Jump-In January!

*This photo is 3 years old from when I first started swimming.

There are many small changes I've made to make my autoimmune arthritis feel better. Not all of them are always easy to do or the most enjoyable to participate in. Not all of them are things that make me feel like I'm living my life deliciously. 

As with the realization that my extreme love of sugary treats has been causing me more inflammation, so is my realization about how I feel when I'm not active. Though it may seem like a Catch 22, when I am in pain and feel like I don't want to move sometimes the best thing to do is get up and actually get my body moving. A body in motion stays in motion. So, over the years I've tried many types of movement and exercise. Many forms of movement can feel hard and rough on my joints and ligaments or feel like they are grinding my body apart. These have been the times that I did not feel like I was living deliciously. Other people with autoimmune arthritis might like Tai Chi, Qigong, golf, walking, low impact biking, swimming, dancing, or even yoga. I, for one, have found yoga to be the absolute worst thing for my arthritis and though I'm happy for anyone that it works for, I do not plan to continue trying to use yoga as my best form of movement.

I have found over the years through much trial and error that my four best forms of movement for my arthritis are:

1. Swimming: In my opinion, swimming is the best form of movement for someone with an autoimmune arthritis. Not only are you weightless and therefore not putting any weights on your joints, but you are also able to use all muscles, joints, ligaments, and bones in a continuous fluid movement as you swim. Swimming is one of the only activities that make me feel fully emerged in the moment. I find it meditative and rejuvenating. 
2. Aqua Aerobics: Though I'm often the youngest person in many of my aqua aerobics classes (by thirty or so years), I find them to be extremely enjoyable and really a great workout. I often make an effort to get to know the instructors so as to ask them how to get the most out of my class and to ask them if they might let me know how I can make any of the moves that they are leading, even more impactful. In addition to having tons of fun in the classes, I rarely feel self conscious as most of the other participants are so welcoming and kind. Unlike being at a gym where I sometimes feel judged by those around me, in aqua aerobics I often feel a communal sense of encouragement and play. I almost always leave feeling like my day is just a little bit better.
3. Swing Dance & Lindy Hop: I've been swing dancing on and off since 1997. When I began swing dancing as a preteen lead (often assumed to be the male role in dance), I fell instantly in love with everything about swing dance and swing culture. I read books about the swing era, watched any and all movies I could fine with great dance scenes, and tried really hard to get other friends excited about swing dance. Unfortunately it took me another twelve years before I met others who were as excited as I was about everything swing (during which time I learned how to be a follow). I'd only taken classes up to that point and had never participated in the dance scene. I had multiple year gaps in my training. No matter what though, I kept coming back to swing dance. Lindy Hop has always made me feel supremely happy. In 2009, I finally found other people my age who liked to swing dance and began dancing socially. At the same time though, I was going through a massive flare up that lead to my diagnosis of Psoriatic Arthritis in the summer of 2009. Despite my pain, I've found Lindy Hop and my swing dance community to be an anchor in enabling me to push through my pain to find joy in movement. Arthritis and dancing are not mutually exclusive. Knowing that I will dance again makes me feel motivated every day to reduce my inflammation.  
4. Long walks: As cheesy as it sounds, walking is known as "America's past time." It makes sense though, because walking is literally the easiest way to get up and move. I can always find a way to walk more in my daily life. Though some folks love hiking and walking in nature, my favorite walks are long walks through cities. I've been known to walk 13 miles through London in a day or 10 miles around San Francisco in an afternoon. The best thing about walking is that it costs practically nothing. Once you've found some good walking shoes, you're completely set.

In the spirit of my December challenge to go partially dessert-less, I've decided to use January as a motivator for me to get moving. I'm jumping in this January. I'll be spending the month jumping in to the pool, jumping back in to the dance scene, and jumping in to my walking shoes. In addition to continuing to experiment with how best to fight inflammation through the food I eat, I'll also be experimenting with how best to jump in this January. 

