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28 07, 2025

Información verificada de la colangitis biliar primaria (CBP)

By |2025-07-28T20:54:52+03:00July 28, 2025|Fitness News, News|0 Comments

La colangitis biliar primaria (CBP) es un trastorno autoinmunitario que afecta principalmente a mujeres y a personas que tuvieron asignación femenina cuando nacieron (AFAB, por sus siglas en inglés). La CBP afecta el hígado y, si no se trata, puede causar problemas graves, tales como cirrosis e insuficiencia hepática.

Las buenas noticias son que hay tratamientos disponibles que podrían ser útiles para reducir los síntomas y frenar el progreso de la enfermedad.

Nos comunicamos con Nancy Reau, M.D., directora adjunta de trasplantes de órganos sólidos y jefa de la sección de hepatología del centro médico de Rush University, para obtener información verificada y consejos para controlar la CBP.

¿Qué es la CBP?

La colangitis biliar primaria (CBP) ocurre cuando tu propio sistema inmunitario empieza a reaccionar en tu contra y ataca conductos biliares pequeños en el hígado. Esto causa una acumulación de bilis y un bloqueo del flujo biliar (colestasis), lo cual hace que los conductos biliares se inflamen y que las células hepáticas se deterioren. Este deterioro causa cicatrices, lo cual se denomina fibrosis. Con el tiempo, el tejido de las cicatrices reemplaza al tejido saludable (lo cual se denomina cirrosis) y los ductos biliares se deterioran, lo cual causa daño al hígado que empeora con el tiempo.

¿Cuáles son los factores de riesgo de la CBP?

No comprendemos todos los factores, pero antecedentes familiares de CBP o de trastornos inmunitarios son probablemente los factores más importantes. Tradicionalmente se pensaba que la CBP era exclusivamente un trastorno que solo afectaba a mujeres de raza blanca de mediana edad, pero estamos encontrando CBP en hombres, en personas de varias razas y también en personas jóvenes y de edad avanzada. Sin embargo, la CBP todavía es más común en mujeres que en hombres.

¿Cuáles son los síntomas de la CBP?

Muchas personas con CBP no tienen síntomas que sean específicos para ese trastorno, y cuando los tienen, los síntomas varían para cada persona. Los síntomas iniciales más frecuentes son comezón (denominada prurito) y fatiga. Personas con CBP también podrían padecer dolor abdominal; oscurecimiento de la piel; protuberancias pequeñas amarillas o blancas bajo la piel (xantomas) o alrededor de los ojos (xantelasmas); sequedad en la boca y los ojos; y dolores de los huesos, músculos y articulaciones.

Otras señales y síntomas podrían incluir al síndrome seco, que es una sequedad crónica de los ojos y la boca y niveles altos de colesterol.

Muchas personas que padecen CBP no tienen síntomas aparte de la comezón y la fatiga en las primeras etapas del trastorno. Si tienes síntomas de CBP deberías hablar sobre eso con tu proveedor de atención médica (HCP, por sus siglas en inglés).

¿Cómo se diagnostica la CBP?

Podría ser difícil para proveedores de atención médica emitir un diagnóstico de CBP inicialmente puesto que el trastorno puede presentar síntomas no específicos tales como comezón y fatiga. Pero hay varias formas en las que se puede diagnosticar la CBP.

Pruebas de sangre pueden detectar mayores niveles de una enzima llamada fosfatasa alcalina y bilirrubina, así como un indicador inmunitario llamado anticuerpo antimitocondrial.

La CBP se diagnostica cuando pruebas de sangre de una persona muestran niveles elevados de fosfatasa alcalina debido a cambios del flujo biliar (denominados colestasis) así como la presencia de anticuerpos antimitocondriales.

Si los resultados de las pruebas de sangre son ambiguos, una biopsia hepática u otras pruebas del sistema inmunitario podrían realizarse para diagnosticar el trastorno si hay alguna preocupación de insuficiencia hepática (debido a niveles altos de bilirrubina).

¿Cuáles son los tratamientos para la colangitis biliar primaria?

Hay algunos medicamentos aprobados que son útiles para controlar la CBP. La mayoría de planes terapéuticos empiezan con la terapia de primera línea, lo que quiere decir que es el primer medicamento que tu proveedor de atención médica probará. Tu doctor comúnmente esperará ver una mejora en las pruebas de sangre para confirmar que el medicamento funcione. Si hay una reacción bioquímica inadecuada a la terapia de primera línea después de 12 meses, tu doctor podría considerar opciones terapéuticas adicionales. En algunos casos, en función de criterios clínicos y de tendencias individuales de las pruebas de sangre, se podrían considerar otras terapias a los 6 y 12 meses. Los tratamientos de segunda línea, que pueden usarse en combinación con opciones de primera línea o individualmente, han demostrado mejoras de los niveles de las enzimas hepáticas y podrían ser útiles para aliviar los síntomas, tales como la comezón. Tu proveedor de atención médica siempre debería tomar decisiones terapéuticas en función de tu perfil clínico específico.

¿Hay cambios del estilo de vida que podrían ser útiles para mantener tu salud si vives con CBP?

Cada paciente debería hablar sobre los métodos terapéuticos y de atención con su proveedor médico, pero, en general, motivamos a personas con CBP a que se enfoquen en un estilo de vida saludable, incluyendo ejercicio en forma regular y una dieta rica en alimentos integrales, fibra y proteínas magras. Las personas que viven con CBP también deberían concentrarse en su salud ósea porque osteopenia y osteoporosis son más frecuentes en personas con CBP. También se recomienda dejar de fumar y limitar el consumo de alcohol.

Lee: Vivir con colangitis biliar primaria >> 

¿Qué consejos son útiles para manejar tu salud si tienes CBP?

Primero, debes cuidar tu salud. Conoce qué medicamento tomas y si funciona. Esto realmente es difícil para la CBP porque han habido cambios significativos en lo que se considera una “buena reacción al tratamiento”. Es decir, asegúrate que tú y tu doctor tengan información actualizada. Cerciórate de que encuentres un proveedor médico que escuche lo que dices y con quien te puedas comunicar efectivamente en lo que se refiere a las metas terapéuticas. Tus pruebas hepáticas serán útiles para determinar si el tratamiento funciona, así que asegúrate de entender qué niveles son buenos para ti y para tu proveedor de atención médica.

También deberías hacer que se evalúe tu función tiroidea una vez al año y monitorear tu salud ósea debido a un mayor riesgo de osteopenia y osteoporosis.

Vivir con CBP también puede ser difícil desde el punto de vista emocional. Así que es importante tener un buen sistema de apoyo para cuidar tu salud mental. Además de familiares y amigos, grupos de concientización de pacientes y comunidades virtuales pueden proporcionar consuelo, consejos y apoyo emocional.

Por último, habla con tus familiares. Aunque esto no se establece firmemente en las pautas actuales, recomendamos que propongas a tus familiares de primer grado (hermanas, hijas y madres) que hablen con tu proveedor de atención médica para que las examine porque sabemos que tienen un mayor riesgo. Aunque la CBP es menos frecuente en los hombres, ellos también deberían hablar con sus proveedores de atención médica si tienen síntomas.

