The holiday season doesn’t mean you can’t enjoy yourself if you have Crohn’s disease. Here’s how to have a Crohn’s-friendly holiday.


Keep in Mind Your Trigger Foods

Remember, food doesn’t cause Crohn’s disease, but certain foods can trigger your symptoms. Which foods are bothersome is highly individual, so keep in mind what affects you and what doesn’t.


Ways to Avoid Triggers

One challenging part of the holidays is not being able to always control your meals because you’re at a gathering, or being tempted to have something you shouldn’t. Here are some recommendations to avoid triggers:

  • Host the event yourself. This way, you can control the menu.
  • If you’re attending an event, let the host know your dietary restrictions.
  • Bring a dish you know you can enjoy, so you can avoid having to eat something that won’t agree with you.

Following these suggestions should mean an enjoyable holiday event. Keep in mind, you should also abide by Covid-19 guidelines for any holiday event or gathering.


General Guidelines to Decrease Triggers

Also, here are some general guidelines to decrease your trigger risk:

  • Limit your intake of greasy foods
  • Decrease your fiber consumption
  • Keep dairy intake to a minimum
  • Avoid nuts and sweets
  • Eat smaller meals more frequently
  • Stay hydrated and drink lots of water
  • If you drink alcohol, drink in moderation
  • Make sure vegetables are cooked through to make them more easily digestible
  • Limit spices

These suggestions are a great way how to have a Crohn’s-friendly holiday. Enjoy the holidays, and stay healthy!

The holiday season is upon us, and as much as we all want to return to normalcy, we still have to take precautions because of Covid-19. Here’s a guide to a Covid-Safe holiday season.


The Safest Way is Staying at Home

The fact is, the safest way to avoid contracting Covid-19 this holiday season still is to stay at home. However, that doesn’t mean you can’t spend quality time with your loved ones during the season. You can find creative ways to keep traditions alive, like:

  • Zoom holiday parties
  • Opening presents together via FaceTime
  • Singing holiday songs together over the phone

These are just a few creative ways to keep the holiday spirit alive while staying safe.


How to Gather Safely

If you feel strongly about seeing your family and friends for the holidays, here are some suggestions you can follow to decrease your risk:

  • Make sure everyone is tested and gets a negative result before attending any get-together.
  • Keep your holiday gatherings as small as possible. Remember, the CDC and most states restrict gatherings to 10 people or less.
  • Hold all events—if possible—outdoors. You can use blankets, firepits, and heaters to stay warm.
  • If you must stay indoors, take the following precautions to prevent the possible inadvertent spread of Covid-19. First, you should have everyone wear a mask at all times. Also, you can increase the ventilation as much as possible. This includes opening windows, adding air purifiers, and upgrading your AC to include HEPA filters.

Following these recommendations can make everyone feel confident about a safe gathering.


Continue to Follow Best Practices

Remember, holiday cheer isn’t an antidote to Covid-19. Please continue to follow best practices during the season. That means social distancing as best you can and practicing good hygiene like proper hand sanitation. If you don’t feel well, you should quarantine until you get tested and receive a negative result.


A Covid-Safe Environment

Also, if you need your medical treatment throughout the holiday season, come to Specialty Infusion Centers. Here we have Covid-19 protocols on site to ensure that you feel confident and are in a safe environment for your treatments.

So, if you need a guide to have a Covid-safe holiday, follow our recommendations. Happy holidays!

Picture of lady holding a spoon in her hand

The Spoon Theory applies to chronic illnesses, but what is the Spoon Theory, and how can it help those with chronic illnesses—and people without it?


The Spoon Theory Explained

The Spoon Theory was created by Christine Miserando as a way to explain the amount of physical and mental energy daily activities take for people with chronic illnesses. According to WebMD, Miserando gave her friends 12 spoons while they were all sitting at a diner. Miserando said each spoon represented one task—whether it was brushing your teeth, showering, or standing on a train. Spoons are meant to be a visual representation as a unit of measure to quantify how much energy a person has in a given day. A spoon gets taken away after the completion of each tasks, big or small. Thus, after 12 tasks in a day someone with chronic illness would have their energy completely depleted. Once a person with chronic illness uses their spoons for activities, spoons can only be replenished through rest.


Why the Spoon Theory is Important

Miserando wanted a way to facilitate conversation between those who suffered from chronic disease and people who don’t. By illustrating the quantity of energy people battling chronic illness have, those who don’t suffer got a powerful metaphor to understand why activities may be challenging for their friends. This theory helps “healthy” people understand the amount of energy expended by those battling chronic illness to complete ordinary tasks, such as bathing or getting dressed, and how draining it can be.

