LCHF Cured!
Replies
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GaleHawkins wrote: »@2Poufs thanks for sharing your chart/graph and explaining it so well.
In looking at the chart and seeing the green being about 35-65 grams of carbs but you prefer the red below what are the objectives of bariatric surgery? I am sure it does more than just force one to stick with the very low carb diet. Does my question make sense? It seems the AMA must have gone all out to support very low carb diet for weight management. I do hope your malabsorption issues resolve soon.
This is all new to me. I have been eating <50 grams of carbs most days for 11 months now to manage my joint/muscle pain that I have had for 40 years and it is working out very well. The pain when down in 30 days and the 40 years of IBS was cured within the first 6 months of very low carb eating lifestyle.
The objective of bariatric surgery is to lose weight, but the mechanism to do so depends on the surgery used.
Vertical Gastric Sleeve (VSG) simply cuts away the excess stomach. It will force small portions of about 6-8oz. The average stomach can hold upwards of 50oz or more. This is ideal for those who need to lose less than 100lbs and have few co-morbidities, like diabetes, high blood pressure, or other health issues. They need to lose weight, but speed isn't essential.
Roux-n-Y Bypass (RNY) separates the stomach into two pieces, the smaller piece being 1-2oz, and re-routes a portion of the small bowel to lower the portion size as well as encourage malabsorption. The larger piece is simply stitched into place along the side of the abdominal cavity under the heart and left. It still does its acid and hormone production business, but it doesn't process food any longer. The second stomach, also called a pouch, which is now directly below my trachea, gets and processes food now. This is ideal for those who need to lose more than 100lbs and have many co-morbidities or other health issues that require very fast loss.
Let me tell you... the lack of curvature from throat to stomach sure does make eating and bending over a whole new adventure! Anyway, my heart was giving out (I have some irreparable damage now), my blood pressure was going too high, and CICO wasn't working quickly enough to matter, so I had RNY. I feel better ingesting around 15-25g, which means I actually absorb 1/2 to 2/3 of that per day. At least that's the hope. What it actually is no one knows!
The malabsorption will never go away. I will always be required to ingest more than necessary in order to survive, but I'll never actually know how much that is. In that way, RNY is a real gamble. Yes, I'll lose. However, if I'm not forever diligent and tracking, I can gain it back. Since the malabsorption affects nutrients as well as calories, I'll take a ton of vitamins every day for the rest of my life. Without them, I will die. I'm required to get a full blood panel every 6 months for the rest of my life to ensure my vitamin levels stay within a good range.
The thing is that neither surgery forces low carb, although that's highly encouraged by the Nutritionist and is the key to actually keeping the weight off once the stomach expands. It's a bag; it will expand. It will over-expand, if the person overeats. However, low carb isn't a requirement and too many people go back to bad eating habits. The only thing an RNY patient can't go back to is sugar. The portion of the bowel that's bypassed handles the majority of sugar processing. We already talked about gastric dumping! A VSG patient can go right back to all the bad habits that got them there in the first place.
An interesting side effect of gastric surgery is that it can resolve diabetes, both Type 1 and 2, although mostly T2. Doctors have no idea why, but about 60% of VSG patients and 85% of RNY patients have their T2 resolved during surgery. Not the weight loss... the surgery itself. You go to sleep a diabetic and you wake up not one. No clue why it happens; it's a side effect. Granted, weight loss can help resolve T2, but they don't understand the mechanism of why the surgery itself can resolve it. Luckily, I seem to be one of those.
I went to sleep a T2. I woke up without it. I went into surgery with an a1c of 7.2. The next day, it was 6.5. As of 2 weeks ago, it was 4.9. I haven't had a single high or low blood sugar episode since surgery, regardless of when or what I eat. I have a Diabetic Alert Service Dog who's had nothing to do since January 19th! I have to be 3 years post-surgery without an incident to be considered "cured" but it's looking good.
I hope that helped answer your questions!0 -
@mcpostelle I apologize for hijacking your thread with all the bariatric talk!0
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What? How would the surgery cure Type1? Maybe that was s misunderstanding?
It would literally have to spontaneously grow new beta cells in the pancreas and also cure the auto immune disease that attacks and kills the beta cells.0 -
Sunny_Bunny_ wrote: »What? How would the surgery cure Type1? Maybe that was s misunderstanding?
