Where I’m headed in Nutrition

Where I’m headed in Nutrition

WUFF LAWDAMERCY School has been BUSY lately!

How have yall been?

Something on my mind lately- to be honest, it’s a little existential. When I first started my master’s program in nutrition to become a registered dietitian nutritionist (RDN), believe it or not…I had no desire to become a healthcare provider in the realm of GI. At all. No gastrointestinal grossness for me, please and thanks, especially with being a patient and all. NOPE. Hard pass.

But then.

I kept getting mad, honestly. I was mad that IBD and IBS were constantly categorized as one and the same- it would be like telling someone with type 1 diabetes that it was just like type 2. And then I got mad once I realized that we constantly fail our patients by giving them micronutrient infusions but then not ensuring they’re accessible….aka, “medically necessary” by insurance companies…aka Susan needs an iron infusion, and now she’s slapped with a big ass bill, because her insurance company isn’t covering it since it’s not a “medically necessary” pharmaceutical, so Susan stops her iron infusions short, and now we struggle to get her healed timely and optimally. I feel like as healthcare professionals we are stopping the care short by not ensuring that it’s extended and accessible for healing. ugh. Makes me…mad.

And then.

I started learning about energy nutrients (aka biochemistry for food, which sounds boring and disgusting, but meet mega-nerd Stacey. She loves this shit). I learned about all the different parts of the GI tract, where food is absorbed, how we can enhance bio-availability of certain nutrients by pairing them with others. And oh no- I liked it all.

What I’m saying is…I have decided to write my thesis over nutrition in Inflammatory Bowel Diseases (IBD), and I want to work with medically complex cases- GI diseases and the like… in the worst way. I need to think really hard, and GI diseases are tough to treat. They’re fascinating (I say this as a patient!) and terrible (see? still a patient!), and nutrition support is so, so crucial.



I also still want to write nutrition articles for endurance athletes for magazines. Ever since Andi Anderson on How to Lose a Guy in Ten Days, I can’t seem to shake the dream of working for a magazine, and I refuse to let my adult self out-grow that junior high school daydream. And I also want to consult for MLB teams, and I don’t care who you are; I can out-baseball talk you any day. Unless you’re a Yankees fan, in which case I doubt you’re a real fan of the game and would venture to guess that you’re only a fan of winning, and I can’t say that I blame ya…but boy, bye.
xoxo love ya forever, Houston Astros.

But that’s the cool magic of the nutrition field. I’m going to be able to piece-meal my career together so it doesn’t fit a conventional, boring mold.

All this has me thinking…oh boy.
In October 2012 when I was handed my diagnosis of moderate to severe ulcerative colitis, it’s like a new life began for me. My thought process shifted, and I became more tender, softer, empathetic, stronger, thicker, resilient, and driven. I 100% do not believe everything happens for a reason, but I’m oddly thankful for an unfortunate diagnosis forcing me to be a vulnerable patient in a flawed heath care system. If I can’t change it, I deeply hope I can bring some light to it (I’m not entirely naive here; I’ve worked in healthcare- just hopeful).

And in the meantime, I’ll write a boring thesis that asks thoughtful questions and has a few hopeful answers for the future of GI diseases.
I’m excited.

And I’ll be rooting for the ‘Stros.

And for you!

-Stacey







^Post Hurricane Harvey at Houston Methodist Hospital

P.S. Posting pictures of Houston like I know where I’m headed…but I HAVE NO IDEA where I’m headed. Just along for the ride!

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So…You Want to Be a Registered Dietitian Nutritionist?

So…You Want to Be a Registered Dietitian Nutritionist?

Happy National Nutrition Month! MARCH! Can it feel like Spring, already? To commence National Nutrition Month, I’m sharing some things about a profession I’m pretty stoked about: nutrition! Scroll down for more.

H O W

How to become a Registered Dietitian Nutritionists (RDN)? What is an RDN?

