Friday, April 28, 2017

Climbing that Gluten Free Mountain


I assure you; 15 years ago, “gluten free doesn’t mean taste free” wasn’t really a slogan that caught on yet. After I was diagnosed, my mom was on the hunt to find every suitable gluten free substitution that was out there. Don’t do this. You might be tempted, but please learn from my experience! You don’t really need many products that are gluten free to survive and in fact you will feel so much better without all of that processed stuff in your system. Once I changed my diet and I began to heal, I was suddenly absorbing nutrients…

Speaking of absorbing nutrients lets back track for a minute…

What is Celiac Disease? It is a malabsorption, malnutrition disorder. There are over 200 symptoms, some people have many symptoms and some have no symptoms at all! It is a genetic autoimmune disease, but you can be the first one in your family to be diagnosed. After you are diagnosed, family should be tested as well. How do you get tested? A blood test first and a biopsy of your small intestine to follow up a positive or questionable blood test. The biopsy will determine if your villi are flattened and damaged. When they are damaged, you can’t properly absorb nutrients. Think about this for a minute. You can’t absorb nutrients. We thrive because of the nutrients we absorb, all of our organs and our body systems need these nutrients to work properly, so if you have undiagnosed celiac disease or have it but cheat on your diet all of the time; you are really doing your body a complete disservice. So keep thinking about it; CD has over 200 symptoms, because it’s affecting everything; your brain, your heart, your gut, your reproductive system, your skin, your kidneys, your liver…maybe you get the point or maybe you’ll have an ah-ha moment soon.

Ok so back to my story. As I started absorbing nutrients, I started gaining weight, rapidly and not in a healthy way. It was from the donuts, the bagels, the cookies, and the endless search for edible gluten free pasta. I felt good though, physically. Mentally was a different story. I was truly mourning food and the experiences surrounding food. I remember my last non gluten free meal was a Whopper that I didn’t even finish and then I got the call from the doctor. From that moment on, I never ate gluten again. I will forever remember that Whopper and that real bun. How sad! I had to learn how to eat at restaurants and try to explain to these poor unsuspecting people what gluten was and why it was so important for my food not to be cross contaminated. I had to learn how to attend parties and not feel like a jerk. That was tough, suddenly I felt like people owed me at least the courtesy of remembering my new dietary restrictions (that was my issue of just missing fitting in, not their issue). I miss birthday cake and pizza, still to this day. I used to stand in the aisles of Wegmans as I was grocery shopping and would call food manufacturers as I was putting food in my cart. Navigating ingredients in food labels is tough when you are on a new diet!

 I have been debating a gluten challenge to get the biopsy for CD. When I tell that to my rheumatologist, she asks me, “well, don’t you feel better off of gluten?” My answer is always yes. But I know that as little as 2 bread crumbs can damage the villi of a celiac. I need to know if I truly have CD or if I am gluten intolerant for quality of life. I would like to know that I might be able to comfortably visit another country and just eat something and deal with a consequence that won’t have a serious effect. It’s a struggle because I know a challenge will make me feel so lousy. So for the time being, I consider myself a Celiac and I am definitely a proponent of spreading the word on why it is important to get tested, why it’s important to strictly follow the diet, and why it’s important to not gluten me J

When clients come into my office with a new diagnosis, I can honestly say I know how you feel. There truly is a feeling of loss and sometimes hopelessness. I like to show you how to embrace that change with confidence. I LOVE when someone walks into my office and they were told they have a disease or diagnosis that requires a diet change and by the time they leave they are filled with palpable hope, excitement, and a determination to make those changes to better themselves!

MD’s (or even friends or family members of MD’s help spread the word!) if you are reading this PLEASE for the love of God refer your patients to a Registered Dietitian. They need a human being to have a lengthy conversation with regarding their diet. They cannot be given a diagnosis and sent on their way to figure it out on their own. I have seen the consequences of using Dr. Google. It’s not helpful in improving their health and may actually be damaging to their mental well being for a variety of reasons.
**Need some cards or would like to chat? Please contact me 585-563-9000!**
This is my beautiful friend Emily as she climbed her first mountain, literally! So proud of her!

