Six Months and Eleven Kilograms Later

In July 2022, I finally decided to join a gym and hire a personal trainer and a nutrition coach. While I had used my prison-quality condo gym regularly for many years, and had held gym memberships while living in the US, I had never hired a personal trainer nor had I ever used a nutrition coach. I figured it was time to get serious and get in better shape.

The results? Six months along, I have dropped from about 105 kg (230 lbs) to 94 kg (207 lbs) and all indications are that my weight is continuing to drop. Likewise, my body fat percentage has dropped from 27% to just below 20%. I would argue that these measurements aren’t the most important results, though. Most important are three significant changes:

I’ve shifted my mindset. I’ve come to see that exercise is for building strength and diet is what affects weight. Both are necessary for good health. For the longest time, I tried to exercise myself to lower weight and every time the weight would come back once my exercise routine relaxed. At one point, I was running 5 km a day, five days a week. That isn’t sustainable on my knees! I’ve also revisited my relationship with food, which I would see as a reward or as a “cheat meal” that I would later feel guilty about. I now look at food as fuel. If I decide I want to have hamburger, pizza, or ice cream, I do so like a responsible adult rather than as a ravenous teenager. And while I still enjoy fine dining, I’ve stopped looking at food – especially prodigious quantities of it – as entertainment.

I’ve built new habits. I came to realize that I need to focus on building habits instead of worrying only about the number on the scale. Three days a week, I meet my trainer at 6:00 am. Every day, I walk at least 5,000 steps and achieve a weekly average of at least 8,000. And every meal, I work to create a balanced plate that is substantially lean proteins, lots of veggies, moderate starches, and minimal fats.

When I travel or have social events, I plan in advance and create a strategy to stay as close to my habits as I can. I use substitute workout activities if I cannot go to the gym. I load up on lean protein at breakfast if my source of lunch or dinner will be out of my control. And when going to a restaurant or social event, I approach the menu looking for appropriate fuel rather than using it to fulfill other needs.

I’ve taken a sustainable approach. I realize that I have a choice about my health and fitness; it isn’t an inevitable consequence of aging but rather something over which I have a lot of influence. As such, I am making choices with a long-term view: yes, two scoops of ice cream with all the toppings would taste good now but one small scoop will taste pretty much the same and eating less of it increases the odds I will be around and healthy enough to eat ice cream 50 years from now. Also, no fad diets or over-the-top exercise routines. My approach has to be something I will want to do consistently, year after year.

Why did I change? The biggest impetus for my change was my grandfather turning 102 this year. He still lives at home and while he is generally in good shape, I can see many ways where having a bit more strength, a bit less weight, and a bit better balance would increase his chances of remaining independent. Considering many aspects of my genetics – especially body shape and size – seem to trace back to him (my recently-departed grandmother, owing to her macular degeneration, regularly confused my grandfather and me if she viewed us from halfway across the room), putting myself on a healthier path now should increase my odds of living an active and independent life for many decades to come.

What am I doing? As mentioned, I have hired a trainer and I meet her at the gym three times a week. This has helped me in three ways: first, it creates tremendous accountability. In the past when I went to the gym by myself, I wasn’t pushing myself to my limits. Having someone else to show up for, ensures I show up. Having someone who sets expectations around repetitions and weight, ensures I reach those levels of performance. Second, having a trainer improves my form. I always had the sense that I didn’t really know what I was doing with most exercises and would often be sore or even injured afterwards. My trainer has really helped me understand how to exercise in a way that has the most benefit and minimizes the risk of injury. Finally, having a trainer keeps me from being bored. She mixes up the exercises and the areas of focus and keeps my workouts interesting.

Additionally, I hired a nutrition coach (Darren Liu of Breakthrough Body Blueprint) to help me with my approach to diet. He and his team were helpful in challenging the way I think about food. They had me start tracking my meals (MyFitnessPal is a great, easy-to-use app) which was a pain in the ass for the first two week and then easy. Most importantly, it was eye-opening. You really don’t understand the impact of what you are eating until you take the time to track it.

Darren and team set me up with calorie and macronutrient targets, significantly increasing the amount of protein that I consume. What I discovered is that protein helps me stay full longer, reducing the urge to snack. I also discovered that I can feel completely satisfied even as I only consume about 2,100 calories a day – my current target to ensure a slow but consistent loss of weight, about two kilograms a month.

I also started tracking my steps using my phone. There’s a lot of buzz about 10,000 steps a day – that felt a bit much as an average. But I have found that moving a minimum of 5,000 steps a day is very doable, with longer walks on days I don’t go to the gym or on the weekends. Last July, I averaged about 6,600 steps a day. By December, that was over 10,000 steps. Instead of riding the motorcycle from the station to my condo, I walk. I walk to the gym in the mornings, about ten minutes each way. I walk to a restaurant for lunch instead of ordering in. I stopped working from home and started going back to the office, since it automatically requires more walking from me. And the more I walk, the more I find walking doesn’t seem to be such a hassle.

