Getting Back on Track

I did not fare well over the last two weeks, and I now feel like I am an alcoholic or drug addict who fell off the wagon (yes, this is a dramatic comparison, but there are more obesity-related deaths/year than alcohol- or drug-related). It all started last Saturday (as in eight days ago) when I partook in a poker game. I got one too many helpings of the delicious pasta made by the host, drank two too many Guinness-es, and then let it continue into Super Bowl Sunday (there were wings and wonderful cheese/sausage/greasy dip). While the choice of diet since then has been suitable, I fell into the old bad habits of terrible portion control.

Here's the damage: my current weight is now 244.6; this is up one pound from two weeks ago. I will keep things in perspective and acknowledge that I am still down 11+ pounds since January 3, but I am also going the wrong direction.

The old adage of calories in, calories out holds completely true. The only way to lose weight is to burn more calories than you consume, and 3,000 calories of net burn is about a pound. Portion control is my struggle with calories going in (I don't necessarily crave bad-for-you-food, but I am capable of eating way more of the healthy stuff than what is considered...well...healthy), and my broken body (injuries include multiple bouts with tendonitis, only have ~1/4 of the cartilage remaining in my left knee, and stress fractures in my foot and back) is a huge limitar in how I can work out (no running, I have to watch the weights, and even the elliptical is hard on my back).

To address portion control, I have to measure and document everything (something I haven't done in a week-plus). I can't trust my body to make the right decision on how much food I can eat, and instead I have to log everything. As for exercise, I'm moving to the pool. This will be a first for me, and I am going to try this workout. It's like a couch to 5K, but instead it is a couch to one mile. Wish me luck!

Holy Ceviche! I'm Down Another 2.2!

After a lackluster drop from last week, I'm back on track. Not that I should really complain about .6 pounds per week, but 2.2 pounds in the last seven days feels pretty great. Here are the numbers:

• 256 - Starting weight on January 2
• 246 - Weight on January 22
• 242.8 - Weight on January 29

Not only is dropping 12.2 pounds in less than a month a pretty good feeling, but being able to do it while eating great food is the best. For example, take a look at this:

While I can't take credit for doing anything beyond choosing fish, I can take credit for...well...eating delicious ceviche. For those culinarily-challenged, ceviche is (at its most basic form) raw fish cooked in citrus. It's cool and slightly scary all at the same time: the acid from the citrus cooks the fish. Delicious, delicious citrus fish.

Here's the recipe (this served two of us):

• 4 limes worth of freshly squeezed lime juice
• 1 lemon worth of freshly squeezed juice
• 1/4 cup of grapefruit juice (from the bottle)
• 1/4 pound of scallops
• 1/4 pound of shrimp
• 1/4 pound of tilapia
• Cilantro
• 1 tablespoon olive oil
• Red onion
• 1/2 Avocado
• Salt and pepper

Mix everything together (again, put the scallops, shrimp, and tilapia in raw) except for the avocado, cover it in plastic wrap (make sure there is no air between the food and wrap), and let it sit about an hour in the fridge. Take it out, and add the avocado just before you eat it. This whole dish is only 320 calories. If you don't like avocado (which I have no idea how one could not like avocado; yes, I'm talking to you, mom) that will save you 80 calories.

By the way, here's the main dish (clams marinara over penne pasta):

Depending on the pasta, and assuming put the proper portion on the plate (note this is a small plate), I ingested ~300 more calories.

As a guy who has a very difficult time with portion control and saying when, I go out of my way to ensure that every morsel that enters my mouth tastes as good as possible. These dishes are proof positive that great food does not have to be a diet-killer.

Bon apetite!

Three Weeks, Ten Pounds

Only 20 days into eating right again, and I am already down ten pounds. Here are the key numbers:

• Weight: 246 lbs. (I started at 256)
• Neck: 18" (down 1/4")
• Waist/Girth: 47" (same)
• Hips: 42" (same)

Slow and steady wins the race, and I foresee similar week-over-week losses going forward (.5 - 1 lb./week). Also, I am really looking forward to my dress shirts loosening up further around my neck (I have to wear a tie to work four days/week).

Aside from this minor update, I really don't have anything to add. Next up: time to get back in the gym.

The Sweet Potato

I love sweet potatoes. And as posted in one of my classic blogs, they can serve as a healthy alternative to less nutritious options (the sweet potato French fry is one of my favorite foods in the world, especially when dipped in Gulden's brown mustard!). In fact, this evening I was stumped on what to eat and whipped up a chicken breast, sweet potato, mushroom, and Old Bay stir fry. It was simple, nutritious, and healthy.

The nutritional content of a sweet potato is pretty amazing. In just 103 calories you get 4 grams of fiber, 2 grams of protein, and only 24 grams of carbohydrates. Fiber and protein help keep you full, and the carbs are low enough that it helps keeping you from over-consuming (not that I am promoting low-carb diets; carbs are energy, and you need energy to burn fat, but unused carbs also turn into sugar, which in turn becomes fat). As an added benefit, this medium-sized sweet potato also gives you a third of your daily vitamin C and four times your daily required vitamin A; both nutrients provide improved immunity.

