Naomi appeared lean and fit, although a bit pale, when she arrived for her appointment in the Nutrition Clinic at Massachusetts General Hospital. At first glance, before taking her history, I thought she might be a long-distance runner, an ice skater, or a gymnast. I had counseled many elite athletes over the years. They usually wanted to know what kind of foods would enhance their performance and if it was true that some nutrients or supplements made it easier to build muscle. Sometimes they had an eating disorder brought on by the constant competition to be strong, but look thin. As soon as Naomi began to speak, I realized that her nutritional challenge was completely different. “My mother thought I should see someone,” she said, her eyes welling up with tears. “I can’t eat – I have no desire to eat – in fact I feel full all the time – but also empty.” She described a feeling of heaviness in her chest, lack of concentration, restlessness, difficulty sleeping and frequent tears. Further conversation revealed the source of her emotional and physical state: Three months before, her fiancé had been killed in Iraq. Many people don’t realize that learning terrible news – being suddenly and powerfully aggrieved – triggers an automatic physical response. It’s not a sign of weakness or inability to handle emotion, it is the body’s way of trying to stay safe. Both the physical stress of athletic training and the emotional stress of a sudden tragedy can create the same reaction in the body. As we battle to survive, stress hormones are released from the adrenal glands located just above the kidneys. As these hormones surge throughout the body, they enable us […]