Body Image

Day 6 of DHEMM

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Well, it’s been hard. Harder than expected. Cutting out white foods are not the problem, it’s those dang squats. I have never pushed my body this much, except when I broke my leg. I lost about 15 lbs just trying to get off my bed and use the bedroom. I broke all three bones that connects my foot to my lower leg, including my fibula. To repair it, a plate and eight screws added for stability. Two of the screws were drilled through my fibula into my tibia. I had started working with a trainer, about 6 months afterwards, which caused me to break one of the screws. Needless to say, I had to have a second surgery to remove the two long screws. There will always be a piece of the screw embedded in my tibia. The second surgery allowed me the ability to move and use my leg the way it is meant. The only problem I have now is that I can feel it, when I apply pressure on that leg, i.e. squats. It doesn’t hurt, but I am well aware of the metal presence.

What i do know is that I am not a workout girl. So, whether I had the injury or not, this would still be difficult. Trying to get your big body to do what it needs is not an easy task. I do know that I am starting to lose inches again. I don’t measure. I snap pictures, which I haven’t done in a while. I may do some today. I am also aware that my clothes are looser. I’ve increased my protein intake, to help continue build my muscles. I think the squats are going to really help me with my Color Vibe run coming up. So, I am absolutely committed to completing this challenge, although it is not perfect. I don’t think perfect is the intent anyways; it’s the effort.

I went to my endocrinologist on Friday to check my Vitamin D levels. My levels should have increased for sure. I’ll find out this week what my numbers are. I also went to see a dermatologist, for my itchy skin. I have assumed that I have a food allergy, but I think it’s my detergent. I changed up everything I use externally, such as soap, lotion, detergent, and moisturizers. The itching had gotten better immediately, after washing my clothes and bedding, which is why I am almost certain it’s my detergent. We shall continue to see.

Day 6 following DHEMM challenge was my best day, although I ate like a trash compactor (I had white everything). Not only did I take my daughter to a day trip to Carolina Beach, NC, where I soaked up as much Vitamin D possible, I came home and did all of my exercises:  55 squats, 30 crunches, and 15 sit ups. I had an exceptional Fitbit day as well. check out my numbers:

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As you all can see, I am still absolutely committed to changing my life. My process is slow. You are not going to come here and see me posting 5-10 lbs lose in a three-week period. This is truly me making an honest effort to change the way I think and live my newfound healthy life. If I gave perfect, then you should know I am lying. These are things I want to continue, for the rest of my life. I am not interested in temporary or fast fixes, which is how JJ Smith teaches anyways.

Belviq: The New Diet Drug

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I don’t know if the risk associated is worth an estimated 5% of my weight decreased in a year. Using the charts below, let us break these numbers down, in regards to Belviq:

BMI
Weight   Status
Below   18.5 Underweight
18.5 –   24.9 Normal
25.0 –   29.9 Overweight
30.0 and Above Obese
Height
Weight Range
BMI
Weight Status
5′ 9″ 124                    lbs or less Below                    18.5 Underweight
125 lbs to 168 lbs 18.5                    to 24.9 Normal
169 lbs to 202 lbs 25.0                    to 29.9 Overweight
203 lbs or more 30 or                    higher Obese

Belviq is for people who have a BMI of 30 and higher; overweight patients with a BMI of 27 or higher can also take this drug. This drug estimates a loss of at leat 5% of your body weight, within a year. So for instance, based on the chart above, 10.15 pounds of the 203 pounds listed in the above chart will be lost. It states on the FDA Approval Letter that this drug, along with reduced calorie intake, and increased exercise was more effective. This medicine is consumed twice a day, and has side effects and warnings, such as

  • Discontinue use, if 5% weight loss has not occurred by the 12th week
  • Valvular Heart Disease
  • Psychiatric Disorders

Unless there is a medical reason that prohibits a patient losing weight, with lower calorie intake and exercise, why would they take this medicine? Five percent of 300 is only 15 pounds, and I would have to ask if this drug is worth the risk? This is about 1 to 2 pounds loss a week. I can attest that this is achievable, with mild, but constant activity and increase in healthier foods, without medications. I eat whatever I want to eat, just in smaller portions, with an increase in fruits and vegetable as fillers. I get full eating heavier, healthier foods that do not add weight, when eaten in moderation.

If a drug needs to trigger your brain that you are not hungry, then why isn’t obesity taken more seriously as a mental disorder, widespread?Belviq was denied two years ago, because of concerns of the risks, although approved yesterday, without mentioning any changes. Was this drug passed to offer a ‘solution’ for obesity, without really being an answer? Was this drug placed in the market for profit? Was this drug approved, due to pressures of the government? I ask these questions, because it makes no sense how it would help me, for instance, lose weight that I am losing on my own. I have read trying to find the ‘ah ha’ factor, but I can’t find one. I am sure there is a reason that there has not been a  drug approved in 13 years, for obesity. I wonder if it has been so long, because weight loss happens only when the person is ready to commit, regardless of efforts from health care professionals?

This drug, with its FDA approval, can now be made available to all private and public insurance carriers. It is an oral tablet, therefore covered under the pharmacy benefit. I wonder how much this drug retails for. I am curious about the reimbursement factors of this drug, and the expected cost share to the consumers. However, I have been unable to find this information.

References:

Boyles, Salynn (2012). FDA Approves Diet Pill Belviq. WebMD. Retrieved from http://www.webmd.com/diet/news/20120627/fda-approves-diet-pill-belviq

Eisai (2012). Highlights of Prescribing Information. Retrieved from http://us.eisai.com/package_inserts/BelviqPI.pdf

Berlrot, B., Yukhanonov, A. (2012). FDA OKs first obesity drug in 13 years. Reuters. Retrieved from http://www.reuters.com/article/2012/06/27/us-arena-obesity-idUSBRE85Q1AA20120627

Arena (2012). Arena Pharmaceuticals and Eisai Announce FDA Approval of BELVIQ® (lorcaserin HCl) for Chronic Weight Management in Adults who are Overweight with a Comorbidity or Obese. Retrieved from http://invest.arenapharm.com/releasedetail.cfm?ReleaseID=687182