I've Got Guts!

From Spoon Theory to Energy Economics: Chronic Illness & Why Pushing Through Backfires


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If you’ve used spoon theory to explain your energy, this episode explores what comes next.

We’re talking about the shift to energy economics: a physiological lens on chronic illness that looks at nervous system load, immune demand, hormones, inflammation, GI function, and pain as real energy costs.

Because this isn’t just fatigue. It’s biology.

We break down how energy economics shows up in gastroparesis, celiac disease, endometriosis, fertility treatment, and chronic inflammation…and why pushing through often leads to flares, crashes, and longer recovery.

This episode covers:

• The biology behind chronic illness fatigue

• Why pushing through backfires

• Nervous system and immune energy demand

• GI symptoms as an energy budgeting issue

• The emotional identity shift of living with limits

• What pacing actually looks like in real life

• How to explain your energy (spoons vs energy scale)

Your energy isn’t laziness. It’s physiology, and learning to work with it may be one of the most powerful forms of advocacy there is.

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I've Got Guts!By I've Got Guts!

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