Tag Archive | Nutrition

Tell Me Why?

Feb21

I’ve been thinking a lot about my Why?

Why can’t I loose weight?

Why is it so hard to start and so easy to give up?

Why does it matter because I’m at the point as hard as I try it’s not working?

Why are my legs so sore all the time?

Why don’t I have the energy I use to have?

Why does it even matter at this point?

Why? Why? Why? Why????

Some answers are easy enough and may sound like a broken record.

I don’t have the energy and my muscles are sore because of the low calcium due to the Hypoparathyroidism. That in leads to the why can’t I loos weight because you have to be mor active for that to happen, but there are other factors in play. You know the “a woman your age” factor. They “your metabolism isn’t what it used to be factor.” Plus I will say that due to the lack of energy and other unknown reasons many in the hypopara community often speak of the difficulty of loosing weight. Although I think based on the massive diet industry that is not unique to us but does add another layer.

I was recently looking at running pictures prior to my surgery.

The days that I was training hard, running fast (sub 2 half) and kicking ass. I had drive. I had ambition. I had the ability to push myself past where I thought it could go. And I’m now in the chicken or egg stage because I don’t know if I no longer have this drive because I know I can’t push myself or if I stopped pushing myself and lost the drive. To be honest though, I think it is because I realized that in order to run the long miles, in order to run the faster paces, in order to expel so much energy that means taking more calcium which in the long run is not what my body needs (the high urine calcium levels show that pretty accurately). I know I can do it. I know I can just pop more calcium and my blood calcium levels will remain stable, but that isn’t something I’m willing to do. You only get one body and I’m trying to do the best that I can.

I have said that I won’t run another marathon until I am back on some (like there are many to choose from) PTH hormone replacement therapy. Natpara isn’t coming back. There is a new one on the horizon (TransCon) but is not FDA approved. Then there is the real worry that even when approved that it will be cost prohibited and insurance won’t cover it. When I was on Natpara, they had a rebate plan to make it “affordable” as when I say it was big money I mean it was big money. Like $10,000 a month money without rebate. Ascendis Pharma owner of TransCon in an earnings call made it seem like there would be no rebate since they literally own the corner of this therapy and it will be a money maker. So there’s that….

Anywho….

Last week when talking to the Nutrionist I said it’s been a roller coaster because I just can’t seem to care because nothing I do is making a difference. I can’t eat my way out of Hypopara. I can’t change my diet enough to not take the calictriol and all the calcium that is so hard on the kidneys. So that lead me to be like….WTF I might as well just eat that pint of Ben and Jerry’s. She got it and she is actually going to do some research on Hypopara to see if there is something we can do for my diet to add more natural calcium that might not be so hard on the kidneys. Between that and FINALLY being able to get an appointment with a specialist who is not only familiar but an expert on hypopara, I have a little hope. Although something the Nutritionist said did stick with me…….

She pointed out (paraphrasing) that while working with her and following the plan might not actually be doing the magic trick I wanted, it is still beneficial. In that it can help to keep other health issues at bay – Keep my cholesterol in check (as it is just under being high). Keep my sugar levels in check. So many other health issues from hypertension to diabetes to even my sleep apnea can benefit from following a healthy diet.

So theres that.

So how am I doing with my goals of dinner and exercise? I’m making progress. I’m being more intentional. Most of all I’m trying.

My why for so long was to reach for something that for now is just out of reach. My why needs to be to just do the best I can with the hand that I have been dealt. Like running a race, life is about learning to bob and weave. I kind of forgot that…

Middle of the Road

Feb16

Showing up for ourselves seems easy enough, yet might be the hardest thing we do in our lives. We always make space for everyone else – For what we need to do for them……. What they need…….. What we can do to make the happy…….. on and on the list goes of what we will and can do for others.

Here is a news flash…….

Not only is it ok to show up for ourselves. Not only is it a necessity, but it should be at the top of the list not the bottom!

Today I had my meeting with my nutritionist. I will admit it, I thought not only more than once but up until I logged into my video appointment of cancelling. I had several very good reasons why cancelling (ok not good, but really good excuses). They all made sense from what does it matter to I haven’t done any of the things I was supposed this last month. I also admit that the only reason I showed up was not for myself but because I figured if I cancelled last minute I would still (rightfully) be charged for the appointment.

So I begrudgingly showed up.

It was the right thing to do mostly for myself even if that wasn’t what propelled me to log in.

I honestly told her that I almost didn’t show up because I wasn’t in the right space and didn’t know if anything we had been doing was even making a difference and worth it…… She’s good and we talked through it. I left in a much better thought pattern than I went in with. She also has my number more than I realized.