Este recurso educativo se preparó con el apoyo de Gilead.



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24 07, 2025

Preguntas y respuestas relacionadas con los tratamientos de migrañas

By |2025-07-24T21:57:44+03:00July 24, 2025|Fitness News, News|0 Comments

English

Los episodios de migrañas no son solo simples dolores de cabeza. Son parte del trastorno de migrañas, un trastorno neurológico, y traen consigo una amplia variedad de síntomas que pueden incluir episodios intensos de dolores de cabeza, particularmente en un lado de la cabeza; sensibilidad a la luz, a los sonidos y a los olores; cosquilleo o adormecimiento en tus brazos o piernas, cambios de estado de ánimo y fatiga intensa, entre otros síntomas.

Esta condición crónica puede ser difícil de tratar, pero hay muchos tratamientos diferentes de migrañas disponibles. Nos comunicamos con Jessica Ailani, M.D., FAHS, neuróloga y directora del centro de dolores de cabeza de Georgetown, para obtener más información sobre las opciones terapéuticas para personas que viven con trastornos de migrañas.

¿Qué tipos de tratamientos puedo usar para el inicio de los síntomas de un episodio de migrañas? (sin y con receta médica)

Los tratamientos que se usan cuando empiezan los síntomas de migrañas se denominan tratamientos de crisis. Estos incluyen medicamentos sin receta, AINE (antiinflamatorios no esteroideos) que incluyen aspirinas, ibuprofeno, naproxeno, y paracetamol, tratamientos combinados como aspirinas, paracetamol y cafeína, dispositivos y medicamentos con receta.

Para algunas personas compresas frías y masajes con hielo también son útiles durante un episodio. Si bien no hay muchos estudios que respalden esto, a menudo personas que padecen trastornos de migrañas aplican hielo en sus cabezas y cuellos durante un episodio.

Si los tratamientos sin receta no son efectivos, debes hablar con tu proveedor de atención médica (HCP, por sus siglas en inglés) acerca de medicamentos con receta.

Los dispositivos de neuromodulación son un método sin medicamentos para tratar un episodio de migrañas después de que empieza pero también podrían requerir recetas médicas. Los dispositivos funcionan de varias formas diferentes para reducir la señalización anormal del cerebro que ocurre durante un episodio de migrañas. Los dispositivos para tratamientos de crisis para la prevención de migrañas, autorizados por la FDA [Administración de medicamentos y alimentos], incluyen sTNS [neuromodulación transcutánea supraorbitaria] (Cefaly), neuromodulación eléctrica remota (Nerivio), EMTpu (e-Neura), eCOTs [sistemas de neuroestimulación occipital y trigeminal externa] (Relivion) y ENVni (gammaCore).

Los medicamentos con receta más comunes que se prescriben para las migrañas son los triptanes. Estos son medicamentos que se usan tal como se requiera para un episodio y funcionan bloqueando químicos que se liberan durante la fase de dolor de un episodio de migrañas. Los triptanes pueden ser comprimidos que pueden tragarse, comprimidos que se disuelven en la boca, aerosoles nasales e inyecciones que el mismo paciente puede aplicar.

Las varias modalidades diferentes son importantes porque las migrañas pueden causar náuseas y vómito. Si las náuseas o la sensación de que no puedes comer o beber durante un episodio es común para ti, es importante que uses un medicamento que se aplique por la nariz o mediante inyecciones. Los triptanes no deberían utilizarse más de 10 días al mes o podrían causar algo que se conoce como cefalea de rebote o cefalea por abuso de medicamentos (CAM). Tampoco funcionan bien en fases tardías de episodios de migrañas.

Otra categoría de tratamientos de crisis son los gepantes. Los gepantes también se usan específicamente para episodios de migrañas y pueden aplicarse como comprimidos, comprimidos orales solubles o aerosoles nasales. Tienen menos efectos colaterales que los triptanes y pueden usarse en una gama más amplia de poblaciones, pero es posible que no sean tan eficaces como los triptanes para ciertas personas. Los gepantes bloquean una proteína denominada PRGC involucrada en el proceso de episodios de migrañas. Se ha demostrado que un gepante funciona si se toma durante la fase de pródromo o de aura (antes de que el dolor de la migraña empiece). No se piensa que los gepantes causan cefaleas de rebote y pueden ser beneficiosos para personas que tienen episodios más frecuentes.

Una tercera categoría de tratamientos de crisis son los cornezuelos de centeno. Los cornezuelos de centeno bloquean una mayor cantidad de químicos involucrados en las migrañas, así que a veces pueden ser efectivos cuando otros tratamientos no lo son. Los cornezuelos de centeno pueden aplicarse como aerosoles nasales o inyecciones y pueden funcionar en etapas tempranas o tardías de episodios de migrañas.

¿Hay tratamientos para prevenir las migrañas? (sin y con receta médica)

Para reducir la frecuencia de los episodios de migrañas y la discapacidad, se usan tratamientos preventivos. Los tratamientos preventivos incluyen terapias de comportamiento, suplementos vitamínicos, dispositivos de neuromodulación y medicamentos que profesionales clínicos pueden recetar.

Las personas que tienen migrañas deberían considerar cambios de sus estilos de vida. Estos incluyen:

  • Horarios regulares para dormir y despertar
  • Horas regulares para comer
  • Buena hidratación con agua, bebe agua si tienes sed
  • Ejercicio regular, mueve tu cuerpo todos los días incluso si estás teniendo un episodio de dolores de cabeza. Prueba estiramientos estáticos o mantener una postura de yoga relajante.
  • Controla el estrés: medita, practica técnicas de respiración profunda, haz ejercicio y mueve tu cuerpo en forma regular, escribe un diario, escucha música relajante y evita situaciones negativas.

Pueden usarse intervenciones del comportamiento individualmente o además de medicamentos para reducir la frecuencia de las migrañas. Las mejores técnicas de comportamiento que se han estudiado para reducir los episodios de migrañas frecuentes incluyen la biorretroalimentación, la relajación muscular progresiva y terapias de comportamiento cognitivas si experimentas ansiedad generalizada o angustia por tus episodios de migrañas o si tienes dificultades para lidiar con el dolor crónico. Hay otros tipos de intervenciones que se están estudiando, incluyendo terapias de conciencia plena, aceptación y compromiso.

Los suplementos vitamínicos para los cuales hay buena evidencia en lo que se refiere a la prevención de migrañas incluyen la riboflavina, el magnesio y la petasita. La petasita debería usarse según las instrucciones de un proveedor de atención médica porque si se usa incorrectamente podría ser peligroso para tu salud hepática. Hay otros suplementos que se usan para la prevención de migrañas, pero los estudios no son tan robustos como para saber si son eficaces.

