Month: July 2019

How To Hack 5 Days Of Fasting And Ketosis For MS

Warning: It’s about to get all diet-y up in here. In addition to the unfair body standards we’re all subjected to, chronic illness seems to invite a whole new level of judgement. MS IS NOT YOUR FAULT. If you have a history of disordered eating, fasting and ketosis for MS may not be for you. This isn’t medical advice; it’s just what I’m doing. Always talk to your doctor. 

How To Hack 5 Days Of Fasting And Ketosis For MS

There’s a lot of buzz around fasting and ketosis for brain health and even as an MS treatment. Call me basic, but I love a trend, a fad, and even a craze. So when my naturopathic doctor (ND) suggested I try the Fasting Mimicking Diet® (FMD), I was like, sign me up. And while you’re at it, I’ll have an aperol frosé after I put on this oversized hat, and dig out my 90’s bike shorts. 

Regular sized hats are so last year.

More than a ketogenic diet, the FMD is a 5-day plant-based plan that tricks your body into thinking it’s not eating, thus thrusting it into survival mode. The idea is to reduce inflammation, boost cellular rejuvenation, reset the immune system, and stimulate the body’s own stem cells.

Intoxicating words for someone with MS.

The science behind fasting and ketosis for MS

Here’s a boring link some captivating science you should totally read, or at least make your doctor read, if you have any intention of trying to temporarily starve yourself to health.

While there are different interpretations of intermittent fasting, my ND, Dr. Deprivation, wanted me to try ProLon®, a convenient but expensive kit full of soups and snacks and everything you need to (not) eat for 5 days. 

Unfortunately, ProLon is packed with things I’m allergic to, and since I didn’t love the idea of death by low-calorie diet bar, Dr. Dep and I decided to create the Ardra Protocol (AP): a bespoke menu to match the macros of ProLon (50% fat, 40% carbs, 10% protein, 0% joy), adjusted for the amount of calories it takes to keep my slow-moving, mostly supine body alive.

My instinct was to do the math on how many chips and glasses of prosecco this translates to, but the answer was unlimited lettuce and not enough hooch. So I figured out a smoothie, a soup, and a salad recipe instead. My Fitbit (but like, SitBit) app let me log every calorie consumed while simultaneously tracking my macros.

Despite ProLon’s hefty price-tag, I felt a skosh of remorse that I didn’t send them my Starbucks points, or even my Canadian Tire money for all their R&D efforts. Normally my cold heart wouldn’t care, but the majority of ProLon’s proceeds go to charity. Wow!

On the other hand, the packaged diet claims it was designed for people who are “busy” and “on-the-go”, and I am neither of those things. So.

Can’t talk. Busy.
 
Finding 5 consecutive days to fit a ketosis inducing fasting fake-out into my life was tricky. I didn’t want to sacrifice my social life, or even one weekend brunch. Plus, I was advised not to fast during a heatwave. That left me a tiny window in July between all-day mimosas and a reunion with my university roommate. Because gossip and catching up means vodka and Miss Vickie’s–the staples of our youth that put her on a path to a PhD and work with the Gates’ Foundation, and me on the road to writing on the internet about peeing my pants. We’re both killing it.
 
Don’t worry, girls. It gets better.
 
See?

Diary of what I didn’t eat for 5 days of fasting ketosis for MS. 

Day 1

9:15 am I have 2 cups of coffee, which is allowed on the AP, otherwise what is even the point of extending your life?

12:30 pm My first calories come from a strawberry, cucumber, pumpkin-seed butter smoothie that I promise to make last at least 30 minutes.

12:37 pm 7 minutes later I’m sucking air through a straw like a philistine. I’m not getting any more of my smoothie, but I’m def giving myself gas.

1:00 pm Despite the speed with which I inhaled my breakfast I feel smug–like this is easy, and I’m the best at fasting, ever.

1:50 pm I heat up my homemade zucchini soup. Meh.

4:04 pm Snack time means a green apple and I’m reminded why I never buy green apples. 

6:15 pm Dinner is a big salad with 4 of the expensive olives I usually reserve for martinis. I slice them each into 6 pieces for maximum olive coverage.

8:05 pm I have 8 cherries and they taste so good I feel like I am doing something wrong.

Day 2

9:45 am Still feeling smugly, I sip my coffee and decide that, so far, mild starvation is not even in the top 5 hardest MS treatments I’ve had.

11:32 am At 152 calories, my first meal of the day is a lower fat, higher carb version of the smoothie I had yesterday. Banana made it better, and I make it last 27 minutes.

I’m already sick of this zucchini soup.

3:12 pm I have some green tea, and no green apple. Apples are only for Day 1 when you’re supposed to ease into things and few more calories are permitted. Anyway, that apple sucked and I don’t miss it.

8:06 pm I savour 1 cup of fresh strawberries and give three cheers for summer produce. 

Day 3

9:37 am I’ve been awake for an hour and I’m a little dizzy. I decide to add caffeine to that, because I make good life decisions.

