November Begins...

I hesitate to post because [once again] I have no idea where to begin or even how to sum things up. Nonetheless, I want to update as November begins [and I have big plans for it and the rest of this year!], and before a crazy week kicks in [training for my new job working in the nutrition department at the hospital! ….and school midterm stuff –YUCK!] I’ll start by summing up the good/bad:

The good:
>My pelvis is feeling so good these days that I continuously forget I’m injured! I don’t gimp around or walk carefully, and in my strength training class I have to consciously make myself go easy on the legs because the exercises don’t cause any pain!
>I am getting stronger way faster than I new possible. Each week when I hit the lifting routine [I have two different routines I do on my own] whatever weights and reps I did last week feels like nothing! And it keep happening every week!
Also, I can cross train at progressively harder resistances on the same speed.
>These last two weeks I’ve managed to overcome my stomach ailments and malabsorption issues PLUS a lot of getting sick and taking a mega laxative for the biopsy/endoscopy…
...and gain [+ hold strong] a real pound!
I know it seems like nothing, but I haven’t really held on to weight gain in ages, and with everything going on I expected to be fighting a loss—even my mom warned me about how much weight I’d lose through the procedure. …or not—HAH!
>While I have a lot of work to do on my diet, it has improved dramatically. I eat 500-1000 cals more than I did when training twice as hard, and for the most part I’ve almost doubled my fat intake [something I need but don’t particularly crave—I’ve always been a carb addict, I swear I grew up on a 99% carb diet!].

The Bad:
>While I seem to be healing in every other way, my trial runs haven’t improved. I still can only carefully gimp out 3m at 11mpm as I gingerly gait in a way that involves the least pulling on the strained pelvis/groin.
>GI issues are still taking a major toll on my life. Not only do they make my fulltime eating job worse, but they hinder what I get out of it. It really messes with my time, my mood and self, and my reputation—all the way to things like my work and school!
>On that note, equally frustrating is the medical dilemma. So much that I need in terms of medical testing and care is off limits since I don’t have insurance. That goes for the injury, GI problems, and treatment for my newly diagnosed severe [alarming according to the Dr. I was able to see] anemia.

So…from there I guess I’ll move on with the latest bit of medical news—the anemia. I was surprised with this, as I always thought to be iron deficient one was chronically tired. If anything, I don’t sleep enough—although I do live a pretty sluggish life I suppose. In any case, it explains a heck of a lot about the frustrating end to the summer. Suddenly not seeming to be able to get my runs to where they used to be, much less at the level they should be with the kind of training I’ve put in.
The good thing about this diagnosis is it’s a straightforward fix [fill the iron deficit] and I can only imagine what I could feel like if I had even just half a normal ferratin level!
The bad is that it’s really challenging to actually make up the deficit, especially one as big as I’ve got, through diet and even a supplement alone. I really need treatment—ideally an IV treatment or two—or at least a prescription…and I don’t have that option due to finances.

So, to sum it up and skip a lot of saga the point here’s the scoop right now

I’ve been diagnosed as severely anemic [ferritin <0.5] with low white blood cell counts, progesterone, and follicle stimulating hormone [whatever that is!]. This, combined with [and most likely contributing too] another round of injuries, has led me to totally reset my training [just starting to run at all again, <10mpw, after a couple weeks off and deferring my marathon].
The physical issues I am dealing with in terms of anemia, being underweight, poor injury resistance, and possibly deteriorating bones, are not as “simple” as they may be for your typical underweight/malnourished runner. That is to say that in my case, eating properly and eating more don’t solve things for me. It take 2-3X the amount that should give someone my age, size, and activity level adequate nutrients, calories, calcium, iron, and so on to be in top physical condition. Yet I have the body of a starved anorexic.
This means that a vital part of long term health and my running future is dependent on getting to the root of this. Yes, I may be able to overcome for yet another come back, increase my iron, and even to force some weight on. But unless I get the underlying cause under control who knows how long that can last for me.