In talking to her, she pointed out that I am an all or nothing person. She was like that is wonderful on one hand because it propels you to run marathons and do amazing thing, but the flip side is not as good. So the goal this month is to try and be middle of the road and know that it is 100% ok to be middle of the road! Focus on what I can do. What is in my control. So maybe for right now I am not training the way I used to be, but that doesn’t mean that I need to be stationary. Middle of the road…….

I walked away with a focus for the next month not just on my nutrition goals but also on movement goals. Baby steps on both.

Nutrition….. I have breakfast down with my smoothies (yup, still do them). We are not focussing on actual goals this month as far as numbers of proteins vs carb and such. The focus is just to show up. To think about what I can do to meet my meal goals and how to get there. So by focusing on dinner, that might carry over to lunch as I am going to make extra portions to possibly utilize for lunches. I am also going to look into meal prep services to help get me back on track just being cautious of sodium. But one step at a time…. Which leads to movement

Right now my body is constantly sore. Legs often feel like they have done much more than they actually have done….. so lets take a step back. Slow down. Do something daily either a walk, stretching, but something every day. It doesn’t have to be all or nothing….. it can be middle of the road.

So here is to finding the middle of the road and realizing that it is a good space to be

Lastly I am going to send her my latest labs, so she can do some research to see if she can be of better service with nutritional needs. Told you she was good:)

I’m Not That Evolved

Nov3

I have a confession to make….. The number on the scale still bothers me. I know it shouldn’t. I know I am more evolved. I know it is just a number, but…. But…. But….

The two sides of my brain fight this one out. I know that the number is NOT important. I know what is more important is overall health. I know that there are other much more important numbers, such as blood pressure (good), cholesterol (fair but in range) and all the other numbers I need to keep in check due to my hypopara. I also know the number on the scale does not affect my quality of life, change the way my loved ones feel about me, nor honestly change anything about my life. It doesn’t keep me from doing things. It doesn’t honestly affect my life in any way…. With the honest exception of that it does make running a little more challenging than it needs to be on my feet.

I’m not blowing smoke. I know all of these things. I know that the scale does not control my life. I know the scale does not change my life. I am a fairly confident person. The scale doesn’t keep me from doing anything and yet….

I can admit that it bothers me.

Now I am not saying that it bothers me enough to do a drastic life altering diet change. I also admit that while I have started to track my food. This is honestly based on the fact that I am trying to meet nutritional goals. Lean proteins. Less Carbohydrates. Meeting calcium and nutritional goals for overall health. My nutritionist pointed out that while weight is not our goal that by meeting my nutrional goals while also adding strength training and balanced exercise regime, the wight loss will be potential possible side effect. There is no calorie counting. There is what are the best calories to consume.

So why knowing all of this does the number on the scale still bother me? Can I blame society as much as I blame my non existent metabolism? I know things are slowly changing. Companies are using models based on “real” women. Disney just had a short with a bigger protagonist. People keep fighting back against body shaming…. Yet, these are the exceptions and not the norms because if they weren’t they wouldn’t make the news. Top “influencers” (still don’t get that one) are still using filters to get unattainable goals. Plus, I am of the age of barbie, I Dream of Jeanie, and grew up the “fat kid.” Not sure you can every fully get away from those forces.

Yet…… I try…….. not enough that I stopped stepping on the scale. That I don’t have a weight goal. That I wouldn’t love to wake up tomorrow and be 135 pounds again. Once again not enough to take the unhealthy (for me) drastic steps to reach these goals. Part of me would love to drop the 20 pounds. That being said, realistically I will be very happy if I drop 10 pounds which would still leave me in the overweight category but take my BMI out of the obesity category.

Life Goals…..

Health Goals

Too Much of a Good Thing

Oct2

I’ve met with the registered dietician on Friday. This was our second meet up after a consultation with her last month to see if we would be a good fit. She is a registered dietician and nutritionalist who also has a focus on endocrine and kidney disorders (Hello Hypoparathyroidism!). After our first meet and greet, we thought food tracking might be beneficial as it is hard to really make changes until you know what needs to be changed. Seems resonable!

So tracking I have tried to do. I even bought a year of myfitnesspal as a motivator. Now tracking is NOT hard because they really do make it easy. What is hard is telling yourself that you will track something later and then not doing so. Then the days where you know you are going to eat like a High School wrestler hoping to bulk up for his weight class. I have not been perfect but I have been fairly constent and as with everything in my life, I am trying to do better

Here is to trying to do better!

