Losing weight to up my odds

Shellsatthebeach
Shellsatthebeach Member Posts: 316
edited March 2018 in Stage III Breast Cancer

Hi all! Newbie here. I was diagnosed with IDC in March. One of the things said to me by an oncologist is that to up my odds in keeping cancer at bay, I need to get rid of excess body fat (especially around the belly). Since going through perimenopause a few years back, I have put on weight rapidly (approximately 25 pounds) to a body that needed to lose about that amount of weight. Basically, I have around 50 pounds to lose. Any suggestions from people who are going through the same thing or have went through the same thing? There are so many diets out there and I know some are better than others. What has worked for you? BTW, not going to diet until after I finish my treatment. I just want to prepare myself.

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Comments

  • 7of9
    7of9 Member Posts: 833
    edited July 2017

    I am trying the 13 hour fast (not eating from after 7 at night until 8 or 9 the next morning) along with dropping any and all white bread, crackers, potatoes. My husband is down 35 lbs and kept it off 2 yrs now doing this. Dump mayo, yellow cheese and all dairy that isn't low or no fat. I dropped my BMI index from 23 down to 21 doing this. It's hard on vacation, when entertaining, holidays and birthday but I'm trying!

  • Shellsatthebeach
    Shellsatthebeach Member Posts: 316
    edited July 2017

    Thanks! Sounds like you have a great BMI index! Giving up white flour will be hard, but I want to live as long as possible, so it is well worth it!

  • Bootscootin
    Bootscootin Member Posts: 70
    edited July 2017

    I am also doing the 13 hour fast daily. I call my diet the 301 plan. Three meals a day, nothing between meals, and one day at a time. I don't completely cut out any foods and plan to eat 400-500 calories at each meal, sometimes saving up calories from breakfast and lunch for a dinner out. Increasing activity helps, too, as I have been walking for half an hour and swimming for at least half an hour about five days a week.

  • Shellsatthebeach
    Shellsatthebeach Member Posts: 316
    edited July 2017

    Thanks! This sounds like a very reasonable diet. I like the part where you don't snack and eat 500 calorie meals. Snacking is the kiss of death for me. I'm better off with a meal that feels filling and leaving those snacks behind.

  • ck55
    ck55 Member Posts: 346
    edited July 2017

    I would recommend good old weight watchers. I know it is not an exciting new weight loss plan, but they have re figured the calculation for the points values and I just recently lost 38 lbs and I found it very easy! I am 62 and have not weighed this little since my early 20's. And I had tried just about every diet out there!!Needless to say: I am a fan! 😀

    Cyndi

  • carmstr835
    carmstr835 Member Posts: 388
    edited July 2017

    I have been doing low carb now for over a year and lost just over 80 lbs. I eat no sugar, grains, or fruit. Pretty much the atkins diet. I eat lots of protein. I also fast 5 days before each chemo and 24 hours afterwards. I usually lose about 10-15 lbs in that week, but gain most of it back again. I also try to exercise at least 3 times a week. I walk 2 miles on the treadmill at 3 m/h and 3.5 miles on the bike for 20 minutes. That takes about an hour. I make sure I do it the 1st 3 days after chemo, and during the week of fasting to keep my energy up. I rarely have any side effects except this time, I am neutropenic, but that's because they discontinued the neulasta. They won't do that again, I bet. I am hoping for the neuprogen injections this coming week to help with that.

    Good luck with losing. I have lots of low carb recipes if you're interested Let me know.

  • Newnorm
    Newnorm Member Posts: 100
    edited July 2017

    Hi

    This is my first post but one that may be of interest. After I discovered my shocking diagnosis I contacted a well reputed dietician. She suggested the following, which I did and I lost 8kgs (sorry I'm in Austrlia, so it's metric!): gave up dairy, red meat, sugar (other than from fruits), only drink about 3-4 glasses of wine per week (I used to enjoy that much just on a Friday!), preservatives (I only occasionally have food like bread, cracker, etc). Mostly I eat fruit and vegetables, fish, organicchicken once a week, and I have 50gms of dark chocolate a week as a treat. I also drink loads of water and herbal teas. It really helped me to get through chemo. I'm now seven months into treatment and have just started Tamoxifen so hopefully I can keep my weight in check.

    Good luck. It's hard, but fighting this disease was the motivation to shift the weight I'd always hoped to.

