After struggling in Phase Two, especially while dealing with the aftermath of an abrupt medical emergency, I recognized I needed to get my weight management act together. More specifically, I needed to focus on practicing the healthy behaviors I had learned while in Phase One in 2013-2014 as well as introduce some new behaviors. I had only spent a few weeks in the Healthy Solutions transition between Decision Free and Phase Two, and I needed to work on my relationship with fruits and vegetables.
In January of 2018, I committed to following the Healthy Solutions Diet offered by HMR at Palo Alto Medical Clinic. 12+ weeks of HMR meal replacements and unlimited fruits and vegetables. More decisions that the faster weight loss program (Decision Free) but still effectively limited food choices and thus decreasing my decision anxiety about food.
After 11 weeks on the program, I have lost over 30lbs, all while embracing the “More is Better” philosophy to help me stay on the program. My minimum prescription each day is 3 HMR shakes (or soup or oatmeal), 2 HMR entrees, and 5 servings of produce (the program offers guidance on serving sizes) – however most days I have extra fruits and vegetables, and maybe an extra meal replacement or two (or three or four) to keep me full and away from temptation for minimal calories!
After some conversations with other HMR patients on social media, I am sharing my data for the first 11 weeks (I am in week 12) publicly because I have come to realize it helps shape the reality of this “More is Better” concept at HMR:
In a seven day week, my MR (meal replacements) minimum would be 35, as would my V/F (veggies and fruit), however you will notice I never eat “just the minimum” because it would not keep me full and thus I would faced increased temptation. And yet I have lost weight every week (and I peeked at my personal scale this morning at home and am feeling pretty awesome about this week as well!).
I have had struggles while I have been on Healthy Solutions. Making choices on going out to eat. Preparing for travel. Making sure I have a variety of options available to keep me full and away from temptation. But I have learned some valuable lessons too:
- If you don’t like a vegetable or entree, try a different preparation method. I rarely ate the chicken soup in Decision Free unless it was a cracker or savory muffin. However I have been making all sorts of soups in Healthy Solutions (and actually still haven’t made a cracker or savory muffin with the mix!).
- When in doubt, double the vegetables! This seems silly, why eat more than you had planned? Well you can usually sneak in an extra serving of vegetables when preparing a meal and while the calorie cost is minimal, the extra fullness can’t compare! When I add cauliflower rice to a chicken creole entree, I add two cups instead of one. Extra bulk. Extra fullness. And only 40 extra calories that is going to offset something higher calorie later!
- Always keep easy-prep produce around. You never know when you are going to have a bad day (or days), so having a couple go-to standards is always a good idea. Every week I make sure to order a couple of easy-prep items in my Imperfect Produce delivery (apples, carrots, baby tomatoes, citrus). But I also have a few standards in my freezer – riced cauliflower (awesome to mix into most entrees), frozen cherries (perfect for snacking), small frozen bananas (throw one in a shake or make an ice cream), and frozen mixed peppers or grilled asparagus (something fun that’s quick to prep and can change up an entree or be blended into a soup). Finally, I always keep an onion and either a potato or hard winter squash on hand. The onion can transform lots of things from entrees to soup to veggies. The potato or squash might take a little longer to prep but they are carbalicious treats that are a better choice than something out-of-the-box.
- Plan for more than you think you are going to eat. If it’s in my plan, I am not afraid to eat it and it’s already prepared and easy to grab. If I am not hungry, it can be stored for the next day when it’s the first thing on my list. For example, Monday was my first day back from Spring Break where my eating was less regimented. I also had a 5am OrangeTheory Fitness so I knew I’d be starting my day early and with a lot of activity (which can sometimes leave me hungry all morning). So my post-workout commuter breakfast was a blended 120 vanilla shake (with some PB2 and sugar-free salted caramel syrup from Torani) as well as a chicken soup blended up with my “green soup base” (which is really just whatever looks like is near it’s end in the produce bin getting simmered with broth and spices and blended into a greenish broth). Then my snack and lunch bag had: 1 cup of baby tomatoes, 2 cups of roasted broccoli, 1 cup of berries, a chicken creole cooked with peppers, 1 cup of cucumber-tomato-basil salad, a diet soda, a giant Contigo with herbal tea, and another giant Contigo with a 120 chocolate shake turned into a hot cocoa. When I got home from work, I still had the broccoli (which I snacked on while preparing dinner) and the tomatoes, which are back in the lunch bag this morning and will be my first snack of the morning.
