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2018 JUN 9 -- Day 59

My dreaded physical is coming up. I don't want to do it. I really hate doctors, but I know that it's super important to be under the care of a physician. This is especially true now that I have completely changed my diet and lifestyle. I want to lose weight as quickly as possible, but I also want to make sure I do it in a healthy way.

Starting weight: 401 lbs
Current weight: 352.4 lbs ⇩
Long-term Goal: 145 lbs
Short-term Goal: 325 lbs

I am fasting today. My weight is down from yesterday which is great and also a bit expected. It is down quite a bit, though -- about 1.8 lbs. That has to be water for the most part. The most I can expect to lose is half-a-pound-a-day of fat through healthy eating (or not eating as the case may be). I am concerned that I may be dehydrated, but I'm not too concerned. My real worry is that the doctor will want to put me on drugs for diabetes control. I really don't want to take medications if I can avoid it.

I know that my husband will feel better about things if I am under vigilant physician scrutiny while I am fasting for five days and only eating for two days each week. I'm fine. I feel fine for the most part. I do lose a lot of strength and energy quite quickly when my electrolyte balance is off, though.

My blood glucose readings are really high, and that is rather concerning. I'm seeing numbers in the arena of 180ml/dl. That is not good. It is still not 200, though. And if I can continue with my fasting and feasting regimen, I'm sure I can get this under control over time. I'm also strictly following keto when I do eat to minimize my insulin response. That may have something to do with it as well.

When I go in for this physical, I know what tests I need to ask for. According to Dr. Fung, these are what I need:

Initial and Yearly: Lipid Panel, Fasting C-Peptide, Fasting Insulin, Vitamin B12, high sensitivity C-Reactive Protein (hsCRP)

Every 3 Months: Complete blood count, fasting glucose, creatinine, uric acid, sodium, potassium, chloride, albumin/creatinine ratio (urine), urea, bicarbonate Hemoglobin A1C (HbA1C), alanine transaminase (ALT), alkaline phosphatase (ALP), albumin, calcium, phosphorus, magnesium.

This sounds fun!

Anyhow. I am at 352.4 lbs today, and I have one more day until I start a new 30-day "month." The new month will run from June 11, 2018 to July 10, 2018. I wonder if I will still be in the range of 350 lbs by June 11th when the new month starts. Probably. Only time will tell!

At the rate I'm going, it will likely take me another month-and-a-half to get to the newest short-term goal of 325 lbs. I can't even imagine it! Then again, I could never imagine being in the 350s either, but here I am. So there's that.

I am going to feel like a guinea pig graph:


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