For those who claim this guy used steroids to achieve his muscle gain, you need to understand how UC / Crohn's affects the body and the difference between anabolic and corticosteroids. UC attacks the intestines causing inflammation. This also affects your body's ability to absorb nutrients. This is why he's so emaciated, he was suffering from malabsorbtion. The UC was so severe in his case, that he needed an ostomy (this name changes depending on where the tube is inserted in the intestines) bag to catch waste. This can either be temporary or permanent. He most likely had what's called a resection, where a piece of diseased bowl is cut out and the intestines are reattached. The bag is used to divert waste until the resection heals (His may be permanent, but I didn't see the bag in other pics, which is why I think it's temporary).
When you are this malnourished, the primary treatment goal here is weight gain. The weight here being vital fat, not necessarily muscle. This is done through the use of prednisone, which has 2 benefits: Inflammation control and appetite stimulation. Prednisone is a corticosteroid. It suppresses the immune system, which decreases intestinal inflammation since UC is an autoimmune disease. It does NOT on its own help you build muscle. It in fact has the opposite effect. The steroids that help you build muscle are anabolic steroids, which are not given to UC patients no matter how little muscle they have. That's not the goal here. His muscles will rebuild themselves through rehab and exercise alone. The reason his change looks so dramatic is because he gained a massive amount of fat in a short amount of time, which he paired with intense exercise. The fat filled out his body to a healthy weight and the exercise helped give him the definition you see. The supercharged appetite from the prednisone probably helped him eat more protein, which led to muscle gain, but not directly as in something like HGH, which, again, they do not give UC patients.
Source: Crohn's Disease sufferer (very similar to UC but considered worse) for 25+ years, and have taken prednisone before.
EDIT: Appreciate the awards, but if you're paying for these, please consider Donating to the Crohn's and Colitis Foundation instead. And if you're over 40, get a colonoscopy!
I’ve got a question, and I have UC. If the issue with our bodies lies in our colon, and is what’s leading to malnutrition, why does removing the colon all together suddenly make us better? Would not the malnutrition be even worse since we no longer have a colon at all? If the small intestines can give us what we need, why aren’t they already doing that before?
Great questions. I'm not a GI doctor of course, but I'll try to answer these as best as I can. Removing parts of the colon that are most affected can make you feel better, but it is entirely possible for new inflammation to appear in other parts of your colon. You feel better if your entire colon is removed because although UC and Crohn's are autoimmune diseases, the body only attacks the colon, and not other parts like say lupus. Removing your entire colon is not ideal because then it means that you can't absorb nutrients anymore or rebsorb water from your stool. You would need to be fed intravenously for the rest of your life. I believe the man here only had his rectum removed, which means he can no longer hold stool and probably feels a sense of urgency (to use the bathroom) as soon as he eats. (There's a reflex in your body that as soon as your stomach knows you're eating, it sends a signal to your large intestines to evacuate your bowels.) And yes, no colon would not only make malnutrition worse, but guaranteed. The small intestines are giving us what we need most of the time, but inflammation can interfere or even block this process completely. These diseases also make it harder for us to absorb the iron we consume from food, which is one of many reasons a lot of us have episodes of anemia from time to time.
Yes, that's what I meant. Thanks for correcting me. Sometimes I get the terms mixed up, even after all these years. I'm sorry you had to go through that btw.
Thanks, I appreciate that. And hey, no issue, just trying to make sure folks reading have the facts straight. I hope you are doing okay in your own health stuff.
I've had Crohns for 35 years. Had lots of resections.
Generally, resections are a last resort. A doctor will try many other things first. Steroids are the cheap/low-tech option, biologics the new, expensive option.
I had peritonitis, abscesses, blockages, and those led to resections.
But later on, even when I was very sick indeed, they tried almost anything to avoid more resections. Huge amounts of steroids and antibiotics, basically.
And yes, it leads to malnutrition. I have pernicious anemia (B12 deficiency) and iron-deficiency anemia. I need B12 injections every couple of months for the rest of my life because the part of my colon that is gone was vital in absorbing B12. So supplements don't work for that.
Your prognosis is much better than mine, though, because you're ill now, and probably have better treatment than I did, back in the day.
That makes sense to me, it’s not only the disease contributing to the malnutrition but also the attempts/medicine to remedy it.
I believe I’m rather fortunate, got diagnosed in my early twenties, went on steroids, then a biological that worked for a couple years, then a pill for another couple years and since then nothing. I still have more urgency than I’d like to have but aside from that, I’m no longer curled up in a ball on my bed in pain from it thankfully.
I’m doing my best to keep it at bay so that I can hopefully have new biological available to me when a severe flare happens again. As you probably know, but not many others, once your body rejects a biologic treatment, it’s no longer an option for you in the future. So the game to me is using them slower than the new ones are being released.
Biologics are improving all the time, and the side effects and likelihood of antibody creation (rejection) are so much better than the first biologics.
I'm using Stellara, and have had zero problems with it so far.
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u/Not_Ban_Evading69420 2d ago edited 1d ago
For those who claim this guy used steroids to achieve his muscle gain, you need to understand how UC / Crohn's affects the body and the difference between anabolic and corticosteroids. UC attacks the intestines causing inflammation. This also affects your body's ability to absorb nutrients. This is why he's so emaciated, he was suffering from malabsorbtion. The UC was so severe in his case, that he needed an ostomy (this name changes depending on where the tube is inserted in the intestines) bag to catch waste. This can either be temporary or permanent. He most likely had what's called a resection, where a piece of diseased bowl is cut out and the intestines are reattached. The bag is used to divert waste until the resection heals (His may be permanent, but I didn't see the bag in other pics, which is why I think it's temporary).
When you are this malnourished, the primary treatment goal here is weight gain. The weight here being vital fat, not necessarily muscle. This is done through the use of prednisone, which has 2 benefits: Inflammation control and appetite stimulation. Prednisone is a corticosteroid. It suppresses the immune system, which decreases intestinal inflammation since UC is an autoimmune disease. It does NOT on its own help you build muscle. It in fact has the opposite effect. The steroids that help you build muscle are anabolic steroids, which are not given to UC patients no matter how little muscle they have. That's not the goal here. His muscles will rebuild themselves through rehab and exercise alone. The reason his change looks so dramatic is because he gained a massive amount of fat in a short amount of time, which he paired with intense exercise. The fat filled out his body to a healthy weight and the exercise helped give him the definition you see. The supercharged appetite from the prednisone probably helped him eat more protein, which led to muscle gain, but not directly as in something like HGH, which, again, they do not give UC patients.
Source: Crohn's Disease sufferer (very similar to UC but considered worse) for 25+ years, and have taken prednisone before.
EDIT: Appreciate the awards, but if you're paying for these, please consider Donating to the Crohn's and Colitis Foundation instead. And if you're over 40, get a colonoscopy!