weight gain

<p>generally physical therapy is prescribed when you have surgery.
I have hyperextended knees, my H has a pin through his & my daughters roommates dad had his femur go through his hip which resulted in several pins required, but we all can exercise and do.
YOu really need more exercise if you have knee problems because you need the muscle to support the ligaments, which support the joint.</p>

<p>I use the upright bike & the rowing machine- when my knees got stronger I also started on the eliptical machine.
Weights as well are great for building muscles & you probably already know, muscle burns lots more calories than fat.
I never diet- but I do try and add fiber and extremely limit fried foods.</p>

<p>Hi Crayola</p>

<p>I think if possible you should try keep a food journal for a couple of weeks so you can look at your eating patterns. It will also help you see what you are eating (and if something is eating you).</p>

<p>You should write down the time of day. What you ate, if you went back for seconds and how you are feeling at the time you are eating (you may find that you are a stress eater and the first year of college could be stressful). </p>

<p>You will notice if you are a snacker, a grazer, if you eat on the run(taking in empty calories) or if you are taking in a lot of calories drinking, whether it is drinking sodas, sugared drinks, smoothies, or alcohol (sometime we don’t realize how calories we are taking in this way)</p>

<p>Once you are aware of what your eating habits are, then you can work to change them. Since eating disorders are prevalent on college campus I would advise against any types of crash diets . The key is learning how to eat healthy or for some of us, learning how to eat and eating to live vs. living to eat. Enlisting the help of a nutritionist (you can probably see one at student health at your school) could help you in changing your eating habits.</p>

<p>all the best.</p>

<p>my D went away at 130 and arrived home at 160. It was shocking for me since as of oct, there was no noticeable dif…so I took her to the Dr. had blood work run, we took her off some hormones she was put on in Oct to regulate her period, after that she only lost 1.5 pounds in 3 weeks so it was apparent it was lifestyle (sedentary), depression (no friends at school), no sleep (dorm problems mechanically interfering with sleep) and I guess self medicating with food for all of the above were probably a large part of it.</p>

<p>Since home she has gone to work out at the gym 5-6 times a week and has lost 3 pounds…but i am encouraging her to keep it up so her metabolism will get faster.</p>

<p>Do something everyday.
You need to sweat-work hard at whatever you do.
Eat less than you want.<br>
Leave food on your plate.
Keep food out of your room.
drink lots of water, limit caffeine.</p>

<p>The good news is that you put this wt on in a short time and it CAN come off as quick but you have to commit yourself to getting it off.</p>

<p>Wt gain over a longer period is harder to get off.</p>

<p>Good luck.</p>

<p>So many good tips here. Another thought on portion control: the right way to serve a family food is to let each person take their own helping from a central plate. When people were very poor on a farm, the mom used to decide and divide up portions, to make sure there was some for old granma, and (if she was smart) kept enough for herself when pregnant and away from all the hardworking men. It was a really positive way to control health in a crowd, when there wasn’t enough food. THere never used to be enough for “seconds” so that was a non-issue. There was tons of “exercise” in the form of physical work, so when people ate they were truly hungry. </p>

<p>When food became more plentiful after WW-II in many homes, a modern way (for those times) was to tell everyone in a family to take according to their own judgment, then but come back for seconds. This taught people not to waste and leave food on their plates, by taking several small dollops throughout the meal, not just one big serving from the beginning. </p>

<p>Now we live in a land of plenty (for many, not all). Still, moms still like that feeling of generosity and control, so pile on food and proudly hand the plates on to others. It’s a real pleasure for a parent to know that nobody will be hungry. </p>

<p>If the OP’s been handed an overloaded plate AND are encouraged to take seconds, that’s a double whammy. </p>

<p>Here’s an excape route, that might not hurt feelings (yours or others): Once you get your food-filled plate, pretend you are you your own mom. Look at what’s on the plate and just divide it upon your plate. Put around l/3 of each food item off to the side. If there’s something frried or high-calorie (like with gravy), put half of it off to the side! Nobody will notice, most likely, if you say nothing. Eat what is there slowly, take more than 20 minutes. Don’t pull over anything from the set-aside part of your plate unless you absolutely feel hungry. Don’t eat out of habit, actually ask yourself, “am I still hungry?” before you move some from the set-aside part back to what you’ll eat.</p>

<p>You mentioned that you always go back for seconds. Seconds of what? It sounds to me like your family is a lot of fun, and you want to keep enjoying the conversation. Perhaps you could go back for seconds of the salad, or get another glass of water from the tap, but not the potatoes or meat, so you’re still having a good time together. Each time you make a good choice, give yourself an inner cheer. Don’t bereate yourself hard if you make one weak choice. The day has hundreds more choices to go. Keep positive and correct the next choice, rather than get depressed over your prior bad choice.</p>

