14 Pounds (Or the scale lies)

That's how much weight I lost last week. Same scale, same clothes, same time of day. I'm having another UC flare, and when I do, I just completely loose my appetite. In fact, I get a weird combination of feeling extremely hungry but having zero appetite. It's a very odd feeling. Although, I am eating, some. Midmorning seems to be my window of opportunity for food. And to sneak in a little caffeine to prevent caffeiene withdrawl.
But... I was thinking about the 14 lbs. Let's say I burn 2000 kcal just going about my day (you know working, etc. Basal metabolic type stuff. I haven't been exercising. Martial arts class isn't fun if you have to run to the bathroom several times during the class. Also, it doesn't seem wise to exercise when I'm not eating much. ) And, let's say that I'm eating 500 kcal/day (I actually am probably eating more than that, but stick with me here). So.. there's a 1500 kcal difference each day. 1500 x 7 is 10,500 kcal difference each week. Each 3300 kcal you burn more than you eat is a pound of weight lost. So, 10,500 would be ~3.2 lbs. So, 14 lbs would be a 46,200 kcal difference. Or, to look at it another way, even if I ate nothing all week long, I'd only be down 14,000 kcals, which is less than 5 lbs. If I really lost 14 lbs not eating at all (which, I have been eating, just not a lot), I would have to burn 6600 kcal/day. That's like marathon-running or climbing Everest levels of physical activity, or burn-patient levels of metabolic activity, which I'm just not doing. Admittedly, work's been particularly busy as of late, but not THAT busy.
The weird thing is, I'm not really dehydrated. I keep up with my fluids pretty well. I made myself eat more yesterday, and I must have replaced my liver glycogen (for you non-docs, your liver stores sugar so that you can use it between meals), because I'm up 2 lbs from yesterday. That's another weird thing.. forcing yourself to eat. It just feels bizarre. And the scale number seems to be pretty consistent. Although I actually feel kind of puffy, so I am wondering if maybe I had a barbel in my pocket or something when I weighed myself last week. If I'm feeling this puffy, that number can't possibly be true. Actually, with the laws of thermodynamics in place, that number can't possibly be true.
If true it would be good, in a way (almost half of my prednisone pudge would be in those 12 lbs). But bad, because I have a doctors' appt on March 12 (switching docs, at long last to a nice private GI, but between his busy schedule and my busy schedule, that's the soonest I could get in). And between now and March 12, I have a trip to Toronto for a conference, and I have a trip to San Diego on March 14, and I don't have a lot of energy right now for preparing presentations, etc. for those trips. And besides, it's never good to loose 12 lbs in a week.
Anyway, just some random ponderings.
Labels: doctor as patient


15 Comments:
Hey MWWAK!
Glad to hear from you, I was getting a little worried!
Re Toronto: I LOVE Toronto!! I've spent the last two summers living/working/dancing there, and it is seriously the best city ever. If you have any extra time while you're there and want info on the greatest restaurants, shops, coffee spots, study/work spaces, etc. give me a shout!(Okay, given the current UC situation maybe not the restaurants, but you know what I mean.)
I hope you're feeling much much better soon.
During those "small windows" try to get in some high protein-high calorie bites of food. Can't image what you are going through.
Tough, very tough. Take care.
I assume a lot of it is water, but still, I'm glad to hear you're up 2lbs.
Take care of yourself.
12# or14#, water, fat, or muscle--it doesn't matter: losing that much weight in one week is NOT good. I'm not an MD or RN or anything, just a mom with 2 grown children.
So I know that much. They both seem to have turned out fairly well. ;-)
Hope you feel better soon!
Anne in Memphis
Crap. Was this after the last taper?
And...guess what...secret of secrets to say, but private docs ARE better...at least in my experience...you get a lot more options, discussion, thought/time.
I was glad to see you posted again, sorry it was this.
Ugh, that sounds not fun. Take good care of yourself. And enjoy Toronto! And San Diego! (Warmth! Sunlight!)
Have fun in my home town! (Toronto). If you want any advice on places to go to do fun things, let me know!
About the weight loss - shitty. But, maybe you did have a weight in you pocket... do you often walk around with weights in your pocket? I hope this flare gets under control soon.
I have lots of similar appetite issues because of a medication I take and one thing I've found pretty helpful when I'm in the "hungry but no appetite" stage is to sip Slim Fast or Ensure-type stuff during the day. Even if I can't really get yourself to EAT anything (nothing sounds good and I feel full after two bites), I can get myself to take sips of a shake like that and at least get some protein and calories and vitamins and such. I also let myself eat ANYTHING that sounds appealing, even if it's a milkshake at 6 in the morning. Anything to get some calories in, even if they are sort of useless ones, like sweets or etc.
Good luck and hang in there! Also, I confess your typo of "loose" instead of "lose" makes me picture those 20 pounds hanging off your frame all jiggly and wobbly (and "loose," see?) instead of actually GONE -- kind of a funny image, sorry! :)
Oops, meant to say "myself" not "yourself," obviously! That's what I get for poking gentle fun at your typo! :)
Sorry to hear you are having another flare. Too bad we can't donate fat cells to you when you lose all that weight. I'm sure a lot of us would gladly donate to the cause..especially if we could eat that food you don't feel like eating and be able to send all the calories to you. ;-) All kidding aside, I hope you get feeling better (and weigh more) soon.
It's not just burned calories, it's protein loss with concommitant fluids. You are wasting (in the medical sense). Travel may pull you much deeper into the flare. Please take care of yourself.
I'd like to lose 12 lbs in a week. Maybe then my pants wouldn't feel so tight. :\
Ah, vanity.
xavier: Yeah, toronto's a nice town. Didn't feel well enough to enjoy it as much as I would have liked, but I'll be back.
rlbates: I've been doing so. Even forcing myself to eat if I don't want to. It seems to make me feel a bit less bad. Good advice.
tbtam: Yeah, I've regained a total of 3lbs of it with forcing myself to eat and better hydration, so I might have been a bit more dehydrated than I thought.
Anne: Thanks for the good wishes. :)
msilf: Um... yeah. I think so. For example, if I don't call the gi fellow and jump the queue, I would call in april for an appt in may or june. I'm a new patient for newgidoc, and his office got me in in 2 weeks. And yeah, it was after the last prednisone taper, and it always takes high doses of prednisone to get the uc to respond. And I hate the prednisone.
bardiac: toronto was good, but exhausting. San Diego's just an in and out trip, but I do want to go to the zoo and see the pandas.
anon: Fortunately (or not), I'm not so skinny that a failure to eat is going to be catastrophic, at least over the short term, but I will remember the suggestion. :)
midlife: plenty of fat cells of my own, thank you very much. Specially after the 35 lbs I gained on the prednisone. ;)
essiewb: You're right. I got home febrile and hurting. Ended up having to tell my travelling companions that I was sick. If new gidoc tells me not to go to san diego, I will at least consider doing what he says. Actually, at this point, part of me hopes he does.
MWWAK: Why are you showing up as "Graham"? Glad you liked Toronto, hope the UC flare ends soon.
xe: I let graham use my computer and apparently he left himself logged in.
Post a Comment
Links to this post:
Create a Link
<< Home