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Morbidly Obese - help?!

319 replies

OneMoreStepAlongTheRoadIGo · 13/09/2023 17:07

I'd really love some support from anyone who has been here or who has knowledge in this area.

I am very overweight and really need to get a handle on it.

I would really like to try to avoid surgery although I suspect I would qualify.

Is there any help I can access?

Or what has helped people? its so different tryong to lose10 stone to 2! I am so ashamed its got this bad but I want to change.

OP posts:
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rataverse · 18/09/2023 21:23

How much have you lost so far? It is great to hear how well its all working for you.

In January last year I weighed 160kg, this morning I weighed 103.8kgs.
I hope to finally get below 100kgs by the end of November. If so it will be for the first time since 1989.

The next goal is to get down to 94kg so I drop from being "morbidly obese" (with comorbidities) into the "obese" category. Which I might manage by next spring. With a bit of luck (and the option of liraglutide from the diabetes consultant) I'm hoping to get down to 80.5kg by next summer, which would take me from being "obese" to being officially "overweight".

I know loads of women feel miserable when they start getting close to the upper limit of normal weight range, and would rather die that be just inside the upper limit of being overweight, but when you've been morbidly obese for more than three decades the prospect of being merely overweight seems almost too good to be true.

I'm really hoping that when I see the physiotherapist tomorrow she will tell me it is perfectly possible for me to learn to walk again, and be able to sit and stand without grabbing on to hand rests and cursing at the pain.

I've written a list of goals I want her to help me with. Including being able to bend far enough to rub lotion into my own feet, and cut my own toenails. It would be nice to be able get down to, and up off the floor, without having to crawl across to the nearest solid piece of furniture and use it as a climbing frame to get up again.

Does anyone have a good chair pilates or chair yoga YouTube channel they can recommend?

ChazsBrilliantAttitude · 18/09/2023 21:38

I am also very overweight my BMI is in the high 30s. I found this study helpful because it shows that even a 5% weight loss starts to improve bio markers and reduce health risks. The benefits increase with weight loss but the key take away is starting to lose weight makes a difference quite quickly.

I think when you have a lot to lose it can feel a bit all or nothing but the research shows that you don’t need huge losses to see some positive changes. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497590/

Weight Loss and Improvement in Comorbidity: Differences at 5%, 10%, 15%, and Over

One begins to see improvement in glycemic measures and triglycerides with small amounts of weight loss, but with greater levels of weight loss there is even greater improvement. In fact, the relationship between weight loss and glycemia is one that is...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497590/

Peridot1 · 19/09/2023 07:56

Wow @rataverse you have done so well. Amazingly well. And it’s fascinating that you have done it by changing what you eat in the way that you have. I’ve read of people losing huge amounts of weight by doing Keto or Carnivore but I never feel that that is a healthy or particularly sustainable way of eating long term.

Going from being “morbidly obese” to just “obese” will be a huge milestone for you. I have to say I was thrilled to get to the higher end of “overweight” as opposed to being in the “obese” category.

The health benefits to you will be enormous even now. Even though you are still in pain and immobile. I’m sure it will get better slowly as you continue to lose. I hope the physio will be able to help you with your goals and a plan going forward.

Interested in this thread?

Then you might like threads about this subject:

rataverse · 19/09/2023 17:12

Thanks for posting the link to that article Chazs. I was delighted to see that a higher percentage of fat gets taken from the most dangerous storage areas (visceral fat and inside the liver) compared to the subcutaneous stores.

I really can't take any credit for it Peridot, since the weight loss was a completely unexpected result of trying to lower chronic inflammation levels. I still don't really understand it myself. When I think of dieting it's all about calorie restrictions, and feeling hungry all the time until after a few weeks (or months at best) it finally gets too much and triggers a food orgy.

I didn't even try to restrict what I ate for the first few months, just logged it on myfitnesspal so that I had the data. Then each time the weigh loss slows down (every 6 months or so) I've tried to lower my calorie intake by a few hundred kcals. Which always seems to take me several months to get right. Then when I've become accustomed to that slightly lower level the weight loss slows down and I've made the decision to lower it again.

I suspect it will be much harder to lower my daily calorie intake below 2000kcals. I remember being taught (in domestic science class back 1973 - when schools still taught cooking, basic food hygiene, and how to change a plug and clean a u-bend) that an adult female needs 2000kcals a day, so my brain is prepared to accept that as normal and be willing to retrain myself to eat what ought to be normal sized portions.

