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I have followed this post with extreme interest to see if what has worked for anyone. I had a colectomy, 1995 for UC at the Cleveland Clinic by Dr. Fazio. I was 25 (you do the math). Weight became an issue. At age 38, I set out on a complete quest. First disclaimer: everyone is different. I can only tell you what works for me. I tried every diet, every supplement, and finally a nutritionist. I was lucky to find one amazing nutritionist here in New Orleans. It cost me a pretty penny, but worth it. She pointed out that anyone can be malnourished. Eat fast food every day? You're malnourished. Food passes through me very quickly. (Note: I am on zero meds and have no issues other than frequent visits tot he bathroom, though nothing like when I had UC.)
She explained that if you're malnourished (certainly I was, despite eating my fair share), your body will store anything it can to get the nourishment it needs. Problem was: it was clinging to everything.
Again, I stress, see your doctor, see your nutritionist, everyone is different. She immediately put me on a liquid multivitamin and a calcium chew. (Note: in the years since, I have switched to two Flintstone chewables instead of the liquid, it works for me; I've also added a liquid B12). She switched me to 6 small meals a day, all 'high protein' (not low carb). I am 5'3", so I try to get 1200-1500 calories a day (walk 3x a week, weights 2x a week). She had me go easy on salad and raw veggies, switching to steamed veggies, as they are easier to digest.
The biggest factor was: I stuck with it. The 40 pounds came off in about 6 months (the last 15 being the toughest). Last year I was slipping into old ways, and I went to make an appointment. She had a 6 month wait period for an appointment. Watching tv one day while sick, I saw the infomercial for Food Lover's Diet. It was the exact same plan that my nutritionist put me on. I signed up, and now I use the online food diary and tools to keep me on track. I don't work for them, not paid to say that, I am just saying the online food tool worked for me (I never opened the exercise dvd's they sent.)
It worked for me. It took me a year of trial and error before I found a nutritionist willing to work with me, but I was determined. Obviously she's good since it now takes 6 months to get an appointment. I can't stress enough: see your doctor, see a nutritionist.
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Part of the reason was the rapid weight loss because you lose quite a bit of muscle when weight loss is fast. Then you introduce more food and you put on body fat and fluid quickly. It's very frustrating to say the least.
I think that for me the slow digestion and lack of activity for a few months together with some kind of physiological change due to losing your colon Is to blame for weight gain. Your metabolic rate decreases substantially after low caloric intake and it's hard to get the metabolism back.
A physician who says just cut back on food and exercise is uninformed. The only way to make a change is to eat 5 or 6 small meals a day get plenty of sleep reduce stress and adequate exercise but not overdo it.
It's hard to have patience with yourself and some days I'm depressed but I know on good days that being kind to myself is very important.
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