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Next health stop: bariatric medicine

I am morbidly obese. And on Monday, I have my first appointment with a bariatric doctor.

This is a long time coming. Too long. And I don’t even care that much anymore about the appearance and clothes-fitting parts of this. Between being particularly susceptible to COVID-19 illness and generally being more conscious with age of my mortality, it was time to take a step beyond half-assed commitments to everything from Weight Watchers to intermittent fasting.

I’m not looking into weight-management surgery; I want to explore nonsurgical options. I found that despite the horror show of colonoscopy prep last summer, the clear-liquid diet actually provided some gut relief and left me feeling physically better. Not sure whether a liquid diet is an option with the clinic I’m visiting, though.

Lately, I’ve been drinking a green tea kefir smoothie in the mornings, shaken in a Blender Bottle, that keeps me going until the early afternoon:

  • 1 cup plain lowfat kefir
  • ½ tsp matcha green tea
  • ½ to 1 cup Naked juice smoothie (any flavor; I like Mango Madness or Berry Blast)
  • 2 tsp Benefiber (per my urogynecologist)
  • Optional: 1 packet stevia

That and water (or VitaminWater Zero) keep me sated and energized till I find myself craving something like chips or cookies or whatever after my 2 p.m. meeting. Trying to be better with healthier options.

It probably doesn’t help that we eat dinner pretty late. Granted, I don’t eat nearly as much at the dinner table as I used to (rarely seconds, and I’m more adamant about a simple salad at the outset), but I have slightly more of a sweet tooth afterward. And eating only 2 to 3 hours before bedtime probably isn’t a good idea.

My pelvic floor dysfunction diagnosis last summer, and subsequent physical therapy in the fall, got me much more conscious about my food intake and overall health. I’m much more aware of links between my abdominal pain and my bowel and bladder activity, as well as the importance of gut health. I feel like I’m on the verge of something.

I’m not completely free of my abdominal pain, but I know what causes it, and how to relieve it through mild exercise. Now if I can only be free of my chronic lower back pain.

I look forward to talking with the doctor about all this Monday.