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.

May is Skin Cancer Awareness Month - Protect Yourself!

There are many things to celebrate in the month of May - Cinco de Mayo, the Tulip Festival and Mothers' Day, farmers' markets are opening up for the season, and Victoria Day, the first long weekend kicking off summer.  May is also abundant with awareness days and weeks, and May itself marks Mental Health Awareness, Asthma & Allergies Awareness, and - the subject of this post, one that really hits home for me - Skin Cancer Awareness Month.

Just over two years ago, in early March 2012, my fair-skinned, strawberry-blond, copiously befreckled husband stepped out of the shower, and as he was dressing, I noticed a particularly dark spot on his left shin - something I could not recall having seen there before.  I had just completed an advanced pathology course, and knowing how to spot potentially cancerous moles was one of the subjects covered in the lectures.  Kevin's freckles are generally small and a light reddish-brown colour, even the larger mole- or birthmark-like spots, and this one was dark and shiny, with an irregular pinkish border on one side.  I urged him to have it checked out by our GP, who removed it for biopsy.

Kevin's suspicious mole, March 3 2012,
later confirmed stage 0 melanoma.
Note the colour and irregular border.
This mole was approximately 0.5cm in diameter.

He got the call at work, and called me afterward to share.  Sure enough, the results had came back, in a bad news/good news kind of way.  The bad news: it was melanoma.  The good news: it was only stage 0 - we had caught it just in time.  I still can't quite describe the mixture of emotions running through me at that moment - fear and panic ("I was right to be concerned!"), relief and gratitude ("We caught it early, thanks to that course!"), and juuust a touch of hysteria ("I need to take care of you!  What happens now?  Let's go load up on vitamin D, sunscreen, and new hats, right now!").  Not surprisingly, he took the rest of the day off, not for himself, but for me.

Though they were sure they got it all when they did the biopsy, the area around the cancerous mole would be removed as a precaution in August: 1cm deep and 1" around, and a skin graft from a spot a few inches away applied to the excised area.  The excised tissue was tested and he was pronounced cancer-free, but he must go for full-body dermatological check-ups every 6 months until the 5-year mark.  Edit: he recently had one of these check-ups, and since he's been clear for nearly 2 years, he now only needs to go annually.

January 2013 (5 months post-op) -
Kevin now has 2 sizable scars on his left shin,
where the melanoma was excised (bottom)
and where the skin graft was taken (top).

In the time between and following Kevin's diagnosis and surgery, this story prompted many friends and family members to become more vigilant and check their own skin for irregular spots.  Now I'm sharing it with you, and I hope you'll take these steps to protect yourself and someone you love:

Know the signs and check yourself.  If you have any freckles or moles, do a monthly "spot check".  Be aware of the ABCDE visual signs of skin cancers.  Look in the mirror in good light - use a handheld mirror where necessary.  Get a friend or loved one to look at spots on your back or other hard-to-see places.  Take good-quality pictures of new or possibly unusual spots, preferably with a ruler or small object for measurement references to compare with next month's pictures of the same spots.  Be consistent - use the same camera and lighting sources.

Load up on vitamin D.  First, get your blood levels checked.  Ask your GP to add vitamin D to your blood work.  Unfortunately, this is not covered by OHIP (unless you meet certain criteria) and may cost around $50.
Why is vitamin D important?  Recent and growing research is showing that vitamin D helps modulate the immune system, an important factor in preventing and managing cancer cell growth.  Additionally, vitamin D is synthesized in the skin with sun exposure, and may provide some protection from the harmful rays of the sun.
Around 15 minutes per day of unprotected sun exposure in the summer can be enough to boost levels adequately, if not for the full year, then at least for the season.  However, as Canadians, we have less sun exposure in general, and are thus more susceptible to vitamin D deficiency, not just in the winter, but year-round (and especially with this winter having lasted so long, I suspect many people may be more deficient than usual).  For this reason, it is imperative to have your blood levels tested in the late winter-early spring when levels are naturally lowest, and supplement accordingly year-round.
In terms of supplementation, the RDI for vitamin D is 1000IU for adults and 400IU for children per day - if no deficiency currently exists.  Those who are deficient (showing <30ng/ml or <75nmol/L) need more than this to bring levels back to optimum (40-60ng/ml or 100-150nmol/L).  As an example, my first vitamin D blood test showed a very surprisingly low 25nmol/L, and I took between 2000-4000IU of lanolin-sourced emulsified vitamin D3 per day for over a year (with the higher amount in the winter and on very cloudy days), until my next annual physical, where my blood test showed 126nmol/L.  I recommend at least 2000IU per day for adults on a regular basis, and more for those who are immune-compromised (e.g. autoimmune, inflammatory conditions, digestive disorders, etc) or suffer from seasonal affective disorder.

