Showing posts with label orlistat. Show all posts
Showing posts with label orlistat. Show all posts

Tuesday, 1 September 2009

A Bad Day

I went out early today to do my shopping - and didn't find it too difficult to get out or be out. When the agoraphobia isn't 100% full on, I can manage very early, before most other people are around, or very late. It's just the 12 hours in between that I have the problem with.

Anyway, I've been so worried recently about not getting out and continually running out of food, that I made sure I wouldn't run out in the near future by buying loads and loads and loads. I think you can probably already imagine the rest before I tell you ...

A lot of bloggers complain that they are good all day and then binge in the evening. But I'd say although it's bad to binge any time of the day or night it's much worse to binge first thing in the morning because then your blood sugar is kaput for the whole day.

And yes Chris I do that multiple slices of toast with sugar free jam thing too. So I'm typing with jammy fingers. My laptop will suffer a certain amount of crumb infiltration if I'm not careful now ...

Just searched for "adult education (my town)" and came up with

"Naughty (my town) Wifes [sic]
Husband Out For Work: You In For
Naughty Pleasure. Join For Free"
Is that educational? Sadly I'm not married.
Anyway, why the binge? A certain amount of domestic stress - I won't go into the details. This is really annoying; that any even fairly medium sized stressor can set off the bingeing. I've only had about 3 hours of sleep each of the last two nights which is a very bad sign in retrospect.
The only good I can draw from this is that most of the food I've been eating is not of the fatty and/or sugary variety. The one or two items of fatty food that I did have provided no "hit" for me. I was surprised that I didn't really enjoy them. This is due to breaking the fatty food addiction with orlistat. I ate the fatty and sugary things first of course and then threw about half back up and took orlistat for what was left to ensure that addiction didn't take hold again. But I still have a bad carb thing going on.
For the rest of the day I've been compulsively eating (without any vomiting) low fat carbs - multiple bowls of muesli, bananas, dates, sandwiches, large quantities of crumpets and toast with half fat soft cheese and all fruit spread ... Definitely better than the stuff I was eating in the previous bingeing weeks. But still way way way too much; leading to several hours this afternoon of scary severe stomach pain followed by near diarrhea.
With the physical consequences of this behaviour being so bad - not forgetting of course the obvious weight gain - it just hammers it home yet again that this is a mental illness. My body definitely doesn't want me to do all this to it. Yet at the time it was the only way of dealing with my stress, anxiety and depression. I did consider taking a tranquilizer - I have a few left over from some dental treatment I had last year - but it didn't appeal. Would have probably been the better thing to do though I'm thinking now.
The previous evening I had dealt with the stress by drinking alcohol. Better than eating and don't worry I'm in no danger of being an alcoholic - I can't tolerate very much alcohol at all. I only had about 3 units worth. I did consider - at least I was considering the other options to eating I'm thinking now - I did consider having a drink this morning but couldn't do it. My body just doesn't like alcohol that much. But then it doesn't like vast quantities of food that much either lol!
Hopefully, as the stressor has now receded, I will calm down in the next few days and manage to reduce my food intake to where it was. I had hoped to get back to my diet this week, but as I have to cut down gradually I can't see myself getting there until next week now which is really pissing me off.
All I can do is try to stay calm and keep going....

Monday, 24 August 2009

Walk with The Bear

Oh dear. I have just written a very long comment on escapefromobesity (see blog list) and it makes me feel so embarassed. I have always been great at responding to other people's stuff rather than focussing on my own sh*t. It was just the same when I went to a (quasi) therapy group. I hardly ever talked about myself. I focussed intensely on everyone else's problems. It's always much easier to think things through and come up with a reasoned response when the problem comes out of someone else's mouth (or keyboard). Because of this I always thought I'd make a great psychotherapist, but just one little spanner in the works - I'm too much of a f**kup myself to ever be taken seriously in that sphere. This is really annoying!

At least thinking about Lyn's stuff is helping me get further forward myself as we are both battling our weight, whereas the therapy group was filled with people with very diverse problems - none of which related to eating - so I didn't really get that much from it in that sense.

