Recognizing symptoms and reducing risks of OVARIAN CANCER
MANAGING THE JOURNEY OF PERIMENOPAUSE
DEONNA WYLIE’S resilience in the fight against fibroids
HOLISTIC HEALTH, FAMILY FOCUS: THE INSPIRING CHIROPRACTIC JOURNEYS OF TAWANA
& LAWANA
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10 Deonna Wylie’s resilience in the fight against fibroids
38 Holistic health, family focus: The inspiring chiropractic journeys of Tawana & Lawana
48 Managing the journey of perimenopause
54 Recognizing symptoms and reducing risks of ovarian cancer
Finding strength in adversity: Laquita Lloyd’s path to managing atrial fibrillation
Breaking the cycle: Addressing health inequities in black maternal mortality
Braving the storm: Alasha Shuler’s journey through diagnosis, surgery and faith
Doula services: Enhancing maternal care in neighborhood medical centers
Men’s Health Corner
Confronting the silent threats: Addressing health disparities among black men 56 From struggles to strength: Brittany Jeatter’s story of living with depression
SCIII leads the way with tackling healthcare disparities in underserved communities 64
Facing the unspoken truth about motherhood and self-care
Tiffany Washington shares her inspiring cancer journey
Living with PCOS: Symptoms, risks and steps toward better health
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MOTIVATION… MOTIVATION…
Dear Motivated Woman Readers:
Welcome to the Spring 2025 issue of Motivated Woman magazine! In this special edition, we celebrate mothers and the dedication and love they give to their families, often putting their own needs aside to prioritize others. I’m dedicating this issue to my mother, Jannie Johnson, whose encouragement has always pushed me to reach my full potential and continues to inspire me every day.
In this issue, we cover important topics such as perimenopause, polycystic ovarian syndrome, ovarian cancer symptoms and mortality rates in pregnant women. Our cover story features the inspiring journey of twins who became chiropractors and opened their own practice, demonstrating the power of supporting one another. We also shine a light on key health issues affecting Black men in our Men's Health Corner.
Finally, we are excited to announce the launch of Motivated Voices, a monthly podcast dedicated to raising awareness of women’s health issues. Stay tuned for more details as we prepare to launch in the Fall, and be sure to follow us on social media for updates.
Thank you for supporting Motivated Woman. We hope you enjoy this issue!
Ask me! Have health questions or topics you would like covered? Connect with me on Instagram: @motivated_woman_org.
CongenitalSyphilis is PREVENTABLE. Syphilis
What are the risks of Congenital syphilis?
Congenital syphilis (CS) can have severe and potentially fatal side effects on young infants. Syphilis in pregnant women can cause harmful outcomes for her baby including:
• Stillbirth
• Prematurity
• Low birth weight
• Infant death shortly after birth
Babies born with CS may have problems with their:
• Nervous system
• Skin
• Bones
• Liver
• Lungs
• Other organs
If CS is not treated, it may cause the infant to have blindness, brain damage, or other serious problems.
MOTIVATED WOMAN SPRING 2025
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Photography
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1083 Photography Studios, Melissa G.
Photography
Motivated Woman, a biannual magazine, is a leading resource for women’s health illnesses, such as autoimmune disorder, cancer, diabetes, heart disease and obesity. Motivated Woman encourages women to share their remarkable stories of overcoming health challenges they faced to inspire and motivate other women who may be battling those same illnesses.
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Dr. Tawana Roberson
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DEONNA WYLIE’S RESILIENCE IN THE FIGHT AGAINST FIBROIDS
By Michaela Leung
Deonna Wylie
I didn’t realize what I did until after the fact, but I turned a masculine symbol pink for a day to unite people around the cause of women’s healthcare.
An estimated 20 to 50 percent of women of reproductive age have fibroids—muscular tumors that grow in the wall of the uterus— and up to 77 percent will develop them at some point during their childbearing years.
While fibroids are a common experience for many women, they remain a topic that is seldom discussed openly. Deonna Wylie is working to change that. At the age of 26, she was diagnosed with fibroids.
THE INITIAL DIAGNOSIS
After experiencing symptoms such as severe abdominal pain, bloating and heavy menstrual bleeding, Wylie sought medical help.
"I’ve always experienced heavy, longlasting periods along with gastrointestinal (GI) issues, so I initially assumed my symptoms were related to my GI health. I believe my first visit was to my gastroenterologist," Wylie said.
The road to diagnosis was not easy. According to the National Institutes of Health (NIH), 42 percent of women see two or more healthcare providers before receiving a proper diagnosis. For Wylie, the initial diagnosis brought feelings of isolation.
"I remember feeling confused, scared and alone. When someone tells you that you have tumors growing in your uterus, a flood of questions takes over," Wylie said.
A 2022 survey revealed that more than half of women ages 18-44 had never heard of uterine fibroids, and many mistakenly believed
fibroids were a form of cancer.
"It was hard to explain to others how I was feeling. When I said, ‘I don’t feel good,’ the response would often be, ‘Well, you still look good,’ because people couldn’t physically see what I was going through."
In addition to the physical pain, Wylie struggled emotionally and had to make lifestyle adjustments.
"I experienced depression and didn’t feel like myself. Simple things became harder—I couldn't wear half my wardrobe. I started wearing skirts and dresses to go to the restroom easily and to conceal what looked like a six-month pregnant belly."
SEEKING TREATMENT
Wylie tried various treatment
options recommended by doctors to alleviate her symptoms, including surgeries, intrauterine devices, medications and different dosages. However, none brought lasting relief.
During one doctor’s visit, a physician recommended a hysterectomy as the best solution: "Get a hysterectomy and get your life back."
After 10 years of living with fibroids, undergoing treatments, receiving iron infusions (due to anemia from blood loss), and several surgeries, Wylie ultimately chose to have a hysterectomy at age 36.
“I was told I was not a candidate for a new alternative procedure, and if I tried, I could risk going into cardiac arrest before they had
enough time to get to all of the fibroids,” Wylie said.
This major decision brought on many emotions for Wylie, but she ultimately chose to move forward with the procedure."
LIFE AFTER THE HYSTERECTOMY
Wylie’s scars tell a story of resilience.
"As a result of my myomectomy and hysterectomy, I have a large vertical scar running from my belly button down, much like the scars from C-sections. Before the procedures, my stomach was already swollen to the size of a sixmonth pregnancy."
Post-surgery, Wylie faced invasive questions and judgment from others.
"People would ask if I had
Attendees at the Cola Rosé Shower dressed in various shades of pink. Photo courtesy of Melissa G. Photography.
All women, regardless of age, ethnicity or background, face their own unique struggles—or have a mother, sister, aunt, cousin or friend who can relate. We're like diamonds, formed under pressure, coming in all colors, shapes and sizes, each one precious.
tried other treatments or wanted to get pregnant first. What they didn’t understand was that I had endured 10 years of treatment, procedures and pain. Right before my hysterectomy, I was in survival mode every day, crying myself to sleep from the physical and emotional toll."
After the surgery, Wylie's doctor showed her and her family a photo of her uterus to illustrate the severity of her condition, stating, "She made the right decision; she never could have carried a baby to term."
It’s a picture Wylie keeps and reflects on.
"When people asked why I didn’t try to get pregnant, they had no idea how insensitive that question was."
RAISING AWARENESS THROUGH HER STORY
With support from her family and friends, Wylie channeled her experiences into a passion for raising awareness about women's
health. She founded the Cola Rosé Shower, an annual event hosted by her nonprofit to celebrate women and promote awareness of health issues affecting women in Columbia, S.C. and surrounding communities.
"I wanted to celebrate my new journey after recovery. I’ve gained strength, determination and resilience over the past 10 years, and I wanted to focus on that—not what I lost."
In lieu of a baby shower, Wylie invited friends to celebrate this new chapter in her life with her favorite drink: Rosé. Instead of receiving gifts, she collected feminine products to bring awareness to period poverty and donated
those products to Sistercare Inc., a shelter for battered women and their children.
Period poverty refers to the lack of access to menstrual products, a problem that impacts as many as two in five individuals worldwide.
"While frequently shopping for period products at Target, I first learned about period poverty from a message on the side of a Kotex box."
According to Period.org, 37 percent of women in the U.S. have experienced period poverty at some point, which can force difficult decisions between buying food or feminine hygiene products. This challenge can lead
Photo courtesy of Melissa G. Photography.
Photo courtesy of Melissa G. Photography.
People would ask if I had tried other treatments or wanted to get pregnant first. What they didn’t understand was that I had endured 10 years of treatment, procedures and pain. Right before my hysterectomy, I was in survival mode every day, crying myself to sleep from the physical and emotional toll.
to embarrassment, depression and unhealthy substitution of products.
"Imagine missing out on daily life because you can’t afford the necessary supplies. That’s a reality for many women living in poverty," Wylie said.
Each year, Wylie continues
to raise awareness and support women’s health at the Cola Rosé Shower, held at Williams-Brice Stadium, home of the University of South Carolina Gamecocks.
"I didn’t realize what I did until after the fact, but I turned a masculine symbol pink for a day to unite people around the cause of women’s healthcare."
Though Wylie’s hysterectomy marked the end of one chapter, her journey is ongoing.
"It’s not over—it’s a continuous journey. God has blessed me in so many ways, and I believe he put me on this path for reasons only he knows. This is truly a journey of unity."
Wylie encourages other women to share their health stories to break stigmas surrounding
women’s health.
“Sharing your health journey with others shouldn't be something we feel the need to hide. By talking about it, we learn from each other, gain support and create positive change," she said.
"All women, regardless of age, ethnicity or background, face their own unique struggles—or have a mother, sister, aunt, cousin or friend who can relate. We're like diamonds, formed under pressure, coming in all colors, shapes and sizes, each one precious. That's why my logo features a diamond at the center of the rose."
The champagne tower at the Cola Rosé Shower. Photo courtesy of Melissa G. Photography.
FINDING STRENGTH IN ADVERSITY:
LAQUITA LLOYD’S PATH TO MANAGING ATRIAL FIBRILLATION
By Ava Salina
I’m not afraid to challenge my doctors or ask for clarity. I want to be fully informed.
Laquita Lloyd’s journey is a testament to the power of resilience, the importance of self-advocacy and the strength that comes from faith. As a corporate professional, wife and mother, Laquita balances the demands of daily life while managing a chronic condition that has shaped her entire health journey: atrial fibrillation (AFib), a heart condition that causes an irregular and rapid heartbeat in the upper chambers of the heart. Diagnosed with a hole in her heart as a child, Laquita has faced health challenges from an early age, but her story is one of overcoming adversity, living with purpose and inspiring others along the way.
Born with a congenital heart condition, Laquita underwent surgery at just four years old to address a malfunctioning mitral valve. “I learned early that taking care of my health was no joke,” she said. However, it wasn’t until 2019, at the age of 44, that Laquita was diagnosed with atrial fibrillation. The diagnosis was a new chapter in her ongoing health journey, one that required even greater vigilance and lifestyle adjustments.
For Laquita, AFib has become more than just a medical condition. It has shaped her perspective on health, reminding her to live with purpose, mindfulness and gratitude. “AFib is a balancing act that touches nearly every area of life,” she said. “But it has also made me stronger. It has taught me to advocate for my health, listen to my body and
Laquita Lloyd
embrace each day with a grateful heart.”
A NEW CHAPTER: MANAGING ATRIAL FIBRILLATION WITH MINDFULNESS
When Laquita was first diagnosed with AFib, she struggled with anxiety, constantly monitoring her heart rate and becoming hyper-aware of every irregularity. “It was an adjustment period, one that taught me how to manage my health without letting it consume me,” she said. The constant tracking, while reassuring in some ways, only intensified her concerns. But over time, Laquita found a way to turn this anxiety into a source of empowerment.
For Laquita, the foundation of managing AFib has been a shift in perspective. Her faith became
a central pillar in helping her overcome fear and uncertainty.
“Each day is a blessing,” she said, emphasizing how her spirituality
Turn those scary moments into times of gratitude. Each beat of your heart is a reminder of the fragility— and the strength—of life. And lastly, remember that this is a journey. Every day is an opportunity to do something good for yourself.
anchors her through the ups and downs of living with a chronic condition. Beyond faith, Laquita also embraces a proactive approach to managing her health, one that includes careful attention to her diet, exercise and stress management.
TAKING CONTROL: LIFESTYLE
Lloyd with husband, Rodney, and son, Jackson
Living with AFib has shown me the power of being proactive, quirky and fully engaged in my own journey.
ADJUSTMENTS THAT MAKE A DIFFERENCE
Living with AFib requires
a delicate balance of lifestyle choices, and Laquita has learned to make every decision count.
“I focus on eating heart-healthy foods—lots of vegetables, whole grains, lean proteins and healthy fats,” she said. She has also learned to avoid known triggers like excess caffeine, alcohol and high-sodium foods. “I miss my Stella Rose,” she said with a smile, reflecting on the small sacrifices that come with managing her health.
Hydration is another crucial element of Laquita’s routine. She makes sure to drink plenty of water to support heart function, while
being mindful of her caffeine intake. In addition to dietary adjustments, managing stress is key. “Stress directly impacts heart rhythm, so I use mindfulness techniques and deep breathing exercises to stay centered,” Laquita said. Physical activity is another essential part of her strategy, with daily walks serving as both a way to stay active and reduce stress. “I aim for at least 10,000 steps a day, walking around the Lake Murray Dam five times a week. It’s light, but it works.”
