Health, Unveiling Invisible Illnesses

The Cycle of Grieving a Chronic Illness

The Kübler-Ross model of the five stages of grief was pioneered by a Swiss-American woman named Elisabeth Kübler-Ross. Her book On Death and Dying elaborates more on this theory and her studies. Her model of the five stages were my inspiration but I put a twist and my own touch on the stages in the perspective of living with a chronic illness.

For chronic illnesses, this model is not linear. It is a circle that loops back around, over and over. Identifying these feelings helps to not feel alone and to make sense of what we are feeling, that it is actually normal. If you don’t have a chronic illness, maybe you want to understand what goes on in the mind of someone who does, and thank you for that!

*Photo by Winship Photography

Shock and Denial

One moment you are thumbing through what to wear in your closet, the sun is shining through the window and the entire day is ahead of you. The next, you are rolling out of bed in agonizing pain after waking up at least six times throughout the night; this is your norm. Perhaps you have lived with chronic illnesses for most of your life and it has always been your norm, only you have been dismissed by doctors and left without answers.

When you finally get a name or answer to your health issues that were ignored for decades, while you were labeled as a hypochondriac by people you thought cared about you, it can be a shock.

There are times when I go into my doctors office and beg for another set of labs. “Please, test me for metals and maybe my vitamin levels again. I know my thyroid is perfect and my electrolytes are beautiful but I can’t accept that I am stuck with this pain forever. Maybe, just maybe there is something else,” I said to my doctor last week. Usually, I get the results and they are perfect or maybe a few small flags but nothing to be causing my body to feel like I was thrown down a flight of stairs just before getting trampled on by a stampede, when all I did was sit at my desk or get ready for bed. That’s denial, my friend. It’s like you finally get that answer you have searched for and you want to light it on fire and ask for a redo.

Denial is also working full time when your body should not work at all, but you have bills to pay. So, you work all day until you literally collapse in bed, too tired to shower, muscles spasming everywhere and every atom of your existence is in agony.

Denial is smiling and listening to your friend’s conversation while your vision fades and your hands and lip go numb but you don’t want to say anything because it’s normal for you and you want to be normal for them.

 

Anger

There are moments you are doing something mundane, like brushing your teeth, and you just start sobbing.

“Why me?

You question everything, combing through your past and present to investigate where you went wrong or what if you had taken better care of yourself when you were younger.

“Why me?”

Why, though? Why, when you are such a fighter and you were always so positive and you did everything by the book and still, here you are, suffering. It isn’t fucking fair.

The cherry on the cake is when people tell you that maybe exercise would help but when you exercise, your heart rate skyrockets and you get chest pain and bronchial spasms and feel like passing out. Or, “you need to heal your childhood traumas” gets thrown at you for the 5th time but you have done nothing but read inspiring self-help books, healing and even see a therapist. “Maybe if you changed your diet or took this supplement…” Sure, nutrition is important but what haven’t we tried at this point? Even after two solid years of eating clean, cutting out preservatives, processed foods, dyes, additives and fillers and eating a strict anti-inflammatory diet, juicing, supplements, etc. the changes are minimal.

Yes, there is some relief and my migraines are minimized but that doesn’t put a fucking dent into this mountain of health issues. I have tried all the protocols, diets and supplements and will probably continue trying new ones throughout this cycle of grieving. Maybe Karen could help her arthritis if she stopped drinking her diet coke and did yoga, or Steve could lighten up on the drinking and late-night fast food binge, but we are not all Karens and Steves.

There are moments when I am pissed. I am furious. I am exhausted and in pain, and I am so very angry. But these moments pass and I continue to fight and be positive. Let us move through the steps and keep your advice to yourself unless it is requested. We don’t live in this stage but we visit it often.

 

Bargaining

“I promise I won’t eat anymore chocolate peanut butter cups in my car, on the way home from the grocery store. I am going to juice every morning. If I do better, maybe I will feel better? I will be more spiritual, more positive and even do yoga.”

That is the sound of bargaining for a better outcome. Yes, lifestyle changes are important to our health and especially balancing stress. Don’t confuse this with not taking responsibility. Be responsible! But know that this roller coaster of being disheartened and motivated is the pattern of grieving. We often think that maybe we didn’t try hard enough and part of the denial aspect is thinking that maybe if we tried harder there could be a solution.

