Wednesday, February 24, 2010
Sunday, November 08, 2009
Recipe for catnip soup
1 ham steak
1 onion, finely chopped
1 green pepper, also finely chopped
1 carrot, chopped
6-8 cups water
dash of garlic powder
dash of Italian seasoning
dash of black pepper
1 crockpot where the handle comes off mid way during cooking process
1 three year old who wants to "help" with cooking process
3 loads of laundry that you are trying to do during the cooking process
also you must be trying to make this soup after working on call on your day off
1 well meaning husband who politely tells you that the spice packet that you though was from the 15 bean soup mix was actually a packet of catnip from the cat toy he purchased last week but eats the soup anyway only commenting that it needs salt!
Monday, September 21, 2009
My mouth is feeling better..this is kind of a bad thing


Tue
Total cals:1,691Net cals:1,691
Wed
Total cals:2,060Net cals:2,060
Thu
Total cals:560Net cals:560
Fri
Total cals:1,820Net cals:1,820
Sat
Total cals:985Net cals:985
Sun
Total cals:1,195Net cals:1,195
I didn't buy the cake but a bag of Chex mix in Dark Chocolate jumped in my cart
I ate my healthy soups and my healthy spinach. Then the fact that I knew the Chex mix was in the house, that it was just too conveniently close, won out and I had some. You know the worst part? It isn't even that good. So thankfully I didn't eat that much of it. I don't feel too bad about it as the damage wasn't that bad (hey, I really wanted to buy that lovely cake yesterday but I resisted!) but I should have known better that to even let it in the house. Bad Chex mix! Bad!

Tuesday, September 15, 2009
Sunday, September 13, 2009
Not bad for another week of horrible dental procedures


Mon
Total cals:1,530Net cals:1,530 view details
Tue
Total cals:520Net cals:520 view details
Wed
Total cals:750Net cals:750 view details
Thu
Total cals:1,640Net cals:1,640 view details
Fri
Total cals:2,056Net cals:2,056 view details
Sat
Total cals:1,366Net cals:1,366 view details
Sun
Total cals:170Net cals:170 (so far today)
Saturday, September 12, 2009
Sunday, September 06, 2009
TMI story

Wednesday, September 02, 2009
What you can't see is that a few seconds into the ride..
I started crying and Lilith says, "You're gonna be okay mamma and I'm gonna be okay too." I know pathetic but I am afraid of heights. You can stop laughing now really.
Thursday, August 27, 2009
And the chile rellenos win
I admit it. I fell of the wagon yesterday. Husband actually suggested we go to dinner. Not that this was his fault, it was completely in my power to say no but I choose not to. So long story short, after more bad news from the oral surgeon and the resulting depression and stress, I caved. I ended up having 2 lovely, tasty, wonderful (did I mention they were very good?) chile rellenos from Don Jose's. I couldn't eat the chips which is probably a good thing because it would have been added calories and fat. I did share an order of flan with husband. I swear I don't know if it is because I haven't drank anything in years, or if it was the surgery, or if it was the fact that I have been eating so little for so long, but I got drunk off of the flan. Okay, you can stop laughing now! But it's true. I was instantly sleepy, staggering, befuddled, drunk. I know the sugar had something to do with it but DAMN! The waitress did tell us that the sauce was made with a liquor. I think she did this because she thought we were going to share it with Lilith. I couldn't have driven home had I wanted to. Can you just imagine it, "Honestly officer I only had 1/2 an order of flan, really I swear!" (as they are handcuffing me and putting me in the back of the cop car).That makes me wonder, can you charge a post wls person with drunk driving or driving while impaired after they have taken in too much sugar? or less alcohol than the average person because it is processed differently ?
I also did the cardinal sin of letting the wagon run over me and drag me down the hill a little after falling off it with dinner, because when I got home...I had 2 cookies. I have confessed, I feel better. Actually that isn't what is making me feel better today, it is the fact that I got up this morning packed my Optifast shakes and a new Optifast bar to try, and I got right back on track. It is now 8pm and I have had a very good day with my green salad for lunch and the right amount of shakes/bars/soup for the day.
Monday, August 24, 2009
Gateway Olives
I'm down 6 pounds in 5 days! Go ahead, tell me it's just water weight. Tell me that you can fluctuate that much in a day. I don't care cuz I am down 6 pounds!