Thursday, April 27, 2017

Just the Beginning


Growing up was kind of a blur. I remember not feeling well, being tired most of the time, always complaining of a stomach ache, riddled with an overwhelming sense of being shy that caused a lot of anxiety. I held on to these feelings throughout my school years, high school was the worst. I really had no drive to succeed or even try to do well; I am surprised that I passed any of my classes. There were multiple factors that contributed to this, none of which I will get into. I didn’t feel like I had the brain power though. Not that I felt stupid, but I was just always in a fog and that played a serious role in my participation in school. I turned to other things that didn’t really require me to think, they just let me be and do something “productive”. It was not productive or time well spent, given that we only have so much time on this beautiful planet.

I graduated from East Ridge High School in 1999. I got my first real job shortly after graduation. At that point, my body started to feel more ill than my head. Not only was I having stomach issues (constipation, diarrhea, bloating that was so terribly painful), now it was turning into headaches, allergic reactions to the sun that was never a problem before, rashes all over my body, I remember being really thin (I remember size 0’s being too big), a diagnosis of endometriosis, and I’m sure more symptoms that I’m forgetting. If I complained at work about how I felt, they sent me right to the doctor. And I am so grateful for that because going enough times allowed my primary care physician to finally just refer me out to a specialist.  I will never forget an appointment where I just had terrible stomach pain, nothing I could really describe, I just didn’t feel good! The doctor pressed on my belly, told me to take some Metamucil, a pregnancy test, and to call him in the morning. Way to give me the brush off instead of try to find the root cause. I developed a rash and he sent me to a dermatologist. She took a skin biopsy and popped into the treatment room and said “You have lupus and need to see a rheumatologist” and she walked out. Leaving me crying and alone. I saw the rheumatologist, (Dr. Tammi Schlotzhauer) and she listened to my mother and I. Everything we said and every symptom we wanted to mention, she found important and she listened. She took some blood tests and I got the call that my gluten antibodies were elevated and I had to eat gluten free. The lupus was confirmed and I had positive antibodies for Raynaud's and Rheumatoid Arthritis as well. My world just turned upside down!

I had no idea what to do or what to eat. What a mountain to climb! I was referred to a dietitian at the hospital and she literally showed me food models and discussed portion sizes with me. Not one bit of that conversation was about gluten. I was so angry and even more confused than I was before. I went to my mom and told her that I can’t let that happen to anyone ever again. So I went to the admissions office at Monroe Community College and enrolled in the 2+2 Nutrition Management program at Rochester Institute of Technology and the rest is history.

That dietitian has never left my mind. She could’ve been an intern for all I know! It taught me that we are all different and we each have something unique to offer in this profession. It’s certainly not her fault that she didn’t know how to educate me on a gluten free diet but I could’ve been given resources or a referral to an RD who could help me. Either way, I had to find my own way and I took that as an opportunity to grow and teach others.  Since then, it has been my goal to open up a private practice and help people in a way that is meaningful to them. A way that is easy for them to understand, that helps them sort through the fact from fiction, and a way that will allow them to live the life they choose to live while incorporating the diet they may need to follow. I am far from perfect but I work hard to learn from each encounter and I grow every day, with each new client that I see. And I haven’t eaten gluten in 15 ½ years and I feel amazing! I have never been medically treated for ANY of my autoimmune diseases but they are monitored annually.

Tuesday, January 3, 2017

On New Years Eve my daughter and I celebrated our 3 year #breastfeeding milestone! Our relationship is very special and we wouldn't change it for the world. I have to say, when you're in the position of nursing an older child, they are still your baby, it still feels like a natural thing. From an outside perspective, it might seem odd and you may wonder why this little human is still nursing and are they really getting a benefit. I can assure you, they are still receiving #nourishment as well as #nurturing. Those #antibodies are a blessing with daycare germs too! Are you celebrating a milestone? #normalizebreastfeeding #rochesterny #nutritioncareofrochester


On New Years Eve my daughter and I celebrated our 3 year #breastfeeding milestone! Our relationship is very special and we wouldn't change it for the world. I have to say, when you're in the position of nursing an older child, they are still your baby, it still feels like a natural thing. From an outside perspective, it might seem odd and you may wonder why this little human is still nursing and are they really getting a benefit. I can assure you, they are still receiving #nourishment as well as #nurturing. Those #antibodies are a blessing with daycare germs too! Are you celebrating a milestone? #normalizebreastfeeding #rochesterny #nutritioncareofrochester

www.nutritioncareofrochester.com