FATIGUE: Cancer-Related and CFS

In my experience there are two distinct types of muscular fatigue associated with intense progressive resistance training (only intense training is sufficient to trigger muscle hypertrophy) and these two types should be recognized and understood. The first type of fatigue is direct muscle soreness and is the result of a particular exercise targeting a specific muscle. Scientists are at odds as to the exact cause of muscle soreness but most believe that it is associated with some sort of cellular micro-trauma. Direct muscle soreness is usually the type of pain and discomfort that most folks experience when they begin serious progressive resistance training program.

by: Marty Gallagher

There are varying degrees of muscle soreness and sometime the intensity of soreness can become so severe as to be debilitating. The muscles are actually sore to the touch. I have self-induced this type of soreness to every degree on every muscle – once, as a 14-year old novice, I found a 10-pound solid dumbbell and proceeded to do 50-repetitions in the one-arm curl for each arm every hour on the hour for 10-straight hours. It seemed like a cool idea to my young and dumb mind but that went out the window the next day when both arms locked up to such a degree that I could not straighten my arms. Both biceps were so traumatized that they remained involuntarily contracted for the next 36-hours. My hands were held at my face and any attempt to straighten my arms resulted in excruciating pain. I had to ride it out until the biceps relaxed. This was an extreme example of muscle fatigue but extremely illustrative of this 1st type of muscle soreness/fatigue.

The second type of muscular fatigue is what I would describe as overall fatigue, I call it body shock. The body is a holistic unit and hard intense training done for long time periods has a cumulative effect. After a while a uniform sense of overall fatigue is experienced manifested by an overwhelming sensation of tiredness. This tiredness envelops the whole body. When in the throes of body shock it seems as if you are moving through water. In my experience this type of fatigue is a direct result of an accumulation of intense workouts. Fatigue and soreness come with the territory and if you never experience either version, likely you’ll not make any significant physical progress.

In my experience, if I don’t feel some degree of muscle soreness in the target muscle after a workout I become suspect that I didn’t work hard enough or the exercise I selected was technically deficient and spread the muscular effect over too wide an area. In this respect I use controlled soreness (no too much, not too little) as a workout report card. When it comes to body-shock fatigue, to my way of thinking a much more serious type of fatigue, I will cut back on my training and kick up my calories, particularly my protein intake. When body-shock descends training through it is a bad idea: first, training poundage plummets (so what’s the point?) and secondly there is a very real danger of fatigue-induced injury.

If you experience severe muscular soreness of the 1st type, avoid training that particular body part until the soreness reduces to tolerable levels. If body-shock envelops you cease and desist progressive resistance training and kick up the food intake. I have found that light to moderate cardio actually helps to dissipate muscle soreness. Accelerating circulation within a sore muscle stimulates recovery, assuming the resistance used is light, easy and not taxing. Use your common sense and be aware that even purposeful primitives paid heed to fatigue.

About The Author

Marty Gallagher is a former Strength columnist for washingtonpost.com. Marty's articles have been featured in Muscle Media, Muscle

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Posted by Editor at 1:06 AM | Permalink

Your adrenal glands are two tiny pyramid-shaped pieces of tissue situated right above each kidney. Their job is to produce and release, when appropriate, certain regulatory hormones and chemical messengers.

by: Valerie Balandra ARNP, BC

Adrenaline is manufactured in the interior of the adrenal gland, called the adrenal medulla. Cortisol, the other chemical from the adrenal gland, is made in the exterior portion of the gland, called the adrenal cortex. The cortex also secretes androgens, estrogens, and progestins. Cortisol, commonly called hydrocortisone, is the most abundant -- and one of the most important -- of many adrenal cortex hormones. Cortisol helps you handle longer-term stress situations.

In addition to helping you handle stress, these two primary adrenal hormones, adrenaline and cortisol, along with others similarly produced, help control body fluid balance, blood pressure, blood sugar, and other central metabolic functions.