Overall, I think Healthy Solutions has helped me to embrace fruits and vegetables as filling and delicious foods. I realized before that they could offset calories, but I never truly practiced incorporating them into my life, making them the main focus of snacks and meals instead of side dishes and afterthoughts. And while my weight loss has been slower on Healthy Solutions than on Decision Free, I do think spending more time in Healthy Solutions will help to prepare me for Phase Two. I wouldn’t trade the fast weight loss initially because I think Decision Free helped me reduce decision anxiety and find success and motivation in the HMR Program. It taught me invaluable lessons that I am not sure I personally could have found if I had started in Healthy Solutions.
But I was definitely in a rush to get to “normal foods” in Phase Two and forgot along the way the fruits and vegetables are the staple of the “normal foods” – a foundation that needs to be solidified in order for the house of weight maintenance to be steady when the earthquake called life might hit. And now my foundation is getting that strengthening it needs so that my weight management practices can be strong in the Phase Two world.
One fantastic thing about teaching high school is that I get to cover the same material over and over each class period, and at about the same time each year. Some people might think that sounds boring, however I have come to learn it makes me a more successful teacher as well as a lifelong learner. I am constantly looking for new ways to teach the same topics and skills to keep things current and interesting, while reinforcing the core purpose and content for myself. And in the process, I make new discoveries about both the content I am teaching but also the ways my students learn and apply knowledge.
Just like getting to revisit a time period in history or a component of American government, as a student retaking the HMR Core class, I am getting a chance to revisit information and practice skills in new and old ways, reinforcing behaviors and expanding my knowledge base both about health and nutrition, but also about myself. And in the process, I get to make new connections.
Last night’s HMR Core class was a perfect example. One of the slides presented demonstrated how a person could “cheat” and go out of the HMR “box” of foods, while still losing weight. This could potentially reinforce bad behaviors because “hey I still lost even after I had that one handful of chips” or “I can add a Snickers bar and can still lose weight because the math shows that.” However our instructor continued on, showing that even if that math works sometimes, it will take significantly longer to lose the weight because it will be slower. And once the floodgates are open to outside foods, all bets are off on how long you can continually follow the program and stay motivated.
The first time I learned this information in 2013, it compelled me to stay in my Decision Free Box. I was paying too much to not be successful and wanted to lose fast. And I stayed in the box for the entire time I was in Decision Free (over 9 months)!
However last night I took away a different lesson. I already know that staying in the box in Phase One works. I know how motivating it is to lose quickly and how that success continues to build upon itself to some serious big weight loss. I watched people over my tenure make choices to leave their HMR box in Phase One, and I have said goodbye to some as they lost the motivation to continue.
Last night I realized that “cheating” can also happen in Phase Two where the world is my oyster. And that I allowed those unnecessary choices corrupt my box and disrupt my success cycle. By allowing lots of small extras, I lost my calorie balance needed to maintain my weight. But for the longest time, those gains were small. A half of a pound or a tenth of a pound, or “just a pound but I can lose that by tightening up my diet this week.” Except once you make exceptions a habit, they are no longer an exception. And nibbles outside of my Phase Two box became a part of an unsupportive open world while my box fell to the wayside until eventually those small gains became an overwhelming large gain, and I struggled to stay motivated to maintain or to begin the process of losing weight again.