Hay muchos medicamentos disponibles para prevenir las migrañas. Hay tratamientos específicos para migrañas que bloquean la PRGC, que es una proteína involucrada en el proceso de migrañas. Comprimidos que bloquean la PRGC pueden administrarse diariamente o cada dos días. Pueden administrarse, mensual o trimestralmente, inyecciones de anticuerpos monoclonales que bloquean la PRGC. Es posible que para ciertas personas sean más convenientes los comprimidos, pero una inyección mensual o trimestral podría ser incluso más fácil de administrar. Para tomar una decisión acerca de qué medicamento podría ser mejor para ti, sería bueno que mantengas una conversación con tu proveedor de atención médica para que evalúes los efectos colaterales potenciales.

Lee: Cómo una toma de decisiones compartida puede promover una mejor atención médica >>

También hay medicamentos que son más antiguos y baratos porque han estado disponibles por décadas y se ha demostrado que son eficaces para reducir la frecuencia de migrañas. Estos incluyen algunos medicamentos para la presión arterial, medicamentos anticonvulsivos y ciertos antidepresivos.

Para personas que tienen migrañas crónicas (más de 15 días con migrañas al mes durante tres meses, de los cuales ocho días hay dolores de cabeza con características de migrañas), inyecciones con onabotulinumtoxinA (bótox) es una opción terapéutica aprobada por la FDA. Un inyectador debidamente capacitado sigue un protocolo específico para las inyecciones para aplicar el tratamiento cada 12 semanas para reducir la frecuencia de migrañas y la discapacidad.

Por último, hay los dispositivos de neuromodulación que se mencionaron anteriormente.

¿En qué situación debería considerar usar terapia preventiva?

Si tienes seis o más episodios de migrañas al mes, deberías considerar implementar terapias preventivas.

También deberías hablar de terapias preventivas con tu proveedor de atención médica si tienes dos o más episodios de migrañas al mes y si no puedes ir a trabajar o a otros eventos importantes de tu vida, si no tienes un buen tratamiento de crisis que funcione para tus episodios o si tienes crisis relacionadas con síntomas graves (tales como debilidad muscular durante los episodios de migrañas).

¿Cómo puedo determinar qué tratamiento funcionará bien para mí?

Actualmente, no hay un buen método para saber qué tratamiento funcionará para ti sin probar varias opciones y ver qué funciona.

¿Hay terapias alternativas, tales como terapias cognitivas de comportamiento (TCC), acupuntura o biorretroalimentación, que deba considerar?

Hay bastante evidencia que indica que la biorretroalimentación reduce el número de episodios de migrañas que las personas experimentan y la gravedad de sus episodios de migrañas en comparación con personas que no reciben terapia, pero dicha evidencia no indica que sea más útil que medicamentos o que TCC, alternativas que cuentan con mucha evidencia que respalda su eficacia. La acupuntura cuenta con evidencia mixta, pero la recomiendo a pacientes a quienes les interesa (y pueden pagar su costo y pueden ausentarse del trabajo) probarla porque puede ser útil para reducir la frecuencia de los episodios.

¿Debería asistir a una consulta con un especialista de dolores de cabeza? ¿Cómo puedo encontrar uno?

Un buen lugar para empezar el tratamiento es con tu proveedor de atención médica o con un neurólogo general, puesto que hay pocos especialistas de dolores de cabeza en EE.UU. Si sientes que no hay mejoría o si tienes varios tipos de enfermedades o trastornos de cefaleas junto con tus episodios de dolores de cabeza, entonces un especialista de dolores de cabeza sería el siguiente paso.

Para encontrar un profesional certificado y especializado en medicina de dolores de cabeza, puedes utilizar el directorio de subespecialidades neurológicas de United Council.

Este recurso educativo se preparó con el apoyo de Pfizer.

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24 07, 2025

Signs of Preeclampsia – HealthyWomen

By |2025-07-24T19:56:03+03:00July 24, 2025|Fitness News, News|0 Comments

Morning sickness, exhaustion, weird food cravings, mood swings, and a super sensitive sense of smell (not a super power, trust me).

If you’ve ever been pregnant — or in the vicinity of a pregnant person — you probably recognize these as pretty typical pregnancy symptoms. And, while annoying, they’re usually nothing to worry about.

But there are some pregnancy symptoms that may be cause for concern and possibly even a sign of a pregnancy-related condition called preeclampsia — and it’s important to know what they are, so you can alert your healthcare provider (HCP) ASAP.

What is preeclampsia?

Preeclampsia is pregnancy-related high blood pressure. Sometimes it occurs with protein in your urine and it can also sometimes affect your organs — usually the kidneys or liver.

It can happen to any woman or person assigned female at birth, and it usually occurs after 20 weeks or pregnancy and can also happen up to six weeks after giving birth. And it’s a serious disease that can lead to maternal or infant death if it’s not treated. In fact, preeclampsia is the leading cause of maternal and infant illness and death around the world — accounting for more than 70,000 maternal and 500,000 infant deaths globally each year. And preeclampsia affects Black women more often — and with worse outcomes — than white women.

Recognizing the signs of preeclampsia

Preeclampsia can develop gradually or come on suddenly — but getting treated quickly is important to ensure the best outcome for mother and baby. That’s why it’s so important to know what to look for.

Having symptoms doesn’t necessarily mean you have preeclampsia, but if you’re pregnant and have any of the following symptoms, contact your HCP right away:

  • Swelling of the hands and face
  • Shortness of breath
  • Gaining more than five pounds in a week
  • Severe or persistent headache that doesn’t go away with medication
  • Vision changes, like seeing spots, flashing lights or any loss of eyesight
  • Nausea or vomiting, especially after your morning sickness has gone away
  • Pain in your upper right abdomen, usually under the ribs

A note about swelling: The majority of pregnant women have some swelling during the summer, but call your HCP if it increases significantly, especially if you’re having any of these others symptoms along with it.

Some women don’t have any symptoms of preeclampsia, and the only way to know is for your HCP to monitor your blood pressure and urine. So that’s just one more reason to keep all of those prenatal appointments — which actually is a super power if you ask me.

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24 07, 2025

What No One Prepares You For After Birth And How to Get Ahead of It

By |2025-07-24T11:51:16+03:00July 24, 2025|Fitness News, News|0 Comments


Giving birth is a monumental event. Whether your experience is full of euphoria, exhaustion, or a bit of both, everyone talks about the baby registry — but not enough people talk about what happens to you after delivery. Despite all the prenatal checklists and baby gear must-haves, postpartum recovery is one of the most overlooked aspects of childbirth preparation. Here’s what no one prepares you for after birth, and more importantly, how to get ahead of it.

1- You Might End Up in the ER After Birth:

One of the harshest realities many new parents face is the possibility of an unexpected postpartum emergency. From hemorrhaging and blood clots to intense pelvic pain and high blood pressure, complications can arise long after you’re discharged from the hospital. It’s essential to recognize that postpartum symptoms can shift quickly from normal to urgent.