My goals for jumping in this January are:

1. Go to Aqua Aerobics a minimum of 3 times a week = Totaling a minimum of 12 classes.
2. Swim a minimum of 1 time a week = Totaling a minimum of 4 times.
3. Swing dance a minimum of 2 times during the month.
4. Go on at least 2 long walks during the month of January.

I'm beginning with these three very realistic goals with the hopes that they will help get me back in to old patterns. Since I'm luckily not currently in a big flare-up, I'm hoping that jumping in in the above ways will not overwhelm my body and will help me feel better and more agile. I plan to share updates with you here as well as tips around how to add more movement in to your life as well as how best to eat anti-inflammatorily while jumping in.

My Anti-inflammatory Eating Journey

I was diagnosed with Psoriatic Arthritis in 2009. Since that time, I've gone through massive flare ups, long periods with an inability to walk in the mornings, days when I could not climb down steps at all and had to slide down on my butt, massive pain, and so much frustration over the fact that I have to live with an autoimmune arthritis. I was so frustrated about it, in fact, that for the first few years after diagnosis I told very few people what I was going through. I went through the pain alone, fought it, pushed through it, and often made it worse in the process.

I didn't take control of my situation. I felt a victim rather than empowered (I'm happy to say that I now feel empowered). I assumed that whatever a doctor was telling me to do, was the best solution. I'd never met anyone else my age with arthritis. I didn't know what I was supposed to do with that information.

In the past few years though, I've finally shared my story. I have taken control of my experience. I have tried acupuncture (it hardly helped). I've bought orthopedic (but stylish) shoes. I've changed the way I eat.

A few years ago I began to look in to how my diet may be affecting my autoimmune arthritis. I met others with autoimmune diseases. I spoke to them about their diets. I made changes. The first change that I made was to remove lactose and dairy from my diet. In addition to just generally making my digestion work better, I realized that I must actually have been lactose intolerant all along. I do not drink milk, eat cheese, or really consume any dairy products anymore (like ice cream, whipped cream, butter, etc). I feel that removing dairy has impacted my arthritis positively and made my life generally better. 

Despite the fact that removing dairy made a noticeable difference in my health, in 2013 I went through an extremely hard 6 months of flare ups and was having a hard time walking or partaking in my main hobby: swing dance. It was frustrating. So, upon suggestions from a few fellow autoimmune arthritis friends, I decided that I would try to remove gluten from my diet. They all said that it had helped them and I had high hopes that it would help me.  I spent six rather unpleasant months gluten-free. It made literally no difference. I continued to have my worst and most long lasting flare up to date. Going gluten-free was not my solution (much to the relief of my friends and family). It worked for others, but not me.

In the past year, I began to look in to what foods generally cause flare ups and inflammation. I stumbled upon nightshades and a number of other foods to avoid. The prime suspect was sugar. Cutting out sugar seemed hard, though. I love sugar. Like many others, I began to realize that I was pretty darn addicted to sugar. So, I began to look in to what it does to the body. I was shocked. Fructose was pretty much a poison. I'd always been told that an apple a day kept the doctor away and I'd always been told that fruit was fructose. How could it be bad for you? The more and more I read, the more I realized that I needed to cut it out of my life as much as possible. So, last spring I began a challenge where I ate no added sugar OR even things that converted quickly in to sugar. The impact was almost instantaneous. I felt so much better. Unfortunately I was unable to sustain my sugar-free (read fructose-free) lifestyle. In an effort to feel better and generally take control over my body and my health, I've begun the process of really cutting down my sugar intake in a sustainable and manageable way. I'm hoping to get to the point where I only consume a maximum of 5 days of sugar in a month (equaling 60 days of sugar consumption in a year).

I know that sugar reduction isn't the only solution though. I know that I need to avoid other inflammatory foods. I know that I need to take control of my experience with my doctors. I know that I need to continue to try my hardest to make the best of my situation. I am not my arthritis. 

Despite the months and weeks and days of pain that I've gone through since 2009, I am thankful for my arthritis. You read that correctly: I'm thankful for my arthritis. I've had to re-frame my experience. I know that it doesn't make sense, but my arthritis has actually made me a better person.