The individual is clinging to the threads of hope, however thin and worn the fabric may be. Breakthrough treatments in medicine or intervention by a spiritual being or force are seen as a source of a temporary suspension of the inevitable outcome.eCondolence

 

Depression and Anxiety

Depression is the feeling of impending doom, but that feeling sticks around, even when you are happy. It slithers into your existence and it isn’t always tied to a memory or life experience, it just exists. Even on a good day, that feeling can hang around. You can hide it and you can pretend it isn’t there, but it’s the nervous butterflies in your stomach that grow into your chest. Positively thinking it away is not a thing. Depression is not always a mentality that you can control, it’s also chemistry.

Though depression and anxiety do not discriminate, they can be more prevalent in the disabled or chronically ill community.

Imagine building up your goals and life-long dreams. Your ambitious personality and positive mental attitude kicks ass and you have the world at your fingertips but you keep getting knocked down due to uncontrollable circumstances, like your health. Sure, you can dust yourself off and try, try, try again! However, it’s fucking hard and it sure gets old when decades go by and you watch your peers buy houses, new cars and live successful lives. Meanwhile, you try to figure out how you can afford not having income for weeks or months at a time as you recover from surgery, balancing which medications you can afford while making sure there is enough money left over for a cheap dinner. You then start over, just to ride the big wave till you crash again.

It can also be lonely, even when you have supportive friends and family. It’s a place that not many people understand. It’s an unpaid full-time job. It’s exhausting. It’s scary. Support groups are very helpful; finding a community of people with similar health issues helps you cope, not feel alone and also educates you on your illness.  

Anxiety is an issue as well because having a chronic illness can be traumatic. For example, I had WPW Syndrome and my heart rate would get in to the 250s. I have also had many scary arrhythmias so when I hear the hospital heart rate beeping sound on a TV, it gives me major anxiety. It is a trigger for me, as well as fast rhythmic tapping.

Acceptance

Put your warrior paint on! You have your medical records organized, tests and labs done. You are making progress with answers or even starting new treatments. You got this! Or maybe you don’t, but you have just accepted the cards you are handed and will make it work. This stage varies for many and is a sliding scale. For some, it could mean you are managing. For others, this stage comes and goes, varying on what condition your health is in. Again, this process is not linear… it’s a scribble!

You might visit the land of acceptance often. Maybe you have a beach house here or maybe you are planning a vacation here but more than likely, you never retire here. We are nomads of this grieving process. We jump around, visit, flip flop between two stages and circle around.

Acceptance is the best place to be. It’s when we feel really positive, and not just faking it. It is when we fight for awareness and advocacy. It is when we make progress or actually have a less painful day. It’s when your treatment is manageable and you’re coasting.

These are the five stages of grieving your chronic illness. Keep a journal, see a therapist regularly and join support groups. This ride is tough but you are not alone. It’s important to manage your mental health as well as your physical health.

———-

http://www.suicidepreventionlifeline.org/

tel:1-800-273-8255

Health, Unveiling Invisible Illnesses

Spoonie Nightstand

What is a Spoonie?

For those with chronic illnesses, we have a general way to describe our energy levels and fatigue: the spoon theory. We get 12 spoons per day, which is a metaphor in which those with disabilities understand or use to explain how they feel. Each spoon signifies a measurement of energy. Going to the store costs 2 spoons, and on a rough day, taking a shower may cost 4 spoons. Cleaning the bathroom is another 3 spoons. That leaves us with 3 spoons left for the rest of the day. We may have to borrow spoons from tomorrow, leaving us bed-bound.

Spoonies are people with disabilities, chronic illnesses, chronic fatigue and anyone with medical conditions that limit their activity.

My nightstand essentials:

Some of my favorite necessities are found on my Spoonie Amazon List and others are from Wildling Apothecary.

