Hadley and the new suit jacket (with pictures)

So, I've got an enormous meeting today. If you'd noticed me slacking in commenting, it's because I've been ridiculously busy at work. A lot of that work is going to come to fruition in a meeting this afternoon.

At my office, every one wears a suit every day but Friday. However, us low-level policy folks are typically allowed to keep our suit jackets in our offices. Sure, I need to wear it to occasional meetings and events, and I'll put my jacket on if I know I'm going to be wandering where the highest-ups are. In all, though, I don't wear it much. Thus, even though I'm now wearing size 18 suit pants, I hadn't bought anything smaller than my original 22 jacket. It just hadn't seemed worth it. Last week, though, the tent like nature of my 22 jacket was starting to get to me:



So, with my big Monday meeting, I decided that this weekend, enough was enough. I went to Macy's, determined to pick up a size 18 jacket of my favorite suit. (Madison suit by Calvin Klein, that's the one where I have the 20 and 18 pants.) But, they had no 18s. No 20s, either. Only 22s and 16s. After a "Grr" I tried on the size 16. IT FIT. I am not shitting you. Granted it's all stretchy and plus sized and a little too tight, but check it out:



And while I was there, I decided to pick up the size 16 pants, just for giggles and to shrink into. In all but the side view of the size 16 jacket (which I just retook because the first one was terrible) I'm actually wearing the 16 pants. They're still too tight for me to wear to work, but they're buttonable. (Mind you, I just declared the 18s work appropriate on Thursday, so it'll be a while.)

And, you know, while I'm posting pictures, I thought it would be worth showing you the shirt I'm wearing underneath the suits:

(For the record, the weird lumps are mostly from the too small pants.) Anyway, guess what size the shirt is? You know, just if you had to throw one out there. Oh, all right, I'll show you:

Yes, that is a size Large. No X's. Just a large. I shit you not.

I've still got a long way to go before I can wear regular sizes in most clothes, but it's pretty awesome to have one size large shirt that actually fits and fits me well. I have the same shirt in XL in two colors, and while I wear them, they both feel a bit on the big size.

Anyway, I'm really happy about the suit jacket. I love the way it looks, and I'm damn excited to wear it. It's definitely still tight, and I doubt I'll keep it buttoned during the day. (I also took a photo of it unbuttoned, then tried the button and it was all badass and "Hey I maybe sort of have a waist instead of just fat into fat into one big blobby circle of fat.")

That 22 jacket used to be tight on me. It used to be fabulous. It used to be my favorite suit jacket. Today, I'm wearing the size 16 version, and you know what? It's so much better.

I know I have a long way to go. Another 100ish pounds to lose is no small battle. But right now, in this very moment, I feel like I've already accomplished a lot.

I hope everyone has a great Monday, and wish me luck at my meeting!

Placebos, Nocebos, and why you've got to believe

Most everyone has heard of the placebo effect. Essentially, if a doctor gives you a sugar pill and says it's going to make you feel better, you'll end up feeling a bit better, even though the pill did nothing at all. When you think your body is going to get better, you're likely to get better. In recent years, the placebo effect has actually been getting stronger, to the extent that even a few old standby drugs, like Prozac, will sometimes fail to prove their effects are statistically significant. (A really cool article on how the placebo effect is getting stronger is here.)

The placebo effect has a lesser known, decidedly evil cousin: the nocebo effect. The nocebo effect is just what it sounds like. When you're told something won't work, it won't work. If you're told you're going to die, and you believe it, you might even die. Scary stuff.

Those of you who read my blog know that I'm pretty damn into science, math, and reason. So I say this not in a bullshit pseudoscience The Secret sort of way.

You've got to believe.

You have to do this, too, all the working out and the hunger and the drinking water and building up calorie deficits day after day. But you have to believe you're doing it too. Believe what you're doing will work, and it seems that, on the margins, it's more likely to.

For reasons science hasn't yet figured out, people who genuinely believe they're going to get better are more likely to do so, and people who believe they won't get better sometimes end up doing just that. So go ahead, drink the koolaid, and tell yourself you are going to lose the weight. It's not going to be quite as effective as a guy in a white coat telling you his sugar pill will cure what ails you, but it very well might end up helping out.