Reasons I'm thankful for my autoimmune arthritis:

1. It has forced me to really appreciate when my body is working well and the ways that it moves even when I'm having a rough patch.
2. It has helped me to become more cognizant of others and both their sufferings and their joys.
3. It makes me appreciate the people in my life and the adaptations they make to make my life easier.
4. It causes me to reflect on how my stress and emotions can cause damaging physical effects.
5. It makes me appreciate dancing and swimming so much more and motivates me to find a solution for my inflammation so that I can continue to feel joy in movement.  

These are only a few of the reasons that I am grateful for my Psoriatic Arthritis. I have built a better sense of empathy from the experience. I have grown so much. I am taking control of my health, my life, and my larger impact on the world. It would be so easy to feel downtrodden by my Psoriatic Arthritis. It would be understandable to be sad. I am not sad, though. I consistently aim to live positively and find the best ways to make my life deliciously joyful despite autoimmune arthritis. 

Dessert-less December: 1/3 Check In!

We are 1/3 of the way through December, the hardest month to go sugar-free! Just like I recommended to all of you, I chose 6 days that I knew I'd be tempted to consume sugar and left one extra sugar day for any spontaneous celebrations that might come up. For every other day, I've remained diligently sugar-free. On my Sugar-Free Advent Calendar, the strips of purple paper are slipped in to each date that I have gone without sugar. The green slips are placed on any days I'm planning ahead to celebrate and consume sugar.

To keep myself on track, here are some tricks I used:

1. I allowed for my exception sugar (85% or higher dark chocolate). Though I didn't eat much of it, a small square every day or two, really helped me feel like I wasn't missing out. 
2. I reminded myself any time that I saw store bought cookies, cakes, pies, or treats (which, unfortunately are around quite often at the office during the holiday season) that homemade holiday treats were so much more worth it! This worked in my favor when, four days in, I was really craving sugar. I was able to look ahead to my pre-planned celebration day on the 5th when I knew that I'd have homemade treats that were much better than any store bought sugary treats I might get to satisfy my mid-afternoon sugar cravings. Waiting until my celebration day was really worth it as I was more able to appreciate the sugar I consumed because I knew everything that went in to it. 
3. I brought to work my own tea bags, almond milk, and even a larger mug. Often times in the winter months, I'm tempted to go out and buy myself a nice warm cup of almond milk hot cocoa from the cafe across the street from where I work. Instead of doing that (in an effort to both avoid sugar AND save money), I made my own large cups of tea to drink daily.
4. I brought my own lunch daily as well as small healthy snacks to tide me over in the late afternoons when I often crave sugar.
5. I did use a celebration day and did not make myself feel guilty for doing so. Because I'd planned ahead for the day, I did not feel like I was going off track. 

See some of the hand decorated holiday cookies my friends and I decorated during my holiday party on my celebration day (I don't generally follow the traditional holiday colors or holiday shapes):

My key takeaways from the first 1/3 of my Dessert-less December are:

1. My skin is slowly beginning to become more clear. I've found that the more sugar I consume, the less clear my skin becomes. This is partially in reference to general acne, but also in reference to my psoriasis. 
2. Though the first few days were hard, I've generally become pretty okay with removing sugar. Reading more about Fructose and the effects it has on our body has made me feel more and more like I'm making the right decision in reducing my intake of sugar.
3. Post-celebration day I was certainly feeling the difference. In past months, I'd cut out sugar and had a similar reaction the days after I'd eat sugar again. This time I felt a strong sense of fatigue and a dull ache in many of my joints that had been less apparent during the sugar-free days leading up to the celebration. Though I generally do have sore joints (due to my psoriatic arthritis), I hadn't had a flare up in a few weeks. 

