For Everything There is a Season

"In order to write about life, first you must live it." ~ Ernest Hemingway

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A Year Journey With Intermittent Fasting

Disclaimer: This post is about my own experience only and information I have learned. intermittent fasting may not be safe or suitable for you, especially if you have any medical conditions. Please consult with your doctor.

Photo credit: Caroline Attwood via Unsplash

My intermittent fasting journey began one year ago today.

I knew nothing about intermittent fasting (also referred to as IF) until a friend of mine, who also has Sjogren’s (an autoimmune disease), posted about it on Facebook. Since starting IF, she had seen changes to her body and improvement in some of her Sjogren’s symptoms. I messaged her and she pointed me in the right direction to get started.

My friend told me about a book, and a corresponding Facebook group, that she found very helpful in learning about IF. That book is Delay, Don’t Deny: Living An Intermittent Fasting Lifestyle by Gin Stephens and it has honestly been one of the most life-changing books I have ever read.

I started doing some research and to be honest, I was skeptical about this whole fasting thing and the claims that were being made about what it could do for your body. Coincidentally, at the same time, I found out about a one hour seminar about IF that was taking place at Massachusetts General Hospital, which is where several of my specialists are and the seminar happened to be right after an appointment I had that day.

I made a point of reading as much of Delay, Don’t Deny as I could before the seminar so I could better understand the mechanisms of how this eating plan worked. Sure enough, the seminar, which was being put on by the weight management department at Mass General, told me a lot of the same information as the book did. There had to be something to this. An important point I would like to make here is that I did discuss IF with two different specialists, who have known me for a while, and they were both on board with it.

I joined the Facebook group that my friend recommended and I was shocked at some of the results I was seeing online; not just weight loss results, but health benefits as well. At this point, my weight was the highest it had been since I met my husband 9 years prior and I was struggling not only with the joint and muscle pain that comes with Sjogren’s, but the associated complications such as irritable bowel syndrome, reflux, and the overall general inflammation that comes with an autoimmune illness. In addition, I have a history of struggling with sugar addiction and polycystic ovarian syndrome.

So what is intermittent fasting?

Many people have the misconception that it is starving yourself or that if you fast, it must only be for religious reasons or because you have an eating disorder. But, intermittent fasting is just that, intermittent. It is a way of eating that is targeted towards changing your metabolism so that you lose fat, retain muscle, and stop damaging your metabolic system with yo-yo dieting.

When we are constantly eating meals and snacks throughout the day, our metabolism is constantly on the go. This food intake also includes all substances we put in our body meaning that it is not just food; it is also all those drinks and mocha latte whatever they are called coffees we drive through to pick up on our way to work or school.

What does this do to the body? It causes our body to constantly produce insulin, often much more than we need. These high insulin levels then result in preventing our bodies from burning our fat stores and continue to keep adding to those fat stores. More insulin production=more fat.

When we fast for a certain period of time (the time depends on many factors), our body does not produce those large amounts of insulin, the glycogen (which is stored glucose) in our liver starts getting used up for fuel and after a period of time, once it is depleted, our body starts using the stored fat for energy instead. Using that stored fat can lead to weight loss and improvement in health for some people.

My explanation here of how IF works is very simplistic. While I understand a lot more of the science behind IF, there are a TON of resources online and in bookstores that provide a better explanation than I can. I highly encourage you to do your own research and talk to your doctor. I found the book I previously mentioned, Delay, Don’t Deny and Gin Stephens’s second book, Fast. Feast. Repeat very helpful, especially since the second book dives more into the science of IF.

Some of the possible benefits of IF are:

  1. Decreased inflammation
  2. Weight loss
  3. Cardiovascular benefits
  4. Straightens out hunger hormones
  5. Helps with metabolic syndrome/PCOS
  6. Improves brain health

And, the list goes on and on. These are not just random benefits that somebody came up with. There is actual scientific research on the positive effects of IF on the body and I encourage you to check out some of the studies done on the benefit of IF on autoimmunity, as well as other medical disorders.

So the big question I get a lot about IF is:

How do you do IF? That is a very loaded question because there is no one way to do IF. There are multiple ways to follow an IF program. I would say the only exception to that statement is that you must do it CLEAN! Fasting clean means that when you are in your fasting stage, you should only take in the following things: medications, black coffee, plain tea (plain means no flavoring at all), and water. That’s it. Anything else can release the production of insulin during your fast and you don’t want that! 

Like I mentioned, IF can be done a variety of ways, all of which are explained in the two books I mentioned and on various online resources. Some people fast every single day for various periods of time, some fast every other day, and others only fast for a certain number of days per week. The goal is to find what works best for your body and that does take some trial and error.

