Spare Tire to Spare

One of the few complaints I’ve got regarding MMT – Methadone Maintenance Therapy – is the disgraceful amount of weight one almost always seems to gain while on it. Sure, there are a few lucky ones that seem to escape this horrible fate, but from where I’m sitting they are most definitely few and far between! I’ve gone from a fairly svelte size eight/ten to a seemingly, no, actually, lumpy size fourteen on a good day! Most days I am barely bothered, but on those rare days when I am carefully dressing for a particular event where I know that I shall most definitely encounter particular individuals, this fact never seems quite so galling, never mind appalling. The proverbial albatross around one’s neck to be sure. Might as well weigh three hundred pounds it seems by the time you’ve somehow managed to settle on an outfit. No amount of black can be that slimming, nor can any amount of strategic dressing be that flattering. Don’t believe everything that you read!

For better or worse though, it seems that once on MMT as a female the sooner you accept the inevitable, the better! Don’t get me wrong. I’m not at all suggesting that you use this side effect as a license to eat either, as I know many do. If you gain close to 100 pounds while on MMT, then you were severely underweight when you started or there are whole boatloads of other issues you need to deal with as well. Most seem to be decidedly underweight by the time they start treatment, so it makes sense that this weight should be welcomed. It’s all of that extra stuff that tags along for the ride I end up resenting. Keep in mind that I am not at all suggesting that methadone per se is the cause of the weight gain, as I don’t believe that weight gain is a recognized side effect of methadone as constipation would be.

I believe this weight gain occurs while on MMT because of the overall, generally positive lifestyle changes that an addict undergoes while on MMT. Just as no two addicts are alike, no two stable doses of methadone will be alike, but once that dose has been found, all sorts of possibilities start opening up for the opiate addict. Until this magical amount has been reached, the addict is still susceptible to old behaviour or habits. On a stable dose, all of those brutal and unpleasant withdrawal side effects will have completely disappeared. Also, the opiate receptors of the mind are so flooded that any attempt to use any other sort of opiate will be a waste of both money and time. The addict will feel absolutely nothing. Now up until a stable dose has been reached addicts will try anything and everything in their power to try to find a way around the methadone in their system. Generally, they’ve also got to discover this on their own regardless of how many have gone before them. Doesn’t matter. Until it happens to them, it’s not true.

Until this stage, even though the addict is on MMT and may be on it for months at this stage, old addict behaviours and lifestyles will still figure fairly prominently in their lives. If you’re still trying to use while on MMT then nothing has really changed at this point. Things really don’t start to change noticeably until the addict is at a stable dose. Once all of the side effects from withdrawal have disappeared, their overall body will start to feel better. With each passing day, the muscles and bones start to ache and throb less and less until one day when you wake up and get out of bed; it no longer feels like a chore. It becomes second nature. When in active addiction, our stomachs tend to be in turmoil because of dope sickness or cause we’re too messed up. Either state tends not to be conducive to eating three square meals on a daily basis! Addicts graze at best.

Whatever your drug of choice, whether pills, smack et al, generally there tends not to be some bottomless well providing our vice to us no questions asked. No, that would be far too easy. One of the crosses you have to bear as an addict is the huge amount of time and energy one must invest in the search for their big, ultimate payoff. I am now, depends on my mood though, either the most saintly patient person ever, or I’ve got the attention span of a newborn kitten. Varies by the day and circumstance, though, I figure for every hour I’ve invested in travelling to score, scoring, making it back home again and then actually using, there are probably nine more hours where nothing whatsoever happened except for the waiting, and then some more waiting and some more. On the infrequent day where there is a line at my clinic, I can’t help but chuckle to myself each and every time someone in line complains about how long of a wait they’ve got or how they’ve never, ever been here when there has been such a long line. On days when I can’t take it, I chide them and ask if they’ve never had to wait for a delivery that never seems to arrive! I mean seriously, the absolute longest amount of time I’ve had to wait in line at the clinic in nearly five years has been twenty minutes. I would never have started MMT in the first place If only the dope fairy had bothered to show up in such a timely manner previously.