  • Enchanted forest essential oil scented CBD and magnesium lotion, for aches and pains, from Wildling Apothecary

  • Salt lamp for purifying the air and of course to shed some light while I eat in bed… yes, I eat in bed.
  • A mini Buddha that was my grandmother’s. She was my favorite person and we had such a special bond. She lived to be 96 years old and I still think about her every day.
  • Lip balm is something I always need on my nightstand because I am often dehydrated, despite how much water I drink. I can’t stand the feeling of dry lips so they are always moisturized.
  • I always have water on my nightstand but since I just tidied up and added a little shelf, only herbal tea is pictured. I have herbal tea several times per day. I love peppermint and ginger for an upset stomach, kava or chamomile to relax and elderberry for immune boosting. I have quite a collection and also make my own blends.
  • Books! I won’t lie, it takes me forever to get through books because I flip through many and with a hectic schedule, it is hard to squeeze in the time. Really, I just need to make the time. My current favorite reads are The Dysautonomia Project and Dirty Genes.
  • My necklace from AWARECauses and labradorite earrings from Do Designs find their happy homes next to the bed because I can’t sleep with jewelry on.
  • My nightstand and granite heart dish were both handmade by my husband. He is pretty damn awesome.
  • I have my tiny (Walmart) heater year round. Dysautonomia is the dysfunction of the Autonomic Nervous System and can affect the automatic things that your body does, like breathing, body temperature, blood pressure, and heart rhythm. When my body temperature drops I feel freezing; my hands turn white and I have a hard time breathing due to shivering. This little heater keeps me warm without making my husband hot. I mean, he is hot though!
    I love my diffuser and use many different blends depending on how I feel, my mood, or the time of day. Certain oils also keep the air clean and act as antiseptics. Not shown, under my nightstand, is a box of things like a blood pressure cuff, pulse oximeter, thermometer, hot packs for stiff muscles, wrist braces, compression socks, and other necessities. I try to keep them organized so I can find them easily. Monitoring my health is important so having access to a blood pressure cuff, for example, is needed to make sure my bp doesn’t get too low. It’s like being my own nurse and helps prevent ER visits because I can manage my care to an extent.
    I keep a collapsible walking aid next to my bed because some days I overdo it and can’t get up on my own. Other times, my blood pressure drops and I nearly pass out. There are also times when my joints just give out and I fall. Some days are better than others and some days are worse.
    Also not pictured but under my bed, is my Biotronik pacemaker transmitter. It transmits a report to my doctor each night. Technology is pretty amazing! I have an apnea machine under my nightstand too, but I don’t have insurance so I am still working out the kinks on finding the right mask. I absolutely hate it but not breathing is worse and my heart has enough damage as it is. Sleep apnea is another common form of dysautonomia. I have had it since I can remember but was dismissed at a young age and literally called a liar because I was not overweight or with swollen tonsils. Dysautonomia is not well known, especially fifteen years ago. Here I am at 34 and I am just now being listened to. This blog is my sole purpose to educate, advocate and raise awareness.
Health, Healthy Food

Energy Sprinkles, Healing Sprinkles and My Health Story

Energy Sprinkles are the energizing sprinkle sister of Healing Sprinkles. Healing Sprinkles were created to help replenish essential minerals and vitamins, balance hormones, promote brain and heart health, reduce inflammation and stress. Energy Sprinkles became a reality after customers asked for a product that would help with energy. This blend is alkalizing, full of electrolytes, flushes toxins, boosts energy and improves overall mood.

Both blends are gluten-free, organ and vegan! Read more about Healing Sprinkles here.

My story:

These are blends that I have personally used over the past two years to heal my body. At the beginning of January of 2017, the 5th to be exact, I almost went into cardiac arrest. With a history of cardiac issues and years of medical negligence and misdiagnosis, my body was going into shock and continued to for months. Every day I worried that is was my last. I lost 30 or more pounds without trying, my skin tone was pale and colorless. I was complimented on my new figure but it was so frustrating because I was very scared. I learned about Postural Orthostatic Tachycardia Syndrome (POTS) and remembered that I was diagnosed with it as a teen. Because I never had a good cardiologist or medical team on my side, I never learned about it or how to manage it. It was my normal and less scary than my other heart issues like Supraventricular Tachycardia and Neurocardiogenic Syncope.

My heart rate would jump from 40bpm to 160bpm within seconds. I was going into circulatory shock because my heart was misfiring signals due to my other complex cardiac issues. Thankfully, I got a pacemaker six month later after several other opinions and searching for the right doctor. Dozens upon dozens of ERs dismissed me with anxiety. After finally getting an event monitor and a Tilt Table Test to prove my “anxiety” was something else, I was able to get the care I needed. I was so malnourished and my bloodwork was all over the place. I was always told to avoid salt because of my heart but the truth is that I needed to be on a high salt diet to expand my blood volume and raise my low blood pressure.