How to Get Ahead:

  • Learn what red flags to look for postpartum: heavy bleeding, chest pain, extreme swelling, high fever, or vision changes.
  • Keep your postpartum paperwork handy and your doctor’s number saved in your phone.
  • Don’t second-guess your instincts. If something feels off, seek medical attention.
What No One Prepares You For After Birth And How to Get Ahead of It

2- Postpartum Bathroom Woes Are Real:

Going to the bathroom after birth can feel like a battlefield. Whether you had a vaginal birth or a C-section, the first few bowel movements can be painful or even terrifying. Constipation, hemorrhoids, and perineal soreness are common but rarely talked about.

How to Get Ahead:

  • Start taking stool softeners right after delivery (ask your provider for a safe option).
  • Stock up your postpartum bathroom on a peri bottle, witch hazel pads, and a sitz bath.
  • Hydrate and eat fiber-rich meals to support digestion.

3- Postpartum Gas Is No Joke:

It’s not glamorous, but gas and bloating after birth can be incredibly uncomfortable, especially in the first few days postpartum. Trapped gas is especially common after a C-section but can affect anyone, thanks to the shift in abdominal organs and the slowing of digestion.

How to Get Ahead:

  • Gentle movement, like walking, can help get things moving.
  • Belly massage (clockwise motion) may offer some relief.
  • Herbal teas like ginger or peppermint may help ease bloating.
Prepares You For After Birth
A new Mother sits up in her hospital bed shortly after delivery as she holds her newborn out in front of her and studies his features. She is wearing a hospital gown and is laying in her hospital bed with the inafnt.

4- You Won’t Feel Like Cooking:

Between feeding your baby, healing your body, and trying to sleep, cooking a meal may feel like climbing Everest. But your recovery depends on nourishing, healing foods—not cereal bars and coffee (though those have their place too!).

How to Get Ahead:

  • Prepare frozen meals during pregnancy that you can reheat easily.
  • Consider a postpartum meal delivery service that specializes in nutrient-rich, warming foods.
  • Ask friends or family to contribute to a meal train instead of baby clothes.

5- Postpartum Recovery Takes Longer Than 6 Weeks:

While your 6-week postpartum checkup may mark the official “cleared” point, your body and mind may still be healing for months. Hormones continue to shift, muscles are rebuilding, and mental health can ebb and flow. The idea that you’ll “bounce back” by six weeks is a myth.

How to Get Ahead:

  • Give yourself permission to rest and recover on your own timeline.
  • Seek postpartum support from a doula, therapist, pelvic floor specialist, and craniosacral therapist.
  • Set boundaries to protect your rest and emotional space.

Bio: Shari Stamps is a consultant, freelancer, podcaster, and the founder of Navigating Parenthood, where she combines her expertise in postpartum, lactation, myofunctional therapy & airway, oral ties, craniosacral therapy, maternal mental health, and sleep & wellbeing to offer integrative wellness sessions, courses, and digital downloads to expecting and postpartum families. As a mom of 6, she’s always learning something new. Join the journey via social at @navigatingparenthood.

Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.



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23 07, 2025

Facts About Primary Biliary Cholangitis (PBC)

By |2025-07-23T17:40:49+03:00July 23, 2025|Fitness News, News|0 Comments

Primary biliary cholangitis (PBC) is an autoimmune disease that affects mostly women and people assigned female at birth (AFAB). PBC harms the liver and, when left untreated, can lead to serious problems, such as cirrhosis and liver failure.

The good news is that treatments are available that may help reduce symptoms and slow the progression of the disease.

We reached out to Nancy Reau, M.D., associate director of solid organ transplantation and section chief of hepatology at Rush University Medical Center, to get the facts and tips for managing PBC.

What is PBC?

Primary biliary cholangitis (PBC) occurs when your own immune system starts to react against you and targets the small bile ducts in the liver. These attacks lead to a buildup of bile and a blockage of bile flow (cholestasis), leading to the bile ducts becoming inflamed and the liver cells damaged. This damage results in scarring, called fibrosis. Over time, scar tissue replaces healthy tissue (called cirrhosis) and the bile ducts are destroyed, which causes damage to the liver that gets worse over time.

What are the risk factors for PBC?

We don’t understand all of the contributing factors, but a family history of PBC or immune disease is probably the most important. Traditionally, PBC was thought to be a disease that only affected middle-aged white women, but we are finding PBC in men, people of various races, and younger and older people as well. However, PBC is still more prevalent in women than men.

What are the symptoms of PBC?

Many people with PBC have no symptoms that are specific to the disease, and when they do, the symptoms vary from person to person.The most common initial symptoms are itching (called pruritus) and fatigue. People with PBC may also report abdominal pain; darkening of the skin; small yellow or white bumps under the skin (xanthomas) or around the eyes (xanthelasmas); dry mouth and eyes; and bone, muscle and joint pain.

Other signs and symptoms may include sicca syndrome, which is chronic dryness of the eyes and mouth, and elevated cholesterol levels.

Many people with PBC do not have symptoms other than itching and fatigue in the early stages of the disease. If you’re having any symptoms of PBC, discuss them with your healthcare provider (HCP).

Read: Living with Primary Biliary Cholangitis >>

How is PBC diagnosed?

HCPs may have difficulty making a PBC diagnosis initially since the disease can present with non-specific symptoms like itching and fatigue. But there are several ways to diagnose PBC.

Blood tests check for increased levels of an enzyme called alkaline phosphatase and bilirubin, as well as an immune indicator called an antimitochondrial antibody.

PBC is diagnosed when a person has blood work that shows elevated alkaline phosphatase levels due to changes in bile flow (called cholestasis) as well as the presence of the antimitochondrial antibody.

If the results of the blood tests are unclear, a liver biopsy or other immune tests can also be done to diagnose the condition if there is concern for liver damage (based on high bilirubin levels).

What are primary biliary cholangitis treatments?

There are several medications approved to help control PBC. Most treatment plans start with the first-line therapy, which means it’s the first medication your HCP will try. Your doctor will typically expect to see an improvement in blood work to confirm the medication is working. If there is an inadequate biochemical response to first-line therapy after 12 months, your doctor may consider additional treatment options. In some cases, based on clinical judgment and individual blood work trends, evaluation for other therapies may occur between 6 and 12 months. Second-line treatments, which can be used in combination with first-line options or alone, have shown improvements in liver enzyme levels and may help ease symptoms, such as itching. Treatment decisions should always be made by your HCP based on your specific clinical profile.

Are there lifestyle changes that may be helpful for maintaining your health while living with PBC?

Each patient should discuss treatment and care approaches with their HCP, but in general, we encourage people with PBC to focus on a healthy lifestyle, including regular exercise and a diet rich in whole foods, fiber and lean proteins. People living with PBC should also concentrate on their bone health because osteopenia and osteoporosis are more common in people with PBC. Quitting smoking and limiting alcohol consumption are also recommended.

Read: Living with Primary Biliary Cholangitis >>

What are some tips for staying on top of your health if you have PBC?