Today, the Spoon Theory has become so impactful that people with autoimmune diseases call themselves “spoonies.”


How to Implement The Spoon Theory

Everyone copes differently to autoimmune diseases. So, for some, the Spoon Theory may be an extremely important tool to understanding how much energy you have in a given day. Assigning your day’s activities as spoons may prevent you from overexertion.

Now that you know what is the Spoon Theory, it’s up to you to see if this metaphor can be adopted into your life and how you battle your chronic illness.

Lady with hair loss problem in scalp

For those battling autoimmune disorders, many find themselves losing hair. There are several reasons why it occurs. Find out here about autoimmune diseases and hair loss.


Why Hair Loss Occurs

Hair loss has many etiologies. It can occur because of:

  • Disorders of hair cycling
  • Inflammatory conditions that damage hair follicles
  • Inherited or acquired abnormalities in the hair shaft
  • Pregnancy
  • Childbirth
  • Discontinuing oral contraception pills
  • Menopause
  • Traumatic events
  • Stress
  • Traction hair loss (hairstyles where the hair is pulled back tightly)
  • Diets that lack protein and iron


How Autoimmune Disease Can Cause Hair Loss

However, when pertaining specifically to hair loss and autoimmune disorders, the hair loss can be caused by:

  • The disease itself
  • Side effects of the medication to treat the disorder
  • Stress of dealing with an autoimmune disorder

Some autoimmune disorders can be particularly associated with hair loss such as, alopecia, lupus, Hashimoto’s, psoriasis, and Crohn’s Disease/ulcerative colitis.

  • Alopecia [areata, totalis, universalis]- the body’s immune system attacks healthy hair follicles causing varying degrees of hair loss
  • Lupus- lupus can affect many different systems and organs, hair loss occurs when antibodies created by the body infiltrate the hair follicles
  • Hashimoto’s- hypothyroidism (low thyroid hormone) can lead to hair loss
  • Psoriasis- if the scalp is impacted and the psoriasis is severe, the scaling may change the hair’s diameter and cause breakage
  • Crohn’s Disease/ulcerative colitis- hair loss is caused by the disease limiting the absorption of nutrients and vitamins from food that contribute to healthy hair

Some medications to treat the autoimmune disease can lead to hair loss. It is not entirely clear why some biologics affect hair. It is important to note that hair loss as a side effect of biologics is rare. Everyone responds differently to biologics and what one person may experience may be completely different from another person’s experience. Additionally, it can be difficult to differentiate whether symptoms are a result of active disease or a side effect of the medication.

If you are experiencing hair loss, please speak with your provider as there are many etiologies for hair loss.

capsules on medication plan schedule list or calendar

One recommendation that creates a more effective medical treatment is medication compliance. The importance of medication compliance is significant for several reasons.


Get the Most Efficacy

For starters, your medical team will suggest you follow any medication’s recommended dosage to get the most efficacy out of your treatment. Doctors understand that a drug will be the most beneficial at a certain dosage and frequency. Therefore, your treatment plan should yield positive results if you follow the prescription.


“I Feel Fine Now” May Lead to False Confidence

Unfortunately, you may fall into the trap of thinking, “I feel fine now, so I don’t have to take my medication today.” This can be problematic for you and your medical treatment plan.

The reason you’re feeling healthy is indication the medication is working. Therefore, we suggest you follow the recommended scheduled dosage to continue feeling fine. If you miss several days or weeks, you can increase the risk of feeling unwell.

happy patient


Potential Major Consequence

For biologic therapy, it is especially important to stay on track with your treatment plan to not only continue feeling well, but also, to not develop antibodies against the medication. For example, biologics like Remicade or Stelara, which are immunosuppressive drugs used for patients with Crohn’s disease, cannot ever be used again if your body develops antibodies against the drugs. Skipping or delaying doses increases the risk of antibody formation to the medication.

The importance of medication compliance cannot be stressed enough. We recommend you follow the prescribed dosage of any drug to ensure your treatment plan’s efficacy, to feel your best, and for biologic therapy, decrease the risk of antibody formation.

middle aged woman suffering from pain in leg at home

If you have osteoporosis, you may be looking for options to strengthen your bone density. Your medical team may have recommended that you begin weightlifting to combat the disease. But, do weight-bearing exercises really make a difference on osteoporosis?


What is Osteoporosis—and What Causes It?

According to the Mayo Clinic, osteoporosis is a decrease in bone density, which can lead to increased fractures—especially in the hip, wrist, or spine. Unfortunately, these fractures are extremely painful and can create complications like arthritis, bone infection, mobility issues, or nerve or blood vessel damage.