Quality sleep is also nonnegotiable for Laquita. She prioritizes seven to eight hours of restful sleep each night, ensuring that her sleep schedule is consistent and free from electronic distractions. “This consistency helps regulate my heart rhythm,” she said.
NAVIGATING MEDICATION AND MEDICAL CARE
While Laquita prefers managing her condition through lifestyle changes, she is open to using medication when necessary. To manage her AFib, she takes four medications: Eliquis to reduce the risk of blood clots, Tikosyn to regulate her heart rhythm, Losartan to control blood pressure and Farxiga to support heart function. “These medications are an essential part of my comprehensive treatment plan,” she said. “I work closely with my healthcare providers to ensure the dosages are tailored to my needs, and I never hesitate to ask
Lloyd with (left to right) parents, Matt and Brenda McFadden, son, Jackson, and husband, Rodney
questions if something doesn’t feel right.”
Laquita’s approach to her care is all about partnership. “I’m not afraid to challenge my doctors or ask for clarity. I want to be fully informed,” she said. This selfadvocacy has been a cornerstone of her health journey, allowing her to feel in control even in the face of uncertainty.
ADVICE FOR OTHERS: EMBRACE YOUR JOURNEY
Having walked this path, Laquita has advice for anyone newly diagnosed with AFib. “First, stick to your medication regimen like it’s your own personal life anthem,” she encourages. “Each pill and each healthy choice is a little prayer
for your future health.” She also emphasizes the importance of self-advocacy. “Speak up about your concerns, and don’t be afraid to ask questions. You deserve to understand what’s happening with your body.”
Equally important, Laquita suggests embracing faith. “Turn those scary moments into times of gratitude. Each beat of your heart is a reminder of the fragility— and the strength—of life,” she reflects. “And lastly, remember that this is a journey. Every day is an opportunity to do something good for yourself.”
While AFib can be a constant challenge, it has also become a source of personal growth and resilience. “Living with AFib has
shown me the power of being proactive, quirky and fully engaged in my own journey,” Laquita said. If her story can inspire even one person to take charge of their health and live with intention, then she considers it all worthwhile.
For anyone facing a similar journey, Laquita’s message is clear,” You have the power to live fully, no matter the challenges.”
Stress directly impacts heart rhythm, so I use mindfulness techniques and deep breathing exercises to stay centered.
BREAKING THE CYCLE: ADDRESSING HEALTH INEQUITIES IN BLACK MATERNAL MORTALITY
By Megan Freeman
Research from the Centers for Disease Control and Prevention (CDC) shows that Black women in the United States have the highest mortality rate from birth-related complications, largely due to social determinants of health (SDOH) and health inequities.
The Office of Disease Prevention and Health Promotion defines SDOH as conditions in environments that affect groups of people across a wide range of health, functioning and qualityof-life outcomes. These groups often face challenges in achieving financial stability, accessing
quality education and healthcare, securing safe housing and receiving adequate social support.
The World Health Organization defines health inequities as systematic differences in the health status of different population groups, exacerbated by factors like climate change, structural racism, substance abuse, pandemics and pre-existing health conditions.
SDOH and health inequities contribute to the high rate of highrisk pregnancies among Black women. According to a National Health Institute (NHI) study on Black maternal mortality, maternal
mortality rates increased by 33 percent during the COVID-19 pandemic, with late maternal deaths increasing by 41 percent. Black and Hispanic women experienced disproportionately high maternal mortality rates during this time, with significant increases in causes of death related to viral diseases (2,374.7 percent), respiratory diseases (117.7 percent) and circulatory diseases (72.1 percent).
In 2021, the maternal mortality rate for non-Hispanic Black women was 69.9 deaths per 100,000 live births—2.6 times higher than the rate for nonHispanic white women—according to a study by Donna L. Hoyert, Ph.D., from the National Vital Statistics System. Despite achieving higher education, better jobs and improved housing compared to previous generations, Black women often face mental and physical health challenges that can complicate life goals, such as having children.
Monique Rainford, M.D., a Yale medicine obstetriciangynecologist, notes that one example of a high-risk pregnancy factor for Black women is "allostatic load," which refers to the
cumulative physiological effects of chronic stress. “Studies have shown that Black women’s biological age can be up to 10 years older than their white counterparts, likely due to allostatic load," Rainford explains. "This 10-year difference significantly increases the risk of maternal death, as the risk of maternal mortality rises with age."
Many pregnant Black women are giving birth later in life, during what are considered "geriatric" stages (age 35 and up), and are more likely to have pre-existing medical conditions. According to the CDC, they are also more prone to complications such as gestational diabetes, hypertension, preeclampsia, eclampsia, preterm labor, postpartum bleeding and having multiple births (twins or triplets).
Other contributing factors to the higher mortality rate among Black women include unnecessary C-sections, a lack of Black medical professionals, being uninsured or underinsured and inconsistent access to transportation.
Raising awareness of these
health disparities is key to improving resources and outcomes for Black women and their babies. One important step for Black women who are pregnant or planning to become pregnant is to discuss potential high-risk complications with their doctors. While Black women face higher risks, there are still many successful births. An article published by Beaufort Memorial suggests asking relatives about pregnancy complications, as some may run in families and indicate potential risk factors.
It's also important for Black women to advocate for themselves during pregnancy. Because they are more likely to experience complications, it’s crucial to ask questions, listen carefully to medical advice and find a doctor who provides comfort and security. If necessary, switch to a different provider. After giving birth, continue with scheduled care for both mother and child.
Healthcare professionals and community organizations are working to break down barriers
through research, education and advocacy. These efforts aim to reduce harmful SDOH and eliminate health inequities, fostering a culture of respect and humility in healthcare to create a more equitable system.
Megan Freeman earned a Doctorate of Strategic Leadership with a concentration in leadership coaching from Regent University. She is the founder, owner and CEO of Leadernificent LLC, an organizational development company.
Black women in the United States have the highest mortality rate from birthrelated complications, largely due to social determinants of health (SDOH) and health inequities.
BRAVING THE STORM:
ALASHA SHULER'S JOURNEY THROUGH DIAGNOSIS, SURGERY AND FAITH
By Shaquetta Pelzer
The vast majority of people with pineal cysts are asymptomatic and experience no health problems related to the cyst. However, when symptoms do occur, they may be due to the cyst pressing against nearby structures in the brain, leading to headaches, vision problems or hormonal imbalances.
-The National Library of Medicine
At 33, Alasha Shuler’s life is a testament to resilience, faith and the power of a supportive family. From a startling diagnosis in her early twenties to surviving multiple brain surgeries, she has faced challenges that tested her spirit and reshaped her outlook on life.
THE EARLY DIAGNOSIS
In 2012, Alasha was a 21-yearold new mother navigating the joys and challenges of parenthood when her life took an unexpected turn. Severe migraines drove her to seek medical help, leading to an MRI that revealed a pineal gland cyst. Her neurologist recommended surgery, but Alasha chose to delay it. "I was only 21 at the time with a newborn," she said. "I opted out of surgery, hoping the migraines would go away."
For a time, she managed her symptoms, but the migraines persisted. Life moved on, and Alasha built a home with her husband, Brandon, of 13 years, and their son, Jaylin, now 12. However, the storm brewing in her health would soon demand urgent attention.
A DECADE OF WORSENING SYMPTOMS
Over the years, Alasha’s condition deteriorated. By 2022, her migraines were daily and
Shuler eight months following the surgery
debilitating, sometimes lasting a week or longer. She experienced facial numbness, dizziness, nausea, short-term memory loss and difficulty multitasking and focusing. "I even struggled with speech, having trouble finding words and sometimes seeing double," she said.
A fainting episode at home prompted a trip to the emergency room, where an MRI revealed that the original cyst had grown significantly, and multiple other cysts had developed. Surgery was no longer optional—it was essential.
THE ROAD TO SURGERY
In 2022, Alasha underwent an occipital craniotomy, a surgical procedure where a doctor removes a small piece of the skull bone at the back of the head (the occipital bone) to access the brain in that area, allowing them to treat any issues like tumors or abnormalities. Complications arose during the first procedure due to massive swelling on the left side of her brain, forcing the surgeon to halt the operation. "The next day, my doctor went in through the right side and successfully removed the gland," she said.
The aftermath was grueling. "When I woke up, my vision was so blurry I couldn’t make out anything and the pain was unbearable."
Her recovery was met with setbacks. Three days after being discharged, she returned to the hospital with severe pain at the top
of her head. Doctors discovered bleeding on the brain and treated her with steroids. "It took about three months for my vision to return fully," she said. Yet, the journey wasn’t over.
FIGHTING THROUGH
COMPLICATIONS
Four months post-surgery, Alasha faced another hurdle: an infection caused by her body
rejecting the artificial plate used to replace her skull bone. "The doctor wanted to go back in, but I begged him not to," she said. Instead, she endured a monthlong course of antibiotics that successfully cleared the infection. Despite the hardships, Alasha remains on her healing journey. "My incision is completely healed, but my skull is still very tender and
Shuler two days following the surgery
fragile," she said.
FAITH AND REVELATION
Through the pain and uncertainty, Alasha found solace in her faith. "God showed me why he is the almighty in my life," she said. "He revealed who truly supported me and who deserved my love. I questioned everything but came out stronger, with a testimony to share."
This period of reflection strengthened her faith and allowed her to see her challenges as a path to personal growth. "I almost died, lost my vision, and was in severe pain, but through it all, God brought me out stronger than ever," she said.
For those navigating similar health challenges, Alasha offers heartfelt advice. "Make sure you
When I woke up, my vision was so blurry I couldn’t make out anything and the pain was unbearable.
have an amazing support system— people who lift you up and don’t make you feel bad for leaning on them," she said.
Alasha also emphasizes the importance of perseverance. "At first, getting out of bed was a struggle. I would get winded and have to lie back down, or my eyes would hurt so badly I had to close them. But I was determined to return to my regular self."
Through it all, Alasha’s family has been her rock. "My husband, son and brothers were there for me every step of the way, through every tear I cried," she said. "I’m incredibly grateful for their love and encouragement."
Today, Alasha looks back on her journey with gratitude and a renewed sense of purpose. "I have my own testimony," she said. "I’m grateful to have gone through everything because it made me stronger and more appreciative of the blessings in my life."
Her story is a powerful reminder that even in the face of adversity, faith, determination and love can guide us to brighter days.
This photo shows the incision from Shuler's surgery.
MYTH VS. FACT: THE TRUTH ABOUT OZEMPIC AND WEIGHT LOSS FOR WOMEN
Several Motivated Woman readers shared their curiosity about Ozempic, a prescription medication for managing Type 2 diabetes, and its potential to aid in weight loss. With celebrities crediting it for their success, Ozempic has gained attention as a weight management tool, but misconceptions about its safety and effectiveness persist.
To address these concerns, we’ve debunked common myths and provided key facts to help readers make informed decisions when discussing options with their healthcare providers.
Myth: "Ozempic is a quick and easy weight loss solution for women."
Fact: While Ozempic (semaglutide) can aid weight loss by reducing appetite and helping control blood sugar, it is not a magic fix. Sustainable weight loss still requires a balanced diet, regular exercise and lifestyle changes. Ozempic is a tool, not a replacement for healthy habits.
Myth: "Ozempic will lead to permanent weight loss without any effort."
Fact: Weight loss achieved with Ozempic may be temporary if lifestyle changes aren’t maintained. After stopping the medication, some individuals may regain weight, especially if dietary and exercise habits don't align with long-term health goals.
Myth: "Ozempic is only for women with diabetes or obesity."
Fact: While Ozempic is FDA-approved for managing Type 2 diabetes and obesity, it is also prescribed offlabel for weight management in individuals who are overweight or struggling with weight-related health issues, as long as they are under a doctor’s care.
Myth: “Ozempic causes hair loss.”
Fact: Hair loss is not a common side effect of Ozempic itself. However, rapid weight loss from any method, including medication, can sometimes cause temporary hair thinning due to nutritional deficiencies or hormonal changes.
PERSEVERANCE AMID PAIN:
Sierra Brooks’ fight against multiple autoimmune diseases
Living with Sjögren's syndrome (SS), rheumatoid arthritis (RA) and lupus presents immense physical and emotional challenges. These overlapping autoimmune diseases cause a wide range of symptoms, including chronic pain, fatigue, joint inflammation and severe dryness of the eyes and mouth—making daily tasks overwhelming. Sierra Brooks shares her journey of coping with these conditions, offering insight into the daily struggles she faces and the significant impact they have on her well-being. Her story underscores the perseverance required to navigate life with such complex and debilitating illnesses.
these challenges head-on.
Living with rheumatoid arthritis presents daily challenges, especially on cold winter mornings when even getting out of bed can be difficult.
Living with SS, RA and lupus makes everyday tasks more challenging due to the unpredictable symptoms and flareups. Before my diagnosis, I often struggled to understand why I constantly felt fatigued, experienced persistent pain or had little appetite. Some days, the flare-ups are so intense that it feels as if I want to tear my skin off; other times, the emotional toll of hair loss leaves me in tears. Yet, despite these struggles, each day I find the strength to put on my metaphorical armor and face
The primary symptoms of SS, a chronic autoimmune disorder, include dry mouth and dry eyes. This condition occurs when the body’s immune system mistakenly attacks its moisture-producing glands, specifically the lacrimal (tear) and salivary glands. SS can develop on its own or in conjunction with other autoimmune diseases, such as lupus or rheumatoid arthritis. Although there is no known cure for SS, treatment focuses on managing symptoms and improving quality of life.
