One Year Later

My father will not be a centenarian. May he rest in peace...

***

I spent some time last autumn in the Neurology section, with him. All those elderly people trying to still function, battling it out, and the nurses and doctors assisting them in Purgatory, matter-of-factly... My respect for the medical establishment, imperfect as it may be, has increased even more. They have not saved my father, but they did extend his life by a few months...

***

A neurologist thought I may suffer from a subclinical case of vasculitis. She had me try "Lyrica", which I could not endure. My pain, at its worst, is not worth the side effects and the zoning out. I tried "Gabaran" as well -- much easier on me: I composed many songs on the one and only pill I tried. I am glad to know there are such powerful painkillers out there, but I hope I will never have to use them consistently.

The neurologist also suspected an incipient diabetic neuropathy. Given my high genetic risk of diabetes, over 40%, I figured my following Dr. Peat's recommendations for almost a year must have been quite unfortunate. Luckily for me, her suggestion to help with this one worked wonders: "Milgamma" (B1 as a benfotiamine and B12). It was literally like growing back a bunch of nervous endings... I had come to accept that my right big toe had left the system for some idiosyncratic reason and I was not too worried (I should have been!) Well, I was overwhelmed to feel it return to me! Regeneration after degeneration, so there is hope!

So... I dropped my sugar consumption to almost zero. Peat was definitely wrong for me on this front!

No more weird numbness for me. That is a winner! And no, I don't miss OJ. I see it now, for myself, as the orange specter of diabetes.

Another huge improvement was the disappearance of the CA-125 marker.  I cannot be sure what brought that about. Except giving up sugar, I did not do any other spectacular diet changes.

One small thing I can think of is that I increased garlic consumption. My body was craving it. If it turns out this new garlic habit got rid of some incipient tumor, hey... The stench is a small price to pay. I also brought a bunch of PUFA back into my life in the form of potato chips -- I have to have them at least once or twice a week, dipped in my garlic salsa...

Thyroid function -- I am still at 25 mcg T4, but with my free T4 bumped up into a mid-range of normalcy (it used to hover to the lowest normal and even under that), with a rather high TSH by US standards (2.6). I think this is a pretty reasonable spot, I am sleeping well, I no longer experience those "hit by a truck" moments... Some days are better than others, energy-wise.  My weight is pretty much the same and nobody guesses my age, so I am alright. Actually, I look much better than I feel and people look confused and rather skeptical when they hear about my troubles.

I stopped measuring all the other hormones, I will let my body deal with them. I experimented with supplementation of most and I didn't like it one bit. Maybe I am oversensitive, or maybe I have a low tolerance -- my 23andme results show me as a slow metabolizer for many substances (including coffee, yet another reason for me to not follow Peat), so perhaps I should stay away from any "bio-hacking" that involves hormones. Nobody knows for sure how they work, anyway, so why be a guinea pig, life is too short even without self-experimentation.

In my search for the perfect seaside, I visited Cyprus and loved the taste of their produce... I hated the pollution, though...

I hope you are all doing well and staying healthy and gorgeous.

T4 Trials & Tribulations

Ten days ago I treated myself to yet another round of blood tests.

TSH shot up to 2.88 from 0.11, so definitely 25 mcg is too little daily T4 supplementation for me. If 50 mcg was too much, then I guess I need 37.5? I’ll be cutting up pills every night then. Fine.

Magnesium was at the bottom of the acceptable range and calcium was at the top! That’s got to be bad news, right? Maybe that plays a role in the return of my pain and tiredness?

Estrogen doubled yet again. Progesterone increased as well, four times the amount I had when I wrote the “Perfect Ten Progesterone” posting,  however, it is now only twice as much as my estrogen, from ten times the amount. So that’s another piece of bad news.

Anti-TPO’s are falling again, 611 from over 700 (so, still a heck of a lot, they should be below 6!), so moderately good news there, although… I’m not even sure I should bother checking them anymore.

