My journey began in July 2011 with the fear that my diabetes and high-blood pressure would kill me. I weighed 153Kg, more than ever before and was in almost constant pain from a tight lower back that would hurt so much when I tried to turn around in bed while sleeping that it would wake me.<\/p><\/blockquote>\n
For the first few months I kept to a tight formula.<\/p>\n One cup of cooked oats porridge made with fat-free milk, a tablespoon of dried cranberries and half a sliced banana for breakfast.<\/p>\n One smoked chicken breast (about 125g) with steamed broccoli (lots of it) and salad greens dressed with fat-free yogurt and a teaspoon of basil pesto or mustard for lunch.<\/p>\n For dinner a chicken breast or grilled tuna fillet or canned tuna with broccoli and salad as before.<\/p>\n No sugar, no wheat, no alcohol, few carbs.<\/p>\n One of the most useful things that Cognitive Therapist Bradley Drake suggested was to list the benefits of maintaining a healthy weight. I revisit the list regularly and suggest you create one too if you are on the journey.<\/p>\n Why I eat healthily and stick to my eating plan.<\/p>\n I can participate in walks and hikes with JP.<\/p>\n I have reduced the risks associated with being diabetic like gangrene and nerve damage.<\/p>\n I have minimised the risks of high-blood pressure like death by stroke or being a vegetable.<\/p>\n I can fit comfortably into an economy plane seat and not spill over onto the person next to me.<\/p>\n I don\u2019t have to ask the airhostess for an extension belt.<\/p>\n I can turn over easily and without pain in bed.<\/p>\n I no longer have nerve pain in my leg.<\/p>\n If there\u2019s an emergency and I can\u2019t walk down stairs, a stretcher could take me.<\/p>\n I will help avoid cancer and Alzheimer\u2019s in later years.<\/p>\n I practice not satisfying immediate wants.<\/p>\n I have the opportunity to learn new social behaviour (ie. Not around food).<\/p>\n I have the stopped taking 15 pills every morning and seven at night.<\/p>\n I have stopped damaging my joints.<\/p>\n I no longer stand out in a crowd just because I\u2019m fat.<\/p>\n I can engage fully and not use the excuse of \u201cbeing fat\u201d to opt out.<\/p>\n I can practice tolerance for feeling hungry and feeling unfulfilled.<\/p>\n I avoid back pain\/immobility.<\/p>\n I practice tolerance for not getting to eat what I want to eat.<\/p>\n I continue to develop the skill of being satisfied with food limited in quantity and variety.<\/p>\n I continue to learn to be at a table with the smell of freshly baked bread and not eat it.<\/p>\n I continue to get better at differentiating between hunger and cravings.<\/p>\n I continue to develop a greater acceptance to saying no, thank you.<\/p>\n While I wish it weren\u2019t this difficult to keep to my plan, there is no rule to say it shouldn\u2019t be.<\/p>\n While it is difficult for me to give this up, there is no evidence that it is too difficult. The fact that I have already lost 60kg is proof of this. I can do this.<\/p>\n It is worth tolerating discomfort purely for the sake of improving my tolerance for discomfort.<\/p>\n While I, too, can fail, it is important that I learn what to do differently so that I succeed the next time.<\/p>\n I practice leaving food on my plate so that I become better at saying no when it is so easy to say yes.<\/p>\n I can cut my toenails myself.<\/p>\n I have energy to climb the stairs at home<\/p>\n I can fit into clothing that I haven\u2019t been able to for a long period and can buy off the rack at any store.<\/p>\n I continue to become healthier and stronger with each day.<\/p>\n I\u2019m able to stand for more than 15 minutes which I couldn\u2019t do when I was 60kg heavier.<\/p>\n I can kayak and snorkel and ride a bicycle.<\/p>\n An article in The New Age Newspaper\u00a0<\/a>helped me recognize for myself how much weight I’d actually lost. One of the reasons I am sharing my experience here is because the affirmation I receive from people, who feel inspired by my journey, reminds me how much I’ve achieved.<\/p><\/blockquote>\n Now, at 92kg, I feel the anxiety of what happens if I pick the weight up again? Although I’ve never lost this much, more than 60kg to date, before, I have lost 20kg before and picked it up again. Being reminded by the way you see me helps me internalize it. I’m still surprised when I see myself reflected in a full-length mirror.<\/p>\n While I was obese I objected to people telling me what they thought about my body. Now I rather like it.<\/p>\n One of the most useful things\u00a0Cognitive\u00a0Behavioral\u00a0Therapist Bradley Drake said to me was to think about meal times differently. I now recognise that much of the time that I was eating I was distracted – by watching something on TV, sitting at my desk working, busy with my phone\/iPad etc. You know what I’m talking about.