Common treatments include artificial tears, saliva substitutes and medications to relieve discomfort and inflammation. At times, I experience difficulty speaking due to the dryness in my mouth. While I wear contact lenses, I limit their use to short periods and never sleep in them. My tongue frequently sticks to the roof of my mouth, making hydration essential. Fortunately, this dryness doesn’t cause any pain.
RA is a chronic autoimmune disease that primarily affects the
Sierra Brooks
joints, leading to inflammation, pain and eventually joint damage. The immune system mistakenly attacks the lining of the joints, resulting in cartilage and bone loss, as well as swelling. Living with RA presents daily challenges, especially on cold winter mornings when even getting out of bed can be difficult. The most affected areas for me are my ankles, knees, pelvis and hands, with stiffness lasting over an hour. This stiffness is often accompanied by fatigue and a reduced appetite. While I take medication to manage my arthritis, it often feels less effective over time. My doctor encourages me to stay active, but on many days, I struggle to move and end up confined to bed, feeling lifeless as numbness and tingling sweep through my body.
Lupus, also known as systemic lupus erythematosus (SLE), is a complex autoimmune disease where the immune system mistakenly attacks the body’s own tissues, leading to widespread inflammation and damage to multiple organs. This condition can affect the skin, joints, kidneys, heart, lungs and blood cells. Lupus is highly unpredictable, characterized by periods of flare-ups and remissions. Common symptoms include a butterfly-shaped rash across the cheeks and nose, joint pain and swelling, severe fatigue and sensitivity to sunlight. Additional symptoms may include fever, hair loss, mouth sores and complications in major organs such as the kidneys and heart.
For me, managing the butterfly
rash has been one of the most challenging aspects. Frequent visits to the dermatologist are necessary to treat persistent flare-ups, which cause a burning sensation on my skin. I also experience dryness, especially on my legs. Hair loss, compounded by the side effects of steroids, adds another layer of difficulty. To minimize flare-ups triggered by sun exposure, I use a 70 SPF sunscreen, as even brief sunlight exposure can make me feel ill.
Despite these debilitating conditions, I’ve managed to find ways to cope with the ongoing pain
Some days, the flare-ups are so intense that it feels as if I want to tear my skin off; other times, the emotional toll of hair loss leaves me in tears. Yet, despite these struggles, each day I find the strength to put on my metaphorical armor and face these challenges head-on.
Brooks has authored eight motivational journals and two children's workbooks.
and fatigue. Mental health therapy has been essential in helping me navigate my emotions and stay grounded. Journaling has also been a powerful outlet for my thoughts, and I’ve filled over eight journals, hoping to offer comfort to others through my experiences. With the
support of my community, family and friends, I’ve been able to lead a fulfilling life as a mother and even recently completed my doctoral degree in education.
Living with multiple autoimmune diseases is an ongoing journey that involves constant
adaptation and resilience. Each day brings new challenges, but my support system, mental health therapy and personal determination have allowed me to find purpose and joy amidst the struggle. Through journaling and self-care, I hope to share my story with others, showing that it is possible to thrive despite chronic illness. Taking care of oneself, both mentally and physically, is crucial in managing these conditions and living a fulfilling life.
Dr. Sierra Brooks is a researcher, educator and author affiliated with the University of North Carolina and a partner with the National Institute of Environmental Health Sciences. She holds a Doctorate in Education, which has been the foundation for her impactful career at the intersection of teaching and scientific research. She has authored eight motivational journals and two children's workbooks, enriching both academic and personal development literature.
Brooks with her son
The Pursuit for Social Justice & Racial Accord Never Ends at the CECIL WILLIAMS SOUTH CAROLINA CIVIL RIGHTS MUSEUM
Palmetto State’s First & Only Civil Rights History Museum
Now Accepting On-Site Appointments
Telephone: 803-531-1662/803-347-8001 for additional information. Orangeburg, South Carolina
Reverend Joseph A. DeLaine, a courageous, fearless, faithful man of integrity, was the impetus behind the Clarendon County Briggs petitioners. After this case combined with four others led to Brown v. Board of Education, he frequently became a target and received death threats. In 2004, President George Bush awarded DeLaine, Briggs and Pearson, the Congressional Gold Medal for their efforts which overthrew the 1896 Plessy v. Ferguson and ‘separate but equal’ doctrine and legal segregation; all this years and months before the better known MLK, Rosa Parks, and Montgomery Bus Boycott.
This history and legend rightfully places South Carolina as the birthplace of the Civil Rights Movement.
DOULA SERVICES: ENHANCING
MATERNAL CARE IN NEIGHBORHOOD MEDICAL CENTERS
Sommer Clayborne, a doula coordinator, highlights the importance of doula services and the crucial role they play in supporting expecting mothers throughout pregnancy, childbirth and postpartum recovery. Doulas provide emotional, physical and informational support, helping to create a more positive birth experience.
In the heart of Toledo, Ohio, neighborhood medical centers are playing a crucial role in providing a range of accessible healthcare services. Among the offered services at Neighborhood Health Association (NHA) is the integration and presence of doula services for their pivotal role in maternal care. NHA is the largest Community Health Center system in Northwest Ohio. My role as the village care doula coordinator has allowed me to operate in my purpose and provide quality holistic care alongside highly trained midwives in a clinic designed to meet the needs of those within walking distance.
A doula is a trained professional who provides continuous physical, emotional and informational support to a mother before, during and just after childbirth. Unlike midwives, doulas do not provide medical care but alternatively offer gentle guidance, comfort and advocacy as needed through the entire process. Research from the National Library of Medicine indicates that having a doula present can significantly reduce the need for medical interventions, lower the incidence of cesarean sections and increase overall maternal satisfaction with the birth experience.
When I was confronted with the harsh reality that quality healthcare is not accessible to everyone and that accessing life-saving services can be even more challenging, I knew my journey as a
doula would be transformative. I became intentional about seeking opportunities to provide doula support to people in my community, particularly those who looked like me and faced similar barriers. My partnership with NHA was solidified after Chief Executive Officer Doni Miller passionately declared, "All pregnant patients will have access to doula services, regardless of whether they are uninsured or underinsured, because all patients deserve equitable care."
Neighborhood medical centers like NHA are embracing the integration of doula services as part of their holistic approach to healthcare. These centers serve diverse populations, including mothers from various backgrounds, who greatly benefit from the personalized support doulas provide. By working closely with midwives, doulas like myself help bridge gaps in maternal care, ensuring that expectant mothers receive comprehensive, tailored support to meet their individual needs.
One of my first clients came to me just shy of 16 years old. She was young, afraid and sought the support of a doula to fill the void of a supportive maternal figure. During her initial intake, she opened up about the challenges she faced, including her mother's
disappointment and the decline in her mental health as the pregnancy progressed.
After meeting my client's mother, I could sense her past trauma was being projected onto her daughter. She herself experienced being a teenage mother and was determined to make sure her daughter experienced the same pain and discomfort during labor and delivery. As a "punishment" for pregnancy, she sought to deny her daughter the use of pain medication or interventions such as an epidural for relief. Even though my client was on a journey to motherhood, she was still a minor needing parental consent. As her doula, it was my responsibility to ensure her health and safety while advocating for her right to receive pain management. The impact of doula services
The inclusion of doulas in neighborhood medical centers demonstrates a strong commitment to comprehensive maternal care. Their invaluable support not only improves birth outcomes but also uplifts the community by promoting client-led decision-making and fostering positive birth experiences.
extends beyond the confines of the medical center. Doulas often work closely with community organizations to educate expectant mothers about their options during childbirth and empower them to make informed decisions about their healthcare. This outreach effort not only
The
impact of doula services extends beyond the confines of the medical center. Doulas often work closely with community organizations to educate expectant mothers about their options during childbirth and empower them to make informed decisions about their healthcare.
improves birth outcomes but also fosters a sense of community and support among mothers and families. Some of the partnerships I have built include: ToledoLucas County Health Department to provide breastfeeding and lactation support, Women, Infants and Children (WIC) to link families with healthy nutrition education, various mental wellness programs to help mothers identify and address postpartum anxiety and depression, and the Lucas County Board of Developmental Disabilities to assess infants for developmental delays and bonding concerns.
My most recent partnerships were formed after a woman in her third trimester sought doula services to help her navigate the heartbreaking process of placing her child for adoption immediately after delivery. During her initial intake, which required full translation support, she shared
that she was an undocumented refugee fleeing an unsafe and unhealthy life. My client felt illequipped to care for herself in a new country, without support, let alone raise a newborn. As her doula and a member of her care team, it was my responsibility to provide her with all available options and help guide her to make a confident decision that would impact her for the rest of her life. I was able to connect her with adoption agencies and Children's Services, forming valuable community partnerships to support her through the process.
While the integration of doula services in neighborhood medical centers offers numerous benefits, challenges such as funding constraints and varying levels of awareness persist. Advocates continue to push for broader recognition of doula services as essential components of maternal healthcare, advocating for policies that support reimbursement for doula care under insurance plans.
As of February 2024, the Ohio Revised Code (ORC) Section 4723.89 aims to address these financial barriers by reimbursing doula services through Medicaid up to $1,200 per birth and certifying new doulas through the State Board of Nursing. This initiative will significantly improve access to birth support. By neighborhood medical centers
embracing this access, the holistic approach that doulas embody will continue providing inclusive, compassionate care for all mothers.
The inclusion of doulas in neighborhood medical centers demonstrates a strong commitment to comprehensive maternal care. Their invaluable support not only improves birth outcomes but also uplifts the community by promoting clientled decision-making and fostering positive birth experiences, regardless of whether a mother chooses to keep her baby or not.
As a community doula, early intervention developmental specialist and family advocate, Sommer Clayborne works tirelessly to uplift others, including facilitating adoptions and assisting in the birth of her granddaughter. Her diverse roles reflect her dedication to both her family and the well-being of the broader community.
CONFRONTING THE
SILENT
THREATS:
ADDRESSING HEALTH DISPARITIES AMONG BLACK MEN
In the fabric of Black culture, Black men are the vital threads that hold families and communities together. Yet, beneath their strength and resilience, health crises quietly threaten their wellbeing. It’s time to address the silent struggles and systemic barriers that endanger Black men's health and take steps to improve their overall well-being.
When it comes to health, awareness is key. For Black men, understanding specific health risks can lead to better outcomes and a healthier life. Despite advances in healthcare, certain conditions disproportionately affect this demographic.
As reported by the Centers for Disease Control and Prevention (CDC), the primary causes of death among Black men in 2019 were as follows:
• Heart disease accounted for 23.7 percent of total fatalities.
• Cancer represented 20.2 percent.
• Unintentional injuries made up 7.9 percent.
• Homicides constituted five percent.
• Stroke was responsible for 4.9 percent.
• Diabetes affected 4.3 percent.
Mental health is often stigmatized, but addressing it is crucial for overall wellness. Black men face unique stressors such as societal pressures and discrimination, which can contribute to higher rates of anxiety and depression.
• Chronic lower respiratory diseases were linked to 3.2 percent.
• Kidney disease caused 2.6 percent.
• Septicemia accounted for 1.8 percent.
• Hypertension contributed to 1.6 percent.
These statistics highlight the critical health issues facing this demographic. By addressing these issues, we can empower Black men to take charge of their health and make informed decisions. Let’s take a closer look at five critical health issues that urgently require attention.
HEART DISEASE
Heart disease remains one of the leading causes of death among Black men. According to a 2018 CDC study, Black men are nearly twice as likely to die prematurely from cardiovascular disease compared to their white counterparts. Contributing factors include high blood pressure, diabetes and high cholesterol, all of which elevate the risk. Lifestyle factors, such as poor nutrition and lack of physical activity, also play a
Black men are nearly twice as likely to die prematurely from cardiovascular disease compared to their white counterparts.
- Centers for Disease Control and Prevention
significant role. Regular check-ups and monitoring of blood pressure can help detect these issues early, leading to improved heart health and reduced risk of severe outcomes.
PROSTATE CANCER
Prostate cancer is one of the most prevalent cancers among Black men, who are 1.6 times more likely to develop the disease and 2.2 times more likely to die from it compared to other groups. A 2022 report from Healthline highlights that Black men have a 73 percent higher risk of developing prostate cancer compared to white men and are twice as likely to succumb to the disease. Research shows that they also tend to develop prostate cancer at younger ages. Routine screenings are critical for early detection and can significantly improve survival rates. Men should discuss their risk factors with their healthcare provider to determine the most appropriate screening schedule.
DIABETES
Type 2 diabetes is increasingly prevalent among Black men, often associated with obesity and sedentary lifestyles. Research published in 2018 in the journal Circulation found that Black men are nearly twice as likely to develop Type 2 diabetes compared to white men. Without proper management, this condition can
lead to serious complications. Early detection through regular glucose testing and symptom awareness is crucial. Additionally, maintaining a balanced diet and incorporating regular exercise can significantly reduce the risk of developing Type 2 diabetes and help manage the condition effectively.