It would literally have to spontaneously grow new beta cells in the pancreas and also cure the auto immune disease that attacks and kills the beta cells.
There are a few T1s that have resolved. It's very few and I could have detailed that a little more. My apologies. That percentage is very, very low, but it's happened and they don't know why.0 -
@2Poufs if you are not a medical writer you might consider that field. That is awesome how you can take complex medical information and explain it so clearly. It would seem you are either very well read on the subject, have a medical background or both.
Now I grasp the concepts involved and why either process can be life saving when time is short and am glad that you were able to get the surgery in time.
Your post is going to make me double down to stay very low carb and get my weight fully addressed while I have time to do so. I am going to read more about how a RNY prevents the absorption of sugar. I when I stopped most all sugar intake it was a game changer and my pain levels dropped like a rock. I want to understand the sugar factor in health related issues.
Thanks again for jump starting my education on this subject. The huge number of these surgeries being followed has to yield a lot of data for us folks that have the time to take a mental gastric bypass like approach. I wish you the best and thank you for what you add to MFP's value to others.
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GaleHawkins wrote: »@2Poufs if you are not a medical writer you might consider that field. That is awesome how you can take complex medical information and explain it so clearly. It would seem you are either very well read on the subject, have a medical background or both.
Now I grasp the concepts involved and why either process can be life saving when time is short and am glad that you were able to get the surgery in time.
Your post is going to make me double down to stay very low carb and get my weight fully addressed while I have time to do so. I am going to read more about how a RNY prevents the absorption of sugar. I when I stopped most all sugar intake it was a game changer and my pain levels dropped like a rock. I want to understand the sugar factor in health related issues.
Thanks again for jump starting my education on this subject. The huge number of these surgeries being followed has to yield a lot of data for us folks that have the time to take a mental gastric bypass like approach. I wish you the best and thank you for what you add to MFP's value to others.
I'm an editor and tutor, but I was pre-med before I admitted that I can't deal with people. I guess I could have been a medical examiner, but there are still live people involved and y'all scare the bejeebus outta me.
Thanks and good health to you!0 -
Sunny_Bunny_ wrote: »What? How would the surgery cure Type1? Maybe that was s misunderstanding?
It would literally have to spontaneously grow new beta cells in the pancreas and also cure the auto immune disease that attacks and kills the beta cells.
There are a few T1s that have resolved. It's very few and I could have detailed that a little more. My apologies. That percentage is very, very low, but it's happened and they don't know why.
That just sounds... Impossible. I just have to believe they were not diagnosed correctly. It makes no sense that it could cure an autoimmune disease.
Don't get me wrong, I don't doubt what you read, I just doubt the information/diagnosis reported concerning the Type 1's in question.
I really don't mean to sound argumentative. I hope it doesn't seem that way.
That's such an unbelievable statement.0 -
Sunny_Bunny_ wrote: »Sunny_Bunny_ wrote: »What? How would the surgery cure Type1? Maybe that was s misunderstanding?
It would literally have to spontaneously grow new beta cells in the pancreas and also cure the auto immune disease that attacks and kills the beta cells.
There are a few T1s that have resolved. It's very few and I could have detailed that a little more. My apologies. That percentage is very, very low, but it's happened and they don't know why.
That just sounds... Impossible. I just have to believe they were not diagnosed correctly. It makes no sense that it could cure an autoimmune disease.
Don't get me wrong, I don't doubt what you read, I just doubt the information/diagnosis reported concerning the Type 1's in question.
I really don't mean to sound argumentative. I hope it doesn't seem that way.
That's such an unbelievable statement.
I know. And no, you're one I know isn't being argumentative!
My "weight loss twin" (a person who went through this the same time I did), is a resolved T1. She had surgery the same day (January 19th) and hasn't needed any medication since. Granted, in 15+ years of practice and thousands of patients, she's the only T1 to resolve that my doctor has ever personally seen. I don't know her medical details, just that we were "the diabetic pair" on the ward and both resolved immediately. *shrug* I'd be interested to see documentation, but it's none of my business and obviously my doc won't share. We spoke in June and she was still going without meds. I will ask her the next time we speak to see if she'd be willing to share more detailed info.
Except that it's been too long, I'd actually edit my original post to include a much better descriptor of what I understand about T1 and surgery. Again, my apologies for not being more informative and detailed. I tend to over-explain things, so I self-edit and my point gets muddled. I tell my students and clients not to self-edit, but then I over-do it myself!0 -
Sunny_Bunny_ wrote: »Sunny_Bunny_ wrote: »What? How would the surgery cure Type1? Maybe that was s misunderstanding?
