How far would you go to lose weight? Would you go a year without eating? What if you had tried a commercial weight loss program, medication, and surgery to lose weight, only to find yourself gaining it all back? The following story is that of Christina Zaaijer, whose struggle to lose weight kept her and her husband from attempting to have a child. Christina knew that to be obese and pregnant would only put her and her future child in danger. So she went to see a doctor who introduced her to a weight-loss method that would completely change her life. Here is my interview with her.
IN THE BEGINNING
VT: When did you start experiencing problems with your weight?
CZ: Ever since childhood, my weight has been an issue. It progressively got worse as I got older. By the time I was married in my twenties, I reached my highest weight of 380 pounds. I always used to say that my weight never bothered me. But at that weight, I was starting to notice the limitations even though I probably ignored them.
VT: Do you see any part of your childhood that contributed to your weight gain?
CZ: Yeah, and it is something that I definitely will not carry on with my own children. The biggest mistake my family made was using food as a reward. It was always, “after you do this, we’ll get an ice cream,” or something along those lines. Food was always a reward in our house, and you never left the table without eating everything on your plate. After dinner you got dessert, which was usually ice cream – which is my biggest downfall even to this day. We did not eat a whole lot of fast food because my parents did not have a lot of money, but we ate a lot of casseroles, a lot of things with cheese in it, and dessert.
VT: I remember growing up too where we could not leave the table if we did not eat everything. It was really hard for me to break that habit. It was hard for me to leave food on my plate when I was done eating and not feel guilty about it.
CZ: To this day, my grandmother’s mentality is that you eat her food to show her love. And if you don’t, then you obviously do not love her. That mentality carried on to my mother, who does not know any better either. I am not blaming them. That is just the way I grew up. After getting married, more fast food came into the picture because my husband and I commute long distances for work and come home late at night. The easiest thing to do is pick up something quick and easy to eat.
VT: How long did you stay at 380 pounds before you did something about your weight?
CZ: I would say between seven and eight years.
VT: What kinds of weight-loss methods did you try?
CZ: I tried Weight Watchers several times. I also was on an awful prescription pill called Xenical which works by removing the fat out of your diet. The side effects were just too horrible to continue on that. I had also tried joining the gym on my own, but nothing I tried stuck.
VT: After those methods failed to help you lose weight, did you try anything else?
CZ: Yes. I had lap band surgery as a final resort. And with that, I was able to lose 100 pounds. Then I started having issues with the lap band. It shifted a little bit, and I was having really bad acid reflux. My doctor loosened the tightness of it, and as soon as she did that, I gained the 100 pounds right back in less than a year. Shortly after that, I lost my job. Defeated about the weight gain and my unemployment, I became depressed and ashamed of myself. Over the next couple of years, I went right back up to 380 pounds.
VT: Did you try anything else at that point to lose the weight again?
CZ: I went back onto Weight Watchers and lost 60 pounds. Then I gained nearly 20 pounds of it back. A short time later, my husband and I decided that we wanted to have children. As it turned out, Discovery Health had a show going on about obese women and pregnancy. I remember watching the story of this poor woman who was pregnant and they had to tape her stomach up so that they could get to her baby. It was absolutely humiliating for her. And I’m sitting there going, “That could be me. And I am not going to have my first pregnancy be something that humiliates me.” When I saw the complications that those babies were having as a result of being in obese mothers, I was scared. I do not want my baby to have any of that! I do not want something that is supposed to be the most joyous time in a woman’s life be overshadowed by my weight that I have control over.
GOING ON A LIQUID DIET
VT: Since you had already tried a commercial weight-loss program, medication, and even surgery, were you willing to try any of these methods again?
CZ: Yes. I went back to see my doctor that did the lap band surgery and I asked her to readjust my lap band, by tightening the restriction of the band so I would be full with a lot less food. She started telling me about a seminar she had attended where another doctor shared about the success he was having with patients (that had had the lap band surgery and gained the weight back) that were on this liquid diet. She gave me his information and I set an appointment the next week.
VT: Is this liquid diet only for people that have not had success with lap band surgery?
CZ: No.
VT: What is the name of the liquid diet?
CZ: It’s called Metabolic Nutrition First Step. The doctor that my surgeon referred me to is a family practice doctor and cosmetic surgeon that does this in addition to his normal practice. I commute an hour-and-a-half to see him, and he is worth every mile. He is so supportive. He is the first doctor to treat me like a person rather than a patient.
