- small town midwest
Actually, I think it might be the other way around and PAD might be the exceptional disease.Then ME/CFS would be an really exceptional disease.
This is really part of my bigger picture on healthcare and medicine in general. I feel we place too much importance on diet and lifestyle to fix everything. Yes, there are some diseases, like PAD, CAD, HTN, DM2 that respond very well to lifestyle stuff. We tend to take these diseases as paradigmatic, but I think they're not. They are just common in the developed world, so we tend to focus on things that will fix them to the exclusion of other stuff. They are a small handful that we have some small control over with lifestyle stuff.
I know this is an unfashionable opinion where there's such an overwhelm in our culture/internet on the importance and power of diet. And I'm not saying they're useless, just not as powerful as we'd like. That's one of the central lessons of chronic illness for me- this is not something you can willpower away or think your way out of with a perfect diet, supplement, or pacing routine. It's here to stay and I have to be able to come to terms with that, painful as it may be. Other parts of life have taught me if I work hard enough I can overcome. Disease is the exception.
Partially, this is an outcome of my experiences with ME/CFS. In other ways, I am quite healthy, maybe due to good diet. But my good diet has zero, zero, zero effect on the ME/CFS. I'm more than a little frustrated with this. It's taught me on a bone deep level that some diseases are diet related and some aren't. The wellness we can all get with a good diet isn't the same thing as our disease going away. If it won't make my disease go away, maybe I don't want to be putting that much effort into it.