<\/p>\n I agreed to make some changes which I have kept to.<\/strong><\/p>\n 1) I only eat while\u00a0sitting\u00a0at the table.<\/p>\n 2) I have no distractions – no TV, radio, phone, music.<\/p>\n 3) I only have one plate of food (I would routinely have seconds and thirds so this is especially hard for me to do.)<\/p>\n 4) I plan ahead. Of all the new\u00a0behaviours\u00a0 I think that planning my next three meals in advance and either having them ready or having the ingredients I need in the fridge for them, protects me from running out of time when it comes to preparing food and opting for something quick and easy which, more often than not, is also high in energy and not in support of what I want to achieve.<\/p>\n Now that I’ve reached my goal weight (89.3kg this morning) I feel I can be a little more\u00a0lenient with my intake. I will continue to avoid carbs (other than the oats porridge for breakfast) but am introducing low-fat Feta from Woolies into my lunch salad) as my\u00a0dietitian\u00a0is concerned I’m not having sufficient calcium. I’m now making myself a\u00a0vinaigrette\u00a0with 1 TBS olive oil and 1 tsp balsamic instead of the dressing with fat-free yogurt which, frankly, I’m getting tired of.<\/p>\n I had to own that I had made myself sick before I could make myself better.<\/p>\n In July last year when I sat across from Dr Malcolm Sandler and asked if there was anything he could suggest to help me lose weight, I was on the maximum oral dose of three drugs to manage Type 2 Diabetes and on three drugs to manage my high blood pressure. We were already discussing the need for me to have insulin but he wanted to postpone it for as long as possible as it would make me gain even more weight.<\/p><\/blockquote>\n Today the only drugs I take are Supradyn A-Z multi-vitamin, iron in the form of Cheliron-Forte and Omega 3. Not only have I saved Discovery a whack every month in medicines but I also don’t have to spend time counting out a week’s medicine into little boxes. I kid you not, I was taking up to 20 tablets a day. Now I take three.<\/p>\n All of this is to say that in my case (and I’m prepared to bet in the vast majority of cases too) that I had made myself sick. What I had put into my mouth had given me diabetes and high-blood pressure. Let’s not to mention the near constant pain I was in from backache.<\/p>\n Perhaps because my father was a pharmacist I have always felt comfortable being on medication and seeing doctors willy-nilly. It is a fact that in my soon to be 45 years of life that I have spent (and caused to be spent) zillions of Rands on doctors etc. I’m probably the most over-treated person I know. And don’t get me started on psychotherapy! I’ve had so much therapy and analysis in my time that there is hardly anything about myself that I don’t understand. If the goal of therapy was to help me accept myself and view my insecurities with affection then it has worked. I don’t, however, credit any of my long term therapy, for the change in my\u00a0behaviour. And, while my behaviour around food has changed, its appeal hasn’t dissipated. Food still calls to me. I now enjoy the idea of it – I still read little other than recipe books and bake something at every opportunity. What stops me eating a delicious looking and smelling peanut butter chocolate-swirl brownie is not a lack of desire. It is the knowledge that it will make me sick. For me wheat and sugar are poisons. Not\u00a0because\u00a0I’m physically allergic to them but\u00a0because\u00a0they are my gateway drugs – a puff of the joint that leads straight to heroin in the veins.<\/p>\n Now that I’ve reached my goal weight I’m giving myself more freedom when it comes to the kind of protein and the amount of fat I allow myself.<\/p>\n Each day I weigh myself at the gym and register the impact of the food I’ve eaten verses my exercise. I’m beginning to learn that if I spend 20 minutes on my bike and walk to and from Hook, Line & Sinker restaurant, that I can fully enjoy mussel soup and kingklip with cheese sauce with no change to my weight.<\/p>\n I bet that if you engage deeply enough with anyone you will discover that they, too, have psychological baggage. Heavy and light people both. It doesn’t matter why I might quell my emotions with food. All that matters is that I don’t do it now, or tomorrow or the day after that.<\/p><\/blockquote>\n My mantra must be that I made myself better and that I can make myself sick again too.