MENTAL HEALTH
Mental health is often
Black men have a 73 percent higher risk of developing prostate cancer compared to white men and are twice as likely to succumb to the disease.
stigmatized, but addressing it is crucial for overall wellness. Black men face unique stressors such as societal pressures and discrimination, which can contribute to higher rates of anxiety and depression. Seeking support from mental health professionals and building a strong support network can significantly improve mental health outcomes. Breaking the stigma around mental health discussions within the Black community is critical for encouraging more open dialogue and access to care.
HYPERTENSION
Hypertension, or high blood pressure, is common among Black men and often goes unnoticed, leading to serious conditions like heart attacks and strokes. Regular monitoring, reduced sodium intake and increased physical activity are essential for managing blood pressure. According to
a 2024 Healthline report, the American Heart Association notes that 55 percent of Black adults in the U.S. are affected by high blood pressure, highlighting the need for increased awareness and proactive care.
Black men face a range of critical health challenges. These conditions are often exacerbated by societal stressors, systemic barriers and limited access to healthcare. However, awareness, early detection and proactive management can make a significant difference. By prioritizing regular check-ups, engaging in open discussions about mental health and adopting
healthier lifestyle habits, Black men can take control of their health and well-being.
Addressing these health disparities is essential not only for individual health but also for strengthening families and building more resilient communities. Together, we can create a healthier future for generations to come.
Disclaimer: This information is provided for educational purposes only and should not replace professional medical advice. Always consult your doctor or a qualified healthcare provider for personalized guidance and recommendations.
HOLISTIC HEALTH, FAMILY FOCUS: THE INSPIRING CHIROPRACTIC JOURNEYS OF TAWANA & LAWANA
By Von Delbridge
SHARING A VISION
The motto is simple yet powerful: “Twin Doctors, One Vision.” “Our spirits are so kindred that, even though we practice slightly differently, our vision is the same,” said Dr. Tawana Roberson (Dr. Rob).
These words reflect the close bond between Dr. Rob and her twin sister, Dr. Lawana Stembridge (Dr. Stem), native South Carolinians. Together, they own and operate Life Expressions Health and Wellness Center in Columbia, S.C.
The doctors say they maintain this unified vision while still bringing their individual perspectives into the practice by emphasizing something as simple as respect. "I trust that she knows what she’s doing, and she trusts that I know what I’m doing, even if it’s different from how we might handle things individually," said Dr. Rob.
"For instance, she might go all in during a session, and I might think, ‘I wouldn’t do all that.’ But I don’t criticize her for it—it’s what she chooses to do, and it works for her patients."
Integration is key. We don’t just rely on adjustments; we combine them with other therapies to address the whole body, not just the symptoms.
Dr. Stem shares a similar perspective: "If I had to treat one of Dr. Rob’s patients and they were lying face down, they might say, ‘You sound just like her, and you do the exact same thing.’ But I don’t know what
Drs. Lawana Stembridge and Tawana Roberson (left to right)
If I had to treat one of Dr. Rob’s patients and they were lying face down, they might say, ‘You sound just like her, and you do the exact same thing.’ But I don’t know what Dr. Rob does with her patients because I’m not in the room. Our vision is aligned because our spirits are so connected. We both aim for health and wellness, and anything outside of that, we don’t engage in.
Dr. Rob does with her patients because I’m not in the room. Our vision is aligned because our spirits are so connected. We both aim for health and wellness, and anything outside of that, we don’t engage in."
ENJOYING THE TRAILBLAZING JOURNEY
As the first in their family to attend college, Dr. Rob and Dr. Stem were trailblazers, inspiring others, including their older sister and mother, to pursue higher education. The sisters both earned Doctor of Chiropractic degrees from Sherman College of Chiropractic in Spartanburg, S.C., and Bachelor of Science degrees in biology with minors in
chemistry from South Carolina State University in Orangeburg, S.C.
Reflecting on their upbringing, Dr. Rob said, "Our upbringing had its challenges, and those challenges shaped who we became." These challenges fueled their drive, propelling them through chiropractic school and into careers that exceeded expectations.
However, their journey was not without obstacles. Dr. Stem recalls a particularly tough time: "Graduating in 2008, I struggled with one part of my boards while watching others successfully pass and move on." She didn’t let this setback define her, instead
using it as motivation. "Teaching physiology at Virginia College and other institutions helped build my confidence to pass," she shared.
For Dr. Rob, the challenge was balancing personal and professional life immediately after school. "I got married two weeks after graduating! We had a double wedding, and it was a huge moment for both of us." Despite the whirlwind of events, they remained rooted in their South Carolina community.
Their decision to stay in South Carolina was influenced by a strong sense of community. "Our church, Word of God Ministries, played a huge role," said Dr. Rob. “If it weren’t for our church
Another significant moment shared by the chiropractic twins is their wedding day.
One thing that helps is making sure our office hours are strictly for work, and family time is dedicated to family.
community, we might have moved to Atlanta. The support from our church family laid the foundation for our patient base.” This faithbased support, combined with their desire to give back to the community, made South Carolina the perfect place to establish their practice. Over the years, their patient base has grown, and their connection to the local community remains strong.
Their practice serves patients of all ages, from infants to the elderly, with treatments tailored to meet each individual’s specific needs. Dr. Rob emphasizes their holistic focus: "We’re like primary care for many of our patients, guiding them to advocate for their own health and wellness."
Their services include cryotherapy, laser treatments,
At Life Expressions, a holistic approach to care is offered through a variety of services. “We use the Activator Method for gentle, targeted adjustments instead of high-velocity manipulations,” said Dr. Stem. This method typically starts at the lower back and works upward, adjusting each spinal level individually. “We also integrate physical therapy with chiropractic care, which makes our approach unique,” she added.
Life Expressions Health and Wellness Center was recognized in the Chiropractic Practices category on the Best of South Carolina 2024 list.
If it weren’t for our church community, we might have moved to Atlanta. The support from our church family laid the foundation for our patient base.
muscle scraping and even hydration therapy for athletes.
"Integration is key," Dr. Stem adds. "We don’t just rely on adjustments; we combine them with other therapies to address the whole body, not just the symptom."
In addition to their in-house treatments, Dr. Rob and Dr. Stem collaborate with other health and wellness professionals to provide comprehensive care. "We have a large referral network for services like massage therapy, acupuncture and even steroid injections, when necessary," said Dr. Stem. By building strong relationships with trusted professionals, they ensure their patients receive the best care possible.
Dr. Rob and Dr. Stem are committed to staying current with the latest advancements. "Many advancements come to us through other practitioners, such as nurse practitioners and experts in fields like stem cell therapy and
cryotherapy," said Dr. Stem.
The sisters also attend seminars to remain at the forefront of chiropractic care and wellness. "Seminars help us stay updated on nutrition, pregnancy-related care, neuropathy and more," adds Dr. Rob.
A great example of their forward-thinking approach is their use of the DRX9000 machine for treating herniated discs. "Instead of traditional traction, which can harm patients, we use the DRX9000 to safely treat herniated discs," said Dr. Stem. This willingness to embrace innovation while discarding outdated methods is what sets their practice apart.
PRIORITIZING SELF-CARE
Despite their hectic work schedules, self-care remains a priority for both doctors. “Our kids are involved in sports, so once a quarter, we sit down with our husbands and plan a weekend trip to Atlanta or a spa day,” said Dr. Rob. “Our husbands take over at home so we can recharge.”
They also make time for regular brunches every two to three weeks, and they schedule activities like Pilates and other selfcare routines in their planners to ensure they stick to them. Their supportive husbands play a key role in helping them prioritize self-care, which allows them to maintain balance and fully focus on family when they return home.
Dr. Stem underscores the
importance of setting boundaries to achieve a healthy work-life balance. “One thing that helps is making sure our office hours are strictly for work, and family time is dedicated to family,” she explains.
In the past, she would drop everything for patients but realized that wasn’t fair to her family. “Now, we stick to our schedule, handle emergencies as needed and make sure Tammy at the front desk doesn’t overbook.”
Dr. Stem and Dr. Rob also support each other by sharing responsibilities. “If I need time with my kids, my sister steps in, and I do the same for her,” Dr. Stem said. To unwind, Dr. Stem enjoys simple pleasures like discovering new fragrances, which helps her de-stress and recharge.
Ultimately, chiropractic care at Life Expressions is about more than treating symptoms. It’s about guiding patients toward a healthier, more holistic lifestyle. By integrating multiple therapies and staying connected to their community, Dr. Rob and Dr. Stem have built a thriving practice that truly elevates chiropractic care to the next level.
SCIII leads the way with tackling healthcare disparities in UNDERSERVED COMMUNITIES
BY GWYNTH NELSON
Healthcare disparities in the United States remain a significant issue, more than 60 years after Dr. Martin Luther King Jr. highlighted the gap between those who can access and afford quality healthcare and those who cannot. Despite some progress, many challenges persist in ensuring that all Americans, regardless of race or gender socioeconomic status, can access the care they need. The road to equitable healthcare for all is still long, but the work being done in communities and institutions across the country is helping bridge the divide.
The U.S. Department of Health and Human Services notes that although non-Hispanic Blacks are the second-largest minority group in the United States, according to U.S. Census data, the projected life expectancy and causes of death faced throughout this racial Research has shown that CHCs improve access to high- quality primary care for at-risk populations while decreasing hospitalization rates in the states and counties they serve.
group’s lifetime are daunting when compared to their nonHispanic white men and women counterparts. Chronic diseases such as diabetes, stroke, kidney disease, high blood pressure and cancer are prevalent among African American communities. Additionally, maternal and infant health issues, exacerbated by the ongoing impacts of the COVID-19 pandemic, continue to affect families in these communities.
Limited access to nutritious food in food deserts—areas where fresh food is scarce—often in lowincome urban neighborhoods, adds to these health challenges. Rural areas, particularly those with large populations of people of color, also face a lack of adequate healthcare facilities and services. As a result, many children and families living
in these medically underserved regions face poor health outcomes. The underinsured and uninsured, along with changes to Medicare and Medicaid systems across the nation, only add more pressure on an already fragile healthcare system, pushing it to a breaking point.
Despite these challenges, persistence and perseverance have been central to the African American experience, particularly when it comes to healthcare. From
The historic campus of Voorhees University
the post-emancipation era to the Jim Crow period and the civil rights movement, African American communities have fought to establish and maintain healthcare systems that serve their populations. Community healthcare systems played a critical role, offering direct care to families while training African Americans to become skilled doctors and nurses who could serve their own communities. Throughout history, community health workers have remained vital in providing essential healthcare services to underserved populations, continuing their mission of delivering primary care and health education to those often excluded from these resources.
In 2017, the Journal of Primary Care & Community Health, published by the National Institutes of Health, discussed the role of community health centers (CHCs) in reducing racial disparities in healthcare access. According to the article, federally funded CHCs
operate in medically underserved areas or near populations with limited access to care. Research has shown that CHCs improve access to high-quality primary care for atrisk populations while decreasing hospitalization rates in the states and counties they serve. Furthermore, states with a higher number of CHCs have lower racial disparities in health outcomes.
Efforts to reduce health disparities are also taking place in South Carolina, where the South Carolina Institutes of Innovation and Information (SCIII), through several of its institutes at Historically Black Colleges and Universities (HBCUS), is making strides toward improving health equity and working to address health disparities by providing health education,
Voorhees University Student Health Ambassadors who participated in Community Health Worker training: (left to right) Ashanti Wright, Trevornique Williams, Samiya Stuart and Terry Thompson
resources, training and access to both campus communities and the surrounding areas. According to the Centers for Disease Control and Prevention (CDC), diseases disproportionately affecting communities of color, such as heart disease, stroke, diabetes and chronic liver disease, are among the leading causes of death. Early education and intervention to address these preventable diseases are central to the work being done by SCIII’s institutes.
Specifically, Voorhees University in Denmark, South Carolina, stands as a critical asset to the community and beyond. When SCIII considered the focus of its new institute on the university’s campus, leadership recognized that improving the quality of life for the community was essential. In 2022, the Rural Community Development Institute (RCD) was established, with a focus on creating sustainable initiatives that improve the socioeconomic well-being of students, faculty, staff and surrounding rural communities. The institute focuses on four main pillars: enhancing local school systems, fostering workforce and economic development, improving rural healthcare and conducting research. Its healthcare outreach programs have included workshops on health screenings, sickle cell testing, HIV/AIDS education and community health worker training. Grants from organizations such as the Black AIDS Institute, the U.S. Department of Justice’s Office of Violence Against Women and the
South Carolina Center for Rural and Primary Healthcare at the University of South Carolina (SCRPH) help fuel this important work. In particular, a grant received in 2024 from SCRPH has enabled Voorhees University to provide students with exposure to health equity issues, offer healthcare leadership training and contribute to the development of a medical pipeline. This initiative is also helping create a comprehensive needs assessment that empowers both students and community stakeholders to engage more effectively with the healthcare system.
In 2024, four Voorhees University Student Health Ambassadors participated in Community Health Worker training through the University of South Carolina’s CHHA Community Health Worker Core Competency Training Program. This training equips students with the skills they need to serve both the university and the surrounding communities in this essential role. These efforts ensure that more individuals in rural and underserved areas have access to health resources and education, helping to close the gap in healthcare disparities.
As we continue to face the challenges of healthcare inequality, the work being done by organizations like SCIII and community-based programs at institutions, such as Voorhees University, offers a beacon of hope. Addressing healthcare disparities will take a sustained, multi-faceted
effort. By focusing on education, access, early intervention and community-driven initiatives, we can begin to make significant strides toward achieving health equity. Through these collective efforts, we can ensure that all individuals, regardless of race, gender or socioeconomic status, have access to the care and resources they need to lead healthy lives.