As I relearn those habits that made me successful in Phase One Decision Free in 2013-2014, I am also learning to apply them to how my world will be once I transition to Phase Two again. My first time in Phase One my head was in the sand. My only goal was getting the weight off. But this time I realize how that’s the easy part. I need to create positive behaviors that support my health beyond just this phase. Which means I need to stop allowing exceptions to be the norm in my diet.
Sure I could make excuses and leave my box, or I could recognize my need for consistent positive weight management behaviors. #InTheBox #HMRStrong
Last week I wrote about my new favorite travel tool, and even offered one up as a thank you in my post. This thank you giveaway has ended, and I wanted to congratulate Mary S. from Wisconsin as well as thank her for reading my blog. I will be sending her a new Crockpot Lunch Pot this week!
Today, I want to share a double-entree comfort food that MANY of you may already be familiar with, that I have prepped in my Lunch Pot recently. The HMR Program Turkey Chili and Chicken Pasta Parm! I throw them both in the Lunch Pot along with some Sriracha and let it warm for a massive bowl of comfort.
Here’s why I am really sharing this HMR Decision-Free favorite. Because I think in Phase Two, it’s easy to shy away from double-entrees. We are integrating outside foods in our diets, double-entrees seem so high in calories, and maybe we think we are tired of HMR entrees! But two entrees is still fewer calories than many of the GAP foods out there, and what worked in Phase One (i.e. super-filling, higher-volume, nutritionally-packed meals) still works in Phase Two to crowd out GAP foods and keep you full — more bang for your caloric buck! And yes, fruit and veggies and double-shakes will do the same. But the double-entree is adds some extra oomph after a hard workout or before a big event (especially on the road!) that you might not find with some of the other high-volume choices.
As I recommitted to increasing my meal replacements this summer, I am finding reflecting on what I did during Phase One to be invaluable in my continued journey to manage my weight. What is (was) your favorite double entree combo? Have you revisited it lately?
Processing Phase Two: An Academic Exploration of Life Outside “The Box” and the Creation of a “New Box”
I lived inside of a bubble for almost a whole year.
It wasn’t a real bubble. That would be a little bit strange. But it was a world where I had protection in the form of a very strict diet called HMR Decision Free. For those who have been reading for awhile, you probably already figured that out. But it still amazes me that for a whole nine months, I lived in such a confined world of food choices and after so long inside my bubble, I think I had forgotten what existed outside of that world.
As I transition from my bubble world to the real world, I have found that a lot of academic texts that were shared with us in health class have become much more salient for me. I wanted to use my journal (blog) today as an opportunity to explore my transition while linking some of these texts as well as next texts to help me connect my personal experiences with broader research. Because I have learned a lot in the last several months but it helps me know that I am not alone in this world full of food that we call “The Gap.”
Cornell researchers Brian Wansink & Jeffery Sobal found that we make more than 200 decisions about food every day. While we learned about this study in our HMR health classes, I dismissed it at the time, because those were not choices I needed to make at that moment. My choices were much more limited. Did I meet my daily minimum of shakes and entrees? Which of the limited selection was I eating next? Since everything was tasty and nutritionally calculated, it was rare I really felt compelled to make a clear decision.
When I transitioned to Healthy Solutions, the number of decisions increased. Suddenly I needed to decide how to get my fruits and veggies in. I needed to go into grocery stores to acquire said produce. I needed to prepare them and write them down and it became more complicated that just jotting down the same several items in my journal each day.
And because I thought I missed variety, I quickly delved into produce diversification. However, perhaps I should have stuck with buying only what I needed each day to minimize choice and over-consumption. Pierre Chandon and Brian Wansink found, in the Journal of Marketing Research, that stockpiling food leads to over-consumption. And so while I thought I was saving money and time in buying in bulk, I have since realized that I consumed even more produce just because it was there, not because I was hungry.
Fruits and vegetables are not the worst things in the world to overeat. However, the habits created could possibly transfer to other items. And so by discovering this in Healthy Solutions, I was able to minimize the total amount of food in the house and as I transitioned to Phase Two, I had to keep this in mind. Because even frozen dinners, that would soon supplement my HMR meal replacements, could be abused.