The CA-125 (an ovarian cancer marker) is higher than last year, 45 instead of <35.  I don’t like seeing it progress, needless to say, the more so as my estrogen is rising as well, steadily, if you catch my drift…

Total cholesterol at an all time high: 225, with an LDL of 67. So, still good ratio, but it was 190 five weeks ago… Vacationing in Eastern Europe increases cholesterol, who knew…

For the first time, I did Free T4, Free T3, Total T4, Total T3 and TSH, like so:

The real downer was Total T4, which was under the lower limit! Not by a whole lot, but still! What was that supposed to mean? Lab proof of hypothyroidism?  Or was my body adjusting to the lower dose of supplementation? I can't wait to check it again and to talk to someone about this.

Well, on the other hand, I just read today "Levothyroxine And Lung Cancer In Females: The Importance Of Oxidative Stress", by Umberto Cornelli, Gianni Belcaro, Martino Recchia and Annarosa Finco a very credible study suggesting that too much T4 can cause serious issues as well and that one cannot monitor its amounts carefully enough. I see lots of people living with undetectable TSH levels and that cannot be right either. Inducing hyperthyroidism iatrogenically apparently can cause lung cancer in women.

"During the therapy with LT4 even at the steady state condition a peak of the hormone is evident a couple of hours after the administration and may cause a temporary condition of hyperthyroidism and a further increase of oxidative stress.

Oxidative stress is well documented in hypothyroidism [22-24] and is even worsened through treatment with LT4 [1,2]. The difference between the two conditions is that, in case of hypothyroidisms, oxidative stress is due to the reduction of AO [4], whereas, after the LT4 treatment it stems from overproduction of ROS from mitochondria [5,6].

A very simple method that can be used to measure oxidative stress is related to hydroperoxides content in plasma which is considered a very reliable test compared to other common methods since it shows very limited coefficient of variation [25].

An inverse association with fruit and vegetables consumption and lung cancer recently has been documented recently in the EPIC study for 50 to 59 age group, without an effect on specific histological subtypes [26]."

 So I should start measuring the hydroperoxide levels as well while I fiddle with this dangerous stuff. Also, increase antioxidants intake. I am not so sure about vegetables, finding clean veggies is an ordeal in itself.  I will look into supplements.

How to decrease calcium and estrogen and increase progesterone, magnesium and T4, make CA-125 and Anti-TPOs go away and be happy?

That’s all I’d like to know.

P.S. on August 17, 2013: Actually, the above sounds outdated. Just an old Peatian "reflex".  I no longer believe progesterone is good and estrogen is bad, so I take that back.  I will stop caring about the progesterone/estrogen ratio and worry instead about the level of hydroperoxide in my blood. It sounds like a fair trade-off..:)

Plus, the study I mention gave me a nightmare last night. So maybe I should withdraw a bit from worrying about these things altogether, like the doctor said. Just find the time and organize another seaside session...

P.P.S. I just came across a study that supports my decision to stop considering progesterone such a good guy, a study linking it to the emission of hydrogen peroxide: "Progesterone increases skeletal muscle mitochondrial H2O2 emission in nonmenopausal women". Yep. :( And guess what, estrogen is counteracting it, according to the authors. That makes progesterone less than a hypothyroid woman's best friend, because it promotes oxidative stress. Taking this one step further: maybe it was an excess of my natural progesterone which launched the H2O2 destructive festival which may have brought about my Hashimoto's.


 

Reality Check Feat. Dr. Coculescu

In a posh part of Bucharest, at a luxury clinic where everyone on staff had sheer reverence towards "The Professor", I had this consultation with Dr. Mihail Coculescu, the President of the Romanian Society of Endocrinology. To my surprise, we had a rather extensive chat, by my standards, and by the looks of the still waiting patients. 

As expected, Dr. Coculescu had never heard of Dr. Peat, whose books I had brought along, in the hope that they might capture his interest. Granted, I was not given the opportunity to pitch them properly as Dr. Coculescu had interventions and pointers for me at every step. However, something tells me that he would eventually check out Dr. Peat's work and theories. 

To summarize, he recommended that I simplified my life and quit the path of excessive intellectualization I had embarked upon. Decrypting PubMed articles and becoming fluent in the theories behind Hashimoto's would accomplish nothing. I should be thankful for the easy form of the disease I experience and for its simple (perhaps not even necessary, judging from my last set of blood tests) treatment. 