It would literally have to spontaneously grow new beta cells in the pancreas and also cure the auto immune disease that attacks and kills the beta cells.
There are a few T1s that have resolved. It's very few and I could have detailed that a little more. My apologies. That percentage is very, very low, but it's happened and they don't know why.
That just sounds... Impossible. I just have to believe they were not diagnosed correctly. It makes no sense that it could cure an autoimmune disease.
Don't get me wrong, I don't doubt what you read, I just doubt the information/diagnosis reported concerning the Type 1's in question.
I really don't mean to sound argumentative. I hope it doesn't seem that way.
That's such an unbelievable statement.
When I went to a gastric bypass seminar at our local hospital they spent some time on the diabetes cure, but they were very emphatic it was type 2. The Ha1cs were much better in 3 months, but you would expect that with such a calorie reduction. I started the prerequisite process but my insurance disqualified me. I had to demonstrate I could lose weight on a diet, I complied with the diet well enough that I went under the overweight requirement. Talk about your Catch 22.
I'm sorry to say we're still looking for that elusive T1 cure.
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KenSmith108 wrote: »When I went to a gastric bypass seminar at our local hospital they spent some time on the diabetes cure, but they were very emphatic it was type 2. The Ha1cs were much better in 3 months, but you would expect that with such a calorie reduction. I started the prerequisite process but my insurance disqualified me. I had to demonstrate I could lose weight on a diet, I complied with the diet well enough that I went under the overweight requirement. Talk about your Catch 22.
I'm sorry to say we're still looking for that elusive T1 cure.
Sorry you fell out of qual. How do you feel now, if you don't mind me asking?
Makes me think SB is right in that it was a misdiagnosis. But what disease mimics T1 and would resolve with bariatric surgery?0 -
Maybe they were diagnosed young? Could've been a misdiagnosis simply because they were younger.
You'd be amazed at the health professionals I encounter that don't know the differences between the 2 or that still have super outdated understandings of T1.
My daughter had an ecoli infection and was so sick that even giving proper insulin and testing blood sugar every hour around the clock and giving correction injections, her blood sugar just wouldn't come down no matter what we did because of the infection. I had to take her to the ER because she ended up with DKA. The ER doctor kept lecturing her about taking enough insulin and having better control and changing her diet and kept calling it "sugar diabetes". No matter how many times I explained to him that I even helped her since she was sick and was testing every hour and doing everything possible to bring it down and that it was only out of control because of the bad infection, he just kept lecturing. At one point he even made a comment that all he can do is advise, that it's up to the patient to make better choices. Ugh!
That was our worst experience ever.0 -
KenSmith108 wrote: »When I went to a gastric bypass seminar at our local hospital they spent some time on the diabetes cure, but they were very emphatic it was type 2. The Ha1cs were much better in 3 months, but you would expect that with such a calorie reduction. I started the prerequisite process but my insurance disqualified me. I had to demonstrate I could lose weight on a diet, I complied with the diet well enough that I went under the overweight requirement. Talk about your Catch 22.
I'm sorry to say we're still looking for that elusive T1 cure.
Sorry you fell out of qual. How do you feel now, if you don't mind me asking?
Makes me think SB is right in that it was a misdiagnosis. But what disease mimics T1 and would resolve with bariatric surgery?
Surgery was just going to be another tool. Actually the regular diet showed me I could lose, but I wasn't prepared for the maintenance part. That's my claim to fame, great dieter, no clue maintainer. It's all or nothing.
T2 has some similarities but in my mind 2 different animals. T1 is just plain tough to live with. My daughter & I are both insulin dependent but someday I might get off it, unfortunately its unlikely she ever will.
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This just happened to me last night. It was an accident. I went out to eat and the food I ordered ended up with some breading which I had missed in the description. I also had a Long Island iced tea which I forgot had sweet and sour mix which has sugar. Within a couple hours I had a pounding headache and I went straight to bed. This will make me watch what I eat even more now.0
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SB, thanks for the additional info. Unfortunately, I don't know when she was diagnosed. I didn't know age played such a huge role in accurate diagnosis, but I have no T1s in my day-to-day life. Now, I'm curious what can mimic T1 like that. Guess I'm hitting the books again!
