As soon as I knew I’d need liver surgery, the first thing I thought about was wanting to lose weight before surgery. I know that at a lower weight the surgery will be easier and I’ll have a smoother recovery. Needing to be at a lower weight for surgery is why 11 years ago I did the RFO diet at UCLA. It was more important then because I was having joint surgery, but it is just as important now.
When I got sick, I dropped weight super fast. It was almost scary how fast it was going down and for a while I thought that trend would stick. In a matter of a week or so, I was down over 20 pounds. And even when I started to add more normal food into my diet, my weight seemed to be steady. I wasn’t necessarily losing weight, but I wasn’t gaining it either which I was expecting. And for a while, that was how it was and I thought it would be.
With the idea of surgery coming up, I had a number in mind that I wanted to get to in my weight loss. At the rate I had been losing weight, it was going to be a super easy goal. At the weight I was at, if I was losing 1-2 pounds a week it was a very possible goal. So I had no reason to expect that it would be an issue to get to the number I wanted to be at by April.
Now that I’m just over a month away from surgery, I’m not close to that number at all. In fact, I’ve gained a bit of weight back from that big weight loss back in the fall. It’s not a lot of the weight (only about 6 pounds), but it’s still so frustrating. I’m so mad at myself because I know this is my fault and that I have only made things more difficult on me and the surgery. I had no reason why this had to happen, but of course my eating disorder had other things in mind.
At this point, the number I had in mind is pretty much impossible unless I take unhealthy measures to lose weight. I will not do unhealthy things because I know they will backfire on me and I’m not willing to do that to myself. I can only try to do my best to get back on track and to be at the lowest weight I can safely get down to by surgery.
I’m trying to be hopefully that I can get closer to the number I had in mind than I am right now over the next few weeks. Realistically, I think the most I could safely lose would be 15 pounds. But I think that will be a stretch and difficult. I am doing what I can to keep my eating under control, but sometimes it feels like my food is the only thing that I can control in my life. And when I can control it how I want it to be, it’s not always the best choices. I’m trying to keep my health in my mind first over my eating disorder’s desires, but I don’t always win.
I’m lucky that my surgeon did not put pressure on me to lose weight before surgery. I know that I need to do it, but I don’t feel like he is expecting me to do so. Any weight loss I have will be a good thing and there is no feeling that I might be disappointing him with whatever the number will be on the scale when I weigh in before the surgery. I think if I had that pressure on me, I would be resorting more to unhealthy things and would probably still not lose as much as I should before surgery.
I really do want to buckle down and refocus for these next 5 weeks. I know that I can accomplish some really great things with my weight loss even if I do have the occasional setback. I don’t want to keep thinking of new goals to get to by surgery because I know that will be setting myself up to fail. Instead, I just want to make sure that whatever effort I am able to do that I feel good about it and know that I worked really hard to get to where I am.
I’m hopeful that I will probably have a decent weight loss after surgery because I’ll be on a restricted diet for a while. I don’t want to depend on that for weight loss because I know that it can be temporary. But it will be a nice time that I know the scale should be going in the right direction that will allow me to refocus my plan and to hopefully continue the momentum after I start to eat normal food again.
It’s so frustrating when I was doing so great for a while and then something happens that makes me feel like I’ve ruined all of my progress. I know that recognizing that I’m struggling is a sign that things are getting better because I am not allowing myself to ignore the fact that everything isn’t ok. I just wish that things were easier for me because I really do want to not have to worry about food like I am now. I want food thoughts to not dominate my mind. And I want my efforts to show physically instead of being hidden by the occasional destruction of my eating disorder.