Follow-up with Dietitian Lucy Jones & Elipse Balloon patient | Lanson Medical
So Katie just looking at the dates you are
5 weeks and four days in, that right? Yep, that’s correct.
How are you feeling with it? It’s a lot better now yeah.
Did you have a lot of symptoms in the first few weeks? Yeah yeah the first couple of
days were really … horrible. There’s no other way to describe it is there? Sleeping propped up and things like that but it’s got a lot a lot better recently. Okay so if you looked at the last couple of
weeks any issues with pain when you’re eating, with being sick or feeling
sick after you’ve eaten? No no, I’ve not felt anything like that. No sickness. Any issues of reflux or is that alright as well? That’s good too, yeah I’ve not had any problems. I have been taking the medication, like religiously, as good as I can. Your Omeprazole yeah? Are you taking a multivitamin as well? No, no. So most people do whilst they’ve got their Elipse in just to sort of cover their bases
because sometimes you know you’ll have noticed yourself there’ll be some days
where you eat much more than others and so just to sort of cover your bases
to make sure that nothing falls too low during the time some people do top up
with a multivitamin and mineral just through that 16 weeks once you’ve got
your balloon in place. Any other issues in terms of constipation or difficulties bowel wise? No, no, everything’s been fine, like I’ve not had anything too scary or too horrible. Yeah, and weight loss wise? So far I’ve lost a stone and nine pounds. That’s amazing. How are you feeling with that? I’m so happy, like it’s the most I’ve ever lost during like weight loss and things like that. It motivates you a little bit when
you get on scales cause you think look at all this weight. Yeah it’s very true that one of the most frustrating things
and things that puts people off when they’re losing weight is it going too
slowly you think all of this effort for not really seeing any result
so you’re right actually it’s a huge motivation particularly in that first
couple of weeks so I bet you found the same thing you lose a lot and then it
starts to become more normal. Yeah yeah, so I lost 11 pounds first week, so that was like oh this is brilliant but now it’s starting to get to like three pounds, two pounds. And hopefully we’ll keep it at that level that’s that’s
about right you know two/three pounds a week is a really nice solid level with
with beyond that first few weeks with an Elipse, so if we can keep it there you
can imagine that through that four months you’ll get a really good weight
loss and but what you will find like any approach is after a period of time your
body starts to adjust to it and you may find that you’re three pounds turns into
two pounds turns into one pound and at that point that’s when we need to start
thinking or what other things can we introduce. We talk about that in terms of
combination therapies of it might just be starting to boost up exercise it
might be making further dietary changes or it might be adding something in in
terms of another intervention to keep it going and really that’s why you know you
and I touching base throughout four months and we can just see if anything
else is needed as you go along. What are you doing at the moment in terms of
exercise and physical activity? So I’ve sort of started taking the dog out a bit more. He enjoys going for a long walk so I’ve been doing that with him on a Sunday and then I’ve been doing a couple of – nothing too I’ve been doing a couple is like diet –
not diet – exercise DVDs just to start – and then hopefully towards the end of the month I’m going to start going to the gym. Starting slowly, easing myself into it, because I did none before so I don’t want it to be too much of a shock to my system and start with all the aches and pains and that sort of thing that exercise brings. When you think about yourself going to the gym what do you imagine yourself doing there and how is it gonna fit in your
life? Have you thought about where you’ll go and when you’ll go? Yeah so there’s a gym about a 5 minute walk from work. So dinner time, so I can eat my dinner go to the gym and then that’s me done. How many times would you try and get there week do you think initially? I think three to start with that would be a good amount and then – Is it something that you’ve done before
in terms of going to the gym? I went to the gym a long time ago, about ten years ago now, which is scary when you think about it but yeah it were about ten years ago. I did enjoy going like for me it were always I can’t be bothered to go but once I’m there I enjoy it. What do you think you’ll do when you’re there will you go to classes or will you do your own thing? I would like to go to some classes, I’ve been researching a couple that look you know there’s a couple that you think, I could do that but ideally just stick to like the gym, and the equipment like the treadmill. And do you know if they set you up with a program or would you just need to
sort of work it out yourself in terms of what you’d do. I think you get an induction day when you first sign up and you talk to them about what you’re expecting and what you’re wanting to do. That sounds really good because if you could have somebody give you a sort of starter for ten in terms of what to begin with then
obviously you can build it up from there can’t you.
Okay so shall we go through sort of diet side of things at the moment, are you alright to run me through a typical day what you’re eating. Yeah, so in a morning I tend to either have Weetabix or I’ll have a smoothie – and are you making those or are you buying them?
Making them. I’ve got a smoothie maker and I’m dedicated to doing that. As sad as it sounds it’s fun like making new like recipes of things, seeing what you can put in.
I’ll get to work and I’ll have a snack, I’ll have some fruit. Then for my dinner I tend to have a salad or a sandwich or something like that, but when I have a sandwich I have it on brown thins rather than proper bread. Yeah yeah I know the ones you mean.
So I feel like I’m still having bread but obviously it’s better. Then I’ll have some more fruit or some carrot sticks or some celery or something like
that and then for my tea I tend to cook properly, so spaghetti bolognese. I know you sent a recipe sheet through. So I’ve been trying to have a go at them and see you know if there’s any I really like, like the chillies really good, the spaghetti bolognese is really good, there’s a couple I’m a bit unsure of – but once I’ve had tea that’s it. That’s good and what time are you having that tea normally? It does depend sometimes I’ll eat it sort of later on if I’m waiting for my partner to finish work he finishes at about eight so it’s usually around half past eight when I eat it. Or if I’m on my own – And then what time are you going to bed normally? I tend to go to bed between sort of 9:30 and 10:30.
