Personal Post: On Making Peace with Imperfection

So here I am, back again, after a season-long technological hiatus.  These past 14 months have been a rollercoaster, reaching the apex just over 2 months ago, and now finally leveling out to near-normalcy again.

As a nutritionist I'm trained to piece together the symptomatology, the clues presented in my clients' cases, and chart the best course for them to take on their path to taking back control of their own health.  So it was frustrating when, in summer 2013, I had no idea what was happening to me.

I found myself suddenly faced with month-long periods.  I would bleed for a month; strangely, not enough to warrant the use of much more than 2 or 3 pantyliners per day most of the time, so for that at least I was thankful; but unfortunately, still with cramping bad enough that I resorted to ibuprofen more often than not.  The bleeding would then stop for a month (though on a couple of occasions, there were only 2 weeks' interim), and resume again for another month in the same way.

With this level of discomfort, I was miserable.  I began comfort eating whatever I was craving, telling myself I deserved it with the day I was having.  I had stopped going to the gym by November, consequently started gaining weight, pulled away from intimacy with my husband, and quite honestly, I believe I was depressed, amplified too by a couple of family tragedies in the last quarter of 2013.  I also felt ashamed that I, a person who should be exemplary in health and vitality, was sick and sinking into bad habits.

I finally had an appointment in December with my GP, who ordered blood work and an ultrasound.  My iron stores, not surprisingly, were low, so I took her advice and started an iron supplement.  The ultrasound revealed a "complex mass" of some kind on my right ovary, and by February a follow-up ultrasound confirmed that it might be a dermoid cyst, approximately 54mm in length.  I would be referred to a reproductive surgeon for a cystectomy.

One of many juices I made. Booster
Juice-inspired "Ginger Hammer":
2 large carrots, 2 navel oranges,
1 tart apple, and 1/2" piece
fresh ginger.

From what I knew, dermoids are something that can exist symptom-free in the body for one's whole life, and do not respond well to alternative therapies.  Again, that notion of the exemplary nutritionist reared in my mind.  I did what I could with what I knew while I waited for my referral; more to make myself feel like I was still in control, that I could still help myself.  I bought a juicer and started making fresh green juices most mornings; in addition to iron, I also took DIM supplements to help my liver process excess hormones, B complex for stress and metabolism, and curcumin to reduce inflammation; and as my cycles started to normalize again, gradually started a gentle workout routine again.

Over the course of the 4 months I waited to get into the OR, I made my peace with not having perfect control of the inner workings of my body.  That said, the stress of waiting still took its toll, and I continued to comfort-eat, more so in the weeks leading up to the operation.

Stress-eating aside, I felt I was finally on the upswing when it came time for my surgery in mid-July.  Knowing that possible risks of letting it alone could include torsion and atrophy of the ovary, and a resulting reduction or loss of fertility, I let go of being in control of the process, and made my peace that having the surgery was in my best interests right now.  

A few words about the surgery day itself: Having never been put under anaesthesia before, I was extremely anxious, and it was the scariest day I can remember - especially the last 20 minutes prior to entering the OR: waiting on the gurney, being told to get off the gurney and walk into the OR and lie down on the operating table under my own power (when all I wanted to do was turn and run), having electrodes placed on my skin and an IV hooked into my hand.  And after all that, I don't even remember the moment I closed my eyes; just waking up sometime afterward, and fading in and out of sleep for several hours afterward.

The recovery period was where I felt I could take control of my health again.  The relief of having this "mass" removed from my body was palpable.  The stress of waiting, waiting, waiting - lifted.  I would learn happily that the surgeon was able to remove the whole cyst and keep my ovary intact; and later on that biopsy revealed no malignancy.  I chose nutrient-dense soft foods for the first few days after the surgery: organic applesauce, smooth blended soups, homemade protein smoothies.  Once I was in the clear to do so, I resumed my regular supplements and added a few especially healing products to the lineup (a protein powder rich in l-glutamine, an amino acid important for tissue repair; a post-workout recovery shake loaded with anti-inflammatory ingredients; greens powder and omega-3; and a nourishing topical skin oil for the scars, to name a few).  

I gradually reintroduced myself to exercise, first with a light yoga DVD in the comfort of my basement a couple of times a week, and then returning to beach volleyball with my friends.  (The most uncomfortable part of this was not the incisions themselves, but the spray-on suture covering them.  As it eroded, it would irritate the surrounding skin, making it unpleasant to twist or bend too far.)  I also took the time off to step back from some of my obligations as a business owner and let myself readjust to my situation.

