Weight Loss With Chronic Fatigue + Pain?

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KrisWark

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Hello!

I was diagnosed with CSS a number of years ago for primarily chronic fatigue. I was able to mysteriously recover when I stopped eating gluten. One pandemic and 50 lbs weight gain later, the fatigue has returned, along with a significant amount of pain, burning skin, etc.

I have a theory that losing the excess weight might help with the pain, but I'm at a loss about how to do that when overexertion makes the pain/fatigue worse (and typically sets in after about 2 hours of being out in the world, without doing any sort of exercise). I'm afraid to cut calories too much and worsen my fatigue, and I really struggle to find the energy to cook meals regularly or track what I'm eating with any consistency.

I've been embracing pre-made foods (like pre-cut veggies, frozen kale, "healthy" frozen meals, protein drinks, etc.) , but wondering if there's something else folks have tried successfully? Or any habits/approaches that have allowed you to lose weight healthfully without aggravating symptoms?

Ideally I'd like to set up a consistent routine of some kind...

Thanks in advance!
 
Good for you for taking on the job of losing weight, and for taking care of your self better in general.

I am sorry I don't have advice on weight loss, because I am actually too thin. But I bet someone else will have an idea. I just wanted to reply to you so you know that we are supporting you in this.
 
Hello!

I was diagnosed with CSS a number of years ago for primarily chronic fatigue. I was able to mysteriously recover when I stopped eating gluten. One pandemic and 50 lbs weight gain later, the fatigue has returned, along with a significant amount of pain, burning skin, etc.

I have a theory that losing the excess weight might help with the pain, but I'm at a loss about how to do that when overexertion makes the pain/fatigue worse (and typically sets in after about 2 hours of being out in the world, without doing any sort of exercise). I'm afraid to cut calories too much and worsen my fatigue, and I really struggle to find the energy to cook meals regularly or track what I'm eating with any consistency.

I've been embracing pre-made foods (like pre-cut veggies, frozen kale, "healthy" frozen meals, protein drinks, etc.) , but wondering if there's something else folks have tried successfully? Or any habits/approaches that have allowed you to lose weight healthfully without aggravating symptoms?

Ideally I'd like to set up a consistent routine of some kind...

Thanks in advance!
Hi Kris - some thoughts / ideas...
Interesting that gluten free helped, but not that mysterious, whether directly via gluten, which some people have, or via a healthier diet.
Even more interesting - and also prap self-inspiring?: You were able to do gluten free despite your fatigue - are you now, can you?
More mysterious for me personally is the pandemic leading to weight gain - as I can do so many types of exercise at home/alone. And you?
Interesting you should mention burning skin - whilst mine has always itched, being dry, my histaminey-jab-reaction/MCAS makes it burn even more - increasing GABA, decreasing histamine in food and adding an antihistamine has helped.
I'd thoroughly agree that losing weight doesn't just improve general health, it can help with the pain and especially the fatigue.
The main motto for keeping moving without overexerting/overdoing is keeping to the sweet spots. And that may be seconds.
Being able to be out 2 hours without doing any sort of exercise is absolutely brilliant - I can seldom manage that.
But I do several hours of exercise every day - just in stints of minutes, some things for 1 minute, others for 10, I'm managing to increase certain stretches like sitting cross-legged for up to 20 minutes.
Making it a habit to do something whilst I'm doing other things, especially waiting for something or eating or resting.
The difference is that I (we?) have much less stamina, whilst we can use energy bursts or at least short stints of exercise.
As a workout I'd recommend the "scientific" 7 minute workout (see youtube videos).
On good days I can get thru it well, on medium days I due a stripped down version, length or intensity.
What I've started of late is the horse stance: Very short, very intense - not good on very fatigued days, but as soon as my energy is up a bit I try 20 to 60 seconds, very refreshing.
I very much doubt cutting calories will intensify fatigue, I think the weight factor far out...weighs that.. as well as eating healthy.
Some people cook more and then freeze...
What I do is concentrate on raw veggies - I'm lucky that I love the taste.
I've had to change my diet for several reasons and have ended up there. For calories I eat nuts, which I also love, as I don't eat meat.
One of my "staple diets" is Mediterranean, also healthy, also recommended by studies for FM as well as the lipids I strated it for.
If your pre-made foods are unprocessed and without additives I wouldn't see a problem with them.
For healthy diet unprocessed foods is one of the big ones.
It's even actually essentially at the bottom of things like the "low carb diet".
My habit/approach is to only have the "right" foods at home,
to look for new things I love, like first fearing to eat sweet potatoes or broccoli raw and then realizing that there's absolutely nothing wrong with that and then so much acquiring the taste that I love starting meals that way
(chicory first is sposed to be best, so that's the bitter start).
In the mornings gluten free muesli.
And I start the other meals with the raw food and only add cooked foot to fill up.
I now have to cook freshly more often to keep histamines down, but I keep it simple:
One veg which is quick to prepare, e.g. broccoli, and either wholemeal rice or potatoes,