<\/p>\n It was almost a year ago when I wrote my last restaurant review. What made it hard to do was that I was closing the door on an aspect in my life that I\u2019d been most\u00a0publicly\u00a0associated with. \u00a0For more than 10 years I had been writing about restaurants \u2013 where to eat what.<\/p>\n I still believe in many of the things I wrote about: eating local; creating dishes from the best possible ingredients with the least possible fussiness; selecting artisan producers over commercial ones and having respect for produce and livestock and the conditions under which they are grown and raised. \u00a0I also promoted gluttony. For me the prize at a quality buffet was to manage three or more helpings. Free-flowing Champagne was something I celebrated. Oyster quaffing at breakfast was a reason to visit. If I was dining with someone with a smaller appetite I\u2019d swop plates to finish their food in addition to my own. I even recall one media lunch where I wolfed down five lobsters, just because I could.<\/p>\n I\u2019m sorry if the way that I wrote about food, or indeed if reports of my behaviour, made you eat more than you had to. My wish to promote foodie excellence may also have meant I promoted gluttony. I\u2019m sorry for this.<\/p>\n I often criticised the recent trend of \u201cmolecular gastronomy\u201d or \u201cdeconstructionist cuisine\u201d because it was, more often than not, badly executed. I now object to it on different grounds \u2013 the world over our relationship between ingredients and the food we consumer is more skewed than it has ever been. Despite accurate ingredient labelling we have become lulled into accepting that bread that\u00a0doesn’t\u00a0go mouldy in a week is a good thing or that the convenience of shoving a pre-prepared meal from the freezer into the microwave in two seconds, represents an advance. In this environment, where we are desensitized to what we consume, I think making an art form out of presenting ingredients in a way that makes them hard to recognise is not \u201cwitty\u201d or \u201cinnovative\u201d as I once described it. I celebrated the way chefs hoodwinked us.<\/p>\n Although I don\u2019t choose to eat Foie Gras now on account of its high-fat content, I\u2019m not sorry for promoting it. I still maintain that an animal that is raised well for most of its life, before being fattened so that its liver tastes better than ordinary liver, is ethically no different from a child that is taught ballet from an early age so that as an adult they can contort their bodies into unnatural positions for our entertainment. I do, however, object to the way battery chickens are raised and how used to purchasing skinless, boneless chicken breasts that\u00a0we’ve\u00a0all become that it has no connection to the animal that produced it.<\/p>\n I was wrong that I needed more. In fact, I needed less. We all do.<\/p><\/blockquote>\n Know why you want to lose weight before you start.<\/p>\n One of my biggest anxieties now that I have reached a healthy weight is that I will gain the weight I\u2019ve lost. I think it was the crushing disappointment of losing weight in the past only to gain it with interest was that paralysed me into believing that the only solution for me to lose weight would be radical weight-loss surgery.<\/p>\n I had to get my thinking clear.<\/p>\n Although all the supporters I connected with to help me on this journey contributed, I think the sessions with Cognitive Behavioural Therapist Bradley Drake made the single biggest contribution to me getting my thinking right. I can remember me telling him that was not possible for me to leave food behind on my plate and becoming very angry when he asked that if someone were standing next to me with a cocked gun threatening to shoot would it still not be possible for me to leave food on my plate. What made me so angry was that I thought he was being trite. Obviously, with a gun to my head, I would leave something behind on my plate. What he was illustrating was that it wasn\u2019t impossible. It may be hard to do but it is not impossible, given the right motivation.<\/p><\/blockquote>\n Me getting clear about why I wanted and needed to be at a healthy weight was the equivalent of the Godfather \u201cmaking an offer he couldn\u2019t refuse\u201d.\u00a0 I first had to accept that I was killing myself by the way I was eating and then the motivation became clear. I chose life. If you\u2019d told me, even offered a money-back-guarantee that I could and would shed excess weight; be able to be without medication for blood pressure and diabetes and, moreover, have energy and lightness that made me want to be active, I wouldn\u2019t have believed you. That is how compelling my self-beliefs were. As someone who has achieved a healthy weight, I can offer you that guarantee. However, I imagine that you, like me before, will have to find that motivation yourself.