An RDN is a food and nutrition expert who has successfully completed:
– a bachelor’s degree
– prerequisite coursework for a DPD or CP
– 1200 hours of supervised practice (dietetic internship)
– a national credentialing exam

There are a number of routes to becoming an RDN, but here’s the route I took/ am currently taking:
bachelor’s degree: check! B.A. in Sociology- note: the bachelor’s does NOT have to be in the field of nutrition, because beginning in 2024, a master’s will be required to sit for the credentialing exam.
– I worked full-time and took the prerequisites simultaneously, because I could not afford to up and quit my job. I took biochemistry, organic chemistry, chemistry 2 with the lab component, and nutrition through the lifespan one.semester.at.a.time. It took 5-ever, but I am told that it will be worth it. Plus, I didn’t accumulate additional debt from paying on a course or two at a time. Bonus: If you work for a hospital, a lot of them will pay for the prerequisites!  Look into their tuition-reimbursement programs and see!
-I enrolled in a Didactic Program in Dietetics (DPD). A DPD is ONLY the coursework component to become a dietitian- not the internship. Think of the DPD as step 2 in the process after completion of prerequisites. I FULLY planned on working and going to school simultaneously like I had been doing, and then I was planning to apply for a dietetic internship (DI) later. Thankfully, I moved to a town with a Coordinated Program (CP) that combines the internship with the classwork.
-I’m currently completing the CP, and when it’s all done, I’ll have all my supervised practice AND some graduate degrees under my belt. Once I graduate, then I am eligible to sit for the CDR credentialing exam. Some states require additional licensure to be a licensed dietitian to practice (LD).

I wanted to be credentialed- that was important to me, because in order to work for the World Health Organization, hospitals, and community programs like WIC, even NASA…they require that RDN credential. Without the credential, the future seemed uncertain and volatile to me. If credentialing isn’t important, I suggest checking out programs in integrative nutrition. However, I don’t know if “nutritionist” will always be an option without pursuing the credential. Many people are advocating for the “nutritionist” title to be protected through the RDN credential, which can only be attained via the steps I listed at the top of this post. What I’m saying is, all dietitians are nutritionists, but not all nutritionists are dietitians…make sense?

What does an RDN do?
Where are they?

Glad you asked! They work anywhere and everywhere! In gyms, hospitals, schools, corporate wellness, for NFL, the NHL, MLB teams, the Olympics, collegiate sports teams, community programs, in education/academia, for the NIH, the WHO, for THEMSELVES in private practice, in the media, and beyond. RDNs provide individualized, evidence-based nutritional counseling and medical nutrition therapy (MNT). RDNs take a scientific approach to health maintenance and prevention. RDNs can even join practice groups (DPG) and gain field-specific knowledge in areas like pediatrics, diabetes, integrative and functional medicine, culinary arts, and environmental hunger. Dietitians can even become board certified in sports nutrition, pediatrics, clinical nutrition, oncology, diabetes, and more!

^Texas Medical Center in Houston

What excites me about the field of nutrition?

I think there’s room for entrepreneurship and growth in the nutrition field. People are more interested in nutrition and disease prevention than ever, and the job growth for this field is exciting. I like the idea of piece-mealing a career that’s rooted in science, helpful for others in areas like counseling and education, and practical. There’s constantly new research being published to keep up with, and the science nerd in me loves that. I like that the field doesn’t have to be rigidly structured and black and white- there’s room for flexibility in nutrition…and I’m excited to see what that looks like in my own life as a professional.


5 Major Life Updates! Spoilers: Admitted to grad school & the hospital

5 Major Life Updates! Spoilers: Admitted to grad school & the hospital

Hi, Friends!

You may have noticed a few cosmetic changes on the blog (or not)- I’m working on creating a cohesive brand, and I’m an all-over-the-place kind of person, so please bear with me!

A few major things have happened since we last chatted. I’m going to start sharing blog posts more consistently now that I feel that I’m in the right headspace/ schedule to do so, and I’m pumped about it. For now, I’m going to catch you up on my life stuff.

  1. Grad school acceptance. Ya girl is finally done with all the biochemistry and organic chemistry and gonna be a registered dietitian nutritionist…soon! This has been many years of behind-the-scenes work while holding full-time jobs, and I couldn’t be more thankful to be here! Classes start in August.