  • downdog
    downdog Member Posts: 1,432
    edited July 2017


    Although I haven't experienced what you have, here are some suggestions you may want to consider, if they are viable for you. I am post-meno now at 55 and have been the same 110-112lbs at 5'7" consistently for decades (aside from pregnancy timeouts). For any diet/nutrition plan to be sustainable, you can't feel that you are deprived, nor can you eat things long term that you hate. I do work out regularly, including weight lifting (it does not make women bulky and burns loads of calories).

    Hormone balancing becomes really important during peri-menopause and helps you maintain a healthy weight, as well as minimize hot flashes. You should eat healthy fats with omega-3s, which help with hormone balancing and are critical to body functions from sources such as almonds, salmon, olive oil - easy to google sources. Take a fish or krill oil supplement. I saw a naturopath to help with hormone balancing. Ditch the unhealthy fats, or at least minimize them. Eat lots of plant based foods, organic if it's feasible for you. I personally eat a fair bit of low fat dairy, because I tolerate it well and enjoy it. Reduce red meat consumption and portion size. Focus more on chicken and fish. I eat very few prepared foods, but if you do, read the nutrition labels and watch out for high sugars, salt and fat content and source of fat. Breakfast cereals are often loaded with sugar. Liquid calories - this one's the killer for most people. Fruit juice is loaded with sugar. Alcohol and fruity cocktails especially are calorie laden. It's all about choices, but food is meant to be enjoyed, so you have to have a healthy balance. If you like wine, depending on how often, consider cutting back. Drink lots of water. I have never eaten low carb. I usually have a balance of fibrous and starchy carbs at a meal. I have witnessed countless women eat low carb diets over the years and they will lose a lot of weight quickly, but it always rebounds back. Low carb isn't sustainable for anyone and you have very low energy levels. Slow and steady healthier eating, along with exercise takes longer, but will stay off. Sugar alcohols, which are what most sugar substitutes are, are tough on the gut and cause bloating, and numerous studies have found they do not signal satiety in the stomach, which leads people to binge to feel full. I watch my sugars and keep them on the lower side. I do use some stevia (plant derived and not a sugar alcohol) occasionally as a sugar substitute. Essentially, you need to be aware of the nutritional content of what you are eating and drinking, cut the crap from your diet, and don't indulge too often in the reward stuff that you know isn't helping you reach your goals. Learn to make or buy healthier preparations of the foods you like. Deep fried or crumb coated chicken strips? Grill chicken with a spice rub or low sugar sauce or marinade you make yourself. Even though you undoutedly have no desire to look like one, bodybuilders are experts on obtaining a low BMI physique. You don't have to track and weigh food like many of them do, just be aware of what you're putting in your mouth and whether it is helping you move toward your goal. It's ok if it doesn't, but if you make too many choices that don't, you won't be successful in losing weight and keeping it off. Bodybuilders eat carbs - healthy fibrous and starchy ones.I personally eat snacks, which are healthy (e.g. a piece of fruit or some veggies and hummus, or homemade healthy cookies), so I am eating something about every 3 hours and never feel starving and overindulge. Best of luck to you in finding what works for you.

  • kar123
    kar123 Member Posts: 273
    edited August 2017

    I have had success with MyfitnessPal. It's just a good old calorie counter and food diary tracker. You can also track your exercise with it. I am no good at elimination diets and enjoy food too much to give anything up, but I do seem to be able to limit my calories.


  • TwoHobbies
    TwoHobbies Member Posts: 2,118
    edited August 2017

    Shells, to some extent the tools like LoseIt and calorie counting are very valuable to keep you on track, and it helps to "prioritize" how you want to spend your calories. and I think weight watchers is a good solid program. If you find you still struggle, you might have to have a totally different approach. When I was diagnosed, I was at the top of my BMI and a three pound gain put me into the overweight. I really wanted to get down further within my BMI because I had a recurrence. In my younger days, calorie counting worked. But this time with calorie counting I'd just get hungry and I was on the lose 3 lbs, gain 3 lbs cycle. I had to totally change the way I eat to lose weight, and cancer is my motivator!

