Educate not Medicate | Beginnings

by Deborah Maragopoulos FNP | Feb 6, 2019 | Blog, Mind/Body | 0 comments

We all have a story, why we do what we do…

“Daddy, please, don't.” My father is stroking my arm. In any other context it would be fine. We are a touchy-feely kind of family. Yet at this moment, I am in labor with my first child, my senses heightened and every little touch increases my anxiety. I've been in premature labor for the past eleven days.

Ironic, I am back at my alma mater, UCLA. Last year I graduated from UCLA Nursing School, got married two months later, pregnant five months after that. It had been a rough transformative year. Nana was diagnosed with lung cancer some fifteen months after Poppop died of liver failure. My parents announced their divorce. My husband and I began our new careers. He is a police officer. I am a nurse. We moved away from our hometown. And now we're having a baby.

It's the first time in my life I've been a patient.

First time I have been hospitalized. And I am really, really sick. Toxemia. That is what they call it. I am so swollen that the bottom of my feet are round as the bottom of a boat. My toes look like sausages. My blood pressure is super high. I have an outrageous headache. And they are pumping me full of magnesium sulfate to keep me from having seizures. My liver is failing and my kidneys are following suit. Overall, my body is rejecting my baby.

And they are trying to come early, some ten weeks early. I had a dream before I conceived that I had a blond, blue-eyed baby boy. I saw him and I held him. My husband and I even named him – Jarys.
Suddenly, I feel a tremendous pressure. The baby is coming! “Daddy, get Mom!”

My father pats my arm reassuringly. “Honey, she is resting. She has been up all night with you.”

We have all been up for days. Right now, my husband, Steve, is resting, too, alongside my sisters, his mother, his grandmother. Nana is too sick to be here, but she would if she could. I can feel her holding me some fifty miles away. But even the comfort of her ethereal presence is not enough to take away this awful pressure.

“Go get Mom! The baby is coming!”

“But you said the nurse just checked you…”

She did, just before Dad traded places with Mom. And apparently, I was still only two centimeters. But my baby is premature, really tiny – intrauterine growth retardation – way smaller than they should be at this stage. The pressure nearly brings me out of bed. I know to blow out and not push. Not that I had time to take birthing classes. I went into premature labor and was hospitalized the day before class started. My newly pregnant sister went with Steve to learn the basics in my place. In nursing school, I did a rotation in labor and delivery, this very unit I am in now. I remember what I taught my patients. But goodness knows, it is easier said than done. I really need to push!

My father runs out of the room to find Mom.

In five more breaths, my short little Italian mother bursts through the curtains, takes one look at my face, peeks under the sheets between my legs, and yells for the nurse!

“Look at me, Deb!” Mom lifts my chin and looks me in the eye. “You can not push. Breathe with me.”

“Mom,” I gasp between breaths. The contractions are coming faster, harder, right on top of each other. “Steve needs to be here!”

Mom kisses my forehead. “Yes, he will be with you. Just breathe.”

As soon as the nurse arrives and confirms that the baby is crowning, she holds the baby back with one hand, pushes the emergency call light with the other, unlocks the wheels of the gurney with her foot, and maneuvers me out of the room. Mom throws me another kiss and runs, yelling down the hall for my husband.

The next thing I know I am being prepped for delivery. Steve steps in, dressed in a blue gown, just as the intern doctor gets in position to deliver our baby. My husband looks scared, but so does the intern.

The chief resident steps in, directs the younger doctor to perform an episiotomy to protect our premature baby’s head. “But I have not given her a block.”

“There's no time. Do it!” says the Doctor

For the first time since labor began, I cry out in pain. Steve holds me, kissing away my tears, apologizing for the pain that only a woman can know.

And in three heartbeats, out slides Jarys, just as tiny and fair as I saw in my dream. Still I am surprised at all that blond hair! We are Greek and Italian. Our babies are usually dark.

They whisk my baby away before I can touch them. “Go, Steve, don't let him out of your sight!” He gives me one more kiss. “And whatever you do, only talk to the chief resident!”