<p>These are things to think about. As you see, it’s a combination of making better food choices and finding some possible ways to exercise safely.</p>

<p>Your family sounds jolly and happy, but right now you have a different goal within that environment. It will take discipiline, thought, and impulse control. OTOH, you got into college, so you know you have those character traits already. You can do this! It’s definitely within your grasp.</p>

<p>Sometimes a day in the bookstore, while on vacation, to scan all the new books on health, nutrition, exercise and motivation can be helpful. I never buys those books but I do spend half-days sometimes to read in the store. If one really speaks to you (after you’ve scanned it), buy it to keep. Each person has a unique approach to figure out how to get control and change habits. </p>

<p>Remember, you only are slightly over what you want to be; this is very do-able if you get on it now. Good luck.</p>

<p>Sybbie referred briefly to one additional thing, but I want to highlight it:</p>

<p>There are a lot of calories in beer. If, at school, one change in your routine from HS is to go to mixers and parties and such and stand around drinking beer, you’re adding a lot of calories you never took in before. Beer is not Diet Coke. Be careful.</p>

<p>Starting a nice circuit-type weight program would be beneficial, but you may not see results as far as weight loss right away, as you build muscle though you will see the results in lost inches as you become more tone.</p>

<p>And make sure to eat a healthy breakfast - those who don’t usually make bad choices or eat too much later in the day to make up for it, and that slows down metabolism as well…GOOD LUCK!</p>

<p>I wrote a long response last night which got deleted before I posted, but here’s the overview:</p>

<p>-Keep a food journal like Sybbie described. Figure out why you’ve gained weight, and then you can work on that problem specifically.
-Don’t drink soda. Instead, drink water with every meal.
-Watch your calories from alcohol. Try to find lower-calorie mixers if you drink hard alcohol, such as Coke Zero instead of Coke or light juices.
-Think about any new changes in your life, including medications, food choices, times you eat, whether you’ve stopped growing, new depression, etc.
-Find activities that get you active and keep your knees safe, as you’ve said you’re going to do.
-I disagree with Atlmom: I think you should keep food in your room. Go to the grocery store and buy healthier snacks of the types of food you like to eat for snacks. I suggest yogurt, 100 calorie snack packets, cereal (dry or with skim milk), microwaveable popcorn (not the kind with loads of butter), and fruit. Limiting yourself to one of these pre-portioned snacks is far better than walking with your friends at night to your campus convenience store or the local pizza place. If you go there hungry, it will be much harder to pick out a healthy snack.
-Find friends to go to the gym with.
-Look at healthy options at the dining hall. See if nutritional information is posted online. Think about how you can make meals healthier by going easy on sauces or asking a cook to skip extra oil. Substitute whole grain or wheat bread for white bread.
-It’s important to eat your meals slowly so that you can sense when you’re full. I find getting a salad at lunch or dinner slows me down because they take a while to eat.
-Try to make time for breakfast, but keep it to something small.
-Go to meals before you’re very hungry.
-Eat less than you have been. You’ll feel hungry for the first couple of days, but I’ve found if I start eating less after a couple of days I no longer feel hungry.
-Remember that weight loss of 1-2 pounds a week (after the first week, when you’ll lose more) is optimal. More than that is unhealthy.</p>

<p>crayola15-</p>

<p>If all you can do is walk, then walk more! One mile a day won’t do much, but 3-5 miles of walking everyday can make all the difference in weight loss. If the weather is bad, use the treadmill at a gym (you can study on it, too) or walk around a mall for an hour and a half. Just do it everyday. Good luck!</p>

<p>crayola, Is the doctor who is nixing exercise the surgeon? He may not be the best person to advise you on this. As emeraldkity said, it is usual to have some sort of rehabilitation after surgery. There are physicians who specialize in this (rehabilitation medicine), and physical therapists can be very helpful. Can you ask about a referral to one of these specialists, or just arrange it yourself?</p>

<p>I can’t believe that the extra weight is doing your knee any good - is the doctor concerned about this? Maybe if your mother heard from him that you need to lose weight, she would support you.</p>