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2. Another trip around the sun

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And I am so grateful! My sister came to town for celebrations, and she brought my dog niece Sophie (pictured above)!

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We went to brunch at Kitchen No. 324 here in Oklahoma City, and it didn’t disappoint.

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I had the avocado toast, and it was so good that I felt it deserved a spotlight in this life update.
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In 8 years of dating and 1.5 years of marriage, this is the FIRST summer that Zack and I are TOGETHER in the same house. WOW.

3. Hospitalization
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3 days of nonstop vomiting after an infusion resulted in a few days worth of electrolytes in the hospital. Not pictured: emergency colonoscopy (glamorous), which resulted in a Crohn’s? diagnosis, as opposed to ulcerative colitis. Not entirely sure though. Good news: Scope showed that I am CLOSE to remission again; there’s hope! On another positive note, this hospital stay was the most consecutive time that Zack and I had spent together probably since our honeymoon, which was nice despite the circumstances. Life is crazy.

4. Consistent movement: Since my hospitalization, I laced up and ran a 5K just because it felt good. Not pictured: yoga and barre a few times weekly, which keep me grounded during the crazy work weeks in the trauma O.R.
(Sidenote: I had an epiphany that I may not want to work full time as a clinical dietitian after all)

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I looked back at a ton of my old posts this weekend, thankful for the progress that I have made in a couple of years. I harped, “Doing is better than dreaming” and “Actions speak louder than words” and “You may not feel like moving, but keep moving forward” and A LOT of times, these words were written for myself as I sat paralyzed by anxiety from my couch. Since January, I haven’t stopped running/yoga/barre/moving, including walking the dog a few times weekly- even when I haven’t felt like it, just because I’d rather be out in the world uncomfortable (and often anxious) than sitting at home wishing I was out moving and shaking. I’m getting more comfortable with being uncomfortable, and I’m living a full life that resembles the life I actually picture having for myself. If you’re battling anxiety, know that you WILL learn to tame that dragon; just give it time. I’m no therapist, but doing new things, and doing things that make me uncomfortable have empowered me.

5. Crohn’s and Colitis Advocacy. 
Still fighting! I’m meeting soon with a state rep about the allocation of federal funding in an attempt to offer a patient’s perspective of “Hi, this sucks and we need to do better because we can.” With the help of the Crohn’s and Colitis Foundation, I’ll also be leading a much-needed adult IBD support group here in OKC. We are still working through the logistics, but we are looking for things to kick off in September.

Thanks for hanging in there with me, friends!
I’m so stoked to have the support that I have!!! I am creating useful, good things to leave you feeling less hangry and more amazeballs, and I can’t wait to share it all…very soon.

Keep moving forward. 
Really, no really. 🙂

 

Stacey

 

 

Weekend 5K & Being an Imperfect Intuitive Eater

Weekend 5K & Being an Imperfect Intuitive Eater

Hi, Friends!

Coming at ‘cha from the hospital break room at work today. If my photos are unusually ugly and my grammar is especially nightmarish, we are gonna still be friends, okay? Good. Real life:


Hope your weekend was restful and left you feeling rejuvenated! I went to (surprise, surprise) Dallas…again.


Our cousin, Chance, came into town, and we ran a 5K- his first ever race! He’s mostly a weight-lifter, but has recently been adding running to his workouts and is pumped about the mental clarity and energy it has given him (his words, not mine!). No matter the reason, I’m so stoked to have a new running partner!!

This was a FUN race at Fair Park, home of the State Fair of Texas and the Red River Rivalry between The University of Texas (hook ‘Em!) and OU.


I actually lost Chance before we even made it to the starting line (FAIL)…so we didn’t run the race together at all. I did find him on the course though, and I was able to wave from afar!


Just a cool course! Highly recommend both the Rock ‘n Roll Dallas 5K AND Half-Marathon. I’ve done them both, and they’re some of my very favorite courses.

