Why Prevention Matters: What 40 Years in Health Care Taught Me About Chronic Disease

Over the past 40 years in health care, I cared for some of the sickest patients.

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Many required IV nutrition. Some were living with liver failure, diabetes, kidney and Cardiac disease, or cancer.

This was the work I was trained to do. And it mattered. But over time, I began to ask a different question. Why are we waiting until people are this sick?


When Health Care Becomes Sick Care

Our system is designed to treat illness. In many ways, health care has become sick care. When I was first diagnosed with Cutaneous Lupus, and excess histamine development. I was given a pill so I would not feel nauseated from the medication that I was taking, and then another one, so I would not excessively salivate. At some point I made changes to my care, and a reduction of pro-inflammatory lifestyle factors so I did not need all of the additional pills.

Medical care is necessary. It is often life-saving. But it typically begins after years—sometimes decades—of underlying imbalance. What I saw repeatedly was this:

These conditions did not start overnight.


The Missing Middle: What Happens Before Diagnosis

Before diagnosis, there are often signals:

  • fatigue
  • brain fog
  • digestive changes
  • joint discomfort
  • changes in energy or sleep

These are often dismissed or treated individually. But they may be connected.


Understanding the Inflammation Connection

Think of inflammation like a tree.

  • The roots represent lifestyle factors: nutrition, stress, environmental exposures
  • The trunk represents inflammation
  • The branches represent symptoms

When we only focus on the branches, we may miss what is happening at the root level. Over time, this accumulation can increase inflammatory load.


Why This Matters

Chronic inflammation has been associated with many long-term conditions, including:

  • cardiovascular disease
  • type 2 diabetes
  • certain cancers
  • neurodegenerative conditions

This does not mean every symptom leads to disease.

But it does suggest that earlier awareness may matter.


A Shift Toward Prevention

This is what led me to shift my focus. Not away from care—but earlier in the process.

Helping people:

  • recognize patterns
  • identify possible triggers
  • reduce overall inflammatory load

Because small changes, made earlier, may reduce long-term risk.


Where to Begin

If you have ever wondered whether your symptoms are connected, you are not alone. Learning how to observe patterns and make realistic adjustments can be a meaningful first step.


Learn More

I created a course to guide this process step by step: Detecting and Reducing Pro-Inflammatory Lifestyle Factors in 30 Days

You can find it at:
StephanieLarmour.com → Course

If you would like references, ask in the comments.


Can Inflammation Make It Harder to Get Pregnant? What Diet Is Recommended?

When people are trying to get pregnant, they often think first about hormones. Hormones are important, but they are not the whole story.

Research suggests that inflammation and immune balance may also affect fertility. A healthy body needs a normal, well-regulated inflammatory response for ovulation and implantation. The problem begins when inflammation becomes chronic, excessive, or poorly regulated.

This does not mean all fertility struggles are caused by inflammation. Fertility is complex. Age, structural issues, hormone balance, genetics, metabolic health, and stress may all play a role. Still, inflammation may be one important piece of the picture for some women.

Can Inflammation Make It Harder to Get Pregnant? What Diet Is Recommended?

Inflammation may affect fertility in several ways:

  • Ovulation and hormone signaling
  • Egg quality and oxidative stress
  • The uterine environment
  • Immune balance
  • Inflammatory-related conditions

Important Perspective

Inflammation Tree showing root causes such as blood sugar imbalance, stress, poor sleep, toxins, and gut imbalance contributing to fertility challenges.

It is important to say this clearly:Not all fertility struggles are caused by inflammation.

Inflammation is not the only cause of difficulty getting pregnant, and this topic should never be used to blame women. It is best understood as one possible contributing factor within a much broader picture.

What Diet Is Recommended?

The most commonly recommended eating pattern for reducing inflammation and supporting fertility is a Mediterranean-style diet.

This is not a strict diet. It is a pattern of eating that emphasizes whole, nutrient-dense foods and reduces ultra-processed foods that may contribute to inflammation.

  • Vegetables daily
  • Fruit daily
  • Beans and lentils
  • Nuts and seeds
  • Olive oil
  • Fish
  • Fewer ultra-processed foods
  • Less added sugar
  • Less refined flour

Concrete Recommendations

  • Build meals with protein, fiber, and healthy fat
  • Include omega-3 rich foods
  • Eat colorful fruits and vegetables
  • Reduce ultra-processed foods
  • Support blood sugar balance
  • Use anti-inflammatory herbs
  • Support gut health

What to Keep on Hand

  • Eggs
  • Chicken
  • Fish
  • Olive oil
  • Nuts and seeds
  • Leafy greens
  • Berries
  • Beans
  • Herbs and spices
  • Green tea

Final Thoughts

The goal is not perfection. The goal is to create a more supportive environment in the body.For some women, reducing chronic inflammatory load may be one meaningful step toward improving fertility.If you are struggling with fertility, it is important to work with your physician or reproductive specialist for a full evaluation. Nutrition and lifestyle can support health, but they do not replace medical care.