You can do this. I can do this, too. And you know what? I think we both will.

And in other news, yesterday I started wearing my size 18 pants as my standard work pair. The size 20s we're just too big. I'm wearing them again today and they feel great. As someone who spends most of my time these days in oversized clothes, getting to wear a pair that really fits is a nice treat.

Daily weigh ins vs. weekly weigh ins

"Should I weigh in every day or just once a week?" It's a common question. And I'm going to give an answer that is very true, but one I think people don't hear enough:

Scientifically speaking, you should probably weigh yourself every day.

Now, this is a post I've been mulling over this for a while. Erin (who, by the way, has a great blog that I'd encourage you to check out) commented on a post of mine not too long back that "the almighty 'they' discourage weighing in daily." And in terms of the diet world, she's right. Weight Watchers, Spark People, and most other diet plans and diet books say you should only weigh once a week. The typical justifications are that the scale can change greatly from day to day, meaning it's not all that accurate, and that there are emotional downsides with seeing false losses and gains throughout the week. Essentially, conventional wisdom in the diet world says that weighing yourself every day can discourage you and stress you out. But conventional wisdom isn't always right.

Weighting yourself every day is actually a good idea according to science. A 2005 study showed that "Dieters who weighed themselves regularly shed more pounds over a 24-month period than people who didn't regularly weigh themselves. Those who weighed themselves daily lost the most." Another University of Minnesota study "found that those who weighed themselves daily lost an average of 12 pounds over 2 years; weekly scale watchers lost only 6. The once-a-day group also was less likely to regain weight loss." And there are more studies out there with much the same message.

So weighing daily makes you likely to lose more weight and keep it off once it's gone. But what about the emotional damage of daily weigh ins? At least one study in the Journal of Consulting and Clinical Psychology says that's a myth. Here's what they found:

Several recent studies suggest that daily weighing is important for long-term weight control, but concerns have been raised about possible adverse psychological effects.
...
We found no evidence that increases in frequency of weighing or daily weighing per se had any adverse effects in this study population. Rather, increases in self-weighing were associated with increases in dietary restraint (p less than 0.001), decreases in disinhibition (p less than 0.003), and decreases in depressive symptoms (p less than 0.002). Moreover, those who weighed daily at 18 months were less likely to report having = 4 binge episodes per month (p = 0.03). Daily weighing appears to be an important aspect of weight loss maintenance and was not associated with adverse psychological effect.

So there's scientific evidence that weighing daily isn't emotionally damaging. It even seems to decrease depression and binging! And why are we supposed to weigh in weekly, again?

The answer to the question "should I weigh myself every day or once a week?" seems to be every day. Scientifically speaking, if you want to play the probabilities, you should step on your scale every day.

That said, just because something is likely to be right for you doesn't mean something is right for you. If you're not comfortable with daily weigh ins, then you shouldn't weigh in daily. It might be that you get extremely depressed by stepping on the scale, or that you truly can't stand seeing the fluctuations. Maybe for you this journey is more the emotional or even spiritual aspects, and that while you do want to track your weight, you don't care much about the numbers. You need to do what works for you.

My advice:

Seriously consider weighing in every day. It may not work for you, but there's some good evidence that it more likely to work than you might think. But, at the end of the day, trust yourself. If you don't want to do daily weigh ins, don't do daily weigh ins. Stick with weekly, monthly, or whatever else makes you happy. The right answer for you might not be the right answer for everyone else. And with that in mind, next time you hear someone mindlessly parrot the diet industry's standard "you shouldn't weigh yourself more than once a week," let them know that science, at least, says otherwise.

Oh, and to answer the requests from yesterday, I will review the Body Bugg once I get mine. It shipped last night, and should be arriving on the 22nd.

Why yes, I am going to talk about Biggest Loser today

I'd never watched the Biggest Loser before. Sure, there were all those non-reason reasons for why I don't watch most shows: I don't watch much tv in general, and watch very little reality TV in particular. More than that, though, I definitely had an aversion to the fact that it was a fat TV show. Sure, I've been fat since the end of high school, but it wasn't really something I liked to think about. I wasn't the sort of person who went on endless diets (this is exactly my third). I cared more about other things. I mean, I knew I was fat, but if you gave me a list of things to self identify with, I'd be far more likely to choose things like economist, traveler, film buff, adventurer, analyst, New Yorker, etc. than fat. It's not that I wasn't fat, it was just that, well, I was other things too, and those were the things I cared about more.

