I grew up with normal body weight, although I thought I was fat. I gained a few pounds with each baby I had (3 boys). My cholesterol levels were excellent. I wore a size 5 when we got married, 25 years ago.
Then, a few years ago, I was started on a medication for Bipolar disorder, Risperdal. This medication made me gain 50 pounds over a period of 9 months. I was up to a size 24, and obesity was added to my list of diagnosis on my medical record. I was switched to another medication, Depakote, which caused more weight gain. I was hungry all the time and ate much more than I should have. I had an insatiable craving for sweets all the time. It wasn't about "will power". The larger I got, the less energy I had. My cholesterol levels went awry. My triglycerides were way high, my LDL was way high, and my HDL was down to 4. (normal HDL is 40).
Last May, I asked my doctor to help me research the medications for Bipolar disorder for one that doesn't cause weight gain. I was started on Lamictal, and immediately started losing about a pound per week. I also found out near that time that I have Narcolepsy, which causes extreme daytime sleepiness. I slept most of the day, and would fall asleep driving if I didn't' take a nap first. When I had a sleep study done, Narcolepsy was the diagnosis. Provigil was prescribed for that.
I now have more energy than I ever had, although I am still tired at times. I have lost 50 pounds in the last year. I am down to a size 16 and some 14. I got rid of all my "fat" clothes...donated them to our church garage sale. One of my friends picked up one of the pairs of pants and said "These are huge...they must be about a size 24!" I said that they used to be mine. She couldn't believe it. What a good feeling. I have lost 1/3 of my former body weight. My goal is 130-135 pounds, and a size 10. All my weight seems to be in my tummy. People have stopped asking me when I am due! (I was done with pregnancy 8 years ago).
Dr. Phil, there are some people out there for whom there is an outside cause for their weight gain. Obvoiusly, eating less (I've always eaten healthy, just too much of it), being more active (still working on that), and getting rid of the clothes as I shrink out of them are good steps. I read your book, and although I was sexually abused as a child, I didn't really relate to that chapter. I am not an emotional eater. My weight stayed stable for years...until the medications caused my obesity. I am still losing weight, but some major surgeries recently (gallbladder, mastectomy, hysterectomy, breast reconstruction) have slowed my ability for physical activity. I take a walk when it is not too hot out. I have a stair stepping stool that I can use indoors when I am watching your show. I have a "fat" picture of myself on the fridge that I use to discourage unneccesary snacking...get a glass of water instead. I have not changed what I eat, just eat less of it...portion control. I don't feel guilty about eating the occasional fun-size candy bar or small piece of cake or pie.
Many of the foods in Dr. Phil's food guide are on my list of allergies...nuts, oats, milk products, some fruits, etc. Also, many of the foods are expensive. It is unfortunate that eating unhealthy foods, high in carbs is less expensive than eating healthy. Potatoes and rice are cheap. Fatty cuts of meat and poultry are also less expensive. We are on a tight budget, but we manage to limit the unhealthy high-cholesterol, high carb foods. Actually, my food allergies keep me from eating a lot that I shouldn't.
I am now helping my husband lose weight. He is diabetic with high blood pressure, high cholesterol, sleep apnea, restless leg syndrome, thyroid troubles, diabetic stomache paralysis, and depression. Motivation for physical activity and being constantly hungry are his biggest stumbling blocks. He has recently lost 12 pounds. We are building a deck and patio cover. Those trips up and down the ladder, carrying wood, hammering, etc. have boosted his energy level an improved his back pain. The activity also seems to calm the restless legs (along with medication). Some of his medications have weight gain on their list of side effects. He sometimes skips meals, then his blood sugar drops, and he has to have sugared pop and/or candy to bring it up. Then, he bounces too high in blood sugar and has to set his insulin pump to take more insulin. Because of the diabetic stomache paralysis, my husband should not eat too much fiber. It is a challenge, but he is determined. He has been frustrated that he was continuing to gain weight, but is trying to eat less and exercise more. I'm worried that when winter comes, or when he gets bored with it, that the physical activity will decrease, and his weight will come back.
I have stopped buying the ice cream that he loves to eat. He asked me not to buy it, and then got mad when he didn't have it. I stood firm and said that it was his request not to have ice cream and other high carb foods around to tempt him. We are committed to eating healthy and eating less.
We have 3 growing, skinny boys who have "hollow legs" and seem to be constantly hungry. We don't have potato chips around. If the boys want chips, we have tortilla chips, and salsa. We subsitute corn flakes for potato chips. It is difficult to keep them eating enough, while we eat less. They all like their veggies...we started them eating healthy from the start. We also have crackers in the house, but we measure the portion size when serving them, to limit the intake.
Dr. Phil, could you write another cook book for people who are on a tight budget?