I still have a ways to go before I can say I'm back to where I was before it all happened.  I still have some extra weight to shift, some bad habits to break (comfort-eating admittedly top of the list), and motivation issues to overcome.  

I ran my first LPFL Green Smoothie Challenge
during my pre-op "waiting period".
The Challenge is back again for October!

To look at the positive, I'm getting back into a regular workout routine, my cycles are normalizing again, I'm reestablishing closeness with my husband, and rediscovering my interest in all things nutrition, which includes doing product research, running workshops, and bringing my Love Plants for Life offerings back in force for the fall and winter.  

It's my hope that sharing my experience, knowing that I'm not perfect and striving for a return to health myself, will inspire you to join me on the way.

Let's do this!

Check out my website's News tab for a calendar of events for this fall, including release dates for my Love Plants for Life offerings!

The information in this article reflects my personal experience and approach to my own health, and is not meant to replace the advice of your health care practitioner.  Talk to your doctor, naturopath, or registered nutritionist about your health status prior to adding any supplements to your routine to determine what's right for you.

No Pain, No Gain? My Favourite Post-Workout Recovery Foods

All the fixins for a Vanilla Cherry Chai smoothie!

Anyone who’s ever exercised is likely all too familiar with the phrase “no pain, no gain”.  One should never exercise to the point of injury, but soreness the next day is normal and something you just have to live with… right? 

In short, not so much.

To expand on that, if you’re new to a certain type of exercise, be it cardio kickboxing, high-rep barbell workouts, Zumba, yoga, rock climbing, or what have you, chances are you’ll experience soreness or stiffness in muscle groups, joints, and fascia that may not see much action on a regular basis.  Many people will be discouraged from exercising again anytime soon, due to this soreness and not wanting to make it worse.

Making sure you stretch properly before and after a workout can help reduce that soreness the next day.  Dynamic stretching before a workout and static stretching afterward are gaining more recognition as effective for injury prevention and recovery.  Active recovery means that you’re still doing some exercise, but at a lower intensity – walking, gentle Hatha yoga, and tai chi are good active recovery options.  This type of movement, as well as massage – whether you see your RMT, trade massages with your partner, use those fancy chairs at the gym, or just do it yourself – can help the body move metabolic waste buildup (e.g. lactic acid produced during certain types of exercise) out of the muscles via the lymphatic system, helping to reduce inflammation.

Aha – inflammation.  When something is inflamed in the body, usually it hurts.  Exercise produces micro-tears in the muscle tissues and lactic acid produces inflammation around these tissues, which leads to that stiff, achy soreness that can last for days.  The body needs protein to repair these micro-tears.  This is where muscle building can occur, and why protein is considered so important for exercisers and athletes.

Protein and Glutamine

One of the amino acids found in protein that is particularly good for tissue repair is glutamine.  Glutamine is a non-essential amino acid, which means your body can make it, but the body may not make enough to repair muscles after intense exercise.  High-protein foods including beans, nuts, seeds, and some green vegetables, as well as animal foods, will usually contain glutamine.  In addition, one can supplement with l-glutamine in capsules or powder.  My favourite post-workout protein powder, Vega Sport Performance Protein, contains a whopping 5000mg (5g) l-glutamine per serving (1 scoop), making it fantastic for muscle repair and recovery.

In addition to glutamine-rich sources of protein, I’ve got several other potent recovery tricks up my sleeves.

Ginger, Turmeric, and Cayenne

These spices are featured in a variety of world cuisines, and in addition to lending flavour and colour to the dishes that use them, they pack a great anti-inflammatory wallop!  The active components of these spices – gingerol, curcumin, and capsaicin, respectively – have been shown to effectively counter inflammation, not just after a workout, but that due to injury, illness, or chronic inflammatory condition.  When combined with piperine, the active component of black pepper, curcumin is boosted as much as 2000% in efficacy.  I love to add these spices to stir-fries, soups, and curries, and even to smoothies and chai tea as part of my post-workout recovery.

