In an article published in SELF, professional ultramarathoner Devon Yanko detailed how she balances running, training, and her health after receiving a lupus diagnosis at the age of 41. Ms. Yanko explained that she first started experiencing symptoms of lupus in 2016—which caused her to miss a number of races—and was initially diagnosed with undifferentiated connective tissue disease. In June 2022, she developed Raynaud’s disease, fatigue, joint pain and stiffness, cold sores, and chest pain. In October of the same year, she was forced to drop out of a race she was leading as a result of severe discomfort. After visiting a rheumatologist, Ms. Yanko was finally diagnosed with lupus and prescribed immunosuppressants. Ms. Yanko noted that when she isn’t experiencing a lupus flare, she can partake in high-intensity training, run up to 100 miles per week, and push herself to reach her mileage goals; however, during a lupus flare, she engages in less rigorous practices such as walking her pets. She emphasized that managing her stress, making lifestyle changes, and avoiding infections have been key to maintaining her health. Additionally, Ms. Yanko highlighted that she has adopted new strategies to optimize her training while living with lupus—including tracking her symptoms, diet, energy levels, stress levels, mood fluctuations, and sleep habits; experimenting with different diets and working with a dietician to tailor her nutrition plan to her personal health needs; learning to accept her limits and practice self-kindness; and trusting her experiences and intuition. Currently, Ms. Yanko is training for the 6-day Further ultramarathon, which will involve 10 female runners and is scheduled to take place in March 2024.