The Results of My Walking Challenge :)

For the past several years I’ve been trying to lose weight. I tried Weight Watchers, I tried various eating plans--low carb, glycemic index-based, hormone balancing--I tried exercise—cardio and strength training--I tried combinations of all three. I was determined, come hell or high water, to shed those excess pounds that had gradually appeared around my middle.

Well, hell is exactly what I got.

PMDD begins with an imbalance in a woman’s hormones, but through some complicated process scientists and doctors have yet to fully understand, the end result involves a lack of serotonin in the brain. Serotonin is a neurotransmitter that regulates mood. Lack of serotonin in the brain = depressed mood.

One thing that helps to create serotonin in the brain is carbohydrates. What do women with PMDD crave? Carbs. So no, you’re not crazy, and you don’t lack willpower. Your body is telling you what it needs with a vengeance. Your craving for carbs is simply your body telling you what it needs to bring it back into balance. This is why at times we can’t seem to stop ourselves from eating the sugar, the pasta, the chocolate, the quick fixes.

The problem only worsens when we reach for carbs with little or no nutritional value to feed our need for serotonin, but that’s a post for another day.

Today I want to talk about diet and exercise and PMDD. Exercise overall is good for anyone, so let’s get that right out of the way. While you’re exercising, you’re boosting your immune system and endorphins, strengthening muscles, including or especially your heart, building bones, toning, firming, and burning calories. The problem for a PMDD woman, however, is when our bodies are out of balance, and especially when we’re having an episode of PMDD, exercise can make the PMDD worse. (Again, for you to experience the full benefits of any exercise program, you have to balance your hormones first.)

What do most diets tell you to restrict these days? Carbs. What does a PMDD woman crave? Carbs. What happens when she doesn’t get them? PMDD. What happens when she gets the wrong kind of carbs? More PMDD. What does any kind of cardio or strength training exercise do? Burns carbs. What does a PMDD woman need? Carbs. Do you see where I’m going with this?

This time last year I was a mess. I had made a vow in January of 2009 I was going to lose those excess 20 pounds, no matter what it took. I was restricting carbs and doing 45 minutes of cardio five times a week. That wasn’t working, so I upped it to an hour a day. I ended up with such a lack of serotonin in my brain that my PMDD episodes were lasting not just days, but weeks.

Something had to change. I went on a research binge and read everything I could get my hands on about PMDD. I found out I was causing my own problems by restricting my carbs and exercising so much, thereby burning the very carbs I needed to produce serotonin in my brain. My body was screaming in protest, sending me into longer and deeper troughs of PMDD.

So the first thing I did was start listening to my body. When it wants carbs, it gets carbs. I did, however, slowly get rid of 95% of the non-nutritional carbs in my fridge and cupboards, and replace them with healthy, nutritional carbs. Fruits, vegetables, whole grains, you know the drill. The problem is not that we don’t know what’s good for us, it’s that we’re unwilling to make the change to better eating habits, until the pain of living in hormonal misery all the time forces us to make the change.

My eating habits today are 100% better than they were a year ago, and they weren’t that bad to start with. I’ve never been a fan of sugar, can’t eat corn syrup at all. It gives me a headache and makes me grumpy. Sugar makes me nauseous. So I started with eating better. I realized I was self-defeating myself with so much exercise, and made the mistake of stopping altogether.

Just until I get my hormones back on track, I told myself. Well, four months and ten pounds more later, my hormones were still out of whack and I was well out of shape…

Slowly, one baby step at a time, I had to get back into the swing of things. I had to get my body back up to the level of exercise I had been at before, or risk gaining even more weight, plus increasing other associated health risks.But boy did my body protest. No matter what I did, every time I moved it in a different way, it got stiff and sore for a day or two. Before long, everything was hurting. This didn’t make sense…what the heck was going on?

Well, for one, I’m getting older, and it takes longer to get into the swing of things again once you’re older. Even if you’re just a little bit older, I quickly learned, when you’re at my age, which is 52. Muscle response times just aren’t the same.

So after pulling a few muscles and nearly incapacitating myself, I settled for walking. Baby steps. I joined a walking challenge at my YMCA, 100 miles in 100 days. Shouldn’t be a problem, right? I started with 1-2 miles a day, and quickly moved to 2-3 miles a day, then 3-4 and 4-5. It was amazing how the miles piled up. In the first 50 days, 19 of which I skipped off and on, I already had 85 miles. How was that possible? I was going to reach 100 well before the deadline.

So I upped my personal challenge to 200 miles in 100 days. With just three miles a day of walking, I could easily make that. An added bonus was we could use time on the treadmill, cardio, or cycling machines to count toward our mile totals. During the course of the second part of the challenge, I started with ten minutes of cardio on the elliptical, and worked my way up to 30. Any more than that, I’ve discovered, starts sending me into the negative carb column again.

On Monday I completed my walking challenge. I did 203 miles in 100 days. I’m now regularly walking 20 miles a week. And you know what? I haven’t lost a single pound. I weigh exactly the same as I did at the beginning of the year, when I once again made a resolution to lose weight.

So….I improved my diet 100%, and I went from nothing to walking 20 miles a week. Things shifted, sure, and tightened and toned, but the scale, she wouldn’t budge.

It’s the hormones. They’re still not in balance. I can tell by the way my body feels, and how it responds to exercise. The harder I exercise, the worse I feel. 4-5 miles a day was too much. 3 is a good number for me, in a combination of the elliptical and walking. Too much cardio and I burn too many carbs and feel wiped out afterward. A two-mile walk, however, especially on a bad day, energizes me and improves my mood.