I very much doubt I will ever accept the fact that old women need fewer calories, and that 1600kcals might very well be the correct maintenance level for me now.

How does anyone manage to consistently eat so few calories? Do they never take second helpings (and second breakfasts)?

Next time the weight loss slows I'm going to have to decide if I'm willing to cut down further on calories, or accept gradually slowing weight loss, until it finally stabilises and stops altogether. At least then I could buy some new clothes that would continue to fit. I'm getting a bit peeved with only buying a few essentials at a time and having to restrain myself from buying really nice things that are a bit expensive, because they'll be too big next year.

The physio appointment went well. Just an initial assessment this time. I thought she'd give me exercises to do at home, but instead she told me to stop doing the "frailty"exercises I've been doing every day and just rest. Though I am allowed to continue using the vibration plate on the low and medium settingss. On Saturday I'm going back for electrotherapy which she thinks might diminish the pain, and once the pain is sorted we can start on exercises.

Peridot1 · 19/09/2023 17:37

Well I really think you SHOULD take credit. You researched and made the changes you needed and have achieved a phenomenal result.

As for going forward and adjusting to a lower amount of calories - protein will be key. It keeps us full. And your smaller body will need less calories. Although it may not seem like it now. Lots of protein and fibre and possibly a liraglutide or semaglutide medication for maintenance. And there will be high days and holidays where you can indulge a bit more. Have a more than your calorie allowance. Ut possibly cut back another day. It’s all going to be a learning curve.

My Loving Foods package as just arrived and I’ve unpacked it all. I got the mixed case of jars and a mixed lot of kombucha and a bottle of their hot sauce. DH is a bit hmm.

I won’t be starting mine yet I don’t think as am going away on Friday but October will see a new me!

GarlicGrace · 19/09/2023 18:28

I've only read your posts, @OneMoreStepAlongTheRoadIGo, and it looks as if your thread's got quite technical! Also - what you're doing is great. Well done 🙂

I have some suggestions. Take 'em or leave 'em as you will.

I've got ME-CFS. When I'm very fatigued I use crutches. I bought some aluminium ones from Amazon, they were about £15. Limited use because I haven't found a way to safely carry a shopping bag with them, but not too bad for a little walk to get some fresh air.

Eat tons of protein. This really means meat, fish, soya TVP or a protein shake. You actually need more than the RDA because of your body size. You don't need as much as a body builder: aim for a gram per kilo of body weight, or close. Nuts & cheese are good protein sources, but proportionally high in fat. Eggs supply about 10g of protein each - good, but you're going to need more protein-dense foods as well.

Starch is good. People think pasta's fattening, but that's because of all the oil in pasta dishes. Wholewheat pasta fills you for longer and is slightly more nutritious. Similar story with rice and brown rice. It's easier than you might think to put loads more rice on your plate, without increasing the amount of sauce. Potatoes are fine as long as you aren't swamping them in fats or sauces.

Tomatoes are a godsend. Packed with nutrients and very low calorie. Gloop tinned tomatoes and/or passata all over your food with abandon! Also, make liberal use of herbs & spices so your brain knows you've eaten something tasty.

Great that you're eating a lot more veg: that's half the battle. Make more use of frozen veg if preparation feels like a hassle.

Healthy snacks are fresh fruit & veg, especially ones with both a high water content and a crunchy texture. I eat whole heads of Little Gem lettuce and Baby Sweetheart cabbages. Other good candidates are cucumbers, celery sticks, tomatoes, oranges, melon. Nothing wrong with snacking on carrots & apples either, just make sure 'fruit' doesn't automatically mean sugar-loaded things like bananas, sultanas & figs. Maybe limit those to one a day when you need a sugar hit.

Unhealthy snacks - if you can, avoid thinking of them as 'bad'; even crisps & Mars bars are food. There's a trick to eating 'mindfully', which means really feeling the food in your mouth, taking a pause before the next bite, and remembering it's perfectly okay to put the packet back in the cupboard. There's no need to demolish the evidence 😁 You can come back for another few bites later, if you want. Meanwhile ... have an orange.

I find chewing gum works for when I want a 'mouth thing'. Not everyone does. Maybe give it a try?

Keep a drink on the go at all times. Mine's black coffee but water would be better. Sugar-free fizzy drinks are fine if that's what you like, or tea. NOT milk, juice or shakes!

