Building Muscle With Kidney Disease: A Recovery Story

Brian’s fitness journal after a brain stroke

After this morning’s mowing session, my garden’s cardio equivalent, I discovered something wonderful: I’ve finally hit the exact middle of my target weight range. After months of struggling to keep weight up, this feels like winning the wellness lottery.

Here’s the thing about recovery: it’s not linear. Three years ago, I couldn’t ask my brain to move my legs. My brain wasn’t taking calls. Stroke will do that to you. For months, I relearned how to walk with a walker, then without it. Eventually, I progressed from walking to running to jogging—each milestone a small revolution. Over the last 2-3 years, I’ve poured intentional energy into rebuilding muscle through resistance training, something my body desperately needed.

But here’s where it gets tricky: kidney problems and muscle-building are locked in a standoff. Building muscle demands protein; kidney disease demands I restrict it. Add summer yard chores—the kind that demand serious physical output—and weight maintenance becomes a high-wire act. I cycle through foods, strategically balancing activity, intake, and the restrictions my kidneys kindly insist upon. Ironically, resistance training actually helps my kidneys, yet the muscle I gain makes weight maintenance exponentially harder.

Tomorrow’s weigh-in will be telling. History says the day after heavy yard work, the scale drops significantly. But for once, I have a buffer. For once, I don’t have to panic about dropping below my range. Recovery isn’t just physical. It’s learning to celebrate the small wins, building strength within constraints, and finding your rhythm when your body keeps changing the rules.

A Slow 10K Run and the Importance of Looking at the Long Term

Brian’s fitness journal after a brain stroke

Today’s 10-kilometer run was… let’s just say it wasn’t destined to become a personal record. It was a slow 10k run.

The morning actually started quite well. There wasn’t much rain, the temperature felt reasonable, and I headed out thinking it might be a comfortable run. Then the sun woke up. By the time I finished my first five kilometers, it seemed determined to remind everyone that it was still July in Tennessee. The temperature climbed, the humidity rose with it, and before long the entire route felt like a giant steam room.

With every kilometer, I could feel the heat draining my energy. My pace gradually slowed as if someone had quietly turned down the power on my legs. After several cooler mornings following the Independence Day heat wave, my body had become accustomed to more pleasant conditions. Returning to hot, humid weather felt like an unpleasant surprise. Running through that humidity was like jogging inside a sauna without the relaxing music. So, I briefly considered cutting the run short.

Yesterday’s run, however, had already been interrupted by a thunderstorm. I didn’t want to make a habit of stopping whenever conditions became difficult. There are certainly times when stopping is the right decision; lightning is one of them, but today’s challenge was simply uncomfortable, not unsafe.

So I kept going. I tried pushing harder. The weather responded by pushing back. In the end, I never found the extra speed I was hoping for.

What I did find was the finish line. Sometimes that is enough. One lesson running keeps teaching me is that improvement is rarely linear. Some days everything seems effortless. Other days every stride feels heavier than the last.

If I judged my progress by today’s run alone, I might conclude I wasn’t improving at all. Fortunately, one run tells only a tiny part of the story.

See The Improvement in a Long Period

When I compare where I am today with where I was a year ago, the difference is unmistakable. My endurance has improved. My consistency has improved. Even my recovery has improved.

The daily fluctuations matter far less than the long-term trend. That thought makes difficult days much easier to accept. Tomorrow is my scheduled rest day before beginning another week of training. The stopwatch will have another opportunity to challenge me.

And I’ll have another opportunity to prove that showing up consistently matters more than having one perfect run.

Hopefully…

the weather cooperates next time.

A Cooler Morning and a Faster Run: Progress After the Heat Wave

Brian’s fitness journal after a brain stroke

This morning began with a small mistake. In my enthusiasm to get out the door, I completely forgot to put on my running headband. It wasn’t a disaster, but sweat kept trying to find its way into my eyes. A headband is one of those things you hardly notice, well, until you forget it.

The good news was that the weather more than made up for my oversight. After the intense heat around Independence Day, temperatures finally dropped. The heat wave wasn’t limited to the South, either. My wife mentioned that one of her colleagues in New York had been dealing with similarly extreme temperatures. For me, the cooler weather felt like a gift.