<p>If having extra pounds is a problem for you (as it always is for me) then you will just have to find the inner strength to take control of what you eat and not listen to your mother or others who comment on your food intake and try to embarass you into eating more than you know you should. I have found that when I try to be mindful of what I eat and how much, there are always those who, while well-meaning, notice what I’m eating and encourage me to eat more than I want to. I’ve gotten to the point that I have learned to just say “no thank you.” If I say it firmly and repeatedly, people eventually stop urging me to eat more. </p>

<p>After years of yo yo dieting, it eventually dawned on me that there are so many many things in life that one can’t control, but what I put in my mouth is one thing I can control, and I try to be mindful of that whenever I’m being challenged by others.</p>

<p>Different people need different weight loss programs. For many, Weight Watchers really works. Some college campuses have programs. If the OP’s doesn’t, she might want to join on-line. It really does work for a lot of people. </p>

<p>Personally, I’ve never been able to lose weight through exercise. Exercise only helps to keep it off. I have to diet to actually lose. Cheat hints: warmth is your friend. Drink lots of hot tea (herbal if you prefer it) or hot bullion (very few calories) or hot diet hot chocolate. (Swiss Miss “no sugar added” is 60 calories.) Filling my tummy with something warm 20 minutes to half an hour before meals helps me eat less.</p>

<p>Figure out what you weaknesses are and deal with them. Ice cream is my downfall, but I’ve found that Skinny Cow mint ice cream cones,frozen yoghurt bars, and Starbucks low fat dessert frappuccino bars help satisfy my craving. I also like the low fat chocolate pudding. Don’t just eat more of them though! Still, if you have a weak area, find something that will satisfy it. The good thing about this stuff is that the portions are pre-made. You won’t be tempted to take “just a little more.” </p>

<p>Watch the little calories that add up: use vinegar on salads,not salad dressing; use Splenda or Sweet N Low in coffee/ tea; eliminate mayonaise, no cream in coffee, etc. It’s amazing how the little things add up. Again, though work with you weaknesses. My best friend cannot go without rich, creamy salad dressings. So, she measures carefully and indulges. Cuts calories other places. </p>

<p>Also, involving your doctor might be a good idea–he’s going to give mom a talking to! </p>

<p>Good luck!</p>

<p>Crayola, I’m pretty sure you misunderstood your surgeon regarding exercise. And weight gain is terrible for knees. Get a physical therapist referral to tailor exercises based on your surgeon’s limitations, if any. There is ALWAYS a way to exercise without impacting any post-surgical problem areas. You just need to learn how to do it safely.</p>

<p>Old & creaky middle agers like myself need planned exercise. A young person like you should be in a lifestyle mode that is always getting exercise naturally. I think the knee issue has really thrown a wrench in your normal activity & you have to take steps to change back to a healthy level. You’re young, the weight gain is recent, and I KNOW you’ll be able to get back to a healthy & active state. Good luck.</p>

<p>I really empathize with your dilemma. Let me offer you some suggestions as someone who has been actively involved in athletic training and nutrition for many years. </p>

<p>First, you are going to get a lot of well intended advice (including what follows below) from people that don’t really know you and have no basis to offer advice other than what you tell them in these postings. It is very important that you seek out the advice of a trusted doctor to make sure that you don’t have a medical condition that is related to your weight gain and that you don’t have a medical condition (other than your knee) that impacts on your ability to embark on a structured fitness program.</p>

<p>As to your knee, I would get a second opinion from an orthopedist that is accustomed to working with athletes. Far too often, doctors who are not “in tune” with the requirements of someone who is serious about fitness have a mindset that is geared towards limiting activity for a patient rather than promoting activity. You need a doctor who is going to guide you as to how to return to normal activity to the fullest extent possible, not one who emphasizes how your knee condition requires you to avoid activity. I note your comment about your mother interfering with you seeing another doctor. As a college student, you are of an age where you are legally entitled to medical privacy under HIPPA. Assuming you are covered as a dependent on your parents medical insurance, you have the right to go to a doctor, pay the office visit copay and instruct the doctor that no information is to be released to your parents without your permission. Doctors MUST comply with your request.</p>

<p>Second, you need to create support structures for yourself to assist you in meeting your goals. You are talking about changing behaviors that are ingrained and that can be tough to do, particularly when others such as family members sabotage you (whether intended or not and regardless of motivation). Going to low cost nutritional support groups (Weight Watchers is a good example) and signing up for group physical activity/exercise classes at school (spinning classes, water aerobics, regular aerobics, whatever) provides a structure of a systematic program and the social support of like minded individuals.</p>