The goal is not perfection. The goal is to create a more supportive environment in the body.

For some women, reducing chronic inflammatory load may be one meaningful step toward improving fertility. If you are struggling with fertility, it is important to work with your physician or reproductive specialist for a full evaluation. Nutrition and lifestyle can support health, but they do not replace medical care.

References

Gaskins AJ, Chavarro JE. Diet and fertility research
Chiu YH, Chavarro JE. Nutrition and reproductive health
Barrea L et al. Mediterranean diet and fertility
American College of Obstetricians and Gynecologists
American Society for Reproductive Medicine

Why Your Symptoms Are Not Random: Understanding the Hidden Inflammatory Load

By Stephanie Larmour Sanders, MS, RDN, CDE, FNLP
Anti-inflammatory Dietitian and Nutritionist


Your body is not working against you.

It is communicating with you. You may have symptoms like these listed below:

Fatigue in the afternoon.
Cravings later in the day.
Brain fog after meals.
Sleep that does not feel restorative.

These are often not isolated issues.They may be connected through one underlying pattern:

A hidden inflammatory load.


What Is a Hidden Inflammatory Load?

Inflammation is not always obvious. It may build quietly over time through small, repeated exposures and habits that affect how your body functions.

This can include:

  • Blood sugar fluctuations
  • Ultra-processed foods
  • Poor sleep patterns
  • Environmental toxin exposure
  • Chronic stress

Each one may seem manageable on its own. But together, they may create a cumulative burden that your body is working to manage every day.


How Your Body Detoxifies — and Why It Can Become Overloaded

Your body is designed with built-in systems to process and remove unwanted substances. This process is often referred to as detoxification.It is not a trend or a short-term cleanse.
It is a continuous process happening every day.


The Body’s Detoxification System

Several organs work together to support detoxification:

  • Liver — transforms substances so they can be removed
  • Kidneys — filter waste through urine
  • Digestive system — eliminates waste through stool
  • Skin — supports elimination through sweat
  • Lymphatic system — helps move waste out of tissues

At the center of this system is the liver, which processes both internal byproducts and external exposures.


A Simple Way to Understand the Process

Detoxification in the liver happens in two main steps:

Phase 1: Activation
Substances are transformed into intermediate compounds.

Phase 2: Conjugation
These compounds are converted into forms that can be safely eliminated.

These processes rely on key nutrients, including:

  • Protein (amino acids)
  • B vitamins
  • Magnesium
  • Antioxidants

When both phases are supported and balanced, the body is often able to process and eliminate substances efficiently.


Why Detoxification Can Become Overloaded

The body is designed to detoxify. However, it was not designed for constant, cumulative exposure.

Factors that may increase the burden include:

  • Ultra-processed foods
  • Blood sugar instability
  • Chronic stress
  • Poor sleep
  • Environmental exposures
  • Digestive imbalance

When the total load becomes greater than what the body can comfortably process, detoxification pathways may become less efficient.


What Overload May Look Like

When detoxification systems are under strain, the body may begin to signal this in subtle ways. This does not mean the body has stopped working. It means it may be working harder to keep up.

Common patterns may include:

  • Persistent fatigue
  • Brain fog
  • Skin changes
  • Increased sensitivity to foods or environments
  • Hormonal imbalances
  • Digestive irregularity

These symptoms are often not random. They may reflect how the body is responding to its total internal and external load.


Supporting, Not Forcing, Detoxification

The goal is not to push the body harder. It is to support the systems that are already in place.

This may include:

  • Eating balanced, nutrient-dense meals
  • Supporting stable blood sugar
  • Staying hydrated
  • Promoting regular digestion
  • Prioritizing sleep
  • Reducing unnecessary exposures where possible

These foundational habits may help the body function more efficiently over time.


This is exactly what I teach step by step — how to identify your personal load, support your body’s natural processes, and make changes that are realistic and sustainable.


Why Symptoms Often Feel Random

Many people are taught to look at symptoms individually.

Low energy → drink more caffeine
Cravings → use more willpower
Digestive discomfort → avoid a specific food

But when symptoms are connected to a broader inflammatory pattern, addressing them one at a time often leads to frustration.

You may feel like:

  • You are doing everything right but not seeing progress
  • Your energy is inconsistent
  • Your body feels unpredictable

This is often where understanding patterns becomes more important than chasing individual symptoms.


