So after the ultrasound of my gallbladder came back negative, my GP continued to discuss my weight issues and as usually it just went in one ear and out the other. More blood work was done and the liver enzyme levels were still high. If my gallbladder was not doing it what was? My GP suggested that I have a biopsy done and see if there is something else going on like fatty liver disease.
Lets just say that a liver biopsy is the second worst a woman can go through besides a breast biopsy. The results came in that I had the early stages of fatty liver disease. For those interested, it is very similar to cirrhosis and if I did not make some changes it was just going to get worse and eventually I would have needed to have a liver transplant. Nothing like having an issue with your liver and it is not related to DRINKING!
My GP recommended I see a lifestyle doctor about the issues and see if they can help me lose the weight I needed to and bring the liver levels down at Northwestern. I made a few phone calls to schedule an appointment, and let me tell you that is not an easy feat! The doctor I currently see you need to book 2 or 3 months in advance, but she is WELL WORTH IT!
The first time I met Dr. Neff I thought she was just going to beat me over the head with everything in the fatass book you could think of. It is rather embarrassing when you walk into her office and see a chair that you and another person could share. Of course at that time I could still share the chair with another person.
I thought of every excuse possible that I could tell the doctor as to why I was so fat, but nothing made sense as they were not excuses, they were facts. I rarely ate on the weekends, and when i did it was always late and I would stuff my face until I was ready to explode. I do not eat breakfast and sometimes was known for skipping lunch due to work being so busy at the time. I was lucky if I had three square meals a day! When I hear people say they snack and eat about 5 meals a day I about fainted.
When I explained these things to Dr. Neff, she wanted me to count my calories I consumed in a day. Seeing as every website had a different way of calculating calories I gave up after 5 days. One way would put me at just the right amount, another had me over what I need to take in, and the last one had me under what I should be consuming. This all confused me so much.
Upon my return to the Northwestern Lifestyle Medicine department, I told Dr. Neff my findings and we decided to try changing my diet, exercising more and seeing where I was in a month. Nothing changed. I was more active as I was seeing a chiropractor for my flattening feet, knee and hip issues. I also found that my neck and back is so fucked up I could not believe I wasn't in more pain.
So aside from upping my daily cardio and adding Just Dance to my routine, I was not seeing the chiropractor for physical therapy as it was necessary if I wanted to get my orthotics. The physical therapy was ok, but was not doing anything for my hips, knees and feet. Once the orthotics came in and I wore them for about 2 weeks I started to notice I was not having all the pain in my hips, knees and feet. A miracle compared to the cortisone shot my orthopedic gave me that did nothing.
Now that I was literally up and running, I felt like I could take on the world. After a month I went back to see Dr. Neff, explained to her what was going on, and there was still no change in weight. I felt like nothing I was doing was helping my cause. The only good thing was the liver enzyme numbers had decreased back to normal, and I did feel like I was on the road to recovery.
Dr. Neff wanted to know what why goals were when we met at this point. I felt my goals were to get back under 200 lbs and be able to do some hiking while I was in Hong Kong in the fall. I wanted to be able to say that I was able to see that I was unhealthy and took the steps to making myself a little better. I did not plan on what was to come, but I am happy that it happened.
Dr, Neff gave me some suggestions the last time I was in to see her on medications and that if nothing was changing we could go that route. Well seeing as the weight did not change I opted to go for the drugs. Anyone that knows me, knows that I am the one that will take an Advil only when the pain was too excruciating to deal with, or will fight through it until there is no turning back and you need to take meds.
I was told about my options with medications like Phentermine, Topiramate, and one that was about to get FDA approval called Qsymia. We opted to try Phentermine and see if this would show any signs of a change with me. I was told to expect about a 5% weight loss, which was normal, and that if I plateaued I could move up in dosage or try one of the other medication Dr. Neff suggested.
I now know why anything with ephedra in it was taken off the shelves. That shit is not something you want to fuck with unless you are under the care of a physician!
Skinny Girl In The Fat Girls Body Part 3: The Wonderful World of Phentermine
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