First, you need to be your own health advocate. Know what medication you’re taking and if it’s working. This is really hard for PBC because there have been significant changes in what we define as a “good treatment response.” In other words, make sure you and your doctor are staying up to date. Be sure you find a provider that is listening to what you say and is on common ground for treatment goals. Your liver tests are going to help determine whether treatment is working, so be sure to understand where you and your HCP want these numbers to be.

You should also have your thyroid function checked once a year and keep track of your bone health because of the increased risk of osteopenia and osteoporosis.

Living with PBC can also be emotionally challenging. So, a strong support system is important to help maintain mental health. In addition to family and friends, patient advocacy groups and online communities can offer comfort and advice and emotional support.

Last, talk to your family. Although not firmly established in current guidelines, we encourage discussing screening with your HCP, especially for first degree family members (sisters, daughters, mothers) because we know they are at increased risk. Although PBC is less common in men, they should still talk to their HCP if they have symptoms.

This educational resource was created with support from Gilead.

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22 07, 2025

Living with Bipolar Disorder – HealthyWomen

By |2025-07-22T17:28:54+03:00July 22, 2025|Fitness News, News|0 Comments


July is Bebe Moore Campbell National Minority Mental Health Awareness Month.

As told to Shannon Shelton Miller

Four years ago, my husband found me lying in a fetal position on our bedroom floor, hysterical and in tears. I was having one of the worst depressive episodes I’d experienced in years.

After struggling for more than a decade, I was diagnosed with bipolar disorder almost 20 years ago, and I thought I had everything figured out. I’m in therapy, taking my medications, practicing self-care and doing all the “mental wellness” steps we hear about. Life and work were going well, and my husband, kids and I were healthy. But for two weeks before that episode, I’d been fighting and clawing my way through the day when all I wanted to do was sink into the darkest, deepest hole.

 Pamela Price’s children during family weekend at Virginia Tech, 2022.

That breakdown led to one of the first real conversations my husband and I had about what it’s like to live in my head. It also made me even more adamant about wanting people to know what it’s like on this journey and to understand that we will have moments where we just won’t be OK.

The signs of my mental illness were already there when I was 13. My grandparents were raising me because my mom was struggling with drug addiction, and I barely knew my father who continues to battle alcohol addiction today.

My grandparents were very strict, and there wasn’t space to express how I felt about my mom disappearing for months at a time. I was angry, resentful and hopeless, and our family simply didn’t have the awareness or tools to properly express love, care or concern for me and what I was dealing with at such a young age. I was convinced that I would be better off dead, so without hesitation or regret, I took half a bottle of my granddad’s muscle relaxers.

My suicide attempt didn’t work, and I woke up in the hospital a week and a half later angry and upset that I was still alive, and I felt even more hopeless. To make matters worse, no one in my family asked me why I tried to kill myself or what was wrong. Once I got out of the hospital, I saw a seemingly unconcerned therapist twice, and the incident was never spoken of again. We were all expected to simply get back to our lives.

I felt even more alone and like nobody truly cared about me. I became adept at hiding my issues and started perfecting the many masks I would go on to wear throughout my mental health struggles. My goal became just to make it to 18 so I could join the military and get out of there.

In many ways, becoming part of the military was one of the best decisions of my life, but it still didn’t lead to me receiving help. Instead, I became even better at hiding my issues. When suicidal thoughts returned when I was in my 20s, I knew something had to change — by then, I was a mother and my daughter depended on me.

I saw an older doctor who simply said I’d had a rough childhood and was depressed. He didn’t give me a diagnosis, just an antidepressant prescription and sent me on my way. He was hyperfocused on the fact I grew up poor in low-income housing. But everyone around me was poor then, so I never had any sadness or depression about that. I often wondered if poverty was his focus because I was a Black woman, and if he would have asked more about what I was feeling and experiencing if I had not been a woman of color.

I continued to struggle and saw a therapist who diagnosed me with major depressive disorder. But something felt off because depression wasn’t what I struggled with most. I was bouncing between rage and irritability and feelings of euphoria. I didn’t want to go to sleep and sometimes I had paranoia and didn’t hear the world around me the way everyone else did. Sometimes I responded by lashing out in a way that was unsafe for those around me, including my family.

Once, when I was in my late 20s, I hurt my daughter. That was my wake-up call. I confided in a good friend, and she recommended her therapist who practiced with her psychiatrist husband. They put me through a battery of tests, which led to a diagnosis of bipolar I disorder with psychotic features.

Surprisingly, I was at peace with my diagnosis. It was the turning point that gave me a path forward. I was able to get on the right medications to address the disruptive mania and other symptoms, and I stayed in therapy with that practice. My manic and depressive episodes decreased in severity and I experienced them — and the voices in my head that had plagued me for so long — less frequently. Really good therapy and the right medication helped things not escalate to the point where I needed to be hospitalized or have my husband feel like he had to call someone for help.

Even so, the breakdown on my bedroom floor a few years ago was a reminder that I might still have these episodes even with the correct treatment and medication. I’m 45 now, and my therapist told me my depressive episodes could be more intense as I get older, so we’re open to making medication adjustments and increasing therapy sessions as needed.

 Living with Bipolar Disorder – HealthyWomen Pamela with her husband.

 

When I talk to my husband about what it’s like to live with bipolar disorder, I ask him to consider the physical pain he feels from his time in the military and imagine feeling that pain mentally — and he does his best to understand and support me. We also try to be proactive with our kids and ask them ‘How are you feeling?’ ‘How are you doing?’ ‘Do you want to talk about anything?’ Questions like those would’ve gone a long way for 13-year-old me.

My message today is about being mentally well, period, and learning how to be resilient emotionally and not come from a place of emotional deficit. Especially as Black women, we’re always trying to push through and say everything is “fine,” but we are being strangled by the very superhero capes that we put on to save others, when we may be the ones who need saving.

Yes, I’m a Black woman and I have bipolar disorder. But I’m also still a mom, a wife and a director of a nonprofit organization. I’m all of these amazing things, and bipolar disorder is just a part of my life. It’s my condition, not my identity.

Every Sept. 10, World Suicide Prevention Day, I sit in front of my camera phone and record a message to the girl who was adamant she didn’t want to be here. I remind her of how far we’ve come and how beautiful our life is. I’ve been doing that every year since 2018, and this year I’ll tell her that my oldest daughter is now a college graduate, pursuing a career as a licensed therapist, that our family is taking amazing vacations, and that I’ve been to almost all 50 states.

I tell 13-year-old Pam life turned out all right.

Have your own Real Women, Real Stories you want to share? Let us know.

Our Real Women, Real Stories are the authentic experiences of real-life women. The views, opinions and experiences shared in these stories are not endorsed by HealthyWomen and do not necessarily reflect the official policy or position of HealthyWomen.

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22 07, 2025

5 Cancer-Fighting Fruit Ice Cream Pies for Smart Indulgence

By |2025-07-22T11:25:55+03:00July 22, 2025|Fitness News, News|0 Comments


When it comes to dessert, few things are as refreshing as ice cream pies made with real fruit. But what if we told you these indulgent treats could also help support your body in the fight against cancer?

