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Category: nutrition (Page 1 of 4)

The Value of Hope

May 31, 2016 / / 0 Comments

“There is no medicine like hope, no incentive so great, and no tonic so powerful as expectation of something tomorrow.” ~ Orison Swett Marden

I’ve been thinking a lot lately about the concept of hope.

That can be a bit of a dangerous thing when you live with a chronic illness that has no cure, and very little in the way of successful treatment.

But, I have a trifecta of hope happening in my life right now; a process that started sometime in April. This is ironic actually as Spring is a time of rebirth and renewal….a reawakening, if you will.

My trifecta is a combination of three things that I am doing to try and help alleviate my autoimmune symptoms, caused by Sjögren’s syndrome, and therefore increase the quality of my life. I have to be honest, my quality of life was truly beginning to take a nosedive prior to April and after about a year of this happening, it was time for some more drastic measure to be taken, both on my part and the part of my medical team.

The first part of this trifecta was starting a new biologic medication called Orencia (abatacept) on April 6th. It is not a medication for Sjögren’s specifically, but rather one often used to treat rheumatoid arthritis. However, there has been some research published and patient reports that Orencia has helped some patients with Sjögren’s syndrome, especially the symptoms of joint pain and fatigue.

The second part is that I am in the middle of (literally) an eight week Mindfulness Based Stress Reduction (MBSR) course, a program that was founded at UMASS Medical Center in Worcester, MA and since its induction, has helped thousands of patients with a variety of chronic conditions. This is something I have been considering doing for about a year or so and after the third person suggested it to me, I did my research and decided to go for it.

The third is a dramatic change in my diet, which started May 23rd. I embarked on a twelve day whole food, plant based detox cleanse with the sole purpose of trying to settle down my physical symptoms. That will end in a few days and I don’t know exactly where I will go from there, but I imagine that I will continue some version of it since I have already seen benefits.

I did not plan on doing all three of these healing and potentially life-changing things at the same time and to be honest, I would never have planned it this way. I have to travel to Boston for the Orencia infusions, the MBSR class takes three hours on Thursdays, as well as at least an hour a day of “homework” and the diet change? Of Lordy, between the shopping and cooking, that has become VERY time consuming for me. But, I did not control the schedule of when all three happened so I jumped in, trusting that God knew what he is doing.

All three of these things bring a lot of hope to the table for me, something I haven’t had a whole heck of a lot of recently. I know for certain that the dietary changes will help me and the MBSR class cannot hurt me, and my guess is I will experience some benefits from that as well. The Orencia is a crap shoot at best, however I have already experienced some positive effects from it. The real question for me is how much will these life changes help my physical symptoms, both individually and collectively? What if the changes help me so much that I am able to gain most, if not all, of my previous functioning back?

I know, that’s a tall order and honestly, any improvement would be welcome.

But, I was scared.

I was scared to hope.

Why?

Because I have been down that road before. You cannot even imagine (well, some of you can) how difficult it can be to put so much hope into something and not have it work out or have it work out just for a brief time before it is snatched away. And what you are left with is pain, more medical appointments, and disappointment. It can be challenging and heartbreaking all at the same time.

But what is the alternative? Not trying? Not taking advantage of the possibilities that are being offered to you? For me, that is not an option. So onward I went, starting with that first infusion in April.

The problem was, even though I was trying, I kept telling myself over and over that I wasn’t going to get my hopes up…not about the Orencia, or the class, or the dietary changes…none of it.

It didn’t take long though for me to realize that my self-defeating attitude regarding all of this was not exactly helpful. I then found a journal I kept during my Manifestation Workshop at Kripalu in February. The cover said, “Hope anchors the soul”” and I then saw something I had written. It was so powerful.

“I want to manifest good health and wellness.”

I WANT TO MANIFEST GOOD HEALTH AND WELLNESS!