The Shift: From Reaction to Awareness

The first step is not perfection. It is awareness.

Start by noticing:

  • When symptoms show up
  • What you ate before
  • How you slept
  • Your stress level

You may begin to see patterns. And once you see patterns, you can begin to change them.


Small Changes Can Reduce a Larger Load

Reducing inflammation does not require doing everything at once. Often, small targeted shifts may support meaningful change.

Examples include:

  • Eating balanced meals with protein, fiber, and healthy fats
  • Supporting stable blood sugar throughout the day
  • Improving sleep consistency
  • Reducing ultra-processed foods
  • Becoming more aware of environmental exposures

These are not extreme changes. They are foundational ones.


Join Me for a Free In-Person Session

I will be teaching a small group session where I walk through:

  • How to identify your hidden inflammatory triggers
  • How to understand your symptom patterns
  • Where to begin with simple, targeted changes

📍 Location: Studio Wellness Center
11650 Riverside Drive PH1 (Second Floor)
Studio City, CA 91602

🗓 Date: April 25th
Time: 2:00–3:00 PM


All attendees will receive 20% off my full course on:

Detecting and Reducing Pro-Inflammatory Lifestyle Factors™


Your Next Step

Start this week with one simple action:

Pay attention.

Notice your patterns.
Notice your energy.
Notice your responses to food, stress, and sleep.

That awareness is where meaningful change begins.


If you would like to attend the free session:

Comment “INFO” or reach out directly for details.


Educational Use Only

This content is for educational purposes and is not a substitute for individualized medical care.


Prostate Cancer, Chronic Inflammation,and What We Can Still Influence

As a wife, a sister,  and for my male friends and relatives, I am concerned about the men in my life.

Prostate cancer is common. In the United States, it accounts for approximately 27–29% of all new cancer diagnoses in men. About 1 in 8 men will be diagnosed during their lifetime.

Globally, prostate cancer represents roughly 14–15% of all cancers diagnosed in men, making it the second most commonly diagnosed cancer in men worldwide.

When detected early:

  • Localized prostate cancer has a 5-year survival rate greater than 99%
  • Regional (nearby lymph node) disease also carries very high 5-year survival
  • Distant metastatic disease has a lower 5-year survival (~38%), which is why early detection and comprehensive care matter

Cancer biology is complex. There is no single cause. But one piece of the terrain that continues to gain attention is chronic inflammation.


Chronic Inflammation and the Prostate

Inflammation is not always dramatic. It can be low-grade, Silent, Metabolic.

Chronic inflammatory signaling may influence:

This does not mean inflammation “causes” prostate cancer in a simplistic way. It means the environment in which cells live matters. And that environment is modifiable.


A 67-Year-Old Patient’s Story


What Changes on ADT (Lupron)

Androgen Deprivation Therapy lowers testosterone.

When testosterone drops, we commonly see:

This is where inflammation management becomes even more important.

The goal is not extreme dieting,  but to reduce the  pro-inflammatory load.


The Action Plan: Simple, Sustainable, Evidence-Informed

Nothing dramatic.Just consistent shifts. What is recommended


1. Protect Muscle (High Priority on ADT)

  • 25–35 grams of protein at each meal
  • High-protein breakfast maintained
  • Resistance training 2–3 times per week

Muscle is metabolic armor.


2. Increase Fiber Daily

The patient previously skipped lunch and drank 3 sodas per day.

We added:

  • Greek yogurt + walnuts + berries
  • One apple mid-day
  • Beans or lentils several nights per week

Fiber supports:

  • Gut microbiome balance
  • Hormone metabolism
  • Blood sugar stability
  • Inflammatory regulation

3. Replace Sugar-Sweetened Beverages

We used a step-down method:

Week 1: 3 sodas → 2
Week 2: 2 → 1
Then sparkling water with lemon.

No shock. Just reduction.


4. Bone Protection

With ADT, bone health is not optional.

I recommended:

  • Vitamin D testing
  • Adequate dietary calcium
  • Weight-bearing movement
  • DEXA monitoring through oncology

5. Reduce Processed Meats Most Days

Bacon and sausage were daily habits.

We shifted to:

  • Eggs + yogurt
  • Fish twice weekly
  • Beans added regularly
  • Processed meats occasionally, not daily

Reduction, not perfection.


What This Is Not

This is not blame.
This is not “lifestyle caused cancer.”
This is not a promise of cure.

This is about influence.


The Pro-Inflammatory Reduction Framework™

In my work, I focus on identifying and reducing pro-inflammatory lifestyle factors across:

  • Nutrition
  • Blood sugar stability
  • Gut health
  • Environmental exposures
  • Stress regulation
  • Movement
  • Sleep

We cannot control everything about cancer.