Cherries, Blackberries, and Blueberries

These deliciously dark summer fruits are loaded with antioxidants, specifically anthocyanins.  Anthocyanins are not only responsible for the deep purple-blue-black colour of these berries, but have also been shown to improve strength recovery, as well as reduce inflammation and post-workout pain.  A recent study using cherry juice with marathon runners showed promise in this regard, as well as potential applications with rheumatoid arthritis and gout.  Remember that berries are among the EWG’s Dirty Dozen fruits and vegetables that are most contaminated with pesticide residues, so be sure to buy them organic.  They may also be available frozen.  I love PC Organics’ Power Fruit Blend, which includes all 3 of these fruits!

Pineapple, Mango, and Papaya

Into the drink! Pineapple Coconut Ginger Smoothie

These sunny, bright-coloured tropical fruits all contain digestive enzymes such as bromelain and papain.  They’ll help you digest the protein in your post-workout meal or snack, as well as aid in the breakdown of metabolic waste products such as lactic acid to improve muscle repair.  Remember that these fruits tend to be quite high in sugars, so a little goes a long way.  Slow the release of that sugar by combining the fruit in a smoothie with protein and healthy fats – did someone say piña colada?

Piña Colada Smoothie

1 cup fresh pineapple chunks

½ banana (optional)

Handful leafy greens

1 scoop vanilla protein powder

½ cup coconut water

½ cup unsweetened coconut milk

1 Tbsp. coconut oil

4-5 ice cubes

Leafy Greens

I love adding leafy greens to my post-workout recovery meal, whether it’s in a smoothie, as a big salad, or tossed into a stir-fry.  Leafy greens are generally alkaline-forming, and can help offset the acidity in the body resulting from working out.  As we’ve already discussed, less acidity means less inflammation and quicker recovery.  Plus, these veggies are loaded with nutrition!  B vitamins, beta-carotene, vitamins C and K, as well as minerals like potassium, magnesium, calcium, and iron, and antioxidants to boot.  Some leafy greens, like kale, chard, spinach, and collards, are high in oxalic acid that can prevent mineral absorption, though, so these you may want to cook lightly before eating.

Coconut Water

I had the wonderful experience, on vacation in the Caribbean earlier this year, to enjoy coconut water straight from a coconut and fresh from the tree!  Here in Canada, fresh coconuts can be harder to come by, so we can opt instead for coconut water in cans or tetra-paks (watch out for added sugars, flavours, and preservatives).  Coconut water is touted as a health beverage due to its natural electrolyte content.  Electrolytes are used by the body to maintain fluid balance inside and outside of cells.  You lose them along with water when you sweat, so it’s important to replenish when you exercise heavily and/or in hot temperatures.  Coconut water is rich in potassium particularly, and will usually contain some calcium and magnesium as well.  Different brands, surprisingly, will have different concentrations of these nutrients, as well as varying sugar content.  Look for “coconut water from young Thai coconuts” or just “coconut water” on the label.

Omega-3 Seeds and Oils

Omega-3 fatty acids follow a pathway of conversion in the body to the anti-inflammatory prostaglandin-3 (PG3).  Unfortunately, many factors can steer omega-3 from this pathway, so making sure you’re getting enough, especially to cope with exercise-related inflammation, can be tricky.  I like to incorporate a variety of sources of different types of omega-3s, such as flaxseeds, hemp seeds, chia seeds, and sacha inchi seeds, as well as walnuts and pecans, and supplemental DHA from algae, since DHA is considered the most translated and ready-to-use form of omega-3 to get PG3.

Fresh Beet Juice

Admittedly, this is a new addition to my post-workout recovery food repertoire.  Beets are high in naturally-occurring nitrates that stimulate vasodilation, meaning your blood vessels expand, allowing for better bloodflow.  Improving the flow of blood to your body's tissues, in particular muscle tissues, allows for more efficient delivery of oxygen and nutrients that can improve overall recovery.  When I'm in that part of town, I like to treat myself to a Jugo Juice Can't Beet This smoothie with extra plant protein added in.

My favourite way to get all these great recovery foods after a tough workout is, of course, a deliciously nourishing post-workout smoothie.  Try the Piña Colada smoothie recipe above, or take a crack at my favourite, Chocolate Cherry Chai, as featured on my Recipe of the Month page for May 2013.

What are some of your favourite recovery foods?

Please be advised that this article is not meant to replace the advice of your doctor or therapist.  I am not affiliated with or compensated by any of the supplement or product companies mentioned in this article.

Always consult with your medical and/or alternative healthcare professional prior to starting a new supplement to avoid contraindications with your condition or medications.