In the heightened nervous state of adrenal burnout, the body overproduces adrenaline, cortisol and other stress hormones. Constant stress and poor nutrition can weaken the adrenal glands. Eventually, this causes the adrenal glands, the front line in the stress reaction, to show wear and tear and become depleted. This frequently leads to impairment in the thyroid gland, which can cause a further decline in energy level and mood and is one of the reasons why many people have thyroid glands that don’t work well.

When stress continues over prolonged periods of time, the adrenal glands can deplete the body's hormonal and energy reserves, and the glands may either shrink in size or hypertrophy (enlarge). The overproduction of adrenal hormones caused by prolonged stress can weaken the immune system and inhibit the production of white blood cells that protect the body against foreign invaders (in particular lymphocytes and lymph node function).

Adrenal dysfunction can disrupt the body's blood sugar metabolism, causing weakness, fatigue, and a feeling of being run down. It can also interfere with normal sleep rhythms and produce a wakeful, unrelaxing sleep state, making a person feel worn out even after a full night's sleep.

Common Causes of Adrenal Stress

• Anger
• Fear / Worry /Anxiety
• Depression
• Guilt
• Overwork/ physical or mental strain
• Excessive exercise
• Sleep deprivation
• Light-cycle disruption
• Going to sleep late
• Surgery
• Trauma/injury
• Chronic inflammation
• Chronic infection
• Chronic pain
• Temperature extremes
• Toxic exposure
• Malabsorption
• Maldigestion
• Chronic illness
• Chronic-severe allergies
• Hypogycemia
• Nutritional deficiencies

Testing for Adrenal Health

In order to determine the health of your adrenal glands you need to have a simple blood, urine, or saliva test performed by your practitioner. Cortisol levels can be checked by blood or throughout the day by a saliva test. DHEA, and Epinephrine, are some other indicators of adrenal function.

Associated Symptoms and Consequences of Impaired Adrenal Functioning

• Low body temperature
• Weakness
• Unexplained hair loss
• Nervousness
• Difficulty building muscle
• Irritability
• Mental depression
• Difficulty gaining weight
• Apprehension
• Hypoglycemia
• Inability to concentrate
• Excessive hunger
• Tendency towards inflammation
• Moments of confusion
• Indigestion
• Poor memory
• Feelings of frustration
• Alternating diarrhea and constipation
• Osteoporosis
• auto-immune diseases/hepatitis
• Lightheadedness
• Palpitations [heart fluttering]
• Dizziness that occurs upon standing
• Poor resistance to infections
• Low blood pressure
• Insomnia
• Food and/or inhalant allergies
• PMS
• Craving for sweets
• Dry and thin skin
• Headaches
• Scanty perspiration
• Alcohol intolerance

Treatment

Lifestyle changes such as:

Eating steadily, all day long. Skipping meals is one of the worst things you can do for your body. When you're hungry, your blood sugar drops, stressing your adrenal glands and triggering your sympathetic nervous system. That causes light-headedness, cravings, anxiety and fatigue. Another drawback to skipping meals: The resulting low blood sugar can affect your ability to think clearly and shorten your attention span.

Skipping breakfast is particularly bad, as it is a sure fire way to gain, not lose, weight. If you start each morning with a good breakfast and "graze" healthfully every two to four hours, your blood sugar will remain steady throughout the day. You'll feel more rested and energetic.

Eat protein with every meal. Eat Complex carbohydrates such as brown rice. Avoid sugar, junk food, white pasta, white rice, white bread.

Absolutely NO Caffeine. Coffee/Sodas over stimulates your adrenals and they deplete important B vitamins.

Coffee does not give you energy; coffee gives you the illusion of energy. Coffee actually drains the body of energy and makes you more tired, because of vitamin and adrenal depletion.

Exercise to relax. Walking, Yoga, deep breathing, meditation, or stretching. No vigorous or aerobic exercise, which depletes the adrenals.

Avoid alcohol, processed foods, and tobacco. Nicotine in tobacco initially raises cortisol levels, but chronic use results in low DHEA, testosterone, and progesterone levels.

Reduce stress; learn relaxation techniques such as deep breathing, visualization, progressive muscle relaxation.

