I normally keep it to myself just how hard this can be but actually thought this time it might be useful to give you a flavour (pun intended) of the life of a multiple intolerant.
Food is like Sex…
One of Michelle’s comments was that food is such a small part of life, like sex is. I hooted at that. For one thing, I don’t know about you, but I don’t need sex at least 3 times a day or even every hour or so in the same way as I need food! Blimey. I’d never be vertical! A multiple intolerant is ALWAYS hungry! It never lets up. You can keep sex, thanks; I’d rather have a bagel. I SO wish 😉
Hunger is a primal feeling that we have absolutely no control over really. It’s a survival instinct in much the same way as our needs for shelter and love are all-consuming and must be met. Any hint of those primal needs not being met causes massive anxiety, not just at a conscious level but at a deep, subconscious level and in the central nervous system. When the brain isn’t getting enough glucose, it makes you hungry. When someone isn’t getting enough nutrients from food – and they may be eating loads but not absorbing much, remember – the brain will just create hunger the whole time. If you then don’t have snacks or many foods to turn to, you constantly worry about where the next ‘hit’ is coming from, and what it will do to you if you have it.
The same goes for thirst, of course. It’s a primal need. We can’t survive without water. One of my most fearful moments, in fact, was realising that I was reacting to not just tap water, but my reverse osmosis-filtered water! A whole other story, actually, because this started the light-bulb moment that my brain was doing the reacting rather than my body or immune system because physiologically it is pretty impossible to react to RO water; it is so pure.
We all tell ourselves that, logically, food shoudn’t be so important; as Michelle says as long as we have enough to keep alive, that’s all we really need. But food is MUCH more than that isn’t it?
P and I often think about Quentin Crisp who only ate Complan, and then later peanuts and champagne meals because he was too busy to do otherwise:
His diet consisted of the low-cost food substitute Complan. He didn’t eat food because he couldn’t be bothered with shopping or cooking. “I don’t get involved with shops,” he said, and washing up was just “nonsense” – “you’ll only have to do it tomorrow, why bother?” After he became famous and moved to New York in his later life, he switched to a diet of peanuts and champagne, which were both readily available at the functions he attended. “If you can cope with peanuts and champagne, you never need to shop again,” he believed. Source.
I so wish I could do that. However, quite apart from all the social and cultural elements of eating that people normally write about – the way food evokes memories and emotions like nothing else – a multiple intolerant will simply worry about becoming intolerant to it because they are eating too much of the same thing. One of our biggest worries is trying not to eat the same things all the time so that the body doesn’t become sensitive to those foods too, leaving us with even less to live on.
When you only have relatively few foods (less than 20 in many cases), you worry constantly about losing them. About what will happen if you lost your only carb or protein, couldn’t consume enough calories or were forced to continue eating the foods despite symptoms because you would die otherwise. It sounds dramatic, but, trust me, it is a very real worry for some multiple intolerants like me.
I know many of us who have had dramatic weight loss – I have gone from a 14 to an 8 and am still losing, despite eating every hour or so and as much as I can. Wild fish with some fruit and veg is just not that filling or calorific. You have to eat huge amounts. I know others who are below a size 6.
I know still more who are so malnourished because they haven’t enough foods to eat and can’t tolerate meal replacements, meds or supplements to sustain them – they then not only have to cope with the diet constraints but also suffer fatigue, pain, neurological etc symptoms even though they follow such a restricted diet. These are the very real consequences of malnutrition: systems, organs and glands just don’t work that well so we get adrenally-shattered, our thyroid nose-dives, inflammation levels rise, autoimmune processes get triggered, guts complain, yada, yada, yada.
It becomes a double whammy – nutrient deficiency symptoms overlaying reactivity symptoms – plus a boring, very restricted diet, constant hunger, never-ending anxiety about the symptoms and future food loss, social isolation and lack of real medical and often emotional support to cope with. That is the real life of a severe multiple intolerant!
Every time they put something in their mouths, they worry what the consequences will be. Will it be the same symptom as last time, will it be better, will it be worse? There is the anxiety of knowing you have to eat this food to survive but that it will make you ill plus the anxiety of not knowing how bad the symptom will be this time: will this be the time it really gets bad so you have to let go of this food? It’s a fear-filled process.
Social Pariahs
Most multiple intolerants, and even some ‘simple’ intolerants (1-3 foods in my book!), just don’t go out to eat at restaurants – especially not at restaurants! – and avoid family and friends’ houses too. The recent allergy catering laws might help with that but the vast majority still won’t risk it. This has an enormous impact on quality of life. As I said in my previous post, life becomes ever-smaller as you just stay in and try not to make anyone else’s life feel awkward.
First, you just get sick of explaining the problem and knowing that people don’t understand it. Second, people feel awkward around you as they tuck into wheat and dairy-laden goodies; it makes them feel guilty that they are not maybe looking after themselves as well as they might but also guilty they can have it or simply sorry for you that you have to sit there and watch them eat or drink it. Some of us, of course, are desperate to join in and go against our better nature’s to be part of things. Here is one comment from many on the TGF FB group, for example, to illustrate the point:
“I hate it when family ask me out for a meal. My husband comes from a very large family who enjoy nothing more than a big get together with a meal as often as they can. If I don’t go, I feel I am being unsociable, but if I do go, then I really suffer. In fact, the last one I went to, I thought I was going to have to go to hospital,…It lasted 9 hours all through the night, so I didn’t get any sleep either. I haven’t been for a meal since then, but have another one lined up in July. To say I am dreading it is understatement..”
In fact, whilst I’m on this point, I really like the way people are getting the support they need on the FB groups – people who ‘get it’ are very helpful. Here’s a comment from the same thread:
“You guys give me strength to feel able to say no to eating things just to make other people happy. If they really understood, they wouldn’t want me to be that ill. Since they often don’t, I just have to care for myself and say no, whatever the looks are that I get from others.
I hope they don’t mind me sharing their (made anonymous) comments! But. I think they make the point here better than I could.
Anyway, to summarise: this is so not about being bored with the same diet or being sad about missing out – not that those aren’t ever-present too; it’s just that the other fears are even worse. Most of us would love not to think about food so much but we are programmed to as we get so hungry so have no control over it. Most of us would be delighted to have an albeit low number of safe foods we could stick to – but we live with the constant anxiety of losing some of those foods if we eat them too much. Put the hunger and that fear of eating foods too often together and you have a tiny inkling of our fear-filled life. It’s no wonder that we get stuck in a fearful vicious cycle.
My last post was, of course, about recognising this fear and the hold it has on us, about trying to let it go and teach the body that things are not as unsafe as our brains are making us feel they are. I know this is a real toughie. I get it, I am a 20 foods person. But, I resolve not to let this fear control me and, as Michelle agrees, make a switch in focus to other stuff that is safe to try and teach my errant brain and body that life – and food – can be safe again for us. I SO hope so.
Anyway, I could witter on and tell you loads more but I am trying not to focus on the fear and food as you know. I just wanted to pen that really quickly as it was on my mind. I hope it helps someone. Don’t forget to read the Healing Series if this sounds like your life – I hope not!