Okay so you’ve got sort of one to two hours of being up right then before
you’re going to bed. Ideally we’d be stretching that to two
hours but I do appreciate life often gets in the way doesn’t it but it’s
really just that reflux problem overnight if you’ve got a tummy full of
food when you lie flat so the longer you can leave it before lying down the
better it is and so in terms of the the food that you’re eating at the moment
that’s quite a significant change to what you were eating before your Elipse.
Are you enjoying eating in
this way? I am, I’m enjoying the cooking and things like that as well which I weren’t bothered about before. Recently I’ve enjoyed the cooking and trying new things and that sort of thing which I am enjoying that part yeah. And do you feel like you’re getting enough of everything in. I’m
trying to and I try and focus more on things like for example when I’m having
my tea like less pasta and more vegetables and things like that so I’m trying not not overload myself with too much. That’s good, that’s good I mean if you looked at a typical
portion size of what you’re having what do you think it would fit on? Would it fit on a saucer, a side plate, a small dinner plate? It sort of fits on a smaller dinner plate – and when you are eating do you think you’re going nice and slowly and
chewing well? Yeah – you have to do you? Yeah ’cause my biggest thing before was I eat really fast and so now I’m especially since my plate is smaller than everybody else as well if I eat too quick I’m finished first I’m at the table – Are you getting that feedback from your pouch in terms of you know knowing
when you’ve had enough looking for that tightness between – yeah and are you
getting that? Yeah I can definitely feel when I’m full and ready to stop and rather than thinking I can just have these last few bites
I just think that’s enough now you’ve had enough. And you’re managing to stop then and avoid getting
to the point where you’ve overdone it. That’s great that’s really good so
the choices that you’re making seem really balanced and healthy great amount
of fruit and veg in there I think the one area that we just need
to be cautious with on portioning is making sure that you’re getting enough
protein in and because of course when you’re losing weight as quickly as you
are you actually need a relatively high protein diet to protect your muscle mass
so it’s just making sure you have a decent protein source in each of your meals and
it’s taking up enough of your plate so if you’re having that small dinner plate
making sure it’s taking up I would say at least a third of your plate.
Then you’re having a third and then maybe half the plate as your veggies and the
smallest bit as your your carbohydrates which it sounds like what you’re doing
you’re having much less of the the pasta and things and you’ve boosted up
the veg but it’s just making sure that actually we are getting enough of the
protein side and that doesn’t have to be meat. It can be meat, and fish, eggs, beans and pulses, the veggie options like Quorn or soy things like tofu, nuts and seeds and even
dairy so things like the the fat-free high-protein yogurts, are brilliant and
sometimes sticking a dollop or two of that if you’re having Weetabix sticking
that on top can really help to boost the protein content.
I always think with cereal it can actually be really boring if you’re just
having like one thing on its own but if you take that single Weetabix and
add say a spoonful of seeds you could use chia seeds or Lin seeds and add a
handful of berries and then a couple of dollops of yogurt it becomes really
interesting something nice to eat and it adds a lot more nutrition as well, particularly fibre and protein which of course is brilliant for keeping you
fuller and also keeping your bowels going and things. You feel like you’re
getting enough fluids in during the day? Yeah I’m trying my best to drink as much
as I can and I try and drink at least 2 litres, while I’m at work, and I have at least a glass when I get home as well just so I am hydrated. Brilliant! Obviously before you enjoyed Cola, a fair amount didn’t you so it that 2 litres is that now water or squash? What
are you having? I have squash and sometimes water as well. And have you have you started having any alcohol yet? No, no. For the next few months I’m gonna try and remain teetotal. Yeah, a lot of people to do that during their Elipse treatment. One because you want
to get them the max. weight loss that you can get and obviously alcohol is
very calorific and also makes us eat more the next day so it’s really helpful
in that way because it just helps to keep you focused you want to get the
most out of it and it’s not forever is it you know as and when you feel ready
to reintroduce you do and actually what a lot of people find at that point is
you get drunk so much quicker that they end up drinking less than they were before
anyway because obviously they’ve had that period of not drinking at all.
That’s great and so any concerns at all with what you’re doing or are you
feeling quite confident in keeping it all going for another month? I feel confident in keeping it all going I thought it were going to be a lot more
difficult than what it is with everything it’s like you know when you’re
full you don’t have to feel sick you feel full and it’s just
different to any diet I’ve done before whereas I feel like it’s easy to
maintain I don’t feel like I’m dieting I feel like I’ve just made some clever
choices as opposed to just ‘you can’t have that, and you can’t have that’ it’s you can’t have that but why not try this and see if this is any better for you.
And you’re doing exactly the right thing of getting
yourself into a really nice stable routine because of course that’s the
point you’ve got four months to get yourself to a point where you know
exactly the structure exactly the portions exactly their habits and
routine that you need to do to keep that weight loss going and to maintain it
long-term and it sounds like actually you’re already there only five weeks in
you’re in a really nice stable routine you’re enjoying different foods you’re
trying recipes which is amazing ’cause that stops it getting boring.
You just eat the same things every day you end up after a few months being
quite sort of deprived from it all and bored and have enough so introducing that
variety from trying new recipes is a really good idea in keeping it going
but yeah if you can get that structure in and actually make this more second
nature and long-term habit whilst you’ve got that Elipse in it puts
you in a really good stance of keeping that going. Cool anything else you want to
cover? In which case we will have another call in a month to touch base then and
obviously any problems in the meantime just drop me an email or send me a text
and we can pick up earlier. Thank you for everything. Fab, pleasure.