I did get to see The Bear yesterday but only after a long wait. He had told me to ring him between 3 and 4pm to arrange meeting up. So after getting up at 2pm (I only got into bed at 7am and slept badly) I had a reasonable breakfast and then read blogs all afternoon. I didn't want to have anymore to eat as I knew I would end up eating too much and so not be able to go outside as my stomach would be too big to get into the only summer clothes I have that fit (yes that's how bad things are). It enabled me to see that I am able to stop eating if I really want something bad enough - and I really did want to see The Bear. And also that reading blogs is a great distraction from eating! I love reading them - my new obsession?

Anyway, it turned out that The Bear had only gone to bed at 8am and so I didn't get to meet up with him until 7.30 in the evening - a long time to go without food! But I wanted to see him so bad that I wasn't going to mess it up. All I had was 2 bananas. And I felt OK.

We went for a walk together 1/2 an hour up a hill and then back. We sat on a bench together at the top looking out onto distant hills as dusk fell. He ate some chips he'd bought on the way but luckily he didn't offer me any! - which I think was because I'd said about how much weight I'd put on and how upset I was about it.

He chuntered on in his usual fashion about computing and photography and all the people he knows etc. I never get to discuss my own stuff with him - beyond a line or two I manage to lever in when he pauses for breath. But I accepted that a long time ago - he can't take on my stuff on top of his own. He just can't cope with it. Most people think this is so unsatisfactory that I shouldn't bother seeing him anymore. But I love him and without him I probably wouldn't still be alive right now. He's kept me going just by being him. He can only be himself - he can't be something he's not afterall.

I was really impressed by the fact that I was able to do this walk. There is always the danger after a sudden burst of exercise that I will binge because it's such a shock to the system after weeks of sitting indoors all day. We went to a shop on the way back and I did Good Shopping until the guy on the till was putting it thru and then I went to the freezer and got a choc covered ice cream for both of us. That one item is the only bad thing I've eaten in a week apart from a small choc bar. And the choc bar was followed by 2 orlistat so no damage. But because I didn't take any tablets with the ice cream I got the fat hit and it was amazing to me after that how I started fantasising about food etc like a mini rush in my brain. But luckily I was still walking with The Bear around town for 30 mins after I'd eaten it so I didn't get the chance to act on those feelings, and they weren't actually reinforced by eating behaviour. The unstoppable train didn't get to leave the station that day.

It is now 9pm here and I'm not sure whether I should go out on a walk or not. And whether if I do I will be able to eat safely and sanely afterwards.

I'll let you know what happens...

Saturday, 22 August 2009

The 5am Post

Well here I am posting in the small hours of the morning, though as this blog is set to some US time zone it will probably look like I wrote it at a much more reasonable time. Why am I writing this in the middle of the night? Because I've been on antihistamines from the moment I got up to try and calm my skin down. They do cut the itching and my skin does look a little better, but they also put me half to sleep. It's pretty well impossible to do anything very much when I'm taking them - like trying to do something blind drunk, but with no enjoyment thrown in.

Between 2 and 4 hours after I take the first dose I am barely awake and then when that wears off and I start to feel alert - and start itching again - it means it's time to take the second dose.

So what with that and the fact that I went to bed at about 6am yesterday (also because of the antihistamines) I've only just got to the point in the day of being compos mentis.

Well at least I don't have to drink any alcohol to put myself into oblivion ...

So how have I done the last couple of days? Well I woke up on Friday crying and totally wiped out from having been out for several hours on Thursday. I felt so delicate, both psychologically and physically. I just couldn't face going out again so I didn't go to healing at the library. I hardly ever miss it - even in the last 6 weeks when things have been so bad, I only missed it one other time. And that was because it was too hot to go out in my coat.

Normally when I don't go to healing I feel really really bad, but on Friday I was too drowsy to get upset about it. I've hardly missed a Friday healing in the last 8 1/2 years. It's my fixed point of the week, and I don't feel complete if I don't go. It's not just the healing itself - 15 to 20 mins of total relaxation, total safety, grounding, and healing energy going all the way through you. It's the opportunity to socialise, to say hello to everyone, a few words here and there with people I've been chatting to for so many years ...

