Wednesday, January 21, 2009

Before I _______, I will ________

Another great bit from a group I am part of...

Before I ____________, I will first ___________


I will first have a large glass of water then ask myself,"Am I really hungry? Or am I _________?" Try either chewing a piece of fruit flavored sugar free gum or drinking a 20 oz bottle of water.

I will do 10 (or as many as possible push-ups)

I will do 15 (or as many as possible) jumping jacks

I will walk for 5,10,15 minutes.

I will clean something

I will eat something that will bless my body (fruit or vegetable)

I will do one of my favorite things (read for 15minutes, internet for 15 minutes, garden, scrapbooking, chase
kids (grandkids) around, crayon or watercolor, write in my journal, sing loudly off key "Hooray for Baggy
Panties!"(ok, you get the picture)

I will"... practice the three Ds when we wanted to eat between meals....
DRINK(sound familiar?), DIVERT (do something to take your mind off food --walk or read or DO something), and DELAY (wait fifteen minutes -- if you are still hungry, you probably need some food to fuel your body)"

I will brush my teeth (When you crave a dessert or sweet treat, try brushing your teeth. Something about the act of brushing and the minty flavor of toothpaste is supposed to tell you that it's not time to eat – plus candy or chocolate or whatever it is you want to snack on won't taste half as good with that minty flavor in your mouth!)

I will change my attitude...I was scared to give up sweets because I was QUITTING something. But I turned the negative of quitting into a positive. I am ADDING the habit of having one dessert per week.

I will not buy treats (they are too tempting and my family gets enough other places without needing them at home), when I am winding my day down I will make myself a large cup of herbal tea. It takes me a while to drink it (because it is hot), I am getting flavor in my mouth (I now have a huge stash of tea varieties), and it counts toward my water consumption. I have found that I really look forward to sipping my tea, and I can watch some TV or read a book and not feel guilty that I am consuming mindless calories.

I will have a piece of paper on my refrigerator and every time I have a craving, I write it down. The deal is that on Sunday I can pick one thing from the list to eat in moderation IF I STILL WANT IT. I usually find that after a few hours the thrill is gone, and I can make a reasonable decision for a treat on Sunday. It's funny, but most of the time once I write the craving on the paper I can usually forget about it.

I will plan which days I would have a dessert. I am trying to focus on asking myself which dessert do I want to have on Saturday instead of focusing on what I am saying no to at the moment.

Is there a basketball hoop at the White House? There may be soon!

According to a WebMD article, the Obamas are very big on fitness and exercise. And, apparently the Commander in Chief's favorite workout is basketball...

The Obamas: First Couple of Fitness

Will the exercise program of Barack and Michelle Obama inspire Americans?
By Kathleen Doheny
WebMD Feature
Reviewed by Louise Chang, MD

The Obamas are making history, not just as the first African-American president and first lady, but perhaps also as the fittest first couple ever.

That role model, in turn, may inspire millions of sedentary Americans to get moving, exercise and preventive health experts hope.

Both the new president and first lady are regular exercisers, managing to squeeze in workouts despite their hectic schedules. It's difficult not to admire their dedication. When in Chicago, the new first lady was said to begin her day with a 4:30 a.m. gym workout.

Instead of kicking back and getting some extra sleep the day after he won the election, Obama showed up at his gym at 7 a.m. for a workout. The new president's washboard abs -- snapped by photographers during his Hawaii vacation -- rival that of a 30-something leading man in Hollywood.

Comparisons aside, it's clear that exercise is serious business for the Obamas -- and more about maintaining health and mental acuity than looking good.

"Barack is almost religious about getting in his workouts," says Alan S. King, a close friend of Obama's and an attorney at Drinker Biddle & Reath in Chicago. "He values his workout time as time to think and relieve stress. I'd say he's also driven by the fact that he wants to be fit and healthy to be around for Michelle and the girls [daughters Malia, 10, and Sasha, 7]."

Obama Exercise Program: The Routine

The new president's workout program would put many men half his age to shame. Obama, 47, combines his love of basketball with treadmill workouts and weight training, say those who have observed his workouts or played hoops with him.

Obama told Men's Health magazine in its November issue that his typical routine includes working out for 45 minutes, six days a week, including cardiac-strengthening routines and weight lifting. That's in addition to his famous basketball games -- played whenever possible and always on election days.

"He alternates days between strength and cardio training and gets in as much basketball as his schedule permits,'' King tells WebMD.