OK, now that this weight gain is here and there is nothing I can do to fight it in the short run, I do the best I can with what I’ve got for the time being. One of the things that I did learn to do the first time I was in MMT over a decade ago was to learn to sew. Now initially, I was crap but I persevered for a couple of reasons. Specifically, the whole idle hands theory was a huge factor, but mostly because I discovered a love, as well as appreciation, of fabric. I couldn’t stay away from fabric stores and after each visit, I’d arrive home with more and more fabric, all of which I made sure I purchased at ridiculously low prices. So of course, I just kept sewing and sewing until one day I noticed I was actually getting pretty good at it. Well, actually, it was more my daughters could no longer tell if what I wore was store bought or homemade. Once these lines blurred, I knew I had made it. Confirmation on this followed my daughter’s first request for my services.

So over the course of this summer, I’ve been playing with a top design for myself. It’s my very own design and after each attempt a dramatic improvement has occurred. I’ve been tweaking and ripping and tearing and sewing and testing for the past couple of months until finally, now, I’ve created a top that flatters and camouflages all of my current imperfections, and for the time being offers me a certain amount of self-confidence that I’ve been lacking. If I could find my digital camera, and if I knew how to use it, I’d definitely upload some photos. I definitely will get some online very shortly.

peace, love and happiness…

 

Some Great Reward

One of the things that has been hardest for me while on methadone has been the weight gain that often accompanies it. For the past four years, this has been my biggest battle. Some days, I find it nothing more than a slight nuisance, while on others, I find it utterly soul crushing. I know many women on methadone suffer from this identical problem, and I know many that also stop treatment for this fact alone. As hard an adjustment as its been, this would never influence me to return to past bad behaviors or habits.

This weight gain many a time has ended up messing with my self confidence, especially as I had never, ever had a weight issue until I started MMT. It has been a pretty big adjustment just on its own, and there are so many days that I’ve allowed this to influence my overall mood. When feeling particularly frumpy or unattractive, it was so much easier to sit around all day in my baggy black t shirt and drawstring pants with unwashed hair and an unmade face. After awhile, it became easier and easier for me to use this as an excuse not to do much more of anything else.

About two weeks ago, I decided that I had had enough. No more. Just one more thing I was doing to remain a victim in one way or another that I needed to put an end to. It was now or never. As much as I wanted to return to my pretreatment weight, I know that this was not something that was going to happen overnight so I decided to take a different approach than anything I had attempted prior. A large part of  how I was feeling was a direct result of not really having anything appropriate to wear to flatter my current shape so pretty much the only way to fix this was to start over from scratch – I needed an entirely new wardrobe! So far, I had been resisting buying much of anything convinced that one day I would be able to fit back into the clothes that were hanging in my closet. In the meantime, I had been trying to stuff my size twelve body into my size eight outfits with disastrous results.

Shocking indeed, that I never seemed pleased with any of my outfit choices or would be forced to put on yet, again, the same t shirt and pair of pants. Although it actually took me three full days to finish, I went out shopping and bought all brand new things – I literally replaced everything, everything except my socks! I got all brand new underwear. I bought myself a new raincoat and two new hoodies, as well as a new pair of sandals and runners for the summer. I got five new pairs of cargo pants and four new pairs of shorts. I got eight semi-dressy tops/blouses plus four dressier types of t shirts.

I’ve put all of the new clothes in the closet in the spare room and left all of my other clothes in my closet in the bedroom – we each have our own closet in the bedroom. Now, when I go to put something on, it is much less of an ordeal as I know that whatever I end up picking out will fit me properly. No longer will there be piles of discarded items as I struggled to find something to wear for the day! Already I feel a thousand times better about myself, not to mention so much more confident.