10: 35 am The rooms’s a bit spinny and I make my smoothie as fast as I can because I’m pretty sure I’m about to barf. I suddenly remember brushing off Dr. Dep’s warning not to do this when I would be alone all day. I down the smoothie and 13 minutes later I’m fine. I mean, I’m fine-ish.

11:34 am I open the fridge to an unholy amount of Oscar-the-Grouch-green soup. I decide to ‘accidentally’ drop it, but realize I lack both the strength to lift such a tremendous amount of garbage water and the energy to clean it up. I close the fridge and go lie down.

12:00 pm I have a meeting which means my afternoon requires that I not faint or barf. I swap my dinner for my lunch and eat my big olive-y salad.

Who says you can’t win friends with salad?

2:55 pm I arrive at my meeting with 426 calories in my belly, praying that the sound of my tummy trying to eat itself doesn’t give away my cheeseburger FOMO.

4:30 pm I survive my meeting, and for the duration, forget about food. On my walk home, a random superhero leaps into the intersection I’m waiting to illegally cross, throwing up his hands in a ridiculous display to stop traffic in 3 directions. This isn’t a diet-related anecdote. Just a day in the life. 

8:00 pm Not wanting a repeat of this morning, I decide I need a few extra calories and ask The Banker to please bring me 1 fig, 5 cherries, and  a small square of dark chocolate.

8:03 pm I send back the fig, asking for a bigger one. He drops the bag on the couch next to me, and I sift through it, touching all the figs until I find the Mack Daddy. The Banker seems annoyed and I remind him that he chose me.

Day 4

8:55 am Last night’s fig binge was a good idea. I wake up feeling fine. Bored with food, but fine.

9:34 am I outsmart my body and have my smoothie before my coffee. I add the avocado that was supposed to be in my salad just to make sure I don’t get the spins again.

2:21 pm I have 2 figs and a cup of green tea. The figs are off-label, but I feel like it’s fine because I did 20 minutes of cardio on the arm-bike. I’m in the bargaining stage of grieving food.

5:56 pm I briefly wonder what Miss Vickie is up to before eating some homemade kale chips with more salt than the Dead Sea.  

Day 5

10:00 am I drink my coffee and stare absently at a mid-morning talk show. I’m struggling, not from lack of calories, but from lack of sleep. I don’t blame the Ardra Protocol; nocturnal nerve-pain keeps me up on the regular.

11:27 am I’m still feeling spacey but I have shit to do, and I need my brain to work. I add pumpkin seed butter to my smoothie, boosting it to a whopping 237 calories. I’ll make it up later. 

1:33 pm I’ll say one thing for ProLon, they don’t make you eat the same fucking soup for 5 days.

2:15 pm I feel hungry and I try to embrace it, imagining that this is the feeling of my body repairing itself. 

3:00 pm I discover that napping is an excellent way to enjoy not eating, then feel pissy for not having hacked this sooner.

I survived 5 days of fasting and ketosis for MS

The morning after my 5 days on the AP, I step on the scale and find I’ve lost 3 lbs. Wine isn’t really a breakfast beverage, so I make a smoothie and pretend it’s a milkshake. I’m following the rules, anyway, as Dr. Dep tells me what we eat immediately after an FMD is as important as what we don’t eat during an FMD.

Well, FML, because I haven’t stopped day-dreaming about gaining back that 3 lbs in pancakes and pie as soon as possible.

I waited 4 more days before I ate this.
 

Is fasting and ketosis the right MS treatment for me?

I give this 5-day plan 5 stars. Compared to the treatments and therapies that have left me with everything from injection site reactions, to migraines, flushing, fever, flu-like symptoms, hives, vomiting, rash, and secondary auto-immunity, the AP left me a little hungry, maybe a tad preoccupied with food. I was never hangry; in fact my mood was better than average, and aside from some touch-and-go moments on the morning of Day 3, I had more than enough energy to go about my daily activities (including exercise).

There is no 5-day plan that will fix your MS. This is about trying to modify the course of MS over years, not days, and while fasting and its effects on MS are still being researched, I feel like I can commit to repeating the AP a few times a year. Depending on my brunch sched, natch.

In the meantime, I leave you with this Ted Talk by Valter Longo, the OG of the FMD.

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9 Things That Will Make Summer Suck Less When You Have MS

9 Things That Will Make Summer Suck Less When You Have MS
 
It’s summer and I don’t feel like writing existential essays about the plight of a tragic, but beautiful heroine making her way in the world with MS. Feeling tragic is a winter activity. It’s 16 days post-solstice and I want the lazy days I was promised–where I can eat ice cream for breakfast, wear my bathing suit instead of a bra, and stare at my freckles until I’m convinced they’re cancer. If I’m writing anything it’s a reminder to take a nap, to not go camping, to pick up more rosé and to maybe get those moles looked at–if there’s time. 
 
But unlike teachers and snowplough drivers, bloggers don’t get summers off (we’re an essential service, obvi), and neither does your disease. MS doesn’t take a vacation. Or it does, but it’s your vacation and it’s photo-bombing you in every frame. In fact, summer can be one of the worst times for someone with MS. Uthoff’s phenomenon means that many with MS experience an increase in symptoms due to an extreme form of heat sensitivity that can make it so hard to function you’re longing for back-to-school commercials before the final bell has even rung.
 
