Ive decided to postpone my tx date to just a month or two...i just dont feel comfortable stsrting now with ths extra weight...i do have mild fatty liver problem...so they say if i get to a normal BMI body weight.the liver also returns to a "pinker" color...my question is wouldnt it be smarter to start tx with a better shaped liver.....im gonna lose the extra 20 to 25 lbs first...i just cant belive tho for my height my BMI should be 175 -185...im still sittn at 210 lbs
Good move, but if you do have a "mild fatty liver problem" then you probably want to consider a low-carb diet like "South Beach" or "Sugar Busters". I believe those are two of the diets Dr. Dieterich recommends to those with fatty liver, but please check the professional archives on that one. Rock, this means no more three pounds of apples a day -- in fact it may mean NO FRUIT AT ALL in the very beginning (first couple of weeks) of South Beach diet. I lost ten pounds on a similar diet and three inches on the waist line.
A lot of good info here: http://www.southbeachdiet.com/sbd/index.aspx
Rock -- measure your waist and your height. Your waist should be at least one-half of your height in inches. So, say you're 6' 2", that means your waist should be no bigger than 37" -- and no sucking your gut in. LOL. Of course, this is just an approximation, but I did recently read that this might be a better measure than some of the BMI tables because it emphasizes the more dangerous belly fat.
"Half way through tx" may be too late as studies suggest that tx response may in part be determined very early, and in fact high bmi is a negative predictor of SVR. If Rocker is overweight, has fatty liver, he is wise to lose weight before treating -- esp since he failed tx the first time.
I have no problem with my foods and diet...for me its not what i eat but how freaking much...ive been using health foods as my comfort food...i guess i replaced all the partying with drugs and booze with excess healthy foods....i can drop 20 lbs in one week no problem...safely too...ive done it few times...lots of whey powder and green drinks...make my words....i will be 185 in two weeks...i could do it quicker but pound a day is safer..
If you're postponing it for weight loss (which I think is a good idea), why don't you take that valuable time and also look into getting yourself some alinia and PPC to help nail your SVR? If you're gonna do it, might as well stack the deck in your favor as much as possible. Maybe even look into a little riba predosing too.
I'm far from a nutrition expert, but my understanding is that a low carb diet will do more than just lose "weight" but it will also reduce your fat (belly and in the liver) better than some other types of diets. In other words two people could lose the same amount of weight but one might have bad lipids (high cholesterol, high triglicerides, etc) and the other could have good lipids. I assume the one with the good lipids will end up reducing their fatty liver more than the one with the bad lipids even though weight loss is identical.
Per "Mre's" thoughts -- if it were me, I'd also start pre-dosing ribavirin around 2-3 weeks before you start to treat. No studies on it, but it worked real well for FLGuy and Dr. Dieterich had some favorable comments on the subject. And since you're starting a bit late, you should have that xtra riba to burn, with your docs permission, of course...
A bit of the fatty liver topic...but this is interesting
Nearly 100 volatile organic compounds were emitted from these six products, and none were listed on any product label. Plus, five of the six products emitted one or more carcinogenic 'hazardous air pollutants,' which are considered by the Environmental Protection Agency to have no safe exposure level," Steinemann said
I just remember that you mentioned that you eat a lot of apples. I think that there is a problem with this, as by eating too much fruit, you would be consuming a lot of sugar.
Just on a thought, considering that you have a problem with the amount of foods you are eating, you should maybe look into eating foods which actually burn calories. The cabbage family is good at that.
Or eating large green salads with a simple lemon, garlic, olive oil dressing. I have an awesome recipe, if you want it. You can sprinkle your algae/kelp on the salad, too. Delicious, if you are into salads. And then you would need some good proteins. Lentils are a great source of proteins. I also have a good recipe for lentils, if you want it let me know.
I need to say that I am not an expert at weight loss, as I have never been in the situation. But that's just a few things I know about nutrition.
opps...i posted too fast....more than 20 -30 lbs to lose i meant to say...i feel better now ...i think this was a smart move....my doc says he gonna hit me full force with the riba too...i got one month to get ready to do battle....look out virus..you are in for a good beating.
My doc says the same...before i start she wants me to be ready....in frame of mind as well...BTW...be careful with those multivitams...i know it sounds crazy but these tx drugs are more sensitive than you think...like i said ...keep it simple.
Thanks for the info regarding SVR and BMI. I am new to this support group and when I read rockers question I thought that perhaps he was afraid to start.I was trying to be supportive. Where would I have found the info that he had failed his last TX?
You got it from the horses mouth right now...the best place to find info on peeps status is their profile ...i dont have much in mine ...gotta put up some info...Sparrow...i got one month to lose 20 -30 lbs of fat
I just cant belive this...my BMI say i should weigh 170 pounds max for my height...i have to lose 45 lbs....something is wrong with this picture....is this BMI thing ok or what....im thinkn 180 -185 will be ok
I would like to help support you in your effort to lose weight.
Would you consider keeping a food journal on this forum? There appear to be so many incredibly informed, intelligent and caring folks in this forum keeping their eyes and hearts on each other that collectively we could help you realize yand impour goal.
Since it will be your second time around, let us help you try to make it your last.
I think you also said you ate a box of health bars? I don't know if that's healthy. But I'm not here to criticize anyone. God only knows there are no saints or angels on this board. We have all done our share of abuse.
My dad once told me "Before you criticize someone, walk a mile in his shoes". I took his advice and after I got a mile away, I turned around and criticized him, but by then I had his shoes...
As mentioned somewhere else, one measure being used to determine a good weight is the ratio between waist and height. So again, if you're 100 inches tall, your waist should be no more than 50 inches and that means when it's relaxed and not sucked in :). Some think this is better than BMI although probably not used in the HCV studies.
The controversy is over certain health claims made by the cherry industry and those who sell products containing or made from cherries such as pills, capsules, and juice—and not the health benefits of cherries. While numerous scientific studies have demonstrated the health benefits of cherries, the FDA says that makers of products containing cherries cannot claim that their products prevent, treat, or cure a specific disease such as gout or cancer. The FDA says that these types of claims imply that cherries are “drugs” that cure a disease—without the backing of controlled double-blind clinical trials.
Ironically the European Union has imposed strict regulations on the import from Brazil of Brazil nuts in their shells, as the shells have been found to contain high levels of aflatoxins, which can lead to liver cancer
Nutritionally, Brazil nuts are perhaps the richest source of selenium, containing as much as 1180% of the USRDV, although the amount of selenium varies greatly
Benefits of Brazil Nuts
One brazil nut a day is enough to raise the average New Zealander's selenium intake to internationally recommended levels and eating two could lead to added health benefits, new research shows.
However, Otago University researchers warn that too much of the micronutrient can be toxic and people should be careful to limit themselves to no more than a few nuts a day.
Talking about Brazilian nuts, these two crazy Brazilian guys are walking down the street. One crazy Brazilian says to the other "Look at that dog with one eye". The other Brazilian nut covers one eye and says "Where?".
Dude, I dropped a lot of weight before tox 3, but my BMI was still out of whack. I am 6'0" and started tox at 195 lbs. After 11 weeks I am up to 209! Not happy about it but a high fat diet on tox is the way to go. It helps ease the sx and I believe gives a better response to treatment (this is controversial though). If you can get the weight down prior to tox than you should, but I personally would not try too hard to maintain it after tox begins. Take the weight based Riba and then add 200 mg to that. (my opinion only) Titer up on the Riba 2-3 weeks prior to peg. Get the Alinia if possible. Kick it's a$$!!!
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