Amenorrhea with exercise and athletics. Mistakes I made and why we want metabolic flexibility.

I had no idea when I lost my normal period in my early 20’s something was wrong. 

Admission: chronic exerciser & habitual dieter.

At 25 I was diagnosed with cervical cancer & had part of my cervix removed. Went through divorce number 1 at 27, had a high stress job & lifestyle.

Discovered Crossfit in my early 30’s, which was like chasing a bad shot of cheap tequila with another bad shot of cheap tequila. Exacerbated my tendency for extremes.

I was overly stressed, under fed, experiencing Crohn’s flares, over training — I completely lost my period. Basically I just ignored it. I didn’t care I was just trying to chase PR’s. 

At some point in your life, you’ve probably declared that your period is a major pain in the tush. But while it may be a nuisance it’s a good insight into your overall health & one we use as a biofeedback marker to help you achieve your health & fitness goals. 

A recent article by Outside Magazine explained how common these issues are with female athletes & avid exercisers:

“Researchers estimate that as many as 60 percent of exercising women may experience one component of the female athlete triad, which includes disordered eating, loss of a menstrual cycle, and loss of bone density.

When an athlete’s nutritional intake doesn’t meet the body’s needs, whether due to reduced dietary intake—intentional or not—or increased exercise, the body shuttles resources to systems that are essential to survival, suppresses energy-intensive processes like menstruation and growth, and alters hormone levels.”

Cred: @theglowingfridge

Quick tips on what your period tells you:

Bright Red Blood

Means you are simply at the beginning of your cycle. The ‘fresher’ the blood the more red it’ll be. 

Darker Brown Blood

Brownish blood is basically just older blood that’s been in your uterus for a lot longer than fresh blood. It’s had a chance to oxidize. Can also be prevalent if you have an IUD, especially the progesterone kind. This is because you’re shedding a smaller amount of the uterus lining every month, which means the blood stays in there longer.

Clotting

Totally normal, but if you have large clots on a regular basis, they could be indicative of a larger problem like hypothyroidism, uterine fibroids, symptomatic anemia, or heavy bleeding (menorrhagia).

Irregular or Absence (Amenorrhea)

Occasional irregular periods may be totally normal, but it could also be a red flag. For starters, stress is a huge culprit.  

When you’re stressed, your body produces more cortisol. Elevated cortisol levels can block signals that lead to the release of an egg that then leads to your period.

Other Common symptoms related to overdoing it, warranting an overhaul:

Irritability, mood swings

Cold extremities, hair loss, gut issues, bad digestion, bloating

No sex drive, Irregular or no menstrual cycle

Increase in belly fat⁣⁣, unexplained weight gain, plateaus

Chronic fatigue & soreness⁣, terrible recovery, poor sleep

Common Stressors:

Chronically eating in a calorie deficit⁣, not enough fat in the diet

Candida, Bacterial Overgrowth, Food Intolerances⁣

Malabsorption, gut inflammation⁣

Over training, hormonal imbalances ⁣

Too much caffeine, lack of quality sleep

Overly fasting or using fasting to extremes

Low quality food, autoimmune disorders, nutritional deficiencies ⁣

A prevalent problem in the fitness scene as discussed above: UNDER EATING & OVER TRAINING resulting in amenorrhea

Experiencing this myself first hand, here is some advice to help you destress & rebalance — not only to help you get your period back, but to also move the needle forward towards achieving your fitness goals. 

Tap for link to all info

Tips to Help

EAT. Eat enough food to support body systems & your activity

The number one reason athletes & avid exercisers lose their cycle & go down a rabbit hole of metabolic adaptation & basically life sucking.

We’re preconditioned to think 1200 calories is the magic number to eat to lose weight. We spend endless time punching numbers in calculators that have no idea our medical history, lifestyle, stress level, or the fact we think sugar free jello & rice cakes dipped in Walden Farms Syrup are meals. Invest in a coach y’all, life isn’t a template or calculator. It was one of the best decisions I ever made.

We underestimate the calories and nutrient dense foods needed to support muscle growth to get the ‘tone’ that every woman talks about but refuses to eat & lift weights accordingly to gain. We also tend to over exercise & do too much HIIT & cardio on top of under fueling. Focus on strength training & reduce high intensity activity.

When we don’t eat enough, and/or our body fat is very low, we don’t have enough energy stores to efficiently support body functions like reproduction. As a result, hormones and body systems down regulate (like your period & thyroid function) to survive.

Many women can have trouble losing weight and may even gain weight when eating a chronic deficit over a period of time. This is typically due to the down regulation of thyroid hormones that slow down metabolic rate. This has become commonplace in women who are training hard, competing, repeatedly doing HIIT style workouts like CrossFit and the Orange Theories without adequate food and recovery.