I could see that Dr. Coculescu was barely registering my suffering and I cannot blame him for one second. I myself felt kind of guilty for insisting on seeing him, when other people, with far more serious problems, were waiting in line by his door. But the harm is done. Refreshingly, he didn't mind this aspect, he even indicated that he would accept my "case", if I decided to switch endocrinologists, so no discrimination there on his side. 

He laughed when I mentioned that I didn't believe Anti-TPOs and Anti-TGOs were killing thyroid tissue and mentioned the "firemen at the place of the fire" analogy. He freely admitted that the science doesn't have all the answers, but refused to admit that I should complicate my life and allow myself to be affected by THAT, i.e. the proverbial things I could not change. 

He insisted that the thyroid, no matter in what shape, whether shredded or inflamed, can still accomplish its function, and that I seemed to have been in that situation.  It is OK if I feel better under T4 treatment, it is just that I should determine the optimal amount of supplementation, because it looks like even 50 mcg is too much for me. 

As to the concept of improper nutrition undoing thyroids, he mentioned the endemic lack of iodine in some places, and how entire populations develop huge goiters -- however, all those thyroid glands do keep working... They huff and they puff but... they do their jobs. So?.. At this point in the conversation, I felt kind of ashamed -- I didn't even have a goiter to complain about... 

I felt like coming out of a tunnel.  Minor twists of perspective performed by "authoritarian figures", to use a Peatism, can work wonders. In that sense, Dr. Coculescu was a tremendous doctor -- and I am convinced that he performed knowingly his "tricks".

They were what I needed and he was too experienced a practitioner not to know it the minute I took out of my purse Dr. Peat's books and my stacks of blood test results...

Whose Hormones Are These?!?

        I just came back from my doctor’s office. 

        The news is intriguing. 

        Luckily, I will see Dr. Coculescu (”the Great”) soon enough. I hope he can explain these developments and advise me accordingly.

        Three weeks have passed since my previous lab tests. My TSH was a nice 1.9, down from 5.21, under 50 mcg of T4 for a few weeks. I was entertaining hopes of going up to 75 mcg of T4 (Levothyrox), an amount not exaggerated for a Hashimoto’s patient of my size. My doctor had opposed the idea (see previous post), although she had wondered about the accuracy of the tests, thinking that they showed too little TSH for such a small amount of supplementation. 

         Lucky me that she didn’t increase my T4 dose, because even continuing with the 50 mcg for these extra three weeks, my TSH is now at a bewildering 0.11!  My T4 is higher than it has ever been, bordering the upper acceptable limit.  Again, lucky me that “mymexicandrugstore” didn’t deliver my T3 on time — I would have headed for a thyroid storm, without a doubt, with T3 supplementation on top of what my body is already producing!

        I didn’t check T3 this time around, but I’d be curious about the TPO antibodies, because, unless they are really high, marking another episode of thyroid destruction and subsequent hormonal flooding, I am not sure what to make of this! 

         Is my thyroid increasing its function of its own accord? Is the Peat diet working wonders on me, with some delays? Am I possessed by a higher metabolic self? 

        The latter option would be in sync with another surprise: a high estrogen level, ten times higher than three weeks ago. I didn’t check progesterone, but I doubt it went 10 times higher as well, so as to keep the Peat favored ratio… But who knows, after all, who would have guessed the thyroid development? 

        Cholesterol is down, but it was never bothersome. Vitamin D3 is hovering on the lower admissible range, so my doctor offered 100.000 units of supplementation — that is how they like to do it in France, with vials of potent liquid stuff, called “Uvedose”. When I was in Cannes last year, I bought them without a prescription from a pharmacy. In Alsace, no such luck.

        She also directed me to decrease my T4 supplements to 25 mcg… 

        I am wondering if my recent hair loss was connected to the exaggeratedly low TSH, rather than the Synthroid type medication or some previous hypothyroid moments that were never captured on lab results.
 
       I could have sworn I would never again see that level of estrogen, let alone that TSH or the T4, but here we go… Maybe with the increased amount of calories, came increased titers of hormones, across the board. Could it be that my body is waking up? Restarting? With all the good and the bad hormonal developments? So...
 
       IS PEAT RIGHT?

What Kills A Thyroid Gland?

Today is International Thyroid Awareness Day.