Protect your skin.  "Slip on a shirt, slap on a hat, slop on some sunscreen."  I grew up with this mantra for sun protection, and it still holds true.  Cover up wherever possible.  After you've gotten some unprotected sun exposure for vitamin D synthesis, apply sunscreen.  Look for natural brands with an SPF of at least 30 at your local health food store, eco shop, or larger supermarkets, or try finding one online or through independent cosmetics retailers.  If there is a "tester" tube available, try it first to be sure you like the feel of it on your skin, as some may be thick and greasy, which could clog pores and exacerbate breakouts; and/or leave a white residue on skin and clothing.  I like Aubrey Organics, Nature's Gate, and Arbonne Baby Care sunscreens.  The protection factor (SPF) weakens over time, so it's best to replace your sunscreen annually.
Avoid tanning, including tanning beds.  Over time this damages your skin, leading to premature aging, and increases your risk for skin cancers.  People with fair complexions, many freckles or moles, blue eyes, and blonde or red hair (such as Kevin) are at higher risk.
Remember too that your skin absorbs about 60% of whatever you put on your skin into your bloodstream within just minutes after application!  Avoid products containing known carcinogens, such as parabens and phthalates.
Sunburns (even just one bad one) also increase the risk of skin cancers.  While after-burn care may not reduce your risk, it's still worth doing to get relief.  Try fresh aloe vera gel or chilled chamomile tea on your skin, or a natural after-sun or calendula cream to cool the burn.  Coconut oil is also soothing.  Up your intake of antioxidant vitamins A, C, E, and minerals zinc and selenium, all of which are crucial to good skin health.  Orange, yellow, and red fruits and vegetables, as well as cruciferous vegetables and dark leafy greens, are great sources of vitamin A and C.  Nuts and seeds, particularly Brazil nuts, macadamias, pecans, and almonds are abundant with vitamin E, zinc, and selenium.  These nutrients are also available together in supplement formulas (look for "ACESZ" or similar).

So enjoy the sunny days of summer - and keep your skin safe.

How do you care for your skin in summer?

Superfood Spotlight: Coconut Oil

For months, if not years now, my friends and fans have heard and seen me wax poetic on the many virtues of coconut oil – snow white, magically melty, does-it-all coconut oil. Well, it seems today is no different – except I’ve compiled many of these amazing traits and uses of my favourite eat-right-from-the-jar oil in one place.

First and foremost, as a nutritionist, I am in awe of its health properties and uses as a food.

Coconut oil is made up of saturated fatty acids. This means that the molecule is saturated in hydrogen atoms such that the chain makes a straight or solid line, as opposed to unsaturated fatty acids, which are missing one or more hydrogen atoms, causing the chain to bend at these junctures. This molecular structure of solid lines lends itself to the oil’s solid state at room temperature. Similarly, the bends in unsaturated fatty acid chains contribute to their liquid state at room temperature.

The solid structure of the saturated fats also means that it is generally protected from oxidation, remaining unchanged after exposure to heat and air, and making it absolutely fabulous for just about any type of cooking or baking.

My very large jar of coconut oil.

Coconut oil is solid at room temperature.