VT: What was your first visit with your new doctor like? What did he tell you in terms of what you could expect?
CZ: Looking back, I did not leave my first appointment ever thinking in my wildest dreams that I would be on a full liquid diet for a year. My doctor told me that he had had success with patients that were on it, and he asked me what I wanted. I told him that I wanted to get pregnant and be healthy. I told him that I wanted to be 230 pounds by the end of the year because I thought 230 pounds was realistic enough and healthy enough to have a decent pregnancy. And he said that we could accomplish that together. First he took a whole panel of blood work and then an EKG to make sure that I was healthy enough to do this liquid fast.
VT: How often did you meet with your doctor?
CZ: In the beginning, it was every other week. I had my blood drawn. He went over how I was feeling and how I was doing on the diet. He inquired about any concerns I had. He checked my weight, did my body measurements, and checked my body mass index. I would pick up my next two weeks of shakes at each visit.
VT: I am curious to know more about this diet. Can you give me some details?
CZ: I went down to 525 calories a day. The shakes have all of my nutrition in them that I need. You have five soy-based shakes a day in the flavors chocolate, vanilla, and strawberry. The only thing you add to the shakes is eight ounces of water. You can add ice and sugar-free Torani syrup if you want. There were also some broths, which were powder as well that you add hot water to instead of cold water. They weren’t my favorite. I had a shake at 8am, 11am, 1pm, 3pm, and 5pm because that was closer to the times my husband ate. After 5pm, I had nothing else except for water or any other non-caloric beverage. I love those zero-calorie Sobe drinks.
VT: 525 calories?! That’s really low. That’s less than half of the caloric intake I need a day. That’s really surprising that you were able to do it.
CZ: The shakes were between 120 and 130 calories each. I felt great. I did not feel tired or lightheaded. Now that I am off of the liquid diet, my calories have increased to about 1,200-1,500 a day. My doctor did a test that told me how my metabolism was working. He was able to tell me how many calories my metabolism is burning at a resting state. I learned that in a resting state, my body will burn between 1,200-1,500 calories on its own.
VT: That sounds like a fascinating test. What is it called?
CZ: I believe it’s called a metabolic test. My doctor hooked me up to a breathing machine and put some electrodes on me and he was able to tell me how fast my metabolism was working. And it gave me a number that I had never had before. I can safely eat that amount of calories and not gain any weight.
VT: You really did not have any food for an entire year? Not even once?
CZ: No, in fact I went on a cruise a few months after I started the diet and I still continued it. But three months before I got off of the diet, I wanted to quit. The shakes made me want to puke. I wanted to know what other people on this diet were doing to continue. So I created a Facebook page for people doing this diet, called Dr. Riopelle Metabolic Nutrition Diet. I told my doctor and the office about my group and asked them to inform the other patients that I had created a support group, but sadly, I have not had any other patients join. I don’t know if it had to do with patient confidentiality, but I really wanted to have the support of others that were doing the same thing I was. In the end, my doctor encouraged me to stick with it because I was almost at my goal. It was not easy. But I did not come all of this way to not complete it.
VT: That’s incredible. I am sure I would have given in at least a few times. How did you not cave in? What about your husband? Surely he was eating food in front of you.
CZ: He was eating food, but I absolutely refused to stay away from the dining table just because I could not eat. I used the time to have wonderful conversations. The shakes have an appetite suppressant in them, so I was not hungry. I did chew a lot of gum because I missed the chewing factor of eating. I’d be lying if I said that I did not want a bite of food, but I was and still am very determined. My goal in starting this whole thing was to have a baby. Every other time that I tried to lose weight was for myself. I always failed because I never thought I was worth it. Having the hopes of getting pregnant and having a baby was what I needed to make the whole thing work.
VT: It sounds like your husband was a great encouragement to you. Who you live with can be a problem if that person wants to eat junk all day and they influence you to eat the same way. That can be really tough if you are trying to lose weight.
CZ: My husband has never tried to sabotage me. He is by no means obese, but he is a little overweight. We do Weight Watchers together now and he has already lost 50 pounds. When I was on the liquid diet, he came home and cooked every night for himself. He packed his own lunches. I never had to worry about cooking. I never had to worry about grocery shopping. He took care of himself and was very supportive. In the beginning, I think he was concerned with the dramatic diet and the small amount of calories, and whether I was going to be tired all of the time. He quietly observed me, and fortunately, never had a need to express any of his concerns.
