Month: July 2025

Strength Training through Chemotherapy: A Case Study

(Title image: Photo by Luis Reyes on Unsplash)

It used to be that people undergoing chemotherapy for cancer were told to be careful with physical activity and restrict themselves to low- and moderate-intensity exercise. Even when I was going through cancer treatment eight years ago, there was concern about how much weight I was lifting for fear of eliciting lymphedema, although by that time, exercise was more encouraged.

I am so glad that our understanding of exercise and cancer has changed! This evolution in thinking is exemplified by a case study that was recently published in the journal Lifestyle Medicine (Rolle & Crane, 2025). The lead author and PhD student in Public Health at U of Miami, LaShae Rolle (age 27), was also a competitive powerlifter who was diagnosed with stage 2B estrogen receptor-positive breast cancer in 2024.

For LaShae, exercise was an integral part of her life, something to which I can relate. She worked with her team to create training sessions that aligned appropriately with her cancer treatments which consisted of four cycles of chemo following a mastectomy.

Remarkably, by modifying her workouts as needed, LaShae was able to maintain 93% of her squat strength (408 lbs of her 441-lb one-repetition maximum (1RM)) and 87% of both her bench press (254 lbs of her 292-lb 1RM) and deadlift (430 lbs of her 497-lb 1RM). This is so impressive considering that throughout her chemo treatment she was still able to squat and deadlift over 400 lbs!

Not surprisingly, attempting to train at high-intensity on the day following her first infusion (!) resulted in severe dizziness and fatigue. By the 3rd and 4th cycles of her chemo, Rolle found that delaying intense exercises for about a week following her infusions allowed her to train more effectively. Note that her chemo cycles were three weeks apart, allowing sufficient time to recover.

Exercising Through Breast Cancer: How One Powerlifter Defied Chemotherapy with Strength Training
Yes, you can train vigorously during chemotherapy!

Why keep training during chemotherapy? There is a rapidly increasing body of research that demonstrates the critical role that physical activity plays in recovery from cancer treatment and avoiding recurrence. Unfortunately, for people who view exercise as a chore or burden, being urged to maintain an exercise program while they’re undergoing something as punishing as chemotherapy may feel like an additional punishment.

But the benefits of exercising throughout treatment, as appropriate, are irrefutable. For those who haven’t previously exercised, it’s important to begin slowly, finding physical activities that are enjoyable and rewarding, eventually ramping up the challenge to include cardiovascular exercise, strength training, balance work and flexibility training.

For those for whom workouts are an integral part of their lives, being encouraged to continue exercising as we have prior to cancer is psychologically uplifting. I’ve written in earlier posts that working out was one of the few things that I could do that gave me a sense of control in the out-of-control landscape of a cancer diagnosis. It helped me feel “normal” when I felt anything but, and that was such an important part of mentally getting through treatment.

Bottom line: Participating in your regular exercise routine during chemotherapy is doable, with modifications, and the physical activity can help you get through the treatment process. While LaShae Rolle did experience treatment side effects, she was able to work around those to limit the amount of strength she lost during chemo to an impressive degree.

REFERENCES

Research Article:

Rolle LD & Crane TE (2025) Exercising Through Breast Cancer: A Case Study on Strength Training During Active Treatment. Lifestyle Medicine, 6, e70034. https://doi.org/10.1002/lim2.70034

Reader-friendly versions:

EurekaAlert!
https://www.eurekalert.org/news-releases/1092107

University of Miami News Article
https://news.med.miami.edu/exercising-through-breast-cancer-how-one-powerlifter-defied-chemotherapy-with-strength-training/

Try a Little Tenderness

(Title image: Photo by Alin Luna on Unsplash)

This is a bit of a departure from the usual posts. But I was thinking about how my emotions get pushed and pulled during the course of the day…

Suffice it to say, we live in contentious times where people are compelled to take sides. That leads to an environment where we think badly of each other which, in turn, adds an underlying level of stress to our daily lives.

Perhaps you feel it like an annoying irritation, maybe a quickening of the heartbeat or an increase in your blood pressure. Heat under the collar. And suddenly you are imagining what a jerk the other person is.

All that based upon a single interaction. This is an unfair snapshot judgment of people and brings with it the kind of stress I don’t need.

So this is what I do. And I love the instant effect that it has on me.

When I find myself getting annoyed with someone—whether it’s a rude customer service representative, someone interviewed on the news with an extreme political view, even a person who cuts me off in traffic—instead of muttering something hateful under my breath, I pause and think.

What might be going on in someone’s life to cause them to act or think this way?

If you had the kind of day they did, you’d be in a bad mood too.
(Photo by Alex Greenberg on Unsplash)

Did the customer service rep receive bad news at home followed by an interaction with an aggressive customer?

Has the person with distinctly different world views had a frightening personal experience that affected them deeply?

Is the driver who cut me off in a hurry to help someone with a medical condition?