<\/p>\n Shedding<\/p>\n I like the verb To Shed. It feels liberating to need and want less than before. Today I shed my fat clothes. Other than a few choice pieces that I will have made smaller and just one outfit that will remind me how very large and obese I once was I have given away my entire fat wardrobe.<\/p><\/blockquote>\n I started a few months ago with black bags of things for St Luke\u2019s Hospice shop in Bellville but today was the final clearance. I feel lighter because of it. It also means that there is no easy going back to being obese, which is the way it should be.<\/p>\n Shedding also means, for me anyway, that there are fewer protective layers between me and the world. The impact of this is that I am more short-tempered than ever before. The opposite is also true, I find that I\u2019m feeling happier when I\u2019m happy, so all emotions are more intense. I mentioned this to a friend recently who shared his own journey from addiction to health and said that he and other people in recovery commonly experience this. So, please consider this a warning and explanation \u2013 if I snap your head off at the slightest provocation this is why.<\/p>\n I had to muster all my \u201cnice-guy\u201d mojo recently when a friend brought his brother, who is obese, to see me in the hope that he might begin a healthier lifestyle. I offered coffee and placed a jar of cookies for those what wished to, to help themselves. Of the five of us there only the man who, two moments before in reply to my question Why Does He Want To Lose Weight listed a myriad reasons, took the cookie.<\/p>\n My mother was an early Weight Watchers adopter. She talked about the \u201cwitch of a woman\u201d who ran the meetings who said that if you cheat it is like throwing your money out of the window and, Ma said, would throw people\u2019s money to illustrate the point. I\u2019m not sure why this anecdote stayed as clearly in my consciousness as it did \u2013 this must have happened more than 30 years ago \u2013 but I thought immediately of that when he took the cookie and it took all my \u201cbe pleasant\u201d strength not to say what I thought: \u201cyou obviously don\u2019t want to lose weight: if you did, you wouldn\u2019t take the cookie.\u201d<\/p>\n Of course this makes me hugely judgmental and lacking in empathy for how hard it must be for him but I think it is also the truth. This is why Knowing Why, being 100% clear about what really is the motivation to lose weight; stop smoking; stop drinking excessively; \u00a0gambling uncontrollably and a hundred other compelling but destructive behaviours, is essential if we are to succeed. Perhaps, as my recovering friend suggests, he hasn\u2019t yet reached rock bottom.<\/p>\n I know that I can be cutting, severe and too easily dismissive of the struggles we all face but what worked for me is treating myself with the same severity \u2013 the tough love approach worked for me and if, in time, I get called a witch (or worse) for saying how I see it, I will just have to live with that.<\/p>\n Yesterday we celebrated two friends\u2019 birthdays that both had fabulously catered events. In anticipation of an unusual eating day I doubled by cardio exercise doing 40 minutes on the treadmill and had no carbs for breakfast.<\/p>\n Despite not being hungry I had more to eat than I needed to at the lunch and I know this because aside from obsessing about the food that I eat, I watch what others eat very carefully too and I was way ahead in the grazing stakes. The fact that the food was very delicious and interesting made it all the more difficult but the biggest difference was that I wasn\u2019t eating a single plate of food but rather eating from platters as they arrived. This makes portion control very hard. A strategy for next time is to keep things on my plate until I have filled the plate and only then start to eat.<\/p>\n The evening event started with canap\u00e9s being served with drinks and then main courses served to the table, family style. I noticed a growing sense of pleasure and pride each time I refused something being offered. One of my rules is to only eat while sitting at the table but the fact that everything was carb laden made it clearer for me what to refuse.<\/p>\n To say that I relaxed when it comes to eating dinner is an understatement. The mains \u2013 hot-smoked salmon and Asian-style steamed prawns with innovative salads, were incredibly delicious and I lied to myself that because I\u2019d been virtuous by refusing the canap\u00e9s I could have seconds and thirds.<\/p>\n If only this story ended here.