So…now that I’ve got the eating and exercise habits sorted out, next on my list is balancing the hormones from within, through good nutrition. In the meantime, if you’re cutting carbs and exercising like a fiend and still feeling miserable, maybe this post will help you to figure out why.

Saliva Hormone Testing, Pro or Con?

I had my appointment with the so-called hormonal specialist in town this week. The one I have been waiting for, for months. I went to see her in August, with disappointing results, because it was clear the true focus of her practice was elsewhere (as in botox injections and chemical peels, both of which are truly hazardous to your hormones), and I apparently know more about the subject of hormonal imbalances than she does.

But after calling all around town, it was clear that only she and one other doctor were the only ones in town doing this type of hormonal testing at present, and if I wanted to get it done…

Well, I knew it was a mistake the minute I dropped the samples off at the UPS shipping post. The instructions had been so specific about keeping the saliva samples in the freezer and mailing them off THE NEXT MORNING. You could go with UPS or the postal service, but I knew the US mail didn’t go out before three around here anyway, so I opted for UPS. I walk in with my little test kit, and the woman says, “Fine, just leave it on the counter.”

“When do they pick up?” I ask. “Oh, sometime this afternoon.” In the meanwhile, my little kit sits out in the open on the counter of a store that has its front doors wide open to the fall sunshine. How could the samples not be corrupted?

I ask this of the doctor when I see her, and she looks at me like I’ve grown two heads. “I don’t know,” she says. “It’s not a problem.”

Well, I see it as a problem, because my test results turned out to be totally unexpected and off the charts in some areas, and she can’t explain why. She just kept looking at the results, and circling them, and saying nothing more than, “Well, that’s what it is. As you can see, its…high.” She drew in some upward arrows for effect.

It turns out, that according to the test results, instead of a deficiency in my hormones, I have an excess in some areas. This causes a problem for the doctor, because apparently the procedure is, she tells me I am low in this, this, and that, and then tells me I am in luck, as she has just the supplements I need on hand.

Be very wary of any kind of testing that comes complete with (their own) name brand products as the solution to your problems.

Fortunately, however, she was out of the one thing I was deficient in, Vitamin D. I told her that was okay, I’d manage to get some on my own (from a company I know and trust).

In the meantime, I ask the doctor, “How do you get rid of excess hormones?” She looks at me. “I don’t know.”

Well, I know, because I read it somewhere, but I don’t remember where, because it was just something I read and had no idea I’d be needing.

“I’ll call the lab and see what’s going on with these results,” she says. “Why don’t you make an appointment for next week to come back and find out what they said?”

This time I looked at her. “Why don’t you just call me and tell me what they said?”

Meanwhile, I ask her what could possibly cause my hormone levels to be so high. I know the answer. I want to see if she does. After all, I’m the one paying her to tell me what the problem is. She fumbles badly until I give her a clue, then she takes off with it, all the while, asking, “You know what I mean?”

Yes, Doctor. I know what you mean. I also know that you’re winging it here and it shows.

In the end, she decides I need more testing, and bounds out of the room to figure out what test I need. No way am I doing this saliva test thing again, which several doctors in my research books have found to be unreliable. They recommend blood serum tests instead.

I ask her if there aren’t any blood serum tests I can take to get a better picture of what’s going on. “Why?” she asks. “It won’t do any good.”

This is the exact quote I have read over and over again in my books about women seeking help for hormonal issues, being shut down by their doctors who either have been trained to say or truly believe blood hormone tests aren’t reliable.

But how can the home-collected saliva tests be? It’s impossible. At least when you have samples taken at a lab, be they blood, urine, or saliva, they keep them refrigerated, and transport them in refrigerated containers. God only knows where my samples sat during the five days it took to get to the lab. I sent my samples off the 25th. They weren’t tested until the 29th.

A few weeks ago, I went to what was billed as a seminar on saliva hormone testing, being sponsored by a local pharmacy. A compounding pharmacy, one that can create individual prescriptions for women with hormonal imbalances, once the testing kits show where they are deficient. The room was filled with about forty women, all middle-aged. The presentation was completely on target and informative. The information was correct.

But it was a marketing presentation all the same. Go to your doctor, ask for these kits, get your hormones tested, then come back to us for a consult and we will mix up the perfect prescription for you.

Sounds like a dream come true to women who can’t sleep, can’t lose weight, are either bitchy or want to cry all the time or both at the same time, have hot flashes, headaches, backaches, swelling, cramping, bloating, joint pain and are either losing their hair or growing a moustache, just to name a few symptoms. And don’t forget, we’re all exhausted, and not interested in sex.

But they warn you the testing is imperfect, and it may take a few tests to get your prescription right, and you will need to be tested every three months thereafter to make sure the hormones they are giving you are the right ones for you.

They do not mention the cost, nor that it is not covered by insurance, nor that there are only two doctors in town who subscribe to this method of testing, and one of them is a woman who doesn’t know the first thing about interpreting the results. All she knows is how to hand you a kit and say, “Call me for an appointment to get the results.”

This is the same woman who 7 weeks ago, upon speaking with me for 15 minutes, strongly suggested I go on anti-depressants as the solution to my hormonal problems, which I refused, because countless case studies show that doing so only makes the symptoms worse. Hormonal imbalances are so individual, because each woman’s physical make up and life stressors are so different, that prescribing one pill to take care of them is like asking every woman to wear a one-size-fits-all-tent dress.

This time, after seeing the high levels of my hormones, in particular my serotonin level, which is what the SSRI anti-depressant would supposedly boost, she did a complete 180. As I was leaving, I asked her, just to make sure, “Now, you don’t recommend the anti-depressants any more, correct?” And she looked at me. “Well, you’re the one who said you wanted to go natural, right? You can’t do that if you’re on anti-depressants.”

Professionalism at its finest.