Sean Lochran, who lives with IBD and an ileostomy, describes his IBD journey, including complications such as blood clots and adrenal insufficiency. Sean shares advice for staying active on difficult days, including the importance of personalization, hydration, and tracking health data. He debunks misconceptions about exercise with IBD or an ostomy and describes his client-centered approach to fitness coaching, grounded in empathy and lived experience. Episode transcript and more information at: https://bit.ly/AIBD187 This episode sponsored by Fathom Care! Fathom is an AI-powered wellness companion made for patients with inflammatory bowel disease. Over 2.4M people in the United States are navigating IBD alone, and Fathom is here to change that. Learn more at: https://fathom.care/ Chapters in this episode: 00:04 – Introduction and Guest Welcome 01:20 – Sean's Diagnosis Journey 02:59 – Complications: Adrenal Insufficiency and Prednisone 04:08 – Living with Adrenal Insufficiency 05:34 – Blood Clots and IBD 08:36 – Mental Impact of Complications 10:20 – Pre-Diagnosis Fitness and Lifestyle 12:29 – Managing Fatigue and Flare-Ups 14:23 – Sponsor Message: Fathom Care App 16:15 – Coaching Clients: Fatigue vs. Tiredness 17:32 – Tracking and Adjusting Fitness Plans 18:55 – Practical Tips for Staying Active During Flares 23:47 – Weekly Averages and Progress Tracking 25:21 – Misconceptions About Fitness and IBD 26:50 – What It's Like to Work with Sean 30:38 – Learning to Understand Your Body 31:45 – Visiting Scotland: Local Recommendations 34:27 – How to Connect with Sean 36:04 – Closing Remarks and Credits Find Sean Lochran at: Instagram: @seanlochrancoaching Find Amber J Tresca at: AboutIBD.com: About IBD Verywell Health: Verywell Health Facebook: @aboutIBD Twitter: @aboutIBD Pinterest: @aboutibd Instagram: @about_IBD YouTube: @AboutIBD Threads: @about_ibd Find Mac Cooney (mix, sound design, and theme music) at: Facebook: @maccooneycomposer Instagram: @maccooneycomposer YouTube: @MacCooneyComposer Web: Cooney Studio Theme music, IBD Dance Party, is from ©Cooney Studio. These show notes contain affiliate links. If you choose to purchase after clicking a link, Mal and Tal Enterprises, LLC may receive a commission at no extra cost to you.