I am celebrating by posting a few thoughts on the current views of Hashimoto's Thyroiditis.

Many people out there will tell you that autoimmune thyroiditis comes from the thyroid gland being attacked by antibodies. People measure those and try to evaluate their degree of thyroid health by them.

My endocrinologist advised me to stop measuring those things. "Once you have them, they're there for life. Genetics plays a big role. At some point, a stress related event may have triggered them and they would exist in your body, once in a while getting to your thyroid, until they destroy it and render it incapable of doing its job". So, according to her, there is no way to go but down and measuring antibodies levels is not constructive or conducive to any worthwhile conclusions. I have to admit, despite my continuing efforts and gluten free diet, the results of my own lab tests indicate she might have a point... Unfortunately...

Dr. Datis Kharazzian, who has a best selling book on Hashimoto's, thinks one can balance the immune system and thus stop the killing of the thyroid. He says Th1 and Th2 cells are out of balance in Hashimoto's and that all the patient has to do is bring them back into the desired equilibrium. He offers combinations of nutrients that would boost either Th1 or Th2.

Dimitry Chistiacov's study, "Immunogenetics of Hashimoto's thyroiditis", published in the "Journal of Autoimmune Diseases" in March, 2005, seems to indicate that it is only the Th1 cells that are to blame for the said destruction. So, if you believe in Dr. Kharazzian's balancing of the immune system you may combine it with the results of this study and go for increasing Th2 right off the bat.

Dr. Alexander Haskell (link to the right) thinks that autoantibodies (Anti-TPO and Anti-TGO) are not the culprits in this scenario. He says they are simply there to clean the thyroid cell debris and that lack of specific nutrients is the culprit for the destruction that does occur at the thyroid gland level. He isolates iodine among those and this has caused some serious rebuttals of his vision (as iodine deficiency is hardly a problem in the US.) If he hadn't emphasize iodine, his theory would have actually sounded a lot more credible - and it is my favorite, still...

Like Dr. Haskell, Ray Peat does not believe in "autoimmune diseases" and the body's feasting on itself via antibodies, like those described above. He thinks that the thyroid does get destroyed (like many other organs) and that this is a process of degeneration, a result of insufficient supply of energy at the cell level. A nutrition blunder, if you will.

His view is consistent with the symptoms I have had after my Paleo time -- and, apparently, more and more people come out of their low carb experiments with damaged thyroid glands.

But let us go back to D. Chistiacov's study mentioned above, from which I have stolen the graphic above (I am giving it back if there are any complaints). His description of how things go wrong in Hashimoto's is representative for the scientific community's viewpoint. Indeed, my own doctor told me about the "strong genetic component" to Hashimoto's, to which environmental triggers are added.

Incorrect nutrition is not considered a factor in this study. However, infection and pregnancy are...

A key phrase in D. Chistiacov's paper remains:

 "The mechanisms, whereby autoreactive T cells escape deletion and anergy, and become activated, remain uncertain. "

This leaves the field still open to many interpretations, in my mind, including that of Dr. Peat and Dr. Haskell -- that the said breakdowns of cells are primarily caused by issues other than our own cells gone crazy and that we can stop or even reverse that destruction through a combination of nutrition, lifestyle and supplementation. I will attempt in full Dr. Haskell's protocol (described in his video series) once I have the necessary ingredients and let you know how it goes.

Perfect 10 Progesterone & Other Curious Findings

I finished reading Dr. Raymond Peat’s book “From PMS to Menopause. Female Hormones In Context” and I am now (re)reading the articles collected in "Nutrition For Women". I will soon write review those. For now, I will just comment on my test results.

In his book, Ray Peat recommends a ratio from five to ten times more progesterone than estrogen in serum levels. He does, on several occasions, mention the possibility of progesterone’s turning into “other hormones”, but he never takes this idea to its full consequence, namely, natural progesterone's possible final transformation into Public Enemy No. 1, estrogen. I think that, sooner or later, he should address this, because it is an important part of the hormonal equation, one that has not received the necessary focus up to now.

Drum rolls, please, as my progesterone levels were exactly TEN TIMES the amount of my estrogen, many weeks after my short Progest-E experiment, when I felt things had returned back to normal. Not five, not six, not seven... Perfect 10 me! 

