Why I Didn’t Finish Optifast

A reader asked on Facebook whatever happened to me and the Optifast program.

It was a 12 week program consisting of 12 weeks of nothing but Optifast liquid shakes, bars, and soup, then it was supposed to be 12 weeks transitioning back to real food.

By week 9, I was begging them to let me eat.

The thought of taking another swallow of a shake or another bite of a bar (I had given up on the soup almost immediately, it was disgusting) made me physically ill. I started skipping meal times because I couldn’t bring myself to do it anymore.

I stopped losing weight, naturally.

The clinic behaviorist told me that my problem was I didn’t NEED to lose weight. I wasn’t there because my weight was literally going to kill me sometime soon if I didn’t lose as much as possible as fast as possible. And for that reason, I wasn’t as “motivated” as other participants.

Well then.

I somehow made it to week 12. In those 12 weeks, I lost exactly 9 pounds. I went from 204 to 195 and then my weight loss stopped. Four of those nine were in the first week.

I tried to guzzle the TWELVE 8 ounce glasses of water required a day. I tried to move a whole lot more. I went to clinic meetings early so I could do the exercise circuit in the adjoining room. I sat on giant bouncy balls and tried to do sit ups, I stood on stretchy tubing and did arm curls.

My weight didn’t budge, but I wasn’t going to quit. I figured keeping off nine pounds and increasing my strength was still worth it.

And then one day while driving home from my meeting, I slammed on the brakes to avoid crashing into the idiot who had suddenly stopped right in front of me – and the brakes in the van went out.  I was in traffic going 45 miles an hour, and in order to even slow down, I had to push the pedal all the way to the floor. I drove home with the emergency blinkers on in a state of panic and fear.

As you know, the van’s brakes were completely rusted out (thanks, Michigan road salt!) and the mechanic quoted us $700 for repairs. Might as well have been a million, so we opted to sell it to a junkyard for 200 bucks and become a one vehicle family.

The coworker that Chris carpools with, his wife is also a stay at home Mom with a preschooler, so we came up with a plan: Monday Wed. and Friday, I would drive Chris to his coworker’s house and drop him off, then his coworker would drive them the rest of the way. Then, they would drive together back to his house in the evening and I would meet Chris there to drive him the rest of the way home. On Tuesday and Thursday, Chris would take the car and drive the whole way so his coworker’s wife could have a car those days.

Optifast ONLY met on Tuesday. At a time that was impossible to get to without a car, and if I didn’t already mention it, in another CITY. I couldn’t take a cab or even a bus.  Optifast was run sort of like AA or other 12 step programs, meaning we only knew each other’s first names and shared no personal info, so I had no idea if any of my fellow meeting attendees lived anywhere near me, let alone if any would be willing to pick me up and drive me there and back every week.

And so, I had to drop out of the program. The one time I was really going to stick to it, and I honestly had no choice.

The good news is, I still weigh 195, which means I’ve kept off the 9 pounds. The 9 pounds that cost me $2700 out of pocket because Blue Cross Blue Shield didn’t cover any of it. I didn’t complete the program, so therefore, it wasn’t covered.

$2700 to lose nine pounds. And still, only nine pounds of the EIGHTY I should lose to be at my optimal weight (four foot eleven, age 44, small frame, I should weigh no more than 115).  $2700 that fortunately Chris and I have, because his employer gives them a Health Savings Account for out of pocket medical expenses, which is funded every two weeks right out of Chris’ paycheck.

And so that is what happened with Optifast.

Optifast Update – Week 5

I felt really good going into my Week 5 weigh-in. My jeans are loose and my underwear was starting to seem too big.  I hopped up on the scale feeling pretty confident.  My starting weight at the beginning of this program was 204.3. My weight on Tuesday, November 16th 2010 was…

194 Pounds!

Woo hoo!  I’ve lost my first 10 pounds!!  It works out to exactly 2 pounds a week for 5 weeks!  I had Kaitlyn take this photo:

Even though I’m losing weight, it’s still a challenge for me to get all 6 products in most days.  I’m starting to think that for my body, 5 products is enough, but everyone at Optifast keeps pushing me to get 6.  I just nod my head, but in the end, it has to be about what I can do. And what I can do, that certainly seems to be working, is get 5 products in a day.

I’m not worried at all about Thanksgiving next week. I’ll have my regular products in the morning, then count Thanksgiving dinner as two meals, and if I still need another product or two after that, I’ll have them. I’m planning to eat some turkey breast, a little bit of Stove Top stuffing, and maybe a bite of mashed potatoes, because those are my favorite Thanksgiving foods.  I’ll take a water bottle with me so I don’t forget to get my water in too. I think I’ll be fine.