Helpful Supplements

The use of small amounts of natural adrenal hormone (hydrocortisone) to bring slightly low adrenal function up to its proper normal daily range is often helpful.

Take a daily multivitamin to provide nutritional support to the adrenal gland.

Vitamin C 1,000-3,000 mg a day

L-Theanine 100-400 mg a day

Pantothenic Acid (Vitamin B5) 300 mg a day

Licorice (Glycyrrhiza glabra), no more than 1000 mg of glycyrrhizin

About The Author

Valerie Balandra ARNP, BC is a board certified psychiatric nurse practitioner and holistic health practitioner. Her website Integrative Psychiatry. Net focuses on ways to identify causes of bio-chemical imbalances and provides natural treatments for depression and anxiety. http://www.integrativepsychiatry.net.

Posted by Editor at 12:38 PM | Permalink

I’ve been feeling a tired and slow lately. Just don’t have my usual get-up and go. Naturally, I blame the gastric bypass – it gets the blame whenever I don’t feel well. After careful assessment I realized I have forgotten to take my vitamin for almost three weeks now. I am probably iron deficient – a risk all gastric bypass patients face.

By Kaye Bailey

We’ve all heard of anemia – a dangerous iron deficiency disease. In fact, iron-deficiency anemia is second only to obesity as a nation-wide health problem in the United States. Nine out of ten women in this country do not get their RDI of 18 milligrams of iron a day. That means their heart, brain and all other tissues are not receiving enough oxygen – iron is the chemical element in the red blood cell hemoglobin that delivers oxygen throughout the body.

If a person is short on iron they suffer a loss of energy, low-level fatigue – the blahs!

Brain activity, breathing, cellular respiration and every activity of the body depend on iron in the blood. Rosy cheeks and a glowing complexion indicate iron needs are met. Energy levels are up and an overall sense of wellness pervades.

Gastric bypass patients are at risk of iron deficiency because iron found in meat, poultry and fish is normally absorbed by the duodenum and small intestines. The nature of the bypassed system prevents adequate iron from foods from being absorbed. In addition, patients cannot physically eat enough food to meet the Daily Reference Intake (DRI).

To avoid iron deficiency and the resulting loss of energy patients must take an iron supplement daily.

Iron supplements: ferrous fumarate, ferrous gluconate or ferrous sulfate are recommended for all weight loss surgery patients. The body more readily absorbs iron when it is taken with vitamin C or a glass of orange juice. Your bariatric center may recommend a specific iron supplement for you. I take Puritan’s Pride® Easy Iron; a capsule that contains 28 milligrams of iron glycinate, a gentle form of iron that is highly absorbable and well tolerated. It also contains Vitamin C, Folic Acid and Vitamin B-12 to further aid iron absorption by the body. I take it by itself between meals with water. Iron can interfere with zinc and calcium so I do not take my other supplements at the same time.

Iron is a key element in the body’s energy-producing system. As you lose weight and become more active you will thrive with bounding energy. Be sure to maintain it by supplying your body with the iron it needs. In your annual blood test your serum ferritin level will measure your iron level and the nutritionist at your bariatric center will make the appropriate recommendations for supplementation.

It should be noted that iron RDI’s are different for men and pre-menopausal women. Men over 19 years old should intake 8 milligrams of iron a day, preferably from food sources; women aged 19 to 51 should intake 18 milligrams, supplementation is suggested. After menopause women need intake only 8 milligrams to meet iron needs.

Always assess your nutritional intake if you lack energy. There’s probably something you are missing, that once you get it back in your system you’ll be feeling prime and proper in no time! If you don't know what vitamins & minerals you should be taking see your bariatric center.

Kaye Bailey is a weight loss surgery success story having maintained her health and goal weight for 5+ years. An award winning journalist, she is the author and webmaster of http://www.livingafterwls.com and http://www.livingafterwls.blogspot.com - Fresh & insightful content is added daily, check in often.

Copyright © 2005 Kaye Bailey - All Rights Reserved.

Posted by Editor at 11:08 PM | Permalink