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    I Understand

    by Ngozi Osuagwu, MD | July 9th, 2023

    I Understand

    I remember when I started practicing many, many years ago. I was in my early 30s. At the time, I could not understand why women would suddenly go from thin to heavy. They would tell me nothing has changed. They are doing the same thing they have always done, and their weight keeps increasing. I would not be convinced. Then one of my patients said, “Just wait until you reach my age; you will understand; you are too young; you just do not know.” The patient was in her mid-50s.

    I can now officially say, “I understand.” Usually, I indulge during my birthday month, which is in February, knowing that when Lent comes around, I will lose the weight I gained in February. During Lent, I became disciplined in my diet. I usually give up on all desserts. My meals are small.   In the past, I would lose about 5 pounds or more, and that will cover the weight gain from my self-indulgence. This has been my ‘modus operandi,’ as I have done it for years. This year, my weight did not change. I was unable to lose weight. I was now starting to gain weight. I would look at the scale, and it would not budge downward. Last month, I felt that my clothing was a little snug. There was a dress that could not zip up. I was looking at the scale but kept telling myself it would come off. I am now 8 pounds heavier than I would like to be and told myself I have got to do something. Middle age had finally caught up with me. 

    Last week, I returned to my blogs titled What is the best diet plan?  and What is the best diet plan? (Part 2) and decided to do what I preached. I know my Achilles’ heel – Nigerian peanuts with raisins (I am allergic to peanuts from the United States, another story for another blog), West Indian sweat bread, and Chin Chin ( Nigerian pastry). I printed my weight management program and decided to get busy. I have lost 1 pound since I started last week.

    I realize I like to munch, so when I saw the AARP article, 10 Foods You Can Eat Without Gaining Weight, I was immediately drawn to it. Stephanie Watson wrote the article on January 20, 2023. As the article mentions, you can eat these foods with a balanced diet.

    1. Celery
    2. Lettuce
    3. Watermelon
    4. Broccoli and cauliflower
    5. Grapefruit (be careful if you are on certain medications like statin – talk with your physician)
    6. Mushrooms
    7. Berries (strawberries, blueberries, blackberries)
    8. Kiwi
    9. Carrots
    10. Spinach and kale

    My friend was correct – once you reach 50, you must eat 50% less and work out 50% more to maintain weight. I will work on getting back to what I was earlier this year. I am glad to know there are snacks I can eat without weight gain. I will keep you posted on my journey.

    6 Responses to “I Understand”

    1. Linda K. Jackson says:

      Absolutely loving today’s article! I could lose weight easily until I turned 60! I, too, am mindful of what I eat, and try not to overindulge! Exercising has been helpful, but it takes sooooo long for one pound to come off! Thank you so much for the list, and I look forward to additional information forthcoming!

      • Ngozi Osuagwu, MD says:

        You are so right how long it takes to lose that one pound. I agree with you, continue exercise and being mindful of what we eat is extremely helpful.

    2. Perhaps that is why I don’t see results on my scale. I got an Apple watch, have been moving more than I have moved since pre-COVID and counting steps and calories, but the scale is not budging:-)

      • Ngozi Osuagwu, MD says:

        I get it. I would rather have the scale not budge than go the wrong direction. The Apple watch has kept me motivated. it is constantly reminding me to move.

    3. Chinyelu Nwokolo says:

      Not looking forward to that, i’m actively withdrawing from not eating nuts =(
      Not for the faint at heart. Thanks for this.

    Leave a Reply

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    With her trademark wit and straightforward communication, Dr. Osuagwu continues to dole out valuable medical advice using the letter form and addressing women’s health conditions and issues in a method that was praised for its innovative approach in her earlier award-winning book, Letters to My Sisters: Plain Truths and Straightforward Advice from a Gynecologist. In this book, each letter is paired with reference sources and statistics about the condition that is the subject of the letter.

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    The book discusses common gynecological and women’s health issues in a series of witty and entertaining letters. These letters, all educational, offer suggestions on what approaches to take in tackling the medical problems that typically bring women to an ob/gynecologist. The letters are spiced with art, a poem and quotes. Although its emphasis is on gynecology and women’s health, it touches on some other medical issues that make women visit their doctors.

    The second half of the book briefly discusses the most common gynecological conditions and also provides an overview of sexually transmitted infections. A list of annotated websites dealing with the different topics in the book is provided for the reader who wants to pursue each subject in depth.




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