In December I got with a weight management doctor at the University of Kentucky. She put me on Ozempic at that time, which helped with my appetite, and while I was somewhat sketchy about when I ate well and didn't, and my weight fluctuated, overall I went down, sitting at the 60 lbs. total loss mark for awhile, going up and down 10 lbs. Last October I had to go off the Ozempic (which I'm actually on because of my diabetes--the weight-loss version is Wegovy), which was impossible to find. I tried _ten_ pharmacies. I was off for a month. My blood sugar soared. She then put me on Mounjaro, a different drug in the same class for diabetes (the weight-loss version is called Kepbound). What I found was that for me, the Mounjaro has been more effective with appetite with fewer side effects. I went down to 60 lbs lighter total.
Anyway, due to being off the meds and the holidays, I wound up soaring back up to the 40-lb loss mark in January. I managed to lose 10 lbs before my surgery in late February. Since then, I am officially 70 lbs lighter than my original high weight, according to the records at my doctor's office last week. That's mainly because I've been eating much better, I was home with my roommate's cooking, and have reduced my use of the vending machines at work, which is a real struggle because I stress eat at work.
So why is this all important? I desperately meed a knee replacement. Not only are imy knee joints bone on bone, my left patella is even shifted completely out of alignment. But understandably, my knee specialist [lthe same orthopaedist who did my rotator cuff surgery] is concerned about my weight. He won't do a surgery if the BMI is above 45, and prefers it to be under 40. My current BMI is 44.15 kg/m²--greatly reduced from what it was, but in the danger zone still.
However, when I did the calculations the other day, I am about 27 lbs from reaching a BMI of 39.9. We think that's doable. So we're starting to talk about doing the surgeries and I got a pamphlet on what to expect from them at my request. I am excited about the possibilty of reduced pain and greater mobility. Also, if I can do that, I will have officially lost over 100 lbs and have a total BMI reduction of 18.2 kg/m². It obviously won't happen tomorrow, but that gives me some time to prepare for the surgeries.
It was never about looking good, it is about health, and for that matter losing weight actually ages your face and makes you saggier, but I really want to do these surgeries and be more mobile. I'm only 57, too young to be as decrepit as I am. I've had trouble with my knees since high school. It's time to help them. Oh, and here are the obligatory photos. The first one is from September 2021. The other one is from yesterday. PS Shoutout to Dr. Stephanie Rose [women's health/weight management] of UK and Dr. Janak Talwalkar [orthopaedic surgeon] of Baptist. They've both helped me tremendously.
PS Both of those shirts are 3X, and the pants on the second picture are 3X. 70 lbs and I'm still in that size for the most part. Women's clothes are weird. But I was going into 4X and I think I'll be able to transition to 2X soon...I have one pair of pants already. And of course the shirt is mainly due to my bosom. :)
[Update: I gave blood today and got a shirt for donating. They didn't have any in size 3X, so I took a 2X because I figured I might be able to wear it in the future. When I got home, I tried it on. I won't say that the line is perfect in terms of the cloth's drape, but I can wear it, and it's comfortable, even if it shows my belly roll a bit. I'm a little proud of myself. I could be doing better in my eating, but I'm apparently doing some things well.]
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