HELLP syndrome completely ravaged my body. I have been lucky; I have not had near the problems that some other survivors have had appear in the years postpartum, or even while HELLP syndrome was rearing its ugly head. My liver and kidneys nearly failed, but within a week they were working again and I was sent home. No seizures. No heart issues. No ICU stay. I was damn lucky.
One area that I am still having issues is with weight and cholesterol. I already knew that after HELLP that my chances of having heart disease or stroke go up. Your chances of heart disease and stroke double, and chances of high blood pressure quadruple. As I have a family history of cardiac issues my chances of heart disease or stroke are even higher.
In an attempt to save me from such a fate I've been monitored closely by my doctor and have been actively trying to lose weight. Luckily, my heart looks great. I had an EKG yesterday and the doctor was pleased. It's my cholesterol that has gotten out of control. Given that I live primarily vegetarian, with chicken being my only real animal based protein, my doctor was worried that my LDL cholesterol has raised by 10 over the course of a year. Since weight has an effect it was decided that I needed to lose weight.
That is no secret to me.
Every time I go into the doctor I'm diagnosed as fat. It's absolutely nothing new. I would go in for unrelated problems and the outcome was "you need to lose weight", as if I didn't already know that I was fat as I put on my size 14 jeans that morning to go to the appointment.
The largest problem I've had is that I cannot get the weight off, no matter what I did. The only time I was every successfully skinny and small was the early 2000s. I was in my early 20s, working full time, getting kids from one activity to another, college later on in 2008. I rarely sat down or stopped moving. I also abused ephedrine before it was taken off the market, I smoked like a chimney, and drank coffee like it was going out of style. I was not healthy, even if I was a US size 2.
Things have changed a lot for me in 2021, and life experiences have made me a much different person. I started experiencing anxiety in 2012. Broke my ankle and had to have surgery in 2013. Anxiety increased in 2014 and led to agoraphobia. My dad passed away from cancer and I stopped smoking in 2016. 2017 I had a baby and nearly died from HELLP syndrome. That was my turning point for defeating anxiety, but all of those things compounded and the weight I'd gained was not budging, no matter how hard I tried.
My pregnancy weight at 36 weeks, when Joey was born, was 170 pounds. And that's just about where I've been since then, give or take 5 pounds.
If you've read this blog journal thingie for any length of time you'll know I've tried going vegan, I've tried going dairy free (which stuck, as I'm lactose intolerant), I've tried Atkins. I've even slipped and ended up doing some of the nasty habits that I had when I was in the deepest of my eating disorder when I was in my early 20s. Nothing worked.
I finally got completely and utterly frustrated and went to my doctor and cried for help. I was prepared to take a medication for my high cholesterol. The nurse who gave me my results for my blood work said that would be a possibility and I'd accepted that I may be on a statin for the rest of my life. Statins are HMG-CoA reductase inhibitors. It blocks the creation of cholesterol and can help lower your overall cholesterol. My HDL (the good stuff) is good, so it may be the case that my body just makes too much. My doctor warned me that it could be genetic, it could be related to the HELLP syndrome, there are loads of possibilities.
While I was prepared for a statin, I was not prepared for a weight loss drug. I'd entertained talking to my doctor about it, but I wanted to try again one more time by myself. I was surprised that I was given
Adipex-P. It's a stimulant appetite suppressor. I'd already seen what Phentermine could do. I saw a post a couple of months ago from Xiaxue on Instagram and she'd used it and looked amazing. Of course as I've got a larger stature so I do not expect to get down as tiny as she did, I would just like to get where I was right after high school, around 120 to 130 pounds. My body looked good when I was around that weight. I looked healthy. I saw a review on
GoodRX and the man said he lost around 25lbs in a month and a half. that's half of what I want to lose! Another woman said it curbed her sugar cravings, which isn't much of an issue for me since I do not really crave sugar.
The picture on the left was in 2005, right after I'd moved back to where I live. I had quit a job as a server where I was on my feet 12 to 14 hours a day plus my usual workout routine. On the right is me in I do believe 2010. I was deep in an eating disorder and around a size 2.
I wanted to find another recent picture to go with the one above, but I cannot find any similar. That was taken by my sister in law at Joey's fourth birthday party. I look like the bloody penguin.
So today is my first day on Adipex-P and I don't feel bad, but I don't feel like I could take on the world, either. It feels similar to the effects of ephedrine. My heart is beating a bit faster than normal, and I have loads of energy. It's currently 10:41AM as I write this and generally by now I'd be having a midmorning snack after eating breakfast at 7:30. I'm not hungry. At all. My mind is telling me to eat because it is our routine, but I don't feel the actual hunger like I usually would. I'm slightly jittery like I'd be after several cups of coffee, something else I skipped this morning. The only side effect I'm feeling so far is thirst. This was on the list of possible side effects so I knew to expect it and I'm combatting it with more water than I'd ordinarily drink.
In addition to Adipex I'm trying Noom. So far I like it. I've seen people complain about how little calories that one is given (around 1200 seems to be the base for everyone), but as you move and it calculates your movement and exercise they add a half a calorie back for every one that you burn. Yesterday my allotment was around 1500 calories. That's not much different from what I eat usually anyway. My regular diet fits well into their stoplight system of red for foods to avoid, yellow for eat sparingly, and green for the good things like veggies, fruits and whole grains. I still eat some of the red foods, I'm not going to lie. For me, Noom is helping to keep track of what foods I eat so I can evaluate my overall diet. It's got some great psychological lessons and an extensive collection of recipes. It's also helping me realize how inactive I can be, and it gives me a daily step goal. I find it hard to get that goal in while I'm at home all day doing coursework and raising Joey so I do my best to do an evening walk. I'm at about a mile right now, but I'd like to eventually walk several each evening. It's been 12 days and I've lost 5lbs with Noom, but the scale has stopped going down. My doctor said she did Noom too and really liked it, so we shall see how the next seven months go. I paid for a seven month period and I'm sticking to it.
I get to go back in four weeks to see if I've lost any weight and to check its effects on my heart. She said the most she would put me on this is three months, and if I can't lose enough weight to get my cholesterol in check in three months I don't know what I'd do. I'm not super big, but I'm also not small. I'm at an awkward in between and it sucks. I just want to feel good about my body again. I worry about slipping back into old habits (excessive calorie counting and overexercising while under eating, etc). I worry that the medicine may react with my Lexapro that I take for anxiety and land me in the hospital with serotonin syndrome (when your body has an overabundance of serotonin). I worry that it may not work.
If you've stuck with me, thank you. It's been a hard and long journey and I am not ready to throw in the towel yet.