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October 7, 2025 37 mins

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:

Find Amber J Tresca at:

Find Mac Cooney (mix, sound design, and theme music) at:

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.

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