For more information on SCIII and its seven campus institutes, please visit www.sciii.net.
Gwynth Nelson, Ph.D., is the executive director for South Carolina Institutes of Innovation and Information (SCIII). SCIII is an initiative inspired by the late Sen. John L. Scott, Jr. that focuses on revolutionizing and cultivating South Carolina’s seven four-year HBCUs' overall capabilities and contributions for the citizens and residents of the state.
MANAGING THE JOURNEY OF PERIMENOPAUSE
Perimenopause, the transitional phase before menopause, marks a significant period of change in a woman’s life. Often beginning in the 40s—though it can start as early as the mid-30s—perimenopause brings with it a host of physical, emotional and mental shifts. While the experience is unique to each individual, understanding what to expect and how to manage the changes can empower women to navigate this phase with confidence and grace. UNDERSTANDING PERIMENOPAUSE
Perimenopause is characterized by hormonal fluctuations, particularly in estrogen and progesterone levels. This hormonal shift can lead to irregular menstrual cycles, which may become lighter, heavier or unpredictably spaced. Other common symptoms include:
• Hot flashes and night sweats: Sudden waves of heat or sweating can disrupt daily activities and sleep patterns.
• Mood swings: Hormonal changes can amplify emotional responses, leading to irritability, sadness or anxiety.
• Sleep disturbances: Difficulty falling or staying asleep is common, often linked to hot flashes or hormonal shifts.
• Changes in libido: Fluctuations
Feelings of sadness are common during perimenopause, often triggered by hormonal shifts in a woman's body.
in hormone levels may affect sexual desire and comfort during intimacy.
• Cognitive changes: Memory lapses or difficulty concentrating, often referred to as “brain fog,” can occur. These symptoms can vary widely in intensity and duration, lasting anywhere from a few months to several years until menopause—defined as 12 consecutive months without a menstrual period—officially begins.
STRATEGIES FOR MANAGING SYMPTOMS
Addressing these changes requires a proactive approach to health and wellness. Maintaining a balanced diet is a foundational step. Eating nutrient-dense foods
rich in calcium and vitamin D supports bone health, which can be compromised during this phase due to declining estrogen levels. Incorporating foods with omega-3 fatty acids and phytoestrogens, such as flaxseeds and soy, may also help alleviate some symptoms. Limiting caffeine, sugar and processed foods can reduce the frequency of hot flashes and stabilize mood swings.
Regular physical activity plays a crucial role in managing perimenopausal symptoms. Aerobic exercises like walking or swimming help maintain a healthy weight and improve cardiovascular health, while strength training supports muscle mass and bone density. Activities like yoga or tai chi can be particularly beneficial,
Perimenopause is characterized by hormonal fluctuations, particularly in estrogen and progesterone levels. This hormonal shift can lead to irregular menstrual cycles, which may become lighter, heavier or unpredictably spaced.
Brain fog is a common and often disruptive symptom experienced during perimenopause.
as they not only promote physical fitness but also reduce stress and enhance overall emotional wellbeing.
Sleep disturbances, a common complaint during perimenopause, can significantly impact quality of life. Establishing a consistent bedtime routine and creating a sleep-friendly environment can make a difference. Keeping the bedroom cool, avoiding screen time before bed and practicing relaxation techniques, like meditation, can improve sleep quality. For women experiencing severe insomnia, seeking advice from a healthcare professional may be necessary.
Emotional challenges, such as mood swings or feelings of sadness, are often linked to the hormonal fluctuations of perimenopause. Recognizing these emotions as a natural part of the transition can
help women approach them with compassion and understanding. Building a support network of friends, family or professional counselors provides a safe space to discuss feelings and find reassurance. In some cases, hormone replacement therapy or non-hormonal treatments prescribed by a doctor can offer additional relief.
THE ROAD AHEAD
While perimenopause is a natural stage of life, certain symptoms may signal underlying health concerns that require medical attention. Extremely heavy or prolonged periods, severe hot flashes or unexplained changes in weight should prompt a visit to a healthcare provider. Regular check-ups and open communication with a doctor are key to addressing any issues early and ensuring a smooth transition
to menopause.
Perimenopause is not merely an ending but a transformative phase that ushers in a new chapter of life. By understanding the changes occurring within their bodies and embracing strategies to manage symptoms, women can navigate this transition with confidence and grace. With the right tools and support, perimenopause can become a time of empowerment, growth, and renewed focus on personal well-being.
Up to 90% of women experience perimenopausal symptoms, including hot flashes, mood changes, sleep disturbances and irregular periods. On average, perimenopause lasts four to eight years, beginning in the mid-to-late 40s.
- The North American Menopause Society
THE HIDDEN DANGERS OF CONGENITAL SYPHILIS AND
HOW TO PREVENT
IT
Congenital syphilis remains a significant public health concern in the United States and beyond. Without timely detection and treatment, congenital syphilis can lead to devastating health outcomes. Dr. Jessica Tillman, STD/HIV nurse consultant for the South Carolina Department of Public Health, provides critical insights to Motivated Woman into how congenital syphilis is transmitted, diagnosed and treated.
MW: What is congenital syphilis, and how is it transmitted?
JT: Congenital syphilis occurs when syphilis, a sexually transmitted infection (STI), is passed from a pregnant person to their baby during pregnancy or delivery. Syphilis progresses through several stages: primary, secondary, latent and tertiary, each with varying symptoms. If untreated, syphilis can cause severe health issues.
MW: How is congenital syphilis transmitted from mother to child?
JT: Syphilis is an infection caused by bacteria called Treponema pallidum (T. pallidum). Syphilis is spread by direct contact with a syphilis sore during vaginal, anal or oral sex. During pregnancy, the bacteria
can pass through the placenta and infect the fetus. Congenital syphilis differs from adult disease in that T. pallidum is released straight into the bloodstream of the fetus and quickly spreads to most organs, including the kidneys, spleen, liver, heart and bones. The babies of people with untreated syphilis may be stillborn or die from the infection as a newborn.
Congenital syphilis can cause:
• Miscarriage (losing the baby during pregnancy)
• Stillbirth (a baby born dead)
• Prematurity (a baby born early)
• Low birth weight
• Death shortly after birth
MW: What are the primary symptoms or health effects of
congenital syphilis in newborns?
JT: The widespread inflammation throughout the organ systems caused by T. pallidum can cause various health complications. Early transmission during the first trimester is linked to severe outcomes, such as prematurity, spontaneous abortion, stillbirths and fetal death. If the fetus becomes infected during the second or third trimester, the baby is typically born without symptoms and may appear healthy. Untreated infants typically begin to show signs of congenital syphilis by three months of age, though signs can take up to two years to appear.
Early signs of congenital syphilis in a newborn or infant commonly include one or more of the following:
• Anemia and thrombocytopenia
• Deformed bones
Infant with congenital syphilis displaying skin lesions
• Enlarged liver and spleen
• Jaundice
• Brain and nerve problems, like blindness or deafness
congenital syphilis (70 percent) have no signs or symptoms at birth.
MW: What are the short-term and long-term effects of congenital syphilis?
JT: An infant with congenital syphilis may show no symptoms at birth, but untreated, it can lead to serious health issues, often within weeks or years. These include developmental delays, seizures, bone deformities causing pseudoparalysis, and facial changes like frontal bossing or a collapsed nasal bridge. Other symptoms may include notched or peg-shaped teeth (Hutchinson teeth), vision and hearing loss, myocarditis (heart muscle inflammation), hydrocephalus (fluid buildup in the brain), neurodevelopmental delays, and tibial deformities (misaligned shinbones). Without treatment, the infection can be fatal.
MW: How can congenital syphilis be prevented?
The rash is seen on the soles of the feet.
The rash is seen on the baby’s back.
JT: The main way to prevent congenital syphilis is to prevent syphilis infection in mothers. That means preventing syphilis infection during and even before pregnancy. Correct and consistent condom use and having sex only with an uninfected partner are a couple of strategies to prevent syphilis. If syphilis acquisition isn’t prevented, then the next level of prevention is timely detection and adequate treatment of the infection. Penicillin treatment appropriate for the pregnant mother’s stage of syphilis must be initiated at least 30 days prior to delivery to prevent congenital syphilis.
MW: Explain the importance of prenatal care, early testing and treatment to prevent transmission to the baby.
JT: Prenatal care is critically important to congenital syphilis prevention because syphilis testing is a standard part of prenatal care. Syphilis testing is recommended at the first prenatal care visit, at 28 weeks gestation and at delivery. Signs and symptoms of syphilis are often overlooked or mistaken for signs and symptoms of other diseases. Syphilis also has periods of latency during which there are no apparent signs or symptoms, but the infection is still present. Therefore, syphilis testing as recommended during pregnancy allows for asymptomatic or unrecognized infections to be detected and treated in a timely manner.
The
diagnosis of congenital syphilis involves multiple factors, including confirmation of syphilis infection in the mother, the adequacy of maternal treatment, and clinical, laboratory, or radiographic evidence of syphilis in the newborn.
MW: What is the standard protocol for diagnosing congenital syphilis in newborns?
JT: The diagnosis of congenital syphilis involves multiple factors, including confirmation of syphilis infection in the mother, the adequacy of maternal treatment, and clinical, laboratory or radiographic evidence of syphilis in the newborn. Typically, congenital syphilis diagnoses in newborns rely heavily on maternal criteria. If the mother had untreated or inadequately treated syphilis during pregnancy, the newborn is diagnosed with and treated for congenital syphilis.
MW: What treatments are available for infants born with congenital syphilis?
JT: Penicillin is the only effective treatment for congenital syphilis.
It may be administered as a single dose via intramuscular injection or multiple doses via intravenous or intramuscular injection, depending on the likelihood of syphilis infection. Infants with congenital syphilis are often admitted to a neonatal intensive care unit (NICU) for treatment.
MW: How is the healthcare system addressing the rise in congenital syphilis cases?
JT: The rise in congenital syphilis cases coincides with a 40 percent decrease in U.S. federal funding for STI prevention since 2000, highlighting the need for renewed investment in syphilis prevention. While syphilis screening is mandated at the first prenatal visit in most states, only a few require screening during the third trimester or at delivery. In South Carolina, screening is required only at the first prenatal visit, though providers are encouraged to test at other recommended times.
Public health efforts to address the rise in congenital syphilis focus on raising awareness and improving access to testing and treatment. Disease intervention specialists (DIS) play a key role in contact tracing and case investigations, helping pregnant women with syphilis identify and treat their partners. Untreated partners can reinfect pregnant women, leading to more congenital syphilis cases. DIS also inquire about pregnancy
status when investigating acquired syphilis in adults and adolescents, ensuring that exposed pregnant women receive presumptive treatment to prevent congenital syphilis.
MW: What challenges do healthcare providers face in preventing and treating congenital syphilis?
JT: Lack of awareness about syphilis hampers effective prevention, detection and treatment of congenital syphilis. Although professional organizations
recommend standardized syphilis screening times, pregnant women should also be tested and treated after known exposure. Some stages of syphilis require multiple doses of penicillin, which can be difficult to administer on schedule, especially if different healthcare providers are involved. Incomplete medical records may result in poor coordination of care, leading to inappropriate management of both the mother and baby at delivery. Effective communication between providers is essential for proper syphilis testing and treatment.
In Dr. Jessica Tillman’s role, she provides clinical consultation and training on STD/HIV prevention, testing, diagnosis and treatment to county public health departments and communitybased organizations across the state.
Tillman has expertise in adult medical-surgical care, family medicine and public health. She was honored as a 2022 Palmetto Gold Award recipient and is a 2023 graduate of the Amy V. Cockcroft Leadership Fellowship. She holds a doctorate in nursing from Johns Hopkins University, a master’s in public health administration from the University of South Carolina, a bachelor’s in nursing from the Medical University of South Carolina and a bachelor’s in exercise science from Florida State University.
Congenital syphilis in an infant, showing characteristic mucous patches and lesions
RECOGNIZING SYMPTOMS AND REDUCING RISKS OF
OVARIAN CANCER
Ovarian cancer remains one of the deadliest cancers for women, especially for Black women who face unique challenges in diagnosis and treatment. Colletta Orr, an award-winning research scientist and passionate advocate, sheds light on the importance of awareness, early detection and equitable care.
Black women face a disproportionate burden when it comes to ovarian cancer. Although they are less likely to be diagnosed with the disease compared to white women, Black women tend to have more advanced stages of cancer at diagnosis and lower survival rates. This disparity is linked to factors such as delayed diagnosis, lack of access to quality healthcare and genetic differences in tumor biology. Studies suggest that Black women may also receive less aggressive treatment or experience barriers in obtaining timely care. Addressing these disparities through increased awareness, access to early detection and equitable healthcare is crucial
for improving outcomes. How common is ovarian cancer and who gets it?
Ovarian cancer accounts for about three percent of all cancers among women. It most frequently develops after menopause, with half of ovarian cancer cases diagnosed in women aged 63 or older. While women of all ages are at risk, ovarian cancer is rare in those younger than 40. The exact cause is unknown, but age and the lifetime frequency of ovulation are the most common risk factors.