In some ways, I am mad at myself for allowing vanity to get the best of me, but it has and after four years, I know that this wouldn’t go away on its own. I wasn’t prepared at all for how much this weight gain was going to affect me. I’d been fortunate enough to go through my life never having a weight problem, so it was never an issue I had been forced to deal with. I didn’t realize quite how lucky I was until it was too late. I think what has made it more of a struggle for me to get on top of this was the timing of my decision to start MMT. This just happened to occur while in my mid-forties, which is a time in a woman’s life when her body starts to undergo a number of changes as it is. So the two combined together were a toxic combination indeed.

98 POUND WEAKLING

Pretty much from the very start, I’ve had a bit of a love-hate relationship with methadone – I took my very first dose of methadone in September 1999, nine years and two months ago. Now a decade ago, I was in pretty grim shape physically. I had allowed myself to waste away to near nothing, and at 5’7″, I barely topped the scales at 105 lbs, so potential weight gain from this particular treatment was very much a non issue for me. Or so I thought. Within no time, I started to experience a rather dramatic metamorphosis and actually started to look rather healthy. A decade ago, this didn’t really bother me all that much as I desperately needed a few more pounds on my body, but now I find myself in the middle of a most unpleasant and unsavory situation.

Funny, what kind of effects, a decade ends up having on our changing bodies too. I now find my self, at the ripe old age of 45, waging an ever increasing losing battle, not to mention having to deal with, until now, some really foreign emotions and thoughts. Its frustrating enough on its own coming to terms with this change, but having to deal with the accompanying boatload of emotions, doesn’t help at all! For someone who had never had to give their weight so much as a second thought before all of this, this new reality has been monumentally difficult and stressful.

I’ve now since discovered how easy it is to be cavalier about weight and diet, et al when no problem exists. This should seem quite obvious, but surprisingly enough, it isn’t at all. I’ve since discovered that its much easier to be without vanity when no struggle exists. If there is nothing to obsess over, there is nothing to obsess over. Now, unfortunately, I seem to have something to obsess over, and that something would seem to be the size of my jeans! I will admit though, that I am still not in possession of a scale so I have no idea what my actual current weight would be, or the actual number of pounds gained these past couple of years. Honestly, I really don’t need to have anymore of this rubbed in my face, anyway. The fact that I no longer wear a size five or seven is pretty indicative of the amount gained that I certainly do not need any more confirmation, trust me.

OK, OK,  I know exactly what each and everyone of you are about to say to me now. I know that methadone alone is not the sole guilty culprit here. In fact, there is next to no research or findings or even studies stating that weight gain is even a direct side effect of taking methadone. Logically, I am all too aware of this fact, but, I am also very aware of the undeniable fact that I started to aggressively gain weight once I started Methadone Maintenance Treatment. This is a fact that is next to impossible to challenge! I get it. Suddenly, you’re no longer on some endless quest to feed that monkey. After a few months on MMT, your life actually starts to return to what others take for granted, boring and routine. With this, your appetite returns and with a vengeance, although for everyone else, this is normal. Most probably, you even become more sedentary, so its really no surprise that the body ends up having such a huge transformation. Logically, I know this, but it still doesn’t end up making my current situation any better.

I think what really bothers me even more than the weight gain, is the fact that I can’t help but constantly stress over it. In the past few months, I find myself thinking about this more than I ever obsessed and agonized over drugs! Maybe I’m replacing one with the other. How’s that for irony? Grrrr….I can’t believe that I am actually publicly ranting and whining about my current situation either, although this just illustrates how depressed this whole situation has gotten me. My mother’s constant comments certainly don’t do much to help my self esteem either. There is nothing like a conversation with my mother to make me feel ten times worse than I already do. She has a knack for pummeling me ever further into the ground. Its not like I am a beached whale either – I am currently wearing between a size eleven and thirteen, with the larger size starting to no longer feel quite as tight as it did about half a year ago too. Each and every time I see her, she ends up fueling my self obsession with the weight, even if I’ve somehow managed to finally reach a place where I feel a modicum of peace.

OK, no doubt I could go on endlessly on this subject if allowed, but even I have to admit that I am starting to bore even myself! Enough already. Get over yourself!