People that are most at-risk for osteoporosis are post-menopausal women because they have a decrease in estrogen, which can decrease bone density. There are certain risk factors for osteoporosis, such as sex, age, race, family history, physique, hormone levels, diet, certain medications, certain medical conditions, and lifestyle choices.


Treatment Methods

sportive middle aged woman holding dumbbells sitting on mat home exercises

There are some prescription medications to help you combat osteoporosis. At Specialty Infusion Centers, we administer Evenity, Prolia, and Reclast for osteoporosis.

Which medication is best for you is up to you and your doctor, but we do suggest you create a routine of weight-bearing exercises to help increase your bone density naturally. Weightlifting can help you prevent bone density loss while rebuilding bone.

Some exercises that we recommend:

  • Jumping rope: According to Time, jumping rope causes constant impact on your bones when your feet hit the ground, so it helps create bone density.
  • Weight lifting: The Mayo Clinic argues that lifting weights, similar to jumping rope, creates stress on the bones, which increases bone strength.

Interestingly, the Journal of Osteoporosis featured a study that showed the bone mineral density (the measurement of how much minerals are in the bone) in female adolescent tennis players increased not only in their tennis arm, but also their femoral neck (the most common location for a hip fracture). Therefore, consistent exercise can be an effective method to treat osteoporosis. Please consult with your doctor before starting an exercise regimen.


Get Bone Density Scans

It is recommended to get screening bone density scans—also known as a DEXA scan, bone mineral density test, or dual-energy x-ray absorptiometry—once you turn 65 for women and 70 for men with no risk factors. Then, you should get these scans every two years after that. If you have risk factors for osteoporosis, it is recommended that you get DEXA scans sooner.

So, do weight bearing exercises really make a difference on osteoporosis? Yes, and Specialty Infusion Centers recommends using it as an integral part of your treatment plan.

Woman getting vaccine

A lot of patients ask, “Should I get my flu shot?” The answer is a resounding yes. And here’s why getting the flu shot is important than ever—especially because of COVID-19.


Why It’s More Important Than Ever to Get the Flu Shot

There are several reasons why we recommend you get a flu shot. First, the flu vaccine protects against the virus in most cases. Not only does it help you avoid getting sick, but it also prevents others from contracting the flu by decreasing the spread of the virus to others.

Also, although the flu shot won’t prevent you from contracting COVID-19, it can help aid doctors in differentiating between these two viruses that present similar symptoms—fever, sore throat, cough, and fatigue.

Keep in mind, those under six months of age or a person with a severe allergy to the vaccine or its ingredient, should not get the flu vaccine.


When Should You Get the Flu Shot?


Dr Jake Deutsche

Generally, the influenza virus starts circulating in October, and it spreads more as winter progresses. The CDC highly recommends that younger, healthier people get flu shots in September. The Founder and Clinical Director of Cure Urgent Care and Specialty Infusion Centers, Dr. Jake Deutsch explains in Well + Good, “The earlier you get the flu shot, the more likely you’re going to have immunity. It can take four to six weeks for the body to build a full immune response to the flu vaccine, so that puts you in a better standing to prevent the flu.”

Remember, some experts warn that if you wait too long to get the shot, there can be vaccine shortages this year due to an overwhelming demand because of COVID-19.


Should People with Chronic Illnesses and Autoimmune Diseases Get the Flu Shot?

We suggest that if you have a chronic illness and/or autoimmune disease to get the flu vaccine yearly. Especially because the flu can exacerbate or flare your chronic illness. If you get the flu shot, the vaccine may help prevent the flu, thus preventing a flare-up. Additionally, if you’re receiving immunosuppressants, it could make you more susceptible to infections, including the flu.

The flu is one of the most vaccine-preventable infections and the flu shot is recommended by the American College of Gastroenterology and American Academy of Neurology, among many other agencies, for those with autoimmune disease.

We often hear that people are hesitant to get the flu shot because it makes them sick. However, there is a difference between being sick and feeling under the weather. After receiving a flu shot, it’s normal to feel some side effects. This is our system mounting an immune response and creating antibodies that will combat the flu if exposed. Sometimes, the vaccine causes you to feel less than 100 percent, but this does not mean you’re sick.

We highly recommend that you get your flu shot this year, especially in light of COVID-19.

Doctor and Patient discussing

After deciding with your doctor to start infusion therapy, the next important choice is which site should you choose: a hospital or alternate site of care? There are several benefits to choosing an alternate site of care.


A Complicated Process Simplified

Infusion therapy and benefits investigations can be a challenging process to navigate. At Specialty Infusion Centers, we’ve made it our mission to deliver the highest quality clinical care to our patients and guide them through the burdensome prior authorization billing process. We advocate on your behalf with your insurance company, and have some of the quickest turnaround times so as not to delay your treatment. We understand battling chronic illness can be stressful, so our goal is to take some of that stress away so you can focus on healing.