My husband is T2 and under control. He fell a few months ago off a ladder and we made an ER trip. After being there 5 hours, his blood sugar was 70 and he needed food. The doctor kept saying, "If his T2 was managed, he wouldn't have fallen off the ladder." He fell off the ladder 30 minutes after breakfast. *shaking head* I just fed hubby and told the ER doc he was an idiot. Thankfully, hubby's endo showed up soon after that.
I'm so sorry about your experiences. There are plenty of bad doctors out there, but she's a lucky girl to have such a strong advocate.0 -
@mcpostelle I apologize for hijacking your thread with all the bariatric talk!
Nah, it's okay. I this was a very informational hack from you. I think all of us at some point have; 1, thought about getting bariatric surgery, 2. already had it done, or 3. know somebody close that has gotten it done. I was in nursing until I realized I don't like dealing with people.
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SB, thanks for the additional info. Unfortunately, I don't know when she was diagnosed. I didn't know age played such a huge role in accurate diagnosis, but I have no T1s in my day-to-day life. Now, I'm curious what can mimic T1 like that. Guess I'm hitting the books again!
My husband is T2 and under control. He fell a few months ago off a ladder and we made an ER trip. After being there 5 hours, his blood sugar was 70 and he needed food. The doctor kept saying, "If his T2 was managed, he wouldn't have fallen off the ladder." He fell off the ladder 30 minutes after breakfast. *shaking head* I just fed hubby and told the ER doc he was an idiot. Thankfully, hubby's endo showed up soon after that.
I'm so sorry about your experiences. There are plenty of bad doctors out there, but she's a lucky girl to have such a strong advocate.
I can relate to this. I try not to get mad at doctors because I can't expect them to know everything, but I wish they wouldn't hound like they do. If you don't know, just admit it and refer me to somebody that does. Glad you got you hubby food. I would've hated to be in that situation.0 -
I have read that some medical people think that the "resolution" of TTD via surgery has to do with some mechanism in the intestines of Type Two Diabetics. I have also read that Lap Band does not have the same rate of success in resolving TTD as the more invasive surgeries. Diabeteses is a complex disease and many medical professionals know very little about it. Apparently since the AIC drops so quickly after surgery it is not directly related to weight loss. More research needs to be done.0
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I have read that some medical people think that the "resolution" of TTD via surgery has to do with some mechanism in the intestines of Type Two Diabetics. I have also read that Lap Band does not have the same rate of success in resolving TTD as the more invasive surgeries. Diabeteses is a complex disease and many medical professionals know very little about it. Apparently since the AIC drops so quickly after surgery it is not directly related to weight loss. More research needs to be done.
Yes this development is interesting and should over time expose possible new treatments.
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SB, thanks for the additional info. Unfortunately, I don't know when she was diagnosed. I didn't know age played such a huge role in accurate diagnosis, but I have no T1s in my day-to-day life. Now, I'm curious what can mimic T1 like that. Guess I'm hitting the books again!
My husband is T2 and under control. He fell a few months ago off a ladder and we made an ER trip. After being there 5 hours, his blood sugar was 70 and he needed food. The doctor kept saying, "If his T2 was managed, he wouldn't have fallen off the ladder." He fell off the ladder 30 minutes after breakfast. *shaking head* I just fed hubby and told the ER doc he was an idiot. Thankfully, hubby's endo showed up soon after that.
I'm so sorry about your experiences. There are plenty of bad doctors out there, but she's a lucky girl to have such a strong advocate.
A while back, don't really know when, but doctors used to diagnose only children with type 1 and adults with type 2, even if they were actually both the autoimmune type 1. They just guessed. I suppose they couldn't actually determine it back then. That's how the notion that children outgrew type 1 and it became type 2 came about. This is how far we've come! Lol
I have read there is a genetic autoimmune type 1 and also one that appears to have no genetic link. My daughter has the genetic type. Her father and his sister both have it. They don't have other siblings. That would explain why sometimes it strongly runs in families and other times there's only 1 family member as far back as anyone can remember.
Our bodies are just crazy amazing machines.0 -
Sunny_Bunny_ wrote: »SB, thanks for the additional info. Unfortunately, I don't know when she was diagnosed. I didn't know age played such a huge role in accurate diagnosis, but I have no T1s in my day-to-day life. Now, I'm curious what can mimic T1 like that. Guess I'm hitting the books again!