All in all, I think that the endeavor to minimize my sugar intake has really proven to be the right decision and I hope that I can keep it up for the upcoming 2/3 of the month and ideally in to future months! Over the coming week, I have 3 pre-scheduled celebration days, though I'd like to minimize how many I actually use because three in one week seems a bit much. Ideally, I would cut out one or two of them so that sugar-free days are more spread out. However, I will not let myself feel guilty if I do use them to celebrate, as I've already planned ahead for the celebrations. I hope that you're doing just as well on your Dessert-less December! Let me know if I can help you more in your process of cutting out fructose!

10 Steps To Begin Your Sugar-Free (-ish) December!

If you, too, are planning on joining me in my Sugar-Free (-ish) Advent Calendar this December, but don't really know how to move forward, here are a few tips as well as a few great reads on the subject:

1. First, enjoy this song about being Sugar Free by a K-Pop band called T-ara.
2. Then gain a little more insight in to Why We Focus on Fructose (Even Though It Is Not In Our Name) by I Quit Sugar
3. Now, start to begin the process of defining your sugar parameters by reading these 4 Tips To Become Sugar-Free.
4. Now, look over your monthly calendar. What 1-5 days this month have celebrations and situations during which you think it would be hard to avoid sugar? Place a marker (whatever color you've chosen to represent your celebration days) in each of your advent pockets that align with the date of the celebration. Make sure to leave at least one-to-two marker(s) for any spontaneous celebrations that may come up.
5. Then, create a clean eating grocery list. This list should include many vegetables, proteins, and supplies to make sugar free sauces or dressings. I highly recommend prioritizing how you're going to make sugar-free breakfasts as this is often the hardest meal to make, sugar-free. Over the coming weeks, I'll be suggesting various sugar-free breakfast ideas that you can try! 
6. If you know that it will be hard to avoid sugars that are already in your house, place them all in a box to put in your pantry. Then label the box "CELEBRATIONS." This way, if you get the urge to pull them out or use them, you're making the intentional decision to consider this one of your 7 celebration days.
7. Know that you WILL crave sugar. It will happen. During these times, either acknowledge the feeling and then let the feeling pass or allow yourself a small serving of your exception food. Often times when we are craving sugar, it is actually our body in want of protein. Try feeding yourself your protein of choice. If you're a dairy eater, this could be cheese. If you're an egg eater this could be a hard boiled or fried egg. If you're a vegetarian or vegan this could be a combination of a legume and a grain. Or if you're a meat eater, this may be a slice of (non-processed) meat.
8. Then if you're feeling like you JUST HAVE TO HAVE SOMETHING WARM AND SWEET TO DRINK WHILE SITTING BY THE FIRE/ READING A BOOK ON YOUR SOFA WHILE IT GENTLY RAINS, go out and buy some fructose-free Rice Malt Syrup and make this amazing Anti-Inflammatory Hot Chocolate. 
9. Make sure to assess how you feel each week. Do you notice that your skin is clearer? Are your joints feeling less inflamed? Has your Psoriasis cleared up? What small victories are you accomplishing by minimizing your sugar intake? Note these victories and write them down so that you may look at them again when you're feeling frustrated about minimizing your sugar intake (and about the fact that sugar seems to be in literally everything).
10. If you are just having a hard time with removing sugar, message me. Lets be accountability buddies!

Food Is NOT A Moral Issue

Food is not a moral issue. There is no food that is good or bad. Food just is. Food is neutral. 

When we think of food as something other than neutral we give it power. Food doesn't want power and it doesn't need power. Sometimes you'll eat a nightshade plant. Sometimes you'll drink more alcohol than your prescriptions recommend. Sometimes you'll really be craving a huge slice of chocolate cake with extra frosting. That does not mean that you're a bad person. That doesn't mean that you're going to do it over and over again and that all your work to be healthy was for nothing. It only means that you made a decision. Your body wanted something and instead of denying your body, you gave it that thing. That food is not good or bad and you are not good or bad for eating it. You are human. On that same note: you are not superior or noble or a good person just because you follow all of your food rules. That isn't how food works. Food is just food; it is delicious, healthy, nourishing, and sometimes even decadent, but at the end of the day it is just the fuel that makes you run. We want the best fuel for our body but sometimes we don't give ourselves premium fuel, sometimes we just give ourselves the fuel that is available. That is okay.