For me, part of manifesting good health and wellness HAS to be having hope. Hope drives me. It is hope that pushes me to spend a whole day venturing into Boston for my Orencia treatment. It is the thing that help drive me through the frustration of learning how to meditate with my MBSR class. Hope is the motivation I need, when I am tired and in pain, to spend two hours in the kitchen prepping and cooking wholesome, nutritious meals.

Hope is everything.

Now, I have opened up my heart and allowed myself to hope, for many things: good health, a less disabling future, and a body that can get me through the day. Maybe I will get some of this, none of it, maybe all of it, who knows. What I do know is that throughout this ongoing process of healing, I will not give up the thought that tomorrow will be better.

Nutrition and Sjögren’s

January 28, 2015 / / 0 Comments

I posted on the Facebook page for this blog recently about a visit I made to a nutritionist. I had won, at an auction for the SSF (or rather, my husband won for me), a one hour consult with Tara Mardigan, MS, MPH, RD. She is a nutritionist in Boston, MA and also serves on the Sjögren’s Syndrome Foundation’s Medical and Scientific Advisory Board. Some of my readers asked if I would post the information about that visit and this is what today’s entry is all about.

Anybody who follows my blog know that I feel very strongly that diet and nutrition play a huge part in dealing with autoimmune illnesses and is a very underutilized treatment option for all patients. I was running into a few issues with my nutrition lately, mostly because I was freaking out over what I was “supposed” to do. Since my diagnosis, I have been vegetarian, gluten and dairy-free, Paleo, and on the Autoimmune Protocol. I have had significant relief at times with the gluten and dairy-free, as well as the Paleo. However Paleo was causing me some other problems physically, so I had to loosen up on that. The Autoimmune Protocol didn’t seem to do me much good except make it so that I became a recluse in my house because I couldn’t eat anywhere else.

I have some emotional issues around food as well, many of which have improved over the past few years, but still come back to haunt me when my stress level is high. This most notably happens when I am stressed out over medical issues. I definitely have an addiction issue around sugar, processed foods, fast foods, etc. So going in all these different directions with my diet was really just making these issues worse over the past six months. I wanted to eat to fuel and heal my body, but it felt like the more restrictions I imposed on myself, the worse my eating habits would get after a while.

I was curious to see what an actual nutritionist had to say about it all, so off to Boston I went. Honestly, I am in Boston so much, I should just move there! The visit went well and the following is the recommendations she made to me in regards to my diet. Please remember, these suggestions are for me; most likely, you will have different needs so these suggestions should not be considered appropriate for everyone. That being said, I think a lot of the suggestions are just a good way to eat for all of us:

* Aim for a bigger, more balanced breakfast.

* Aim for balance at mealtime using the Five Fingers Chart. This chart states that at every meal, you should strive to eat one serving from each of the following groups: fruit/vegetable; carbohydrate, protein, healthy fat, and fluid. You can eat more than one serving of vegetables/fruits (except for starchy veggies and dried fruit). The more color, the better. Choose smaller portions for tropical fruits.

* Aim for a Powerful Plate at dinnertime. Choose the Healthy Eating Plate on days you exercise (50% vegetables/fruits, 25% carbohydrates, 25% protein) and the Less Active Plate on days you don’t exercise or have a very light day (75% vegetables/fruits, 25% protein). Adjust the amount of carbohydrates you take in based on your activity level. Less active, less carbs.

* Count corn, winter squash, parsnips, peas, and potatoes as carbohydrates, not as vegetables.

* Fruit with skin: 1 medium-large piece or 1 cup (berries, apples, pears, grapes, plums, nectarines,oranges, grapefruit.

* Fruit without skin: 1 small banana or 1/2 up (any tropical fruit)

* Consider a high powered blender such as Vitamix or Blendtec to support your efforts and increasing fruits and vegetables (significantly) in smoothies will be a great anti-inflammatory nutrition strategy.