Ovarian cancer is most prevalent in women between 55 and 64, particularly those who began menstruating before age 12
or reached menopause after age 50. Other factors that may increase risk include:
• Obesity
• No history of pregnancy
• Fertility treatment
• Family history of breast, thyroid, colorectal, endometrial or ovarian cancer
• Inherited gene mutations, such as BRCA1 and BRCA2
• Smoking
• Taking estrogen without progesterone for 10 or more years
What are the symptoms of ovarian cancer?
Ovarian cancer is often called a silent disease because its symptoms are either absent or easily overlooked. These symptoms can be vague and are often caused by more common, less serious conditions. It’s important to be aware of the following symptoms:
• Feeling full too quickly or experiencing stomach aches
• Bloating for no apparent reason
• Spotting after menopause or heavier-than-usual vaginal bleeding
• Increased urgency or frequency of urination
• Pain or pressure in the pelvis
• Unexplained back pain
• Unintentional weight loss
How can I reduce my risk of ovarian cancer?
Most ovarian cancers occur with no known cause, but about 10
are linked to genetics. If you have a family history of ovarian cancer or a genetic predisposition, work with your doctor to explore preventive options.
What screening methods are available for ovarian cancer?
Currently, there is no recommended screening test for ovarian cancer. The FDA has warned that marketed screening tests are not reliable or effective. Researchers are actively developing and testing new methods to detect ovarian cancer early. It’s important to note that a Pap test does not reliably detect ovarian cancer; it is used to detect cervical cancer and cervical cell changes that may increase the risk of cervical cancer.
When should you see a doctor?
Ovarian cancer is difficult to diagnose in its early stages, so it’s crucial to be aware of the risk factors and seek medical attention if symptoms arise. Consult a healthcare provider if you experience any new abdominal or pelvic symptoms that:
• Persist and do not go away
• Are present on most days
• Are not related to another condition
• Do not improve with over-thecounter treatments or home remedies
• Have lasted more than two weeks and started within the last 12 months
Addressing ovarian cancer requires a multi-faceted approach that includes raising awareness, improving early detection methods and providing equitable healthcare for all women, particularly those in marginalized communities.
My research highlights the importance of fighting this disease, especially for Black women who face unique challenges in diagnosis and treatment. By educating women on the risks, recognizing early symptoms and advocating for better care, we can take critical steps toward reducing ovarian cancer’s impact and improving outcomes for women everywhere.
Colletta Orr, an award-winning research scientist, highlights the dangers of ovarian cancer—a cause close to her heart. Her maternal grandmother was diagnosed with ovarian cancer at age 66 and passed away a year later. Inspired by her grandmother’s battle, Orr pursued a career in research to help combat the disease.
Studies show that the five-year survival rate for Black women with ovarian cancer is about 36 percent, compared to 46 percent for white women, due to disparities in access to care, later-stage diagnoses and differences in treatment.
- American Cancer Society, 2023
FROM STRUGGLES TO STRENGTH: BRITTANY JEATTER'S STORY OF LIVING WITH DEPRESSION
By Megan Freeman
Brittany Jeatter, a wife, mother, elementary school teacher, licensed funeral director, author and United States Army Captain, openly discusses her journey living with depression and how she manages it all.
Who else is going to make sure things get done if we don’t take care of ourselves?
Jeatter recalls being at work when she experienced an uncontrollable crying spell at her desk. “I sent my shift leader a message saying, ‘Please don’t make it noticeable, but I’m having a crying spell, and I can’t stop crying. I need to go home,’” she said.
“I called my mom on the way home and told her I couldn’t stop crying.” Jeatter’s mother asked if she wanted to harm herself. Jeatter assured her mother she did not, but she was overwhelmed by the crying. Her mother responded, “I’m on the way,” and soon took Jeatter to the hospital.
Upon arriving at the hospital, Jeatter noticed her Company Commander, who was also a nurse there. “I asked the hospital staff to
Jeatter with husband, Robert, and two daughters: Corrine and Brooklyn
hide me from her because, at the time, anxiety and depression were frowned upon in the military. It wasn’t as open as it is today, where soldiers can use the open-door policy to talk to leaders or seek help,” Jeatter said.
Jeatter’s mother informed the doctors that her daughter was not suicidal but needed help with her anxiety and depression. Jeatter was prescribed Ativan for her depression and referred to Charleston Mental Health, where a therapist officially diagnosed her with Anxiety Depression Disorder. This diagnosis was in 2015; Jeatter has been living with depression for nearly 10 years.
One issue that Jeatter touches on is the stigma surrounding mental health in the African American community. Seeking help for mental health is often seen as taboo. "It seems even crazier not to get help just because
seeking help is considered ‘crazy,’” she said. However, Jeatter believes that attitudes are changing.
According to Dr. Erica Richards of Johns Hopkins School of Medicine, mental health issues can affect anyone and are becoming more prevalent than major illnesses like diabetes, cancer or heart disease. This is especially concerning for minority women, as women are at least twice as likely to experience an episode of major depression as men. Additionally, African American women are half as likely to seek help compared to their Caucasian counterparts.
With all that Jeatter has on her plate, seeking help—even if it meant taking medication—was likely one of the best decisions she could have made. She emphasizes the importance of taking care of mental health just as we manage other responsibilities. "Who else is
going to make sure things get done if we don’t take care of ourselves?” she added.
Over the years, Jeatter has been prescribed medications like Ativan, Zoloft and Sertraline. She stresses the importance of adjusting medications and having open, honest conversations with your doctor. The Substance Abuse and Mental Health Services
I often feel misunderstood, but every day is a new day to work on overcoming depression and moving forward. Some days are better than others, but the key is to keep progressing.
Brittany Jeatter
Administration (SAMHSA) advises that just because you feel better for the moment doesn’t mean you should stop taking your medications or going to therapy. It's crucial to have a treatment plan, identify coping skills and maintain a healthy diet and sleep routine.
Jeatter noticed a significant improvement in her mood when she could sleep better after taking her medication. “My anxiety usually affected my ability to sleep,” she said. "I chose not to take it during my last pregnancy, which was a struggle, but my husband and I came up with ways to manage. I didn’t want the medication to negatively impact our baby’s development."
Despite her busy life, Jeatter believes that her depression has had a positive impact on her
I sent my shift leader a message saying, ‘Please don’t make it noticeable, but I’m having a crying spell, and I can’t stop crying. I need to go home.’
professional realm. “I can be transparent with others instead of hiding it. I have the resources to guide others when they need help,” she said. "Being open about my experiences has allowed me to connect with others on a deeper level."
When asked what advice she would give to women not feeling like themselves, Jeatter recommends seeking professional help and getting a therapist. "I’ve
had both mental and behavioral health counseling," she said. "It’s a place where I can express myself and be heard without judgment."
Jeatter also stresses the importance of communicating with your partner or spouse. "Explain how you're feeling and what your triggers are so they can recognize the signs and know when to intervene or step back," she advises. She adds that while church can be a great outlet, professional mental health counseling is also necessary.
Jeatter admits that discussing her anxiety and depression with her husband can sometimes be challenging. "I often feel misunderstood, but every day is a new day to work on overcoming depression and moving forward. Some days are better than others, but the key is to keep progressing."
Jeatter and her husband, Robert, have two daughters: Corrine and Brooklyn.
Jeatter with husband, Robert, enjoying a dinner cruise
The Jeatters shared the exciting news with their oldest daughter, Corrine, that she’s being promoted to big sister at the most magical place on Earth, Disney World.
MOTHERS ARE SELFLESS…
When mothers take care of themselves, they show up stronger, healthier and more present for the ones they love. This section is a celebration of mothers, reminding them to embrace rest, joy and well-being.
GRACE GIRL
Shaquetta Pelzer
It’s three am
Baby needs to be fed
Back to sleep at four
Alarm goes off at five
Feels like you just went to bed
Give yourself grace girl
The kids need breakfast
Have to get them ready for school
Squeeze in a 15-minute shower
Stop for gas
Remember it’s your turn to carpool
Give yourself grace girl
Get to work with mere minutes to spare
You gather your thoughts
Then relax in your chair
Your boss calls for a quick morning meeting
Hurriedly you check your emails
That relaxing moment fleeting
Give yourself grace girl
The school calls
Your son has detention
You forgot to sign the permission slip
Your daughter left her homework
They want you to chaperone the trip
Give yourself grace girl
The workday is through
It’s time to wrap up
You tidy up your desk
Your boss stops in
Numbers in the report don’t add up
Give yourself grace girl
20 minutes late
You head out in a hurry
The baby’s at the sitter
The kids are waiting
You still have to make dinner
Give yourself grace girl
You gather all the little ones
Lecture your son
Dinner is still in the freezer
You help with homework
You order a pizza
Give yourself grace girl
Everyone is washed and in bed
Run yourself a bath
Replay the day in your head
Mistakes were made
Not everything was done
Tomorrow is a new day
Filled with more fun
But give yourself grace girl
Dear mothers, Remember to give yourself the grace you so freely offer others -you’re growing, learning and thriving right alongside your family.
THE MINDFUL MOM:
STRATEGIES FOR EMOTIONAL RESILIENCE AND SELF-CARE IN EVERYDAY LIFE
Being a mom is one of life’s most beautiful yet exhausting experiences. Balancing work, kids and home responsibilities often leaves little time for ourselves. As a single mom of three daughters, I once thought self-care was a luxury I couldn’t afford. But I've learned it's actually a necessity. Mindfulness has been key in building emotional resilience. Let’s explore how being a mindful mom and using simple practices can help us care for ourselves in the midst of our busy lives.
UNDERSTANDING EMOTIONAL RESILIENCE AS A MOM
Motherhood is an emotional rollercoaster, filled with love and joy one moment and stress the next. It's easy to feel lost in the chaos. Emotional resilience helps us stay strong during tough times, allowing us to bounce back even when life feels overwhelming. For me, emotional resilience became crucial while pursuing my degrees, working full-time and raising my daughters. I couldn’t afford to fall apart, but I learned that resilience isn’t about avoiding challenges— it’s about navigating them. Mindfulness has been the key to building that resilience.
PRACTICING MINDFUL SELFCARE: SMALL STEPS FOR BIG IMPACT
Mindfulness doesn’t have to be complicated—it’s simply about being present and intentional. Mindful self-care involves carving out small moments of peace during a busy day, and these small steps have had the biggest impact
on me.
Mindful mornings became my saving grace. Before my girls wake up, I take a few minutes to reflect, focusing on my breath or jotting down things I’m grateful for. This sets a positive tone for my day and gives me more patience.
Throughout the day, I take mindful breaks to reset when feeling overwhelmed. A few deep breaths can make all the difference. In the evening, I wind down with mindful practices like journaling or meditating, releasing
any tension and reflecting on the day.
TECHNIQUES FOR BUILDING EMOTIONAL RESILIENCE THROUGH MINDFULNESS
Mindfulness is about building emotional strength, not just finding peace. One helpful technique is mindful breathing. When anxiety strikes, I inhale for four counts, hold for four and exhale for four—it's a quick way to calm my nerves.
Mindful reflection has also been invaluable. Each day, I ask
myself, "What's weighing on me?" and "What do I need to let go of?" This helps me identify stressors and reframe negative thoughts.
I’ve also embraced mindful parenting, focusing on being fully present with my kids. By connecting during our shared moments, I stay grounded and reduce the stress of trying to do too much.
OVERCOMING THE BARRIERS TO SELF-CARE FOR MOMS
As moms, we often tell ourselves, "I don’t have time for self-care" or feel guilty for taking
time away from our kids. I used to feel the same, but I’ve learned that if I’m not well, I can’t care for anyone else. Self-care isn’t selfish— it’s essential.
The biggest barrier is feeling like there’s no time, but we have to make it. I started scheduling selfcare like any other appointment, making it non-negotiable, even if it's just 10 minutes. Another challenge is guilt, but I’ve realized that taking time for myself makes me a better mom—more patient, present and capable.
BUILDING A SUPPORT SYSTEM
TO MAINTAIN MINDFULNESS AND EMOTIONAL HEALTH
Finally, we can’t do this alone. Building emotional resilience and practicing mindfulness is easier with a support system. Connecting with other moms, friends or a wellness community can make all the difference. I've found comfort in sharing my journey with others who understand the challenges of motherhood. Sometimes, just knowing I'm not alone gives me the strength to keep going.
Courtney Johnson is the author and owner of RICHLLC-Royally Impacting Clients Holistically Coaching Services. She holds a bachelor's degree in sociology from South Carolina State University and a master's degree in clinical mental health counseling from South University. In her leisure time, Courtney enjoys painting, traveling and spending time with her daughters.
FACING THE UNSPOKEN TRUTH ABOUT MOTHERHOOD AND SELF-CARE
By embracing the journey of pregnancy, many women are met with joy, excitement and endless questions: “When are you due?” “What are you having?” “Are you excited?” Pregnancy is often celebrated as a magical time, filled with the promise of new life and the thrill of preparing for a baby -nine months of little kicks, morning sickness and unsolicited advice from everyone around you.
Yet, amidst the glow and anticipation, one crucial topic often goes unspoken: life after pregnancy. When the baby arrives, so does the reality of motherhood—a role that can feel all-consuming, leaving many women grappling with a profound sense of identity loss.
Free time becomes a memory, replaced by endless responsibilities and the constant demands of caregiving. The joy of motherhood is undeniable, but where does you—the woman behind the title of "mom"—fit into this new reality? It’s time to acknowledge that while rediscovering ourselves as mothers isn’t easy, it’s absolutely necessary and profoundly worthwhile.
