I saw the bariatric doctor again today, for my first medical check up since I began the diet. My weight was down to 387lbs, for 45lbs since I started six weeks ago, and almost as importantly, 11lbs since I saw the nutritionist 11 days ago on April 1st. This means that my weight loss is still holding strong at seven pounds a week, a frankly astonishing rate. I also came in with a blood pressure of 130/80, a very nice drop since my first visit.
The doctor is very bullish on the bariatric surgery, which makes sense given it's success rate and how long the results last. I'm firmly committed to the diet, and I'd like to play it out before I start thinking too hard about surgery. Given my relatively young age, my very good health aside from the obesity, and my success thus far, I think that surgery would be an overly dramatic step at this point in my life.
The doctor doesn't put much stock in the keto-strips for testing my ketosis, which I suppose makes sense, given the fluctuating results I've seen. He told me I didn't need to use them, but I enjoy getting a confirmation that my body chemistry is correct (At least in terms of my diet.) I think my background in both academic science and swimming pool chemistry have made me trust simple chemical tests, and knowing that they aren't always trustworthy doesn't mean they have zero value, just a limited value.
He also said that he preferred if I ate more fish, instead of red meat. This is counter to what the nutritionist said. My mom seems to think that he needed to give some form of advice to justify his time and my money, and I'm not entirely certain she's wrong. On the other hand, I've completely changed the way I eat and my entire approach to food, and it's only been six weeks. I'm going to keep eating my steaks and ignore the fish as long as I keep losing weight. Take that, medical establishment!
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