It was a beautiful October day in 1986. The air was fresh, the leaves were just starting to announce a new season, and the Mets were in the playoffs. It was a perfect day to go for a run. So I geared up and was off.

After finishing two miles, I noticed a strange feeling in my chest. It felt sort of like swallowing cold ice cream. The feeling soon passed, and I forgot about it until days later.

The following morning my alarm went off at the usual time. However, something was really wrong. My legs and arms felt as if they were made of lead. I was able to get out of the bed with difficulty, but I found I couldn’t stand up for more than 30 seconds at a time.

What was odd was that I had no other symptoms. I had no headache, no sore throat, no cough, and no sniffles. The only symptom I had was extreme fatigue.

Since my symptoms came on suddenly, I figured I had some kind of virus and was sure that in a few days I would be better. Why wouldn’t I? I had always healed from things before.

Well, after weeks I didn’t get better. All my blood tests were normal. The only diagnosis my doctors could come up with was that after acquiring a virus, I had developed chronic fatigue syndrome (CFS).

After a month, I regained some energy which gave me hope that I was getting better. However, after a day or two of feeling better, the fatigue returned.

My eventual symptoms included constant fatigue in varying degrees, exhaustion after activity, waking up tired, brain fog, a generalized aching throughout my arms and legs and headaches. Over the next thirty years of visiting numerous health practitioners, the diagnosis remained the same.

I eventually learned to deal with the fatigue by cutting back on activities and only doing what I thought I could do without putting myself in bed for a week. I did have to quit my podiatry practice because I just couldn’t stand up long enough to make it work.

During my whole ordeal, I didn’t get depressed. There was no time for that. I tried to focus on how to get better. It just wasn’t happening.

Why Did It Take Me So Long To Get Better?

I suspect there are two main reasons why I didn’t recover quickly. The first is that I probably should have rested more. Some chronic fatigue sufferers need months of bed rest to get well.

I started a new career that allowed me to do a lot of work from home, but then I got married, and Barbara and I had four children and homeschooled them all. I had a family to support. There was no rest for either of us.

I just remained fatigued.

Secondly, I’m not good at dealing with stress. Stress is a major contributor to CFS and a major factor preventing its cure. See here and here.

So add up a lack of rest and an inability to deal with stress, and it becomes difficult if not impossible to heal from CFS.

Eventually, a doctor found that my cortisol levels were abnormal. My adrenals were fatigued as well. Stress was probably more of a problem than I first thought.

85% Better But With Consequences

About 12 years ago I went on a gluten-free diet (GF). Considering my experiences with wheat it was highly suspected that I have non-celiac gluten sensitivity.

That seemed to give me a little more energy but not much. How much this contributed to the CFS I don’t know, but I’m sure it affected my immunity.

What really gave me a big boost in energy was the walking routine I started 10 years ago.

I started slow with a walk around the block and then built up to a brisk 1.75 miles. The improvement in my fatigue was significant. I became about 65% better within a month. I found walking to be one of the perfect activities to reduce my stress.

Then about 4 years ago, I improved my diet. I changed from a GF diet to a GF paleo type diet. I also juiced heavily. In four months, my energy levels improved again. I was now about 85% better.

Because I had been basically sedentary for about 30 years, I started suffering from muscle pulls and bursitis. I also noticed a decrease in muscle mass in my upper body (see my article about sarcopenia). This prompted me to want to start strength training.

The question was could I do it? Even though I was much improved from CFS, would the stress from lifting cause me to relapse into severe fatigue?

Remember that physical or psychological stress can be devastating to CFS sufferers. I decided to give it a go. But first I had to know what I was in for.

Strength training will cause extra stress on the body

The Danger Of Too Much Stress

Successful strength training is based on a process that includes physical stress, recovery from that stress, and the body’s subsequent adaptation to that stress.

This concept of stress/recovery /adaptation is based on a theory proposed by Dr. Hans Selye in 1936. Selye, a pioneer is stress research, was the first to identify the effects stress has on an organism. Interestingly, Selye was the first researcher to use the word stress in a biologic context. He also coined the word “stressor”.

In his theory, the General Adaptation Syndrome (GAS), Selye explained that an event that threatens an organism’s well-being, a stressor, leads to a three-stage bodily response:

Stage 1: Alarm or Shock

In this stage of the GAS, the body recognizes that there is a threat or a stress present. In response, the sympathetic nervous system is activated and adrenaline is released. This produces the classic fight or flight response.