PRIORITIZING YOURSELF: WHY IT MATTERS
As mothers, we are conditioned to put everyone else first—our children, our partners and our homes—often neglecting our own needs in the process. But the truth is, focusing on yourself isn’t selfish; it’s essential. Showing up for yourself with the same energy you give to your family allows you to be a better parent, partner and person.
Ask yourself the questions below:
• What brought you joy before the baby?
• What are your hobbies?
• When was the last time you did something purely for yourself? These questions might feel indulgent, but they’re vital. Practicing self-care as a new mom is challenging, but it’s also lifechanging. It’s about recognizing that you matter, too.
SELF-CARE IS A POSTPARTUM PRIORITY
Self-care isn’t just bubble baths and spa days; it’s about meeting your physical, emotional and social needs. It’s taking the time to nurture your well-being so that you can thrive alongside your growing family. Here are a few practical ways to start:
Loving your children fiercely doesn’t mean you stop loving yourself. We, as mothers, often pour everything into our families without recognizing that we, too, deserve our own care and compassion.
• Rest when you can. Sleep deprivation is real. If the baby naps, consider napping too.
• Follow your doctor’s advice. Your health matters just as much as your baby’s.
• Eat nourishing meals. Your body has done incredible work—fuel it properly.
• Accept help. Whether from family, friends or a partner, let others lighten your load.
• Incorporate movement. Gentle exercises can help you regain strength and energy.
• Spend time with your partner. Reconnecting strengthens your relationship.
• Join a support group. Talking to other moms reminds you that you’re not alone.
FINDING “YOU” AGAIN
Pregnancy is all about the baby—you spend months reading, planning and preparing for their arrival. But once your little one is here, it’s equally important to make space for yourself. Take time to do
something just for you, whether it’s reading a book, enjoying a quiet bath or reconnecting with a hobby you love. Remember: motherhood is part of who you are, but it’s not all of who you are.
Your body has undergone tremendous changes during pregnancy and childbirth. From physical discomforts like back pain to hormonal shifts that impact your emotions, healing takes time. Don’t pressure yourself to “bounce back” quickly. Embrace the journey at your own pace and allow yourself the grace to heal.
COMMUNICATION AND SUPPORT ARE KEY
Navigating new motherhood is easier when you have a strong support system. Whether it’s a partner, family or friends, don’t hesitate to ask for help with household chores, baby care or simply giving you a break. Open communication about your needs and feelings is crucial for avoiding misunderstandings during this emotionally charged time.
If professional help is accessible, consider a paid caregiver for additional support. Remember, asking for help is a sign of strength, not weakness.
As a new mom, I was fortunate to have support, but there were still moments I wished I had known more. Experience truly is the best teacher, and through my journey, I’ve learned the importance of selfcare and the value of holding onto my identity.
Loving your children fiercely doesn’t mean you stop loving yourself. We, as mothers, often pour everything into our families without recognizing that we, too, deserve our own care and compassion.
Motherhood is beautiful, but it’s also demanding. Amid the joy and challenges, remember to give yourself permission to focus on you. Rediscover your goals, celebrate your dreams and honor the person you were before becoming “mom.” At the end of the day, we deserve to love ourselves just as deeply as we love our children.
Saulteasha Rickenbacker is a lead associate for the Kindergarten Readiness Program with Save the Children. She holds a bachelor’s degree in Family Consumer Sciences/Child Development from South Carolina State University and a master’s degree in Global Human Services from Purdue University.
SELF-CARE SECRETS FOR BUSY WOMEN WITH FAMILIES: UNCONVENTIONAL PRACTICES THAT MAKE A BIG DIFFERENCE
Alexandria Smith, lovingly known as Alex, taps into her roles as a stay-at-home mom, wife and dedicated disciple of Christ to provide valuable insights on balancing life’s challenges while coping with chronic mental illness. In each issue of Motivated Woman, she shares her personal journey with our readers. In this article, Alex reveals self-care strategies that are perfect for busy women.
Social media and constant connectivity can be overwhelming and draining. Limiting your time on social media and managing how accessible you are through text and email can be a gamechanger.
In the hustle and bustle of managing family life and career aspirations, self-care often takes a backseat. However, taking time for yourself is crucial for maintaining overall well-being and productivity. Recently, I decided to step back from my online business and embark on a sabbatical to focus on my faith, family and mental health. As a mental health advocate, I believe it’s important not only to teach mental wellness but also to practice it and set an example in my daily life. The self-care solutions I’m sharing in this article aren’t just tips I’ve read about; they’re practices I incorporate into my own routine every day.
SETTING BOUNDARIES AND SAYING NO
One of the most powerful forms of self-care is learning to set boundaries and saying no. As women, we often feel obligated to say yes to every request, fearing we might let someone down. However, constantly saying yes can lead to burnout and feeling overwhelmed. By setting clear boundaries and confidently saying no, when
necessary, you protect your time and energy, allowing yourself to focus on what truly matters. This practice helps maintain a healthy balance between responsibilities and personal well-being.
MAKING HEALTHIER FOOD CHOICES
Nourishing your body with healthy food is another vital aspect of self-care. It's easy to grab fast food or skip meals when you're busy, but making healthier choices can significantly impact your energy levels and overall health. Preparing simple, nutritious meals and snacks in advance ensures you have wholesome options readily available. By fueling your body with the right nutrients, you enhance your physical and mental well-being, enabling you to better handle daily demands.
GETTING ENOUGH SLEEP
Adequate sleep is often overlooked in the quest to balance family and work, yet it is one of the most critical components of selfcare. Quality sleep restores your body and mind, improves mood and boosts cognitive function.
Alexandria Smith
One of the most powerful forms of self-care is learning to set boundaries and say no. As women, we often feel obligated to say yes to every request, fearing we might let someone down. However, constantly saying yes can lead to burnout and feeling overwhelmed.
Create a bedtime routine that promotes relaxation, such as reading a book or taking a bath. Prioritizing sleep allows you to wake up refreshed and ready to tackle the day's challenges.
MINIMIZING TIME ON SOCIAL MEDIA AND MANAGING ACCESSIBILITY
Social media and constant connectivity can be overwhelming and draining. Limiting your time on social media and managing how accessible you are through text and email can be a game-changer. Set specific times to check your phone and stick to them. This reduces stress and helps you be more present with your family. Creating tech-free zones or times, such as during meals or before bed, helps you disconnect and recharge.
TAKING ADVANTAGE OF MENTAL
HEALTH SUPPORT
Investing in your mental health is essential for overall well-being. Seeking individual therapy or marriage counseling can provide valuable support and guidance. These resources help you navigate challenges, build resilience and maintain a healthy mind. Don’t hesitate to reach
out for professional help when needed. Prioritizing mental health care is a powerful form of self-love and sets a positive example for your family.
SIMPLE STRATEGIES TO DECOMPRESS
Finding small moments to decompress throughout the day can make a big difference. For example, sitting in your car for a few extra minutes after a long day can help you mentally prepare for the next phase of your day. Use this time to practice deep breathing, listen to music or simply enjoy the quiet.
TREATING YOURSELF IN MODERATION
Instead of saving indulgences for a "cheat day," consider treating yourself in moderation every day.
Whether it’s savoring a piece of dark chocolate, enjoying a quiet cup of coffee or eating your favorite snack, small, daily treats can boost your mood and provide a sense of joy. By incorporating these little pleasures into your routine, you create moments of happiness that sustain you throughout the week.
EMBRACING SELF-CARE
Self-care for busy women with families doesn’t have to be elaborate or time-consuming. By incorporating these simple self-care practices into your daily routine, you can significantly improve your well-being and productivity. Remember, taking care of yourself isn’t selfish—it’s necessary. When you invest in your own health and happiness, you are
When
you invest in your own health and happiness, you are better equipped to show up as your best self for your family.
better equipped to show up as your best self for your family. Embrace these self-care techniques and watch how they transform your life, one step at a time.
JOIN THE MOVEMENT
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Subscribe now to receive the latest tips, resources and updates. Welcome to a community where your health, happiness and fulfillment are our top priorities. Join us today!
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THE HEART-HEALTHY BENEFITS OF OLIVE TREE PRODUCTS: ENHANCING THE AFRICAN AMERICAN DIET
Incorporating olive tree products into the African American diet has demonstrated significant health benefits, particularly in reducing heart disease and related conditions. This dietary shift not only provides a natural way to address the high rates of hypertension, stroke and cardiovascular issues prevalent in the community, but it also introduces a versatile and flavorful alternative to traditional cooking fats like butter and lard.
Olive oil, rich in monounsaturated fats, polyphenols and antioxidants, has been shown to improve cholesterol levels, reduce inflammation and support overall cardiovascular health.
However, despite these proven benefits, African Americans consume less olive oil compared to Mediterranean populations. This may be due to cultural dietary preferences and cost-related factors. By substituting unhealthy fats, such as butter and lard, with olive oil—a key component of the Mediterranean diet—African Americans can preserve the cultural authenticity of traditional dishes while enhancing their health benefits.
In addition to olive oil, olive leaf extract, another product from the olive tree, offers cardiovascular advantages, particularly in managing high blood pressure.
According to a 2020 report by AcarTek and Agagunduz, oleuropein, the main active compound in olive leaves, possesses multiple healthpromoting properties, including antiarrhythmic, anti-inflammatory, antioxidant and cardioprotective effects. While much of the research on oleuropein has been conducted on animal models, the promising results suggest further exploration into its impact on human health is needed.
To fully realize the potential of olive tree products in reducing heart disease within the African American community, more research is required. Overcoming cultural barriers to adopting these dietary changes is crucial to improving heart health outcomes. Educational programs that highlight the health benefits of olive tree products are key to influencing dietary behaviors. Community initiatives, such as cooking workshops and financial assistance for purchasing olive oil, can encourage wider adoption of these heart-healthy alternatives. It is essential that these changes are promoted in a culturally sensitive way that respects and honors traditional food practices.
Future research should focus on the long-term effects of olive tree product consumption among African Americans. Policies should also support initiatives that make
these products more accessible in underserved communities. Healthcare providers can play a key role by incorporating dietary counseling that emphasizes the benefits of olive tree products while respecting cultural traditions. Small yet impactful changes to traditional recipes, such as using olive oil in place of saturated fats, can significantly improve heart health within the African American population.
Charles Odom, a recent public health graduate with a chemistry and biology background, is deeply committed to advancing the health and well-being of diverse communities. He aims to apply his knowledge, skills and experience to support public health initiatives and programs that address the unique challenges and needs of underserved populations.
TIFFANY WASHINGTON SHARES HER INSPIRING CANCER JOURNEY
By Shaquetta Pelzer
For
Tiffany Denise Washington, a devoted mother of four, educator and cancer survivor, life has been a journey marked by faith and an unyielding determination to live fully. At 40 years old, Tiffany’s story is one of confronting a rare and aggressive illness while embracing life’s blessings with gratitude and strength.
In March 2017, Tiffany, then 33, was driving to work when she was overcome by severe pain in her side, coupled with shortness of breath. Alarmed, she drove herself to the hospital, where a series of emergency tests, including a CAT scan, uncovered a devastating diagnosis: stage 4 pseudo-papillary tumor of the pancreas, a rare form of cancer representing just one percent of all diagnosed cancers.
"The young doctor’s words stopped my world," Tiffany said. "She told me I had pancreatic cancer and needed to see an oncologist for chemotherapy. My heart raced—this was a diagnosis I never expected."
Tiffany’s diagnosis came after months of uncertainty and two biopsies. Her oncologists confirmed there was no cure, and she began chemotherapy immediately. "Hearing that my illness had no cure was shattering,
Washington is attending the prom at the high school where she works.
but I knew I had to fight—not just for myself but for my family."
At the time, Tiffany and her husband, Farrell Washington Sr., were parents to two children: Jayden, then 13, and Jordan, 6. Her diagnosis and grueling chemotherapy treatments brought challenges, but Tiffany remained focused on her family and career as a teaching and learning coach for the Aiken County School District in South Carolina.
Over the years, she has undergone maintenance chemotherapy to prevent the disease from spread-
ing. Recently, after seven years of weekly transfusions, Tiffany transitioned to a chemotherapy pill as her current treatment lost its effectiveness. "I’ve been referred to the Medical University of South Carolina, where we’ll revisit scans in six months and plan next steps," she said.
Despite the hardships, Tiffany has experienced incredible blessings during her cancer journey. "The most amazing thing is not looking like what I’ve been through," she said. "I’ve found joy in unexpected places—getting
married, traveling internationally and even welcoming two more children into my life."
In 2020, weeks before the global pandemic shut down the world, Tiffany traveled to Rome, Italy. Upon her return, she discovered she was three months pregnant with her daughter, Farrah, now four. "I never imagined having more children after my diagnosis," she shared. "But Farrah was healthy and thriving, a true miracle."
Two years later, Tiffany was blessed again with her youngest
son, Farrell Jr., affectionately known as MJ. "Having my little ones gave me a new purpose and drive," she said. "Their innocence and unconditional love push me to keep going every day. They don’t see the woman battling cancer— they see their mom, their beacon of light and love."
Her advice for others facing adversity or a life-changing diagnosis is grounded in her belief in divine restoration. "The word ‘cancer’ isn’t always a death sentence," she said. "Pray and trust that God can restore anything
you’ve lost. When those negative thoughts creep in at night, pray. Lean on him because there’s nothing too big for God."