I don’t take holidays off from running, so I still completed my regular 10-kilometer run on the Fourth of July. Unfortunately, I ran in oppressive heat and humidity. Every kilometer felt like a negotiation with the weather, and it was one of the most difficult runs I had experienced in quite some time.

Today’s conditions were completely different. The cooler air made running noticeably more comfortable, and my pace improved immediately. I still didn’t reach my target pace, but I was faster than in every run I completed during last week’s heat wave. That counts as progress.

Weather affects every runner, but it hits me even harder because of my medical history.

Several years ago, I experienced a hemorrhagic stroke affecting my cerebellum. Since then, my body has struggled to regulate temperature as effectively as it once did. Hot, humid conditions are much more physically demanding for me than they used to be, so dramatic weather changes can significantly affect how I perform.

Knowing that helps me keep my expectations realistic. Some days, I am competing against the stopwatch. Other days, I am competing against the weather. The important thing is recognizing the difference.

Today’s run reminded me that last week’s slower times were not necessarily a sign that I was losing fitness. Sometimes your environment limits what your body can do, and the wisest response isn’t frustration but patience.

The cooler morning proved that the work I have been putting in is still paying off. I wasn’t as fast as I ultimately want to be. But I was faster than I was last week. And sometimes, that is exactly the evidence you need to know you are moving in the right direction. Tomorrow will bring another opportunity.

I’ll just try to remember one important piece of equipment before I leave the house.

The headband.

When a Morning Run Meets a Summer Thunderstorm

Brian’s fitness journal after a brain stroke

This morning began with heavy rain tapping against the windows.

Instead of rushing outside, I reached for my weather app. According to the forecast, the rain should ease in about an hour. That sounded like a perfectly reasonable excuse to go back to sleep. So, I reset my alarm and happily returned to bed.

When I woke again, the house was quiet. The rain had stopped, or so I thought. I got dressed, laced up my running shoes, and headed out. Nashville’s weather has been a little unusual this year.

Normally, we receive plenty of rain from early spring into early summer, but this year’s rainy season seemed to arrive later than expected. June finally brought more regular rain, and even July has been filled with thunderstorms.

Earlier that morning, my wife had already gone for her run. She looked outside, decided the weather seemed good enough, and headed out with optimism. She came home completely soaked. Apparently, the weather had other plans.

I usually don’t let a little rain stop me either. When I started my run, the rain was still falling, but only lightly. I accepted that I would probably end up wet and settled into my normal pace.

Being soaked has never bothered me very much. Around the halfway point, however, the rain suddenly became much heavier. I briefly debated whether to turn around or keep going.

Every runner has that conversation with themselves.

“It’s only rain.”

“Maybe it will pass.”

“You’re already wet anyway.”

Then nature cast the deciding vote. A loud crack of thunder echoed across the sky. That ended the discussion immediately. Rain is merely inconvenient. Lightning is persuasive. I turned around and headed home. I didn’t complete my planned five kilometers, but I did manage to get part of the run finished before the weather took over.

Discipline is..

Sometimes we imagine discipline means refusing to stop. I think discipline also includes knowing when conditions have changed enough that continuing no longer makes sense. There will always be another morning to run. There doesn’t need to be another opportunity to test whether lightning can run faster than I can. I have no interest in discovering the answer to that question.

Running in Nashville Humidity: When Finishing Is the Real Victory

Brian’s fitness journal after a brain stroke

Nashville’s famous humidity has returned. It arrived with all the subtlety of an uninvited guest who not only stays for dinner but also adjusts your thermostat. Let’s tell you that running in Nashville humidity is hard.

This year, the rainy season seemed to arrive later than usual, which means we are now enjoying the unique experience of combining heavy humidity with even higher summer temperatures. It is an impressive achievement by the weather, if not a particularly enjoyable one.

Running in these conditions is… memorable.

Every breath feels as though I am inhaling warm steam from an oven. The air is so thick that it almost seems to have texture. Instead of cutting through the atmosphere, it feels as though I am negotiating with it.

By the time I had run a short distance, my shirt was completely soaked.

At one point I honestly wondered whether I was sweating that much or whether the humidity had simply decided to wear my clothes for me.

Running through a Nashville summer can sometimes feel remarkably similar to jogging inside a sauna, except the scenery is better.