Take a daily multivitamin & mineral, to ensure you're not actually missing any micro-nutrients. The own brand one from Savers is a good all-rounder.

You're already winning this!

OneMoreStepAlongTheRoadIGo · 22/09/2023 17:45

Thanks all. Just reading up thread.

I listened to Tim Sepcter (zoe) on "just one thing" with Michael mosely on BBC sounds . It was 30minutes and it was fab (wasn't sure about MM super low cal diets tbh but this interview was about Tim and fab)

He talked about UPF and about fermented foods and like the poster above said about getting 30 types of plants in (including coffee/herbs etc.)

I've had a couple of "iffy" lunches.
One lunch child was off school and we went to mcdonalds. I didnt love it as much as I thought it would. Maybe as this is all a bit new ans exciting

Today she had pizza so I had a slice (A slice!!!! That's not me) with my lump of kimchi, lump of saurkraut, cucumber, some hummous and 2 satsumas. So even though it had a slice of pizza on it it was actually mainly veg.

Overall my diet has changed so I'm thinking the odd upf at this stage isn't the end of the world. Tonight is Friday salmon again yay! We're having it with new potatoes and 4 veg.

I am finding I'm not "needing" crisps or "needing" to snack as I was. Could be in my head or where I'm paying attention to it all but finding it easier to "sit with" hunger knowing what meal is coming (now we meal plan) than grabbing something then being full before dinner started...

I dont know what I weigh. Its over 20 stone... but this has to be long term rather than looking for pounds so will worry about weight in a few months.

I've got to catch up with some work this weekend but also want to read a bit more of the processed people book.

Saurkraut and kimchi. I'm eating both as they were part of the 4 Ks ( I'm having kombucha every day and kefir or Greek yoghurt too!)

Are they equivalent. As in is it a good idea to eat saurkraut and kimchi or are they basically the same?

Oh and my living foods order arrived a few days ago but I was waiting to finish my kimchi. Started the LF kimchi today and it's really nice. We might keep up with LF but it is a bit more pricy than tescos.

OP posts:
OneMoreStepAlongTheRoadIGo · 22/09/2023 18:03

@rataverse wow that is incredible. Well done!!! You must be so proud. And yes id love to just lose the "morbid" at the moment and will be overjoyed if I ever get into just "overweight". You've done so well.

Hope the physio goes okay tomorrow. Is this nhs? Did they say if they think you can get back to walking? I'm really worried about my mobility

The Tim spectre interview sounded very similar to what you're doing. Did you start with the zoe diet/their monitor and all that? Or was it reading about inflammation?

I think I'm starting in a similar place to you in that for now I'm just changing what I eat rather than restricting it. Already I find I'm eating less (gosh processed stuff is so moreish... I somehow thought I could overcome that abbit like thinking were not affected by advertising... somehow we think we're difference) but it isn't about will power is it I just don't feel so hungry when I eat better.

I still can't believe the case studies where they eat upf for 2 weeks and non processed for 2 weeks and the difference is huge. I think TS said average is 500 extra calories on a upf diet. No wonder in so big.(Plus emotional issues too/adhd... etc)

I've decided I cant do it all but to make chanegs where i can. So ordered "fresh" sourdough from tescos tomorrow instead of sliced bread... found a "hot sauce" with recognisable ingredients rather than my sirracha which had tons and already increasing fruit veg and adding flax/chia to things.

Just seen @Peridot1 your living foods has hot sauce. What was it like? And is the kombucha v different to supermarket stuff (I think I have "rebel") we might try it next time! Hope you have a lovely time away!

@GarlicGrace that's all really helpful thankyou. I get overwhelmed with multivitamins as they all have different things in them it seems so I don't. I went thru a phase of the b12 and d3 sprays.

I'm quite pleased after my first week. Really appreciate you all ❤️

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PaminaMozart · 22/09/2023 19:56

Wow - you sound sooooo much more positive!! And that is half the battle.

Kimchi and Sauerkraut are similar in that both are fermented cabbage - but the flavourings are different as one is Korean and the other is German.

I am not surprised you no longer 'need' crisps and other crap. Once you're past the addiction stage you wonder why you ever wanted to eat this stuff. I bought some crisps the other day because I had friends over for drinks and nibbles - obviously you need crisps, right? I found them WAY too salty and they tasted so artificial!