One thing that was very obvious is that I am not eating enough protein. Now for kidney issues, I am really supposed to avoid animal proteins which as a pescatarian I was already doing. That being said, plant based proteins are important especially when trying to create an exercise routine with good muscle recovery….

My bad.

Another thing that became VERY obvious is that I am eating way, way, way too many carbohydrates. Let me just say way one more time. Let’s admit it though. Carbs are tasty. Carbs are easy to grab on the go. Plus not all carbs are bad, but too many carbs is still too many carbs especially when not paired properly.

Case in point a random day in September where I tracked my whole day.

Not necessarily hitting my targets. Sometimes even when we think we are eating heatlhy, overal we are not getting all we need or too much of what we need. In talking with the dietician, it became apparant that there is too much of a good thing. Such as my morning smoothie. I was going with the add as much fruit as possible which is not really the way to go.

Sonal, dietician, asked me; “If you had to sit down to eat everything that you put in your smoothie for one meal, could you?”

The answer was a resounding no. The baker in me loves creating and I was using my smoothies for an outlet, but it really was too much. I am normally a too much kind of person. Lol. She suggested limiting the smoothie to 2 fruits taking into account the could I eat it all in one sitting mantra. Also making sure to add some protein to the smoothie in the form of a powder or food source (chia seeds, nut butters). Also adding some filling fiber such as oats, flax seeds and spinach. I can work with that! Kind of have been doing it, but in an over the top way.

Sometimes less is more of what we need and I’m trying to remember that.

While this morning smoothie was carb heavy, I also knew that it would be followed by a long bike ride and run. But it was also a good balance of protein and fiber. Balance.

Not Obese, Just Fat 😉

Dec5

This week I had my annual physical. Numbers are looking good. Cholesterol is going in right direction. Bad number is going down. Good is going back up. Super good blood pressure…. like awesome 96/60. My doctor even told me…. ”You are no longer in the obese category. You have moved down to just overweight.” lol

Seriously though…. she was happy because I lost 11 pounds this last year. She said whatever I was doing to keep doing it. I will also admit that I was shocked that the number was 11 pounds. Pleasantly surprised. Who wouldn’t be? So I think I will, but I know since Thanksgiving I’ve been sliding a bit. Haven’t we all? That is what happens to everyone over the holidays. Time to find my balance again. Time to readjust and get the wheels back on track. It takes so much work to loose the weight but so easy to put it back on. It sucks how unfair that is!

When told a friend I lost 11 pounds this last year, they asked what I was doing and if I thought my smoothie game was a factor. So here goes….

I do think that the smoothies have helped. For a few reasons. I start my morning of every day with a nutritionally balanced smoothie. It is never the same but always packed with lots of vitamins, filling fiber, and protein. It sets the tone for the day. Some days that works. Some days maybe not but at least every morning I get to start over.

No While I have been working with my Functional Nutrionist and it has been helpful, food wise she really has just been reinforcing what I already know. Cutting down dairy, processed food, and bad carbs is really the answer for me. Also thinking about what I am eating, when I am eating, and why am eating has been helpful.

It also helps to know what workds for you as each person is different. I have never been one to track food, count calories, or any of those things. Some that works for them. Not me. Also for me, I really am not looking at this as a diet plan to loose weight but as a healthy more natural way of eating. Seriously it is a lifestyle change and it really is about meeting my nutritional goals and just eating healthier. The thing about that is that means cutting out processed foods and cutting back on unhealthy carbs and dairy.

Win Win.

Eating this way does not in any way feel like I am giving up anything. It also allows flexibility and I never feel like I am missing out. I will also say that if I want a cookie that I will have a cookie. If I want something that I will not deprive myself but maybe instead of having a plate of cookies that I will have one or two.

Balance.

It’s not easy to find. It is often easy to get out of it and sometimes you are going to fall. As long as you keep getting up, dusting yourself off and getting back on the balance beam all is good.

As I said before….. This is about my health, meeting nutritional goals and trying to be the healthiest that I can be.

It’s Complicated

Oct9

In a relationship with food?

My relationship with food is complicated. Always has, but hopefully always won’t be. It does have a past though…

As I have said before I was the fat kid growing up. I may sound like a broken record when I say that but for some reason it stays with you. This may have been made more complicated by the fact that I literally had a balerina/Ms Teen USA older sister and lots of other dynamics growing up. Although they may speak more to body image than food relationship, but there is always a correlation.

When I think of my childhood some of my happiest memories are around food. I remember making fudge on the farm with one of my sudo Godmother’s as a young child. I remember my brother’s and sisters making Christmas cookies while listening to Christmas music (The carpenter’s) on an old record player. It’s funny too because I have a horrible memory when it comes to my early childhood but these standout. These are good memories.