For someone as isolated as me, this is as important as the healing itself. In the last 6 weeks I have hardly chatted to anyone else apart from those people I see at healing.

Except The Bear of course!

It's at times like this when I feel so bad about myself that he is the only person I trust. Because he's seen me at my very worst and not rejected me. This makes it very special. He accepts me whatever I look like and whatever I feel like inside.

But sadly I don't get to chat to him that often, or spend much time with him.

As far as my eating goes, I'm sticking to low fat foods but not restricting my intake. I have eaten one small galaxy bar but downed two Orlistat with it. The next stage will be cutting down on the amount of food I'm eating and then trying to get into a regular pattern of good eating again - which includes having a proper evening meal of fish, salad and vegetables.

This, for me, is the most difficult bit when I've been on a food bender. Salad and vegetables are very challenging when you've only been eating rubbish, or even when you've only been eating mainly lowfat carbs, fruit and yoghurt as I am now. It's a big jump to make. When I'm eating that proper evening meal again it means I'm really "doing it"; really back on my diet. And that's real pressure, because it means that everything I eat then "counts". I will have fully stepped back into reality at that point.

Bingeing is like stepping out of reality for a while; like nothing you eat will actually put on any weight. That's what enables me to eat huge, ridiculous amounts of food. I am not connected to the reality of my situation or my life anymore. Only to the enjoyment of eating in that moment. And it is only momentary enjoyment. Sometimes even between items of food - say between one chocolate bar and another - I wish I could stop. I keep saying no more to myself even as I am reaching for the next thing to eat.

Getting back into exercising is even more difficult ...

So how do I get there? Sadly not because I love myself too much to hurt myself anymore. It's nothing to do with self love. I only ever manage to get back into it because I've become totally suicidal over not being able to go out, not having a life and looking so dreadful. Suicidal over having destroyed my appearance yet again ...

One motivator that has got me back on track the last few times is a man I fell in love with in 2005 (after I had split up with The Bear). I haven't seen this man in over 4 years now. I don't expect I ever shall see him again - and I really wouldn't want to looking like this!

We met on a course. There was this incredible chemistry between us, but we never spoke a word about it. We were never alone without other people there. He was married, so it was impossible. And he was far too honourable ever to do anything he shouldn't. So our feelings were silent and when the course ended we carried on our separate ways.

And I have never even fancied anyone since then, let alone fallen in love.

So the motivator is fantasising about seeing this man, reigniting the chemistry again. Fantasising about him being free to pursue a relationship.

Yet it's not really about this particular man - because I fully accept that that could never happen. It's about what he stands for; the idea of him. Because he was so perfect, and I was so amazed that someone so perfect could ever fall for someone like me; someone so imperfect.

I know some people will think it's wrong to be motivated by a man, that we should do it for our selves, because we love ourselves etc. But this is my reality, however politically incorrect it is ...

Oh God I'm itching really badly again. I'm going to have to go to bed now.

I may be going to see The Bear tomorrow so at least that is something to look forward to. But only if the weather is cold enough ...

Friday, 21 August 2009

Post Orlistat

Well I managed to break the fatty food habit for this week. I used the Orlistat method over the weekend and I've been suitably turned off fatty food. Of course it helped that the morning after the first 2 doses I woke up to an unfortunate accident with horrid orange gloop all over a sheet and the duvet I sleep on (mattress is so lumpy I sleep on top of 2 duvets). I was very glad it didn't go onto the mattress itself - at least I was able to wash away the damage - but it was a scary and disgusting way to start the day.

Luckily I only had to take it for 3 days to have the desired effect in my head. But that was traumatic enough. How people take it for months on end I have no idea. Presumably someone will (or maybe has?) invented a suitably shaped anal sanitary towel to deal with this problem. Sorry for the disgustingness of that idea!! Just being practical .... and there is a market out there for such a product ...