My husband is T2 and under control. He fell a few months ago off a ladder and we made an ER trip. After being there 5 hours, his blood sugar was 70 and he needed food. The doctor kept saying, "If his T2 was managed, he wouldn't have fallen off the ladder." He fell off the ladder 30 minutes after breakfast. *shaking head* I just fed hubby and told the ER doc he was an idiot. Thankfully, hubby's endo showed up soon after that.
I'm so sorry about your experiences. There are plenty of bad doctors out there, but she's a lucky girl to have such a strong advocate.
A while back, don't really know when, but doctors used to diagnose only children with type 1 and adults with type 2, even if they were actually both the autoimmune type 1. They just guessed. I suppose they couldn't actually determine it back then. That's how the notion that children outgrew type 1 and it became type 2 came about. This is how far we've come! Lol
I have read there is a genetic autoimmune type 1 and also one that appears to have no genetic link. My daughter has the genetic type. Her father and his sister both have it. They don't have other siblings. That would explain why sometimes it strongly runs in families and other times there's only 1 family member as far back as anyone can remember.
Our bodies are just crazy amazing machines.
Diabetes, what an ugly monster!
My daughter has T1 for over 20 years now, she's also starting to take T2 meds.
It's more than likely the ADA diet.
I'm T2 & insulin dependent. I can't seem to go below a basal rate of 10 units 2x a day.
I'm still a very big boy.
The jury is still out if my pancreas is shot. I can get tested but...
Up untill my daughter, we were a large family of T2 diabetics.
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KenSmith108 wrote: »Sunny_Bunny_ wrote: »SB, thanks for the additional info. Unfortunately, I don't know when she was diagnosed. I didn't know age played such a huge role in accurate diagnosis, but I have no T1s in my day-to-day life. Now, I'm curious what can mimic T1 like that. Guess I'm hitting the books again!
My husband is T2 and under control. He fell a few months ago off a ladder and we made an ER trip. After being there 5 hours, his blood sugar was 70 and he needed food. The doctor kept saying, "If his T2 was managed, he wouldn't have fallen off the ladder." He fell off the ladder 30 minutes after breakfast. *shaking head* I just fed hubby and told the ER doc he was an idiot. Thankfully, hubby's endo showed up soon after that.
I'm so sorry about your experiences. There are plenty of bad doctors out there, but she's a lucky girl to have such a strong advocate.
A while back, don't really know when, but doctors used to diagnose only children with type 1 and adults with type 2, even if they were actually both the autoimmune type 1. They just guessed. I suppose they couldn't actually determine it back then. That's how the notion that children outgrew type 1 and it became type 2 came about. This is how far we've come! Lol
I have read there is a genetic autoimmune type 1 and also one that appears to have no genetic link. My daughter has the genetic type. Her father and his sister both have it. They don't have other siblings. That would explain why sometimes it strongly runs in families and other times there's only 1 family member as far back as anyone can remember.
Our bodies are just crazy amazing machines.
Diabetes, what an ugly monster!
My daughter has T1 for over 20 years now, she's also starting to take T2 meds.
It's more than likely the ADA diet.
I'm T2 & insulin dependent. I can't seem to go below a basal rate of 10 units 2x a day.
I'm still a very big boy.
The jury is still out if my pancreas is shot. I can get tested but...
Up untill my daughter, we were a large family of T2 diabetics.
I have heard that T1's can develop some level of insulin resistance but somehow it's in a different way than how we typically know it. I had wondered if that was part of why my daughter has a 1 unit of insulin to each 2 carb ratio but the doctors don't think so. They said some people just require different amounts without IR being a factor.0 -
Sunny_Bunny_ wrote: »KenSmith108 wrote: »Sunny_Bunny_ wrote: »SB, thanks for the additional info. Unfortunately, I don't know when she was diagnosed. I didn't know age played such a huge role in accurate diagnosis, but I have no T1s in my day-to-day life. Now, I'm curious what can mimic T1 like that. Guess I'm hitting the books again!
My husband is T2 and under control. He fell a few months ago off a ladder and we made an ER trip. After being there 5 hours, his blood sugar was 70 and he needed food. The doctor kept saying, "If his T2 was managed, he wouldn't have fallen off the ladder." He fell off the ladder 30 minutes after breakfast. *shaking head* I just fed hubby and told the ER doc he was an idiot. Thankfully, hubby's endo showed up soon after that.