I promised to be honest about my experience and the truth is that it has been hard. I think it has helped a lot that I have been working everyday since starting the Optifast program. I am sure if I had been at home with down time (and around easily accessible food), it would have been really hard. I talked to another nurse that is on it and she said she found herself cheating with silly foods that she didn't even like that much. I can see how that would be possible too. I was making my free food salad the other day and found myself trying to justify an olive. Yes folks, one black olive. You might say one olive is no big deal, but I assure you that for me it is. That could have been my gateway olive. That one little justification could easily have lead to a slice of cheese, "Hey it's protein", then to a 300+ calorie chai from the Coffee cart (I've missed those the most), and the next thing you know I would be telling myself how this Optifast program doesn't work because I'm not losing weight as fast as I thought I would. That is how my mind works. Maybe yours is different but that is how I can easily let one olive spoil my whole plan and get me totally off track.
I have found that I miss hot food so having the Optifast tomato soup with some frozen chopped spinach in it at the end of the day has been a godsend. I know it may sound pathetic to look forward each day to diet tomato soup but I do. It's actually pretty good and the spinach makes it creamier. I steamed some broccoli in the microwave last night and it was Divine. I don't recall the last time I ate broccoli naked. (not me the broccoli silly) I had forgotten just how good the flavor of some of these greens and veggies can be without any butter or salad dressing (I am allowed Balsamic Vinegar). Its not like I was a drown your salad in dressing type of girl but I do love my Greek and Italian dressings.
My sense of smell has become really sensitive again. I make sure that I don't go to the cafeteria unless I have recently had a shake because the one time I did go hungry, I almost dove into the tray of cooked bacon and sausage. I think this would have been easier if I had been able to get some bars but I was afraid that I wouldn't be able to chew them. I have been doing pretty good with some of these veggies so I think I will get some of the bars next appointment. I found that I can chew Ice Breakers Ice Cubes gum on the non affected side of my mouth and that has really helped. I miss chewing. Sounds strange doesn't it but you take for granted the texture and feel of different foods. I have been cooking the heck out of my veggies so I could chew them otherwise this might not have even occurred to me. Granted, I wouldn't be chewing even if I wasn't on Optifast because of my ongoing dental nightmare but I miss it just the same. Again, I don't think this would be such an issue if I were eating the Optifast bars.
I have had the hot and slim chicken soup (its really like chicken bullion) a few times at night but I haven't really needed it. I've been eating it mostly because I want something hot (Like those calorie laden Chais I mentioned earlier). It has been pretty easy to eat 5 shakes a day with one to two green salads (or steamed veggies). I was pretty irritable the first 2 days but I think my pouch has shrunk a little now because I actually was really full after eating the steamed broccoli last night.
Over all I am very pleased with my progress. I have another appointment on September 2ND and I am pretty excited to see what my weight loss will be by then.
If you are in Anchorage and are interested in trying the Optifast program with me, you can set up an appointment for a free consultation by calling Alaska Premier Health at (907)561-3488 and if you tell them that I referred you (Anna Muhovich), I will get a small discount off of my next shake order. I will continue to keep you posted!
Sunday, August 23, 2009
Friday, August 21, 2009
Optifast through Alaska Premier Health

OPTIFAST 800 Ready to Drink Shakes
Chill and enjoy! Available in three great-tasting flavors - French Vanilla, Chocolate, and Strawberry - OPTIFAST 800 Ready to Drink formula is a full meal replacement product.
Nutritional Information
Calories 160
Protein (g) 14
Carbohydrate (g) 20
Fat (g) 3
Sodium (mg) 220
Potassium (mg) 470
Fiber (g) 0
Vitamins & Minerals 10-30% of RDI
Lactose (g) <1
Those of you that are regular readers know that I have been going through dentistry hell the last couple of months. I have been eating soft foods (aka refried beans, cottage cheese, and other oh so appetizing mushy foods) for over a month now. I have been getting more and more anemic too. I know I should be eating more protein shakes but if I have to mix it, it isn't going to happen. Sad but true. I have been having Isopure ready to drink shakes almost everyday but that is about it. I cannot stand many ready to drink shakes. I like the Muscle Milk Lights, Isopure and a handful of others but that is about it. The other thing that I hate is that these ready to drink shakes can be really expensive. Even when they are on sale at GNC and purchased by the case, the Ispure ready to drinks are still around $3 each. I started to notice that there were many nurses in the NICU drinking Optifast ready to drink shakes. I had been on Metifast once before and lost quite a bit of weight (this was prior to weight loss surgery). I did regain it all after 2 years because I basically was hungry all of the time. I was not really exercising so my daily caloric consumption had to be ridiculously low in order to maintain my weight.