When I initially started IF, I only fasted 12 hours a day for the first few days and gradually increased my time. I did get headaches and hunger pains in the beginning. I would say that the first two weeks were the hardest. It took me about two months to sit back and say that this was right for me and that I could (and wanted to) do it for the long haul.

I fast every single day, typically for a minimum of 16 hours, but I average anywhere between 16-22 hours a day. My average is 18 hours a day. I never aim for over 20 hours, but since I have been doing this for a while now, sometimes I’m not hungry and when I check my app, I realize it has been 21 or 22 hours since I’ve eaten. That is a rare occurrence though.

I have done this for a straight year, even on holidays. I choose to fast every day because I have multiple medical issues and I am on a list of medications, some of which can damage my stomach, so I have to eat every day and make sure my doctors remember that I am doing IF. One exception to my 16-22 hours is when I am on antibiotics, steroids, or temporarily have to take a medication that must be taken with food; then I drop my fasts to 12-14 hours a day.

With IF, you can also choose when you eat, which is especially helpful for shift workers. My IF schedule is rarely exactly the same. That being said, I do tend to start fasting around 4-6pm on weekdays and then don’t have anything, except water or green tea, until around 11-12 the following day. This schedule makes me feel my best. Often it means that during the week, I cook dinner, eat early and then sit with my husband while he eats after work. Other times we eat together. I have that flexibility because it’s just the two of us. 

On weekends, fasts are typically shorter and/or they start earlier/end later as my husband is home and we’re usually together. That’s the beauty of it though…IF can be altered to fit your lifestyle.

In the year that I have been doing IF, despite a pandemic, some rounds of steroids, a family crisis and many other stressors, I have managed to lose 30 lbs. I think that while most of my fasts were clean, meaning I didn’t take anything in during fasting times, my diet has not been as clean as I would like it to have been in regards to what type of foods I have eaten. But, I’m doing the best I can right now and I am working on improving that area of my life.

I also started taking measurements last February because I know the scale doesn’t always tell the whole story and that can be especially true for people who do intermittent fasting. I took measurements of my hips, waist, bust, and underbust. I didn’t bother with my legs and arms because they don’t hold most of my fat. In total, I lost 14 inches this past year and I can tell the difference by how my clothes fit.

Most importantly, I have several symptoms that I feel IF has improved including reflux, irritable bowel syndrome, and migraines. When I am fasting consistently for 18-19 hours a day, I have ZERO food cravings, and that includes sugar. I have had these cravings for as long as I can remember and there is such a freedom in not having them anymore. When I was doing 12 hour fasts because of a 2 week course of a potent antibiotic, the cravings came back and as soon as I had a few weeks under my belt of the longer fasts, ther cravings went away. I have also experienced that it is easier for me to exercise when I am around the 15-16 hour mark of my daily fast. 

I have tried every possible eating plan to not only lose weight, but more importantly, to improve my health and I strongly believe that intermittent fasting is one of the most important tools in achieving my goals. Like I mentioned at the beginning of this article, it may not be suitable for everyone and I don’t believe it is a cure all for autoimmune diseases. I don’t believe anything is. However, it is a very powerful tool on the path to wellness. If you have any questions about IF, please feel free to ask them in the comment section below.

Be well.

Adore Him

Every week, the leadership in my church take turns writing an essay for the church’s blog, which then gets distributed to us via e-mail. This week’s essay was written by a friend of mine and it struck home for me because it was a topic I had just discussed with a friend and had been thinking a lot about as of late. I hope you enjoy it as much as I did.

We’ve all been in this place…
…so I won’t spend too much time explaining it, but let me set the scene. You’re running around all day at work. You rush home to whip together the same dinner you make every week. You drop the kids off for youth group, or practice, or lessons or something. You hit every red light on Memorial Drive, and finally make it to a few stores to buy some Christmas gifts. 

This scene repeats itself a handful of times every December. Soon enough, you’re taking the Christmas tree down and you never really had time to enjoy the season. You never paused long enough to truly marvel at the fact that our Savior came to dwell among us

Hey, that’s me too, and I don’t even have any children. But together, can you and I commit to making this December different? I understand there’s a lot responsibilities that lie before you, but what if we spent even 15 minutes each day thinking about that baby born in a manger?

How would that impact the way we see the Christmas season? How would it impact our relationship with Jesus, and with others?

I’ve often found that the most influential moments in my spiritual life happen when I just sit in uninterrupted silence, and ponder the cross. The benefits of course then show outwardly in my marriage, my work, and everything in between.