Be sure to love your sweet potatoes.

Another Weigh-in & Scary Mortality Data

Weigh-in Success

Another week, another weigh-in. This week I'm at 246.6. Note that I bought a digital scale to replace the crappy Ikea analogue one; while I don't expect the difference in how it weighs to be huge it likely had a slight impact of around 1-1.5 pounds in apparent weight loss. Either way, I am still on the downward path, and I'm loving the progress. Clothes are already starting to fit a little better.

I also want to brag a little bit on how I handle these last couple of days. Friday night Libby and I ate out dinner, and I budgeted for it throughout the day (and, in turn, I did not exceed my calorie budget). I also had a day-long event with ridiculous amounts of meats and alcohol around me; in the end I allotted myself to 3-4 drinks in a 12 hour period and normal quantities of food. I think I deserve a gold star, especially because those who supplied food were amazing cooks (there was a whole suckling pig!).

Scary Stats Time

As I've mentioned in the past, I work in a hospital. I have been in health care for nearly four years, and my previous employer was a health care research and consulting company. Not only has this shaped my opinion of not being all that scared of Obama-care (read the bill; there is actually some good stuff in there), but it has also developed a consistent focus on health care policy issues.

The first group of stats that came out last week originates from the Centers for Disease Control but were reported to me from my previous employer. Ten of the top 15 causes of death in the U.S are now at least partly preventable disease (including the top four). Diet choices directly impact heart disease, likelihood of getting cancer, stroke susceptibility, etc.

The second study I came across (also from my previous employer) is completely in line with my near-obsession with personality profile and books like Now, Discover Your Strengths. An individual's personality appears to drive what type of eater s/he is. The cool thing is the more we understand how personalities tie to eating habits the better the treatments can be created to help those of us who have problems controlling our eating habits.

Finally, and most depressingly, bacon and sausage are being tied to pancreatic cancer. Noooooo!!!!!!!

Tobacco Tests for Employment

I know this topic isn't specifically about my weight loss journey, but it is directly related to health and wellness. The first I heard of an employer not hiring individuals based on their decision to smoke was the Cleveland Clinic. Their CEO takes health issues very seriously (going so far as saying "If I could, I would not hire obese people"), and since 2007 they have had a non-smoking policy for new hires and residents (this, of course, is a simplification of the full policy). Without a doubt, the Cleveland Clinic is a national (if not world) leader in health care delivery, but do they go too far with this policy?

In full disclosure, I enjoy the occasional cheap cigar and have been known to share a hookah amongst friends. In spite of these unhealthy indulgences, I am torn on whether these policies are ethical. On one hand this is an issue of personal freedom. On the other hand there is a pragmatic realty that tobacco-related disease is a huge drag on health care expenses (and in turn health insurance premiums).

The Cleveland Clinic can also claim they are a health care delivery system, and they have a duty to create a healthy community (community wellness, by the way, is a key concept in Accountable Care Organizations, a big part of Obama-care); how better to start on improving the health of its own community than by looking within? If health delivery organizations get a free pass, what about other companies such as Wal-Mart offering discounted health insurance for non-smokers?

I love a good policy debate, but that is not the purpose of this blog post. It is to illustrate that companies are becoming wiser to how an individual's choices impact their annual insurance premiums. It is hard to blame them, as it now costs on average $5,429 per individual and $15,073 per family per year for employee-provided health insurance (compare that to the $100/month you are putting in, and think about how much the employe needs to make up).

How do we bend this cost curve? There are a lot of issues in our very inefficient (and comparatively ineffective) U.S. health care delivery system that need to be addressed, but one of the top four drivers in health care costs is the management of chronic disease (diabetes, heart disease, etc.). Knowing that money in and of itself will not drive a long-term change in behaviors (unless, of course, you are in sales or banking), the cost of not taking care of myself today is a driver in the change of my behavior. Simply put, I don't want to pay for blood pressure, arthritis, or diabetes medication when I have the ability to avoid it.

I suppose at the end of the day I would honor my employer's policies. I do question the long-term effectiveness of the heavy handed approach, but if it saves a few lives and makes the insurance risk pool less expensive it could be considered a success.

Budgeting for Beer

So tonight is quiz night at the local watering hole, and a couple colleagues and I started attending just last week. Given I was just starting on my healthier diet during opening night I took it easy and had a double of Jamison (Jamison is roughly 80 calories/shot); as I alluded during an earlier post the first week on a new diet consists of your body's metabolism fighting against your blood sugar levels.

Now that I am past this phase I can finally enjoy a couple of beers this evening. I will be drinking diet beer (specifically Guinness, which has very diet-friendly nutritional content), and I am allowed to have two over the three hour period. The only reason I can do this is because I budgeted for the calories; that is, I knew when I woke up this morning I was going out tonight and adjusted my daily meals accordingly. This would not be possible (and done right!) without tracking everything that I eat throughout the day.

Cheers to balancing good help with frosty beverages!