Sometimes you just have to say to yourself: "Cultivating a culture of food enjoyment is really important to me. I would love to enjoy this delicious food instead of assigning value to it!" Instead of assigning moral value to the food that we eat, we should instead think about the situation that we are in. If the situation merits stepping away from your food rules, then do. It is neither good nor bad to step outside of your food rules. You have those rules for a reason. Your reason might relate to living your best anti-inflammatory life, you might have food allergies, or you may just simply feel better when you don't eat that type of food. Whatever your reason for not eating a food, it is not the food's fault. You are the one that assigned it the "DO NOT EAT" bad food status. 

If there are times when you feel like you'll be missing out on an experience because of your food restrictions, try to avoid thinking: "I'm being so bad by eating this sugary, fattening, carb filled wedding cake!" Instead, re-frame your thinking. Say to yourself: "I'm making a choice about participating in the food-centered nature of this celebration and accept the physical consequences that will surely develop tomorrow."

Food doesn't follow you. It doesn't stick with you and tell you how bad you were being for eating it. Those thoughts that you're having about your food have nothing to do with the food itself. When you assign moral value to your food, you are assigning moral value to your own behaviors. It is you telling yourself that you are not good enough. You made a mistake. You did the wrong thing. You were being bad. I am here to tell you right now: you were not doing something wrong. You were not being bad. You were just living your life. You were making a decision. You will make many decisions in your life. 

You will make many decisions in your life. The decision to assign moral value to food hopefully won't be one of them.

Delicious Arthritis Step #1: Cut Out Added Sugars

Sugar triggers inflammation. The American Journal of Clinical Nutrition warns that process sugars trigger the release of inflammatory messengers called cytokines.  

Let me break it down for you. There are basically two types of sugars:

1. Natural sugars - These are foods that naturally contain sugar, along with vitamins, minerals, and fiber. These are foods like dairy products (which I personally can’t eat), vegetables, and fruits. These are fructose, glucose/dextrose, and galactose. The white table sugar we are all used to is sucrose; a combination of fructose and glucose.
2. Added sugars - These are foods that have sugar added in, on top of their natural sugars. These are included in many processed foods, such as soft drinks and candies. These foods are high in sugar but have very low levels of vitamins, minerals, or fiber. Unfortunately, added sugars seem to be in almost everything.

Though some people worry about ALL sugars, I know that cutting out sugars entirely would be impossible for me, so I’m just trying to minimize how much added sugars I intake.

How I began cutting out added sugar: 

1. I began reading nutrition labels. 
• 4 grams of sugar = 1 teaspoon
• The daily recommended amount of sugar for women = 20 grams (5 teaspoons)
• The daily recommended amount of sugar for men = 36 grams (9 teaspoons)
• The daily recommended amount of sugar for children = 12 grams (3 teaspoons)
2. I cut out any sweetened drinks.
• If I drank one can of soda a day (which contain approximately 44 grams of sugar each) for a whole year, that would equal 83.6 CUPS of added sugar per year.
• Even though natural fruit are okay, I cut out most fruit juices as well.
3. I cut out added “healthy sugars” too. All sugars are sugars, just because one is processes more than another doesn't take way from the fact that you're still adding in extra sugar that was not pre-existing, in to your meal. The added "healthy sugars" that I'm referring to are:
• Agave nectar
• Raw honey
• Raw sugar
• Molasses
• Maple syrup
• Coconut palm sugar
4. Because sugar seems to be added to EVERYTHING I am making most of my foods and sticking with a primarily paleo & clean eating diet. I eat a lot of vegetables, eggs, lean meats, and olive oil. I use loads of spices and I promise you that I do not eat boring food! If I am going to restrict my eating so much, it better as hell taste good!
5. I cut out most desserts. Even though I initially felt like this was a fate worse than death, I have found a way to still have some desserts that are VERY LOW in added sugars and I have some general rules about the desserts I do eat:
• I will not eat chocolate that is below 80% cocoa. In addition to there being less sugar added in the more cocoa there is, I find that I am more satisfied with smaller amounts of chocolate because the small amounts that I get are so intensely chocolatey.
• I am beginning to learn how to make sugar free desserts. (I’ll be sharing some awesome recipes soon!)