One of the joys of discarding UPF is re-discovering your taste buds. Tasting, really tasting the flavours of carrots, broccoli, peas, et cetera. The problem with UPF - and sugar!! - is that they literally assault our taste buds, to the extent that we no longer appreciate more subtle flavours.

For dinner tonight I had chicken and red cabbage. Chicken marinated in lemon juice, mustard and olive oil, seasoned with a little salt, pepper and chilli, and topped with a little chopped basil. Red cabbage braised with a splash of apple cider vinegar, a pinch of sugar, and salt and pepper. Took no time at all and truly delicious! And enough leftovers for lunch tomorrow.

Making these simple meals actually takes less time than all the 'pierce lid 6x, microwave 3 minutes on high, stir, microwave some more, et cetera' palaver...

OneMoreStepAlongTheRoadIGo · 22/09/2023 20:37

Ooh that sounds lovely!

It's scary how UPF is in nearly everything isn't it?

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PaminaMozart · 22/09/2023 21:06

I have more or less stopped buying anything that is packaged. I just buy my protein - chicken, fish, eggs - and vegetables. Plus fruit.

The only UPF I still use are things like curry paste, chilli sauce, fish sauce, soy sauce and a few more condiments and marinades.

The main flavourings I use are lemon juice, garlic, ginger, turmeric, sesame oil and herbs. Lost of herbs - parsley, basil, mint, fresh coriander, dill.

OneMoreStepAlongTheRoadIGo · 23/09/2023 16:39

Mr tescos coming later 😊. I had a pastry this morning the kids bought me... so still very much in the "reduce" rather than eliminate stage!

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OneMoreStepAlongTheRoadIGo · 23/09/2023 16:39

I've started some gentle exercise too (rebelfit) and god my arms ache today!

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Nail123 · 23/09/2023 20:26

Hey my BMI was above 40 and I finally got in the head space to want to loose weight.

Started with a goal to loose a stone for holiday. I’ve done Weight Watchers before and it worked great but I knew this time it wouldn’t work so I saw a fb advert for a product called Exante.

I started with a 4 week box to try it out and it’s going really well. I lost over a stone for holiday, then had the summer off/maintaining, now back on it.

I’m not following it precisely, I have two shakes a day and a normal meal in the evenings, trying to add more healthy meals in.

Down just under 9kg so far, got a long way to
go but happy my BMI is now under 40.

OneMoreStepAlongTheRoadIGo · 23/09/2023 21:21

Well done!

OP posts:
rataverse · 24/09/2023 10:24

@OneMoreStepAlongTheRoadIGo
It really sounds as if you are on the same road that I took last February, I hope you find it equally easy to travel.

I started eating fermented foods after hearing a zoe podcast about the research study that showed that people who ate 6 small portions of fermented foods each day reduced the inflammation markers in the blood by around 20%. I was crippled with rheumatoid arthritis at the time and it seemed a very easy change to make. After that I listened to all of the Zoe podcasts and picked up more ideas from nutrition scientists that I incorporated into my eating habits. (loads of plants, nuts and seeds, healthy fats, inulin, fasting for 14 hours, avoiding ultra processed foods, etc).
I did the Zoe programme about 6 months after making the first changes.

I would guess that eating fermented foods from different companies would give a wider range of microorganisms. The important thing is that it has to be raw. Anything you pick up from the supermarket shelves (that isn't in the fridge section) will have been pasteurised, if it ever was fermented, most of the sauerkraut is just cabbage in vinegar or wine.) I order from Loving foods because it is so convenient to have an assortment of fermented vegetables delivered regularly.

Otherwise Vadasz makes some really good live sauerkraut and kimchi that you can sometimes find in the supermarket, though not always as reliably as getting 8 jars delivered ever 5 weeks from LF. I really like the Vadasz super beet kimchi, but found the garlic overpowering in their garlic and dill sauerkraut. I'm going to try the pineapple and turmeric sauerkraut just as soon as the local supermarkets start stocking it.

The physio was a very disappointing yesterday. It was a completely different woman to the one I saw on Tuesday, which took me by surprise. I'd been told the sessions were exactly half an hour long and that I could book the taxi to collect me at 1pm after the 12.30 session, so I got stressed when she didn't call me in until 12.35 and then wanted to sit and ask me all the same questions that I'd already answered on Tuesday.

She hadn't looked at the notes in advance and didn't have a clue why I was there. She didn't get the electrotherapy set up until 8 minutes to 1, which didn't leave much time for it to have any effect. It did seem to help a bit though. Once the machine was set up she sat at the computer and finally started reading the notes from last week (shame she didn't do that before I arrived, or at 12.30 when my appointment should have started).