Find the “Right” Diet for YOU 

Look, I tried to do paleo for years trying to run and CrossFit despite not being able to properly break down fruits, vegetables, nut & seeds. Add it to my list of dumb shxt Katie learned the hard way.

Not only did my physique not change, my performance suffered, my recovery suffered, I was sore all the time, pissed off, bloated, and hangry. 

I was officially finally diagnosed with Crohn’s in 2018. Guess what my body cannot digest and absorb? Nuts and seeds, fibers, raw fruits & vegetables. 

Guess what makes up the majority of the Paleo diet? All of the above. 

We need adequate food and the right kinds of foods for our unique needs for lean muscle gain, recovery, reproduction, healthy hormone balance, and cortisol control. More food is not automatically going to cause you to gain weight and go into the dreaded ‘fat storage mode.’

Carbs are by far the most insulin-stimulating macro & antagonist to your cortisol level (stress hormone). So if you’re eating a low carb diet and performing highly glycolytic activities like CrossFit, all the boot camps and Orange Theory‘s, your insulin levels will be low. If you have a good relationship with carbs & can digest them with ease, they’re not the devil. You may need to incorporate more into your diet if you feel things are “off.”

Your body senses that resources are limited and down regulates accordingly.

Now, with that said, carbohydrate requirements will vary. We all have different fitness goals, train in different modalities and metabolize carbohydrates to varying degrees. 

If you are one with PCOS, for example, you may do better on a lower carb approach but lifestyle and training needs to be tailored appropriately. Work with a qualified practitioner. 

If you don’t know how many calories to eat for your activity I wrote a phenomenal post and resource on that here. Below are helpful infographics to guide you to more optimal choices.

Meat based macro ratios more applicable for healing & muscle gain phases
Meat based macro ratios more applicable for maintenance phases

Remember, standing on the podium or holding that medal in your hands doesn’t require you to have abs. Athletes don’t eat less & train more, they eat more & train intentionally.

Make Sleep a Non-negotiable

We should be sleeping well for at least 7-9 hrs per night. Make sure your environment is:

Cool & dark

Shut off electronics an hour or so before bed

Read & wind down with things that are relaxing

Keep caffeine <200 mg per day ideally and only in the mornings

Don’t eat large meals too close to bedtime

Taking a natural supplement like Nuethix Formulations Relax Liposomal (Discount Code: lilbitoffit ) or Natural Vitality Calmful Sleep with Magnesium can also help

Two wonderful resources: 

Dr. Jolene Brighten’s Beyond the Pill

Lara Briden’s The Period Repair Manual

This transitions into what it means to be metabolically flexible…

What we want is Metabolic Flexibility

I used to be a huge sugar burner. I didn’t understand why I had energy crashes, craved carbs & was hungry all the time despite eating plenty of food.⁣

Even when I was eating in a surplus, training for performance & muscle gain. I was eating plenty of meat paired with more rice, rice Chex, & rice cakes – no matter how large my meals were I was always hungry like 2 hours later. ⁣

It was super frustrating & not convenient at all as I work in healthcare & don’t have time to have meals every 2 hours.⁣

I fluctuated from a sugar burner, to metabolically flexible, & everywhere somewhere in between during my health & fitness journey. ⁣

Since going meat-based with my diet I no longer have these issues of being a “sugar burner.” I now can incorporate smaller portions of white rice based carb around training occasionally with minimal negative issues. I really don’t crave them anymore.⁣
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Becoming metabolically flexible, which just means you’re able to burn both glucose & fat as fuel, was the biggest life changer. It took a lot of experimentation & patience but there is light at the end of the tunnel for y’all!⁣
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I can easily fast overnight & in between meals for hours, without having to force it or feel like I want to rip someone’s head off because I’m hangry lol!⁣
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I don’t have to worry about multiple snacks available at all times because I have to eat every 2 hours. That’s food freedom for me.⁣

Here are a couple cheat sheets simply to help educate & help you along your health journey! ⁣

PR’d this 5k fat fueled & fasted, metabolic flexibility is where it’s at y’all!

Stop ignoring the problem, seek help from a qualified doctor, health practitioner, & coach. ⁣

Your quality of life hinges on it❤️ I’d love to hear yall’s experiences & if you struggled with this like me!

Experiencing any of the problems above in this blog?

If you’re an athlete or woman struggling like I did, and need personalized help tailoring your nutrition, work with me one on one HERE. 

Don’t forget to share this with the women in your squad who deserve to be well-fed!