The nausea is not great. And the vomiting is even worse. And the breaking up with carbs is certainly the ABSOLUTE WORST.
I am proud to say I am down 5 pounds from last week and am at the lowest weight I have been in years! I am down 27 pounds from this time last year! While all of the things I have been going through have been very tough, I have found that writing more frequently to YOU has made me stronger and more accountable.
As I type this, I realize I was so hungry today I forgot to take a pic of my low carb lunch today for Instagram – but I have been posting a lot more of what I have been eating which has made me even more accountable.
I am sure you can agree…seeing results from working hard is the absolute best feeling. It keeps you motivated and helps you believe again in what you are doing. For me, I know that a drop on the scale means wonderful things for all my other levels which will make my Endocrinologist appointment next month that much more successful. This has been one hard journey with no end in sight, but as they say:
Here is what I did well this week:
- Food journaling – of all the things that have worked for staying low carb, the food journal has by far helped me have the most success. It has really helped me keep track of how I am doing and has really translated into results.
- Delicious breakfast found – Since I have not been eating eggs for personal reasons and I need to stay low carb, I have been really struggling with breakfast options, especially on-the-go breakfast options. I started trying Luna Bars which keep me under my 30g of carbs/meal limit. They are delicious, good for being on-the-go, and low carb. I am pleased to say they help me kick-off my day the way a good breakfast should.
- Stayed Low Carb, even when it was tough – Of course there were some exceptions with Halloween, but all in all I really watched what I ate and made low carb choices. I have found ways to splurge (like Popcorn or grapes), but splurging in ways that do not completely destroy my carb count for the day.
Here is what I can work on next week:
- Exercise – a lot of this has to do with the fatigue and nausea I have had, but exercise just has not been happening. I have been trying to walk more around work (which is saying a lot – it is a big campus), but there is certainly room for improvement
- Booze – While I have cut drinking out during the week for the most part, I really want to cut back on weekends too. As I get older, I have noticed many of my friends are transitioning from our binge drinking 20s to enjoy a nice glass of wine 30s. And there is nothing wrong with that. We are going to a wedding this weekend, so it will be interesting to see if I can keep this goal…but I will try!
- Manage emotions – I had a bit of a breakdown at work this week…my first since starting this new job 6 months ago. This team is all about sharing frustrations, but I have always been more poker faced in the workplace. I think like most things, there is a happy medium…which I will be working hard to achieve. Like all workplaces, negativity can snowball very quickly, so it is important to me I don’t feed into any negativity around me and continue to identify myself as a positive person…no matter what.
So here is to positivity…and hard work…and being a bad @$$. Cheers to that.
Halloween weekend is certainly a TRICKy time for those of us counting carbs. My stomach has been pretty upset lately from the meds, so I did not really do any drinking this weekend, but I certainly got back together with carbs for a Halloween rendezvous. I don’t know about you, but I feel like if I do not let myself enjoy holidays when everyone else is, I go crazy. It is hard enough to order the salad when everyone else has pizza on a normal basis…so I give myself some breathing room for holidays. That being said, I had some chips, bread, fries, and did not go protein style with my turkey burger because…R.I.P DIET for this weekend. I will say that I tried to make healthier choices (i.e. wheat bun instead of white) and I also feel back in love with one of my favorite healthy snacks…red bell peppers with salt and pepper. SO good. SO healthy. All that being said, I certainly did not stick to 110g carbs per day. I am pretty sure a handful of fun sizes helped with that.
But now it is time to get back on track. And even though I am feeling especially irritable today (maybe it is just Monday, maybe it is meds, who really knows for sure…), I have been pretty good at staying on track. It is pushing 4pm and as I type I am snacking on cherry tomatoes and seeing that I am at 48g carbs. I said no to California Pizza Kitchen with co-workers. No to the Indian station in the cafeteria with rice and garlic naan bread. No to ALL the extra candy around the office. I am really trying to commit.
To top it off, I got a slow cooker done before going to work and will see if it is a good one tonight. Definitely staying low carb for this meal…and there is something about having dinner already done as I drove in for work that made me feel ready for anything.
So yes, I am irritable. Yes, I miss carbs. And yes, I really don’t know how I have been so good today. But I have been…and even though this lifestyle is overwhelming, I am living one moment at a time. And in this moment, these cherry tomatoes taste REAL GOOD.
Here’s to a good week!
Even though it has been pretty rough dealing with the nausea and vomiting caused by my medication, I am proud to say I am down 3 pounds this week! I am down 8 pounds in the past month since last visiting my Endocrinologist and being focused on doing all I can to reduce the amount of medication I am needing to take.
