Episode 216: Best Of – Exercise Intolerance with Andrea Wool

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Best of the Phoenix Helix Podcast

In support of my own autoimmune health, I’m taking a sabbatical for the month of December and releasing two of my favorite episodes from the archives that you might have missed. Today’s episode is one of the most popular of all time. Why does exercise feel so different after an autoimmune diagnosis? Activities that our bodies loved in the past can now cause an autoimmune flare. Yet, not moving at all isn’t healthy either. So, what do we do? In this podcast, we get professional insight into this topic. My guest, Andrea Wool, is a fellow autoimmune warrior, certified personal trainer, and founder of Autoimmune Strong – a fitness website designed specifically for people with autoimmune disease. She’ll be sharing her personal story, as well as scientific insight into the unique challenges and benefits of exercise for people with autoimmune disease.

This is a companion podcast to Episode 138: Exercise & Autoimmune Disease. In that episode, 4 people with autoimmune disease share their personal exercise journeys.

Listen to the Show

Show Notes

  • Intro (0:00)
  • Thank You to Our Podcast Sponsor – Luminance Skincare (2:35)
    • Today I want to highlight their bestselling facecare trio, which includes their Delicate Cleanser, Rosewater Toner, and Deep Hydration Moisturizer. Each one of these products has over 500 five-star reviews on their website. And they have a sample kit, so you can try it yourself! The Delicate Cleanser gently and deeply cleanses your skin without drying it out. The Rosewater Toner perfectly adjusts and balances the pH of your skin. The Deep Hydration Moisturizer mimics skin’s natural oils to soothe dry skin while maintaining a clear complexion.
    • Whereas conventional skincare products are full of chemicals that can hurt our bodies, Luminance is made from ingredients that nourish. Their products are natural, organic, wildcrafted, non-GMO, and gluten-free (and they’re even made in a dedicated gluten-free facility). It’s the cleanest skincare anywhere! And everything is handmade in small batches within the United States.
    • They have a complete face and body care line, including cleansers, toners, moisturizers, masks, acne serum, lip balms, haircare, sunscreen, handcrafted soaps, and more.
    • Order their sample kit today, and once you fall in love and want to order full-size bottles, use the code HELIX for 10% off your order. (You can also use the HELIX coupon on any Luminance product, not just the facecare trio.)
  • Meet Andrea Wool (4:13)
    • Andrea Wool is a certified personal trainer and founder of Autoimmune Strong – a fitness website designed specifically for people with autoimmune disease. She herself has celiac disease, Hashimoto’s, and fibromyalgia.
    • Prior to developing health issues, Andrea was an avid athlete. She was a competitive skier and cross-country runner in high school, and as an adult loved high-intensity, cardiovascular exercise. It was part of her identity.
    • Her autoimmune symptoms manifested after the birth of her second son, but it took another 2 years before she received her diagnoses. She struggled even to walk up the stairs or pick up her 3-year-old, and her fatigue was so high she needed naps every day. Exercise was out of the question. She was also unable to return to work. Highly motivated, she started researching healing diets, and changing her food choices improved her symptoms substantially. But whenever she tried incorporating exercise back into her life, it would cause autoimmune flares. She went back to school to learn more about exercise and health, and started developing a gentle, progressive exercise program that worked for her own body. This became the foundation for Autoimmune Strong.
    • Now, her life is so much better! She has energy, works full-time, and her favorite form of exercise is strength training. She still has to tune into her body and take it easy some days. But she’s come leaps and bounds from where she started, and it’s her mission in life to help others do the same.
  • Benefits of Exercise for People with Autoimmune Disease (10:47)
  • Why Does Exercise Sometimes Cause an Autoimmune Flare? (16:20)
    • People with autoimmune disease experience exercise intolerance, a lower capacity to handle exercise due to a higher stress burden.
    • 3 types of stressors: (1) The autoimmune body has a hyper-vigilant immune system that’s always on high alert. This acts as a constant internal stressor, even when we’re resting. (2) External stressors from life are added on top of that: work stress, emotional stress, relationship stress, but also the normal stress of day-to-day life. (3) Finally, exercise itself is a stressor. When these three things combine, it can become too much for the autoimmune body to handle, resulting in increased inflammation that can turn into an autoimmune flare.
    • An exercise-induced autoimmune flare can look different for different people. If might be an exacerbation of autoimmune symptoms, but it can also manifest as high fatigue, flu-like symptoms, moodiness or irritability, or an inability to sleep. This might happen immediately after exercise, or not until the next day, or only happen cumulatively after a week of new exercise.
    • How much exercise a person with autoimmune disease can handle depends on the interaction of these three stressors: What’s the current level of autoimmune activity and inflammation in your body? What’s the stress level in your life right now? How well are you managing that stress? What self-care measures do you do on a daily basis? What’s the intensity of the exercise you are choosing?
    • When exercise causes an autoimmune flare, we actually don’t get any exercise benefit. Not only do we miss out on the health benefits listed above, we also don’t meet our strength, endurance, or weight loss goals, because we are unintentionally stoking inflammation in the body instead.
    • When adjusting your exercise routine, there are 4 things to consider: (1) Intensity (2) Duration (3) Frequency (4) Type. If you are in a cycle of exercise-induced flares, start low in all 4 areas, to give your body a chance to recover. Stretching and gentle strengthening exercises are a good choice when in the recovery phase, with a focus on core body strength.
    • Resources:
  • What is Autoimmune Strong? (22:50)