Irene Trantas, a master trainer at the Philadelphia Sports Club at Rodin, observed Obama work out on three different occasions when he stopped in while on the road. "You could definitely tell he has a routine, he works out, and he is familiar with the routine," she tells WebMD. During his stops there, he combined a treadmill run and elliptical trainer with weight training, including the chest press, overhead press, leg press and other conditioning exercises, she says. "He is strong."

Obama Exercise Program: What Keeps Them Moving?

By now, workouts have become an ingrained habit for both Barack and Michelle Obama, says Jim Cauley, a political consultant in Louisville, Ky., who managed Obama's 2004 U.S. Senate campaign.

During that campaign, Cauley says, "Everybody fought for his time. [But] he was adamant he got his workout time."

Even when the schedule was jam-packed. "His logic was always, 'The rest of my time will be more productive if you give me my workout time,'" Cauley tells WebMD. "I never worked out with him, but I can speak to his need for it."

The workout time got penned in, more often than not. "When he had a big moment in the campaign -- like a debate -- we always gave him time," Cauley says. "It was almost part of the debate preparation."

He kept up that same routine during his presidential bid and after he won the election. Last month, it was reported that he had gone to the gym for 90 minutes a day for at least 48 days straight.

Besides using fitness to stay in shape and help clear his head, Cauley thinks Obama saw it as valuable "alone" time, especially after he gave up driving himself to campaign events. "He had less time to himself," he says of those days after he had a driver. He thinks that made the workouts, especially the solo ones, even more precious.

The same seems true for the new first lady, Cauley says. "She used to get up early" to work out, he says. "The two of them are pretty methodical and very into working out." According to press reports, she gets in 90-minute workouts three times a week.

Obama Exercise Program: Obsessive or Not?

While some may wonder if the new president is a bit obsessive about his fitness, exercise experts say he's anything but, noting that he is following exercise guidelines.

Under current guidelines issued by the U.S. Department of Health and Human Services, adult Americans should strive for two and a half hours a week of moderate aerobic physical activity, and kids should get an hour or more of physical activity a day. The workouts should include not only cardio strengthening routines such as running, hiking, or brisk walking but also strength training for adults (such as weight lifting) and muscle strengthening for kids (such as rope climbing).

Less than 65% of adult Americans met those guidelines in 2007, according to a report published in December 2008 in the CDC's Morbidity & Mortality Weekly Report.

Calling the Obamas' exercise program excessive is incorrect, says Angela Smith, MD, an orthopaedic surgeon at Children's Hospital, Philadelphia, and past president of the American College of Sports Medicine. She points out they both do a mix of activities. They not only follow the recommendations for the suggested time, but have well-rounded routines including cardio and strength training.

"If someone is doing push-ups for 90 minutes a day, that's excessive," she says.

"I think he has a really good exercise program, one we should all be on," says William O. Roberts, MD, professor of family medicine at the University of Minnesota, Minneapolis, of the new president's routine. Roberts, a member of the American College of Sports Medicine, considers exercise as medicine in his practice.

"It's the cheapest, easiest thing to do [to improve health]," he says.

Following the exercise guidelines produces not only health benefits but other advantages, especially for high-powered people, says Gregg Miele, a Beverly Hills, Calif., personal trainer who has worked for singer Mary J. Blige and numerous other entertainment industry people. "I've worked with an artist who wrote his music in his head when he ran," Miele says. He suspects that Obama uses his workout time to problem-solve as well.

Obama Exercise Program: Will Their Fitness Habit Rub Off?

Colleagues who work out with Obama say his enthusiasm helps get them revved up about exercise, too.

"His dedication to it has inspired me," says King, the Chicago lawyer who often shoots hoops with Obama, "and hopefully his example will inspire many Americans to pay great attention to their health and fitness."

Exercise experts are hopeful that will be the case, too.

"Like it or not, they are going to be role models," says Angela Smith. "The Obamas have an incredible opportunity to influence fitness among adults and children." A good thing, she says, given the obesity epidemic among U.S. youths.

At the very least, observing the first couple's fitness routine may put the time crunch dilemma into perspective for the rest of us, others say. That Obama kept up the exercise routine throughout the grueling campaign is impressive, says Jeannie Moloo, RD, a Sacramento, Calif., dietitian and spokeswoman for the American Dietetic Association.