*Try adding an intentional healthy snack between breakfast and lunch and/or lunch and dinner if you have a gap of more than 3-4 hours between. Fruit with 0.25 cup of nuts or unsalted pumpkin seeds or sunflower seeds is a great choice here. You are looking for fiber, a small amount of healthy fat and/or protein.

*Consider trying some non-gluten free options from fresh-made sources. Refer to FODMAP grocery list for some digestive-friendly choices (not necessarily gluten-free).

* Try fresh cut vegetables, such as cucumbers or carrots with red wine or white vinegar as a crunchy nighttime snack that’s sodium-free and low in calories.

* Consider the “One Bowl” method for nighttime or mindless snacking. You can eat whatever you want (healthy or unhealthy) but you’ll first stop and put the food into a bowl. Don’t judge the food or the amount, but take a minute to pause. This is a mindful eating strategy and may help you gradually make intentional choices that help nourish. This is a difficult strategy but if you’re able to stick with it, it will help you lose weight because you’ll eat less and choose more healthful options. The book that inspired this idea is One Bowl by Don Gerrard.

* Be verbal when eating out. Ask for extra vegetables, prepared without butter or sauces. Ask for a side of pasta or skip it. Skip the bread. Avoid shiny and battered foods. Get open-faced sandwiches. Have the burrito bowl with a small spoonful of rice. Skip or split appetizers and desserts. Choose fish instead of meat. Ask for lemon wedges to add flavor.

* When dressing your salad, use fresh lemons and a small amount of olive oil. If you want creamy dressing, ask for it on the side and use a small amount.

* Continue with consistent (but gradual) hydration throughout the day with water.

* Great job with exercise. Continue with walking and yoga and hopefully you will be able to gradually get back into running again.

Whew! I know that’s a lot of information, but I thought it was important enough to share with all of you. I had the appointment right before Christmas. I did read the One Bowl book she mentioned and started to implement a few of the suggestions, but Christmas eating really threw me off. I did try some non-GMO bread with gluten in it. I found that in small amounts (and I mean SMALL), I could tolerate it, but larger amounts seem to be a problem. I found this out when I dropped my gluten and dairy restriction for several weeks around Christmas. I also developed a lot of digestive issues when I ate a lot of gluten and dairy, issues that I have never had before. I am currently on the last day of a 10 day detox/cleanse which was my own doing; it was NOT a recommendation of the nutritionist. I will be blogging about that tomorrow or Monday. My plan for the few days following the detox is to ease back into eating normally again and then go full steam ahead with the nutritionist’s suggestions.

One of the big things that this visit made me realize and understand is that despite all the different “diets” and eating plans out there that claim to cure or help your autoimmune illness, in the end, it may just come down to great nutrition on a consistent basis for many people. I am not saying that the Autoimmune Protocol or eliminating gluten may not help your symptoms; I know many people who find relief eliminating different food groups, such as with me and gluten. However, I think that for me, the answer may be more in eating whole foods in balance with each other, minus the gluten and dairy I need to limit, as well as limiting processed foods, soy, alcohol, refined sugar, etc. So basically, just eating healthy!

Please feel free to comment below on what nutrition strategies you have implemented to help your autoimmune illness, or even just your general health.

10 Day Green Smoothie Cleanse

January 12, 2015 / / 90 Comments

After careful consideration and a lot of research, I made a decision after the holidays to embark on a cleanse/detox. I will start by saying that I have never done anything like this before, mostly because I don’t believe in fad diets, or any diet for that matter, and also because I’m not sure, with all my health issues, how good it would be for my body.

However, I had been having some new digestive issues and some of my other autoimmune symptoms were acting up sporadically here and there. I also really overdid it and made some consistently bad food choices over the holidays and I was trying to get my food cravings under control. The digestive issues were not anything severe that impaired my daily living, but I am slightly paranoid about my family history of ovarian cancer and I am at the age my mom was when she was diagnosed. The most overlooked and under recognized symptoms of ovarian cancer are the digestive issues I was having such as bloating, gas, and constipation. Since I have never had any issues with these symptoms before and was suspicious about my diet being the culprit, I figured I could eliminate the ovarian cancer concern, and therefore another doctor trip, if I tried something like a detox or cleanse.