In my last post I talked about being unable to take the Orlistat. So what changed? Well, I reached the point where I was so distressed about the situation, about not being able to leave the house because I am so embarrassed about how much weight I have put on, about my fatness being on view to the whole world because it has been too hot here to go out without my mac on; the idea of my shame being exposed to the whole world just got too overwhelming.

And then there's my psoriasis. Every time I binge the areas of psoriasis literally burn afterwards. 6 weeks ago before I started this bingeing episode it was only on my hands and feet. Now it is all over my body and very very itchy. This is due entirely to eating rubbish. It will probably take quite a long time to calm down. And that's only if I can keep myself on the straight and narrow.

Yesterday I had an appointment and so had to go out. As I've barely been out in the last few weeks this was quite a big deal. It took me at least an hour to put together something to wear - some turned up Topshop cargo pants which I had bought the last time I was big and thought I'd never wear again (I had thought what a waste of money they were ... I wish) and a loose Monsoon silk shirt over ribbed vest top. I did the lower buttons of the shirt up to cover my large stomach but as it was thin silk I don't know how effective the disguise was!

I amazed myself by doing quite OK while I was out. I even went and did some shopping afterwards at a centre near the hospital which I usually never visit - which might sound really brave given my agoraphobia, but that was easier than using shops where I am known because at least strangers won't be looking at me and thinking how much weight I've suddenly put on.

Because I felt OK at the time I was able to do Good Shopping - rice cakes, sugar free jam, dried fruit, raspberries and strawberries, ham and turkey, fat free cottage cheese, a little salad, fat free yoghurt. And because I was calm I wasn't tempted by anything I shouldn't be buying. As I've said before, it's all in the shopping.

Wednesday, 12 August 2009

Bingeing hell; time to return to normal life

Just seen some research which explains why bingeing is so addictive - it creates opioids in areas of the brain linked to that behaviour (see http://www.medicalnewstoday.com/articles/159011.php . I have noticed that I literally get a hit from eating fatty sugary food. And that I can cut out this hit by using orlistat. It takes two to three days for this to happen but then I don't crave it anymore.

I take two or three capsules per binge or sometimes more (this is an overdose but it is only for 2 to 3 days). I break the capsules open and tap the powder out onto a spoon to take because the colouring in the capsules (bright blue) makes me feel quite ill. Also this enables the stuff to get to work straight away which means the maximum amount of fat is absorbed, which is important for this method to work.

So, knowing this, why don't I just take the orlistat? I almost did this evening after consuming a magnum double caramel, a galaxy bar, a box of Milk Tray, a box of cherry and chocolate biscuits and a packet of Party Rings. But I just couldn't do it.

Why?

I have been massively overeating, bingeing and literally eating all day long for the past 5 weeks. It's feeling really awful now. So many times I have desperate to stop. I have begged myself to stop, but just been unable.

It's like being led through life like a beast with a ring through it's nose; dragged along by my blood sugar levels, and the need for a fat hit in my brain.

But now I feel like a complete mess. I've put on loads of weight and I'm covered in horrible itchy psoriasis. So I am a wobbly blotchy itchy mess.

Everything has been subserviant to the out of control toddler (the uncontrollable Id). I've only been cleaning my teeth twice a week. I've been eating in the night, going to bed in the middle of the night, only washed my hair three times in the last five weeks. The toddler complains everytime I even have to get up out of the chair or go to the loo. Doing anything at all becomes very difficult. Apart from eating of course.

JC (Jonathan Cainer) is always right of course - my horoscope says that it's no good eating 2 meals now just because you were hungry earlier and had nothing to eat. He suggests I now move on from the recent trauma. He is so right! I need to move on from here.

I am at the stage now where it's all in the shopping. If I don't buy the food I can't eat it. Simple as that. It's just a case of being strong while I go round the supermarket and not popping out to the convenience store late a night to stock up on rubbish.

I say 'popping out' as though it's the easiest thing in the world but as a sufferer from agoraphobia it is only a very strong desire for food that would drive me out in the first place! But if I have enough good or 'safe' food in then I won't step over the threshold in any hurry.

It's definitely time to move on from here and return to normal life, rather than just sitting around eating.