<p>As to your mother sabotaging your efforts to control food intake, I know that can be tough. I have an 18 year old daughter who is 5’5", has all the right curves in all the right places (ie. is not by any means a Paris Hilton stick figure nor does she want to be) and who is very conscientious about eating healthfully and exercising. My parents have meals with her frequently and have a real tendency to offer her food from their plates or to encourage her to have a very rich dessert, all of which would blow up her portion controls. It has taken some very direct talk to get them to understand that constantly offering food and “insisting” that she taste food from their plates or that she has dessert is not desired even though they think it is a reflection of caring. You have the right to tell your mother the same thing, explain why and not have it be a subject of debate. It is your body and your health.</p>

<p>With respect to weight loss, it all boils down to “calories in vs. calories out”. Burn more than you consume and you lose weight. Consume more than you burn and you gain. Simple in concept but often difficult in application. Here are some suggestions for achieving the former:</p>

<ol>
<li><p>Keep a daily food log of what you eat so that you regulate intake. It’s far too easy to mindlessly snack during the day with the result that you eat far more than you think. Write everything down as you eat it.</p></li>
<li><p>Eat no less than 3 meals a day including breakfast. Skipping meals promotes overeating at the next meal and you want to keep a steady supply of nutrients during the day to keep your metabolism from swinging.</p></li>
<li><p>Portion control is critical. You can not rely on exercise alone to achieve your goals and it is very easy to get sucked into a false sense of security by exercising with the result that you slacken up on portion controls. I work out 6 days a week, 2 days lifting and 4 days bike riding. During the outdoor riding season I will ride as much as 150 - 200 miles a week, including a couple of rides of 60 - 100 miles where I burn up anywhere from 3500 - 5500 calories in 1 ride. Even with that level of activity, if I don’t monitor portions, I can end up overeating and gaining weight. It’s very easy for me to fall into the notion that with that level of activity I can eat as much calorie rich food as I want - well, no I can’t, I still watch portions.</p></li>
<li><p>You need to have a system of monitoring food intake and exercise output that is simple and practical. It’s tough for the typical person to measure portions , calculate calories, adjust for the caloric output of exercise. If the system of monitoring all of this is too complicated or time consuming, you won’t use it. In all of my years, the simplest and most effective system I have seen is Weight Watchers. You get a slide rule and a book to calculate “points”, a slide rule to calculate points credited for exercise and a net point total to achieve each day and week. It’s simple and it works. (And I am not a Weight Watchers rep or agent :slight_smile: ). It also provides a “support group”. The only downside to Weight Watchers is that the point system it self does not actively monitor nutrient content of the food so you have to pay attention to how you are eating your “points” to make sure you are getting a well balanced meal.</p></li>
<li><p>Exercise regularly with a mix of weight training no less than 2 times a week and cardio conditioning no less than 3 times a week. Always give yourself at least one day off from training. Have a trainer put together a routine that is appropriate for you. I would bet that such services are available without cost at your college. Take advantage of group exercise classes to provide you with a structure and support system. As you lose weight, you don’t want to lose muscle and in fact want to add on lean muscle tissue. Regular exercise will assist with this as well as with maintaining your metabolic balance. (To repeat, though, don’t fall into the mistaken belief that lifting weights will significantly aid in weight loss. Yeah, muscle tissue burns more calories than fat and causes you to look firm and toned. But if you don’t exercise portion control, you won’t achieve your goals).</p></li>
<li><p>Set realistic goals for yourself. Two pounds a week weight loss is attainable and safe. More than that and you risk feeling “starved” as you cut back on food or run down and exhausted as you overtrain. Also, if you lose weight too fast your body slows down your metabolism to protect itself and it becomes harder to lose weight.</p></li>
<li><p>Use a scale to monitor your progress. Weigh yourself once a week on the same day and at the same time. Don’t get caught up in measuring body fat or lean muscle tissue, the tools available to the consumer public to measure body fat are really not accurate nor reliable. The scale and the way your clothing fits don’t lie. If you are losing weight and your clothing feels looser, you are making progress. Weighing yourself once a week on the same day and at the same time will reinforce your efforts and give you a simple way to track your results.</p></li>
</ol>

<p>I hope that some of this is helpful to you.</p>

<p>Crayola, unless you are unable to stand or walk you are able to exercise. Walking is the best exercise there is going if you factor in the cost and how easy it is on your joints. If all you do is walk and work a bit with weights you will become more toned and fit and better able to loose weight.</p>

<p>I reccommend walking…in addition to what you already do, add 1/4 of a mile a week on your campus track and do it four times a week. In a month you will be going a mile. In addition sign up for yoga and pilates and gentle weight training classes if your U offers them. </p>