We grabbed some post-run salsa-filled, Tex-Mex breakfast skillets at our new favorite- Victor Hugo’s on the patio and then headed out for more adventure at White Rock Lake.


Sophie is basically a famous little Dallas dog with the sweetest personality. We made frequent stops around the lake for Sophie to greet random admirers.


We had dinner at Saint Rocco’s Italian outside on the patio, and we loved the atmosphere, complete with delicious merlot and spicy shrimp scampi…but the small portion sizes left us feeling bummed. I do recommend for a fun date spot with a view of the city, though!

We ended the night watching Amazon’s “Sneaky Pete” and sharing cheesecakes from Eatzi’s. All around, a perfect weekend!


I’ve been learning more about Intuitive Eating (read the book awhile ago, and I wasn’t at a place in life to be receptive). Basically, I’ve been focusing on eating without stressing about food…because it’s just food at the end of the day, and food is nourishing. Letting go of the diet mentality has been challenging (e.g. not beating myself up over delicious cheesecake, but rather ENJOYING the mess out of it, savoring each bite, because I don’t eat dessert or dairy often, and it just tastes good regardless of any justification).

Part of intuitive eating and letting go of the diet mentality is realizing that diets DO NOT work for long-term weight loss (disclaimer: I have not YET had a class on weight loss in my nutrition education, nor have I personally ever dieted for weight loss, so I do not feel that I can confidently comment on dieting specifically for weight loss goals, but I will say: if dieting gives you structure, and you feel healthy mentally, and you’re feeling nourished and strong- GO FOR IT. But choose a diet that is sustainable and inclusive of fruits, veggies, and all the macronutrients that keep our bodies the capable, strong beings that they are!).

If I’m being honest- I struggle with the negative stigma surrounding diet mentality. Actually-I can’t subscribe to the “diets are bad” mentality, and here’s why: my personal experience(s) with doing the Whole30.

I did the Whole30 to eliminate foods that could cause inflammation, and since I have an inflammatory disease, I was looking only for non-scale victories: more energy, less frequent poop attacks (explicit version included-you’re welcome), and more painless, restful nights. Did I accomplish this in 30 days? Heck yes I did. However-I did NOT weigh myself before, during, or after the program (fun fact: I do not own a scale). After the re-introductory phase, I did not stay on Whole30 for life because that’s NOT how it is intended, and I refused to give binary labels to food such as “legumes are bad” because THEY ARE NOT, and if you walked away from the Whole30 with that mentality, you missed the point.

As an IBD patient who is chronically trying to navigate this chronic, autoimmune disease (ulcerative colitis)- I try to include as much variety in my diet as possible. Including- I drink alcohol on celebratory occasions. Hell, I even have cheesecake (even though there are rough consequences for dairy desserts for me), but I DO NOT feel bad/guilty/sad about any of it, because I really do feel like I have learned how to enjoy food for being food. However, I do not appreciate the damning of diets- simply because diets DO work for some people, and certain populations REALLY need diets (e.g. the Mediterranean diet has documented successes on heart health; ketogenic in treatment of epilepsy; renal diets for kidney failure patients; avoidance/inclusion of certain foods for IBD patients; gluten avoidance for Celiac patients, and the list goes on).

I’m just a girl trying to work her way though nutrition school, healing my gut intuitively, sometimes with a little help from the Whole30, or low FODMAPs, or another science-based elimination DIETS to figure out what THE HELL to feed my stubborn gut to make it heal. There are situations when intuition isn’t enough, and maybe that’s because Crohn’s/ulcerative colitis patients aren’t part of the general population.  We are just a little bit extra. 

Does all this make me an intuitive eater failure? Hey- I’m a work in progress.
I’m educated AF, and I’m here to learn, even if I’m not perfect; This bite of cheesecake sure is.

Let Them Eat Carbs!

Let Them Eat Carbs!

I read something infuriating today.

It was one of those “Daily Mail” articles from SnapChat- I know, it’s basically tabloids a la social media; not my proudest moment. This article was about how Kim Kardashian has been sweating her way to redemption from those thong bikini pictures. (disclaimer: I don’t even know the difference between the Kardashians, so I had to google “Which one is Kim?”)