Not surprisingly, I finished more than a minute behind my target pace.

That was disappointing.

I have spent a long time gradually improving my running speed, and I always hope to inch a little closer to my next goal. Lately, however, the weather has been making that progress considerably more difficult.

On mornings like this, I remind myself of something that is easy to forget.

The most important part is showing up.

Speed matters.

Improvement matters.

But neither of those things happens without consistency.

When I think back a few years, I realize just how much progress I have already made. I have improved my pace by more than a minute per kilometer. That is not the kind of improvement that happens overnight. It is built one ordinary run at a time, including the frustrating ones.

Sometimes training is about setting a personal best.

Other times, it is simply refusing to let miserable weather decide whether you will run at all.

Today’s run belonged firmly in the second category.

There was one final piece of good news.

The 10-kilometer run did not take off much weight this time. I lost only a fraction of a pound compared to yesterday, which means my carefully negotiated relationship with the bathroom scale remains intact.

Even better…

Cake is still on the menu after our weekly grocery trip.

Sometimes the greatest reward for surviving a humid summer run is not a faster pace.

Sometimes it’s dessert.

Finding Progress Beyond the Stopwatch in Running Endurance Improvements

Brian’s fitness journal after a brain stroke

I am finding progress beyond the stopwatch in running endurance improvements.

This morning greeted me with something that has become surprisingly rare lately.

No rain.

Better yet, the air was noticeably cooler than it had been for several days. It was chilly enough that I briefly wondered whether long sleeves might have been the wiser choice. After the recent stretch of hot, humid mornings, however, I was happy to accept a little cool weather without complaint.

As soon as I woke up, I headed out for my usual run.

Within a few minutes, my body warmed up, and so did the weather. Nashville apparently believes seasons can change during a single run. What began as “perhaps I need a jacket” quickly became “short sleeves would have been perfect.”

Unfortunately, ideal running weather did not magically produce an ideal running pace.

I missed my target.

Looking back, I probably should have seen it coming. Around this time of year, morning temperatures can climb ten degrees within a surprisingly short period. Since I usually finish my runs before 8:00 a.m., it is remarkable how quickly the weather transforms.

Apparently, summer in Nashville believes in making dramatic entrances.

Next time, I may pay closer attention to the hourly forecast instead of simply checking the temperature when I wake up. Waiting a little longer before heading out might actually make clothing choices and pacing a bit easier.

Fortunately, today’s run was only five kilometers. Had it been my usual Saturday 10K, the changing conditions would have become much more noticeable by the later kilometers. Also, I have more energy than before after running. I must have gained my running endurance.

After returning home, I moved on to my resistance training.

There was better news waiting there.

This morning, I increased my pull-up total to twenty-five.

I was particularly pleased because many of my strength exercises have received less attention lately. Summer has a habit of replacing gym sessions with lawn mowing, and anyone who has pushed a mower across a steep backyard knows that yard work has a remarkable way of volunteering as leg day.

Still, progress is progress.

Perhaps the biggest change I have noticed this year is the effect of my anemia treatment. For years, I simply assumed that feeling tired was normal. Since beginning treatment, I have noticeably more endurance and energy throughout my workouts.

I admit I have complained more than once about having to visit the hematologist. Medical appointments are rarely anyone’s favorite hobby.

But credit belongs where it is due.

The treatment is making a real difference.

No, I did not meet my target running pace today.

On the other hand, I completed twenty-five pull-ups, something I could not have imagined not very long ago.

That is one of the lessons fitness keeps teaching me.

If you judge every workout by only one number, you’ll miss many of your victories.

Some days, the stopwatch wins.

Other days, the pull-up bar quietly reminds you just how far you’ve already come.

A Skunk, an Early Wake-Up Call, and a Humid 10K Run

Brian’s fitness journal after a brain stroke

By this evening, I was thoroughly exhausted because of an early wake-up call.

That is not especially unusual after my regular Saturday 10-kilometer run, but today came with a few unexpected complications. The weather turned noticeably hotter and far more humid, and my carefully planned morning began with a visitor who was not on my schedule.

A skunk.

Few things will get your attention before sunrise quite like your phone ringing because a skunk has taken up residence near your front door.

