Weight loss and personal accountability...what's your excuse for a bad diet?:
Short list of excuses:
“I became pregnant, and gained this weight with my baby”
“My wife became pregnant and I gained weight.”
“All the medicines I am on cause me to gain weight.”
“I had a hysterectomy.”
“My family has to have special food, and I have to eat what they eat.”
“I don’t understand it myself, I never eat a thing.”
“I use to play sports, and then I injured my knee.”
“I don’t like diet soda.”
“I had dental work and I can only eat soft foods.”
“My husband is doing all the cooking now, how can I say no?”
“My wife is Italian and a great cook.”
“My wife is (ethnicity deleted) and we always eat out.”
“Well, you know, the holidays.”
“The weather has been too (fill in hot, cold, rain, earthquakes) to exercise.”
”I don’t have time to exercise.”
“I don’t have time to cook properly.”
“I can’t cook something different for me and for my family."
“I have hypoglycemia and have to eat often.”
I apologize if I left out your favorite excuse, but there are a lot of them.
Successful patients know the food they eat and exactly why they gain weight
One change universal in patients who have made it to goal and stayed there is the food they eat. They know why they gain weight. It isn’t difficult to understand, it isn’t a mystery, and it is exceedingly simple.
The next few chapters will help you select a goal, figure out how to get there, make a timetable, and plot the course. The first step to losing the weight is simple: realizing that it is up to you and you alone to do this. There are no excuses. You have complete control over your calorie intake. Once you accept that responsibility, it becomes much easier to deal with it.
For Weight loss surgery to work, you must take responsibility for your weight
Many of the patients who made it to goal and stayed there did not initially take responsibility for their weight. They had the litany of excuses seen above and a few more. But they changed, in part because going through surgery isn’t easy. Getting to the point of wanting surgery is akin to an alcoholic hitting bottom. Those who go into surgery with the assumption that they will never have to think about what they eat, or need to make lifestyle adjustments to lose weight, or think that they can have surgery and “eat anything they want,” are in for a rude awakening if they do not change their attitude. They, and they alone, are responsible for their weight. For the rest of us who are not morbidly obese but just overweight, the first real step to losing weight is the simple recognition that it is our hands (or mouth) and that are keeping us overweight.
One patient came into my office because he was suffering from some “strange bloating.” His primary care physician had done a CAT scan to see what might be causing the bloating. He referred him to me to me because the patient wanted laparoscopy to diagnose what was going on inside of him that was causing him to have all of this bloating. The answer was simple—it was fat.
When confronted with the simple fact that he didn’t need to have surgery, he was quite upset. He said that he wore the same size pants he wore when he was in high school. His pants were riding on his hip bones—and this was long before the “low rider” blue jeans were in style. He also informed me that he only ate one meal a day. This man, who weighed over 300 pounds, was in denial that he was fat. Instead, he wanted to have some strange illness.
Dr. Terry Simpson, lap-band weight loss surgery specialist...tells on himself
This wouldn’t be a complete book if I didn’t tell on myself. Medical students are, by nature, hypochondriacs. We learn about so many new diseases with such vague symptoms that we become afflicted with all of them. Medical students don’t get headaches—they get brain tumors. They don’t have bleeding gums from flossing too hard, they have leukemia.
When we were studying endocrinology I was convinced that my problem was cortisol metabolism. I had gained thirty pounds in the previous couple of years and now I had the answer—it wasn’t that I was fat, I simply had some strange cortisol metabolism problem. This was, of course, years before the current group of pills designed to “block” cortisol or change this metabolism (in case you have not figured it out, no matter how many commercials they run, those pills are only effective in costing you money, not in weight loss—perhaps they are referring to wallet weight). Back to my professor, a nice, very kind German fellow. With a smile and very thick accent he assured me, “You don’t have a cortisol problem. You do have an endocrine problem however.”
”I do?” I asked, feeling vindicated that my weight could be explained by this new endocrine problem. Boy, were these professors smart. “What is it?”
The professor replied, “You have an over-active mouth gland.”