The article angered me, nonetheless- “unflattering” bikini photos? Were the photos so bad that Kim needed to dedicate her life after vacation to living the photos down and THEN we needed to publish an article about it? I mean, c’mon, people. We have got to get away from the body-shaming rhetoric. Make. it. stop. Could we not have written about her confidence in her bikini? How she was proud of her body while on vacation? How she was spending time with people she loved? Nope.

But what really got my blood boiling was that the article quoted that she is eating “absolutely no carbs.” And I hear so often from people around me about how they’ve “cut out carbs” and I just need to lay some truth.

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YOU NEED CARBS.
Normal recommendations are about 3-5 grams per kilogram of body weight per day (or 45-55% of your diet). If you’re active, make that 8-10 grams/kilogram, or 55-65% of your diet. Runners especially need carbohydrates, because the muscles are fueled primarily through carbohydrates during endurance exercise.

WHY do we need carbs? 
Because carbs give us energy! Glucose is your body’s main source of energy, and it comes from the breakdown of carbohydrates. Your brain and central nervous system need glucose to function, and so does your metabolism! If your body has enough carbohydrates in the body, it will carry out protein and fat metabolism without using the protein that’s being used to build muscle.

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What kind of carbs can our body use? There are three: starch, sugahh, and fiber.

1.Starch-peas, beans, potatoes, or grains (note: whole grains contain all parts of the grain and thus have more nutrients than a refined grain)

2.Sugar– you may have heard of “simple” or “fast acting” carbs. This is because the insulin is quickly released into your blood stream, causing a decrease in your blood sugar and a suppressed release of fatty acids from fat stores. There are two types of sugar carbs: Those in milk or fruit, which are naturally occurring, and those in sweets and sodas, which are added in a process.

3.Fiber– carbs are non-digestible and come from plants, like spinach, kale, lettuce, beans, legumes, nuts, oatmeal, fruits and veggies (especially those with edible skin and seeds). Try to consume 20-30g/day for optimal benefits. Fibrous foods will help with the feeling of fullness, or satiety.

“BUT I WANNA LOSE WEIGHT, STACEY.”
I get it- it’s true that if you have TOO MUCH glucose, it’s going to get stored as fat. So cut the carbs that release insulin into your blood stream too quickly (these are those simple or fast acting sugars). These carbs, like breads, pastas, cakes, and sodas, will slow down the release of stored fat. We want to burn fat when we exercise, so we need it to be released! The goal is to use the fuel that is consumed; not to store it as fat, so you’ll want to eat food that slowly moves glucose into the blood stream and provides longer-lasting energy, like whole foods and fibers (think brown rice, berries, oatmeal, or bananas!).  Fuel well! But don’t cut ALL your carbs, dear people- I beg of you. Your brain and your body will thank you.

[Please note: A cool thing about being human is that everyone is unique; some people may require less carbs and more fat than others, etc. It’s important to speak with your doctor or a registered dietitian before any medical adjustments or dietary changes.] 🙂

After a few days of practice over the last couple of weeks, I finally feel like I can *almost* jump rope without tripping over my own two feet. This was yesterday after ten minutes of hopping around. I’ve been trying to make working out less regimented and more fun- highly recommend the jump rope 🙂

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Keep moving forward 🙂

-Stacey

—–

What do you think of low-carb diets? Have you ever tried one?
Any recommendations for weighted jump ropes that aren’t made for giant humans? Having a hard time finding one! 

 

References: In case you’d like to read some of the articles that I used for this blog post: 🙂
http://www.eatright.org/resource/health/diseases-and-conditions/diabetes/carbohydrates-part-of-a-healthful-diabetes-diet
https://riordanclinic.org/2012/04/fuel-sources-during-exercise/
http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/understanding-carbohydrates/types-of-carbohydrates.html

 

A Life-Changing Diagnosis & 5 Ways to Cope

A Life-Changing Diagnosis & 5 Ways to Cope

The question I get asked most often by friends and strangers alike is, “How did you know something was wrong?”