5 Fruit Ice Cream Pie Recipes: Guilt-free Indulgence

These 5 fruit ice cream pie recipes are not only delicious and easy to make but also packed with cancer-fighting nutrients like antioxidants, fiber, and phytonutrients. Plus, they’re free from refined sugar and artificial ingredients.

Mango Coconut Ice Cream Pie (Vegan, Dairy-Free)

image source: https://worldlytreat.com/

Ingredients:

Crust:
1½ cups almonds or walnuts
1 cup dates (pitted)

Filling:

  • 2 cups mango chunks
  • 1 can full-fat coconut milk
  • Juice of ½ lime
  • 1 tbsp maple syrup (optional)

Directions:

  • Blend crust ingredients and press into a pie pan. Freeze.
  • Blend filling ingredients until smooth.
  • Pour into crust and freeze for 4–6 hours.

Cancer-Fighting Benefits:

Mangoes are rich in beta-carotene and polyphenols with anti-tumor effects. Coconut milk provides lauric acid, which may inhibit cancer cell growth.

Source: National Library of Medicine – Polyphenols in Mango and Their Role in Cancer Prevention

Nutrition (per slice):
Calories: ~295 | Fat: 16g | Carbs: 30g | Fiber: 4g | Protein: 3g

Strawberry Yogurt Ice Cream Pie

5 Cancer-Fighting Fruit Ice Cream Pies for Smart Indulgence

image source: https://www.todaysnest.com/

Ingredients:

Crust:

  • 1½ cups rolled oats
  • 3 tbsp honey
  • 2 tbsp coconut oil

Filling:

  • 2 cups frozen strawberries
  • 1 cup Greek yogurt
  • 1 tbsp honey

Directions:

  • Mix crust ingredients and press into a pie dish. Chill.
  • Blend filling and spread into crust.
  • Freeze 3–4 hours. Garnish with fresh strawberries.

Cancer-Fighting Benefits:

Strawberries contain ellagic acid, which inhibits cancer cell proliferation. Greek yogurt offers probiotics, linked to improved immune response.

Source: American Institute for Cancer Research (AICR) – Foods That Fight Cancer: Berries

Nutrition (per slice):
Calories: ~260 | Fat: 10g | Carbs: 29g | Fiber: 3g | Protein: 7g

Banana Peanut Butter Ice Cream Pie

image: https://www.crazyforcrust.com/

Ingredients:

Crust:

  • 1½ cups oat biscuits
  • 2 tbsp peanut butter
  • 2 tbsp coconut oil

Filling:

  • 3 ripe bananas (frozen)
  • 3 tbsp peanut butter
  • 1 tsp vanilla extract
  • ½ tsp cinnamon

Directions:

  • Press crust mixture into pan and freeze.
  • Blend filling and spread into crust.
  • Freeze for 3–4 hours.

Cancer-Fighting Benefits:

Bananas are high in dopamine and resistant starch, which support gut health. Peanuts contain resveratrol, a plant compound with anti-cancer potential.

Source: Journal of Agricultural and Food Chemistry – Health Benefits of Peanut Phytochemicals

Nutrition (per slice):
Calories: ~330 | Fat: 17g | Carbs: 32g | Fiber: 4g | Protein: 6g

Pineapple Mint Ice Cream Pie

Ingredients:

Crust:

  • 1 cup cashews
  • 1 cup dates
  • 1 tbsp chia seeds

Filling:

  • 2 cups frozen pineapple
  • ½ banana
  • ½ cup coconut milk
  • Fresh mint leaves
  • Juice of ½ lemon

Directions:

  • Blend crust ingredients and press into pan.
  • Blend filling ingredients until creamy.
  • Pour into crust and freeze for 4–5 hours.

Cancer-Fighting Benefits:

Pineapple contains bromelain, an enzyme with anti-inflammatory and tumor-fighting properties. Mint offers rosmarinic acid, known for its antioxidant action.

Source: MDPI – Bromelain in the Management and Prevention of Cancer

Nutrition (per slice):
Calories: ~270 | Fat: 12g | Carbs: 31g | Fiber: 4g | Protein: 3g

Berry Chia Ice Cream Pie

image: https://www.blissfulbasil.com/

Ingredients:
Crust:

  • 1 cup walnuts
  • 1 cup dates
  • 2 tbsp chia seeds

Filling:

  • 2 cups mixed berries (blueberries, raspberries, strawberries)
  • ½ banana
  • ½ cup Greek yogurt or coconut cream
  • 1 tbsp honey

Directions:

  • Press crust mixture into dish and freeze.
  • Blend filling and pour into crust.
  • Freeze 4–6 hours. Garnish with fresh berries.

Cancer-Fighting Benefits:
Berries are packed with anthocyanins and flavonoids, which protect cells from oxidative stress. Chia seeds provide omega-3 fatty acids and lignans, both linked to lower cancer risk.

Source: Journal of Cancer Prevention – Role of Berries in Cancer Prevention

Nutrition (per slice):
Calories: ~280 | Fat: 13g | Carbs: 29g | Fiber: 5g | Protein: 5g

These fruit ice cream pies are more than just a cool treat—they’re a smart way to sneak in cancer-fighting nutrients while satisfying your sweet tooth. Whether you’re looking to support your immune system, protect your cells, or eat cleaner, these recipes make healthy living feel indulgent.

Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.



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21 07, 2025

No estaba cansada. Tenía insuficiencia cardiaca.

By |2025-07-21T21:17:16+03:00July 21, 2025|Fitness News, News|0 Comments


English

Tal como se relató a Erica Rimlinger

“Estoy bien. Lo que pasa es que no comí suficiente cuando desayuné”, le dije al personal médico en la sala de emergencias. Me estaba preparando para salir del hospital. Mis colegas, expliqué, estaban siendo demasiado cautelosos cuando pidieron una ambulancia para mí. Les dijeron a los paramédicos que perdí el conocimiento y que me golpeé con el escritorio cuando caí. No recordaba eso, pero el moretón que se estaba formando en un lado de mi cuerpo era evidencia de lo que decían.

A pesar de eso, me daba vergüenza todo el alboroto y quería ir a casa, así que después de insistir me dejaron salir de la sala de emergencias. Soy abogada y puedo ser muy persuasiva. Sí, estaba cansada. ¿Qué madre que trabaja no lo está? Pensé que la menopausia, mi medicamento para las migrañas y falta de sueño estaban causando la dificultad para respirar que experimenté cuando subía por las escaleras o cuando cargaba mis esquís hasta el telesquí.

Esa noche, y los días y noches siguientes, me sentí mal en general. No podía describirlo: Era un malestar. Estaba agotada pero no podía dormir. Una noche a las 2 o 3 A.M., estaba cambiando de canales ansiosamente en la cama y empecé a ver un especial de comedia de Rosie O’Donnell.