______________________________________________________________________________________

I recently heard a line in a song on the radio that I’ve heard a thousand times, “O come let us adore Him.” It stuck out to me in a way it never has before. I had to ask myself, do I actually do that during the Christmas season?

I’m sure the wise men had a lot of things on their plate when they decided to travel a great distance to adore Him, but they didn’t let that stop them from beholding the King of Kings.

And going into the house, they saw the child with Mary his mother, and they fell down and worshiped him. Then, opening their treasures, they offered him gifts, gold and frankincense and myrrh.”

Matthew 2:11

The Bible

We can learn a lot from those men. By adoring Jesus, worshiping Him, and spending time with Him, I believe that this can and will be the most wonderful time of the year. I believe we will experience the peace and joy that all the songs talk about, because we will be looking to and admiring the Author of peace and joy. 

The next time you are like me and tempted to stress and fret about all there is to do before Christmas day, will you take a few moments to adore Jesus? He came, He lived a perfect life, and He died on the cross, so that (among many other things) we could do just that. Adore Him. 

Billy Peterson
Children’s Ministry Director, LifePoint Church, Chicopee, Massachusetts

(Reprinted with permission from The Pulse: The LifePoint Church Blog, December 3, 2020)

A Fresh Start To Blogging

Welcome to For Everything There Is A Season; formerly known as Thoughts and Ramblings on Life, Love, and Health! This is my first blog post on a new hosting site, so please bear with me. A couple of people have asked me if I had either given up on my blog or given up on migrating my blog off of Blogger.

Earlier this year, Google made a lot of changes which resulted in changes to how Blogger can be used. All of a sudden, my site became unsecured and I, as the administrator of my blog, couldn’t access several functions in Blogger. It was so frustrating!

I did a TON of research and spent many hours with the Google help department, as well as enlisting help from a tech savvy friend, to no avail. I then realized I needed to find a new hosting platform and start over, while meanwhile trying to preserve ten years of blog entries. I explored several different options and decided to enlist the help of the company, Netcrafted.

Scott at Netcrafted was a godsend to me and he did the actual migration from Blogger to WordPress.org because I am so challenged when it comes to computers, programming, etc., that I knew it would end up being a disaster. It was the best decision I could have made. He was very responsive every step of the way and deserves a medal for dealing with me and all of my questions. He also helped me out with a few tasks that we didn’t even agree on when he outlined what the migration would include. If you ever need help with any WordPress issue such as troubleshooting, malware removal, site transfers, or managed cloud hosting, I highly recommend this business.

The migration has been done for a while. However it has been a steep learning curve customizing the website as it is SO different from Blogger. In a few weeks or months, once I figure out how to deal with a lot of the technical aspects, this will be a good thing because there is a lot more I can do with WordPress and honestly, it’s a much better product.

For the migration, I had to make a lot of decisions and the biggest one was which hosting site I would use. I chose shared hosting through Bluehost. That was the second best decision I made in regards to this process. It’s affordable, easy to use, and the customer support has been outstanding.

I was struggling with figuring out how to properly get certain things installed, like analytics, share buttons, and a backup plan. Bluehost has excellent teaching resources, but many times I would go through the steps and get stuck, oftentimes with tasks that involved my control panel, because like I said, I’m challenged when it comes to technology and there were some issues with the temporary domain I was initially working with. The chat support at Bluehost has been invaluable. I’m not exaggerating when I say that one day, when trying to install a back up system for the blog, I was online with the support team for a total of 4 1/2 hours that day, for ONE issue. Even how I type up and design each post is dramatically different and that involves a learning curve as well.

It’s not all challenging though. I’ve been having some fun with the process and I have to say, I am learning a lot. I have always told people, I love writing, but the blogging? Not so much. I suspect that will change as I get more experience using WordPress. For now, I’m happy to successfully get this first blog post up and hopefully the information I have shared may be helpful to other writers and bloggers out there. 

Eight Months

We are rapidly heading towards month eight of COVID in the United States. 


Month eight.

Who would have thought at this time last year that we would be here now, in this situation? People dying every day all over the country of a virus that the American government has politicized. Many high risk people unable to leave their homes, or can only leave for the most essential of tasks. People not being able to hug whomever they want. Business meetings taking place on something called Zoom. Doctor’s appointments occurring online.

Weddings canceled

50th anniversary parties postponed
Birthdays where hopefully if someone plans it, people drive by your house and wave while honking their horns.
Families divided by thousands of miles because they don’t want to get on an airplane. Or, they can’t because they are high risk.
No concerts, fairs, or large gatherings.