I'm so sorry about your experiences. There are plenty of bad doctors out there, but she's a lucky girl to have such a strong advocate.
A while back, don't really know when, but doctors used to diagnose only children with type 1 and adults with type 2, even if they were actually both the autoimmune type 1. They just guessed. I suppose they couldn't actually determine it back then. That's how the notion that children outgrew type 1 and it became type 2 came about. This is how far we've come! Lol
I have read there is a genetic autoimmune type 1 and also one that appears to have no genetic link. My daughter has the genetic type. Her father and his sister both have it. They don't have other siblings. That would explain why sometimes it strongly runs in families and other times there's only 1 family member as far back as anyone can remember.
Our bodies are just crazy amazing machines.
Diabetes, what an ugly monster!
My daughter has T1 for over 20 years now, she's also starting to take T2 meds.
It's more than likely the ADA diet.
I'm T2 & insulin dependent. I can't seem to go below a basal rate of 10 units 2x a day.
I'm still a very big boy.
The jury is still out if my pancreas is shot. I can get tested but...
Up untill my daughter, we were a large family of T2 diabetics.
I have heard that T1's can develop some level of insulin resistance but somehow it's in a different way than how we typically know it. I had wondered if that was part of why my daughter has a 1 unit of insulin to each 2 carb ratio but the doctors don't think so. They said some people just require different amounts without IR being a factor.
When my daughter's endo found out she was pregnant the first time he had her in the hospital straight from his office. The tests... I hoped she didn't get anemic from just the blood tests.
He wanted unbelievably tight control and didn't let her out till he got it. She was practically drinking insulin she went thru so much of it. She's always been brittle but she was much worse when she was pregnant.
For her second pregnancy she knew the ropes going in but it still was a lot of work to keep under tight control. She used a dietitian who helped a lot. She went to see her every 2 weeks. Since both pregnancies were high risk she had to go to a hospital that had a neonatal intensive care unit. Good thing because both kids wound up in there for a while, #1 a day to watch her bg#s, #2 spent 2 weeks, he just wasn't chubby enough due to his early arrival.
Both kids are just wonderful now.
Well since we already hijacked this thread so much... I'll save my other daughters for another day.
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Also check out info on the switching ability of your mitochondria in T2D that does not switch like normal people
Part of the reason fat loss is so hard is because the body just does not flip the switch as quickly to burn it
Part of that was a factor in my exercising fasted to improve that set point.
There is lots of documentation of on mitochondria and t2D if you google it.
T2D seems to be a metabolic disease of layers
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mcpostelle wrote: »DarlingNikki2011 wrote: »It sucks we go thru this after a slip up, but boy is it a good reminder of how damaged our bodies were or can be. I already suffer from gastro issues so I find it easier (most times) to remind myself how ugly that cheat can be afterwards.
I'm actually glad it happened now vs when the holidays come. Now if I make sure my mind doesn't erase that memory as a traumatic event I should be good.
LOG/journal every visceral horrid violent detail. Use as descriptive words as possible. Do not leave anything out. Email it to yourself. Read it once a week minimum... Use it to bolster your determination. When you're facing major temptations, make sure you read it daily, hourly if necessary.
Make sure you do this, because the mind is hard wired to forget the worst of everything so we can continue to exist....0 -
KnitOrMiss wrote: »mcpostelle wrote: »DarlingNikki2011 wrote: »It sucks we go thru this after a slip up, but boy is it a good reminder of how damaged our bodies were or can be. I already suffer from gastro issues so I find it easier (most times) to remind myself how ugly that cheat can be afterwards.
I'm actually glad it happened now vs when the holidays come. Now if I make sure my mind doesn't erase that memory as a traumatic event I should be good.
LOG/journal every visceral horrid violent detail. Use as descriptive words as possible. Do not leave anything out. Email it to yourself. Read it once a week minimum... Use it to bolster your determination. When you're facing major temptations, make sure you read it daily, hourly if necessary.
Make sure you do this, because the mind is hard wired to forget the worst of everything so we can continue to exist....
I completely forgot to do this *face palms*, but I've been making myself remember the experience every time I see bread. I've developed a abhorrence to breads/cakes and such now. I'm very cautious about going over my carbs now. Yes, the brain is a very sneaky protector.0
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