(So, well, I was right all along, and those who tried to tell me my symptoms stemmed from a potential “liver issue” better learn that their imaginary knowledge of how hormones can affect one would be best not shared out there. Also, if a woman describes previously non-existent symptoms of estrogen and cortisol spikes after taking natural progesterone, you can believe her, although Dr. Peat and other proponents of natural progesterone never explicitly discuss the possibility.)

I also had good levels of DHEAs. I am sorry I didn't check my pregnenolone, I forgot, but I soon will.

Now, for the thyroid part of my labs: despite supplementation of 50 mcg of T4 for almost a month, my levels of T3 and T4 are only slightly changed. That is, T3 decreased a tiny bit, but it was already in mid-range, from 2.55 to 2.43, in a range of 1.71-3.71 pg/ml. T4 went from 13.4 to 13.52 in a range of 12-22 pmol/l, so it’s still lagging towards the lower part of the admissible spectrum, Levothyroxine or no Levothyroxine. TSH was the only one that took a spectacular dive, from 5.21 to 1.90, on range of 0.21 to 4.60 mui/l. This made my GP happy, albeit a bit mistrusting of the Romanian labs, so I will repeat them here in two weeks or so. I wanted to move up to 75 mcg of T4, but she said that would not be warranted and that raising my metabolism was not what she had in mind, to begin with — just getting rid of the TSH, while settling in the thyroid range my body chooses, as long as that is within what is considered normal.

I can understand her wish to tamper with key metabolic things as little as possible. However, if I ever receive my T3 supplements (I ordered them online at mymexicandrugstore.mx), I will try to supplement a little bit of that and see how I feel.

For the bad news of the day, after one year of constant and considerable decline, my TPO antibodies rose again, from 535 to 731 (normal: below 5.61!) The TGO antibodies have decreased (could this be due to the Anatabloc supplementation?) and are now within acceptable limits — but they were never that high to begin with (from 4.25 to 3.52, they should be below 4.11.)

Anyway, I do feel better with this (loosely) Peatian diet and the little T4 I am taking. I have more zest for life, more energy and my circadian rhythms are excellent — at night, there is this magnificent tired feeling, like when I was a child and I would drop in the evening, brain foggy, muscles tired, to only wake up in the morning, refreshed and ready to take on a new day. This is in itself a superb achievement and might bring with it a lot of good.

Let me not forget my “pre-diabetic” story. It turns out one should never buy cheap blood sugar monitors. After so much worrying about it, the serum glucose lab test revealed a nice 84 in a range of 60 to 105 mg/dl. My home measurement that morning: over 110. So I stopped DIY-ing in this department. 

Heart: curiously high diastolic pressure, more often than not, and a puny pulse pressure.

You can see from the upper part of the graph above that I am trying my hardest to push my calories intake and my body reacts, by packing on pounds. I fight back by reducing calories, only to start again pushing my luck. I am curious if I changed anything after all this effort, if I went past 1600 calories a day while maintaining my weight -- I shall soon check on Cronometer. 

And finally, in the ears department: another infection, this time in the right ear. I took cyprofloxacine. The otolaryngologist said I should maybe consider a CT scan or an X-ray. I said no way. She insisted, maybe at least an ultrasound? I already did that and they found nothing, just some inflamed lymph nodes. She still seemed worried. I told her about my progesterone and pregnenolone supplementation and the ear pains and now the repetitive infections — she said she would not be surprised if those played a role, because the ears are lined with mucous tissue and they react to hormones.

My Blood Glucose Makes Me Find Out About Ray Peat's Cancer Survival

Never a dull moment.

I had acquired a glucose meter in preparation for the documentation of my Peat style diet. I used it a few times when I received it, just to get the hang of it. I was a little surprised by the results -- 98 fasting, 102 post prandial... I figured it must be the sugar in the Peat diet that made the difference -- I had always been under 90 before.

The day before yesterday, I checked again my fasting glucose level. 111!!! What?!?

I freaked out. Later that day, I had 102 before lunch, 103 after lunch. Yesterday, 102 fasting, 109 post-prandial. Today, 109 fasting...

