Heal N Cure Plan of Attack

I had a really nice visit with Dr. Malhotra.

1. I found out that I am at 3 times the risk of a normal person for a heart attack.
2. I have a vitamin D deficiency and inflammation that is a contributing factor to my weight.
3. The Glipizide that I'm on is forcing my pancreas to produce more insulin but since I have insulin resistance, the insulin is storing in my fat cells and making me FAT. My problem is not producing insulin, it's using insulin.
4. She took me off all my vitamins and herbs and the Glipizide
5. She added Glucophage 500 mg extended release once daily
6. She added fish oil to help with inflammation once daily
7. She added Vitamin D3 supplements once daily
8. She added Advaclear detox supplements twice daily
9. She wants me to stay on Prozac, Prilosec, Xyzal, Baby Aspirin and Simvastatin
10. She wants me to take my blood sugars in am before food and 2 hours after dinner

As far as diet is concerned, I get 1300 calories a day: (that's 26 Weight Watchers points)

1. 30 minutes after I wake up is Breakfast which is a protein shake which I got from her. I can make this with unsweetened Almond Milk or water.
2. Lunch is a salad with lots of chicken or fish (or egg whites), beans and 1/4 avacado (or olives) with all kinds of greens and veggies and only oil and vinegar dressing. She said eat according to the rainbow - something green, yellow, red, etc.
3. Another shake at 4pm
4. Dinner is fish or chicken (or egg whites) with veggies, fruit, fat free cottage cheese and if I can't stand it, then 2-4 oz red wine (but then no fruit)
5. Snacks can be either plain almonds 5 at a time as many times as I want, or 1 protein bar which I got from her (sweet), or a (salty) soy snack which I got from her.
6. I CANNOT HAVE: soda, juice, corn, banana, pineapple, potato, all other alcohol

So, the plan is to do this for 1 week, see her again next Thursday at 2:30. I should have lost 2 pounds. Luckily I had my Flexible Spending card for my health care account because I paid alot for the supplements, shakes, bars and snacks.

She said no fat free foods (except for cottage cheese) or sugar free foods, nothing processed or packaged. Only real, natural foods and only olive oil to cook with. She also said I will be getting good carbs in the beans, some veggies, fruit, protein bars and shakes so I will not be getting hypoglycemic and not to worry. She said something interesting about carbs. She said a carb whether it's a good carb (fruit) or a bad carb (Cheetos!) should never be eaten without a protein. The protein keeps the carb from spiking your blood sugar and keeps the level more appropriate and keeps you from getting hungry again quickly when the blood sugar goes back down. So eat an apple with peanut butter or peach slices with cottage cheese and eat the Cheetos with bologna. (Better to eat the apple with peanut butter...)

She also said something about women, estrogen and heart attacks. She said that my 3 times the cardiac risk factor is even worse for me because I still have my hormones. She said we have to get rid of this problem now because when my estrogen depletes, it can no longer protect my heart. That's why men get more heart attacks than women because of the estrogen. I never knew this.

She also said something about waking up and eating right away. She said 30 minutes after you wake up should be your meal if you are hungry or not. Within 30 minutes, if you body does not get protein, it will go into starvation mode and look for that next meal. When you finally do feed yourself it will hold on to all the calories thinking it will never see food again. Doing this repeatedly over time will alone cause weight gain. (So eat breakfast!)

I will be getting good proteins and good fats to keep me satiated. There will be natural fiber in the fruits and veggies and I already know that I can handle that. She stressed the point that this is not an Atkins diet.

If this works for me, I should be losing about 2 pounds a week consistently. We may need some time to adjust things here and there. She said after I am on the Glucophage for awhile, she's going to put me on something to help protect my kidney's from the diabetes as a preventative measure - an ACE Inhibitor (Ramipril?)

Since I have Diabetes, I had another test that measures the hardening of the arteries in my main arteries. They measured this in each arm (like blood pressure) and on each ankle.

She's great! I love her. I think this will work for me. No appetite suppressants like I thought, so I'm ok with this plan. The shakes, etc are expensive, but so are the ribs and corn dogs and booze! ha. What price do you pay for your health? Especially after seeing that I am 3 times the cardiac risk, you'd better believe I'm doing this! And the best news of all is that it's doable.