I did a lot of online research and decided to do the 10 Day Green Smoothie Cleanse by J.J. Smith. I thought this plan would be best because Ms. Smith is a nutritionist and I already have a lot of green smoothie experience. I also felt that it was a safe approach because it incorporated all the essential nutrients and foods groups (vegetable, fruit, protein, and carbohydrates) that I thought were important. I also liked that the plan included healthy snacks in between the green smoothie meals. I bought the Kindle version, which got amazing reviews on Amazon, and you can find the book HERE. In my opinion, its worth every penny!

I started the 10 days on January 1st; not because it was a new year but because it would be easier to keep track of what day I was on when I was making the recipes. I also knew that in terms of my work and medical appointment schedules, my load was lighter for that period of time.

I am not going to go into every single detail of the plan because I feel that its not fair to the author to put all that information here and therefore risk affecting book sales. But the basic outline of the program is that for 10 days, you drink a green smoothie for breakfast, lunch, and dinner. Each day she gives you a different recipe and you can either make your whole batch for the day or divide it in two like I did. If you have a regular blender, you will need to divide it in two as it will not all fit. I was in the market for a new, really good blender anyways after seeing a nutritionist.I found a Blendtec on Amazon at a steep discount and it was also worth every single penny. This thing is amazing! Anyways, you DO NOT need a fancy blender for this plan or to make green smoothies at all.

Each recipe is specifically formulated to maximize results. This was designed as a weight loss program and even though that was not my primary objective, I was curious to see how the results would be. The book claims that if you adhere to the exact program, you will lose between 10-15 pounds.

In between your meals, you can have snacks and she actually encourages this in order to maximize your metabolism. The snacks are limited to hard boiled eggs (I don’t do eggs at all!), small amounts of unsalted nuts and nut butters, apples, and raw vegetables. That’s pretty much it. Only water to drink except for the recommended detox tea which you can find in any grocery store. There is an option to add a plant based protein powder which I did. I use Vega protein powder. The plan also encourages the use of a supplement to help you go to the bathroom if you are having trouble, but I never needed to use it.

Overall, I was compliant with the program. When I started with detox symptoms, I did add more protein powder than suggested and I was OK with that as I felt my body needed it. I also stopped the detox tea after the first few days as I realized it was causing a severe migraine, separate from the detox headaches I was getting. I felt that it really wasn’t worth it. If I ever do the program again, I would search for a different detox tea. I also had a few extra bananas during the 10 days as there were a few times my blood sugar dropped more than I was comfortable with and I felt like I was already getting enough apples in my diet at that point.

So for me, it was a good program. It was also incredibly difficult, especially days 2-6. I had joined the Facebook page with the same title for some support and I saw that detox issues were not unusual. I had a mild-moderate headache days 2-5, stomach pains days 2-6 (to the point where I took Prilosec every day, which helped), and severe muscle pains around days 3-4. I would read on Facebook that by day 6, everyone would start feeling fantastic but for me, that really didn’t come until day 9, although days 7 and 8 were much better and day 10 was the best day for me. You’re probably wondering why I even stuck with it when I was having all these issues. Well since I had been consuming so much junk, especially dairy, gluten, sugar, etc., I knew that this was part of the process. Also even though I initially felt lousy, I saw those original digestive issues begin to ease up and that motivated me to keep going.

During the 10 days, I also knew that I didn’t have a lot of social obligations and that made it easier to resist temptations. My husband was incredibly supportive of the plan. I told him I wasn’t cooking for the 10 days and he made a huge effort to not bring temptations around me. I did end up cooking on two nights for him because honestly, I missed doing that for him and I missed the aroma of food. Not too much aroma from frozen fruit and vegetables! I also backed off my exercise regime a little in order to give my body the rest that it needed during the process.