Seeing the first couple manage to squeeze in exercise will be a wake-up call, she predicts. "It will make the rest of us wake up and say we don't have much room for excuses as far as the time factor goes."

Miele agrees. People may look at the ability of the Obamas to fit in workouts, consider how much less stressful their life is in comparison to the leader of the free world and his wife, and conclude: "Maybe I could find the time, too."

Obama Exercise Program: No Role Model Is Perfect

Part of the Obama appeal, say the experts, may be that they are not perfect role models. The new president has been known to sneak a cigarette or two, a bad habit he says he will give up.

"He's got to get that cigarette out of his mouth," says Roberts.

He's been seen eating a cheeseburger or two, although his post-workout snack has been described as trail mix washed down by organic tea.

If Moloo were counseling Obama, she would suggest he eat plenty of antioxidant-rich foods to counteract the tobacco use.

As for the cheeseburgers? In moderation, they're fine, she says.

Hunger Control: Women the Weaker Sex?

From WebMD

Hunger Control: Women the Weaker Sex?

Women Less Able to Suppress Food Desire, Study Suggests
By Daniel J. DeNoon
WebMD Health News
Reviewed by Louise Chang, MD

Jan. 20, 2009 -- Hungry women can't control their desire for food as well as hungry men can, a brain imaging study suggests.

The finding may explain why women are more prone to emotional eating and why women are less likely than men to lose weight while dieting.

"Women have a much stronger reaction to food, such that whether they try to inhibit their desire or not, they have stronger signal [in the part of the brain that controls hunger perception and desire to eat]," study leader Gene-Jack Wang, MD, tells WebMD.

Wang, chairman of the medical department of Brookhaven National Laboratory, Upton in N.Y., and colleagues have been using state-of-the-art brain imaging to learn which parts of the brain are involved in eating behaviors.

They have previously shown that obese people are less able than others to sense when their stomachs are full. Recently, they have looked at what happens in the brain when a hungry person gets to see, smell, and taste -- but not eat -- favorite foods.

In some of these studies, they saw very strong signals in parts of the brain involved in emotional regulation and motivation. But in other studies, the signals weren't so strong. Wang suspected this might be because of differences between how men and women react to food.

So they tested 13 women and 10 men with PET brain scans. To make sure they were hungry, study participants fasted for 18 hours before scanning. And to make sure they were tempted, the researchers made the participants' favorite foods: bacon/egg/cheese sandwiches, cinnamon buns, pizza, cheeseburgers, fried chicken, lasagna, barbecued ribs, ice cream, brownies, and chocolate cake.

During scanning, participants were able to see and smell the food. They even got tastes, applied to their tongues with a cotton swab. To make sure they stayed tempted, researchers brought them new hot food every four minutes.

But subjects didn't get to eat until the 30-minute scans were completed, and only after they completed a quiz on their feelings of hunger, desire for food, and alertness.

Before their second round of scans, participants were asked to practice ignoring the food or shifting their thoughts away from it. During this phase of scanning, they were asked "to inhibit their desire for food and suppress their feelings of hunger."

That worked pretty well for the men. Their brain scans showed much less hunger-related activity when they tried to suppress their desire for food.

That didn't happen for the women, at least not as a group. Although some women were better than some men at suppressing food desire, overall the women's brains showed just as much hunger-related activity when they tried to hold down their desire.

Are the findings plausible? WebMD asked Rexford S. Ahima, MD, PhD, director of the obesity center at the University of Pennsylvania's Institute for Diabetes, Obesity, and Metabolism. Ahima is an expert in the brain circuits responsible for feeding behavior and body weight regulation.

"More and more we see there is a structural basis for why we eat the way we do. Maybe our brains are hardwired to predetermine the way we eat," Ahima says. "The interesting thing about the Wang study is that when they present food to people and ask them to consciously inhibit the urge to eat, men are better able to do it than women."

Ahima notes that the study only shows men to be better at inhibiting their brains' response to food. But can men really resist emotional eating better than women can? That, he says, will have to be tested directly.

Sex Hormones May Affect Hunger

Why do men's and women's brains respond differently? Wang and Ahima suspect that female sex hormones play a major role.

"There is a link between female hormones tending to promote weight gain and overeating," Ahima says. "There are some women who tend to binge eat in synch with their menstrual cycles. And look at pregnancy -- it makes some women overeat, but some do not. So while there may be overall differences in terms of gender, this may differ for individuals."

