200+ to lose and totally utterly confused!

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Replies

  • nwg74
    nwg74 Posts: 360 Member
    I went from 373 to 174 pounds in 20 months just before Christmas last year.

    I didn't do anything special other than low carb 90% of the time and around 1500 calories a day. I didn't stick to the same amount of every day so I occasionally went a bit below and bit above 1500. As time went on I up to around 1800. With so much extra weight, more deficit is possible. I lost 4 pounds in a week many times but overall it was as small as 0.5 a pound towards the end of the last year.

    I still had the odd day when I had my favourite foods like burgers, white bread, cheese and so on. I just had to limit it compare to how much I used to eat those sort of things.

    One of my problems was snacking so I did stop that straight away.

    Now I am learning to maintain but still around 10 pounds overweight but that can come off as little as 1 pound a month. I tend to go up over weekends and back down the following week. I lost only 1.5 pounds so far this year but that is ok with me.
  • moxie1962
    moxie1962 Posts: 165 Member
    I agree with so many here!
    Talk to your Dr and a nutritionist.
    Buy a food scale, digital is best.
    Weigh and measure everything.
    Be patient.....it took a while to gain, it will take a while to lose.
    Keep up the good work!
    Find a good support group...internet or in person.

    :flowerforyou:
  • 366to266
    366to266 Posts: 473 Member
    Wow!

    30 replies! Took me ages but I read every word of every one of them.

    Thank you everyone very much for taking the time and the trouble.

    I wish I could write replies to all the points made but it would take me literally till bedtime and beyond (it's now 3.30pm)

    You have sent me some links and other things to look up online so I will do that.

    These links were awesome!

    http://thatpaleoguy.com/2012/12/19/calorie-rants-and-ketosis-part-1/

    http://thatpaleoguy.com/2012/12/24/calorie-rants-and-ketosis-part-2/


    I bought electronic scales and have been totally OCD with weighing, measuring, and logging my foods since 6th January. It all on fatsecret - my diary is public. I even log the milk in my tea.

    HP mentioned reactive hypoglycaemia (RH) -- I suffered from that for 17 years. Uses to have horrendous panic attacks from eating refined sugars. The docs treated it as a nervous illness. I lost all faith in them after a kinesiologist told me I had RH.

    Speaking of docs, in response to the many posters who suggested consulting medics. I have consulted doctors, nutritionists, dieticians, and I have even been sent to the top endocrinologist in my county (after 19 months on the NHS waiting list). The docs (have seen about 15 of them) and the endo had no advice on weight loss other than to tell me that I should "go and lose weight" because my supermorbid obesity will kill me. One doc gave me a booklet called Losing Weight and Keeping it Off, which I still have, and which recommends eating a diet mainly of sugar, bread, pasta and fruit and very little protein and fat. A bit difficult when I have given up all grains and sugars! The head of the surgery I currently go to weighs 280lb and neither he nor his five colleagues have been able to cure him despite having collectively hundreds of impressive letters after their names. The nutritionist simply told me to eat "whole foods" and "healthy grains" and to avoid saturated fat, which apparently kills you in a week (lol).

    The dietician was horrified, appalled and disgusted at the amount of meat and fat I ate. She placed me on a vegan wholefood organic diet comprising home made muesli, grain breads, nuts, pulses, seeds and live sprouting things. Cost me a fortune to buy it all from the little whole food boutique. I lasted one day on this and was so ill I had to come off it. When I emailed her to tell her how ill it made me, she said that after I left she researched my medical condition on the net (!!!) and concluded that Atkins was right for me but I should do the low fat version as fat was a killer. I was bloody furious at having paid out so much money for a load of nonsense. Still, next door's rabbit really enjoyed the expensive organic wholefoods I donated to it!

    Helena
    PS I'm so impressed by nwg's reduction from 373 to 174. OMG I would do anything to emulate that!
  • BananableLector
    BananableLector Posts: 26 Member
    Great job on taking the plunge to a healthier you!! As I'm not a nutritionist I can't tell you how much your intake should be but I agree with a few posts that you should just take a few weeks to religiously track what you regularly eat. It gives ou something to look at and figure out what needs tweaking. The hardest part of weight loss I face is forgetting to track and picking at food between meals. I find once I start tracking I stop that "boredom" eating. For now I'm not changing up much except tracking daily. If you can make an appointment to see a doctor or better yet a nutritionist in a few weeks. Make it your goal to be tracking daily by then so you have something to discuss with whoever.