    Like 7of9, I also do the 13 hour fast or longer if I can. To sum up how I changed my diet: I eliminated sugar, grains, and dairy initially and lost 13 pounds. Over time I tweaked a bit to see what I could add. For instance, I discovered I could eat cheese and stay successful - not sure to this day about plain yogurt and milk, I also discovered I can eat a little pita bread or corn tortillas or a few crackers and stay successful . I think this is because they don't elevate my blood sugar. What I ate: instead of oatmeal or blueberry yogurt for breakfast, I started eating nuts, which are easy to take to work and eat after my 13 hour fast. On the weekends I would have eggs with a little cheese, avocado, salsa, and eventually added one plain corn tortilla. I gave up sugar in my coffee (hard, hard, hard). For lunch I'd get a salad with chicken or take cheese or chicken, olives, fruit, carrots and cucumber. Dinner - stop eating things with buns and bread and pasta and potatoes and pizza - you will naturally have to eat a ton of veggies to replace those. "Dessert" - I always keep frozen blueberries on hand to add to any fresh fruit I may have. In the winter, I might cook blueberries and apple with a little cinnamon for a warm dessert - in the summer I like it semi-frozen for a nice cold treat. Sometimes I have a little Lindt chocolate - three Lindt Lindors have 15 grams of sugar. Handles that sweet craving for a low carb cost and very satisfying to me. If I'm still hungry after eating my meal - the olives and almond butter off the spoon would help.

    I kept this off really well for 3 years. I used to exercise 150 minutes a week and then my BS mentioned new studies showing that more is better. Ironically as I started increasing my exercise a lot - to about 6 hours a week, I started to have trouble controlling my appetite and stray more from the diet due to sheer hunger and now I am struggling to maintain my weight. More tweaks are in order. I feel like this is a constant experiment and battle!


  • bareclaws
    bareclaws Member Posts: 345
    edited August 2017

    I'm also intermittent fasting, 18/6, which isn't terribly difficult. And calorie restricting, which IS difficult. I gained about 12 lbs on chemo, and have lost four, but now having to cut calories to keep losing. I'm exercising hard (run/walk) about 5 hours a week. Being vertically challenged, every pound shows. My BMI is currently 25.3 and I hate it. Still on Herceptin and radiation starts this week. How does that impact weight loss?

  • carmstr835
    carmstr835 Member Posts: 388
    edited August 2017

    Bearclaws, good luck with your radiation. I will be joining you in about 3-4 weeks and will be continuing the perjeta and herceptin until next july. I need to get back to exercising, I have taken 2 weeks off, and I know that is not good. I will get there today for an hour at least. I have been really under the weather, and weak after my last chemo, my blood dropped and I was neutropenic for the past 3 weeks. They have agreed to do a neupogen injection to raise my counts if necessary tomorrow. Also, there was a bat in my basement for 5 days where my treadmill and stationary bike is, I have since gotten rid of the bat. I caught him by throwing a bath towel over him then took him outside and he flew away, thankfully!

  • Castigame
    Castigame Member Posts: 752
    edited August 2017

    I believe things happen for reason. I lost about 25 pounds due to chemo. (Other than no smoking no restriction) approximately 13% of previous weight.

    This mega bomb as form of BC made me more conscious about diet and exercise. I try to avoid processed food. More veggies and juice (v8 which makes my DH cringe) I cannot wait to finish rads and hystrectomy in order to go back to swimming.

    I have struggled with my weight until DX. No more bc I am in control.

    Mimi

  • Momine
    Momine Member Posts: 7,859
    edited August 2017

    I changed my diet during treatment. A lot of what has already been mentioned: minimal white bread, pasta, rice, a lot more veggies, lean protein, mostly fish and chicken, no sweets, no fruit juice. I did it gradually, working to find things I actually liked, ditching one thing at a time etc. Doing it this way meant that it became a habit. I lost about 25-30 lbs, and it has stayed off since (6 years). At the same time, I walked a minimum of 45 minutes a day, often more. Once I was finished with treatment, I started going to the gym as well, 4-5 times a week. I haven't kept that part up the last few years for various reasons, but still walk a lot.

  • SSInUK
    SSInUK Member Posts: 245
    edited August 2017

    I have had huge problems with substantial weight gain since cancer treatment. It terrifies me as I am high risk 3c and I know weight gain adds more bad prognostic. I eat a careful diet. Turns out I'd become hypothyroid. I attribute this to bc treatment.I'm now six months into a dance with endocrinology. The domino effect means I'm now possibly insulin resistant too. If you do not lose weight despite eating in the manner outlined by those on this thread - consider getting checked for metabolic issues.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited August 2017

    I've struggled with my weight all my life. It has been a relentless battle. The women in my family turn into apples as they age, no matter how much exercise and careful food choices. Add to it all that comes along with breast cancer treatment, and it just feels hopeless. I'm convinced radiation killed my thyroid. The letrozole wrings out every drop of estrogen. I'm not poor-babying myself, but I'd love to know how to take pounds off and keep them off without feeling starved.

  • SSInUK
    SSInUK Member Posts: 245
    edited August 2017

    hey there dear Sbellizabeth always good to see you post. Am I right to recall you're on metformin? Does that not help at all? And are you on thyroid meds?

