Between February and late June 2018, I lost on average 43 percent of my upper body strength from a combination of dermatomyositis and the corticosteroids my doctor’s prescribed me. Since then, after figuring out the right combination of medications and regularly working out, I am proud to say that even at 40 years old, I am almost as strong as I was at 33.
| Muscle | 2018 Loss of Strength (Percent) | Gain Since 2018 Loss (Percent) |
| Triceps | 40.9 | 200 |
| Biceps | 45.8 | 160 |
| Deltoids | 33.3 | 200 |
| Trapezius | 45.8 | 230 |
| Pectorals | 52 | 300+ |
Overcoming the litany of excuses
Regardless of your health, just getting to the gym three to four days per week is an exercise in self-motivation. The older we get, it’s easier to make excuses: Demanding jobs. Physical aging. Rush hour traffic. Parenting. Marriage. We even had COVID gym shutdowns to blame.
We also become more comfortable and confident in our own skin, and the vanity of our youth fades. We would rather go home and crack a beer or a box of cookies than subject ourselves to hard work and pain.
Still, even in my late thirties, even among some of the toughest months of my life, instead of making excuses, I found motivation.
Finding motivation
Like many athletes, I was always naturally drawn to the endorphins and dopamine both during and following a hard workout. I also admit my own vanity and childless, single life play a role in me wanting to be fit. I want to look good naked. I want to be happy with the person I see in the mirror.
Dermatomyositis, however, renewed my motivation. Even when my symptoms were at their worst, I wanted to be at the gym. I feared if I stopped working out, my dermatomyositis would destroy me from within. I feared weak pectoral and diaphragm muscles would make breathing difficult again.
Getting stronger every day
So, I committed to getting stronger every day. I stopped comparing myself to others at the gym. I incorporated more cardio to keep my diaphragm muscles in shape. I wanted to be the best version of myself I can be—despite dermatomyositis. My results speak for themselves:
| February 1, 2018 | June 28, 2018 | June 28, 2025 | |
| Activity | Reps / Weight (lbs.) | Reps / Weight (lbs.) | Reps / Weight (lbs.) |
| Bench Press | 10 / 135 | 10 / 65 | 12 / 110 |
| Bicep Curls | 10 / 110 (one armed) | 10 / 65 (two armed) | 20 / 100 (one armed) |
| Lateral Deltoid Raises | 12 / 30 (15 each arm) | 8 / 20 (10 each arm) | 12/30 (15 each arm) |
| One-Arm Dumbbell Row | 12 / 60 | 10 / 45 | N/A |
| Seated Cable Row | 10 / 120 | 10 / 60 | 10 / 140 |
| Push-ups | 20 / 215 | 1 / 215 | 30 / 208 |
Understanding your limits
I realize that I am far more fortunate than many with autoimmune diseases. Some have trouble picking up objects from the floor or getting dressed in the morning. Others are left essentially with only physical therapy types of exercises.
But even I cannot do things I used to. Leaning over to do one-arm dumbbell rows triggers inflammation in my chest that feels like a combination of heartburn and somebody pressing my sternum. So, instead, I found seated exercises using weight machines to strengthen my trapezius.
I also tore my hamstring a couple years ago playing kickball. Despite it healing, it’s never been the same. To keep from aggravating it, I limit the frequency and mass of weights I use.
Your best version of yourself
For those of you with debilitating symptoms, your best version of yourself may even preclude you from going to the gym. Nobody is insisting you need to. Just find ways to be better than the person you were yesterday, mentally and physically. No matter your state, you can find ways to thrive.
I am proof that you can overcome your condition instead of letting it define you.





