Hashimoto’s and me……. Part 1
I have been planning to write about Hashimoto’s Hypothyroidism for quite some time, but somehow I haven’t been able to pick the right moment or feel the time was right. This year has seen big changes for me and I have consciously been trying to rebalance my life. The last few weeks has really pushed me into feeling the time is right to write. In my youth, I thought I was invincible, I tried to be everything to everyone, I empathised and sympathized with others on their poor health or misfortunes and tried to rebuild or improve them, but never in a million years thought that ill health could happen to me. My lack of truly listening to my body over many years caught me out, and with a family history of auto-immune disorders I regret now this stubborn inner me. However, as I live with a chronic auto-immune condition I feel that if anything positive has come out of it, is that it has really allowed me to understand my patients at a level deeper than ever imaginable before. Hashimoto’s thyroiditis, for those unfamiliar with this condition, is in which the body’s own immune cells attack and destroy the thyroid gland. There can be up to 300 different symptoms and so there can be many of these symptoms that cross over into other illnesses. It can be slow progressing for some and so blood test may not detect it in the early stages making lives unpleasant with symptoms and no answers. Hypothyroidism is the most common outcome for a Hashimoto’s sufferer and medication is used to help treat this condition end of story. That is what I was taught when learning about the Thyroid at Uni and during my hospital career. Take a tablet and all will be fine, next…. NOW I KNOW THAT SADLY THIS IS NOT ALWAYS THE CASE…. My Story is a common classic: I had not been to the GP in years, I had no time and no reason to see him, I had strangely and uncharacteristically booked to get my Vitamin D checked mainly due my Dietetic curiosity with the media hype. Don’t get me wrong I had felt rubbish for years but put that down to long hours running my business, caring for 3 small kids, getting older and was involved weekly in caring for my disabled mother. My husband, a fabulous man, was hardly around with his job. I was a “no time for me person” to whom I used to say if I met someone like this: If you don’t look after your health you will have “plenty of time in the future”, as you won’t be able to work! A total Hypocrite I know. I just did not see it for myself or maybe I chose to ignore it. I remember when my blood panel came back I was shocked and if honest relieved. I was not surprised that something showed up and that all my symptoms that I tried to ignore or had secretly stressed about were valid. In addition to a Hashimoto’s diagnosis I had a very low Vitamin D level and suboptimal levels of B12. My diagnosis was in Dec 2012 and I thought that was it, all fixed. I was commenced on Levothyroxine and I slowly built up the dose as guided by my GP and I sat back and waited to get better. Did I feel better? Psychologically maybe a little as I started to take more interest in myself and others around me had to also consider my health. However this feeling did not last long; 4 weeks later and I was worse and so the GP increased the tablets and so the story went on until my bloods were in NORMAL range but I was feeling worse than ever. My GP made an urgent appointment for me with an Endocrinologist who assessed me and said “go take a holiday”. OMG I didn’t see that coming. I was hoping to be taken seriously but clearly I was not ill on the small panel of thyroid blood tests taken and so it had to be in my head….any of you who have been there will know the score. From that moment onwards, as best I could, I did my research. I was so unwell I did not see how I could make it to my next birthday: I was 1 month away. Some major symptoms: severe headache like a vice, walking in concrete, mixing up words, brain fog, exhaustion not able to get out of the car to lift my kids or shop, back pain, chest pain, lots of sighing, brittle nails and hair, skin on chin irritated, sensitive teeth and gums, low moods, insomnia, tearful, constipation, freezing cold, heart palpitations….my adrenal glands were struggling too. I bought a medical thyroid book book which was a great starting point and I commenced the recommendations. I know you would think that as a Dietitian I would be an expert in nutrition, which I am! but the subject of auto-immune and supplements was lacking in my knowledge and so all news was new and I ate it all up. (With these new skills I now successfully treat patients today) Anyway; I took a summer holiday with my family but sadly as a shadow of my former self in vitality, stamina and energy. Sitting at 40c I was cold and wrapped up, but the headaches were gone and that was one step in the right direction. I came home from my holiday and began to fix myself further. I joined the Health Unlocked forum which again has been instrumental in my recovery. I requested further blood tests and from this I commenced a medication which had a combination of T4 and active T3. This along with the daily regimen of supplements made a noticeable difference and some of the significant symptoms began to settle. At the same time I made a difficult but important decision that I
121 Sports Nutrition Performance
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Have you heard about our mini assessment sessions?
We all know everyone likes to receive helpful advice, especially in terms of improving our diet, health and lifestyle. Check out 121Deititian mini sassessment sessions. Here at 121 Dietitian we provide this at various levels daily; to many clients who maybe in need of a little dietary direction, to business’ wishing to improve productivity and health in the workplace, to patients who have debilitating medical conditions, or to our media associates, food companies, nursing homes…. We realise however that even when interested, not everyone knows what they may need or has the time, money or medical condition to feel they require a visit to a Dietitian. We are now able to help with this dilemma … 121 Dietitian have set up a service just for this reason and we have been delighted with its success. Our specialist assessment sessions have gone from strength to strength, and it couldn’t be simpler. STEPS TO TAKE for a Mini Assessment: Download and complete the food diary and questionnaire found on the contact us page. Use the contact us page and request a mini Clinic appointment. When your appointment date and time is confirmed bring your food diary and questionnaire with you to the appointment. A Dietitian will assess your details, take some body composition measurements and then identify key positive changes that you may require. The clinic chat takes 20 minutes with a follow up email bringing the total time spent to 1 hour. The changes for you to consider making will be life long. If during the consultation you are suspected to have a undiagnosed medical condition or require blood tests we will direct you to your GP for these and review you. The cost of this consultation will be deducted from further appointments if required to attend for further personalised advice. Information checked & correct on 16th May 2018.