When she read that I'd lost a lot of weight she asked me if I'd done it with Weight Watchers or Slimming World, as if they were the only two possibilities. I said no, I'd tried both before and never managed to loose more than 10kgs each time, and ended up being fixated on food and dieting.

She asked again why I didn't do Slimming World and I said truthfully that I found it annoying that they didn't explain the reasoning behind their rules, that they were too fixated on low fat, and used too many ultra processed foods (including that damn cooking spray that wrecks non-stick pans), and that classifying foods you were supposed to restrict as "syns" made if feel like a religious cult. Whereupon she got very huffy and told me that she lost 10kg with Slimming World last year and she thought it was brilliant.

It's not NHS, the local NHS don't do one-on-one outpatient therapies any more. They only offer a choice of three different groups at the council leisure centres. I had a referral from rheumatology in September, was assessed by a hospital physio at the end of January (who told me that they no longer see outpatients for treatments, only assessments, and instead they run groups at the leisure centres with the local council instead), she referred me to the local groups, and in July they called to discuss which of the groups I should join. They have cardio, strength and weight loss groups, but after a few minutes it was decided I was too doddery for any of the available groups so I was dropped from the list. So what actually happened is that they just kept me waiting from September to July before telling me to fuck off.

I'm a member of Benenden, and when I phoned and explained that the NHS physiotherapy were unable to help me they agreed to pay for up to 10 physiotherapy sessions with a local physiotherapy clinic. The first session last Tuesday was just examination and history taking, and today was supposed to be treating the pain so that I could start training.

I'm disappointed that it turned out to be with a different therapist to the one I saw on Tuesday, I hadn't been expecting that and no explanation was given. I was stressed because she started 5 minutes late, that she hadn't read the notes and didn't have a clue what she was supposed to be doing. I feel that the session didn't really start making any difference until she wired me up to the electrotherapy machine, and by then I was already getting stressed that the taxi would be waiting outside with the meter running from 1pm. It already costs me 26 quid in taxi fares just getting there and back, so I really can't afford to pay for the driver to sit around waiting for me.

I hope I get the other therapist next time, she seemed much more competent.

PaminaMozart · 24/09/2023 11:42

@rataverse - I think you should complain about this wasted physiotherapy session and insist that they offer you an extra one to replace it. I'd also ask to get seen by the same physiotherapist each time, and for a written plan to be put in place before the next session. And that you get the full 30 minutes each time.

However, I'd order the taxi for a little later, say quarter past, to allow for delays and ensure that you don't stress and don't have to rush too much.

But you seem to be doing great - chapeau!!

OneMoreStepAlongTheRoadIGo · 24/09/2023 13:04

Oh rataverse that does sound super frustrating with the physio. I hope the next appointment is better. As private health are paying is it worth complaining to them?

I have my nhs one Wednesday but fully prepared for it not to be great. I did wonder whether I might need to save up and pay for some.

And yes it sounds like I'm where you were when you started! I hope I can have as fab results as you 🥰.

I've just googled the drug I'm on "mirtazapine" and realised all this extra K/fermented stuff I'm doing may be in vain if the mirtazapine is killing off all my guy microbiome anyway....

I know it contributes to weight gain... but it has been meaning I've slept well for the last year and anxiety is lessened 🤷🏻‍♀️. I completely rely on it to sleep...

OP posts:
rataverse · 24/09/2023 17:26

How annoying that the medicine that helps you sleep is known to kill off some strains of healthy gut microbes. It might be worth taking some of those probiotic capsules that are recommended for keeping your guts healthy when you are travelling abroad and when you have to take antibiotics. I did a course of these extra strength capsules last spring in the hope it would help boost improvements in my gut microbiome.
https://www.boots.com/bio-kult1/bio-kult-shop-all/biokult-boosted-extra-strength-multi-action-capsule-30s-10286227

There's an article in the Telegraph today about how fasting is better than dieting, especially for women. This is a link to an archived copy. I had the exact same problem with dried mango, other tasty dried fruit and nuts, but I solved it by keeping the kitchen scales handy and weighing between 10 and 15g onto a saucer before putting a clip on the packet and hiding it in the cupboard for later.
The link to the webarchive keeps getting broken, but if you go to http://web.archive.org/ and paste the telegraph link into the box it will take you to the archived page. Or you can try clicking the link to the Telegraph page and then changing to aeroplane mode to avoid the paywall. https://www.telegraph.co.uk/health-fitness/nutrition/diet/intermittent-fasting-midlife-weight-loss-tool/