Please don’t use my experience in lieu of a doctor’s professional opinion. If you think something is wrong…go get checked out! 

Okay. Here’s my story:

Once upon a time in early Fall at a coffee shop on campus at The University of Texas at Austin in 2012, I began having excruciating stomach cramps. When I say the word excruciating, I mean excruciating. Unbearable. The BEST way I can describe the pain for the sake of being relatable…have you ever had a violent stomach virus? Multiply the frequency of your symptoms to several times a day and night, for weeks. Then you get me.

I excused myself a couple times over the duration of my brief meet-up with a friend at the coffee shop. “Guess I should switch the chai lattes to soy,” I thought to myself.

But the pain and the symptoms weren’t alleviated by omitting dairy. Within weeks even ice chips resulted in pain, followed by 10-15 wind sprints to the bathroom.
X rated version: I knew something was wrong when I noticed that my stools consisted almost entirely of blood, and nothing seemed to offer even a hint of relief (not even drinking imodium from a straw…not recommended, by the way). 

About a week and a half later, I made an appointment with University Health Services; they accommodated me quickly when I described my symptoms. They prescribed me high-powered antibiotics, which didn’t phase my symptoms. “Come back in 8 days for a follow-up.” I noticed that I had already lost twelve pounds when I weighed in with the nurse before my appointment.

I found a local gastroenterologist, without a referral from a professional. Something had to be resolved fast.

At the time I would wake up two hours before class began (after a night of restlessness because of constant stomach cramps and running to the bathroom), to ensure that I would arrive to class in time, allotting plenty of time for bathroom stops in the buildings on my way to class until I was finally able to make it to my class. I received permission from my professors to record their lectures during this time, because I would have to sneak out of class three or four times to be sick. This went on for a few weeks.

During my first appointment with the gastroenterologist, he scheduled a colonoscopy for the next day, and so began my life of poking, prodding, stool samples, blood samples, and biopsies. The prep juice wasn’t bad because I was pretty clear from shitting thirty times a day…still not entirely sure what the big fuss over colonoscopies is all about.

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THE DIAGNOSIS
After my colonoscopy the doctor read my diagnosis, “You have moderate to severe ulcerative colitis. There’s no cure, but there are treatment options. You’ll be monitoring this disease for the rest of your life.”

Honestly, I was pretty certain that I was dying of cancer. When I was diagnosed, almost three weeks beyond my very first noticeable symptom at the coffee shop, I had lost twenty-five pounds. I looked like a bag of bones.  I was weirdly relieved to have “ulcerative colitis” as a diagnosis. Having answers makes all the difference.

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Taken two days before my scope at 102 pounds

(During this time I got recruited by Abercrombie model scouts on campus for a live audition. They were quickly educated…thanks to the prednisone and my lack of sleep.)

All that I had heard about “ulcerative colitis” was a brief overview in a pharmacology course, and I knew that Crohn’s was its cousin, both under the umbrella of Inflammatory Bowel Diseases (IBD)…not exactly enough for me to understand what the heck the doc was talking about. He explained that my immune system was hyperactive, recognizing even food as a foreign substance that needed to be expelled immediately.
Not cool, immune system. Not cool.
My body was rebelling against my colon. Why? Could be genetics, or the environment (e.g. toxins, antibiotics altering gut bacteria), or an interaction between the two.

“What can I eat?”

“Eat whatever you want. Since you’re a bit underweight, drink as much dark beer as you want. Eat burgers.”

^ Never made sense to me. UC is an autoimmune digestive disease in my gut, where most of the immune system is located, and I’m being told to eat whatever I want? Too good to be true. I knew immediately that dairy and beef physically hurt to eat, so I eliminated those. Next to go was processed meats and fast food, because no way are those beneficial. To my surprise there were still plenty of good options to eat, despite being in college and on a budget. Good food didn’t have to be expensive. I began researching which foods to eat to help with inflammation, since UC is an inflammatory disease, and I tried to eat more of those helpful foods: leafy greens, grilled fish, lean meats, and blueberries became my go-tos. And so began my interest in nutrition. I watched it help me, change me, and I dreamed of how it could help the people I love. Present day Stacey is in school again pursuing a dietetics degree.