I haven’t even begun to scratch the surface.

Add in racial tensions like I have never experienced in my 49 years, natural disasters of every kind, and political tensions that make me believe America may not survive.

I could go on and on but the point is, life as we know it in this country is different in ways that I personally never imagined. I do wonder from time to time if that “normal” way of life will ever exist again. I don’t think so.

In general, as Americans, we are broken.
So broken.

In the first few months of the pandemic, I was an absolute mess. I had just lost my dog less than six weeks prior to the start of the pandemic so I was home alone ALL DAY LONG. I couldn’t leave my house, because of my high risk status. I was scared to death of catching COVID. I was obsessed with the news and any form of media because I always needed to know what might happen next. I couldn’t get the follow-up medical appointments I needed until people figured out telemedicine. To this day, I still have a specialist I cannot get in to see. I typically see her every three months and I haven’t seen her since last year.

As a person with a major chronic illness, I know a lot about feeling isolated and I have some excellent coping strategies, but adding COVID to the mix added a whole new complicated layer to living with my illness.

Frustration and anxiety gave way to anger. I was angry at just about everyone, especially when some places in my state started opening up. I was angry at people for not wearing masks, angry I couldn’t go to church because of the policies in place that made it unsafe for me, mad at family members who were engaging in high risk activities because then I couldn’t have contact with them. I was angry that my friend couldn’t have a funeral for her mother who had recently passed. I was angry at the media, the government, and just about everyone else.

However, the thing I was the most angry about?
The way people were treating each other.

And unfortunately, that is still happening today, especially today. We just had a presidential debate last night and fifteen minutes on social media this morning, and I felt sick. Over the past seven months, I have been mortified with what I have seen and heard. Friendships and family relationships fractured…cussing coming from people whom I’ve never heard utter a cuss word their whole lives…the nastiness…the guilt placed on people based on how they are considering voting…the hatred.

Is this what we have been reduced to?

But, here’s the thing. In the midst of my stress, anxiety, and anger over the past seven months, something happened.

Jesus happened.

I didn’t suddenly “find Jesus” during COVID. 
I already had Him. 
And come to find out, He has always had me.
I had made that commitment the Summer of 2018.

However, the isolation and the questioning about what was happening in the world, and especially in our country, led me to find Him on a whole new level. Part of this was due to starting up a weekly in depth Zoom Bible study with two friends I met from my church. We did two Bible studies, both by a Bible teacher by the name of Jen Wilkin. One was on chapters 1-11 of Genesis and the one we are almost done with now is on the Book of Hebrews. 

Yes, Hebrews!

Doing such in depth (and hard!) studies with other Christians made Jesus more personal to me. Now that I finally understood it, I was moved by the Creation story in Genesis and in awe of the supremacy of Jesus that I found in Hebrews. I was spending more time in my study Bible, more time in prayer, and seeking Him out more. I was spending less time watching the news and less time on social media, although to be honest, that still needs some work! I subsequently found myself feeling less sorry for myself, less anxious, and my anger has dissipated.

It’s very hard to feel sorry for yourself when Jesus suffered and died on the cross for me.

It’s very hard to feel anxious all the time when you come to understand He is in control.

It’s very hard to be angry all the time when you realize that He created every single person and loves them as much as he loves you.

Spending more time with Him these past seven months have made me more grateful…for who is in my life, for who is not in my life, and for what I have. It’s heightened my appreciation for all of His wonder that I have discovered in the MANY walks I have taken this year…the birds, trees, colors, and animals.It has definitely made me more grateful for my family. You never realize how much you take people for granted until you are not allowed to hold them.

I don’t know what the future is going to bring. I pray it brings change, a vaccine, a kinder America, and peace for the ones who are searching. But I do know that I’m grateful for a Savior who loves me unconditionally and will be with me every step of the way, no matter what the outcome is.

New Medication Attempt

 

During my last rheumatology visit, telemedicine style of course, my doctor and I talked about what options are left for me in terms of treating Sjogren’s. By the way, we officially call it Sjogren’s now, and NOT Sjogren’s Syndrome. I can get into that at another time.

I’ve been at this for twelve years now and have gone through a gamut of medication trials. The biggest issue is that there is no cure, or even a targeted treatment, for Sjogren’s. Our rheumatologists do the best they can with medications used for multiple other autoimmune diseases, but we desperately need a treatment targeted for our disease. We, as patients, do the best we can with symptom management, diet, exercise, alternative medicine, and self care.