I am not saying that I don't expect some regain after my teeth are finally fixed and I go off the shakes but not anything like before because I can't and don't eat anything like I did before surgery. I am unable to get my protein in with my work hours being what they are lately (I had 13 hours of overtime last check for example) and with the soft foods that I am able and willing to eat. I decided that I would go to Alaska Premier Health and give the program a try.
I have to admit that even though I am 2 years post op and have maintained (easily and with the occasional indiscretion) over a 150 pound weight loss. I am still not at my goal. I am 30 pounds away. I am 30 pounds away no matter what I do. I work out 3 times a week for over an hour, still 30 pounds away. I food journal every scrap that passes my lips and still 30 pounds away. I decided I needed to shock my system into letting go of that 30 pounds and at the same time follow a plan that will get in my protein, have a set cost, be easy to follow (I can always get in a ready to drink shake), and will not hurt my already poor abused dental situation.
The initial consultation is free. The doctor is very nice and answers all of your questions and explains the different plans to you in detail. You also have to watch a 10 minute video that is basic common sense. Come to the appointments, follow the plan, exercise, don't be afraid to ask for help, get in all of your fluids, etc. Then if you decide to proceed they will schedule you for the EKG, ua, body fat analysis, and labs. Once your labs are back, you can start the program. That first appointment is expensive. I'm not gonna lie. I even had my labs (fasting lipid panel, CBC with differential, TSH, and CMP) and my urinalysis done at work for a discounted rate and my first appointment came to a total of $480. with insurance and the shakes.
To be fair, I purchased husband a box of Key Lime protein bars and a box of chocolate protein soy snacks in that total too. They sell Bari Source products among other protein bars/shakes/soups/cereals/hot and cold drink mixes/ and treats in addition to Optifast products. Honestly, it is worth visiting their clinic just to check out those products even if you have no interest in any of their programs because they carry so many that are otherwise unavailable in Alaska. You can buy these products (except for the Optifast products of course)without enrolling in any of their programs.
The Optifast products are all $3 each. The ready to drink shakes (Chocolate, Strawberry, and Vanilla)are $3, the soups (chicken and Tomato) are $3, and the powdered shakes are $3. They also offer 3 different Optifast bars (peanut butter, chocolate, and honey nut)also for $3 each. These are not an option for me with my dental nightmare but maybe later I will give these a try. They also sell vitamins and supplements.
They take your blood pressure, do the EKG, and a body fat analysis, a very basic physical exam and talk to you about all of your test results and the plan you have decided to follow. After this appointment you have weekly weigh ins that are free and 2 week follow up appointments with the Doctor where you have your blood pressure taken, go over your progress, any issues you may be having, and have any prescription refills written. Yes, they offer diet pills too but I declined these.
The average weekly cost for the Optifast supplements is $110.00. I know that I was spending way more than that on the shakes and soft foods that I have been buying lately.
You also get a list of free foods, meaning foods that you can have in unlimited qualities so long as they are prepared without oil, or fat. This includes; Spinach, lettuce, broccoli, cauliflower, pickles (not the bread and butter variety), peppers (any kind), cucumber, onions, mushrooms, cabbage, Brussel sprouts, kale, and balsamic vinegar or red wine vinaigrette. I have probably forgotten a few but you get the idea, salad veggies.
You have your 5 to 6 Optifast meals a day and unlimited salads each day. Obviously the salads aren't going to be happening for me unless I steam the heck out of some spinach, which I may actually try. I forgot to ask about I can't Believe it's not butter spray but I did ask if I could continue to have my sugar free caffeine drinks and the Doctor approved those.
I will be tracking my progress here and if you follow me on twitter, you can see my food diary entries from Livestrong.com. Yes, if I cheat, I will post about it. If I can't stand the shakes or am starving, I will post about that too. I believe in truth in advertising and won't recommend a product or plan that I am not doing/ or haven't done personally in the past. Yes, if you go to Alaska Premier Health and sign up and tell them that I (Anna Muhovich)referred you, I will get a $25 dollar discount on my next visit but other than that I am not getting a dime. They don't even know that I am writing this post.
