, and I felt good, really good.
But (you knew that was coming) then my weight loss plateaued. Although I maintained my weight at that level, and continued to exercise for another six months, gradually I let it go. Insert here any number of explanations/reasons/excuses for discouragement, frustration, reverting to self-medicating with food, and failing to exercise. I now weigh more than I ever had, almost 300 pounds.
One thing I particularly noticed in your post is that you don't have unrealistic expectations of your body. You don't seem to have decided ahead of time what you should weigh or what size you should be -- the "goal weight" I've heard tell of, or the number off one of those charts that tells me that at 5'1" I should weigh 115 pounds. Ain't gonna happen and frankly the very idea seems to fall into the realm of science fiction. But I think maybe I had decided that I needed to be smaller than I got to be when I was feeling great, and that notion had a role in my derailment.
Do you have any techniques or secrets or tricks you can share which you use, or which you've heard of, things that help you maintain when it's the hardest to do it? I'm not sure why I can't quite do the very things I know will help the most to make me healthier, the things I know have worked before. Any inspiration at your fingertips?
Thank you so much; I truly appreciate your work.
Thank you for the update
Thank you for sharing your progress and journey these last few years. Your cookbooks have been an inspiration for my low carb cooking, despite my husband's limited palate.
I'm sorry to hear about the fibroid. I have at least two that we know of, discovered during pregnancy. At some point I will have to make a decision to have them removed, and I share your concerns about major surgery. Good luck with whatever you decide!
Those breathing exercises sound interesting. Do you have a link we can check out?
And I'm looking forward to that rib recipe!
breathing exercises
Oh yeah! What was that about the breathing exercises? Where do I find info about those?
Thank you
Dana, thank you for replying - it made my day. I'm glad to hear that it has worked long term and that you are still following what you preached. I plan on reading your book again, and all the others I accumalated a few years ago, and get back on the low carb band wagon. I hope things go a bit more smoothly for you. Kathy
Fibroid surgery
First, surgery is not what it used to be. Anaethetics are better (I had outpatient surgery under general anaesthetic in the mid-90s, and got up and hailed a taxi after I woke up.) New methods and associated pharmaceuticals are less invasive, and result in faster healing.
However -- watch the "drugs that mimic menopause" mentioned by another poster. I took one of those when I had my surgery, and gained twenty pounds very quickly. The doctor had not warned me, so it was an awful shock.
Fibroid Surgery
I haven't even considered using Lupron and its ilk, nor has my doctor even brought them up. The idea of being thrown suddenly, chemically into menopause strikes me as worse than having a fibroid, or at least this fibroid, since it's not causing severe symptoms.
I've been reading fibroid blogs, and women's post-surgical experiences vary widely, from "no big deal" to "still weak and in pain four weeks later." Hard to know which would be the case for me until I'm there.
Since I've gotten so personal, I'll get a little more so: I greatly fear losing sex drive/response. I didn't marry a cute younger man for nuthin', you know. I wish I knew more about the effects of surgery along those lines, but I can't find much. I know I don't want a hysterectomy; I'd rather live with the fibroid.
I'm seriously considering trying traditional Chinese medicine -- acupuncture and herbs. I had the great fortune to work for over five years with a brilliant doctor from Shanghai, and was deeply impressed with her ability to treat ailments that standard Western physicians had given up on. Saw her do a few things that were supposed to be impossible.
My insurance won't cover Chinese medicine, of course, but it would still be far less than the cost of my deductible for surgery. Of course, there's the chance it won't work, and I'll wind up having surgery anyway, but more and more that's a chance I'm willing to take.
I wish I could go to my old friend, but she long since moved to the East Coast and started the New York College of Traditional Chinese Medicine. Were I any closer, I would go there for treatment. But we do have a Chinese doctor in town.
Since there's a fair amount of interest in this topic, I'll let you know of my success or failure.
Fibroid Surgery
Has your doctor mentioned a PARTIAL hysterectomy? -- where they leave the ovaries, so there's no sudden menopause to deal with.
I had a grapefruit-sized and a smaller fibroid about 7 years ago that were causing very heavy bleeding, and had begun to press on a kidney. Obviously, I had motivation for surgery, and I wasn't interested in procedures that might allow the tumors to grow back.
My doctor (a woman) left my ovaries. I had abdominal pain for about a week after the surgery, though I got around pretty freely. Six weeks later, I was back in tae kwon do class without a problem. The recovery was no problem at all, and this was pre-low-carbing. Now I have no bleeding and no menopause. For me, it's the best possible outcome.
I should mention that my doctor wasn't sure until the surgery was under way that she would be ABLE to leave the ovaries, although she expected to. Something about the exact position of the tumors or something -- to be honest, I forget.
As to sex drive, I haven't noticed a problem. My sister, who's had a complete hysterectomy, also doesn't seem to have a problem, based on some of her conversation.