Early this morning, my wife called while she was returning from her run. A skunk had wandered in front of our entrance, and she quite reasonably decided that sharing the sidewalk with it was a terrible idea. Instead of risking a close encounter and an unforgettable fragrance, she asked me to open the garage door so she could enter the house from another direction.

I was more than happy to help.

I was just less enthusiastic about being awake.

Under our front porch is a small opening that has long served as a cozy home for various wildlife. Years ago, several groundhogs lived there. I had not seen them for quite some time and assumed the little underground apartment had become vacant.

Apparently, the local real estate market had other plans.

A skunk has evidently decided that the former groundhog residence is an excellent place to live. I suppose one creature’s abandoned property is another creature’s dream home.

Unfortunately, the phone call arrived about an hour before my alarm was set to ring.

I briefly considered returning to sleep. My brain even presented a compelling argument in favor of the pillow. Unfortunately, once I am fully awake, negotiations with sleep rarely end in my favor.

So I admitted defeat.

I climbed out of bed, put on my running clothes, and headed out for my Saturday 10K considerably earlier than planned.

The run itself went well enough, but the combination of lost sleep, rising temperatures, and Nashville’s legendary humidity gradually caught up with me. By evening, I could feel every kilometer and every missing hour of sleep.

Fortunately, the solution is refreshingly uncomplicated.

Tonight, I plan to go to bed a little earlier than usual and let sleep do what no amount of determination can replace.

Running teaches discipline.

Skunks, apparently, teach flexibility.

Sometimes the day’s training begins long before the first step of the run.

Recovery Is Training Too: Listening to My Body After a Long Run

Brian’s fitness journal after a brain stroke

Today has been pleasantly relaxing, not because I have been idle, but because everything has gone according to plan. A recovery after a long run is important.

Most of my chores are finished, and I even made up the weighted squat holds that I skipped yesterday.

Normally, I prefer not to miss a scheduled workout. However, after yesterday’s 10-kilometer run, I was simply exhausted. Between summer yard work, regular training, and the occasional surprise from the weather—or even one poor night’s sleep—my body had clearly voted against any additional exercise.

When your body casts a unanimous vote, it is usually wise not to overrule it.

So, after a brief consultation with my most important training partner—my own body—I decided to skip the workout.

Today was a different story.

By this morning, I felt refreshed enough to make up the missed exercises. Sundays are usually reserved for lighter activities anyway. That lighter schedule gives my body time to recover from a week of work, running, and whatever landscaping projects decide to appear in the yard. After a Saturday 10K, I generally welcome the opportunity to slow down.

Ironically, because I had skipped yesterday’s strength session, I had enough energy to comfortably complete it today.

One lesson I continue to learn is that improvement and recovery are not always the same thing.

Treating my anemia has certainly helped my running. I have more energy, and my pace has steadily improved. Unfortunately, treatment does not magically speed up recovery.

Part of the challenge comes from my kidney condition. Since I need to limit my protein intake, I cannot simply increase my nutrition the way many athletes do after strenuous exercise. Building strength and recovering well are not just about muscles—they also depend on keeping the body’s vital organs healthy. Fitness is a balancing act, and sometimes restraint is just as important as effort.

Tomorrow’s weather forecast has already introduced the next challenge.

Rain appears to be moving in, so the earlier I start my morning run, the better my chances of staying dry. Unlike today, when I happily remained in bed for an extra hour, tomorrow morning will require considerably more discipline.

Apparently, even the weather enjoys testing my commitment.

Still, that’s part of the routine.

Some days, the challenge is running farther. Other days, it’s knowing when to rest. And occasionally, the greatest athletic achievement is convincing yourself to leave a warm bed before sunrise.

When Staying Healthy Means Trying Not to Lose Weight

Brian’s fitness journal after a brain stroke

Most people spend the summer trying to lose a few pounds. I spend it trying not to. lose weight. I have a kidney disease, and maintaining weight in kidney disease is hard.

Every year, as the weather warms up, I find myself facing the same challenge: keeping my weight where it belongs. It sounds almost unfair to complain about losing weight, but everybody has their own peculiar set of problems, and this one happens to be mine.

Part of the reason is simple.

I have maintained relatively high muscle mass for my age by exercising consistently for many years. After my stroke, I became even more committed to staying active. At first glance, that sounds like a wonderful success story.