Below is some information from the Alaska Premier Health website.
Welcome to Alaska Premier Health!
We are Alaska's #1 choice for the medical treatment of obesity. Obesity is a disease which is best treated with a multi-dimensional approach. Regardless of the specific diet plan chosen by the patient, all of our patients receive individualized coaching, mentoring and counseling to offer them the best opportunity for long term success. All treatment plans include:
Medically supervised
Detailed nutritional guidance
Specific exercise guidance, tailored to your fitness level
Behavioral and lifestyle counseling
Ongoing modification and fine-tuning of your program to help meet individual goals and desires
Continued support and monitoring once you achieve your goal weight
Alaska Premier Health has been helping Alaskans reach a healthy body-weight for over 15 years. Many of our patients have found us after observing the success of their friends and family. Physicians who are often too busy to devote the needed time to their overweight patients are happy to have Alaska Premier Health as a trusted and dependable referral source.
OPTIFAST® Plan
OPTIFAST® is the most rapid, safe method of weight loss available. Manufactured by the Nestle Medical Division, OPTIFAST® is available to patients who need to lose weight fast under direct medical supervision. Caloric intake is very specific. Like the Quick Start Plan, the OPTIFAST® Plan breaks your total daily calories into 5-6 meals, spaced evenly throughout your day. There are numerous benefits to this approach, since appetite is easier to control and blood sugar remains stable. A lower average calorie count and time saved in meal preparation are just two of the benefits of a plan that uses portion-sized, packaged nutritional foods. Because of this, patients on the OPTIFAST® Plan tend to lose weight faster than those on the Traditional and Quick Start Plans. The benefits of the OPTIFAST® plan are clear:
Very low in calories while providing complete nutrition
Calorie intake is tightly controlled and the pace of weight loss is remarkable--most patients achieve a loss of 10% of their starting weight within 6 weeks
Pre-packaged food choices choices are nutritional equivalents, so the food decisions you must make on this diet will not affect daily calorie intake or the pace of your weight loss
Simple, uncomplicated approach makes your plan manageable—no need for grocery shopping, meal planning, food preparation, cooking or cleaning up after meals
After a period of time on full OPTIFAST® formula, table food will be gradually reintroduced while we work on the eating and activity habits that will produce continued success
Patients choosing this diet are highly motivated, often lead very busy lives which complicate meal planning, and are willing to forego table food for a short period of time in order to jump start their weight loss.
Quick Start Plan
Our Quick Start Plan combines the simplicity of a pre-packaged food program with the flexibility of a traditional diet program. If you find that counting calories is too much trouble and that you struggle with portion control, but still want to eat table foods at least one meal per day, our Quick Start Plan is the program for you. Its snacking style diets break your total daily calories into 5 or 6 snack-sized meals. These meals are spaced evenly throughout your day. The advantage of this approach is that appetite is easier to control and bloodsugar remains stable. By utilizing portion-size packaged nutritional foods, snacking diets achieve a lower average calorie count, and significantly reduce meal planning and preparation time. Because of this, patients on the Quick Start Plan tend to lose weight faster than those on the Traditional Plan.
With Quick Start, our basic Snacking Program, you:
Eat a balance of high protein supplements and low-calorie table food
Save time on food preparation, shopping and meal planning
Will utilize pre-packaged supplements, which are high in protein and preserve existing muscle mass
Can choose from a wide variety of flavors of protein supplements, from oatmeal to soup
Will have a brisk initial weight loss, usually 10% of starting weight within 8-10 weeks
Patients choosing this approach want to see rapid weight loss, and are willing to substantially change their diet to achieve it, but want to retain some regular table food in their initial diet.
Traditional Plan
Our Traditional Plan offers both a High-Protein option and a Calorie-Counting option. Both options emphasize nutrition through table foods and physical activity through daily exercise.
The High-Protein option is a well-balanced diet approach, with special focus on lean proteins, high fiber vegetables, and fruit. You also greatly reduce or eliminate starchy carbohydrates, sweets, and high fat foods. The benefits are:
Realigns food intake pattern to better match your metabolic needs
Saves time by not requiring calorie counting
Allows you to eat the table foods you like, in healthier forms
Patients choosing the High-Protein Traditional Plan want to be on a diet that contains mostly self prepared foods, but are willing to live with food choice restrictions to minimize meal planning and preparation time.