Things I did well this week:
- Since dealing with the medication side effects, I have been drinking significantly less. Not only has this made me feel better, but I believe it is a big contributor to the weight loss
- It has been a goal to get back on track with exercising and I am proud to say I got in 4 workouts in the past week – mostly walks or hikes with the dogs. It has been very peaceful to be outdoors and has also been a great workout
- Medication has been a challenge for me because quite frankly, I get tired of 8 pills a day and 1 shot per week. Before my last appointment, I had decided to skip doses because I was simply exhausted from taking so much medicine. This past week, no matter how tired I was, I stuck to my medication. It has not been fun, but I know how important it is. My doctor put it into pretty hard to ignore terms for me…he said, “Either don’t take your medication and live to your 50th birthday, or take your medication and live to your 90th birthday.” I choose 90, thank you.
- Even though I vomited nearly every day, I stayed active and positive. I understand the nausea and vomiting are side effects that I need to deal with for now, but I have refused to let them stifle my time or activities with friends. There have been some really hard days where it was clear to those around me I wasn’t feeling great, but I am proud of myself for getting up and getting out instead of wallowing in bed.
Opportunities for improvement:
- Since dealing with being sick, I have been downing saltine crackers like it was my job. A lot of days, this is all my body can take after the medication along with Sprite (at least it is Sprite Zero with less sugar). I do not eat much meat, but my typical fish that I would order to stay low carb has not been appetizing to me at all. With meat not really being an option, I have eaten more carbs than I should like Pad Thai noodles, corn tortillas, or egg rolls. I definitely want to be patient with myself, especially since weight is still coming off…I just know these carbs are not the best for me and make it hard to stick to 110g of carbs/day that my doctor prescribed.
Goals for next week:
- Next week, I start a new job! I am very exciting for this opportunity…it really is a dream come true for me. While at the new job, I want to be sure to get up and workout…starting this new chapter the right way with the 20 minutes of exercise my doctor prescribed.
- Stay positive – I tend to worry about things I should not and as I start this new role, I want to be as positive and upbeat as possible. No matter how I feel or what may creep into my mind, I will be confident and positive.
- Stay on track with my 110g of carbs a day goal. This will be hard because I am going to a music festival this weekend, but I will definitely try. The same goes for my medication.
How did you do this weigh-in Wednesday?
I came across this great info on how to boost your metabolism and thought it was worth sharing. Some of these things surprised me, especially the being sure to eat enough. For people like me on Low Carb High Fat (LCHF) diets, it definitely is not about restricting your food intake, it is about eating enough of the right things for your system.
Did any of these items surprise you?
Day 1 of medication and so far, been nauseated and even vomited…in my work bathroom. Luckily, I was alone…the last thing I need is co-workers thinking I am pregnant! Even though it was rough, I will say I am in much better spirits today. I know the nausea means my body is responding to the medication which means I am that much closer to being healthier.
My hope is this blog helps people going through similar circumstances. I figure whatever I am researching to get through battling PCOS and Insulin Resistance can also help many of you.
So today’s research…how to fight nausea and keep on keepin’ on.
Here are some important things to keep in mind. Reading this made me feel like I wasn’t alone and although this isn’t fun…it is a very common side effect:
- Many medicines can cause nausea or vomiting.
- Nausea or vomiting from a medicine is not an allergic reaction.
- For most people, the dizziness and mild nausea caused by pain medicine often goes away in 1 to 2 weeks
- If your provider recommends that you follow a regular routine to prevent nausea and vomiting, do not wait until you are severely nauseated or vomiting to start the routine. It is much easier to prevent nausea and vomiting from happening than to treat it after it has started.
- If you have nausea or vomiting, your provider can prescribe medicines to lessen these side effects. If those medicines don’t reduce your nausea and vomiting, your provider might change your pain medicine so you have fewer side effects.
Call your provider or the consulting nurse right away if you have any of the following:
- Nausea that lasts longer than 24 hours
- Vomiting that lasts more than 4 hours
- Blood in your vomit
Things you can do to help prevent nausea and vomiting:
1. Take it easy for the first several days after you start an opioid pain medicine for the first time, or when your dose has been increased. I am definitely not cancelling my sushi double date tonight, but will be mindful of how much I drink and eat.
2. Take your medicine with a meal or small amount of food. You can also take your medicine with 1 to 2 tablespoons of antacid to help coat your stomach. I definitely did not do this and I think this was part of the problem
3. If you have bloating that makes you feel sick to your stomach, make sure you’re having regular bowel movements (infrequent bowel movements can make you feel bloated.
If you continue to have nausea or vomiting after trying the things listed above, your provider might prescribe medicine to help treat and prevent this side effect. To make sure you get the right medicine to help with nausea or vomiting, tell your provider the following information:
- Describe the side effect – is it nausea, bloating, dizziness, or vomiting?