The catch is that muscle is expensive.

Not financially, thankfully, but metabolically. Muscle requires energy every hour of every day, whether I’m running, mowing the lawn, or quietly reading a book. It is like employing a team of energetic workers who insist on being paid three meals a day.

Summer only makes the challenge greater.

Our backyard includes a steep lawn that requires several hours of mowing. Altogether, it usually takes about five hours of work, although I wisely divide it over two days. Add regular strength training and my running schedule, and my body becomes a remarkably efficient calorie-burning machine.

Unfortunately, increasing my food intake is not as straightforward as it sounds.

Because of my kidney condition, I cannot simply eat whatever I want. My diet requires careful moderation. I have to limit protein, avoid eating excessive amounts of potassium-rich foods, and keep phosphate intake under control as well, rather than eliminating everything; we aim to maintain a balanced diet so that no single nutrient becomes excessive.

Even with careful planning, maintaining my weight remains surprisingly difficult.

This morning offered another small reminder of how unpredictable life can be.

I woke up earlier than usual, only to discover it was raining. Rather than racing the weather, I decided the bed was temporarily winning the negotiation and stayed there until my alarm sounded.

By then, almost miraculously, the rain had stopped.

I hurried outside for my run, hoping to finish before the next shower arrived. Fortunately, I accomplished both goals. I hit my target pace and avoided the rain.

Technically.

The humidity, however, had other ideas.

By the time I returned home, I was completely soaked anyway. Apparently, Nashville’s weather makes umbrellas seem merely decorative.

After peeling off my thoroughly saturated running clothes, I stepped onto the scale.

To my relief, I had gained just over two pounds.

I am still below my preferred weight range, but at least I am moving in the right direction. Considering how much energy disappears into running, yard work, and everyday exercise, I have learned to celebrate small victories wherever I can find them.

Sometimes that victory is a faster run.

Sometimes it finishes before the rain arrives.

And sometimes, rather surprisingly, it is simply watching the number on the scale move upward.

Lessons from a Difficult 10K Run

Brian’s fitness journal after a brain stroke

Today I got lessons from a difficult 10K Run. I usually run first thing in the morning because Nashville’s weather quickly becomes unfriendly to runners.

Even by 7:30 a.m., the air can feel remarkably heavy. It is not always because of rain. More often, the culprit is humidity. Once the temperature climbs above 70°F and humidity approaches—or exceeds—90%, the atmosphere transforms into something that feels almost tangible. It is less like running through air and more like trying to jog through warm pudding.

Saturday is my regular 10-kilometer running day.

Unless there is a snowstorm, thunderstorm, or a family event—which, for some reason, always seems to choose Saturday—I stick to that schedule. Consistency has become one of the most valuable parts of my training.

Since beginning treatment for anemia, my body has felt noticeably lighter during my runs. The improvement has been encouraging. Even so, there are still mornings when exhaustion appears without an invitation.

Today was one of those mornings.

From the very beginning, my legs felt unusually heavy. Every kilometer demanded more effort than it should have, and the pace that normally feels comfortable seemed frustratingly out of reach. By the time I finished, I was more than a minute behind my target pace and completely exhausted.

The strange part was that I hadn’t expected it.

Summer naturally brings more physical work around the house, especially lawn mowing, which is more exercise than many people give it credit for. Still, I had mowed on Thursday, so I assumed I had fully recovered by Saturday morning.

Apparently, my body had other opinions.

As I looked over my to-do list later in the day, I found myself trying to solve the mystery. Everything had seemed to be going well this week. I had slept well, eaten well, and generally felt healthy. Yet my run told a completely different story.

Perhaps that is one of the most humbling lessons running teaches.

Our bodies are wonderfully complex. They do not always explain themselves. Sometimes they perform beyond expectations, and other times they quietly remind us that recovery is not something we can schedule with the precision of a calendar appointment.

Instead of dwelling on the disappointing run, I moved on to the rest of my day’s tasks. One by one, I finished everything I had planned before our grocery shopping trip.

There is a special satisfaction in checking the final item off a to-do list. It means that once we return home, I can spend the rest of the evening doing something every runner eventually learns to appreciate.

Absolutely nothing.

After all, rest is not the reward for hard work.

Sometimes, it is part of the training itself.