BODY WARS: A Big Mystery?

I saw my GI Specialist at Stanford today, and we discussed diet. The reason I am gaining weight seems to be a more complex issue than I thought.

Problem 1: Too many carbs. The problem with the gastroparesis restricted diet is it tends to be high in carbs. Those of us who suffer from this disorder cannot process fiber or fat very well (if at all, in some cases). This excludes pretty much every vegetable unless it is pureed or cooked to death (baby food, anyone?). I can tolerate some raw fruits (watermelon, berries, grapes in moderation), but so far, most raw vegetables reduce me to a vomitous puddle on the floor...except I absolutely refuse to vomit. The problem with cooked vegetables is...I hate 'em!

Solution: Replace carbs with protein. I will be adding more protein through using tofu and Boca Burgers, which are generally well-tolerated by functional (meaning, fairly well-controlled) gastroparesis patients. I just switched to soy milk yesterday, but it still sometimes upsets my stomach.

The doctor also suggested Jenny Craig meals, with modifications.

Problem 2: Nortriptyline. This is the name of the medication which is helping me face eating every day; it was part of a medical trial (the NORIG study), and it happened to help me a great deal. The medication belongs to the second-generation antidepressant class, but the very low dose I am taking does not register as helpful for depression; instead, it works on the nervous system that controls digestion (which, oddly enough, works with the same chemistry as the brain). Unfortunately, one of the big side effects is WEIGHT GAIN. Bingo!

Solution: None, really. If my weight continues to mysteriously skyrocket, I will have to go on another medication...and the other medications tend to have even weirder side effects and are not always effective.

Problem 3: My cardio workout is practically useless for weight loss. I knew this going in, so I am more interested in increasing my stamina in order to run a 5k. I feel so bad, however, for those heavy middle age ladies who come to the gym, run like mad, and then go home expecting to have lost weight. It doesn't work that way, but I think this is a more "recent" finding (although I have known this for years through experience).

Side Note: I personally think stationary bikes are completely useless in particular; you seem to expend a lot of energy on a monotonous task and then have nothing to show for it. This is why I prefer treadmills and elliptical machines - at least you feel like you are getting somewhere. I also love playing with the settings and speed. I have discovered that the speed marked as JOG, for example, is actually RUN for me because I have such short little Dachshund legs! The speed marked as WALK is way too slow for me. In fact, no one I know walks that slowly.

Solution: Weight training. The good doctor suggested I try weight training again. This is just what I wanted to hear. I love weight training and I sorely missed it. Because of my extremely poor coordination, I have to stick to weight machines - you don't want to see what happens with me and free weights! I will also likely take some kind of group exercise class just for fun.

I will post my results of Week 1 by next Monday.