    Another thing maybe get a few sets of weights and a few resistance bands and start doing simple exercises with them to strengthen you legs and upper body up. Nothing extreme, slow and steady. It's frustrating but as long as you keep moving forward you will always be better off than the day before. Don't think about you big goal, just think about how much better you feel each day. Don't forget there are always plenty of supportive people on here to give you that much needed push.
  • Brad805
    Brad805 Posts: 289 Member
    Don't start by making things to complicated or worrying about minute details. Keep in mind how long it took to gain the weight and think about what you were eating/doing to cause the weight gain. With a 200lb total loss in mind, you can start by changing a few things and walking daily and I bet you will find that will lead to progression for many weeks. During that time, start reading some good books on nutrition. Not silly diet books, but books written by people that truly care about helping others change their lifestyle. Please do not think of this journey as a diet. It is about a lifestyle change. The meals and exercise must fit your lifestyle for it to work. This will be a learning experience. While you experiment with different things keep track of your energy levels, mood and your cravings. If those start to suffer, adjust what you are doing so you can maintain this for many many months. Starting with an overly restrictive plan can work for some if they have incredible motivation, but for many it leads to short lived experiment.

    Good luck
  • psuLemon
    psuLemon Posts: 38,431 MFP Moderator
    Wow!

    30 replies! Took me ages but I read every word of every one of them.

    Thank you everyone very much for taking the time and the trouble.

    I wish I could write replies to all the points made but it would take me literally till bedtime and beyond (it's now 3.30pm)

    You have sent me some links and other things to look up online so I will do that.

    These links were awesome!

    http://thatpaleoguy.com/2012/12/19/calorie-rants-and-ketosis-part-1/

    http://thatpaleoguy.com/2012/12/24/calorie-rants-and-ketosis-part-2/


    I bought electronic scales and have been totally OCD with weighing, measuring, and logging my foods since 6th January. It all on fatsecret - my diary is public. I even log the milk in my tea.

    HP mentioned reactive hypoglycaemia (RH) -- I suffered from that for 17 years. Uses to have horrendous panic attacks from eating refined sugars. The docs treated it as a nervous illness. I lost all faith in them after a kinesiologist told me I had RH.

    Speaking of docs, in response to the many posters who suggested consulting medics. I have consulted doctors, nutritionists, dieticians, and I have even been sent to the top endocrinologist in my county (after 19 months on the NHS waiting list). The docs (have seen about 15 of them) and the endo had no advice on weight loss other than to tell me that I should "go and lose weight" because my supermorbid obesity will kill me. One doc gave me a booklet called Losing Weight and Keeping it Off, which I still have, and which recommends eating a diet mainly of sugar, bread, pasta and fruit and very little protein and fat. A bit difficult when I have given up all grains and sugars! The head of the surgery I currently go to weighs 280lb and neither he nor his five colleagues have been able to cure him despite having collectively hundreds of impressive letters after their names. The nutritionist simply told me to eat "whole foods" and "healthy grains" and to avoid saturated fat, which apparently kills you in a week (lol).

    The dietician was horrified, appalled and disgusted at the amount of meat and fat I ate. She placed me on a vegan wholefood organic diet comprising home made muesli, grain breads, nuts, pulses, seeds and live sprouting things. Cost me a fortune to buy it all from the little whole food boutique. I lasted one day on this and was so ill I had to come off it. When I emailed her to tell her how ill it made me, she said that after I left she researched my medical condition on the net (!!!) and concluded that Atkins was right for me but I should do the low fat version as fat was a killer. I was bloody furious at having paid out so much money for a load of nonsense. Still, next door's rabbit really enjoyed the expensive organic wholefoods I donated to it!

    Helena
    PS I'm so impressed by nwg's reduction from 373 to 174. OMG I would do anything to emulate that!