The Calorie-Counting option, the key is flexibility in food choices to allow you to continue enjoying your favorite meals. We encourage creativity in meal planning to reduce calorie intake through research into healthier ways of cooking and preparing food. The benefits are:
Offers the most flexibility of any weight loss diet
Allows you to eat what you want, when you want, so long as you keep an accurate food journal and stop when you reach your calorie limit for the day
Specifies daily calorie count based on individual metabolic rate
Patients choosing this diet approach must commit the time required for meal planning, shopping, researching healthier ways to prepare food, and cooking meals. They are willing and able to exchange their time for more diet flexibility.
Get more information about Alaska Premier Health here! Please tell them I sent you if you go!
Monday, August 03, 2009
Livestrong application for the iphone (AKA The Daily Plate)
Total cals:
800
Net cals:
800
Wed
Total cals:
913
Net cals:
913
Thu
Total cals:
1,176
Net cals:
1,176
Fri
Total cals:
1,019
Net cals:
1,019
Sat
Total cals:
1,334
Net cals:
1,334
Sun
Total cals:
1,294
Net cals:
1,294
Above is a summary of my daily caloric intake for the past week. Keep in mind that this was a week of horrible dental nightmares so my diet wasn't normal by any means.
What I can say after more time playing with the Livestrong application is that I love it! Really, I have only one complaint and that is when syncing my food entries from my iphone and then checking them on Livestrong.com later, I have noticed a couple of times when a food has been entered twice. But that has only happened twice. That's my only complaint. Only one food that I have eaten wasn't in their food database and that was the Mort's frozen custard. I can't say I was surprised because it is a local establishment and to be fair the food database had several listings for frozen custard. I chose the one that listed the highest calories for approximately the amount I ate. I always do this, error on the more calories side so I feel that I am over estimating instead of under estimating my calories. I also think having the application on my iphone and being so easy to use has helped me be 100% accurate for the first time ever with a food diary. I always have my phone with me and it only takes a few seconds to open the application and enter a food. Try that with an old paper diary. Heck, I have and it's a pain in the butt! I also think using this application really has affected my eating for the better. I set a weight loss goal of 2 pounds per week and listed myself as sedentary (again erring on the negative side so I don't end up overestimating my caloric expenditure). That gives me a calorie goal of 1,252 calories a day to lose two pounds per week. I ended up going over that twice last week but only by 82 calories on Saturday and by 42 calories on Sunday.
I have to be honest here and say I KNOW if I wasn't keeping track of my calories and getting a visual reminder every time I enter a food of how many calories that I have remaining for the day, my caloric intake would have been way more than it was. Especially on some of the high stress days I had last week. I seriously stopped myself from eating something bad a couple of times because I had too few calories left for the day to stay within my goal. That in an of itself makes this program worth it for me, maybe it will make it worth it for you too. I highly recommend it. I also have to say that I love the twitter option although I can understand why some people wouldn't want to enable it (you have to enable it, it doesn't automatically broadcast your intake to the world!). At Livestrong.com, you can even enable Facebook too but not on the iphone application yet. Nothing makes you rethink what you eat like knowing others are going to be reading about it! Unfortunately, I haven't figured out how to make Livestrong.com upload the foods that I have entered on my iphone to Facebook. I don't think you can but I could be wrong.
Saturday, August 01, 2009
I just realized that I've lost 8 pounds
Posting from my iPhone
Thursday, July 30, 2009
Wednesday, July 29, 2009
Out of dentists office..
How bad was it? Well, let's just say the new dentist called the old dentist after examining me and suddenly the old dentist is refunding my money. The new dentist then spent 3 hours working on me and is seeing me again tomorrow! This is the first fluid I've had in over 24 hours.
edited to add; we stopped to get Morts frozen custard (because I hadn't eaten or drank anything in over 24 hours and husband thought he was giving me a treat that I could actually eat) and I promptly vomited it and at least 1/2 of the chai up in the parking lot at husbands work where he stopped to tell his employer what had happened. Lovely huh. I got home dumped on the custard that I hadn't vomited and passed out.
Wall hanging at the ER where we went after learning
that there is no after hours or emergency dentist in Anchorage! So they gave me a shot of pain medicine which made me vomit several times but thankfully I was too loopy to care