<\/p>\n As\u00a0I’ve\u00a0reached my goal weight I\u2019m more allowing than before in terms of what I eat and although I\u2019d refused cheese during my initial phase,\u00a0I’ve\u00a0now started adding Woolies Low Fat Feta to my salads. I spied the cheese board and, just by looking at it, I knew this was a selection of cheese from France and probably cost a fortune. Yes,\u00a0I’ve\u00a0eaten fine French cheese before but I was overwhelmed with that Fear Of Losing Out and rationalised to myself that it would be a long while before again having such cheese available to me. \u00a0A connoisseur might have the tiniest piece of cheese to experience the flavour of it but as I\u2019m a glutton I probably had half a kilo of cheese. And then the strangest thing happened. I was overwhelmed with disappointment at my failing \u2013 I felt shame that I had behaved just as I had promised myself I wouldn\u2019t. \u00a0The extra calories I can deal with at the gym (and I went first thing this morning and did 40 minutes of cardio at an average 140 heart rate.) I still feel disappointed in myself and I have growing self-doubt that when faced with a similar situation I again won\u2019t be able to refuse. I feel that I have cheated myself. I have been unfaithful to the promise I made myself and while I can fix the short term damage to my weight, I\u2019m not sure how long it will take to trust myself again.<\/p>\n For those who have asked for the contact details of the team who helped me reach my goal weight here they are, in no particular order.<\/p>\n<\/blockquote>\n Johannes Janse van Rensburg, Bio-kineticist at Virgin Active Tyger Valley: 0824085281.<\/p>\n Most useful aspect: Slowly built up my fitness and strength while avoiding injuries.<\/p>\n Dietician Judy Kotze, Durbanville. 021 975 2336<\/p>\n Most useful aspect: Demonstrating how little we really need to consume to be healthy.<\/p>\n Cognitive Behavioural Therapist, Bradley Drake, Monte Vista 021-558-7252<\/p>\n Most useful aspect: Helping me get clear about why I wanted to be at a healthy weight and trouble-shoot potential environments where sticking to my plan may be more difficult.<\/p>\n GP and Diabetes programme, Dr Louise Spruyt, Kenridge 021 914 1222<\/p>\n Most useful aspect: Providing lots of research and in-depth explanations so that I fully grasped what I was dealing with.<\/p>\n Physician and specialist endocrinologist Dr Malcolm Sandler, Panorama, 021-930-5050<\/p>\n Most useful aspect: Keeping me alive despite my best efforts to the contrary!<\/p>\n Brian Berkman, that\u2019s me.<\/p>\n While all the above contributed, I\u2019m the one who did the work. I know this is an obvious thing to say, but I stress it here because many people who speak to me about their need to be at a healthy weight list reasons why they can\u2019t be. Unless you are being chained up and force fed there is no valid reason for not being able to lose weight, if you want to. I am the only one who decides what goes into my mouth and how much physical activity I do. I suggest that you are, too.<\/p><\/blockquote>\n Every moment is a new beginning but New Year\u2019s Day\u2019s new beginning feels even more laden with expectation than any other new start. While I\u2019ve managed to maintain my weight at around 85kg while being on holiday but I notice that, based on how my clothing is fitting me, my body shape is changing. It\u2019s not that I\u2019m bored nor that I\u2019m hungry but I am eating more than I usually do while I\u2019m not in my usual \u201cwork\u201d routine although I\u2019m trying not to be too hard on myself providing that the scale keeps me where I want to be.<\/p>\n Here\u2019s what I\u2019ve learned:<\/p>\n Despite having a detailed exercise programme I\u2019m not working out hard enough at the gym unsupervised. Look, it\u2019s not a train smash \u2013 I\u2019m still training almost every day and getting in about 30 minutes of cardio and doing bicep curls and triceps kickbacks, but I can see that my tummy is flabbier than it has been recently and my shoulders are not as strong as I\u2019d like them to be.<\/p>\n Planning ahead is my proven solution to not overeating. I took along my own meal to last night\u2019s old-year\u2019s dinner even though I didn\u2019t end up eating it then. Knowing that I had a meal with me allowed me the opportunity to choose wisely what to eat and not to succumb to making bad choices because I was hungry.<\/p><\/blockquote>\n I have to train first thing in the morning. Even if I manage a second bout of physical activity later in the day my window of willingness closes the moment I\u2019ve had breakfast so I have to plan to get to the gym, onto my bike or both along with the sparrows.