Summer can suck when you have MS, but dear god, so cawinter. So instead of a sad story about summer turning into falling and falling turning into a cold early death, I present to you a few of my top picks to help you sail through the season.

9 Things That Will Make Summer Suck Less When You Have MS

1. Safety shoes that don’t look like safety shoes

I misheels so bad, but there are other options to keep you from looking like you’re auditioning for Shrek The Musical. The sandals you’ve all been asking about are by Ganter, a company obsessed with foot-health and “natural walking”. If, like me, you’re currently rocking more of a supernatural stride, Trend-Able is a great resource for what’s cool and can be worn with orthotics. Trend-Able even has shoe options for dudes.
 
You don’t have to smile when your shoe game is this good.

2. Clothing that’s literally cool for Trippers with heat intolerance

If you wanna get your vitamin D the old-fashioned way without wilting like every plant that’s ever been under my care, these cooling towels by Toronto-made (holla!) Koldtec™ will keep you cool like Drake and dry like Dry (the French rapper you’ve never heard of). Trippers get $5 off and a bonus ice-strip with code TRIPPINGONAIR5, or a bonus ice-strip and $14 off the bundle with code TRIPPINGONAIR14.

3. Hot packs for the rest of us

While most of me knows it’s summer, my dysesthesia-impacted feet haven’t gotten the message. It’s 30 degrees and I’m on my balcony wearing a sweatshirt and down-filled booties. (Yes, I’m also wearing pants, pervs.) I’ve tried SO MANY THINGS to fix my freezing foot pain and these warmers suck the least. The robots at Amazon who package and send them out in July are like what the fuck, Canada, are you really that cold? No, it’s just me. 

Perfect for skiers and shivering consumptives.

4. Face misters

When I lived in France, I saw people carrying enormous bottles of Evian-filled misters everywhere. I think the whole country needs to discover freon, but there’s no denying the French-girl cool that comes with misting mineral water onto your puffy red face with a $25 brumisateur.
 
I got this one for free for buying too much make-up. Suckers.

5. The sound of silence

There are certain sounds we only hear in summer–the saw of a lawnmower, the smack of flip-flops, my dad yelling “Close the damn door; I’m not paying to cool the whole bloody neighbourhood”. And while these noises are objectively unpleasant, none hurt my ears so bad as a tree full of clamouring birds at the crack of 5:12. Or my douchebag neighbours hosting yet another late-night laugh-riot. Either invite us, or shut the fuck up, Todd. 
 
These earplugs are powerful enough to drown out my FOMO while allowing me to get the kind of sleep someone with clinical-grade MS fatigue requires.  
 
Shouldn’t even be legal–you’re def sleeping through a fire-alarm.

6. Clean-ish hair

The first symptom listed on the pamphlet you’re given with an MS diagnosis should be dirty hair. Right at the top. Between the heat, the slippery surfaces, the effort it takes to lift a blow-dryer to my head, and the four days a full shower takes off my life, most of the time, clean hair isn’t worth it. I’m currently testing the limits of how long I can neglect basic hygiene and still maintain my relationships. So far, it’s 7 days. The first 4 of which are made significantly less gross with dry shampoo; for which, I assume, the inventor received a Nobel Prize.
 
My favourite from Aveda. Smells like camouflage.

7. Legitimately clean hair

When my 7 days are up and it’s time to re-introduce my scalp to water and soap, I’m lucky enough to live in one of a number of cities that has an Aveda Institute where I can get a beauty-school blow-out for about 15 bucks. WHAT?! Ok, so you have to sign a waiver, but even if my student stylist turns my blond to blue, or crimps where she should be curling, my hair will still look better than anything I could ever do.

8. Underwear you can get drunk and pee your pants in

Technically, alcohol-induced incontinence is not what these knickers were designed for, or at least that’s not the Knix™ marketing strategy. In fact they’re marketed more as high-tech “period-underwear” that can handle a little LBL (light bladder leaks).  They may not replace your current continence care, but if you should happen to introduce two Manhattans to an over-reactive MS environment, you would be pretty protected while wearing this gitch. So I’ve heard. Bonus points for a design that’s so good, so normal-looking, you’ll never have to mention your unmentionables to anyone lucky enough to see them. 
 
I’ll have two please.

9. Time and Energy

I never travel without Optimus Prime, my cool and comfortable, convertible rollator/transport chair. I surf the walls and furniture on my own time, but when I’m traveling, I don’t wanna waste away in a hotel room, eating $18 chocolate bars, yelling at the slow wifi because I don’t have the spoons left to spend my $18 on a Campari-spritz at a tourist-trap bar the way God intended.  
Triumph Mobility is offering TOA readers a $100 discount and a free cane/bag holder on a Rollz Motion with code TRIPPINGONAIR in the US and Canada. Or click here for New Zealand, here for Australia, and here for The Netherlands. 
 
This kid knows how hot it is.
What are your summer health hacks?
 
Stay cool, Trippers. And happy summer! 
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