You can say that, no, all those people are just malicious, egotistical jerks. But in reality, they are far more than the two-dimensional view that we have of them. Their lives are as full as ours and they share the same struggles and dreams that we do.

I sit with these thoughts. The “empathy” muscle is an important one to exercise.

For some, this is hard work to do. When we feel slighted, it can be difficult to give someone the benefit of the doubt. And when political tensions are high, some people may feel that being emotionally generous towards someone with views they find odious is like “giving in” to them, letting them “win”.

But you are not losing anything by practicing empathy.

Why do I bring this up? Because this helps give us peace. It makes us less reactive and helps us see things more clearly. It provides space for our brains to function in. It relieves anxiety.

In the end, it makes the world a better place. And we all need that.

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Anger is exhausting. Hate bleeds around the edges. Welcome peace back into your life regardless of whether or not the other person deserves it.

“Dear Princess Kate, I Can Relate”

(Title image: Photo by Bence Balla-Schottner on Unsplash)

Over the last week or so, there have been a number of news articles focused on Catherine, Princess of Wales, who has been talking about life after finishing her cancer treatment.

She is officially in remission from her unspecified cancer, having completed chemotherapy. However, in a conversation on July 2 with hospital patients, staff and volunteers at Colchester Hospital in Essex (in southeast England), the princess noted that there was still more to endure once she was past her cancer treatment.

This is summed up from an article in USA Today (and numerous other outlets):

Kate described the cancer diagnosis and treatment as “life-changing” for both patients and their loved ones. “You have to find your new normal and that takes time … And it’s a roller coaster. It’s not smooth, like you expect it to be,” she said, according to the outlet. “But the reality is you go through hard times. … “You put on a sort of brave face, stoicism through treatment. Treatment’s done, then it’s like, ‘I can crack on, get back to normal,’ but actually the phase afterwards is really, really difficult.”

Wow, this is so relatable! I’m grateful that Kate is discussing life after cancer treatment, especially because she’s a highly public figure.

Many cancer survivors have experiences similar to Kate’s, particularly those, such as breast cancer survivors with hormone-positive cancers, who continue to take “maintenance” medications like tamoxifen and aromatase inhibitors. While many patients expect chemotherapy and radiation to be tough, they are often not prepared for the side effects associated with endocrine treatments that are prescribed to be taken for years after finishing everything else.

Princess Kate breaks with royal protocol in speaking frankly about the struggles following the end of cancer treatment.
(Video from TODAY)

But even without endocrine therapy, many cancer survivors are left with long-lasting side effects of varying severity. Some may be truly life-changing. Most of them will prevent a return to “normal” as we used to know it.

That normal, however, is what others may be expecting of you. Or you might expect of yourself. And that’s tough. Kate mentions the importance of reaching out for professional support if it is especially difficult to manage the phase following treatment, and I concur 100%.

Because it’s not simply the side effects…it’s the frustration that we feel with having the side effects linger. Or even the reactions of loved ones who don’t understand why things aren’t back to how they used to be. There is a grieving process associated with the loss of our previous lives that those around us may not appreciate, so I’m glad that Princess Kate is using her position to bring this out into the open.

Favorite Calm Things: Between Two (Furry) Ears

(Title image: still photo captured from “Between2Ears” Twitch stream)

I like finding some calming things to focus on when my brain is in overdrive. In my “Favorite Calm Things” series I’ve been mainly posting about streams on YouTube and Twitch.

Leyla, the star of Between2Ears.
(Photo from Twitch page)

So here’s another one that I adore! It’s called “Between2Ears” and chronicles walks in nature from the perspective of a dog named Leyla from Germany. The scenery is lovely, both the environment and Leyla’s soft and furry head. It’s one of those puppy heads that you’d love to sit and scratch.

These are not live streams, but they do run almost non-stop on Twitch (https://www.twitch.tv/between2ears) so there’s always something to watch…and it’s always daytime.

For those who aren’t interested in setting up a free Twitch account, there are also a number of videos of Leyla available on YouTube (https://www.youtube.com/@between2ears-virtualdogwal771/videos) featuring walks during different seasons of the year and in a variety of locations.

Leyla has a good camera set-up with an excellent gimbal that helps steady the image. There is a slight bounce to her step and while I don’t have any issues with it, check it out for yourself to see whether the movement is too much.

Watching the world between Leyla’s ears.
(Still photo captured from stream)

The stream and posted videos do a great job of recreating the experience of taking a curious puppy for a walk. Because the feed is recorded and slightly edited, you get the get good parts without mishaps or camera issues.

For me, as someone who adores dogs (and animals in general) but whose living situation currently prohibits me from having a pet of my own, this is such a sweet, calm way of experiencing the joy of a walk in nature with an inquisitive puppers. Until I’m in a place where I can again have a pet of my own, I can at least have this.

Hope you enjoy it too!