Which sent me into a googling frenzy, of course, and this came up:

Typically, blood glucose levels are unaffected by hypothyroidism because insulin sensitivity is not altered. In fact, in patients utilizing exogenous insulin, there may be a decrease in insulin requirements from reduced insulin degradation. Therefore, typically, glucose remains stable or improves while a person is hypothyroid. Once thyroid treatment is initiated, patient education and close observation is vital because normalization of the thyroid may potentially lead to higher blood glucose levels and loss of diabetes control.

(From "Diabetes and Thyroid Disease: A Likely Combination" by Jennal L. Johnson, MS, RNC, FNP, CDE, and Daniel S. Duick, MD, FACP, FACE, published in Diabetes Spectrum Volume 15, Number 3, 2002)

Basically, I might have become insulin resistant, or pre-diabetic, a tendency that thrived on my lovely Peat diet. My low thyroid levels were masking that development! Could this be actually the reason behind the down regulation of my hormones? They may have kept it all in check for me. Some argue -- and intuitively I believe them -- that the body is truly smart and should not be second guessed... Sometimes, a slowered metabolism and impaired functionality are the body's way to deal with severe issues, from Lyme disease to... diabetes, why not? I sure have the genes for it, unfortunately.

Now I have to watch this development. No fun at all. I think I need to let go of sugar. I know, I know, what an unPeatian thing to do, right? Besides, those results are not so bad and they may represent a temporary spike, caused by T4 supplementation. I should be so lucky!

I kept googling and found out that someone with full blown diabetes went on a certain forum and obtained some thoughtful advice from a certain "female German" user. The latter, true to her habit, and with best intentions, no doubt, spared no effort and wrote lengthy, persuasive messages, pushing progesterone by the spoonful, sugar, salt and such... But in the heat of the argumentation and the throes of admiration from her newly found patient, she let go off a piece of information that sent my head spinning. You be the judge:

“Once I asked Ray Peat about PAP testing and what could be done if the PAP test came back with a bad result. He told me this was a way to threaten women into unnecessary procedures. If you used vitamin A, vitamin E and progesterone and thyroid, both orally and topically - you would be fine within a month. He'd given this advice to many women over the last 50 years and it always worked. He'd thought about it when he had pre-cancerous and cancerous lesions in his mouth and used vitamin A and E and pregnenolone and thyroid to heal them (which they did). He realized that the mucous of the mouth was similar to that of the vagina. I have given this advice to many women during the last couple of years. It always worked.”

I had never read before that the man himself had dealt with oral cancer... Let alone that he cured it with vitamin A, vitamin E, thyroid and pregnenolone...

No progesterone? I wonder why…

And, most of all, I wonder how I feel about just finding out that my new diet hero had 1. "cancerous lesions" 2. in his mouth 3. where he used to administer himself experimental doses of progesterone 4. which is considered by some carcinogenic and angiogenic 5. on the background of a diet with lots of sugar, coffee, and with tons of components considered by others, well, unhealthy and cancer-promoting.

It is all about context, right?

And yes, I do realize that Ray Peat was subjected to recreational radiation in his youth. I would have hoped that his diet beat cancer by a safe margin, though...

I also did notice that Ray Peat uses most vitamins and supplements topically now. "As a precaution"...

However, I remember the same zealous Peatarian (aka Rayser?) was strongly advocating the use of progesterone on another thread, together with Vitamin K and other such treats, for someone else who was battling lung cancer. 

Both "patients" advised by Peatarian abruptly stopped writing on that board.

I hope they are OK...

I will abruptly stop reading "testimonials" and abruptly wonder more than ever. Maybe this blog should not even exist, it draws attention to a current that has a few rabid proponents who can cause quite a bit of harm in their healing attempts. That is why I am not even linking to those threads, google for yourselves, maybe they are still up there... Things do become invisible on that forum!

The mind boggles.


I don't even want to comment on the "mucous of the mouth was similar to that of the vagina" part and the fact that both Peat and Peatarian reportedly have been healing cervical cancer with progesterone used "topically". 

I learned a whole lot from Ray Peat and from many of his followers. Generally, they are open minded -- which makes them permeable to Peat's contrarian ideas to begin with.

Too bad a few of his followers out there are truly scary.