    There is nothing wrong with meat. If you do restrict any meat, eliminate processed meats as they are higher in calories and many are full of nitrites. Adding a few servings of fish can be beneficial as well as they are loaded with healthy fats and oils. Additionally, when looking at meat, try to get ones higher in total fat but low in saturated fat. I know the evidence around saturated fat is still inconclusive but it can't hurt. I would say, higher fats and protein = more satiety. Other than that, I aim for 30-50g of fiber a day as well to keep the digestive track sound. If you cut grains, cool... they aren't necessary. If you can eat them and still lose, great.. if not, you can still hit all your micronutrients without them.
  • deksgrl
    deksgrl Posts: 7,237 Member
    A couple of things. When someone has 100+ lbs to lose, they can very easily eat below the BMR as you have a substantial amount of fat stores to supply energy. And at that weight, TDEE -30% or 40% would be fine as well. TDEE -20% is for those that are closer to a normal weight for their stats.


    Fasting is fine as well. Anyone who is against it generally doesn't understand the concept or it doesn't fit into their lifestyle. The 5:2 fast has also been the one that has caused the most issues. Many people think it's great to do the two days of 500 calories for fasting but then follow it up with 5 days of calorie restriction. This is where it's unhealthy as it doesn't supply enough calories over the week and can lead to more muscle loss than fat loss, especially those with lower body weight. In all reality, whether you get 2000 calories in a 16 hour window or a 4 hour window, it will still supply the same results.

    Just follow MFP's recommendations. On days you work out, I would suggest eating a few more calories, especially protein based calories to improve your ability to repair muscle. If you have a 2 lb per week deficit and you find yourself binging, adjust your goal to 1.5lb. Also eat foods high in protein and fats. Both will keep you full long which will also reduce the chances of binging. And lastly, keep in mind this is not a short term thing. Teaching yourself that it's OK to have a cheat meal once and awhile is not a bad thing.

    This ^^

    After reading your follow up post, it seems like you have a pretty good idea of what foods agree with you and which ones don't. As long as you are getting a balanced diet from the foods you can eat, I'm certain that you will be successful by simply eating the right amount. I know the "right amount" is what is in dispute. But as psulemon noted in his post, you have more leeway on calorie range right now than those who have less pounds to lose. Be consistent and remember there aren't any special magic foods to eat or not eat, as long as you are getting enough nutrients. All the best to you, and hope to see you posting progress reports!
  • nwg74
    nwg74 Posts: 360 Member

    PS I'm so impressed by nwg's reduction from 373 to 174. OMG I would do anything to emulate that!

    Thanks. It has been hard work especially as I have been overweight for 25 years ! I recently looked at some old photos when I was around 14 and couldn't believe what I looked like.

    The most important thing for me was to stay positive and have plenty of willpower as I knew it was going to take time. I am not ashamed to say my willpower is not as strong as it used to be but I am learning to maintain / lose slower and I have to eat more calories to do that.
  • korygilliam
    korygilliam Posts: 594 Member
    I have read quite a few journal articles re: morbidly obese patients not having to be concerned w/ eating too few calories (when compared w/ overweight patients) due to the amount of surplus energy you have available, so you can drop your caloric intake to way below your BMR because of this, but you do still need to be concerned w/ muscle loss, so exercise what you can and keep up your proteins.

    In the same aspect, you will be able to lose 5-10 pounds a week for 100-200 pounds because of having an abundance and your body recognizes that and doesn't 'freak out' about it.

    Atkins diet may work for you now, but when you get to 'overweight' status, you may be able to do some of the stuff that your body fights now. You need to make sure to keep in contact w/ your physician due to possible changes in insulin production, blood pressure, or other items that are more significant in your situation due to the dramatic change.

    Every 25-50 pounds lost, re-calculate your TDEE and BMR...you will slowly creep your caloric intake to be that of the 'recommended value' as you get closer to you 'recommended weight'.

    It is awesome that you are taking this step...please take everyone's opinion as what it is...'opinion'. Talk to a physician, but in the meantime, this is the best information I can pass along.
  • auria17
    auria17 Posts: 94 Member
    Hi,

    Due to the amount of weight that you are looking to shift the history of medical conditions that will probably have a bearing on the timing and amount that you will shift, It seems advisable to go to a professional in this case to really look into your personal situation and create a program for you, if you can't afford to keep going to them one session will probably be enough to at least get what your minimum and maximum calorie intake should be.