<\/p>\n The more people hear my story and affirm the way I\u2019ve changed my life, the more anxious I feel about regaining the weight. Without exception, everyone who tells me how they\u2019ve lost weight continues to say they\u2019ve regained it. I hope that by sharing my experiences here that I will stay conscious and keep up the healthy lifestyle that I\u2019ve worked so hard for.<\/p>\n If your new beginning is about becoming healthier in 2013 I hope that I\u2019ll be able to contribute to helping you achieve that.<\/p>\n No one likes the taste of pickled herring or whisky the first time as they are known to be acquired tastes. In thinking about how it has been possible that I am able to enjoy foods now that I didn\u2019t before, I find that the answer is that I am able to acquire a taste for anything.<\/p>\n For me this means two things: while I didn\u2019t get the same pleasure eating steamed broccoli and smoked, skinless chicken breasts that I once did from eating steaming bowls of pasta carbonara, I was, pretty soon in the scheme of things, able to be satisfied by it. I\u2019ve also learned that my desires for foods that I\u2019ve added to my \u201cVerboten\u201d list can very easily be rekindled and the cravings and wonderings about them can become an unnecessary distraction.<\/p>\n Now that I\u2019m at my goal weight, I feel freer about adding calories to my diet. Broccoli, for example, is even more delicious when I make it with a satay-inspired sauce of peanut butter, soy and sesame oil for smokiness. While this addition of calories isn\u2019t harmful to me, it has made the idea of naked, steamed broccoli seem boring. Alarm bells are ringing.<\/p>\n I\u2019ve also noticed that I\u2019m not stopping to eat when I naturally feel sated, but picking at this or that which remains on the table. This breaks my rule of one-plate-only-food but also reminds me how compelling I find left-over food to be. I know that it is important that I remain vigilant. What the scale says and the way my clothing fits is the ultimate arbiter but I don\u2019t want to make the challenge of keeping to a healthy weight more difficult than it already is.<\/p>\n I think I\u2019d better re-acquire a taste for naked, steamed broccoli and get used to the idea of throwing food away in the bin, rather than discarding it in my body.<\/p>\n I think it is true that as an addict I have replaced an addiction to food with an addiction to exercise but I also note that I\u2019m needing more coffee than ever before, especially as a replacement to dessert which other people around me are eating when I\u2019m not.<\/p>\n Marika Sboros did a brilliant interview with me for Business Day. Here is a link to it if you\u2019d like to read it:\u00a0http:\/\/www.bdlive.co.za\/life\/health\/2013\/01\/08\/vital-signs-how-not-having-bariatric-surgery-saved-my-life<\/a><\/p>\n Having hard and fast rules about what I will and won\u2019t eat and drink helps me maintain my healthy weight. While my behaviour has changed dramatically, my desires haven\u2019t. I notice, especially when eating with other people who are having desserts when I am not, that I eat more than I need to.<\/p>\n I was very inspired by a documentary, Forks Over Knives, which, among other things, pushes a plant-based diet as the solution for best health. That wasn\u2019t, however, what resonated with me. Two things did: One, the correlation between the Food and Sex motivators linked to our evolutionary imperative of avoiding pain and increasing our species and the other, how because of the increase in the density of calories in processed food (think about the calorie density of corn syrup relative to cane sugar, for example) that we are all unknowingly consuming more calories. Because we are evolutionarily programmed to seek out high-value foods, those that are protein, vitamin and mineral rich and will sustain us for the longest possible time, our bodies report feeling satisfied when we eat high-quality calories and, conversely, not when we eat junk.<\/p>\n I am aware that I continue to eat even when I feel full when others around me are still eating. As I\u2019m an All-or-Nothing kind of guy, it is easier for me not to eat at all than to temper my consumption, albeit of \u201cgood quality calories\u201d. My challenge is to find a way of just responding to what I need.<\/p>\n Another thing that Forks over Knives suggests is the insidious and creeping impact of small increases. A little more today and every day onwards very soon amounts to a lot more. When I look back at the many times I lost weight and regained it, it was because of small increases and loosening of my rules little by little.