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited August 2017

    Hi, SSinUK, lovely to see you! Yes, I'm on metformin for recurrence prevention. I participated in a clinical trial in San Diego that studied whether or not metformin leads to weight loss, and I was in the treatment arm. Alas...it did nothing for my own weight loss. My oncologist said it sometimes helps, though.

    I'm on levothyroxine, yes. It keeps my thyroid levels in the healthy range, so I can't blame my pounds on my thyroid. Rats.

  • SSInUK
    SSInUK Member Posts: 245
    edited August 2017

    hmm. I'm blaming my thyroid and praying metformin is the golden bullet for weight. V depressed today to find I'm now insulin resistant. Feels like impossible odd

  • SSInUK
    SSInUK Member Posts: 245
    edited August 2017

    hmm. I'm blaming my thyroid for everything (it was definitely that not lattes) and praying metformin is the golden bullet for weight. V depressed today to find I'm now insulin resistant. Feels like impossible odds. :

  • Shellsatthebeach
    Shellsatthebeach Member Posts: 316
    edited August 2017

    So many good suggestions in this thread! I do have hypothyroid. When I was younger, I had Graves Disease and was very thin because my thyroid was fast. Slowly over the years my thyroid has been dying out so I have a slow one now. It is really hard to lose weight. I went on a diet that would refund your money if you didn't lose at least 25 pounds and I was refunded my money. It was a diet that basically only included lean meats, tons of veggies and one fruit a day. I was able to lose 15 pounds after including an hour a day of walking and 30 minutes of either cardio or yoga. It was the toughest thing I've ever done . I sadly gained it all back plus an additional 10 since my diagnosis. Feeling a little depressed but am committed!

  • SSInUK
    SSInUK Member Posts: 245
    edited August 2017

    I just downloaded the running act for beginners - Couch to 5k. Got to keep trying...

  • ganoobi
    ganoobi Member Posts: 12
    edited August 2017

    I find this interesting because chemo dose is based on body surface volume. I am 300 lb 5'2" and got a huge dose with the result of 100 percent therapeutic response.

    Different medical journals say different things about weight and prognosis. OVerall, yes, better to lose the weight. But, if you were diagnosed at an obese place, there are certain things your cells will and will not do that non-obese people's will and it may not matter that much. But, you will feel more energetic, I suppose, OH and lower your estrogen levels.

  • bareclaws
    bareclaws Member Posts: 345
    edited September 2017

    How is everyone doing on their weight loss journey? I've settled into the intermittent daily fasting routine and it feels totally normal now. I've lost weight, slowly and steadily and am now in the top range of "normal" BMI for my height. I'm shooting for having it at the lower end of that range, about 25-30 lbs less. That may take a year, which is OK. It feels really good to have shed most of what I gained on chemo. My diet hasn't changed all that much, because it was good before BC. Just less of it and timed differently.

    I'm motivated, in case I bail out on the AI's that Drs are recommending.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited September 2017

    Bareclaws, you fast 18 hrs and have a 6 hr window for meals? What's your daily calorie limit?

  • bareclaws
    bareclaws Member Posts: 345
    edited September 2017

    1200-1300, with usually a cheat day on weekends.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited September 2017

    Do you think you can maintain that long-term?

  • bareclaws
    bareclaws Member Posts: 345
    edited September 2017

    Yes, that's not a particularly low calorie allowance for me. Evenwhen i was running 30-35 miles a week, I couldn't go over 1400 calories without gaining weight. Of course, as weight goes down, so do calorie requirements. But what I like about the IDF (Intermittent Daily Fasting) approach is that I actually feel full for several hours a day. If I stretch out the same amount of food over twelve hours, I'm constantly hungry.

    BTW, I had thyroid tests last week and all completely normal.

  • Momine
    Momine Member Posts: 7,859
    edited September 2017

    I changed my diet already during treatment. It was not intended as a weight loss program, but weight loss ended up being a welcome side effect. Basically I cut out all white starch, made sure to get out for a decent walk every day, and added more veggies.

  • TwoHobbies
    TwoHobbies Member Posts: 2,118
    edited September 2017

    Bareclaws you are kind of similar to me - struggling to lose a few pounds to push down below the BMI high and vertically challenged! I mentioned I was tweaking my plan. I started eating more protein after reading a study about "protein pacing". I did lose another 3 lbs, but the last two weeks I've been so busy at work that I kind of went back to my usual eating and am back up 1.5. I've been weighing the same every single day, but at least holding steady. Hopefully things will slow down at work after this week and I can prepare my food plan and get back to my higher protein.

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