Last week you met our Functional Nutrition Alliance Clinic client named Shelly. (You can read more about Shelly’s case here.)
Before I bring you back to Shelly’s story, I have a confession to make…a confession about me and case studies. If you’re a reader, like I am, you probably often see case studies written up in side-bars or in little isolated boxes on the page.
They’re written through the lens of: problem → remedy → solution.
Yet I don’t believe cases are that simple (and I trust you recognize this as well.)
In fact, these case studies always leave me with more questions than answers!
A case is a human being sitting before us with a unique story, set of physiological impacts, life habits, patterns, situations and efforts, that all add up to the point that brings them to us for support today.
And to study is to examine, analyze, contemplate and learn. In order to study, we need to get curious.
Based on this thinking, a case study is more like a novel! Or a hero’s journey. It’s not a sidebar.
What that means for Shelly’s case is that we’re with her on her journey to learn more about her body. We want to assess her physiological influences and burdens, as well as understand her emotional state, so that we can make the appropriate recommendations.
We also want to work with her to educate and elucidate what’s going on inside of her biological ecosystem so that she can shift her mindset from the desire for the quick-fix that may be promised by someone’s blog or a Facebook ad (those things outside of our own experience that yank at our collective yearning for the often elusive results we want), and move towards the “I” or the internal.
In other words: What is true for Shelly (based on what we know today)?
In our Nutrition Counseling, there were factors we were able to address with Shelly from the very first session which led to results. Again, you can review the initial details of her case here.
You’ll see those factors (yes, a washcloth over the alarm clock!) may not be sexy, but they work!
In fact, Shelly is doing much better in just a few short weeks with the changes we made. She’s waking up less often and even feels more energy through the day. That said, the belly fat she’s concerned about hasn’t yet budged. Fortunately, Shelly is not fixated on it because the renewed energy and improved sleep are giving her more impetus to get to her Barre class.
As you may recall from my previous post about Shelly’s case, the first two steps to a Functional Nutrition approach are 1) Assess and 2) Recommend.
Using our Functional Nutrition Alliance tracking tools, Shelly has tracked her progress throughout our work together. Here are the updates after one additional session with Shelly following the initial recommendations:
Fortunately Shelly knows how important sleep is for all of her other health goals and concerns! (As a retired RN and Health Coach, she’s a highly educated client, so she’s not looking to bypass this key step in healing.)
But we have to remember that the Non Negotiables include a Trifecta—sleep, poop, and blood sugar balance. Of course the aspects of the Trifecta are intricately intertwined. As we learned with Shelly’s intermittent fasting efforts during a time of added stress, blood sugar dysregulation can lead to sleep issues, and sleep issues can lead to elimination issues. Imbalances in each area can become a catch-22, leading to challenges in the others.
So while we continue to work on sleep (like asking Shelly to push her bedtime back that extra 30 minutes to 10:00pm), we also take the next steps in Tracking.
The tracker has an area to loosely monitor sleep as well, so we’ll have all the data we need in one place.
You see, the fact that Shelly’s belly fat isn’t budging tells us there is more information to uncover and assess. (We Assess, Recommend, Track, and Repeat.)
While we suspect we may want to do some urinary hormone testing, we decide to hold off on that for now. There’s still plenty we can do and regulate before we take on that added expense. (We have to remember that Shelly’s husband recently lost his job, and funds are a little tighter than usual. We’re thinking through the lens of Empathy here, and Shelly is grateful for this understanding!)
Several days of Blood Sugar Tracking will tell us quite a bit about where to go next.
And here’s the thing to note: Shelly is so grateful to have someone who is really in it with her as she navigates this sometimes tricky and emotional terrain.
She is getting the support she needs while being under stress, and also getting the education that helps her understand her body better. As a side benefit, both the education and support she’s receiving for her own issues help her to be a better coach with her clients! Win-win.
And with all the support she’s receiving—dietary and lifestyle recommendations, as well as the emotional support of knowing someone is in the details with her, helping her to determine what is needed—Shelly is able to tap into her innate resilience. She notices that, in addition to experiencing relief from her primary complaints, her body and mind are feeling the positive side benefits of her work. She’s happier, has fewer mid-afternoon slumps, more overall energy, and less arguments with her husband.
Plus, she notices that the long-lost sparkle is back in her eyes.
But it doesn’t end here. We will continue to work with Shelly…because that’s how we do a case study. We remain curious.
What sets Functional Nutrition Counselors apart is that we’re not just looking for a quick fix. (If there is one, we’ll take it. But we also know how to recognize when that isn’t an option.) Instead…
Working Functionally means we’re not just going for remedy. We’re going for resolution.
Functional nutritionist and educator Andrea Nakayama (FNLP, MSN, CNC, CNE, CHHC) is leading patients and practitioners around the world in a revolution to reclaim ownership over our own health. Her passion for food as personalized medicine was born from the loss of her young husband to a brain tumor in 2002. She’s now regularly consulted as the nutrition expert for the toughest clinical cases in the practices of many world-renowned doctors, and trains a thousand practitioners online each year in her methodologies at Functional Nutrition Lab. Learn more about Andrea here.