    Look into super foods, they are calorie dense and nurishing. Try to eat food in it's most natural state. Drink mostly water with lemon or lime, I have a feeling your Ph balance is mostly acidic so this will help bring it into alkaline, do some research on Ph balance it is very important to get this into balance for optimum health and longivity. When choosing your fats, choose wisely, bacon? is that really the best kind of fat? I remember hearing that atkins allows that. Look into foods with the healthiest kinds of fats (nuts, seeds, avocadoes, salmon, savi seeds, chia seeds) these all have Omega 3 fatty acids the healthiest kinds of fats. Limit your intake of processed foods, low fat (aspertame)

    When you start to feel better and some of the weight begins to shift, it is important to start moving just a little more every day. Every extra step that you take will make you stronger and will lead to a healthier body. Yes diet is mostly what matters but if fitness isn't part of your transformation then you will just become smaller but not stronger.

    I wish you luck, big changes are never easy, once you find the right thing for you, the weight may come off fast for awhile then slow. Never give up, try to keep making better choices every day and remember that this is for your health and happiness, looking good is a bonus:-)
  • msshiraz
    msshiraz Posts: 327 Member

    Millions of people have lost weight successfully and so why should I have to re-invent the wheel? Why should I have to delay my weight loss while I piddle about with this regime and that regime when surely to goodness there MUST be Truth somewhere on in someone.

    I'm feeling really depressed with it all and I literally do not know what I am supposed to be eating today, let alone tomorrow and this year.

    How can I find the truth in amongst all the arguing?

    Can MFPers even agree on how many calories I should be consuming?

    I appreciate your dilemna and it certainly can be overwhelming- so many do have different opinions. Unfortunately what works for one may not work for another. No one here can tell you your magic solution. You have to find that, and its good you are trying different things. But you are also trying too many things at once. If you want to do Atkins, follow the program faithfully, including no fasting. If you want to count calories, and eat back your calories, that may work. If you want to work out to the extreme, that is up to you. But you combine all these and add in fasting, I am not at all surprised you are both very frustrated as well as plateaud on your weight loss. At this point, if it were me, I'd talk to my dr about whats going. Find a clear path for you, and stick with it long enough to see if its working for you.

    It took me years to discover what I need to do- I don't always do it right, but I keep going. #1- I always log in here on MFP every day- I hold myself accountable for my choices. I limit processed foods, eating as best I can, things not in a box, can, or a jar. I eat fresh fruits regularly- but only before or after a workout, because that is when I need carbs. The rest of the time, I limit my carb intake. I am not on Atkins, or any other diet- I am on what works for me.
    Keep learning about your body's needs. Listen to it, it will tell you what is working and what is not. I'd say right now your body is telling you whatever is going on right now is not working.

    Feel free to add me as a friend- support is key to successful weight loss :)
  • blunderwhere
    blunderwhere Posts: 24 Member
    Everyone will have an opinion and there is more than one way to correctly lose weight, so to speak. You must find the correct and healthy path that works for you. People here have offered a wealth of good ideas and advice. Take what you need. You needn't accept anyone's word as gospel.

    By way of background, my starting weight was approximately what yours is. What is working for me is focusing on the eating. I will need to incorporate formal exercise eventually, but in my case, and it sounds like you may have similar issues, I have advanced hip arthritis and the pain associated with this condition prevents certain, but not all, exercise. This will not always be the case, and it does not prevent me from moving more than I have in the past.

    As for my eating, I try my best to keep it practical. Truth is, for me, if it is not practical, simple, and user friendly, I will not succeed. Know yourself. Set yourself up to succeed.

    Because I originally carried around the equivalent of a 200 lb person with me 24/7 (imagine actually throwing a 200 lb person over your shoulder) I factored in the extra energy necessary to do this and added it into my calorie requirements. The fact is, it requires more energy, or calories, for me to walk 100 feet than it does for a person who is on 30 lbs overweight to do the same activity. We instinctively know this because we know that the heavier we get, the less we can do because it's harder to do things when you are carrying the equivalent of a 200 lb person with you all the time than if you put that person down.