The main problem is what I noted about finances. I already ran myself broke for the original round of tests and have exhausted what Dr. visits were allowed before I have to start choking up $$. The endoscopy flopped [the prep didn’t work] and whiel I hope the biopsy might come up with something, the Dr. really wants me to go through at least a test where you swallow a pill with a camera on it to go through your digestive system. This is really important for identifying irritable bowel diseases. Furthermore, I need real treatment with my iron at the levels I am at—another thing off limits to me.

So anyways, I might as well stop moaning about what I can’t deal with and now focus on what I do plan to do.
Basically, it’s going to come down to lifestyle management.

1. With the GI issues, while I might not necessarily be able to cure a disease [unless it’s Celiac’s], I have learned that one way or the other I will need to find the diet that works with it. This goes with all conditions from gallbladder to diabetes, and mine being digestive is certainly no exception.
Hence, I plan to start a real elimination test/diet buildup that I go through with. I’m not just
winging it randomly this time. I’m preparing, seeking information, and setting myself up for real progress with it.

2. With my training, I absolutely have to keep my eyes on where I want to be vs. what I can do now. Not only to maintain hope, but just plain to make sure I do, or don’t do, what I need to now in order to get there. Right now this might mean cutting out what little running I’m doing altogether again, since it seems to be the one thing not improving. I hate to lose what little taste I get, but ultimately I want to be REALLY running as soon as possible.
I’m looking to 2009, and using 2008 to set up for that: where I want to be then—making sure I’m healthy, solid, and ready to progress to the “extreme running” I love so much—and to do it long term, not only not in shaky territory with my body, but with the kind of performance I really want out of it!

In specifics, here’s November’s Gamplan:

Training
Exactly what I said with #2. I’m giving one more run a shot tomorrow, but then going to do whatever I need to get solid. Next week I plan to work what cross training and strength I can around how I’m doing physically—I am not setting criteria or expectations except that I want to do [or not do] each day what ever will best serve my future.

Diet
I am once again going for a solid 4000 kcals a day. Ironically, when I went on this mission last time I was running 80-90mpw, and I couldn’t hold that level. Can I really do it now? We’ll see…I think getting yet another 500+ calories on top of my recent 3500 average will ensure that I continue to overcome whatever I’m not absorbing [or burning off with a metabolism that seems to catch up and fight me on every increase] so that I can maintain the positive energy balance I need to hold—both to gain weight, and weight gain aside [because my Dr. said the energy balance was the key here—not the weight or even % body fat!], to allow my body to give me a period again [vital for my bone health].

In addition to the total cals, I’m continuing to work on increasing my fat, iron, and calcium intake. I’m also cutting out all the “diet treats” I enjoy [since my house is full of it with everyone dieting—hello kashi and light versions!], reducing fiber, and working on eliminating soy.

Next week I plan to start my diet builup/elimination testing. This week I am carefully monitoring possible triggers, although I have to admit the whole GI thing is such a mess right now I know that won’t give me any straight forward answers—which is why I have to clean the slate and rebuild my diet from ground 0, testing one thing at a time, to really find what works for me.

Before then I have time to prepare, set up my testing system, and also go to a celiac/food allergy and intolerance meeting next Saturday which will hopefully give me more insight, guidance, and support.

I’ll need all of the latter I can get! I have tried to do this a number of times but always caved—when I’m trying to force large amounts of food on an uncooperative system, I get sick of guidelines and just want to eat whatever. But in the long run, I know eating will be easier and even enjoyable if I can go through with this—now if only I can remember that when I’m not feeling the umph!

In any case, time to hit the bathroom and hope it’s as painless and quick as possible…then it’s 1000 cals more tonight to get Nov. 1 to 4000!
-->Which brings me to another big goal: TIMING!
I do NOT want the calorie increase to leave to even more late night cramming. It’s hard to eat 4K style all day, especially when trying to cope with GI issues and function…but it all becomes ten times as bad when I have to do this night binge thing.