<\/p>\n Obesity is being blamed, according to a report out of Davos, for 2.8 million deaths a year.\u00a0 The report is from Sapa-AFP and published online by Times Live\u00a0http:\/\/bit.ly\/Uwih65<\/a>. \u00a0It claims that 1.4 billion of us are overweight and that it is likely to increase to 60% of the world\u2019s adults in two decades. \u00a0Among the reasons cited for what is being considered by Linda Fried of the Mailman School of Public Health at Columbia University as a pandemic, are the ease of availability and the relative cheapness of high-calorie foods.<\/p>\n I think it also points to a deeper problem that may also explain why divorce rates continue to climb. Somewhere in our recent history we were told, perhaps by Madison Avenue or as a response to post-war life, that things should be easy. I think we must fundamentally change the way we think about this: if we believe life ought to be easy and that if it is easy we are somehow rewarded, I think we believe that when things are hard that they shouldn\u2019t be. Have we lost our ability to tolerate discomfort?<\/p>\n Losing weight, especially for those of us who have been obese all our lives, cannot be remotely considered easy and, yet, I believed it should have been and that experiencing difficulty and discomfort was a signal that it wasn\u2019t meant to be.<\/p>\n Do you think this is why we end relationships as quickly as we do, rather than work hard at them to find a resolution? I get a lot of fulfilment from the challenge of leading a healthy lifestyle and refusing to eat something that I\u2019d like to eat but isn\u2019t good for me. I\u2019ve come to like that it is difficult because it means that I achieve more than maintaining a healthy weight \u2013 I achieve a solid sense of being hardworking and achieving something in challenging circumstances.<\/p>\n What spurs me on to increase my fitness now is the affirming feeling of getting better at something. I like the feeling of being stronger and the discomfort in my muscles tells me I\u2019ve worked hard and will be rewarded.<\/p>\n Perhaps if we thought that life ought not to be easy, we might better tolerate the effort and time that it requires to do a good job of it. Although on separate sides of the pond, my brother Steven and I both excelled at physical endurances today. He completed the Watford Half-Marathon in 1 hour and 58 minutes while I cycled 34km today to The Palmiet River and back to Pringle Bay. Previously cycling about 20km was my record. I mention this because it proves that we Berkman boys have the genes of athletes and what I had to do was to shed excess weight and get fit to succeed at it. I was pretty tired when I got home but not so tired that I couldn\u2019t have done an extra 10km which is what I\u2019ll aim for next time. Maybe this time next year I will also be able to run a half marathon.<\/p>\n The most extraordinary thing about this is that in May 2012, when the picture of me was taken in The Maldives, not only would this have been impossible for me but I would also have considered you crazy for even suggesting it. If ever you needed proof that what nothing is impossible, I must be it. The second image was taken in Pringle Bay in January 2013.<\/p>\n On re-reading Prof Tim Noakes\u2019 thinking,\u00a0http:\/\/bit.ly\/YiiSbr<\/a>\u00a0,I\u2019ve stopped eating porridge for breakfast and instead eating eggs or left-over supper. He also suggests that the notion of eating three meals a day may not be the best for us and admits that he is experimenting with just one meal a day or only eating when hungry. Broadly speaking, a low carbohydrate diet is the single biggest change to previous eating plans and I believe 100% that this has been the key to unlocking my 70kg weight loss. But, and here\u2019s where I\u2019m rethinking things, I used to routinely start my day with cooked oats porridge, a table spoon of dried cranberries and half a banana and I\u2019m also not having artificially sweetened drinks like Sprite Zero which had become my tipple of choice to see if my body functions even better because of it.<\/p><\/blockquote>\n Another article, in Time Magazine,\u00a0http:\/\/ti.me\/128JDDW<\/a>\u00a0suggests that the time of meals may make a significant difference to weight gain\/loss and repeats the old age wisdom that we should breakfast like a king, lunch like a prince and dine like a pauper.<\/p>\n I\u2019m also reading Breaking The Food Seduction by Neale Barnard which suggests that there are addictive substances in dairy and meat as well as the better known ones in sugars. So, if I follow their plan, I\u2019ll end up eating mung beans and tofu instead of meat and dairy which, frankly, doesn\u2019t appeal to me.