Cost-Effective Choice

Lady getting IV Infusion

According to Crain’s Detroit Business, alternate site of care centers can save patients between 30-50% compared to in-hospital treatment. Unfortunately, hospitals add on administrative fees for patients, which significantly increases costs.

In addition to accepting all major insurances, we have some of the lowest out-of-pocket patient costs by leveraging financial assistance programs and disease-specific foundations.


A World-Class Treatment Experience

Specialty Infusion Center

Specialty Infusion Centers provides flexible scheduling to help offer you a world-class treatment experience in state-of-the-art suites. We’re open seven days a week and provide evening hours. In other words, we make it work for you. On the other hand, hospitals book up weeks in advance, so rescheduling your appointment may not be possible, which can delay your treatment.

During your treatment, we provide free snacks, drinks, Netflix, WiFi, and other amenities to offer you a serene environment. Specialty Infusion Centers limits the number of patients on site at any given time, so you get individualized care in a quiet and relaxing environment.

Finally, our highly skilled clinical team is trained to expertly administer treatment and handle any type of infusion or injection reaction that may arise. We also stay in constant contact with your healthcare team, updating your provider after each infusion and carrying out specific requests, such as lab work.

The benefits of an alternate site of care are clear, and Specialty Infusion Centers is the perfect choice.


You may be wondering what’s the difference between an infusion and injection. Here we explain what each one is, and how it may affect you.


What’s an Infusion?

An infusion is when fluids, medication, or blood is given through a catheter directly into a vein. A medical professional does this by using a needle to guide the catheter into a vein. The needle is then removed leaving the plastic catheter behind in the vein.

A lot of patients think that there’s a needle in their arm throughout the whole infusion but just the plastic catheter remains.

Please note, Specialty Infusion Centers only administers fluids and medications mixed in fluids.




What’s an Injection?

An injection refers to the administration of medication using a needle and syringe. For example, if you’ve been given a flu shot or a vaccine, it was an injection.

In fact, there are several types of injections:

  • Intramuscularly- This is when an injection is done in the muscle.
  • Subcutaneously- When an injection is administered into the fatty tissue.
  • Intradermally- This is when injections are given in the top layer of the skin.


How are they Different?

The big difference between an infusion and injection is the period of administration. On the one hand, injections are often done within minutes. On the other hand, infusions can take anywhere between 30 minutes to several hours.

At Specialty Infusion Centers, we take pride in making the infusion experience as enjoyable as possible for our patients. We have iPads and flat screens TVs for Netflix for you to pass the time during your infusion. Also, we have snacks and drinks on-site for your enjoyment.

So, if your treatment plan includes infusions, consider your infusion options — like an infusion center compared to home infusion — and Specialty Infusion Centers.

While diet does not cause Crohn’s Disease or Ulcerative Colitis, certain foods or drinks may exacerbate symptoms.


Avoid Your Troublesome Foods

Those with IBD are suggested to remove “trigger” foods one at a time from their diet to see if particular items flare symptoms. However, it is important to note that everyone is different and the foods or drinks that exacerbate symptoms vary from person to person and diets should be personalized.

In any case, here is a list of some troublesome foods:

  • Spicy foods
  • Alcohol
  • High fiber foods
  • Fried foods
  • Raw fruits & vegetables
  • Whole grains
  • Nuts & seeds
  • Beans
  • Coffee
  • Diary products (if lactose intolerant)

Again, no two people are the same, so this list may not be applicable for you.


Discover What are Your Trigger Foods

To discover what foods bother you, we recommend doing a trial and error. You should do this by removing a trigger food group for a few days in a row—not just for one day—and taking note of how you feel. It may be helpful to write down or journal your response to removing trigger foods. This way, you can show your dietician or doctor exactly how you felt when a particular item was removed and can help tailor your diet to what works best for you.

When removing trigger food groups from your diet, it is important to remove items one at a time. If you take several out of your diet at the same time and feel better, you won’t be able to decipher which was the culprit for exacerbating your symptoms.

A helpful tool in assessing your diet’s role in IBD is to keep a food journal. Some benefits of food journaling include:

  • Help to remember what you’ve eaten each day
  • Assess response when eliminating trigger foods
  • Tangible items discuss when meeting with Nutritionist or Physician
  • A method of mindful eating
  • Prevent eating out of boredom
  • Track calories

Again, everyone is different. Some people with IBD may not have any foods that cause flare ups while others are affected by certain dishes. Therefore, we suggest that you find a diet that works best for you to prevent you from experiencing IBD symptoms.