Since this journey began, I've been thinking of myself as fat. Not as the first thing I am, but up there on the list. A big part of my life right now is that I am morbidly obese, and that I'm working hard to change that. In terms of how I spend my time, energy, money and thoughts, it's clear that "being fat" and some day, hopefully, being not quite so fat, are really, really important to me.

I've even started watching fat shows, really, for no other basis than they're about fat people. Drop Dead Diva is an atrocious and ridiculous show, yet one I tivo every Sunday and reliably watch. (I'm not a lawyer, and still their concept of the law makes me want to scream at the writers and be like "is it really that hard to do some basic research, you idiots?") I watch More to Love. The show makes me want to take the people aside and say "no, sweetie, Luke did not plan that date for you, the producers did, and while we're talking, could you please try to be less dumb?"

So, with my new found interest in fat media, I of course set my Tivo last night for Biggest Loser. Since I hate commercials almost as much as I hate coach seats on airplanes and pickles, I didn't start watching until 8:30. By 8:32 I was sobbing.

The show is great. It's fabulous. It's wrenching. I cried more than I'd like to admit, and got inspired by several of the sappy thing that are supposed to inspire you. I was doing leg lifts and sit ups on the couch as I watched, breaking occasionally when the tears overwhelmed me. It blew me away.

Right now, my BMI is 42.56. That means I'm fatter than Abby, Amanda, Dina and Liz were at the start. On July 7th, when I started this journey, my BMI was 47.71. At that point, I was fatter than everyone but Antoine, Danny, Julio, Rudy, Sean, and Shay. As someone who's bigger than 4 of the Biggest Loser contestants, there's no doubt I'm in terrible shape. But only 72 short days ago, I would've been bigger than 10 of them. I'm making progress.

I bought myself a bodybugg last night. At $250, I probably shouldn't have gone for it as an impulse purchase, but as I was thinking about it last night it became something I really wanted. I think it's going to be incredibly motivating to see how small things can make a difference. They're running a promotion where the digital display (normally $100) is included free, so if anyone else has been on the line, this might be the moment.

Tuesday Weigh In

Weight: 248.0

Well . . .

I only lost .2 pounds this past week. This is a major disappointment. I'm glad I did still manage to lose, but I'm more distressed by just how bad the number is, and how off track I've been.

I didn't go to the gym yesterday.

Sigh.

I'm saddened and I'm stressed. I feel like I'm losing my fire. I'm just not doing as good a job as I used to. I'm not as dedicated. I'm just lost.

I think I'm going to hold back from posting daily weigh ins for a bit, and see what happens. I'm still going to weigh myself daily, since it's an important motivator, but I've been stressing over posting them. It makes me feel like I have to start every post talking about my weigh in.

Okay, here's where things get interesting. There are two different ways I could start this next paragraph, and I'm not honestly sure which one is correct.

Option one: Weigh ins are important, but weigh ins aren't everything. Yes, the scale matters, but the scale lies too. What's going on in your head and your day to day habits are important, independently of the scale.

Option two: Weigh ins are important. Weigh ins are, in fact, everything. In the end, the ultimate arbiter of success is moving the numbers down. There's certainly a good range of healthy weights, and sure BMI's not perfect and there are bodybuilders who count as obese, but for god's sake, I'm not a bodybuilder and 278 at 5'4 is just not healthy. I'm morbidly obese. The head game, the habits, those are all nice, and they can help along the way, but they're honestly irrelevant when compared to morbid obesity. It's a trump card, it's all that matters, nothing else even counts.

I'm not sure which I believe. I know I believe in the primacy of the scale. At the end of the day, the success of any weight loss endeavor hangs on whether or not you actually drop pounds.

But still, I'm going to stop starting every post with a weigh in. I will post Tuesday weigh ins to remain accountable. (I'll still be weighing daily, keeping charts and graphing my progress, and I may occasionally share extra good news on non-Tuesdays.) I think discussing the head game, the habits, and the philosophy is more interesting. I'd rather be able to post about those without worrying about commenting on each morning's number.