I also have the stark recollection of my childhood doctor talking to my mother about my weight and giving her a diet I needed to follow. Do doctors still do that? I mean if you look at the pictures of me as a child, while I was not the ”ideal” weight I also now think this was extreme. Then again, I grew up in the 70’s, so I am betting times have changed. Based on where we lived (we moved several times, so this is how I tell times of my childhood), I would guesstimate that I was probably in 5th or 6th grade. Anyway, I remember getting into trouble for having an extra packet of oatmeal for breakfast. I don’t even remember the trouble (wouldn’t have been more than Mom saying something), but I remember the feeling. (Also in my Mom’s defense, she was deferring to the doctors and again this was the 70’s).

I would also like to give exhibit A to this story……

On the left and adorable but I didn’t know it at the time
On the left again and at that very awkward stage but still not at a level that screams in need of diet

So as I share these stories, I wonder if anyone else has thought about their complicated history with food and how it effects them now?

I have started to think more about my food choices. I have started to think more about my relationship with foods, how it effects my body, and what better choices I can make. For the most part as an adult, I really have never thought about these things. Yes, I have thought about what I want to eat, where we are eating, and all of those things; but I have never really given food choices much thought. I’m hungry. I eat. Not why am I hungry. Why am I hungry for XYZ and why am I making the food choices that I am making and are they really good for my body, my health and my mental well being. That last is in reference to when we gorge ourselves on chocolates, cookies, or what not and how it makes us feel later. You know the… I should not have eaten all of that food guilt/shame.

Recently I had a consultation and then my first session with a Holistic functional nutritionist. In just talking with her these two times, I have started to think about my food choices more. Her open ended questions of simple things….. What if your replaced X with Z, how do you think that would make you feel? Why do think you NEED to have a snack at night? Are you really hungry or is it just habit? She is a runner who has run several marathon’s and I feel this helps. She has also said, we will do no major changes to my diet until after the marathon although changes have already started to occur just in thinking about things. Plus in looking at my diet, she has already pointed out that I need more protein and I also need more water which I can and should implement right away.

For me, this is about my health. This is not about number on the scale. When she asked me what I wanted out of our time together and what our goals were, I thought of my Grandmother. A woman who drank nothing but probably coffee or iced tea. Who never went to the doctors and if she did didn’t really listen to them. Who smoked right up until she kind of forgot she did when she had stroke. Who up until the end was the healthiest unhealthy person you could have met. I said to Lisa (my nutritionist) that I worry with my hypopara and the toll it takes on my body (thinking long term kidney health), having to now use a CPAP machine, and now peri-menopausal that my goal is to be the ”bad ass woman that I was meant to me” channeling my Grandother.

The original badd ass woman

So this is my new life motto:) Ok, it may have already been my unoffical motto but I thought about it now.

So with this in mind, I have started implementing minor changes that are really not so minor but they don’t feel life altering which makes them easier to stick with.

  1. Start my day off with a glass of water before coffee. Preferably with lemon and continued through out the day.
  2. Instead of skipping breakfast or worse grabbing something aimlessly that really offers no value, I have started my day with smoothies (Go to my instgram to see them). I do not feel like I am giving something up and hubby now benefits because I make smoothies for 2. It’s kind of like a game now where he tries to guess what is in them. Besides being tasty (a pre-rec for anything I make), it is packed with nutrients and are filling.
  3. Thinking about what I am actually eating has made me want to eat better.
  4. Realizing that some eating is really just habitual and better choices can be made.

Lisa and I have talked about my Hypopara especially in our initial consultation. Some holistic groups I’ve been in are very anti-medication/supplement and feel like you should get everything naturally. Before working with her, I wanted to make sure not only did she understand but was on board with my circumstances. As a person with hypoparathyroidism, my body does not produce the hormone PTH which helps to regulate many things but Calcium is the big one. I also no longer have a thyroid. Because of these two factors, I take a boat load of pills a day. This is just the way it is…….. Some such as my calcitriol and thyroid meds are a must as is the vitamin D, magnesium, and, of course, calcium supplements.

All that being said, though, as I am entering this journey adding more natural calcium to my diet……. I am beginning to wonder if maybe….. just maybe…… instead of taking calcium supplements 4 times a day……. maybe just maybe….. I only need them twice a day, I could replace one or possible two of them from a food source. Would that be better for my body? Would it help me with my kidney health long term. More importantly for the short term, would it keep my calcium levels where they need to be?

These are things rattling around my brain and only time will tell.

What is your relationship with food and have you ever thought why?

PS – here is Lisa’s info – https://www.embraceyourwellnessjourney.com/blog