    • A fitness membership website designed by Andrea for people with chronic illness. It’s a progressive exercise program that you can do at home, and it’s designed to harness the benefits mentioned above, while avoiding an exercise-induced autoimmune flare. She begins by teaching core strengthening and flexibility training, and slowly increases the intensity from there. The goal is to help people learn to listen to their bodies, adapt their exercise accordingly, and safely rebuild strength and fitness.
    • The program includes videos, a private online support group, monthly Q&A calls, and educational resources. She adds new resources all the time, based on membership needs. In addition to exercise, the program also teaches foam rolling (also known as self-myofascial release).
    • You can register for a free 7-day trial, to see if the program’s right for you. If you like what you see, use the code PHOENIXHELIX for $10 off your first month’s membership.
  • Thank You to Our Podcast Sponsor – Functional Nutrition Alliance (38:57)
    • Full Body Systems is their internationally acclaimed, 10-month online functional nutrition immersion training program.
    • It’s designed by world-renowned educator, Andrea Nakayama. Many of you know her as one of my most popular podcast guests. Her unique way of working with patients often leads to results where other practitioners hit dead ends. This program teaches you to do the same.
    • If you’re already trained as a health coach, nutritionist, or medical practitioner and want to more effectively help your clients break through healing plateaus, this class is for you!
    • And if you’re an aspiring practitioner just getting started, this might be the only training you need.
    • You’ll gain detailed knowledge of all the systems in the body, how they interact, how problems develop, and how to personalize diet and lifestyle recommendations for each unique client.
    • Enrollment is currently open. To learn more, visit FxNutrition.com/Eileen.
  • Body Image and Autoimmune Disease (40:22)
    • There’s a grieving process that comes with autoimmune disease, when our bodies and our lives have dramatically changed. It can feel very lonely because it’s often an invisible illness. To others, we “look fine”, so why can’t we do what we did before? And we ask ourselves the same question. Guilt, shame, self-judgement, and feelings of worthlessness are common. Anger, too! The end result can be a steady stream of negative self-talk, where we end up kicking ourselves when we’re already down.
    • Over-exercise often stems from a desire to change how we look, regardless of what our body is telling us it needs. The end result, though, is that we don’t lose weight because we’re stuck in an inflammatory cycle, and our autoimmune symptoms get worse as well. The type of exercise Andrea advocates can be a path back to self-love. We learn to truly be in our bodies, listen to their messages, and step-by-step become stronger and more capable through a gentler exercise routine. It sets us up for success instead of failure, and each step forward can be celebrated. It’s an exercise routine that lets us feel proud of ourselves, instead of punishing ourselves.
    • Andrea also feels it’s essential to rediscover joy in our lives. Sometimes that means appreciating what we have in the form of a gratitude practice. Sometimes that means finding new activities and experiences we can enjoy in place of the ones we can’t currently do. For her, it means finding reasons to belly laugh. It also means looking hard at the balance of giving and receiving in our lives. Many of us spent most of our lives putting everyone else’s needs above our own. It can feel “wrong” when suddenly we need to prioritize our own needs and ask for help instead of being the person who always gave it. Part of the journey back to self-love is seeing that giving and receiving are both beautiful qualities. One is not more valuable than the other.
    • Resources:
  • Andrea’s Motto: Train for Life, not a Marathon (49:13)
    • “I want to be able to live a full life – to play with my children, to get up and down from the floor, to carry a laundry basket, to garden, to do what I want to do and be able to say, “Yes, I can” instead of “No, I can’t”. This is why I exercise. That’s my motivation.”
  • Exercise Fears (51:59)
    • When we overcome exercise intolerance and begin gaining strength and fitness, we have choices to make about the exercise we choose to do. An autoimmune body in remission is capable of much more than an autoimmune body that’s flaring. Should we ever go back to the exercise we did before? Where’s the line between being wise and not over-stressing our body, and being afraid – not willing to try for fear that we will flare or fail?
    • It’s all about listening to your body – and this is a skill you gained through the slow, gentle, progressive exercise that allowed you to overcome exercise intolerance. As you attempt a new form of exercise, listen to your body’s signals. Also assess the amount of stress you have in your life. Remember that inflammation + life stress + exercise stress is the equation. If you want to increase your exercise stress, your inflammation should be minimal, and your stress well-managed.
    • It’s often a process of trial and error. You try a little bit more and see how it goes. If you flare, you cut back a little. And as long as you stay tuned into your body’s signals, the flares will be less common and pass more quickly.
    • Keeping a journal is also very helpful. Keep track of your exercise and how you feel afterwards, not just that day, but the following day and week as well.
    • You can also use a Heart Rate Variability (HRV) monitor to help assess your body’s capacity for exercise on a daily basis. Elite HRV is a free app for your smartphone.
  • Outro (56:42)
    • Andrea Wool’s fitness website is called Autoimmune Strong. She offers a free 7-day trial, so you can see if the program’s right for you. If you like what you see, use the code PHOENIXHELIX for $10 off your first month’s membership.
    • Eileen (your podcast host) is the author of multiple books, written to help people thrive with autoimmune disease. Learn more on the Books Page.
    • If you like this podcast, follow or subscribe through your favorite podcast app. You can also subscribe to Eileen’s monthly newsletter.
    • Check out the entire archive of podcast episodes.

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