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Posts Tagged ‘Size Acceptance Triggering’

What Katarina Borer Found: Good News for Maintainers?

In Weight-Loss Maintenance on July 8, 2011 at 12:52 pm

Before I say another word, my conscience tells me to add a BIG trigger caution here.  If you are a size acceptance proponent and are feeling the least bit susceptible to the call of the weight-loss diet fairy, skip today’s post.  If you’re feeling brave, however, I’d love your response as well as that of my maintainer friends.

In my last post I explained Katarina Borer’s methodology for comparing the effects of food intake and exercise on appetite and on certain endocrine secretions.  Dr. Barry Braun describes it as “a multicondition crossover design to cleverly disentangle the relationships between energy imbalance, exercise, energy intake, putatative energy-regulating hormones and perceived appetite.”  Yup.   That’s what it was.  Now, let’s see whether I can explain in plain English what happened and what was correlated and what was not.

In her first study, Appetite Responds to Changes in Meal Content, Whereas Ghrelin, Leptin and Insulin Track changes in energy Availability, Dr. Borer found:  

  1. Human appetite is influenced by the passage of food through the mouth and gastrointestinal tract.  When food went through the mouth, it triggered GIP, a gut peptide that is activated and serves as a marker for GI activity but seemingly has no affecting qualities of its own.  This peptide rose and fell in concert with participants’ reported appetites. 
  2. Participants’ appetites responded to the size of meals that came in through the mouth, but were insensitive to calorie replacements (or saline placebos) that came through an IV.  Moreover, exercise did not increase appetite, but marginally suppressed it.  This led her to state that “between-meal increases in circulating nutrient load and exercise energy expenditure are not under homeostatic feedback control.”
  3. Ghrelin, leptin and insulin respond in slightly different ways to changes in energy availability, but had no influence on participants’ appetites.  Whoa.  Interesting, yes?  Dr. Borer thought so too.

The graph array that interested me most, as a maintainer, however, was Figure 2 (in the second study it was reposted as Figure 4).  I was surprised, in fact, that it was not included as a “finding” in the Discussion section.

It looks fuzzy in my preview, but I was able to click on it to get a blown-up view that was very clear.  Column 4 describes the trial day Read the rest of this entry »

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“Experts”: Phooey

In Weight-Loss Maintenance on March 22, 2011 at 2:18 pm

Well, my colonoscopy has been postponed.  Yeesh.  And it wasn’t me; I didn’t chicken out.  The nurse called and the doctor is taking a day off on Friday.  I got all wound up, and now I’ll wind down until April 18th – prep day, followed by the no-big-deal procedure on the 19th.  Thank you for all your well wishes.  When it FINALLY happens, I’ll let you know how it goes with more subtlety and decorum (but less humor) than Dave Barry.  Thank you, alert reader, Mulberry for the link.

I am especially pleased to learn that many maintainer friends did not experience a weight shake-up from their colonoscopies.  Had I not heard from you, I wouldn’t have taken it for granted.  I don’t trust the words of doctors and other “experts.”  With regard to weight management and weight rebound, simply, they’re out of their depth.  What’s more aggravating, they don’t acknowledge how out-of-their-depth they are.

Regular reader, Ali, just recently ran into an “expert” (chiropractor) who dismissed her dietary choices (which were working pretty well for her) in a conversation that lasted less than ten minutes.  With the pseudo-scientific authority granted by the likes of journalist and weight-loss opportunist Gary Taubes, she stated simply, “you must go low carb.”  Well, Gee, lady.: thanks but no thanks.  Low carb works for some people, and I’m happy for them, but if it worked for everyone we’d all be trim.  Anyone over the age of 20 in this country saw the rise and crash of the New Atkins Revolution (which nearly killed our grain markets and bankrupted our grain farmers at the beginning of this century). Had the Revolution worked for everyone, I’d have jumped on board too.  Instead, most of us witnessed sad stories of radical weight loss and rebound among earnest, disciplined people.  The few who succeeded then must now work at least as hard as I do to maintain their losses in a carbolific society (who pushes them to portion control, while pushing Ali and me to drop our bananas).