Tiffany’s journey has taught her to embrace life’s precious moments and cherish the little things. "This diagnosis forced me to truly LIVE," she said. "I’ve learned to appreciate every day, to celebrate small victories and to hold my loved ones close."
Today, Tiffany continues her fight with courage and hope, knowing her story is a testament to the strength of the human spirit. "I’m still here, still thriving, and still believing in God’s plan," she said.
Her message to others is clear: "Keep living, do what your body allows, and remember that trouble doesn’t last always. With faith, determination and love, you can overcome anything."
(left to right) Washington is pictured with her mom and dad, Clara Thomas and Vincent Thomas Sr., daughter, Farrah, and son, Farrell Jr., after a visit with an oncologist at MUSC-Charleston.
LIVING WITH PCOS: SYMPTOMS, RISKS AND STEPS TOWARD BETTER
HEALTH
Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder in women, affecting eight to 13 percent of women of reproductive age. Women with PCOS may not ovulate regularly, may have elevated androgen levels and may develop several small cysts on their ovaries. Although highly prevalent, PCOS is difficult to diagnose and manage because symptoms vary with age, and treatment must be customized to each individual.
PCOS is a complex condition influenced by genetic, environmental and transgenerational factors. It encompasses metabolic, reproductive and psychosocial abnormalities. Obesity is strongly associated with PCOS, and women with this condition may have a higher risk of developing Type 2 diabetes, hypertension, cardiovascular disease and endometrial cancer.
CAUSES OF PCOS
The exact cause of PCOS is unknown, but heredity plays a significant role. Factors contributing to PCOS include:
• Increased androgen levels: Elevated levels of male hormones (androgens) can disrupt the menstrual cycle, prevent ovulation and cause symptoms like acne and excessive hair growth (hirsutism).
• Insulin resistance: This occurs when the body doesn’t process insulin efficiently, leading to elevated glucose levels. Insulin resistance can trigger higher androgen production, worsening PCOS symptoms. While obesity can
increase insulin resistance, it can also occur in women with normal glucose levels.
SYMPTOMS OF PCOS
Symptoms can vary but often include irregular periods, with some women missing periods entirely or experiencing heavy menstrual bleeding. Abnormal hair growth, particularly on the face, chest and abdomen, is common due to elevated androgen levels, a characteristic of PCOS. Persistent acne, often appearing on the face, chest and back, is another frequent symptom associated with
hormonal imbalances.
Up to 80 percent of women with PCOS struggle to maintain a healthy weight, often gaining weight around the abdomen. This can worsen insulin resistance and increase the risk of developing Type 2 diabetes. Reproductive health can also be significantly impacted, with an increased risk of endometrial hyperplasia due to prolonged exposure to unopposed estrogen. Irregular ovulation or anovulation can also lead to infertility.
Other common symptoms
include dark patches of skin in areas like the neck, armpits, groin and under the breasts, as well as the potential enlargement of ovaries or the development of multiple small follicles. Some women may also experience thinning hair or hair loss on the scalp.
TREATMENT FOR PCOS
Treating PCOS typically involves a personalized approach that combines lifestyle changes and medication, tailored to each individual's needs. Maintaining a healthy diet and engaging in regular exercise can help alleviate symptoms, promote weight loss and regulate insulin levels, which is especially beneficial for managing insulin resistance. For women who are planning to become pregnant, certain medications can be prescribed to stimulate ovulation, though these can carry risks such as multiple births or ovarian hyperstimulation.
For those not planning pregnancy, birth control pills are commonly used to regulate
View the bar chart illustrating key factors affecting African American women dealing with PCOS. It highlights the prevalence of the disorder, along with other significant issues like obesity, insulin resistance, delayed diagnosis and mental health struggles that disproportionately impact this group.
menstruation and reduce androgen levels, helping to manage symptoms like acne and abnormal hair growth. Additionally, medications aimed at improving insulin sensitivity can help lower androgen levels and increase the frequency of ovulation.
Long-term management of PCOS often revolves around sustained lifestyle changes, such as consistent physical activity and balanced eating habits. These efforts are crucial for controlling symptoms and enhancing the overall quality of life for individuals with PCOS.
PCOS is a complex, multifaceted condition that requires a personalized approach to treatment and management. Although there is no cure, women
can significantly improve their quality of life by addressing the symptoms through a combination of dietary changes, regular exercise and appropriate medical interventions. Early diagnosis and consistent monitoring are essential in preventing longterm complications such as Type 2 diabetes and cardiovascular disease. Beyond physical symptoms, addressing the emotional and psychological impacts of PCOS is equally important, with mental health support playing a key role in the overall well-being of those affected.
Shawna’s Makeup Corner AFFORDABLE GLAM:
THE CRAYON CASE’S LESSON IN BEAUTY FOR BEGINNERS
Motivated Woman contributing writer Shawna Dena’ reviews The Crayon Case, a beauty brand founded by Raynell “SupaCent” Steward. Known for its playful, school-themed packaging and affordable pricing, Shawna shares her favorite products and explains why The Crayon Case stands out as a top choice for both beginners and experienced makeup enthusiasts alike.
The Crayon Case was founded in 2017 by internet sensation Raynell “SupaCent” Steward. I first discovered Supa on Vine, where her hilarious story times and interactions with her son, Tre, had me laughing nonstop. Like many women in the 2000s, Supa started The Crayon Case after watching makeup tutorials on YouTube. She quickly realized she was using expensive makeup without a market for affordable products that allowed beginners to
learn without feeling like they were wasting money. Supa designed all her products with a school theme, emphasizing affordability and quality.
I first heard about The Crayon Case in 2018 from a coworker who is also a makeup enthusiast and a huge fan of Supa. She raved about the brand, but I was skeptical since it wasn’t available in stores. Her glowing reviews convinced me, and I made my first purchase in 2019. I ordered the Matte Book and
immediately fell in love. Although I didn’t buy the first palette, Box of Crayons, because I wasn’t into colorful eyeshadows at the time—and it was always sold out—the Matte Book immediately caught my eye. It’s a 26-pan matte eyeshadow palette featuring both bright colors and neutrals, perfect for beginners. Originally priced at $25 (I purchased it for $21.98 during the release), I’ve repurchased this palette at least twice over the past five years. My friends love it too, thanks to my recommendations.
Another favorite from The Crayon Case is the Blush Binder, a fun “book” featuring 18 blushes for all skin tones, priced at $35. These blushes are highly pigmented, and the colors also work as eyeshadows, making it versatile and perfect for travel. I’ve created countless looks
with just this binder.
If I had to recommend one more must-have, it would be the Loose Leaf Wipes—25 makeup wipes for $7.50. These wipes are top tier. One wipe effortlessly removes a full face of makeup. I swear by them, and everyone I’ve recommended them to agrees. It feels like there’s magic in the formula—it’s soothing on the skin but tough on makeup.
The Crayon Case offers everything a makeup enthusiast could need: eyeshadow palettes,
lipsticks, lip glosses, lashes, brushes, lip liners, concealers and more. We’re just waiting for Supa to release her foundation line—I can’t wait to try it! You can shop The Crayon Case at thecrayoncase.com or through their app, available on the App Store and Google Play. The brand is also available at Walmart and on walmart.com. While it was created with beginners in mind, it’s perfect for professionals too.
Shawna Dena’ passionately embraces makeup, sharing her brand experiences. Hailing from North Carolina, she acquired her mastery of makeup through YouTube, creating a personal haven of creativity and security. You can watch her makeup tutorials and product reviews on TikTok (@ShawnaDena_16) and YouTube (Shawna Dena).
FIT AND FABULOUS: ESSENTIAL WORKOUTS FOR WOMEN OVER 40
As the years pass and birthday candles increase, we’re often reminded that “40 is the new 20.” When women enter their 40s, the body undergoes significant changes—metabolism slows, muscle mass decreases and hormonal shifts can affect everything from bone density to energy levels. However, age doesn’t have to be a barrier to fitness or overall well-being. In fact, staying active becomes even more critical during this phase of life. The right exercise routine not only helps combat the natural aging process but also enhances
physical strength, mental clarity and emotional balance.
A 2023 report from the Centers for Disease Control and Prevention (CDC) found that just under 23 percent of U.S. adults aged 18 to 39 meet the recommended weekly exercise levels, while 28 percent of those over age 50 are completely inactive. By incorporating the right fitness routine, women in their 40s can stay healthy, energized and strong, ensuring they continue to thrive well into later decades. How often should you work out?
For women over 40, aiming for 30 minutes of exercise on most days
of the week is a great way to stay healthy. The Dietary Guidelines for Americans recommend at least 150 minutes of weekly activity, but for greater health rewards, aim for 300 minutes of moderate-intensity exercise each week. What types of workouts should I choose?
Thriving in your 40s and beyond means choosing exercises that meet your body’s evolving needs. Whether you’re focused on mobility, cardiovascular health or simply feeling more energized, incorporating a mix of strength training, flexibility exercises and
low-impact cardio is key. Let’s explore the best exercises for women over 40 to help you feel vibrant and strong.
Strength training: Building and maintaining muscle
Strength training is crucial for preserving muscle mass, which often diminishes with age. Incorporating weightlifting, resistance bands or bodyweight exercises, like squats, lunges and push-ups, can improve muscle tone, bone density and metabolism. These exercises not only keep you physically strong but also play a key role in preventing osteoporosis and joint pain. A 2017 review on PubMed suggests that strength training enhances both strength and balance in women, even those with osteoporosis.
Low-impact cardio: Protecting joints while staying active
Cardiovascular health remains vital at any age, but it’s essential to choose joint-friendly exercises as you get older. Activities like brisk walking, swimming, cycling or using an elliptical machine are excellent for improving heart health without straining the knees and hips. These low-impact exercises also promote weight management and boost energy levels. A National Health and Nutrition Examination Survey shows that coronary heart disease rates increase nearly tenfold for women aged 40 to 59 compared to those aged 20 to 39.
Yoga and pilates: Enhancing flexibility and core strength
Yoga and Pilates offer a balance of stretching, strengthening and relaxation. As flexibility tends to decrease with age, these practices help improve range of motion, posture and core stability. Yoga can reduce stress and improve mental clarity,
while Pilates focuses on building core strength to support overall movement and prevent injuries. A 2016 study in SAGE Journals found that individuals with heart disease who engaged in a 12-week yoga program saw improved heart rates, blood pressure and mental health outcomes.
Balance exercises: Preventing falls and improving coordination
Maintaining balance is increasingly important as we age to prevent falls. Exercises like singleleg stands, tai chi or using balance balls can enhance stability and coordination, reducing the risk of injury in daily activities.
High-intensity interval training (HIIT): Quick and effective
For women looking to
maximize their workouts in less time, high-intensity interval training (HIIT) is a great option. HIIT involves short bursts of intense exercise followed by brief recovery periods. This workout style burns calories efficiently and improves cardiovascular fitness, endurance and metabolism.
A 2017 study in the Journal of Diabetes Research suggests that high-intensity interval training (HIIT) burns more fat in less time compared to continuous cardiovascular exercise, while a 2018 study in PLOS ONE found that water aerobics significantly reduced body fat and blood pressure, while also boosting strength in middle-aged women. By focusing on strength,
cardio, flexibility, balance and endurance, women over 40 can create a well-rounded exercise routine that supports overall health and longevity. Remember, consistency is more important than intensity. Start at your own pace, listen to your body and celebrate the small victories along the way!
Disclaimer
This information is provided for educational purposes only and should not replace professional medical advice. Always consult your doctor or a qualified healthcare provider for personalized guidance and recommendations.
The Rural Health and Nutrition team serves South Carolinians through health and wellness promotion, chronic disease prevention and self-management, and policy, systems, and environmental approaches. Check out our website for more information about the projects and initiatives serving South Carolinians. https://www.clemson.edu/extension/health/index.html
Know Diabetes by Heart
Learn about the link between diabetes and heart disease and how to reduce your risk in this free live 1-hour session, offered in English or Spanish. Contact Danielle McFall at dem@clemson.edu or 864-656-8627 for more information.
This program, offered in English or Spanish helps better manage your diabetes to prevent or delay complications by learning the necessary skills and getting support in this free weekly 1-hour session over the course of 4 months. Join the interest list at: https://clemson.ca1.qualtrics.com/jfe/form/SV_07gV9gl3ZHOAohU
Breastfeeding 101
This free program will help parents to learn about the benefits of breastfeeding, keys to effective latch, different breastfeeding positions, how to recognize hunger cues, when your baby is getting enough and so much more! For more information, contact Paris Mebane at: psmeban@clemson.edu Register for Individual Classes at: https://form.jotform.com/222006519360144 or Group Classes at: https://www.eventbrite.com/e/breastfeeding-101-tickets-672579672907
Healthy Options Program (HOP)
Looking to address health disparities related to nutrition, physical activity or obesity, HOP assesses community needs in context of the current food and physical activity environment, identifies, supports, and implements strategies that optimize healthy food access and safe accessible physical activity. Clemson Agents work with community organizations involved with free food services, food access, or physical activity and recreation. For more information about HOP please visit https://www.clemson.edu/extension/health/index.html
Clemson University Cooperative Extension Service offers its programs to people of all ages, regardless of race, color, gender, religion, national origin, disability, political beliefs, sexual orientation, gender identity, marital or family status and is an equal opportunity employer.