To get into new routines fast (actually: usually immediately) I do do a lot of "tracking", I admit, by writing everything on my blog.
But if something is stubborn, I cut thru the fog (whether ADHD / brain / pain / fatigue or whatever)
by using tokens/rewards - "a game" ;-) (as @squishpunk inspired here).
Just counting the amount of minutes I have done "self-physio" motivates me.
I have a list of 40, of which 30+ are physio, some just "self-care".
To motivate me to do them I pick out and prioritize those I want to do next, so I focus on that.

To decrease pain & fatigue and to increase strength I also use breathing exercises, especially Wim Hof's, but also just deep breathing, or breathing alternately out and in thru each nostril for a time. (And cold showering.)

Any ideas here for you?
 
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Being able to be out 2 hours without doing any sort of exercise is absolutely brilliant - I can seldom manage that.
But I do several hours of exercise every day - just in stints of minutes, some things for 1 minute, others for 10, I'm managing to increase certain stretches like sitting cross-legged for up to 20 minutes.
Making it a habit to do something whilst I'm doing other things, especially waiting for something or eating or resting.
This is, of course, a brilliant way of going about it. No one laid down a law that says you have to go to a gym or run three miles or any specific thing. When I lifted weights I did all of it at home. There are so many things you can do at home and hundreds of videos available to help you do it. Online many are free. I found that having the video was great encouragement when I first got started, and helped me to remember what all to do. Literally any amount of movement and exercise you do counts.

to look for new things I love, like first fearing to eat sweet potatoes or broccoli raw and then realizing that there's absolutely nothing wrong with that and then so much acquiring the taste that I love starting meals that way
This is also a big key I think. Because "diet" often means not eating what you like and eating what you don't, diets often don't work. One does best by finding what healthy foods one does love and eating that. And then removing from the house anything that would not be healthy to eat.
 
I couldn't get out of bed due to pain and doctors couldn't help so went to alternative doctors who had me quit sugar, grains, dairy and nightshade veggies. It wasn't as hard as it sounds. I can eat everything I want with substitutes. My husband decided to eat the same and lost 30 pounds the first month. We eat the best tasting food and I can go back to gardening and cooking with way less pain. I use a Paleo base for diet but cut out anything that upsets my body like red meat.
I hope you find something that works for you.
(((gentle hugs)))
 
@JayCS Thank you so much for all these great ideas! I never think to break things up into smaller doses (partly because once I stop, it's very hard to get started again), but I love the small doses of exercise idea - this also allows for starting small, and building consistency (my two hours is on a good day and when life demands more, I take many days to recover and struggle with basic tasks...but could almost certainly still do a minute here and there). I will definitely try this!

I will be checking back to this comment/thread to try some of your other ideas as well! One thing at a time...

(I had energy to go gluten free at the time because I had a weird thing where I got an infection and needed a course of IV antibiotics which somewhat counterintuitively made me feel a lot better for a little while...enough energy to cut out gluten, which led to a near elimination of my symptoms within weeks...I'm still gluten free, which is easy now, and also did the FODMAP diet and identified some triggers that I now avoid but I think pandemic stress + an anxiety medication I was on colluded to cause the weight gain + resurgence of symptoms.)