Biokult Boosted Extra Strength Multi-Action Capsule 30s - Boots

Buy Biokult Boosted Extra Strength Multi-Action Capsule 30s and Collect Advantage Card Points when you spend £1.

https://www.boots.com/bio-kult--1/bio-kult-shop-all/biokult-boosted-extra-strength-multi-action-capsule-30s-10286227

BinturongsSmellOfPopcorn · 24/09/2023 17:50

For paywalled Telegraph articles, the 12 foot ladder is the easiest solution. 12ft.io/

OctFeb · 24/09/2023 18:13

Hey, I would highly recommend listening to ‘Losing 100lbs’ podcast by Corinne Crabtree. She makes so much sense. I listen to her podcasts all the time and my way of thinking is slowly changing.
Good luck, I know how hard it is to be fat and disheartened!

OneMoreStepAlongTheRoadIGo · 24/09/2023 20:58

I've gone down a Mirtazapine rabbit hole. I knew they gave it to anorexics for weight gain... I was anxious (!) about going on it but to be fair I've been on oit nearly 2 years and it worked especially for sleep.

But google is telling me it makes changes to your brain, and to hunger receptors (which is why people put on weight) and I haven't a clue at this stage what weight went on when as I was already 20 stone when I went on it.

I'm thinking if I came off it maybe my new diet would help me manage everything. But it cant sort sleep. I really need sleep and this has been the first drug to help me sleep.

Maybe I'll ask the dr this after she tells me to lose weight.

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rataverse · 25/09/2023 12:51

I used to have terrible trouble getting to sleep. Most nights I'd be tossing and turning until 3, but often until 5 or 6am. So I'd be falling asleep as everyone else was starting the day, and then sleeping through to the afternoon. When I had morning appointments it was so out of whack with my sleeping times that it was the same as giving a normal person an appointment at 3am.

I'm not sure quite how it happened, but once I started fasting (having breakfast at 3pm and a last meal at midnight) I gradually started waking up earlier, feeling tired in the evenings, and instead of falling asleep for half an hour and then being wide awake till the small hours it became much easier to fall asleep again after waking (mostly to go to the toilet). The times when I ate got moved to earlier in the day, until finally settling between 11am and 5pm, which feels right.

The change didn't really register as it was happening, because it was so gradual and over a period of at least 6 months. It was when I had visitors at Christmas and they were so surprised to see me up and about before midday that I realised I was now regularly falling asleep before midnight, and sleeping for 8 or 9 hours.

Improving your gut microbiome has been shown to decrease depression and improve sleep, so if you keep making the changes you might be able to gradually phase the Mirtazapine out. It could be worth discussing with your prescribing physician, if you can get an appointment.

OneMoreStepAlongTheRoadIGo · 25/09/2023 15:42

Thankyou that's really helpful.

And yes appointment... its a phonecall Friday morning and she will just tell me to lose weight (which was why I made the appointment...) so not holding out a lot of hope for detailed withdrawal/tapering help .... but hey. Will see!

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Peridot1 · 25/09/2023 16:07

@OneMoreStepAlongTheRoadIGo quick hello from Greece! Trying not to spend time on here while I’m away but just thought I’d have a quick look to see how you are. You seem to be doing great. Small changes are more sustainable. I didn’t try any of my Loving Foods order before I came away as didn’t get a chance. And have just realised I put all the kimchi etc in the fridge but not the Kombucha. Drat. I suspect that needs to be in the fridge too. Aargh.

@rataverse - I’m sorry your physio about was so disappointing. I would definitely complain to your insurance provider. She sounds rubbish.

I have another book recommendation. Walk Yourself Happy by Julia Bradbury. I heard her talk about it on the radio a few weeks ago and pre ordered it as it sounded really good. It not just about walking but about breathing, sleeping, ultra processed foods, the gut microbiome and much more. I have just read it and found it really good. A real holistic approach to health in general with some inspiring case studies. Including a lady who was addicted to pain killers and other meds due to fibromyalgia and osteoarthritis and I think weighed over 20 stone. She started just walking 25 steps. And has changed her life.

I’m trying to eat lots of different veg while I’m here and walking every morning and drinking lots of water every day.