<\/p>\n I mentioned in a previous post that I\u2019ve been sexing up my broccoli with a peanut butter sauce. I know that most brands of peanut butter contain sugar but as I only use about two tablespoons for 700g broccoli I don\u2019t think it is too worrying. What is worrying, however, is that I find myself craving peanut butter which makes me think that perhaps Prof Noakes is also right in suggesting that peanuts are not good choices in terms of their carbo-load.<\/p>\n Now that I\u2019m working to maintain my healthy weight and increase my cardio fitness and muscle strength, this goal has replaced the desire to eat and drink the things I once loved. What I\u2019m getting now is worth so much more to me than what I\u2019ve given up. If you also found a way of internalising this it may help you on your journey to a healthy weight.<\/p>\n Know Yourself.<\/p>\n When I was an active Freemason, one of the central tenets was to Know Yourself and now that I\u2019m on this healthy-living journey, this advice seems more relevant than ever. I\u2019m a worrier \u2013 always have been and probably always will be, but fortunately I know this about myself so I can manage the impact. Being such a scaredy-cat was quite an impediment growing up and I think I missed out on a whole bunch of exciting things because of it. Anyhow, among the many things I\u2019d worry about was my obesity but, true to form, I\u2019m now worrying that I\u2019m too underweight.<\/p>\n My weight dipped below 82kg which, given that my dietician said 90kg should be my goal weight and that people as obese as I was typically carry between five and seven kilos in excess skin, that means I\u2019m actually about 75kg. Rather than worry \u2013 I\u2019ve had a whole bunch of bloods done to confirm that I am a picture of health and am seeing Judy Kotze to discuss my lightness on Wednesday.<\/p>\n But I\u2019ve decided that the only way to overcome my fears is just to, as the sages say, Feel The Fear And Do It Anyway. Pretty soon I will be able to tell you about an experience that will be testing my physical and emotional fortitudes. The most amazing thing is that I would not even have considered something like this six months ago. But, having successfully completed my second long bike ride, this time a roundtrip from Pringle Bay through Rooiels to the Kogelberg Beach Resort on Clarence Drive, I feel I can overcome any obstacle.<\/p>\n<\/blockquote>\n The great thing about overcoming challenges is that it gives me courage to take on even bigger things \u2013 whether I worry about them, or not.<\/p>\n","protected":false},"excerpt":{"rendered":" I began blogging about my weight-loss journey on another platform which I am no longer using. I’ve cut and paste the posts from HowNotHavingWeightLossSurgerySavedMyLife.com over a period of about two years into one combined post below for those who are interested in how and where …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[16,17,21,175,39,40,71,76,93,142,148,154],"class_list":["post-937","post","type-post","status-publish","format-standard","hentry","category-weight_loss","tag-banting","tag-bariatric","tag-brian-berkman","tag-cbt","tag-diabetes","tag-diet","tag-lchf","tag-low-carb","tag-paleo","tag-tim-noakes","tag-type2","tag-weight-loss"],"_links":{"self":[{"href":"https:\/\/brianberkman.com\/index.php?rest_route=\/wp\/v2\/posts\/937","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brianberkman.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/brianberkman.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/brianberkman.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/brianberkman.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=937"}],"version-history":[{"count":2,"href":"https:\/\/brianberkman.com\/index.php?rest_route=\/wp\/v2\/posts\/937\/revisions"}],"predecessor-version":[{"id":1000,"href":"https:\/\/brianberkman.com\/index.php?rest_route=\/wp\/v2\/posts\/937\/revisions\/1000"}],"wp:attachment":[{"href":"https:\/\/brianberkman.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=937"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/brianberkman.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=937"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/brianberkman.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"Beach](\"http:\/\/brianberkman.com\/wp-content\/uploads\/2013\/02\/Beach-before-and-after.jpg\")
<\/a>Sitting opposite my physician Dr Malcolm Sandler I asked him if there was anything that could be done to assist me. He suggested I investigate bariatric or weight-loss surgery and referred me to discuss my options with surgeon, Dr Etienne Swanepoel.<\/p>\n<\/a><\/p>\n\n
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