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THE MEDS
After my scope, the doc handed me a paper folder full of info pamphlets and immediately prescribed me an IV biologic & immunosuppressant: Remicade. MANY people ask, “Why did you decide to be on such a high octane medication?” At the time I didn’t feel a like I had much of a choice. Looking back, I still would’ve agreed to such aggressive treatment, because I felt (and looked) like I was actually dying. It’s different for everyone, but for me it was serious at the time. I mean. I LOST OVER 25 POUNDS IN THREE WEEKS, PEOPLE.

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I remember my first infusion, walking into a dimly lit infusion suite with recliners bordering the walls, each with a patient hooked up to an IV pole. Some were asleep, others read books, flipped through their phones, and a few watched HGTV buzzing in the background on the televisions. Not all the patients had Crohn’s or ulcerative colitis, some had rheumatoid arthritis, MS, and a host of other autoimmune conditions. This was the first time I realized that my life would not be the normal I remembered. I needed medication from an IV so I could live life like I remembered living. Weird.

Overnight, I felt like I had gone from being a normal, healthy, social college student to a smaller, weaker shell of myself: spending more time alienated by my symptoms; a more vulnerable person, more medicated, with less autonomy over my own health. I bought a pill pack from the pharmacy store that looked like the one my grandmother carried in her oversized old-lady purse, so I could keep up with my new lifestyle.

In addition, I was prescribed pain and sleeping aids (which I never took), along with a hefty dose of Prednisone, a corticosteroid. Jesus and steroids saved my life, and I honestly believe that. Prednisone was the only oral medication that seemed to ever work.
But I hated it.

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On the left: steroid-free! Right: “Moon Face” side effect in full swing after a flare, taken seven months apart

Steroids were great in college, because I felt very energetic (almost jittery) while taking Prednisone, so even on little sleep I was able to get a lot accomplished. However, the mood swings made me feel like a crazy pants to say the very least, so I avoid Prednisone at all costs today. I also like to sleep…and I have the hardest time sleeping when I’m on the ‘roids (disclaimer: not the same anabolic steroids that give you muscles…womp womp)

LIFE AFTER DIAGNOSIS
Slowly but surely, my energy levels began to creep back up to normal. I got my life back.  Sure, I had to make some adjustments here and there (still learning), but heyyy I’m alive!

I graduated with a pretty decent GPA, even with a hospital stay, despite my family’s pleading for me to take a medical leave of absence from college. I never asked for a project deadline extension. I honestly look back on this time in life and think, “How?” But I was in survivor mode. Don’t say “I could never.” You could. And you would.

I got into the working world, took some time to get a Crohn’s diagnosis, had a doc switch diagnosis back to “ulcerative colitis”, changed shifts, changed jobs, conquered anxiety, and got to know myself really well. Wasn’t glamorous, and wasn’t what I anticipated, but it’s okay! I’m okay.

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LEARNING TO COPE
1. Haters Gonna Hate
People will criticize you whether or not it’s warranted. I have been criticized for being a “pill popper”; for “taking the easy way out” with the infusion (that one is beyond me); for being “too stressed”; for not taking a medical leave of absence from college; for drinking beer; for the way I eat. People don’t mean to be as nasty as they can be sometimes; they simply don’t know your situation. I control as much as I can with diet, but I’m also human and sometimes I slip up or make conscious decisions to indulge. The meds help where nutrition cannot for me. My dream is to be 100% in remission with diet, but I’m not there yet. I can’t advise YOU if you were recently diagnosed on which course of action you should take. This disease is different for everyone. What works for one person may NOT work for another. It’s all about figuring out what works for YOU until there’s a cure. But shake off the negativity. You’re living with this- YOU are the badass.