- When does the side effect happen – constantly or within an hour of taking your medicine? o When was your last bowel movement?
- Have you taken your medicine with food or on an empty stomach?
They say knowing is half the battle…here’s to hoping!
an act of traveling from one place to another.
Over the last couple of weeks, I have developed false faith that I was better. I convinced myself that December’s visit to the Endocrinologist was so good, that I could get back together with carbs on a regular basis. I have been evolving my diet the way I have in the past…after months of being good, I believed I was on the right track and could afford eating the way so many people around me do indulging in carbs on a regular basis.
I was wrong. Very wrong.
This morning’s appointment was eye opening. When I started this journey back in November, my testosterone level was at 90. The healthy rating for a woman is 30. If I did not get treated, I was on a path to have heart failure. In the next decade. After starting this blog and staying very disciplined in my carb breakup, I got my testosterone level down to 53. This gave me false comfort to allow carbs to creep back into my life…first, when I was stressed. Then, on the weekends. And ultimately, whenever I felt like it. My testosterone level was at 56.
My Endocrinologist is one of the kindest, most talented people I have ever met. Today’s appointment would have been terrifying if it wasn’t for his sense of humor, open dialog, and genuine concern he has for me and all of his patients. Even with his skill and kindness, today was still a very scary wake up call.
I shared with Dr. Marcus that I have been exhausted. I was exhausted from staying on the diet and feeling so limited. Exhausted from taking so many pills every night. I admitted that I have not stuck to 110g of carbs today, had not been regularly exercising 20 minutes a day, and even have been skipping medication on days I am over taking pills. Admitting all of this to him was obviously imperative for him to help course correct, but more importantly, it caused me to be honest with myself.
In addition to staying on track with my carb breakup, Dr. Marcus made the following adjustments to treat my Insulin Resistance and PCOS. Every case is different, but here is how we are approaching my journey to health:
Increased Metformin from 500mg to 2000mg.
I am not happy to take 4 times as many pills. (larger pills are available, I am just not a strong pill taker). I have read various posts from many of you about Metformin side effects which had not really been bad for me before. I will be interested to see how side effects progress with this higher dosage.
strong>Exercising 20 minutes a day is imperative. Time to look back at my tips to wakeup in the morning and exercise. The epic battle with the snooze button will continue.
Now for the newest and for me, the scariest change. Once a week, I will now need to give myself an injection. For those of you that have been following my journey, you know that I am terrified with needles which is why the Glucose Tolerance Test was so difficult for me. Each week I will be injecting myself with Tanzeum. My doctor was very open to discussing this medication and we decided it would be the best thing for expediting a cure for my PCOS and Insulin Resistance. I will admit that when he mentioned this, I hit the cap on holding in my emotions. It was hard enough to hear that if I did not get my diet and health in order, I would likely not make it to my 50th birthday in 20 years. Then learning that my results needed pushing and it was time to introduce injections…I lost it in his office. He kindly listened and coached me through how to use this prescription. I was shaking in fear to give myself my first shot…but I did it. I really did. I feel braver and stronger for being able to do this. As much as I hate needles, I will do whatever it takes to be healthy again. For those of you interested in learning more about this prescription, check out this
SPOILER ALERT: This post contains the whole truth and nothing but the truth on how the last week and a half have gone.
Having PCOS and Insulin Resistance is hard. As in VERY hard. The last couple of months I have tried to be positive. I have followed the rules the best I could. I try to look on the bright side and take each day with a new level of faith. But it is hard and I have not been doing well.
Sticking to 110g of carbs a day is pretty hard. Especially when you work in an office where there are free carbs around you everywhere and cafeteria options that are hard to ignore in all their carb filled glory. It is hard to ignore the free bread or tortilla chips on a table when you go out to eat and your friends are enjoying the carby deliciousness. It is hard to not take the easy route with food…so many carb filled options are typically the easiest to get when you are in a rush.
And the ovulation. Every 10-14 days. I mean…come on. The cramps, nausea, and exhaustion have been out of control causing me to crave even more of what I shouldn’t eat.
If all this isn’t enough, I am in a new role at work that is BRAND new to me. While it is exciting to learn something new every day, it is also exhausting. I find myself more insecure than I have been in a long time wondering if what I am doing is right. I am working so hard to please everyone and exceed expectations. All while fighting Insulin Resistance and PCOS.
I wish it would all just go away and I can do what I have done in the past…if one diet doesn’t work, choose another one. But that is no longer an option. Insulin Resistance and PCOS are real which no way around them.
So if I can’t go around these challenges…I need to keep fighting and find a way to go THROUGH the challenges. While the last couple weeks have been so hard, I know I am a fighter and I know I will get healthier. Now time to go meet a friend for dinner and ignore the free bread…