Wang suggests that women may have evolved to seek food more avidly than men do.

"There could be evolutionary needs for that, because women have a very important mission: They have to carry the baby," Wang says. "And for most of human history, you could never get enough food to eat. Now that's no longer a problem in developed countries -- but now this brain circuit is a problem when we are surrounded by attractive, high-calorie foods."

The solution, Wang says, is for people who find themselves unable to control their eating to keep filling, low-calorie foods close at hand.

"Our lifestyle now is so much different from that of our grandparents," Wang says. "Our jobs and our living status is very stressful. So when we see food we eat it, because we want to do something to compensate for our problems. Inhibition control is very important -- but if you can't have it, surround yourself with nutritious foods."

Wang's study appears in the Jan. 15 early online edition of the Proceedings of the National Academy of Sciences.

Biggest Loser update...

Some weeks, you can see it coming... You know what is going to be the outcome before it happens. THIS week was NOT one of those weeks! I honestly figured it was going to be Joelle going home! And, when it came down to it, the two below the yellow line were Joelle (silver team) and Damien (red team). Joelle had been asked point blank "do you want to be here in the house?" and she stalled and couldn't answer. The answer was obviously NO. She did not want to be there and this last two weeks made that clear. Damien very clearly wants to be there and has been working hard to bring his partner/fiance back after next week. But, when they went to vote, some of them still voted for Damien. It was a tie. And, as he had the lowest weight loss percentage for the week, he got the boot. In their clips of him and his fiance and how they are doing so far, he and she both looked great! They were having their engagement announcement pics taken and they looked healthy and very happy. I bet they make one heck of a showing at the finale!

New Kay's Products--$10 only through Sunday!

Just a reminder that the 4 new Kay's Naturals products are only on sale thru this coming Sunday!! Get a case of these 4 new items for just $10 each. Normally, $15 (with a suggested retail price of $19) for a case of 12 bags. That is a wonderful savings and a great time to try these new items!

The new items include:
hazelnut sweet protein chips
almond delight protein crisps
original flavor protein pretzels
sweet BBQ snack mix

And, don't forget that 20% discount code! You can save 20% off of your Kay's Naturals orders by using the discount code minichallenge when you go to checkout!

Tuesday, January 20, 2009

Stalls--How they work... What can you do??

In a current discussion over in the OH mini-challenge group, we're discussing stalls and what causes them and what you can do about them. I dug up this older post of mine from our YahooGroup and thought I'd share it here since it wasn't already here!

Stalls...
This is one of the truths of WLS journeys... You have the surgery and leave the hospital expecting to just melt away the pounds. Well, sometimes exactly that happens. But, not usually. Most of us experience several stalls along the way. Some lose slower just because they started out lighter and had less to lose. Others lose slowly despite starting at 300+ pounds. There is just no way to predict how you'll lose. It is, for this very reason, SO important that you measure your body! I just wish I'd measured before surgery so I knew where I truly started out. I had already lost 40 pounds by the time I measured! Who knows how many inches 40 pounds on a 410 pound body could have been!

You lose weight sort of like descending a stairway in a skyscraper...
You go down a couple of flights and then you hit a landing where you turn and prepare to go down some more. At some landings, there are doors to leave the stairway and stray from your path. The trick is knowing that you don't have to go through that door and that by just staying on the path, things will continue as they are supposed to. Many people hit a stall (or landing!) and just because they are not losing weight, they let their eating habits stray a bit and maybe eat things that they shouldn't and thereby stall even longer. Those that stick to their plan and don't stray eventually pick up and take off on the losing again. Too often though, someone who is at a stall takes the time to start logging their food/water/protein info and finds that part of the stall is their own fault! They are not eating enough or are eating too much of things they shouldn't. They are often not getting in enough liquids and protein each day. Then, when they adjust for those things, the losing takes off again!