The only negatives that I could find with the program were that they added stevia to the recipes. Anyone who makes green smoothies knows that the fruit gives you the great taste and sweetness, and you don’t need stevia. There was maybe one recipe that benefited from it as the fruit used was not as sweet. The stevia is optional so if you do follow this plan, check the taste of your smoothie before adding the stevia. Also, the amounts of fruit used was actually much more than I was used to. Although I read comments on Facebook from diabetics who seemed to do OK with it, I wondered for someone like me, who has PCOS, if that much fruit hinders the weight loss amount.

In the book, there is also a chapter about what to do after the 10 days is over. I am two days out now and gradually, I am reintroducing more foods back into my diet. This phase is very important to me because I want to try and identify which foods may be giving me issues. My plan is to still keep gluten, most dairy, soy, corn, GMO-laden foods, most processed foods, artificial sweeteners, alcohol and a few other things out of my diet for now. I am still having at least one green smoothie a day for a meal and will probably continue that indefinitely as it is such a great way to flood my body with nutrients.

So, here’s the benefits that I got from doing this program for 10 days and then continuing a clean diet afterwards:

1. I am sleeping SO much better, its not even funny. Best sleep I have had without sleep medication/supplements in years.

2. Since day 10, my energy level has skyrocketed. Its almost scary for me because I am so not used to it. It has only been a few days so I don’t know if it is a fluke or not, but time will tell.

3. I got sick out of the blue around day 8 with a cold, including a low grade fever, that has been going around. I stuck with the plan, even though I desperately wanted chicken soup, and less than 24 hours later, my symptoms were gone. It was freaky. I have never bounced back that fast, even pre-Sjögren’s.

4. My sinus and allergy issues have improved some.

5. At this point all my digestive issues are almost completely gone.

6. Food cravings have diminished dramatically.

7. For a variety of reasons, I was having some anxiety issues and right now, the anxiety is significantly better. My mood also seems more even.

8. I have a little improvement in my joint pain. I cannot directly relate this to the cleanse at this time like I can with the other improvements, but its worth noting.

9. Candida issues have improved.

10. I lost 8 lbs. Many people on the Facebook page would be disappointed with that. For me, that is a very reasonable and safe weight loss amount for 10 days. It’s a journey, not a race!

If you decide to try this cleanse, please feel free to contact me or ask any questions in the comment section below. And check with your doctor. I did not, but you know what they say: do as I say, not as I do!

Good luck!

Whole 30 Autoimmune Protocol

January 16, 2014 / / 3 Comments

I feel like revamping my diet is a constant and ever evolving process. I don’t mean “diet” as in a weight loss program, but in terms of using proper diet to treat my Sjögren’s syndrome. About a year ago, I embarked on a Paleo eating plan, with the first month dedicated to the autoimmune protocol of the Paleo plan. The autoimmune protocol of any plan is super strict and is not even a diet. You can find an excellent explanation of the autoimmune protocol (AIP) HERE. It is a thirty day elimination period of the foods that are most thought to cause inflammation in the body. Due to a death in my family on Day 2, things did not go well. I know it is an excuse, but the amount of stress I was under was off the charts. I did however stick with the Paleo plan for the first half of the year, and I had some good results from it when I was compliant: most notably less pain and fatigue.

Things pretty much went to hell for me in the nutrition department (I like that word better than diet) when I went to Disney for my honeymoon. We came back the beginning of October 2013, the holidays came, etc. The worse I ate, the worse I felt. At first, it wasn’t noticeable because I was on a hefty dose of prednisone to quiet down some symptoms prior to my honeymoon, but as I started weaning the prednisone, it became apparent that my  food was affecting my health.