VT: I have to ask. Is this an expensive program?
CZ: Absolutely not. I was unemployed at the time that I started. My husband and I are by no means rich. My husband being the accounts payable person that he is has everything budgeted right down to the cent. We were not spending any more than we were when we were buying groceries for the both of us. It ended up being $175 a month for the shakes. We weren’t going to any restaurants because I was on this diet. He just calculated my shakes as part of our food budget and it actually went down. I did not do the entire program that they advertise with behavioral health sessions, fasting workbook, counseling, etc. My doctor never tried to sell me any of that. He was strictly there to help me lose weight. The only other costs I had on top of the shakes were the costs associated with the doctor visits. So I had a co-pay for each visit, and for every 50 pounds that I lost, my doctor did an EKG. I also got blood work done every two weeks. So I had the bills from that, minus what the insurance did not pay.
VT: If other people are interested in doing this diet, how can they get more information?
CZ: My doctor, Dr. Riopelle, gave me his website, and said that anyone that is interested in doing the diet can contact him and he will try to find a doctor in their area that can work with them. His website is www.mdwtloss.com. My doctor has never said that this program would not be good for certain individuals, but rather anyone that wants to lose weight and is having trouble losing it might benefit from this program.
THE RESULTS
VT: How quickly did you notice the weight start to fall off when you started the liquid diet?
CZ: In the beginning, I was losing 10-15 pounds every two weeks. Then the weight loss slowed down to 14 pounds every six weeks. It was not until I lost 100 pounds that I started to notice a difference in myself. Of course, I had dropped clothing sizes, but I still felt huge. I think my biggest milestone is when I was able to get off of my blood pressure and cholesterol medication. Five months into the program, I got to come off of all of the mediations I was on as a result of being overweight.
VT: Did you exercise while you did this liquid diet?
CZ: When I started, the only thing I could do was walk. I walked a block around the house. I was eventually able to do some of The Biggest Loser DVDs
, which I loved. Then my husband and I decided to invest in a good treadmill. So I walked on a treadmill with an incline three days a week. We did join a gym where I could try different machines and classes to add strength training so that I could build up my endurance. Now I’m at the gym four to five times a week. I love trying new things. I want to try indoor rock climbing. I eventually tried to run, but there is the issue I have with excess skin. So it’s a bit uncomfortable for me with the bouncing.
VT: How were the results of the blood work and EKG’s? Did you notice an improvement in the results?
CZ: Yes! Once my cholesterol went down, I was able to get off of that medication. Then my doctor tested my thyroid and found that I had hypothyroidism, so I got on medication for that. He told me that treating this condition is one of the things that helped me lose the weight. Now that my weight is under control we are still working on having a family. We have hit a few fertility road blocks but my determination has gotten me this far and I am not giving up.
VT: How much total weight did you lose?
CZ: 195 pounds total from my highest weight of 380 pounds. I did Weight Watchers before I did the liquid diet. But on the liquid diet, I lost an additional 153 pounds.
VT: One year is a long time to be on a liquid diet. How did your doctor work with you to safely get you off of it?
CZ: Once you get to your target weight, he slowly weans you off the diet and introduces food again. So I continued with three shakes a day, but did 30 days of a lean and green dinner. After the 30 days, we added lunch, which was basically lean protein and vegetables. I did that for four weeks. Then we added breakfast. His goal is for me to eat five small meals a day. He wanted me to continue to have some accountability, so he agreed that I could join Weight Watchers again, and that is what I have been doing since.
VT: What was it like the first time you got to eat again?
CZ: It was great! I took a picture and posted it on Facebook. I had four ounces of chicken breast and broccoli without butter or anything. It was absolutely fabulous. I ate slowly and enjoyed every bite. It was a little scary to be honest. There has been a switch in my brain where I see and perceive food differently now. I am terrified of gaining the weight back, so I am very cautious of what I put in my mouth. Now I like snacking on strawberries, blueberries, and raw almonds.
VT: You mentioned earlier that you had excess skin. Is there anything you’ll be able to do about that?
CZ: I do have a hard time looking at myself and giving myself the credit for the accomplishment because I see what’s left over from being overweight. It needs to be addressed because it’s not going to go anywhere. I do not know where to start with that. I don’t know how much it costs or if I can afford it. From what I’ve seen on TV shows from people that have had excess skin removed, it can cost upwards of $30,000, so I am thinking I am just going to have to live with the skin.