For me, I lost 24 pounds preop on a 1000 calorie/100 carb diet to shrink my liver. I was not required to lose even one pound, but I wasn't allowed to gain even one pound either or they cancel your surgery and put you on a diet! How's THAT for incentive to do your best? So, 24 pounds down by surgery day put me at 386. I left the hospital at 391 thanks to IV fluids. Even starting out that heavy, at 2 mos postop, I was only down 40 more pounds and I stalled for two weeks. I did what SO many do--I freaked out! What if that was it? What if I never lost another pound? OMG!! Then, all of a sudden, I lost 5 pounds and it started again. By 4 mos out, I was down 100 pounds. Then I stalled for THREE weeks! And this continued. I would lose for a couple of weeks and then stall for a couple. By 7 mos out, I was losing only 4 to 8 pounds in an average month and some months lost only the week after my period. BUT, I lost 100 pounds in 2006 and 105 in 2007. I hope to lose at least 20 in 2008 and STAY at 185ish with no true hope of plastics to take care of this excess skin. If at some point in the future I can manage some plastics, I may eventually see a weight closer to the "normal" range for me (122 to 159 is the normal BMI for me). But, I'll be happy--truly happy--at any weight that starts with a ONE!

FOLLOW-UP, Jan 2009:
The above post was written in January 2008. I hoped to lose 20 pounds in 2008. I did not. I am still, all these many months later, maintaining between 202 and 207. Am I okay with it? Yes and no... Yes, if I can stay at this weight range for the rest of my life (without plastics), and not do so via vigorous diet methods, then I am happy. I look and feel TONS better! But, if I am unable to maintain and stay here for the long haul, then I am not sure what I'll do. I wonder at times if my stoma isn't stretched as I know I can eat more than I expected to be able to... But, I"ve not pursued that in any way at all either. I eat sensibly. I get my protein and liquids in. I'm not doing a huge amount of exercise. Some days, I must admit that I didn't exercise at all other than taking the stairs and parking farther out, etc. But, even when I do pursue a period of regular exercise, it seems to make no real difference and I seem to stay in this same old weight range. I go as high as 212 to 214 once in a while the week before my period, so I know that it is probably water weight and munchies that I can try and blame on good ole' aunt flow. But, I also know that the munchies thing is in my control too. It seems that the weight just suddenly disappears a couple days after my period ends though, so I've not really stressed over it either. What can I do? Not much other than sticking to the rules for the most part. What should I do? Kick my own ass in gear and start exercising regularly and being religious about my daily food plan. Will I? Probably not.... And, I blame part of this complacency on the fact that I can maintain by just doing what I am doing... Ugh! I hope it lasts!

Sunday, January 18, 2009

Recipe: Butter Pecan Cookies with Protein

This recipe is a revision of my oatmeal/choco chip/pecan cookies with protein. (click that to see that recipe!) Both recipes are a revised version of Quaker's Vanishing Oatmeal Cookies recipe that is found on the inside of the lid of a tub of Quaker oats! These butter pecan cookies are yummo and NO one can tell they are not a sugary cookie! Granted, they are not sugar free, but they are lower sugar and totally yummy!

Butter Pecan Cookies with Protein
1 1/2 cups (3 sticks) margarine (I use light Blue Bonnet)

3/4 cup brown sugar (not Splenda brown sugar, just brown sugar--I've already changed it!)
1 1/2 cups granulated Splenda
3 eggs OR 3/4 cup egg substitute
2 tsp vanilla
1 1/2 cups all purpose flour
1/2 cup almond flour
2 scoops Unjury unflavored protein powder
2 tsp baking soda
2 tsp cinnamon
3/4 to 1 tsp salt
4 cups oats
11 oz bag butterscotch baking chips OR 1 cup butterscotch chips and 1 cup chocolate chips
6 oz bag chopped pecans (about 1 1/2 cups)

Blend the margarine, brown sugar and the Splenda. Then add the eggs and vanilla and mix again. In a separate bowl, combine the flours, protein powder, baking soda, cinnamon and salt. Mix those really well and then add to the wet mixture. Mix well. Then stir in the baking chips and nuts. Once those are well distributed, add the oats but add like 3 cups and then add more till you get a nice thick mix that isn't terribly wet. It usually takes 4 cups, but I've used as little as 3 1/2.

These bake at 350 for 10 to 12 minutes. Store in cookie jar, tin, or just a rubbermaid or tupperware bowl with lid. This recipe makes about 40-48 large cookies (2 1/2 to 3" in diameter). Each cookie is about 150 calories, 18 carbs (2 fiber) and about 4 grams of protein when computed using pecans as the nuts.

NOTE: If you choose to make these cookies withOUT the protein powder, you must add in 1/2 cup of flour (of your choice) to make this recipe work! If you don't have the almond flour, you can use another flour (spelt, whole wheat, etc) or use another scoop of protein powder and 1/4 cup more all purpose flour.
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