TEN POUNDS! And 3 ounces! Yay!

Never underestimate your problem or your ability to deal with it – my first Optifast post

PhotobucketTwo months ago, I came home from BlogHer having made myself a promise. At my yearly physical a couple of weeks later, I looked my doctor in the eye and told her I needed serious help to lose weight. That nothing she had previously recommended – Weight Watchers, Alli – had worked, and that if my only option was weight loss surgery, I wanted to talk to someone about that.

That’s the point I had come to, in my head. That the only option left for me was to have bariatric surgery so that I would be physically forced to eat less and therefore, lose weight. It was the thoughts of a desperate woman. My doctor made me an appointment with a local hospital’s Weight Management Center for an intake appointment, where I would spend an hour learning about the clinic and their pre-op preparation program. I was really, really scared, but I went.

It was me and one other lady in a room with the clinic manager, and a sheaf of papers that spelled out what the clinic does. There are two choices – prepare for weight loss surgery, or choose a medically-monitored-and-administered program called Optifast. The average participant in the 24 week Optifast program loses 52 pounds. I could potentially lose 52 pounds without having my stomach cut into again? I signed the heck up for that.

Today, I spent two hours having a barrage of medical tests at the Sparrow Weight Management Center, including a resting metabolic rate test, which they called Body Gem, a body composition test, an EKG, and a physical.  The results of each test came spitting out of machine on a strip of paper.  My problem is so much bigger than I realized.

The body composition test consisted of me standing in my bare feet on this machine, holding two handles in my hands, while an electric current passed through my body.  That must be one fast current, because the piece of paper spit out in no time. And then I wished the earth would open up and swallow me.

People, my body is 49.5 % fat. I have 100.3 pounds of fat on my body. It’s like I swallowed a fifth grader if they were made out of fat. I was completely shocked. I mean, I knew I was obese obviously, but I had no idea I was carrying around that much fat.

I have 104 pounds of “fat free mass”, consisting of muscle, bone, tissue, and fluid.  103.3 is  approximately what I weighed at the end of my Sophomore year of college. Which means that for the last twenty years, I have been packing on pure fat and exactly zero muscle.  And yes, that total is 204.3 Pounds.  Did I mention I’m four foot eleven and a quarter inches tall?

My resting metabolic rate is 1,640 calories.  Factoring in estimated calories burned during weekly exercise (because I WILL be exercising, I have to go to a class at the clinic) and the amount of calories I burn walking around the house, doing dishes, cooking, that sort of thing, and it’s a grand total of 2,271 calories a day.

Their goal for me is to have me burn 600 calories a week, which is 85 calories a day. 2,271-85 = 2,186.  To lose two pounds a week, I subtract another 1,000 from that for a grand total of 1,186 calories a day.

The Optifast program is fewer calories than that a day. The food consists of powdered shake mixes, shakes that are ready-to-drink (RTDs), meal replacement bars, and powdered soup mix. I have to consume 6 products a day, each is around 160 calories. That’s a TOTAL of 960 calories a day.

Yes, that is much lower than what is usually recommended, but the shakes, bars, and soups are formulated so that 6 a day provide 100% of every daily required nutrient. I’ll be getting vitamins, minerals, calcium, and a whopping 84 GRAMS of protein a day. I also have to have 3 servings a day of medical-grade Benefiber, not the kind you can buy at any store. It’s regular Benefiber with extra sodium and potassium, because the Optifast food has no sodium in it.

I also have to have 64 ounces of water a day, in addition to the water I’ll use to mix the shakes, 16 ounces of coffee a day, and caffeine free diet drinks like Crystal Light and caffeine free Diet Coke.

This is really scary, people. What if I can’t do it? What if I crave real food so badly that I go insane and eat everything in sight? On the other hand, holy crap, if this works, then at the end of the 24 week program I could potentially have lost 48 pounds! This isn’t like Weight Watchers where they weigh you in every week and take your money but don’t really care if you lost weight or not. This is a whole TEAM, of nurses, doctors, a dietician, a behaviorist, an exercise specialist – and I have to look them in the eye every week. This is PERSONAL attention, which I have never had before, ever. Which is why I think Weight Watchers has never worked.

Deep breath in. Here I go. Wish me luck.

edited to add: I found this post in my Drafts folder, originally written October 7th.