Lets not lie to ourselves: we love sugar. For most of us, a treat means a freshly baked batch of cookies, a rarely indulged in candy bar, or even a fancy cocktail drink. This doesn’t have to be the absolute end of those treats, but it does need to be a re-framing of how we think of treating ourselves. The worst part about added sugar is that it seems to be in EVERYTHING. Cutting out added sugar can seem really intimidating. The thing that has gotten me through it though is to know that on the rare occasions that I do have sugar, I can definitely feel the difference. My arthritis flares up and that is certainly not a treat. Treating myself now means doing things that make me feel good, not just in the moment, but in the future as well.

***Confession: Because I'm not perfect and I am still working towards being my best inflammation fighting self, I still allow myself sugar one day a week. I call it Celebration Saturday and on that day I can have some - though still not an excessive amount of - sugar. Full disclosure though, I almost always regret it because the flare ups that follow are never fun.

Additional Resources on SUGAR:

• If you haven't yet watched Fed Up (on Netflix) or That Sugar Film, you definitely should.
• If you're having a hard time finding That Sugar Film then check out this clip about breakfast and this clip about Jamba Juice.
• Take a moment to check out I Quit Sugar by Sarah Wilson.
• You can also check out Jamie Oliver's TED talk which not only talks about teaching children about the food that they eat, but also talks about how much sugar children are consuming in America and Britain.
• Or read this article about 11 Ways Sugar Messes With Your Health.

10 Essential Items for Your Delicious Arthritis Pantry

In my Delicious Arthritis journey, I've settled on 10 Essential Items I need in my anti-inflammatory pantry. Having these around really helps me to make sure I keep my inflammation in check and my food delicious. 

1. Nuts!

Walnuts, Cashews, Almonds, Pistachios, Hazelnuts, and Brazil nuts are so delicious and have the added benefit of fighting inflammation through healthy fats. Nuts are loaded with antioxidants which help your body repair the damage caused by inflammation. Almonds in particular are rich in vitamin E, calcium, and fiber. Walnuts have high amounts of alpha-linolenic acid, a type of omega-3 fat.

2. Seeds!

Hemp seeds, chia seeds, flax seeds, etc have been shown to be immune balancers that help bring your immune back to a steady place. Seeds are also high in vitamins B1, B3, E, magnesium, zinc, calcium, and iron.

3. Turmeric!

This awesome yellow spice has been shown to help the body turn off NF-kappa B, which is a protein that causes a trigger in our bodies that causes inflammation. This delicious spice can be found in most yellow curries, though you can add it to anything really. You can also take it as a supplement in pill form (which is what I do).

4. Ginger!

This delicious spice has been shown to reduce inflammation. Add it into your food for delicious flavor, or drink it as a tea!

5. Black pepper!

Even though peppercorns share the name pepper with bell peppers and chili peppers, they are not nightshade plants. So, don't worry! Continue to keep black pepper as a table spice! Black pepper is considered anti-inflammatory and anti-arthritic because of the piperine that causes the pungent flavor of black pepper.

6. Organic Raw Unfiltered Apple Cider Vinegar!

This sweet vinegar is a natural anti-inflammatory agent. It is best to consume 1 to 2 tablespoons each morning. I highly suggest mixing it in with something. I tend to mix it with something a little sweeter like 4-6 oz of fruit juice and about 4-6 oz of water. This usually makes the process of getting the vinegar down, a lot easier.

7. Coconut Oil!

This healthy fat melts at a very low heat. It is great for cooking and adding a little extra  flavor to your meals.

8. Lemons and Limes!

These tart and sour golden beauties are filled rich with vitamin C, which is super important in the synthesis of collagen, which helps repair and build blood vessels, tendons, ligaments, and bones.  It also is full of antioxidants!