Part of the issue is not autoimmune related at all. At least I don’t think it is. Once I came back from Disney, I began to realize that some of my food issues had resurfaced. By “issues” I mean addictions to certain foods. I know being on the prednisone didn’t help with this, but things seemed to be worse. I was constantly craving processed food that were laden with carbs, sugar, and the such. This was not a new issue for me, but it seemed like now, the more I ate these foods, the worse I craved them. My weight creeped up and up and I felt like I was no longer in control. I know part of the carb cravings was related to the prednisone and that a lot of the foods I was eating are MADE to be addictive (i.e. McDonald’s), but at the end of the day, it was still my decision to eat them. They were my choices and I was making some poor ones at that.

Meanwhile, since coming back from Disney, I had started exercising on a regular basis because I was on prednisone and that afforded me the ability to be able to do more with my body. The exercise actually helps my autoimmune symptoms, but I began to wonder about how much better I could feel if I reeled in my diet again. On a blog I follow, I read about the book: It Starts With Food by Dallas and Melissa Hartwig. This book changed my life. Seriously.

It Starts With Food talks about the Whole 30 eating plan which is basically a Paleo diet with some tweaks, mostly eliminating any type of sugars (except in fruit and veggies). The premise of the whole plan is that you need to eat whole foods in order to optimize your body’s health. While Paleo talks about how our ancestors ate as a premise for the eating plan, the Whole 30 talks a lot about the effects that these processed foods have on our bodies. It is a no-nonsense approach to getting healthy. No excuses.

I decided that I was going to do a Whole 30 (meaning you do the plan for 30 days with absolutely no cheating) and I was going to step it up by adding in the autoimmune protocol of the Whole 30. My plan was to start the day after Christmas but I had my first race, a 5K, scheduled for New Year’s Day and the authors suggested not starting a Whole 30 before any big physical event, because the plan itself can take a toll on your physical body the first two weeks. As much as I HATE starting a new lifestyle change on New Year’s, that was my start date.

Today is Day 16 for me. I will be honest, most of the 16 days have been pure hell because really, this is HARD!! I have a few expletives for it, but I will try and refrain…for now. Being on a Whole 30 AIP means I can eat only certain foods for 30 days and then I can start to reintroduce some healthy foods I omitted over a period of a few months to see if my body can tolerate them. By reintroduce, I mean like eggs, nuts, and seeds….not pizza, soda, or bread.

What I can eat: meats (chicken, turkey, beef, fish); all vegetables except eggplant, potatoes, tomatoes, and all forms of peppers except black pepper; fruits; and healthy fats such as coconut oil and olive oil. Oh, and spices that are not seed or pepper based. That one gets tricky!

Yeap, that’s it.

No grains of any sort, no dairy, eggs, nuts, seeds, sugar, artificial sweeteners, sauces, additives of any type. I am sure I am forgetting some things, but you get the gist.

And this means I cook, ALL THE TIME! It is insane how much I have used my kitchen lately.I try to double up my cooking so I have something to eat for breakfast and lunch the next day, but when you are making your own salad dressings (olive oil only!) and cannot grab a protein bar when you are starving after a run, it gets tricky…and time consuming. Cheating is not allowed because even the slightest bite of an inflammatory food can have a negative effect on your gut, which is thought to be the primary source of injury in autoimmune illness. Eating out is next to impossible although I was able to twice at Red Robin. I knew they were probably cooking in forbidden oils such as canola or safflower oil, but I didn’t think that would be enough to trigger me. And, I had to protect my sanity.

The first ten days or so was a nightmare for me, physically and emotionally. I had physical withdrawal symptoms, despite having had cut out gluten and dairy after Christmas. These symptoms included dizziness, dehydration, increased fatigue, headaches, and joint pain. For several days, it felt like my blood sugar was dropping several times a day. I stopped doing all exercise for the first week until I felt that things were more stable. I became extremely moody and restless as I started to crave all the unhealthy foods I was previously dumping into my body. Honestly, I couldn’t even be in the same room as some of my trigger foods such as pizza, chocolate, even gluten-free bread!! I even went as far as asking my husband to take some Kit Kats we had gotten at Christmas to work with him. He forgot. I was home alone. I tossed them in the trash. Swear to God.