    Our bodies need nutrition and fuel regardless of how much we have to lose. Decreasing our calories too much for our work load will only cause our metabolisms to slow down making us feel sluggish and precipitating cravings that are very difficult to resist. I do not need any help with low energy or cravings, so I calculate my BMR and set my calorie requirements high. I do not always...usually do not...eat the maximum allowed, but I can if I want or need to do so. This means, for me, that most days, I am successful in meeting or coming in under my goals for the day. This, naturally, makes me feel good, and yes, I do lose weight.

    I do not consider myself to be "on a diet." I am merely doing my best to eat just under the caloric requirement for whatever weight I am at at the time. Because I am not "white knuckling" it by "dieting," but rather, am learning new ways to eat normally and reasonably, I hope and believe that I am in the process of developing long-term habits and conduct that will continue when I reach my goal weight range. When I reach this range, I will already be eating as I should continue to eat and nothing will change. The prospect of dieting at 1200 calories a day then "going on maintenance" after reaching my goal...for me...is patently absurd and does not give me ample opportunity, mentally or physically, to feel what it is like to eat healthy and normally and to practice those skills all the while losing weight. I want normalcy. I will never have it because I am not a normal eater, but I strive for as much normalcy as I can find in making my changes.

    Do not worry. You absolutely WILL lose weight eating approximately 2000, or more calories per day, and you will not feel miserable, deprived, or have unreasonable cravings. You will wake up feeling successful and feel good about doing this the next day and the next day after that. Best of luck to you on your journey. We will do this. It hurts too much to be this heavy and I find that when I am eating what I want when I want it, I never feel satisfied, I am always preoccupied with what I am going to eat next, and good food does not taste good. If I am going to be preoccupied with food and what I am going to eat next anyway, I might as well have the benefit of food tasting good and feeling satisfied when I eat healthy nutritious food, plus I get to lose weight in the bargain.

    P.S. Write it down...no matter what. Even if you have gone over your daily requirements. Often you will find that it is not as bad as you thought, or maybe it was really a lot of food, but the unknown is much worse on us psychologically than the actual truth.
  • 366to266
    366to266 Posts: 473 Member
    Thanks to everyone for your posts.

    Big thanks also to those who wrote words of praise and encouragement and support.

    I see that some posters didn't read the bit in which I explained that I log all my foods faithfully on fatsecret, and why I'm not going to see any doctors. I don't blame you -- there are a LOT of replies on this thread :-)

    So, it does indeed turn out that everyone has their own take on this and there is no concensus at all! I don't know who to believe or who to listen to :-(

    After spending another whole day reading about this subject I am going to start tomorrow with my own diet devised by listening to my body and what it has naturally wanted these last few weeks without being pushed.

    My new rules are not to eat under 1200 calories, ever, to aim for about 1700 calories and allow myself to have up to 2,000.

    I will keep fasting on workout days because I'm enjoying it and it's easy: I just skip breakfast. Non-pool days I will only fast for abut 12 hours then eat breakfast.

    After today's disastrous experiment I've decided to ditch the plan of eating higher carb. Instead, I am going even lower carb, maybe even fat-fast for a coupla days then between 10 and 20 carbs, made up of lettuce and other sundry garnishes.

    Then I will get into ketosis and start to burn this 200lb of useless fat that I am carrying around.

    So, my own diet which is influenced by zero-carb, paleo, Atkins and keto.

    Thanks everyone :-)
  • SkimFlatWhite68
    SkimFlatWhite68 Posts: 1,254 Member
    With all the issues you've listed, I do not think you should rely on advice from strangers on the internet. I would go to a doctor who specializes in nutrition and can work around your constraints, and ask lots of questions during your visit. Good luck!

    Hi Helena, I agree with this. I didn't know you had so many serious health concerns.

    I don't know how the health system works in the UK, but I would go and see your doctor and get a referral to see a dietitian for your body health, and one for a therapist for your mental health. You'll need to work on body and mind to get you to a good place.

    If you are dead against seeing a doctor, my suggestion would be, with whatever eating plan you choose, try eating lean protein every 3 hours with a meal or snack to keep your muscles happy, i'm sure you don't want to lose muscle along with your body fat. I understand that you aren't moving around much, but start with a little bit of activity and resistance exercise every day and improve small baby steps at a time. Using your own body weight or a bottle filled with water would be enough, you don't need to go out and buy anything.