Further, the hypothalamus-pituitary- adrenal (HPA) axis stimulates the adrenal glands to secrete cortisol. Cortisol (known as the stress hormone) stimulates the release of glucose, fats, and amino acids into the bloodstream to meet the demand for more energy.

Stage 2: Resistance or Adaptation

Here the body attempts to recover from the stress and return to homeostasis (the normal physiological environment that exists within the organism). If the stressor remains or reoccurs, the body will attempt to adapt to the particular kind of stress involved.

This adaptation to the stress is the body’s way of ensuring survival in a world full of stressors.

During this process, certain hormonal, nervous system, and tissue adaptations take place that will lessen the effect of the stressor. If the body repeats this process too often with little or no recovery, it will ultimately move into a final stage.

Stage 3: Exhaustion

This stage occurs when long-term stress is not removed. The body’s resistance to the stress may gradually reduce or collapse altogether.

Eventually, all of the body’s resources are eventually depleted and the body is unable to maintain normal function.

During this stage, the adrenal glands can become extremely fatigued and may even fail. The immune system and the body’s ability to resist disease is severely compromised.

If this stage lasts too long, severe illness such as high blood pressure, heart disease, stroke, rheumatoid arthritis, G.I. ailments, diabetes, and other stress-related illnesses can result.

From looking at this scenario, it’s not too hard to see why constant physical or psychological stress is deadly.

As I mentioned before, people who are healing from CFS or adrenal fatigue or even those healed from those diseases are extremely sensitive to stress. Extra stress can worsen their condition or even create a relapse.

I believed I had healed enough and had learned enough about my body that I could strength train with certain parameters. In order not to relapse, I had to stay within those parameters. I also received permission from my doctors.

How To Strength Train Without Entering Selye’s Exhaustion Stage

When someone lifts a weight that disrupts homeostasis, it becomes a stressor and the body has to deal with it.

In the initial stage, there is an immediate shock to the muscles. The body responds as above and also with an inflammatory process. This is why some people feel sore after a workout.

During the adaptation phase, the body responds to strength training by attempting to equip itself with the tools necessary to survive exposure to stress. In training, this can include hormonal adaptations, nervous system adaptations, and increases in structural and metabolic proteins.

Selye suggested that the body’s adaptation to stress takes place within 48 hours. It is during the adaptation phase when muscle growth takes place.

As the body adapts to the stress, it becomes more efficient to deal with the same stress in the future. Strength and performance are thereby enhanced. Selye made this point in 1975. When stress enhances mental or physical function such as through strength training or challenging work, it may be considered not distress but eustress.

If training is not done properly, meaning if the adaptation phase is not allowed to proceed properly, then it is possible for the trainee to enter the exhaustion phase. This is known as training overload and can result in:

• poor performance
• sleep disturbances
• increased chronic pain
• abnormal mood swings
• chronically elevated heart rate
• depressed appetite
• weight loss
• other physical and mental abnormalities

These symptoms are extremely similar to those of severe depression resulting from ongoing stress. People who have CFS or adrenal fatigue are familiar with these symptoms.

If I didn’t train wisely, though, I would experience them long before I faced classic training overload.

In order not to get exhausted I had to all the more diligently observe the factors affecting recovery and adaptation.

Factors Affecting Recovery and Adaptation

1. Time
Selye proposed that adaptation occurs within the first 48 hours of the initial stress. This means that I couldn’t train the same muscle group within 48 hours.

2. Proper sleep
Experts believe that at least 8 hours of sleep is necessary to support proper recovery. It is during this time that repair of the body takes place. The longer the period of sleep, the better the quality of recovery. This is one of the hardest parameters for me to follow.

3. Proper protein intake
The Recommended Dietary Allowance (RDA) for protein is 0.8 g/kg of body weight per day for the average adult. This could rise to 1.2 to 1.7 g/kg of body weight for strength and power athletes.

Strength training includes the breakdown and synthesis of protein. In order for the body to repair damaged muscle and build more muscle, it needs extra protein. If protein is not available from dietary sources, the body will take them from its own protein stores.

Also, some researchers argue that people over 50 may need to double the RDA of protein to prevent sarcopenia (age-related muscle loss).

4. Increased calorie intake
To get stronger, the conventional literature advises the consumption of around 200 to 400 calories more energy than we expend.

Strength training burns calories. Calories are vitally needed for energy and tissue repair. Besides protein, you can get these calories from carbohydrates or fats. The question is which are best.

Some athletes, like Lebron James, thrive on a low carbohydrate diet.

