I began my diet a week and a half ago and I must say, it's been hard. It is the Transformations medically supervised diet through Christie Clinic supervised by my internist.
It is a low calorie, low carb, high protein diet; complete with personal counseling and weekly checkups/weighins. When speaking with my internist, he talked about his conversion from the philosophy of slow on, slow off. His analogy was of a fire. It may have smoldered for quite a while before it burst into open flames, but once it was openly burning you wouldn't say, "well it took a long time to start and we'll just put it out a little at a time." When it is doing damage, you want to put it out as soon as possible and limit the damage done and of course the longer you wait the longer it will take for you to put out.
So this diet is kind of tough. But since I've been granted a bit of a lull in my battle with CLL, (which on the contrary continues to be a battle of attrition) this seems like a good goal for the next 6 months. As you may recall, I lost close to 50 pounds after I got my first sickness of unknown origin but before I was diagnosed. This was intentional, because I thought perhaps my weight had something to do wih my illness. But unlike other times I had dieted, the weight came off steadily and easily even if I cheated some. I really thought I had found the answer. But unlike the other times I had taken off weight (and never had I lost this much) I never got that boost of energy and feeling of health I had before.
When the diagnosis came, I thought it would be hard to keep the weight on! How little I knew. So, I began eating like I was a teenager again. Silly me. I actually stabilised and began putting a pound or two back on while I was on FR, before thw therapy was having any effect on the cancer at all. (So I knew limiting the calories had been working, but the cancer had certainly made a difference.)
Fast forward to the end of FCR and I had put nearly all of the weight back on. And By the end of my 1st clinical trial with Revlimid as a consolidation therapy, I think I was pretty much back up to my pre-cancer weight with no sign of slowing slowing down.
I used this blog as a way to work out my depression and do my own psychological therapy, but as I started re-applying myself to my life projects, I began turning to food more and more as an antidepressant. Coke (the cola) is a pretty powerful drug and comfort food, as it turns out and while I never considered myself addicted before, I certainly was by this point.
Partly due to the course of my disease, I was never really ready to take on the weight again. I was planning my life in three month intervals, expecting at any point to be taken off my current therapy and taken directly to a pre-transplant regimen and Stem Cell transplant. The "All Hell Breaks Loose" point about two years ago being the absolute closest, and even after my Aug 5th, 2010 appointment, the transplamnt seemed very close indeed. So, I just didn't have it in me to take on anything else, but in the meantime my food dependence was growing.
When the interval between my appointments was moved to 6 months twice in a row and transplant was moved off the front burner, I knew the time had come to strike and strike hard. By taking this weight off I increase my chances of survivng the procedure and I gain a better quality of life until that time. And if the transplant never becomes necessary then I've truly done myself a real favor in the quality of life department.
Now that I've gone into a little further detail (not complete, but enough to give you an idea of where I am) I can tell you of my success so far. I lost just a little over 7 pounds my first week and I expect to have lost at least 3 more at my next weigh in on Wednesday.
I'll try to explain the diet itself and how hard its been (I never dreamed I'd have actual physical withdrawal symptoms when I quit drinking Coke cold turkey) in my next post. I am not doing any additional medications other than my current Revlimid protocol. And. most importantly, even after only having lost 8 pounds, I got a bit of an energy burst. All in all, although it has been very tough, I am quite pleased with what is happening and with the potential to be as healthy as I can be, CLL notwithstanding!
Thanks for reading. If you are an occasional reader, please consider following me. I update very irregularly at this point and a follow or subsciption will send you a little note to let you know when I update the blog.
Those of you with CLL, it might be interesting if you would comment and let me know if you have had any similar experiences.