2. Keep your people close
There will be people in your life who are with you during your diagnosis, and I don’t just mean the people who happen to be around. Who is WITH you? Who is there keeping you strong? These are the people you want around forever. For me that’s my sister, my college roommates, and my Zack. Story time 2.0:

One night in my apartment that I shared with friends, I was THE most physically ill I had been in my life, sick from both ends for hours and hours (pretty, huh?). I called Zack and begged him to come over. He spent the entire night on the phone with pharmacists, arguing with my doctor about medications, all while I slept on the bathroom floor in between being sick. Finally, around 4am, after much harassing Zack managed to get me some anti-nausea meds. My gawsh, the guy is a saint.

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 He fought with me. He went to bat for me. He never judged. He didn’t do good things for reward. He was just there, beside me, gutting it out with me. And so were my roommates. The BEST people I know.

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After Roommate Haley’s UT Graduation, the Spring after the diagnosis. We rewarded our girl bossery by finishing a sprint triathlon

I promised myself that if I ever had the energy again to move, then I would. Sounds overly emo, I know. But y’all. I really struggled with weakness for so long. So my roommate and I did this thing ^. Not pictured: Roommate Becca, still one of my greatest friends, probably drinking a mimosa at the finish while snapping this photo. 
KEEP YA PEOPLE CLOSE.

3. It gets better
There will be times when you think, “TF HAPPENED? I was doing so good! Where’d these symptoms come from?” This will pass. It will get better. You will prevail. You’ll come out stronger with every flare. You’ll live to tell about it, and you’ll develop a pretty damn good sense of humor from it, too.

4. Find your silver lining
There may be days when you shit yourself in your car while in traffic. It’s okay to cry about it, but then try to find some humor in that.  When you’re in a flare and EVERYTHING makes you sick, think about all the amazing Netflix you’ll be able to watch. “I won’t be able to do this when I’m better.”  Think about all the food you CAN eat. If none of those options work, recognize how this has changed your life. I wasn’t interested at all in nutrition before this disease, and now it is my life. I sho wasn’t going to run before UC, and now it’s my hobby.

5. You’re still you
You’re still you, but you’re more relatable. You’ve seen struggling, and SO.MANY.PEOPLE. are struggling. You’ve seen sickness, and SO.MANY.PEOPLE. are sick. You’ve seen recovery, and people NEED to find their strength to recover. Help them find it. See this as a weird superpower. This disease doesn’t define you, but if you let it, it will make you a better, bigger, badder, stronger, gassier(?) version of you. You’re still you, only better.

Please let me know how any unexpected life situations have changed YOUR life!  I’m with you. Solidarity!

Keep moving forward 🙂

-Stacey

OH! And have a great Monday! There is such a thing, I promise.

Recovery Smoothie (Low FODMAP compliant)

Recovery Smoothie (Low FODMAP compliant)

Hello!

Hope you’re enjoying your Wednesday! This week is flyin’.

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Smoothie time.

It’s important if you’re working out, you realize that you’re putting (good) stress on your muscles, which can sometimes lead to oxidative stress. To help optimize your body’s recovery process it’s important to include some antioxidants, like blueberries, dark green veggies, or nuts to help combat that oxidative stress. This smoothie is high in antioxidants  AND protein, and it makes for a great recovery snack.

The deets: Did I just say “deets?”

-1 scoop Vega chocolate sport protein, 30g protein (for low FODMAP take a little less than half of the scoop so the pea protein is still compliant, and add some liquid egg whites for extra protein if needed)

-1 tbsp PB, 4 g protein; 8 g (good) fat (over half is heart-healthy monounsaturated fat; and ~30% is polyunsaturated fat) source

-1 cup blueberries

-1/2 cup raspberries

-handful of leafy greens

-1/2 cup plain, lactose-free yogurt (for low FODMAP) OR probiotic Greek yogurt

-1/2 cup unsweetened almond milk (vanilla almond milk is good, too)

BLEND & serve 🙂

Top with some almonds and strawberries for fun

Hope you enjoy your day! Today is nutrition homework day for me. Keep moving forward!

-Stacey