Justo en ese momento, O’Donnell describía los síntomas de enfermedades cardiacas que padecen las mujeres. Recordé que el personal médico había sugerido que un problema cardiaco podía ser una de las muchas posibles causas de mi desmayo y que recomendaron que haga seguimiento con un cardiólogo. No creía que tenía un problema cardiaco porque tenía 48 años y cuidaba mi salud razonablemente, pero programé una cita con un cardiólogo de todas formas.

En esos momentos, en la televisión, O’Donnell listaba todos los síntomas específicos que yo tenía. ¿Dolor en la parte posterior del brazo o del cuello? Sí ¿Fatiga? Sí ¿Retención de líquidos en exceso? Miré mis tobillos y estaban hinchados. Sí ¿Sensación de miedo? Desde luego.

O’Donnell dijo, “si estás experimentando estos síntomas, ve al hospital ahora”. En esos momentos me preocupé. A las 5:15 A.M. desperté a mi esposo y fuimos a la sala de emergencias.

Esta vez, me quedé para que hagan una examinación completa. Todavía no conocía al cardiólogo con quién programé la cita pero él justo estaba ahí. Me diagnosticó una insuficiencia cardiaca total. No había bloqueos en mi corazón, pero solo estaba funcionando a entre el 5 y 10% de su capacidad. Dijo, “es como si su corazón no estuviese funcionando. No sabemos cómo sigue con vida”. Tuvieron que someterme a una cirugía cardiaca de emergencia para colocar un desfibrilador y un marcapasos.

Estaba conmocionada. No podía creer que estaba tan enferma. De hecho, mi cerebro que estaba privado de oxígeno resistía tanto estas noticias que le dije a mi esposo que el doctor nos estaba diciendo que podía tomar mi medicamento e ir a casa. ¡El doctor me tuvo que explicar mi situación tres veces e incluso tuvo que hacer un dibujo!

Mis cirujanos instalaron un desfibrilador y un marcapasos para que mi corazón emita latidos apropiadamente. Tuve que tomar un mes de descanso en el trabajo y cuando regresé lo hice con jornadas reducidas. Mientras mis doctores y yo identificamos las dosis correctas de mis medicamentos, pasé meses haciendo rehabilitación cardiaca, trabajando duro para recuperar mi salud tres veces a la semana con sesiones de dos horas por la mayor cantidad de tiempo posible siempre y cuando mi seguro pague esos servicios.

En esos momentos, tenía ansias de recuperarme completamente, pero recordándolo me gustaría haber sido más paciente. Además de la carga física de mi enfermedad, empecé a sentir una tristeza incontrolable. Afortunadamente, los cirujanos me advirtieron que eso era algo común después de cirugías cardiacas, así que los arrebatos aparentemente aleatorios de llanto no me sorprendieron completamente.

Con la combinación de dispositivos y medicamentos que suplementaban mi función cardiaca, sentí una enorme diferencia en mis niveles de energía en etapas tempranas de mi recuperación. Sentía que mi cerebro iba a mil por hora. Empecé a comprender completamente cuánto me demoraba en procesar información cuando estaba enferma. Casi inmediatamente disminuí 20 libras de peso por el agua que ya no estaba reteniendo, y un mes y medio después de mi cirugía, podía caminar tres millas en las noches con mi esposo. No había podido caminar tanto durante algún tiempo.

  2025

Comparto mi historia con otras mujeres porque mi vida la salvó alguien que contó lo que le pasó. Soy una persona educada y consciente, pero no reconocí los síntomas. Recuerdo cómo sobrellevé mi vida ajetreada, sintiéndome enferma pero sin analizar esa sensación y sin detenerme para adaptarme o cuestionarlo. Ahora, presto atención a mis instintos. Si siento que algo está mal, no lo ignoro. Hago que alguien lo evalúe.

Les digo a mujeres de mi edad que no descarten automáticamente la posibilidad de una enfermedad cardiaca. Si bien no consumía alcohol ni drogas, me enteré que el corazón puede deteriorarse de otras formas. Uno de mis doctores sugirió que mi enfermedad cardiaca pudo haber sido causada por una infección y mi genética.

Recientemente, mis doctores hablaron conmigo acerca de la posibilidad de remover el marcapasos. A veces, después de funcionar bien por un tiempo, el corazón puede empezar a enviar señales eléctricas correctamente otra vez por su propia cuenta. No sé todavía lo que me depara el futuro desde el punto de vista médico. Nunca quise convertirme en un símbolo de enfermedades cardiacas, pero si tan solo una mujer lee esto y reconoce su experiencia en mi historia, mi corazón se llenará de alegría.

Este recurso educativo se preparó con el apoyo de Novartis 

¿Eres una mujer con historias reales que te gustaría compartir? Avísanos 

Nuestras historias son experiencias auténticas de mujeres reales. HealthyWomen no avala los puntos de vista, opiniones y experiencias expresadas en estas historias y no reflejan necesariamente las políticas o posiciones oficiales de HealthyWomen.

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18 07, 2025

Strength Beyond the Game: Vicky Fleetwood

By |2025-07-18T12:33:45+03:00July 18, 2025|Fitness News, News|0 Comments


Screenshot

Victoria Louise “Vicky” Fleetwood is a rugby union player and personal trainer. She represented England at the 2014 Women’s Rugby World Cup and the 2017 Women’s Rugby World Cup.

Vicky played the majority of her early career at Hooker, but is equally as comfortable in the back-row. Career highlights to date, include winning the Rugby World Cup in 2014, a bronze medal in the 2018 Commonwealth Games as well as multiple 6 Nations and Tyrell’s Premier 15s Championships.

A level 3 personal trainer, Vicky has worked in some of the best gyms in London. Widely regarded as one of the fittest players around, her wealth of experience as an international athlete allows her to bring the same intensity to sessions with her clients. Rugby commitments sometimes mean that F2F services can be a challenge, but Vicky also offers online sessions alongside bespoke programming for clients.

Fleetwood made her England debut in 2011. She made six appearances in the 2014 Women’s Rugby World Cup, which England won. In 2017 she made three appearances for England at the Women’s Rugby World Cup, including in the final which England lost to New Zealand. After the 2017 World Cup, she switched to England 7s, competing for England in the 2018 Commonwealth Games; the team took the bronze medal.

Strength Beyond the Game: Vicky Fleetwood

She returned to 15s in 2019 as England won the 2019 Women’s Six Nations. She was injured out of the 2019 Women’s Rugby Super Series, but was named Player of the Match in the Quilter International match versus Italy later that year. Fleetwood was again part of the England team as they won the 2020 Women’s Six Nations.

Aged 14, Fleetwood began playing for Leicester Forest. She joined Lichfield aged 17 as part of the Under 18s squad, and later graduated to the senior’s team. She continued to play for Lichfield while attending university with teammate Emily Scarratt. She joined Saracens Women in 2014, then rejoined the team in 2020. Born in Hinckley in 1990, Fleetwood has a twin brother named Andrew. She was a junior hurdler and sprinter before switching to rugby.