The whole medication treatment issue for Sjogren’s is much too long to get into in this post, but let’s just say, it’s a crapshoot at best. For me personally, I take a medication called Plaquenil (also known as hydroxychloroquine…you have all heard of that one!) and Evoxac. The Plaquenil is supposed to help my symptoms. I’m not sure how much it does, but I have tried weaning off it without much success and on top of that, it is supposed to help slow down disease progression and that is very important. Evoxac is a medication I take several times a day to stimulate saliva flow because Sjogren’s attacks the saliva glands and there are numerous complications associated with that, most of which I have had at one time or another. I have lost a lot of function in my salivary glands.

Besides those two medications, I rely on prednisone, which is a steroid, when I absolutely have to. Long term prednisone is dangerous and since I require high doses of it, it’s not a sustainable long-term solution. Typically, I go on a course of it one to three times a year. I did make it a year and a half without it once.

At my last visit, we decided that I should go on a round of prednisone. It was a little nerve wracking because of the COVID situation, but the numbers in my state were down and I felt like it was the best time to try and quiet things down, especially because my level of functioning had decreased significantly since Fall 2019 and we don’t know what this Fall will bring in regards to COVID.

During my appointment, my rheumatologist also mentioned a medication called Sulfasalazine. It is classified as a DMARD (disease-modifying antirheumatic drug), which is also what Plaquenil is. However, it appears that they work on two different pathways and one article I stumbled upon mentioned that the two together could be more effective than either alone.

Part of the issues I have in managing my disease is that I cannot take any NSAIDs, including Motrin, Celebrex and others due to a history of gastritis (which can occur in Sjogren’s patients), and stomach ulcers, which are a consequence of the NSAIDs. I do take a medication called Tramadol from time to time for my pain, but I have been asked by my gastrointestional (GI) team to not take these medications as they can cause some GI issues and worsen others.

The part that threw me off when my doctor mentioned this medication is that nobody had ever mentioned it to me before as a possible treatment. It is often used in patients with ulcerative colitis and rheumatoid arthritis. I distinctly remember administering it to my pediatric patients with ulcerative colitis when I worked at a children’s hospital. Anyone who follows my blog, or knows me in real life, knows that I have a very extensive working knowledge of Sjogren’s. I keep up-to-date on treatments, research, all of it. I will admit though that over the past year or two, I have been working hard at trying to shift my mental focus from thinking about Sjogren’s all the time and have not kept up as much as I used to. However I thought I knew about all the medication possibilities. This goes to show you how important it is to be an informed patient.

From what my doctor said, it is not a medication that is often used for Sjogren’s. Her main concern was that it has several potential GI side effects that are exactly the same symptoms I went through hell with for two years, and finally got under control at the end of last year.


I decided I would see how the prednisone course went and meanwhile, I talked to a few Sjogren’s patients. Some of them had positive results with it, some have not, and many reported side effects. Sometimes the GI side effects are temporary and the risk can be lessened by starting the medication off slowly, meaning lower doses and at a lower frequency. Because it is a sulfa drug, there is also a risk on an allergic reaction, but I’ve taken enough sulfa drugs to not be very concerned about that.

I also decided to have a conversation with my GI team, whom I trust implicitly. They agreed with my rheumatologist about the potential GI issues, but compared to taking the NSAIDs, Celebrex, and Tramadol, they thought it was the best of all options to go with, if I could tolerate it. Of course, it’s expected I will report anything unusual that may occur.

I did my online research and read about the side effects, the blood work that needs to be periodically drawn, and the fact that it can take two to three months to see any positive benefits. The decision was made to start it now, while I’m still doing well on the prednisone, to give the medication a head start to work.

I have to be honest, I was nervous about it. I think the main reason I was nervous about it is because of the possible GI side effects AND the fact that it has been FOUR years since I have tried a new autoimmune medication. Plus, I am very sensitive to medications, supplements, all of it. I prayed about the decision quite a bit and found peace in knowing that in my decision making process, I have kept doing the next right thing…the MD discussions, the research, and talking to patients. Now, it’s all up to God and paying attention to my body.

I believe strongly that at this point in my journey, I have too much to lose to NOT try it. I have the bottle here at home with me now. It has to be taken with food, which is going to be a huge challenge since I do intermittent fasting, but for now, it’s only once a day, and that I can manage. I was going to start it today but then realized that I have to go to an appointment this afternoon and I don’t want to introduce a new medication into my system without being at home. So, tomorrow it is.


I do hope the medication helps and that I tolerate it. I have some hope, but I’m also very realistic. And if it doesn’t work, or if I have to stop it because of side effects, I’ll just keep trying to move forward.

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