Tunes for Tuesday: Prayer in C, by Lilly Wood and the Prick
Tunes for Tuesday: Careful, by Kami Thompson

Just when I thought I was out ...

Ha, ha -- just a little funny for those of us in the throes (maybe? who knows?) of perimenopause. 

But, hey, at least the 2 months of PMS cravings are gone -- silver linings!

The hormonal roulette wheel really messes with my appetite and cravings, so I just made an appointment with a registered dietitian who has, as one of her specialties, hormonal imbalances. 

A couple years ago, I applied to be on the Lifetime show "Mission Makeover," and while I didn't make the final cut, I've continued to watch the show, which is filmed in my neck of the woods. Meryl Brandwein is the nutrition expert on the show and I like her approach so I'll be seeing her on Thursday morning.

The appointment with the dietitian stems from my yearly physical last week. My doctor and I talked at length (yes, I get to talk at length!) about weight and health, and while he says I'm "perfectly healthy," he understands that I really, REALLY want to get this weight off. I told him all I want to do is get below 200 (so 30-something pounds), and he assured me that I can do it.

But he knows first-hand how difficult losing weight can be -- he once weighed over 330 pounds and lost weight only after having gastric bypass surgery. And while he has gained back some of the initial weight that he lost, he's nearly 100 pounds lighter. 

For him, the only way the weight comes off is to spend a couple hours at the gym six days a week and slash calories. But that's him -- he doesn't ascribe to a "one size fits all" approach to weight loss, which is why I like going to him. I have "fired" doctors in the past who glibly told me to "just push away from the table" and other such nonsense.

Why's it nonsense? Did you see THIS article last week? In a nutshell (mmm, nuts ...):

"Once obesity is established, however, body weight seems to become biologically 'stamped in' and defended," wrote Mt. Sinai Hospital weight management expert Christopher N. Ochner and colleagues from the medical faculties of the University of Colorado, Northwestern University and the University of Pennsylvania.The human body, evolved to endure through periods of food scarcity, has adapted a host of methods to ensure that lost weight will be restored, the authors say. It will respond to weight loss by powering down its use of calories as fuel, pumping out hormones to increase hunger, boosting fat storage capacity, and tricking the brain to demand overconsumption.

Some of my Facebook friends posted this story and found it depressing. I'm long past that feeling. Instead, I found it fascinating (because, science!), and when I saw my doc, I pushed a printout of the article into his hands and said "OK, how do we get past this?" He said with a laugh: "Surgery." But he also said that I don't qualify for surgery (I'M TOO SKINNY for that -- my words.)

image from www.todayifoundout.com
This year, baby.

So I need a solid plan. Because, people, THIS IS HAPPENING THIS YEAR. (Whoo! Made myself giddy just typing that.)

He told me, though, that for any program to really work, it should be supervised, and I agree. I'm not really good at "winging it," which is what I've been doing the past week after leaving Weight Watchers. I told him I had dropped the program because it wasn't working for me, and he agreed -- if it's not working, find something that does. 

So I'm hoping my meeting with the dietitian can produce a plan to circumvent my homeostasis and get the excess fat off.

I'll report back Friday. Now, if you'll excuse me, I need to fill out a 20-page health questionnaire.

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