<p>Regarding diet…eliminate High Fructose Corn Syrup completely. That means basicly giving up anything processed that is sweet. HFCS is one of the ingredients most responsible for the obesity of Americans. You do that one thing dietarily and stop using your knee as an excuse (or the weather either get underarmor cold gear if you go to school in a chilly climate) and you will find that by the time summer rolls around you will be ready for shorts and a bathing suit! </p>

<p>Best of luck, I know it’s hard and believe me I have my own set of excuses too.</p>

<p>Do have your thyroid checked (TSH [thyroid secreting hormone] levels. A huge percentage of the female population has hypothiroidism.</p>

<p>^^checkable with a simple blood test. Hypothyroidism is tricky because it’s often masked by other things going on in your life. It could be a piece of the puzzle, but still all the other advice on eating and exercise applies also. </p>

<p>Good to ask the doc to rule out hypothyroidism. If it’s ruled in, don’t worry because it’s very easily treatable with a daily hormone replacement pill, to get you back]
to where your body should be naturally but can’t do by itself. </p>

<p>Symptoms can include weight gain, yes, and also fatigue, noticeably puffy skin, bulgy eyes, gravelly voice, trouble holding a pencil well (sudden bad handwriting). You don’t need all of these symptoms, but I’m listing a few to see if you want to take up this subthread with your doctor and ask for a blood test. </p>

<p>I’m not a doctor, obviously, just a mom. Still, mine was “masked” by having new babies and old toddlers. Everyone said, "Of course you’re looking worn out and tired…you have all these responsibilities, no chance to sleep…but the pediatrician insisted I get this bloodwork done and that was an underlying issue. Nothing could get better until that piece was corrected. </p>

<p>Missypie is wise to bring this up, because if it’s in the mix, you could be decoyed by the fact that you’ve gone to college, just as I was decoyed by the other events in my life!</p>

<p>So, if I were your ma, I’d say, don’t count on this as the answer, but do count it in on your list of things to check out with a doctor very soon.</p>

<p>re: exercising</p>

<p>The most recent studies have shown that exercise, while essential to general good health, does not aid signif in weight loss. First, the # of calories burned is always far lower than the dieter believes. And second, dieters tend to “reward” themselves for exercising by eating. </p>

<p>The exercise “myth” was the subject of a recent NYT mag cover article. Likewise, when Oprah recently asked a doctor, “which is more important, dieting or exercise?” The guest doctor responded, “For you, dieting, b/c you want to lose weight.”</p>

<p>^^Worst advice ever. Add that one to the pile of “more easy excuses for not losing weight.”</p>

<p>I lost 50 lbs when I started exercising without dieting in less than a year- I realize anecdotes aren’t studies, but while I still eat ice cream almost every day- my appetite went down, I have more energy and sleep better.
My taste buds actually changed- while I used to crave sugar for the burst of energy it gave me- aerobic exercise 3x a week keeps my energy level up.
I have to admit I wasn’t really trying to lose weight- my main motivator was to strengthen muscle and stamina so I could participate in the activities that I wanted without injury.</p>

<p>Excercise is maybe a third to a quarter of the equation. Diet is the rest. I suggest you follow some of the advice I am giving you:</p>

<p>-restrict caloric intake (this MUST happen, above anything else)
-make good food choices (try to stay natural and clean, and away from processed…brown rice/bread over white flour/rice, oats instead of cereal, fruit instead of fruit juice, etc)
-eat breakfast (and make it the largest meal of the day)
-eat more frequently, but limit the quantity
-increase consumption of protein, fibrous vegetables
-adequate intake of healthy fats
-do not consume calorie rich liquids (sodas!!)
-engage in resistance training to preserve muscle mass, you might also want to supplement with high intensity interval training to speed the fat loss process.</p>

<p>Hope it helps.</p>

<p>It is not wise to not exercise. Usually I see people in the gym who are fat doing stupid **** to lose it…just go to any gym and compare how many fat people are on the cardio machines, treadmills, ellipticals, vs how many of the same kind are weight training, or interval training. Exercise selection (this applies to cardio as well) is very important. From what I have read, I believe things that elevate EPOC (weight training, sprinting, etc) are the most beneficial for those who would like to lose fat).</p>

<p>oh, last thoughts…

  1. Fat loss/muscle gain…is not the 12 week program promised in the flashiest fitness magazine. It is a lifelong commitment which takes good discipline and self control.
  2. Rome wasn’t built in a day. If you want to gain 20 lbs of muscle or lose 30 lbs of fat, don’t expect to do it in a couple weeks, or even a couple months.</p>