I also did more research, advocating and begged for more testing and finally found out why I have had a lifetime of heart issues (I have already had four cardiac ablations and open heart surgery), digestion issues, chronic migraines, multiple sensitivities, dysautonomia (dysfunction of the autonomic nervous system), chronic pain, joint hypermobility and subluxations, and so on. I have Ehlers Danlos Syndrome. I wish more than anything I had the right doctors who were educated and that could have helped me manage my debilitating chronic illnesses much sooner.

It is my mission to help others, to educate and advocate. There are 12 million misdiagnoses per year. My misdiagnosis of anxiety almost killed me multiple times. I am lucky to be here to stand up for our future. I am currently in school to get my prerequisites and finish a degree to get myself into the medical field where I can make the most of my mission.

 

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Health

Banana Bag Oral Solution

Banana Bag Oral Solution is a drinkable IV solution that can help skip the expensive ER visit and assist in recovering from an illness, long day of travel, hangovers or chronic illness management.

We get dehydrated easily from a night of drinking, illnesses, a day in the heat, lack of self-care or stress that causes you to forget to hydrate, patients with Postural Orthostatic Tachycardia Syndrome, Dysautonomia and many other reasons.

Banana Bag Drink is easily available online and they also have subscription options. It comes in a convenient single serving packet that you can bring with you in your purse or suitcase. It has saved many from ER visits where they would spend hundreds to be seen just to get fluids. People with chronic illnesses such as POTS sometimes need to get a bag or two of fluids and staying on track with Banana Bag has cut down expensive trips, saving time and money, less invasive, and less exposure to illnesses.

Each packet is formulated for easy methylation, so it is safe for anyone with the MTHFR mutation. Anyone who struggles from vitamin deficiencies will also benefit. People can also get deficiencies from malabsorption in the intestines from IBS, Crohn’s Disease, Celiac Disease, etc. When you are dehydrated, your blood volume is less than desirable and this can result on that dizzy feeling, nausea, and headache due to blood pressure dropping and your heart rate increases to compensate. Banana Bag is designed to expand your blood volume like an IV solution would.

It is a game changer and great to have around should you need a speedy recovery.

Health, Unveiling Invisible Illnesses

How To Be There For Someone With Chronic Illnesses

Don’t ask an open-ended question in regards to helping out.

    An example is asking someone if there is anything you can do to help; this is too broad of an offer. Though it is very kind, most likely the person you offered help to will feel too embarrassed to think of a specific thing. Instead, offer specific help, such as a housecleaning or dropping off dinner on an assigned night. Not only is this assistance incredibly helpful, but you also surpassed the uneasy ice breaker. No one knows what scope of help you are willing to give, nor do they want to feel like they might be asking too much. So, if you truly want your assistance redeemed then don’t give them the option to think and ask… just tell them when and how.

Let them vent.

    You don’t have to have any answers or advice, just listen. We are used to small talk and the autopilot response, “I am fine, and you?” Advice is usually not something we are looking for unless we ask. It is likely we are very familiar with our health and have been living with chronic illnesses for some time. We tend to research, educate and advocate for our health. However, if we don’t feel like talking about it then just being present and distracting us from our health is a nice break. But when we do want to open up and vent about our health, just listen.

We are not lazy.

    “It must be nice to be in bed all day,” is going to get you the asshole award. Trust me, we would rather have a life or be out at the beach, out with friends or working on a fun project, but instead, we are prisoners to our own body. Be mindful that spending the day in bed is not as glorious as it sounds for a chronically ill person… that means it was a rough day.

“You don’t look sick,”

    or “you are too young and healthy to be sick,” is something that we hear often and it only shows ignorance and a lack of empathy. Invisible illnesses are not obvious or blatantly apparent and because of this, we are often dismissed by medical professionals or deemed drug seekers. When you say that, it feels like a betrayal and a reminder that no one understands. We may post our good day selfies or fun outing but what you don’t see is the 24/7 pain, depression and grieving, the tears, the complications, and multiple doctors visits. You see a mask, warrior paint and the fake normal version of ourselves. We just hide it well.