Oats NOT so good!
Well, 16 years of educating others I thought I was immune to the everyday angst of nutritional dilemmas!!!!!! Until very recently, so recent that I still can’t believe it and I may be in recovery for a while! Okay enough drama, here’s what happened: I was on a long journey driving through the night and pulled into a service station to refresh with a coffee. It was 3am so calculating ahead as my usual Dietitian head does, I considered my ‘up and coming’ breakfast options and I decided I would pick up a snack at this point so if anything changes later with my journey then I could keep on driving. While ordering the coffee I perused the appealing, but limited, arrangement of sweet stodge! I decide I would over look these and went for the most righteous option the ‘Nutty Flapjack’. I paid, ate and drank with satisfaction. Ah! However things quickly turned nasty! As I finished my flapjack I smelt a rat, (okay not literally) the flavours were sweeter and fattier than my finely tuned palate was expecting, alarm bells rang. The detective flick switched on in me and I peered at the small print – the ingredients and nutrient information. AHHHH! I nearly choked, if the coffee hadn’t woken me up at 3am then the info on the packet certainly did!!! I had consumed the equivalent of a hamburger and small fries, or two slices of cake, or a cooked breakfast. What a cheat. What made it even harder to swallow (wished I hadn’t!) was that it was made with 60% butter and condensed milk with a scant offering of oats, nuts and more sugar!!!! So I couldn’t even glory in the, ‘well the ingredients were superior’ therefore I shall accept the wonderful nutrients and the kcal’s come as a consequence. This experience brought me straight to the coal face of what my clients experience daily and why sometimes when you think you are doing right you are doing wrong. The moral of the story: no matter who you are! If you are keeping to a healthy eating plan, check all ingredients and nutritional information as you could be in for a surprise! Information checked & correct on 16th May 2018.
Make October YOUR New Year!
A lovely lady recently came to me in August 2012 looking for help with her main 2011 New Year’s resolutions! She wont mind me sharing this as the progress she has made has been outstanding since she started! Her main problem was her disappointment that she had not come near to achieving her personal goal of “being as healthy as possible.” Despite her good intentions she had made disappointing progress and it was 8 months into the year. She was panicking. Many of us can relate to this. We have expectations for great changes and we feel motivated at the start, but events and responsibilities seem to work against us and we are left feeling frustrated and sometimes discouraged that the changes we want to see will never be accomplished. With this lady, and others, a few simple strategies can help make significant changes promoting health, fitness, and control. I advised this client that September through to October would be the perfect time to make her changes. The kids are back in school, the home routine is in place, and it is a long time till the Christmas rush! My Client was raring to get started, she focused, made the time and energy to commit to her new plan. The following are some of the goals we decided to focus on: Step 1: Start small. In the case of my client, instead of encouraging her to become a slave to the gym, we started with two 30-minute walks per week. Over the past three weeks, these have lengthened and she now looks forward to her evening walks most nights of the week. This simple change may add years to her life. Step 2: Be ‘SMART’ Identify specific, measurable goals. They must be realistic and linked to a period of time so you can assess your achievements. These goals are “SMART” goals (specific, measurable, achievable, realistic and timely.) My client’s goals were similar to many; ‘eat better and be more active’, but how do we measure success with a goal like this? As a starting point, we broke down her goals into three straightforward, but significant, changes: 1) Begin to eat breakfast within 30 minutes of waking five out of seven days per week. 2) Eat a portion of vegetables with both lunch and dinner six out of seven days per week. 3) Keep records of your food intake and exercise for five days to promote self-awareness of your eating and activity patterns. Step 3: Get Support Obtain support from a friend, spouse or family member. In this case of this client, her husband has been a great supporter. He reminds her to sit down and eat breakfast with him instead of running around after the kids and he provides the motivation for her to be fit by walking with her in the evenings. He and the kids are enjoying the health changes too, they are eating better and their mum is happier and healthier. In addition to her family support, my client has benefited from professional support. In working with a dietitian it has had help her make appropriate goals, identify obstacles and help overcome challenges. Professionals are trained to help provide creative ideas to make it a fun and interactive experience. My client laughs with pleasure as she informs others of her fears of making that initial contact. She expected I would whip her into shape and she would be mortified, but now instead she admits she enjoys the one to one webcam consultations, coming to the clinic weight session and the programme she is following. She says she does not feel deprived or different to anyone else only that she is already feeling much healthier and fitter. Step 4: Get accurate information As a Dietitian I spend a lot of time correcting people’s myths. Most of my clients come in expecting they will be told to eat salads, cut carbohydrates, and slave away on a treadmill seven days a week. We know from countless studies, that healthy eating does not mean dieting. While there are specific dietary requirements for many conditions, such as high blood pressure, diabetes, and cholesterol problems, most people do not have to cut anything out, they just need assistance in finding the right balance. Obtaining professional guidance ensures you learn which strategies are appropriate for you. If you have struggled with getting healthy this year, why not click on the contacts page and get your diet assessed by the professionals! Information checked & correct on 16th May 2018.
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