9. Onions & Garlic!

These two wonderful gems make any dish taste 1,000 times better. The answer to the question “what is the secret ingredient?” is always either onions or garlic. Not only that, but onions help your body produce sulfenic acid which is an anti-inflammatory chemical. Both onions and garlic have been shown to boost your immunity and have similar effects to NSAID pain medications like Naproxen and Ibuprofen. 

10. Extra-Virgin Olive Oil!

This healthy fat is delicious and the amazing compound that makes it taste the way it does, oleocanthal, has been shown to have similar effects to NSAID pain medications like Naproxen and Ibuprofen. (Looks like it is time to make something with extra garlic, onions, and olive oil. Yum!)

Nutrition Is My New Tradition

If you have an autoimmune arthritis like I do, it really helps to live in San Francisco. There are gluten free, organic, vegan, paleo options for everything. If you want artisanal gluten free bread, we have it. If you want grass fed bison, we have it. If you want organic free-range farm grown eggs, we have them. San Francisco is a restrictive eater’s paradise. But living in San Francisco is expensive.

San Francisco recently surpassed New York as the most expensive city in America. The cost of rent has gotten astronomical. Whole communities are being pushed out in a mass exodus. The city looks completely different from when I grew up here. The neighborhood where I live, the Bayview, used to be considered the Harlem of the West because it was comprised of shipyard workers, mostly African American. It wasn’t given the same resources as other more prosperous (read: white) neighborhoods in the city. This trend has continued despite the fact that the city is now home to multi-billionaires. The Bayview is a Food Desert. Some of you may never have heard the term “Food Desert” before. It refers to whole neighborhoods in urban settings that have no access to grocery stores, butchers, or fresh produce. There are usually only liquor stores and fast food joints in Food Deserts. I am fortunate to own a car, have a full time job, and have a moderate savings. I am able to get by, but as someone who works in the nonprofit field and makes a modest living, food and medical expenses add up quickly.

As a newcomer to the Bayview I’ve had the chance to see how the community is trying to rebrand itself. “Nutrition Is Our Tradition” has been posted throughout the neighborhood. Murals have gone up. Banners have been on display at bus stops. Corner stores have started to sell small batches of produce. Community gardens have popped up. Food pantries have long lines for fresh vegetables from the Food Bank. Things are changing slowly and I’ve taken my cue from my new neighborhood. I’ve begun to realize how important nutrition is to me as someone with an autoimmune arthritis.

I was diagnosed with Psoriatic Arthritis six years ago, when I was 23 years old.  Psoriatic Arthritis is an autoimmune arthritis (like Rheumatoid Arthritis) which means that it is an inflammatory illness that not only affects my joints, but also my tissues and organs. Unlike the commonly known Osteoarthritis (the type most people get when they’re much much older than I am), autoimmune arthritis is caused by cellular malfunction, aka my body is attacking itself. With Psoriatic Arthritis there are symptoms of nail pitting, skin psoriasis, fatigue, low grade fevers, myalgia, and brain fogginess in addition to joint inflammation and deterioration.

During a recent visit to my rheumatologist, I had an x-ray and a blood test taken so that my doctor and I could get an update on my joints and bones. I’d been on NSAIDs or Non-steroidal anti-inflammatory drugs for six years. But when my x-ray results got back, I found out that I needed to go on to a more aggressive treatment. My joint deterioration was now more serious and was beginning to affect the bones surrounding my joints. In other words, the deterioration was spreading. Through talks with my rheumatologist, I realized that I was not only going to have to go on even more aggressive treatment, but that I was also going to have to make some big changes in my diet. The best way to fight inflammation is to get proper nutrition. Proper nutrition, as we discussed, is hard to find in my neighborhood, on my budget. So, here begins my journey. Nutrition is my new tradition and I’m going to find a way to change my diet and my lifestyle to reduce my pain in any way I can. Fighting inflammation one bite at a time. Here begins, DELICIOUS ARTHRITIS.