Things have gotten better though. The physical symptoms went away and despite weaning down my prednisone from 20 mg/day to 10 mg/day over the course of the past few months, my autoimmune symptoms are actually improving. The improvements have not been that drastic yet, except for my sleep. I am sleeping like a rock most nights for one of the first times in four years. I even dream now! And as anyone with an autoimmune illness knows, more sleep=less symptoms. Despite increasing my running mileage, most of my muscles and joints are pain-free on most days.My energy level has improved and despite having some mild respiratory issues around the holidays, my breathing is now 100% fine. No migraines and my mood is on an even keel. I have not noticed an improvement yet in my Raynaud’s or dryness issues and I would say that my dryness issues are even a bit worse. But it is January in New England; that is what always happens to me.

The past forty-eight hours has seen a dramatic improvement in my food cravings. This has been quite the blessing. Although temptation is still a challenge more times than I would like, I find that I am not thinking about food so much. I have also become quite a better cook over the past two weeks! It feels freeing to feel in control.

I don’t know what the next few weeks are going to bring, but I am cautiously optimistic. While I do not think that this eating plan will likely “cure” me of Sjögren’s, I am hopeful that it will help control my symptoms enough to further improve my quality of life. Because as hard as this Whole 30 AIP plan is, it’s not half as hard as living with a debilitating, chronic illness.

Continuing Down The Road Of Integrative Medicine

May 3, 2013 / / 3 Comments

So today is my birthday and no, this is not a post about how great birthdays are; even though they are great! Rather, I am giving myself the birthday gift of writing a quick blog about something important to me and maybe to you too. With our wedding coming up in fifteen days, my writing frequency has taken a sharp decline lately, hence why it is important that I hunker down and get this written so that I can then take my pooch out and enjoy this beautiful day.

As I wrote in a previous blog Going Down The Road Of Integrative Medicine, since November, I have been going to a wellness center in a nearby town to see an integrative medicine doctor in the hopes that they can help resolve some of my autoimmune issues. Because let’s be honest, I have been treated for Sjogren’s syndrome for over five years now by traditional doctors and I haven’t really gotten too far. Actually last year, I would say that in many aspects I even got worse. I have some very excellent specialists who know what they are doing but I am beginning to learn that chronic illness, especially autoimmune disorders, are extremely difficult to manage and treat. When they are treated, it usually means with potent and caustic medications, some of which can eventually kill you. The medications used treat the symptoms, not the cause of the illness.

Don’t get me wrong, I am not abandoning traditional western medicine. I feel strongly that there is a place for medications like steroids and stomach acid blocking medications (PPI’s). However I also feel strongly that staying on these medications indefinitely is not the answer to managing my Sjogren’s. For someone else, it may be and that is OK. But there came a point last year where I looked at my medication list and it contained about fifteen different prescription medications. And I was still pretty sick.

As I wrote about in the previous blog, I began my integrative medicine journey by starting an alternative medicine for autoimmune illness called LDN and I also started with allergy testing. Since then, I have spent countless hours, fifteen hours to be exact, having extensive intradermal allergy testing done. I was shocked by the results. I am allergic to most molds, weeds, grasses, and trees as well as cats and dust. I now receive five allergy shots every single week.

As many of you know, I also changed to a Paleo diet. This was not suggested by my integrative medicine doctor but rather it was something I researched on my own. I strive for an 80% compliance rate with this way of eating.

However as the months went on, I started to become frustrated with my integrative medicine doctor. I felt very rushed during my appointments and I didn’t feel like I was being treated as a whole person, which is an integral part of this modality of treatment. I was anxious just going to these appointments. I wasn’t getting returned phone calls in a timely manner over an issue that was pretty significant at the time and I felt like my practitioner and I were not connecting in a therapeutic way. He wasn’t the right doctor for me.