Gift suggestions:

    • If we are in the hospital or recovering from surgery, there are many little gift suggestions. After being asked by a friend what to bring to a hospital visit, I came up with some awesome go-to items: face wipes, lip balm, books, magazines, fuzzy blanket, essential oils, snacks, headphones or anything from my

Amazon Spoonie List

    • or

Wildling Apothecary

    .

Patience.

    We feel guilt and a whirlwind of emotions for having a chronic illness and for anyone who is involved. Your patience and support mean the world to us, even if we have a hard time showing it. Don’t be afraid to point out our flaws but please try to be understanding and forgiving, as sometimes we don’t realize our suffering is showing in ways that can affect you, like an attitude or resting bitch face. Just tell us it’s okay and help is through instead of getting mad and angry.

The Spoon Theory

    . We have a name that we call ourselves: spoonies. There is a spoon theory. In a nutshell, we have about twelve spoons per day. Each spoon represents our energy. Taking a shower might cost 2 spoons and cleaning our bathroom is about 5 spoons. Running errands and a doctors appointment takes about 5 more spoons. Then we are out of spoons that day, meaning we are tapped out and exhausted. Sometimes we even have to borrow spoons from the following day, leaving us bed-bound. Many of us are trying to stretch our spoons out through the day, so when we cancel last minute, try not to get upset. Chances are we are pretty bummed about it but ran out of spoons. We still love being invited though!

Thank you for caring enough to read this.

Health, Unveiling Invisible Illnesses

Moving Forward in 2019

2018 was a good year, despite having cancer, multiple surgeries and a few ups and downs. 2017 was awful and scary. My heart was at it’s worst. My POTS flare was the worst I ever had in my life. No doctors were on my side. I was having potentially fatal heart arrhythmias and I am shocked that I am here to tell about it. I am forever grateful for my pacemaker and supportive family.

2018 was the year I got my health under control. I learned my body and what I can handle. I take care of myself and minimize toxins in my life. I advocate for myself and after 33 years I found out what was wrong with me and that it isn’t normal to feel pain every day, among a million other things. Despite no cure, simply having an answer has made my life better by educating myself, spreading awareness for others and learning about what is best for my health, as opposed to being in the dark.

2019 is here and we all say that each new rotation around the sun will be the best ever, but I have learned that it is okay to feel. It is not okay to plaster fake positivity over emotions. I set goals daily, weekly, monthly, yearly and will continue to work on every aspect of my life whether it is day 1 or day 365.

Sometimes I have bad days and I hate that it affects others, especially those who love and care about me. I am not going to share just my perfect moments and give people Sunday’s best version of myself. I am human. I know I am not easy to deal with sometimes. I am sorry, but this is me. I’m working on it.

This year, for me, is about acceptance and moving forward. I have been grieving the reality of my health and the limitations and life changes that come with it. I was angry. I was in denial. It is important to focus on the good things in life but that doesn’t mean you need to pretend that tough times exist…. just don’t dwell there. I accept the cards I am dealt. I refuse to be in denial, ashamed or to hide, and will learn how to cope better and continue to improve the things that I can control.

I hope you all are inspired by a fresh start but don’t forget that you can start fresh anytime. Each day is a new story to write. We are in control of how we navigate through our story and how we handle the things life throws at us. Pick your own adventure and make it a good one.

Health

Detoxing Juice

Celery Juice

Did you know we all have gut rot? Gut rot is rotting food particles that have been rotting in your intestines for YEARS. Celery juice helps to clear that out and to increase and strengthen your bile, which breaks down fats and kills pathogens. This juice also supports and heals your central nervous system by clearing out toxins. This is also great for anyone who has Epstein Barr or Streptococcus, by cleaning the neurotoxins that are inflamed. If you have MTHFR like me, you have a hard time detoxing your body; celery juice is a great option.

Drinking celery juice on an empty stomach, first thing in the morning is a great routine to add for the start of your day.

Cheers to self love and healing your body for the New Year!

Unveiling Invisible Illnesses

Unveiling Invisible Illnesses Documentary

Unveiling Invisible Illnesses – Documentary

First interview down!

I am looking for more volunteers to share their story on struggles with invisible illnesses, misdiagnosis, medical negligence, rare diseases or anyone in the medical field or a loved one who wants to share their side.

mistibludream@gmail.com

@mistibluday

Health, mental health

What Are You Thankful For?