In my case, I like to get most of my calories from fats. However, I’ve found that I also need carb calories to maintain good energy. I find these in sweet potatoes.

Remember the main hormone that gets dysregulated in adrenal fatigue is cortisol, and cortisol has been shown to dysregulate on a low carb diet.  I did try a low carb diet a few years back, but it made me weaker.

5. Omega 3 Fatty Acids
Omega-3 fatty acids are important for recovery. They support anabolic processes and assist in the management of post-exercise inflammation and pain. This means eat more salmon.

6. Hydration
We’ve all heard the mantra to “drink 8 glasses of water 8 times a day.” Surprisingly, there is not hard scientific evidence behind drinking 1.9 liters of water a day. It seems a good rule to follow; however, volumes may differ according to the intensity of training and location (hot climate).

7. De-loading
Those who have been training for some time might have to go through a de-loading (training weight is reduced for a time) process to facilitate muscle recovery

These are factors that facilitate recovery in healthy adults. Being that I was recovering from severe fatigue I had to be careful to stay within these parameters and be prepared to go the extra mile.

How I Modified My Training To Deal With My CFS

Since I was recovering from CFS and adrenal fatigue I had to be aware of what I could do. I was also 58 years old.

1. I couldn’t do high reps or high-intensity training. I simply knew that I wouldn’t recover sufficiently. The Starting Strength Model seemed the most reasonable.

2. I started out lifting three times a week. This worked okay while the weights were light. But, eventually, recovery became difficult. I switched to two times a week schedule. This worked well for about a year.

I suffered very little fatigue, little to no soreness, and had good gains.

3. About 3 months ago, I reached a plateau on my bench press so I switched my entire routine to one major lift 4 days a week (see below). This has worked even better. I’m lifting with practically no fatigue at all.

While making me stronger, strength training has also become a major stress reliever. When I lift, I’m in a bubble, and nothing can enter except what I want. My training and cardio time provide a major respite from the stress of the day.

I’m not suggesting people with CFS or adrenal fatigue should strength train. That’s up to you and your doctor. Fortunately, I was able to recover enough to train, and it has changed my life.

Ten years ago, I thought the only thing I had to look forward to was a life of worsening fatigue and a dissolving quality of life. Now I’m getting stronger and healthier day by day.

Weekly Workouts

John’s Workout

Height: 5’11”
Weight: 180.0#

Sunday
Rest Day
Cardio: 33 min. walk outside

Monday
Barbell Bench Press      Dumbell Rows
45.0# 1 x 5 (warm up)      20.0# 1 x 8
65.0# 1 x 5 (warm up)      30.0# 1 x 15 x 3
85.0# 1 x 5 (warm up)
100.0# 1 x 3 (warm up)
112.5# 1 x 5
130.0# 1 x 5
147.5# 1 x 5 +3= 8

No Cardio

Tuesday
Barbell Back Squats
45.0# 1 x 5 (warm up)
75.0# 1 x 5 (warm up)
95.0# 1 x 3 (warm up)
130.0# 1 x 5 x 3

Cardio: 33 min. walk outside

Wednesday
Rest Day

Thursday
Over Head Dumbbell Press      Narrow Grip Bench Press
20.0# 1 x 8 (warm up)               45.0# 1 x 8 (warm up)
30.0# 1 x 12 x 3                            70.0# 1 x 3
90.0# 1 x 8 x 3

Cardio: 30 min. treadmill 3.5 mph

Friday
Deadlift
100.0# 1 x 5
145.0# 1 x 5
195.0# 1 x 2
247.5# 1 x 5

Cardio: 30 min. treadmill 3.5 mph

Saturday
Rest Day

Barbara’s Workout

Sunday
Rest Day
Cardio: 33 min. walk outside

Monday
Barbell Bench Press      Dumbell Rows
45.0# 1 x 3 (warm up)      10.0# 1 x 8 (warm up)
65.0# 1 x 3 x 3                    20.0# 1 x 8 x 3

Tuesday
Barbell Back Squats
45.0# 1 x 5 (warm up)
65.0# 1 x 5 x 3

Cardio: 33 min. walk outside

Wednesday
No Workout

Cardio: 20 min. treadmill 3.0 mph

Thursday
Over Head Dumbbell Press
10.0# 1 x 8 (warm up)
15.0# 1 x 8 x 3

Cardio: 20 min. treadmill 3.0 mph

Friday
Deadlift
65.0# 1 x 5
90.0# 1 x 2
110.0# 1 x 5

No Cardio

Saturday

Rest Day

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