A friend has also suggested a meal delivery service, which might not be in my budget but I will look into, since eating healthy foods is so important and ao difficult to do consistently, ime!
 
@Creola17 I'm so glad to hear you are able to do things you enjoy with less pain! I really think there is a lot of healing potential in finding the right kind of foods for our body!
 
If you need any recipes (most are quick and easy), email me.
 
Hi Kris,

I'm sorry to hear you had a rough ride through the pandemic. I'll second (third or fourth?!) the suggestion to start realllly small with activity. I've also experienced medication-related weight gain several times, and know how deeply frustrating it can be. The way I try to look at it is that when we hit these obstacles, fibro tends to close the door on the most obvious route to where we want to be, but there's usually a detour to find if we hunt for it. I'm sure you're going to find the right path!

Just like Sunkacola, I was very sporty and into weight training before fibromyalgia. Learning to approach activity in an entirely different way has been a real challenge! The only way I found I could get moving at all was by starting with doing something gentle for as little as ten minutes per day, and then gradually increasing it over many months. By taking such a slow approach, I managed to slowly up my tolerance for exercise (or whatever else I want to get done) without kicking off a flare of my symptoms. I started with walking, then gentle swimming, and now - some two years later - can do some training with really light weights - making the concession that I can't get away with throwing heavy things around anymore! I also use short workout videos from YouTube, which has tons of 10-15 minute routines. I'm a Tracy Anderson fan (something that the old me would have cringed at) because her mat workouts are really light on joints, but there are tons of different trainers and practitioners to explore, and it's easy to build a routine once you've got something in place that you actually like doing.

The diet trick that helped me get back towards feeling happy in my body was coming up with really easy-to-prepare and 100% healthy meals - like frozen berry and protein powder smoothies, or greek yoghurt with pumpkin spice - that I can whip up no matter how rubbish I feel. I usually make two of my meals each day something that I can prepare in a single easy step - that helps me keep my intake healthy, and spares more of my energy for either doing my daily exercise or getting whatever chores or work on my list done. It's not an easy balance, but all of the tips above are great. JayCS is a master of tracking what he does and documenting the results, which is incredibly helpful for us all! I hope you find the right balance for you 🌻
 
@Jemima thank you for this advice! It's nice to "meet" others who used to be active as well, and have found a way to have meangingful activity in their days again. I used to trail run, rock climb, ski tour...and now most days I find it too much to take the bus...like you said, it's easy to overlook that there are other ways of doing things, but there are!

I think I have some easy meal planning in my future too!
 
Very interesting thread, I hope to lose weight this year and will keep an eye out for advice here. It's very difficult when pain and fatigue stops you from exercising along with weight gain from medications. I've put on a lot of weight in the last few years from drinking too much and eating junk food although I usually don't eat much during the day.

I'm going to try fasting 16 hours a day and eating something reasonably healthy during an 8 hour window and see what happens. It's meant to help a lot so hopefully IBS and reflux will settle. Apparently during the second day of fasting the body begins burning fat reserves. Some fast 3 days a week to help weight loss.

Working out while doing other things as mentioned earlier and low reps sounds positive. I've been trying to see everyday tasks as exercises in themselves as I'm not able to work out properly. Hopefully incorporating gentle movements will help.

@KrisWark
All the best for the future, hoping you be able to lose weight and feel better 👍
 
@Jemima thank you for this advice! It's nice to "meet" others who used to be active as well, and have found a way to have meangingful activity in their days again. I used to trail run, rock climb, ski tour...and now most days I find it too much to take the bus...like you said, it's easy to overlook that there are other ways of doing things, but there are!

I think I have some easy meal planning in my future too!
We sound like kindred spirits! I was a climber and trail runner too, plus mountain biking and horse riding. Never did get into the winter sports, though. I'm an absolute wimp in the cold! ☀️

Absolutely - if we can master all of those things, then it's just a case of finding the right activities and the right volumes to turn our enthusiasm towards. Would love to hear how you get on!
 
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