     

My favourite cooking and baking applications of coconut oil:

1. Stir fries. Depending on what kind of coconut oil you get – virgin or extra virgin – coconut oil can give your dish a subtle coconutty taste, perfect for Thai-style veggies.
2. Butter replacement. Like coconut oil, butter is a saturated fat, so it makes sense that we can use coconut oil in recipes calling for butter. Add a pinch or two of quality sea salt or Himalayan salt to up the “buttery” when using coconut oil to sauté mushrooms or greens, or when making popcorn the “old-fashioned” way on the stove or with your popcorn maker.
3. Vegetable oil replacement. I have a recipe for oatmeal muffins that I got from my mother, modified to be vegan-friendly. Over time it has diverged from the original recipe so much that I can’t honestly call them oatmeal muffins anymore. Using coconut oil instead of vegetable or olive oil as the recipe originally calls for has given this banana chocolate-chip muffin recipe a cupcake-like fluffiness. I’ve been kind and shared this recipe on my website: Banana Chai Chocolate Chip Muffins, September 2012.
4. Candy making. Coconut oil makes a great melt-in-your-mouth base for homemade chocolates, truffles, and icing, and is often used in raw desserts and snacks.

Beyond cooking and baking, coconut oil has numerous health benefits, many attributed to its content of medium-chain triglycerides (MCTs). MCTs are quickly digested, and as such provide quick energy to cells, without spiking insulin. This is good news for athletes looking for an energy boost without sugar, and diabetics and insulin-resistant individuals. There has also been recent discussion about applications for MCTs and coconut oil supplementation in managing Alzheimer’s. Because some of the insulin in the body is produced in the brain, and insulin resistance is being linked to Alzheimer’s – to such a degree that Alzheimer’s may eventually be considered type III diabetes – reducing sugars and increasing intake of MCTs may help improve energy levels and cognitive function without increasing insulin levels in the brain.

MCT oils can be purchased in health food stores, are liquid at room temperature, and sometimes packaged or marketed as salad oils. I like to put a spoonful of MCT oil in pre-workout smoothies as an energy source, and a spoonful of whole coconut oil in post-workout smoothies as an anti-inflammatory and analgesic component to aid recovery. This latter application can be useful for sufferers of arthritis as well.

Some other great uses of coconut oil:

1. Oil pulling. This practice entails taking a spoonful of oil – coconut, sesame, sunflower, or olive – in the mouth and swishing it around and over teeth and gums for up to 20 minutes without swallowing. Afterward one spits it out (preferably not in the sink), and brushes the teeth as usual. It's recommended to be done first thing upon waking, and is said to strengthen and whiten teeth, as well as pull toxins from the mouth. I like using coconut oil for this since it has a pleasant, mild taste, and I actually enjoy the way it melts in my mouth in the first minute or two.
2. Skin care. Coconut oil is naturally emollient, and is wonderful for softening and moisturizing the skin. I like to apply it to my lips and rub it into my hands, feet, and elbows in the winter instead of buying lip balms and moisturizers. Not surprisingly, many DIY beauty-care recipes call for coconut oil.
3. Healing infections and wounds. Along with its anti-inflammatory and analgesic properties, coconut oil also possesses some antiseptic, antifungal, and antiviral properties. These properties are attributed to coconut oil's main MCT lauric acid. I advise to take a spoonful or two in the morning at the onset of cold/flu symptoms in addition to oil pulling. I've applied coconut oil on broken blisters, burns, paper cuts, and cat scratches instead of harsher antibiotic ointments and seen faster wound healing. My husband also used it last summer to relieve itching and moisturize his surgical scars.

These are just some of the many uses and benefits of coconut oil. Remember to choose organic virgin or extra-virgin coconut oils, ideally cold-pressed and unrefined.

What are some of your favourite uses of coconut oil?

The Love Plants for Life Nutrition Workshop Series is running Monday evenings in July and Thursday evenings in August.

Please be advised that this article is not meant to replace the advice of your doctor or therapist.

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