As I have transitioned to Phase Two, I have worked hard to keep my home environment and work environment as clean as possible. But I have learned a lot in the transition.
I learned quickly that I couldn’t be trusted to just show up in the school cafeteria to select a meal on the fly. The temptations of everything around me would add up. And even if I grabbed small portions of lots of healthier options, it would still add up to way more calories than I needed in a meal. And because I was now socializing at lunch instead of eating in my classroom, I found that I consume far more despite the fact I could have done with less. And I am not alone. According to John M. De Castro, a professor at Georgia State University, in the British Journal of Nutrition, “Simply eating with one other person increases the average amount ingested in meals by 44% and with more people present the average meal size grows even larger.” And so I either have a shake about an hour beforehand and strategically plan which stations I will go to and which I will avoid, or I bring my own meal and bypass the cafeteria entirely.
The social pressures to consume “normal food” have led me to stray from guidelines we are encouraged to follow in Phase Two of HMR. While traveling, I worked to fill my plate with mostly vegetables. I used shakes and produce and entrees to offset hunger, and I walked when I could. But eventually, I found myself caving to the pressure to consume the “special homemade meals” that were offered near where we were sitting. The food was free and the families were so eager to share. And it was delicious. But I have struggled to pull myself back into real life day to day living. It is so easy to justify everything as something special. And yet I lived for nine months where nothing was special enough to eat and I had a few events that probably were once in a lifetime events where I resisted!
I know it is easy to justify my choices. Not just because I teach debate, but also because in the Gap we are handed justifications to make bad food choices every day. However, although I may have had trouble with defining my life after Phase One, I am able to bring myself full circle. Brian Wansink writes in Physiology & Behavior:
“This Laboratory of Life experience – trying to change mindless eating in the real world – brings lessons of both discouragement and encouragement for those of us interested in helping change eating behaviors. On one hand, some results are discouraging because they show how some of our most robust academic findings are often not implemented by people because they do not recognize their relevance, they lack the motivation to make them work, or they lack the step-by- step encouragement and direction they might need. If we fear we are often talking only to other academics, perhaps we initially are.”
While I had some trouble with motivation during some of my initial weeks in Phase Two, I think my health educator helped me assess what a bigger problem was for me. I still hadn’t figured out what my new box was. I had done so much work to stay in the HMR defined box, and now that I “could have” things, I was having them because there wasn’t a box I had clearly laid out.
In the past few weeks, I have figured out my triggers. I also know that severely limiting myself forever won’t work, and I do need to eventually allow for life events to happen. But I also need to write out a box for myself that I can stick with day to day.
I am writing out my Phase Two box here. In published form. To hold myself accountable. While I know that eventually it may change, this is how it need to be for the moment. In order to continue my weight loss efforts and prevent the Gap from consuming me.
I will continue to allow shakes and entrees be a part of my life. The definition of a meal replacement being 300 or fewer calories with more than ten grams of protein. I will allow myself one bar a day but bars must be under 200 calories with at least ten grams of protein and cannot be consumed in my house (in other words, bars should be used as portable meal replacements when necessary, not a daily requirement). I will continue to enjoy fruits and vegetables as these are important for my nutritional health but also to practice “more is better” with. And I will limit myself to no more than one serving of lean protein outside of prepared meal replacements each day. Finally, I will allow myself no more than 200 “other” calories. This might be popcorn. It might be a small cookies. It doesn’t have to be limited in scope (variety) but it does have to be limited in magnitude (calories) and I must ask myself “is this worth it? will it keep me full? if it won’t, why am I eating it?” and if I am satisfied with the answers, I can have it.
I was asked as I transitioned where I saw myself in five years. What is my five year plan. And the truth is, I am still thinking about it. But I know I don’t want to regress. I want to move forward. To better understand and support my health with healthy behaviors. And I will continue to contemplate this as I learn to live inside the box again. The white board has returned. And I look forward to building up those numbers because I am #HMRStrong!