    But again, I really think that given your conditions you should seek professional advice.

    Blessings and good luck.
  • cordianet
    cordianet Posts: 534 Member
    Thanks to everyone for your posts.

    Big thanks also to those who wrote words of praise and encouragement and support.

    I see that some posters didn't read the bit in which I explained that I log all my foods faithfully on fatsecret, and why I'm not going to see any doctors. I don't blame you -- there are a LOT of replies on this thread :-)

    So, it does indeed turn out that everyone has their own take on this and there is no concensus at all! I don't know who to believe or who to listen to :-(

    After spending another whole day reading about this subject I am going to start tomorrow with my own diet devised by listening to my body and what it has naturally wanted these last few weeks without being pushed.

    My new rules are not to eat under 1200 calories, ever, to aim for about 1700 calories and allow myself to have up to 2,000.

    I will keep fasting on workout days because I'm enjoying it and it's easy: I just skip breakfast. Non-pool days I will only fast for abut 12 hours then eat breakfast.

    After today's disastrous experiment I've decided to ditch the plan of eating higher carb. Instead, I am going even lower carb, maybe even fat-fast for a coupla days then between 10 and 20 carbs, made up of lettuce and other sundry garnishes.

    Then I will get into ketosis and start to burn this 200lb of useless fat that I am carrying around.

    So, my own diet which is influenced by zero-carb, paleo, Atkins and keto.

    Thanks everyone :-)

    I sincerely hope it works for you, but a lifetime of failure on my part and a lot of research I've done on the subject has led me to believe ALL "diets" fail. Even if you lose the weight, you never learn how to eat right and will most likely gain the weight back. A much more sensible plan would be to simply eat what you enjoy, just less of it. Over time, try to work on adding in more healthy changes, such as going from eating 2 veggie servings a day to 3 servings a day, or drinking one less soda a week. Eventually these small, simple changes will add up to sustainable changes that you can live with for life.

    Just my .02...
  • kazzsjourney
    kazzsjourney Posts: 674 Member
    It does get very confusing doesnt it? I too can only tell you what I did. I started at 380 pounds and have lost 180 pounds...I did this by eating 1800 calories with calorie cycling till i got down to about 210 pounds and then i lowered my cals 100-150 cals at a time. Currently I still calorie cycle and eat 1450 calories. As to exercise...do what you can...I started just stepping up on and down on a step...only like 10 at a time initially but did it a few times a day....i only increased exercise when i felt ready. Feel free to add me if you want extra support)
  • msshiraz
    msshiraz Posts: 327 Member
    I am glad you are listening to your body. In the end no one but you is accountable to you except you. Keep US posted!!!!!
  • Bootjockey
    Bootjockey Posts: 208 Member
    I have my own opinions, and it's based on my own observations after having lost 200+ pounds.

    If you're interested in chatting, feel free to FRIEND me.

    -BootJockey

    If you're tired of starting over...
    STOP GIVING UP!!!

    -Do It Now!
  • 366to266
    366to266 Posts: 473 Member
    simply eat what you enjoy, just less of it.

    Some people cannot do that. Which is why we got fat in the first place.

    What I enjoy: cakes, pastries, chocolate, wheaty, sugary things, ice cream, etc. But these are TRIGGER foods for me and people like me. I cannot have them in the house, I cannot ever even have ONE. I cannot buy a packet of cookies and eat one a day for a week. Eating one would set off a craving and I would completely lose control and eat the entire box. Then go out and buy another.

    I've tried this approach time and again. That is why I have been dieting on and off for 30+ years -- by trying to eat "in moderation", by having "a little of everything", by having no banned foods, by believing that little of what I fancy does me good, by allowing myself to have a daily "treat".

    The worst thing of all is continuing to see "carbage" as a "treat" at all! What little success I have had so far (I've actually lost 25 lb)* is by going cold turkey on sugar and wheat, and by retraining my mind to see those foods not as lovely treats but as poisons to my system (which, in reality, they ARE).

    * I started at 371, lost 5lb last year, then went off diet. Started dieting again in October when I was 366. Hence my username and ticker stats.