WHAT OTHERS ARE SAYING
VT: How did people react when you shared your before and after pictures on Extreme Makeover Weight Loss Edition’s Facebook page?
CZ: I have been amazed at the number of people that have been wishing me well and asking for my story. It has been kind of overwhelming, as well as a surprise, because I never would have thought that I had a story to tell. I’m a very quiet person that has hid in myself because I was ashamed of my weight. I never looked anybody in the eye. I thought if I did not look at them, they did not see me. So it has been different for me to have this attention. Everybody wants to chat with me and know what I’m eating, what I’m doing, etc. And I want to help every one of them! But I am no expert. You have to go to a doctor to do what I did.
VT: Did you receive criticism from other people when they learned how you were able to lose the weight?
CZ: Some people have questioned what I have done. There have been comments that I did this the unhealthy way. Unhealthy was 380 pounds. I was a heart attack waiting to happen. I did this completely supervised by a wonderful doctor. There was never a moment where I felt lightheaded or I felt like I needed to have something to eat. I never felt malnourished. I was able to lead an active lifestyle without feeling faint. Those were the signs that would have told me that what I was doing was unhealthy. What confirmed that what I was doing was healthy was getting off of the blood pressure medication, being able to step up my exercise, losing the weight and feeling great. Those were the positive signals. This may not be for everybody. Not everybody may have to or need to or be able to handle an all-liquid diet for this long. But it worked for me.
VT: Let’s talk about the opposition for a moment, because my guess is that once your relatives, friends, and coworkers started seeing dramatic changes in your weight, some of them may have questioned your method of doing it.
CZ: There were comments made like, “How long are you going to continue this? This can’t be good for you,” or “You need to start eating. You’re getting too thin.” I also heard people tell me that I needed to stop now. Those things were really hard for me to hear because on one hand they were critical about me being fat, but here I had lost all of this weight and they were still expressing disapproval. I feel like I’ve come this far, I have this goal in mind that I’m not giving up on. Even though I lost the weight, I am going to continue going. I’m healthy and I am happy. I have to get to a point where I can’t let those comments bother me anymore, even though they are hurtful. I feel like I have to defend myself and defend what I have done instead of people just being happy for me.
VT: There will always be naysayers out there and people that think it is necessary to dump their negativity on you. When I shared my goal of wanting to get to a size zero, people laughed in my face and told me that it would be impossible. They said that my hips were too wide, and that I would never be able to get to that size regardless of how much weight I lost. That just gave me more determination to prove them wrong. And I did. I had never looked that good in my entire life. And people were still negative! But at that point, I just let their negativity fall off of me and land right back on them where it belonged. There is no sense in letting someone make you feel bad for the goals that you have accomplished. Keep doing what you are doing, and enjoy how fit you are becoming.
CZ: I try to concentrate on the things I am able to do now that I have never been able to do, as small as being able to cross my legs to being able to walk into any shop and buy a piece of clothing off the rack instead of having to go to the back of the department store where they hide all of the plus sizes. I was able to go on a roller coaster ride for the first time since I was an adolescent. When I was overweight, I could not fit in the seats; I could not even go through a turn-style. I could never fit in a chair with arms. Anytime my husband and I went to a restaurant, I would have a little panic attack if the chairs had arms on them. And those things are still hard to get over because I still find myself prescreening a restaurant according to their chairs! And I have no problem fitting in a chair now.
VT: Do you have any words of advice for anyone wanting to lose weight?
CZ: I would just encourage people to find a support group, find a doctor, find something that is going to help them with the push that they need to start their weight loss. When you have over 100 pounds to lose, it is not easy to do it on your own. It is very important to have a doctor on your side. To have family or friends that you can fall back on when you are at your weakest moments. If I did not have such a terrific doctor, I would have stopped the liquid diet a long time ago. But he helped me stick to it. I would just encourage people to find what works for them and find their own worth to do it for them. That was something that was hard for me to do. And you know, it is not a lost cause.
Christina Zaaijer is 34-years-old and happily married to her wonderful husband of 15 years. She works as an administrative assistant for a soy and almond milk manufacturing company. She enjoys knitting, taking cruises to the Caribbean, and shopping for new (smaller) clothes.
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