But we can support the terrain in which healing, recovery, and long-term resilience occur.

And that matters.



References

American Cancer Society. Prostate Cancer Survival Rates.
https://www.cancer.org/cancer/types/prostate-cancer/detection-diagnosis-staging/survival-rates.html

American Cancer Society. Key Statistics for Prostate Cancer.
https://www.cancer.org/cancer/types/prostate-cancer/about/key-statistics.html

International Agency for Research on Cancer (WHO). Global Cancer Observatory.
https://gco.iarc.fr

Centers for Disease Control and Prevention. United States Cancer Statistics – Prostate Cancer.
https://www.cdc.gov/cancer/prostate/statistics

Is Your Job Quietly Increasing Your Inflammation?

What Different Work Environments Expose Us To — and How to Reduce the Load


When we talk about inflammation, we often talk about food.

But your body lives somewhere for 30–50 hours a week.

Your lungs are there.
Your nervous system is there.
Your metabolism is responding in real time.

So today, I want to gently explore something most people never calculate:

Occupational inflammatory load.

Not to create fear.

But to create awareness — and practical action.


A Simple Truth About Exposure

Exposure alone does not determine outcome.

It is: Exposure × Duration × Metabolic Resilience × Sleep × Stress Regulation

You may not control your profession.

But you can absolutely influence resilience.

Let’s look at some common environments.


Concrete Workers — Dust, Diesel & Skin Exposure

What May Be Present:

  • Crystalline silica dust
  • Cement particles (alkaline skin irritant)
  • Diesel exhaust
  • Heavy equipment emissions

Fine dust can irritate lungs over time.
Wet cement can compromise skin barrier.

Reduce the Load:

At Work

At Home

  • Shower before family contact
  • Separate work laundry
  • Increase antioxidant-rich foods
  • Stay hydrated

Small reductions matter.


Firefighters — Smoke & Circadian Disruption

What May Be Present:

  • Combustion byproducts
  • PFAS (in certain foams and gear)
  • Diesel exhaust
  • Night shifts

Shift work alone can affect glucose metabolism.

Add chemical exposure and the load increases.

Reduce the Load:

At Work

  • Immediate decontamination
  • Wash turnout gear regularly

At Home

  • Stabilize blood sugar
  • Prioritize sleep protection
  • Increase fiber intake

Resilience is built off shift.


Office Workers — The Invisible Metabolic Load

Office environments feel safe.

But prolonged sitting and chronic stress quietly affect:

  • Glucose regulation
  • Cortisol patterns
  • Inflammatory signaling

Reduce the Load:

  • Stand every 45–60 minutes
  • Walk after meals
  • Strength train 2–3x weekly
  • Bring whole-food lunches
  • Reduce evening blue light

Movement is anti-inflammatory medicine.


Hairdressers & Manicurists — Chemical Inhalation

Repeated exposure to:

  • Formaldehyde releasers
  • Toluene
  • Fragrance compounds
  • Acetone vapors

Reduce the Load:

At Work

  • Gloves consistently
  • Ventilation systems
  • Mask during chemical treatments

At Home

  • Cruciferous vegetables
  • Adequate protein
  • Hydration

Your liver works hard. Support it gently.


Healthcare Workers — Chemical and Emotional Stress

Common exposures include:

  • Cleaning agents
  • Sterilizing chemicals
  • Shift work
  • Emotional strain

Chronic stress itself is pro-inflammatory.

Reduce the Load:

  • Change out of scrubs immediately
  • Fragrance-free personal products
  • Protein at every meal
  • Sleep protection

Immune resilience requires metabolic resilience.


Truck Drivers — Diesel and Sedentary Stress

  • Diesel exhaust
  • Long sitting hours
  • Irregular eating
  • Sleep disruption

Reduce the Load:

  • Cabin air filters
  • Pack balanced meals
  • Walk during stops
  • Keep resistance bands in cab

Small steps create long-term protection.


You are not powerless.

The goal is not elimination.

The goal is reducing total load.

When you:

  • Stabilize blood sugar
  • Increase fiber
  • Sleep consistently
  • Regulate stress
  • Support detox pathways

That is how we lower inflammatory burden — even inside imperfect environments.

Look to my social Media posts for the quiz that can identify your risk.


How to Eliminate Sugar Cravings, Part I

By Stephanie Larmour Sanders MSRDN, CDE

Do you  ever find yourself on the  blood sugar roller coaster of addiction or low energy  & mood swings? As a result,  have you experienced a change in  your emotions,   symptoms of “foggy  brain”, or suppression of  your immune system, that results in getting a cold. These are just a  few of the short term  symptoms or effects  caused by   the inflammation from  elevated blood sugars.

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