One sure sign that you’ve found a person who knows something is that they are secure enough to acknowledge that they don’t know everything.  That’s why Arya and Yoni have charmed me.  And I especially love this post from Barbara Berkeley, The Perfect Diet:  Does it Exist?   The one word answer is “nope.”  People who have earned their bona fides do not pretend to have the one and only answer.  Read the rest of this entry »

Overreactions: The Price of being a Maintainer?

In Weight-Loss Maintenance on March 15, 2011 at 10:02 am

I’m saying this up front:  This is triggering.  I’m asking that my Size Acceptance friends don’t try to intervene or convert me.  Just acknowledge or don’t read.  Please.

In less than two weeks I go in for my first colonoscopy.  Yuck.  I’m feeling horribly anxious, but not because of the procedure.  It’s the prep.  And not the awful laxative.  That would be okay, by itself. 

I fear the fasting.   Not the discomfort, but how I will respond and rebound afterwards.

For the day before the procedure, I can have clear, golden or brown liquids and I can suck on hard candy, but nothing red or purple.  Selections include water, jello and popsicles (orange and lemon-lime flavored), apple juice, tea and coffee (sweetened, okay, but no milk).   That’s mostly carbs.  Except that I can also drink clear broth.

I will be hungry.  Anxious.  I know that I’ll be drugged for the procedure, but when I’m out of the fog, I’ll eat, and I don’t trust that my body will respond as I’ve been promised by all the people who have undergone this procedure before me – “Oh, it’s no big deal.  You lose a bunch of weight from the fast and the laxative, but it’s only temporary.  Once you’re eating again, you just jump right back to where you were.”

Oh, yeah?

Many people laugh about how they tried to hold on to their losses, but just couldn’t.  Ha ha.  They write it off as personal weakness.  We who are maintainers or who have given up on the weight-loss pursuit all together know it’s not weakness.  The body puts up an enormous fight to regain homeostasis at a particular weight.  And for those of us maintaining big losses, the body seems to look for opportunities to reclaim a pound or two, or five.  A yo-yo jolt like this may be just the ticket.

When I awake from the fog, I’m sure I’ll respond to the hunger, but will I then be hounded by those dreaded “eat now” impulses?  If so, for how long?  A couple of days?  A week?  Until I give my body back a pound?  Two?  How many?  I am edgy beyond what is “normal” for this procedure, and it’s because I’m a maintainer, I want to remain one, and I don’t take maintenance for granted. Read the rest of this entry »

Intuitive Eating: Part II, and Over the Top

In Weight-Loss Maintenance on December 28, 2010 at 12:08 pm

Trigger alert, my size acceptance friends. I’m about to get into some of my techniques. I want to compare notes with my maintainer friends. I’ll also welcome your thoughts too, but you may not wish to read further, and I’m cool with that.

It was four days ago. I casually took my empty wine glass with me to the bathroom. I suppose I could have troubled my mother-in-law for a measuring cup (or just gone to the cupboards and found one myself), and she wouldn’t have thought me odd. She knows I work at weight-loss maintenance. I have bemoaned it to her before. She’s heard the “it’s-not-a-lifestyle-it’s-a-job” shpiel.

But I knew I didn’t really need a measuring cup, and I am self-conscious about drawing attention to my weight-loss maintenance unless someone else brings it up. Actually, even if someone brings it up. (It starts a whole it’s-really-more-complicated-than-women’s-magazines-make-it-out-to-be monolog, that I find embarrassing for its self-centeredness. And it’s nearly impossible to not sound braggadocios.) So rather than be caught using a measuring cup by some other family member, I used my other method.

I closed the bathroom door, filled the glass with water to the point that my father-in-law had filled it with wine. I took a deep breath, exhaled, and then . . . Gulp. Gulp. Gulp. Gulp. Gulp. Gulp. Gulp. Seven ounces. Here’s something I know about myself: one hearty-but-even gulp in a series equals an ounce. (Had the final gulp been a partial, I would have rounded down, but it was, indeed a full gulp.) Multiply that by 23 calories. My glass of wine had been 161. Round to nearest ten: 160. Reset the day’s total: I’m at 1660. Use the john, and rejoin the party.

Is that body wisdom or just body knowledge? Since I hide in the bathroom, is it a sign of disorder? I think it’s just being polite. When people see you pull out a measuring cup at a party, it can be interpreted as a judgment of their consumption. Or it looks like an invitation: “ask me about my weight-loss management.” I know that. Read the rest of this entry »