However I had been doing a lot of research about the use of integrative medicine in treating autoimmune illness and on top of that, I really liked the rest of the staff at the wellness center. I looked into switching to another provider. I have to be honest, this was very difficult for me because I still have a hard time advocating for myself at times. Especially since this is a relatively small practice and I knew there was a chance of running into my old provider. But at the end of the day, my health and wellness is the priority.

Yesterday was my second visit with my new practitioner. I will call her S. She is a physician’s assistant who is new to the practice. This did give me pause when I made the appointment because I wanted to make sure I saw someone with experience. I decided to take a leap of faith and it certainly paid off.

I never feel rushed during my visits with S. and she made it very clear that she is there to help me get as healthy as I possibly can. One of her concerns was about the GERD medicines (PPI’s) I am on due to my Sjogren’s. I knew there were risks to long term use of these medications (Nexium and Zantac) but I didn’t know the full scope of the risks and issues associated with their use. If you do a Google search of “risks with PPI’s”, you will see what I mean. She also explained to me about how our body needs stomach acid for proper digestion and that it is likely I am not absorbing the nutrients and supplements that I am taking because I am suppressing my natural stomach acid. It seems counterproductive to me to eat very healthy and take supplements if I am counteracting their effects. However I also know that my reflux issues are real and severe due to my malfunctioning esophagus. I have had some relief from dietary changes but it hasn’t been enough.

S. suggested two supplements that I can take for my stomach (Mastica and Zinlori 75) that helps restore the natural state of digestion, rather than suppressing it. She told me to stay on my prescription meds until these have a chance to kick in and then if I feel comfortable with it, to start weaning off of them. She compared the PPI’s to prednisone. They both suppress the problem but they do nothing to solve it.

This is where things become tricky for me. I do realize that as my prescription med list shortens, my supplement list gets longer. And I am OK with that because it is part of getting my body to heal itself and I imagine I won’t be on these supplements forever. I have also noticed that as the shift occurs, I am starting to feel better. However the issue for me is trying to deal with all the other specialists that prescribe these medications. To them, they are doing what they think is in my best interest but they are not the ones living with the consequences of these medications; many of which sometimes don’t even work all that well.

So I had a heart to heart with S. about this. I explained to her that I take a lot of crap from my other doctors for going to the wellness center. There is an incredible amount of resistance in the medical world to the concept of the body being able to heal itself. I have already had to deal with my rheumatologist and pulmonologist regarding this and now I am going to have to face my gastroenterologist who is old school and most likely will flip out over me weaning off my meds. S. was very supportive about this. She gave me a great pep talk about continuing to advocate for myself and my body. She said that it is my choice to take her recommendations and there is no pressure to do so. She spent a lot of time printing out some appropriate articles for me that may be helpful to present to my other specialists. Our discussion reminded be that I am strong and resilient. I have to remember to be that way when I go to my other doctor’s appointments. S. made me feel like we are partners in this journey and it was in that moment that I knew I could trust her. I knew she was the right fit for me.

I will be honest, the road of integrative medicine is still a very scary road for me. It defies everything I was taught in nursing school. It defies everything I have been told by the bazillion doctors I have seen over the years. That being said, I know in my gut that something about it feels very right to me. As my medication list shortens more and more each week, I look at where I am now compared to where I was at this time last year and the evidence is there. I may not be a vision of perfect health and I may not be in a place to go back to work yet, but I am definitely several steps closer.

I know that what may work for managing my health may not work for everyone. But I am taking the time this morning to write this because I want people to be aware that there are other options to treating your autoimmune illness, as well as the many other chronic illnesses. There are answers and soutions beyond the pharmaceutical industry and I think we all owe it to ourselves to explore as many of those options as we can whether it be vitamins, supplements, diet, exercise, massage, acupuncture, meditation, stress management, yoga, reiki, prayer…whatever it is that you feel comfortable trying. Open up your computer or visit a bookstore to learn more. Don’t settle for what you’ve been told. Don’t settle for the words “there is no cure.”

Learn.
Fight.
Reclaim your body.

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