I was trained here at UCLA. I know the system well. The “baby docs”, the lowest on the MD totem pole, don't know much yet. They're in training. Interns tend to quote the books and not look at the patient. So whatever they say needs to be taken with a grain of salt.

I lie back. I can hear my mother’s voice, “What is it? A boy or a girl?” No one answers.

This feels like a dream. I almost died giving birth ten weeks early to a two-pound, seven-ounce baby.

And this adventure has just begun.

The tornado of this birth has carried me into the world of hospitals, doctors, medical research and becoming my child's advocate.

Like Dorothy in the Wizard of Oz, I realize, “We’re not in Kansas is anymore!”

Read the latest update here!

Frequently Asked Questions:

Can your hypothalamus cause weight gain?

Yes. The hypothalamus is the master regulator of metabolism, controlling how your body stores and burns energy through its signaling to the thyroid, adrenals, and pancreas. When the hypothalamus becomes dysregulated by chronic stress, poor sleep, inflammation, or blood sugar instability, it defends a higher weight "set point" — causing the body to hold onto fat regardless of diet or exercise. This makes hypothalamic dysfunction an upstream root cause of stubborn weight gain.


What is a weight set point and why won't mine move?

A weight set point is the body weight your hypothalamus works to defend, calibrated over time by stress, sleep, hormones, and inflammation. When you diet, the hypothalamus perceives scarcity and responds by slowing metabolism, increasing hunger hormones, and suppressing satiety signals to return you to that set point. This is why most people regain lost weight within two to five years of conventional dieting — the set point itself was never recalibrated, only temporarily overridden.


Why do I gain weight under stress even when I'm not eating more?

Chronic stress raises cortisol, which disrupts blood sugar regulation, promotes abdominal fat storage, and signals the hypothalamus that the body is under threat. In survival mode, the hypothalamus defends fat stores and slows metabolism — so weight can increase even without any change in calorie intake. The stress chemistry, not the food, is driving the weight gain, which is why stress reduction is essential to any lasting metabolic reset.


Why do I regain weight after stopping GLP-1 medications?

GLP-1 medications work peripherally on appetite and gastric signaling, but they do not address the underlying hypothalamic dysregulation that sets your defended weight. Because the hypothalamic set point is never recalibrated, the body resumes defending its original weight once the medication stops — leading to significant regain. Long-term success requires restoring hypothalamic regulation so the set point itself lowers, rather than relying on appetite suppression alone.


How long does it take to reset your metabolism?

Genuine metabolic recalibration takes a minimum of 90 days, because the hypothalamus needs consistent signals of safety and sufficiency before it will lower its defended set point. This differs from a diet, which produces temporary suppression the body quickly corrects. A 90-day reset typically moves through three phases: stabilizing stress chemistry (days 1–30), rebuilding metabolic efficiency (days 31–60), and lowering the weight set point (days 61–90).


Why does my thyroid feel slow even though my labs are "normal"?

Under chronic stress, the body converts thyroid hormone into reverse T3, which blocks active thyroid receptors and slows metabolism at the cellular level — even when standard lab values appear normal. This means you can experience genuine symptoms of slow metabolism, such as fatigue, cold intolerance, and brain fog, while your thyroid panel looks unremarkable. Addressing the upstream hypothalamic and stress signaling often improves thyroid conversion and symptoms.


Is stubborn weight gain a willpower problem?

No. Stubborn weight gain is a signaling problem, not a willpower problem. The hypothalamus governs weight through survival mechanisms that operate below conscious control — defending its set point by slowing metabolism and increasing hunger when it perceives threat. No amount of discipline can override this system; lasting change comes from restoring hypothalamic regulation through reduced stress, balanced blood sugar, restorative sleep, and targeted nutritional support.

About the Author - Deborah Maragopoulos FNP

Known as the Hormone Queen®️, I’ve made it my mission to help everyone - no matter their age - balance their hormones, and live the energy and joy their DNA and true destiny desires. See more about me my story here...

     

Last Updated: April 5, 2022

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