She attended John Cleveland College and then Leeds Metropolitan University. Alongside rugby, Fleetwood is a successful personal trainer. In 2017 she appeared on the cover of Stylist magazine as part of a feature on the England Women’s Rugby team.

Women Fitness President Ms. Namita Nayyar catches up with Vicky Fleetwood, an exceptionally talented International Rugby Player, Fitness Personality and Motivational Speaker, here she talks about her fitness regime, and her story to success.

Namita Nayyar:

You were born in Hinckley in England. You have been playing was a junior hurdler and sprinter before switching to rugby since an early age. You were a junior hurdler and sprinter before switching to rugby. Later at the age of 14 years, you began playing for Leicester Forest. You joined Lichfield at age of 17 years as part of the Under 18s squad, and later graduated to the seniors team. This later propelled your career to the height where you have been at the top of the world as a women rugby player. Tell us more about your professional journey of exceptional hard work, tenacity, and endurance?

Vicky Fleetwood:

I wasn’t a naturally fit athlete. Coming from sprinting for years, anything further than a few hundred meters was hard work, so that was something I really dialed into when reaching the senior Women’s team. I never wanted to be bad at anything, so that was my biggest driver, not necessarily to be the best, but to not be the worst!

Victoria Fleetwood

Namita Nayyar:

It is a dream for a rugby player to play in the Women’s Rugby World Cup. You made six appearances in the 2014 Women’s Rugby World Cup, which England won. Tell us more about this spectacular achievement of yours?

Vicky Fleetwood:

I was so lucky to experience this, and will be forever grateful. With sport, you’re always up against other athletes, staying fit and being at the top of your game. This isn’t always the case and you end up missing out on so many things throughout your career. Winning the World Cup was truly amazing, and something I’ll always be proud of.

Namita Nayyar:

You are the world-leading International Rugby Player, Fitness Personality and Motivational Speaker. How do you manage such a remarkable multi-dimensional lifestyle?

Vicky Fleetwood:

I’m now retired from rugby, but am still in the game coaching. I try to stay fit and healthy, and am now a keen cross fitter. The motivational speaking comes from experiences that I’ve had, and things I’ve learnt along the way that I can then educate others with.

Full Interview is Continued on Next Page

This interview is exclusive and taken by Namita Nayyar President of womenfitness.net and should not be reproduced, copied, or hosted in part or full anywhere without express permission.

All Written Content Copyright © 2025 Women Fitness

Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.



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17 07, 2025

I Wasn’t Tired. I Was in Heart Failure.

By |2025-07-17T20:24:46+03:00July 17, 2025|Fitness News, News|0 Comments


As told to Erica Rimlinger

“I’m fine. I just didn’t eat enough breakfast,” I told the medical staff in the emergency room. I was gearing up to walk out of the hospital. My co-workers, I explained, were being overly cautious by ordering the ambulance for me. They told the EMTs I passed out, fell and hit a desk on the way down. I didn’t remember that, but the developing bruise on my side testified to the truth of their account.

Still, I was embarrassed by all the fuss and wanted to go home, so I talked my way out of the ER. As an attorney, I am pretty good at arguing. Sure, I was tired. What working mom isn’t? I blamed menopause, my migraine medication and lack of sleep for the breathlessness I was experiencing walking up the stairs or carrying my skis to the ski lift.

That night, and the following days and nights, I felt generally bad. I couldn’t describe it: It was more of a malaise. I was exhausted but couldn’t sleep. One night at 2 or 3 a.m., I was restlessly flipping channels in bed when I stopped at a Rosie O’Donnell comedy special.

At that very moment, O’Donnell happened to be describing the symptoms of heart disease in women. I remembered the medical staff had suggested a heart problem as one of the many possible causes for my fainting and recommended I follow up with a cardiologist. I didn’t believe, as a reasonably health-conscious 48-year-old, I had a heart issue, but I made the cardiologist appointment anyway.

Now, on the television, O’Donnell was listing all the specific symptoms I’d been feeling. Pain in the back of the arm or the neck? Check. Fatigue? Check. Excess water gain? I looked at my ankles, which were swollen. Check. Feeling of dread? Absolutely.

O’Donnell said, “If you’re experiencing these, go to the hospital right now.” I was now worried. At 5:15 a.m. I woke up my husband, and we went to the ER.

This time, I stayed for a full exam. The cardiologist I’d made the appointment with but hadn’t seen yet happened to be there. He diagnosed me with complete heart failure. There were no blockages in my heart, but it was functioning at only 5%-10% capacity. He said, “You have virtually no heart function. We don’t know how you’re living.” I’d have to have emergency heart surgery to place a defibrillator and pacemaker.

I was shocked. I couldn’t believe I was that sick. In fact, my oxygen-starved brain was so resistant to this news, I told my husband the doctor was telling us I could get my medication and go home. The doctor had to explain my situation to me three times and even had to draw me a picture!

My surgeons installed a defibrillator and pacemaker to keep my heart beating properly. I had to take a month off work and returned part-time after that. While my doctors and I figured out my correct medication dosages, I spent months in cardiac rehab, working hard to regain my health three times a week for two hours at a time for as long as my insurance paid for it.

At the time, I was anxious to recover fully, but in hindsight I wish I’d been more patient. In addition to the physical toll of my illness, a wave of uncontrollable sadness hit me. Fortunately, my surgeons warned me this was a common occurrence after heart surgery, so I wasn’t completely caught off guard by my seemingly random outbursts of sobbing.

With the combination of the devices and medications helping my heart function again, I felt a huge difference in my energy levels early in my recovery. My brain felt like it was on steroids. I began to fully understand just how long it had been taking me to process information when I was sick. I almost immediately lost 20 pounds of water weight, and within a month and a half of my surgery, I could take three-mile evening walks with my husband. I hadn’t been able to make it that far for a while.

  2025

 

I share my story with other women because my own life was saved by somebody speaking out. I’m an educated, health-aware person, but I didn’t recognize the symptoms. I think back to how I’d powered through my busy life, feeling sick but not analyzing the feeling or stopping to accommodate or question it. Today, I listen to my instincts. When something feels off, I don’t ignore it. I get it checked out.

I tell women my age to not automatically rule out the possibility of heart disease. Although I wasn’t a drinker and didn’t take drugs, I learned the heart can get sick in other ways. One of my doctors suggested my heart disease may have been caused by an infection, helped along by my genetics.

Recently, my doctors have discussed with me the possibility of removing the pacemaker. Sometimes, after it’s functioning well for a while, the heart can start sending the correct electrical signals again on its own. I don’t know yet what my medical future holds. I never wanted to be the face of heart disease, but if just one woman reads this and recognizes her experience in my story, my heart will be happy.

This educational resource was created with support from Novartis.

Have your own Real Women, Real Stories you want to share? Let us know.

Our Real Women, Real Stories are the authentic experiences of real-life women. The views, opinions and experiences shared in these stories are not endorsed by HealthyWomen and do not necessarily reflect the official policy or position of HealthyWomen.

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