What is the plan from here? So far, so good. But can I keep the weight off? Most people who lose significant weight tend to gain it back. And I shouldn’t stop here. While BMI isn’t the most nuanced measure, I’m still in the “overweight” category. The plan is to continue my habits around exercise and diet, to make them a consistent part of my life. Consistent habits should result in better overall health, better energy, better sleep, and a better sense of self. My target for 2023 is to reduce my body fat to 17% and my weight to under 90 kgs. But the numbers aren’t the real goal. It’s sustaining the mindset and the habits that lead to a long and healthy life.

First shot: done

Friday morning I received my first shot of COVID-19 vaccine, just a few days after I discovered that I was going to get it here in Thailand at all. Let me start by saying how grateful I am that I’ve received the vaccine at all. And let me share a bit of the story:

This being Thailand, the vaccine implementation has been chaotic and unclear, with contradictory messages coming from different persons in the government on a near-daily basis. At one point, vaccines for foreigners wasn’t being considered at all. Then they would be able to get vaccines in a few months, as soon as the Thai registration app was adjusted to work for people who didn’t have a national identification number. Then the government said they would allow private company to buy vaccines. And then they said they wouldn’t. And so on, and so on…

Then, on Monday, I received an email from my company stating they had arranged for all Bangkok-based employees to receive a vaccine. Foreign workers were directed to register at a link on the MedPark Hospital website. On Tuesday, I was informed my vaccine would be available on Friday between mid-morning and early afternoon. We were informed the Sinovac (a Chinese-made vaccine with widely varying reported efficacy) was the only option, which while not ideal, is better than nothing.

When I arrived at the hospital and registered, they asked whether I wanted Astra Zeneca or Sinovac, as they had both available. I chose AZ as the data from AZ appear to more consistently show higher efficacy than Sinovac. And thirty minutes later, I had my first dose in my arm and was on my way.

Side effects: similar to Tawn, who received his first dose earlier that week, I experienced soreness in my upper arm at the injection site (no surprise). By dinner time, I was feeling a general achiness, like the onset of a flu. And by bedtime, I had the chills, which Tawn had also experienced.

Over the night, I experienced the worst headache I have ever had. I think I know perhaps what a migraine headache feels like. I kept waking up and massaging various pressure points, trying to relieve the tension. Finally, near dawn and exhausted from a restless night, I stopped trying to power my way through the symptoms and just took two tablets of paracetamol.

Within thirty minutes, the symptoms largely subsided and I slept for another three hours. The rest of the day was a bit fuzzy, but by dinner time about 32 hours after the shot, I was feeling pretty much back to my normal self.

Second shots here are scheduled for 16 weeks after the first shot, not until early October. Since I will be back in the US in a few weeks, I plan to go ahead and take the J&J single-shot vaccine so I can get full covered more immediately. A search online hasn’t turned up any concerns that should dissuade me from combining two vaccines, but if you know anything you would like to share, please let me know.

If you haven’t received a vaccine yet, I hope you will do so as soon as you possibly can. The best chance we have for getting this pandemic under control is widespread vaccination and good hygiene practices. Stay safe!

Reflections on my first race

A few years ago, I started running regularly. While I didn’t enjoy running when I was growing up (I think I was always sprinting – nobody ever told me you can pace yourself!), I quite enjoy it as an adult and get that “runner’s high” that I had often heard others speak about. After repeated suggestions by other runners, I finally joined my first official race: the Amazing Thailand Marathon 10k.

The race started at 5:45 am with a burst of fireworks near Democracy Monument in the old town part of Bangkok. I ran with a few friends including a colleague who has recently started running. To be there on time, I had to wake around 4:15 and leave home about 4:45.

Our winter has been warm with extraordinarily bad air quality, to the extent that I understand many registered runners decided not to show and the race was almost cancelled. That said, there was still what looked like several thousand people running the 10k and who knows how many who started earlier for the full and half marathons. There was also a 5k scheduled but that didn’t seem challenging enough.

I did okay, running about eight of the kilometers and walking two. I finished, but think I could have run the whole way if I had done a few things differently.

But what of the experience? Many people encouraged me to run a race because the energy and thrill of the crowd will help carry you along. Others seem to really value the medals they receive, tokens of accomplishment.

Me? I don’t think the race experience was for me. It involved getting up earlier than is necesary. It involved running with a much larger group than necessary (making it difficult to reach my pace). I ended up getting separated from my running partners. What I enjoy about running with friends is the social nature of it. And the medal? As I crossed the finish line and approached the table to collect my medal, I almost didn’t take one. It is just a hunk of metal I am going to have to dispose of eventually.

Following the race, many of my race running family and friends have dispensed advice: I should run somewhere with cooler weather, I should run a smaller race, I should eat more carbs when I first wake up so I have the fuel to finish the race…

Maybe so. But I’m not convinced any of those things would make much of a difference in my enjoyment of the experience.

This morning, though, I woke at 5:30, picked up a friend and headed to a nearby park. We ran 8 km. It wasn’t crowded so we made good time on our run. We were able to chat along the way and enjoy the fresher air of a park than of the city streets. At the end, no medal awaited us. There was no blaring rock music, cheering crows or unnecessary fireworks.

And that was fine. Because for me, it is the run that I value, not the race.