Throughout my life, I have struggled with depression. Actually, I am lying. I am underplaying it; I have struggled deeply my entire life with depression. I never felt like I was enough. I never felt worthy. I was born with serious health issues and minimal care due to negligent doctors and lack of insurance. I chose the wrong people to enter relationships with because I had no self worth so my standards were nonexistent. I sabotaged relationships as well because I felt like I was doing them a favor. I let friends take advantage of me because I was happy just to have friends. Twice, I had to get expired food out of a pantry and I mastered making meals out of what was left in the cupboard. I cursed the universe because life was not fair. I have bottled childhood trauma up and carried it with me throughout my life.

I am grateful that one day I decided to wake up and appreciate what was good in my life instead of numbing my pain and feeling like a failure. I cut out toxic people in my life and raised my standards on what I expected out of a relationship. I stopped letting negativity consume me and tried being positive for once. I took my health into my own hands and advocated for myself and educated myself. I stopped eating like shit and corrected imbalances and deficiencies and taking care of myself and my body. (Also, huge props to correcting my MTHFR mutation which really was a significant part of depression for me).

I am now in the most loving, abundant and stable relationship I have ever been in and my heart is full of love and happiness. I don’t feel worthless and I know I am a good mother and if anyone tries to change how I feel about myself, they will fail miserably. I am strong, determined and passionate. I am thankful that I never gave up. I almost did, many times. I am grateful that I pulled myself out of the dark and loved myself. I never would have known this beautiful life I have now. I don’t know who needed to read this but I felt a strong urge to share this. Never give up! You never know what is around the corner for you. You are worth the love you give everyone else and everything is going to be okay.

Health

Healing Sprinkles

Food is medicine! We are destined to age, but why not do it well? This blend of herbs and spices have been around for a long time. The selected blend has many anti-cancer, anti-inflammatory and anti-diabetic properties that also reduce risks for heart disease and brain diseases. Antioxidants, fiber, minerals and vitamins also encompassed in this healing mix.

Sprinkle it on your cereal, oatmeal, toast, or mix it into your smoothie blend. Add it to your desserts, muffins, brownies and baked goods. Top in on sweet potatoes, coffee or fresh fruit. This is an easy way to maximize your health and get natural plant-based benefits.

Shop

Carob

  • Rich in calcium
  • High in fiber and protein
  • Diarrhea relief
  • Antioxidants
  • Caffeine free
  • Tastes like chocolate
  • Excellent source of vitamins and minerals

Maca

  • Increases stamina
  • Balances deficiencies
  • Supports fertility
  • Balance hormones for both men and women
  • Immune support and circulation
  • 19 essential amino acids
  • Rich in vitamins and minerals
  • Alleviates Chronic Fatigue
  • Reduces signs of aging
  • Enhances memory

Cinnamon

  • Loaded with antioxidants
  • Anti-inflammatory properties
  • Reduces risk of heart disease
  • Great for diabetics
  • Reduces high cholesterol, lowers lipids
  • Helps metabolism
  • Protects neurons and brain health
  • Anti-microbial and anti-cancer

Turmeric

  • Antioxidants and anti-inflammatory
  • Used in medicine for thousands of years
  • Improves brain function and reduces risk of brain degenerative diseases
  • Lowers risk of heart disease
  • Can help prevent cancer
  • Helps with arthritis and pain
  • Helps with depression
  • Anti-aging

Ashwagandha Root

  • Ancient medicinal herb
  • Anti-cancer properties
  • Reduces cortisol level
  • Reduce stress, depression and anxiety
  • Improve muscle mass and strength
  • May reduce inflammation and lower cholesterol

Lemon Balm

  • Eases stress and anxiety
  • Great for heartburn and indigestion, cold sores, insomnia and high cholesterol
  • Excellent use for brain health
  • Calming

Nutmeg

  • Relieves pain
  • Soothes indigestion
  • Improve skin quality
  • Reduce insomnia
  • Support immune health
  • Improve cognitive function
  • Improves circulation

Ginger

  • Anti-inflammatory
  • Anti-nausea
  • Antioxidants
  • Reduces muscle pain and soreness
  • Helps with joint health
  • Reduce heart disease
  • Helps with indigestion
  • Reduce menstrual pain
  • Lower cholesterol
  • Anti-cancer properties
  • Improves brain function

*Please consult with your doctor before adding spices into your diet if you are on certain medications