(On another thread, people were discussing Ray Peat’s “scratchy” voice. Not one brought up the cancer in his past as a possible explanation. What a sinister “community”! Under the appearance of freedom of expression and genuine care, a bunch of zealots censor everybody to the point that that entire board perversely turns into a persuasive advertisement for Ray Peat and Ray Peat practitioners' methods!) 

May my shield of common sense stay up. I need it. I don't think that most doctors are stupid and evil, nor that most studies are flawed. And while I still like Ray Peat a whole lot and I am grateful for all the new understanding he brought into my life, after time consuming research and pondering, I have reached the conclusion that he cherry-picks with the best of them and nobody should stop his or her search for health on his site.

Time to say good bye to much of the sugar I enjoyed so far. It is simply not worth it. I am at higher risk for diabetes, 25% more than the norm, according to my genetic imprint, why push it?

Besides, since the diet and supplements he advocates did not prevent Peat from having to deal with cancer (and I wonder if I shouldn't add, "on the contrary"?) it makes all the more sense to me that there may be some truth in the findings of those who say that sugar favors tumors and that progesterone favors angiogenesis and growth of new tissue. 

Withings Led to Levothyroxine

I love the new Withings toys.

They allowed me to move on.

Seeing my diastolic pressure so high and hearing about those awesome post-fever days helped my doctor make up her mind and put me on T4 supplementation -- despite new results indicating a decrease in TSH, from 7.12 to 5.21!  I didn't even have to bring it up, she decided quite firmly that it was time for me to go on that route.

So I started on the 13th of April with 25 mcg of Levothyroxine. I will double it to 50 mcg in a few days and then go check my free T4 and TSH again.

The first three days were quite amazing, but not in the "after-fever" way I described previously. My body accelerated pace. However, harmony is still not here and I am left to actively search for that elusive balance I have been experiencing for a while.

There are things I don't like about myself in this way of eating, something is clearly off and I can't quite pinpoint it. I feel better and more energized than on the Paleo diet, but some nights are not that great and I sometimes feel this strain. It's hard to describe. I can feel my rib cage, if it makes any sense -- hence, my compulsive measurements on the Withings BP monitor. Who knows... I was probably developing something and this diet causes it to stand out more? Or is it from the diet itself?

I am not sure what I should give up in order to feel better. I am reluctant to give up sugar, my newly rediscovered friend. If I give up dairy there is nothing much left to eat... Coffee? It would be such a pity!

I already don't feel like eating starches anymore, they have quickly moved into "irrelevant" territory for me. It's funny, really, from one of my favorite (forbidden) foods when low carbing, potatoes have become again a massive bore. Like when I was a child and they were this personal enemy on my plate -- just massive "foodstuff", lacking all taste, a lot like pasta and bread... Yucky fillers people had to eat for unfathomable reasons...

Rice (with milk, sugar and vanilla flavor) is the only starch I still eat, in small quantities. So, I guess I am doing a cross between a Peat diet and a PHD diet. Which brings me on a rather balanced dietary route, really -- the more so as I have never really started the Peat-crowd-favored supplements -- no pregnenolone, progesterone, K2, aspirin, niacinamide, cascara sagrada, etc.  I even gave up on the baking soda baths after noticing they brought about episodes of high diastolic BP, after an initial relaxation.

I will start experimenting again with some of those maybe -- just never again with pregnenolone and progesterone. Reading a bunch of articles and books really calmed down all desire to believe that "bioidentical" progesterone is in any way better than progestins (no studies to show it) and when I looked into the Nurses' study results I was stunned -- progestins looked way worse than even evil estrogen, so... I  don't get Ray Peat's position on this one.

Why he would maintain that progesterone and pregnenolone do not metabolize into estrogen is another mystery. All science points in that direction. If those things are in any way "bioidentical" they should act like the original hormones, so?..

When a well meaning scientist patents and then advocates a certain product for decades there are many defense systems at play preventing that person to recognize the fact that the said substance can prove truly dangerous to many people out there...

I honestly wish the future might prove Ray Peat right and all the others wrong but, until that moment, I will definitely stay away from both pregnenolone and progesterone.

"Dreams Come From Us" -- Roger Ebert

Goodbye, Roger Ebert!

 ***

He was not only my favorite film critic, but indeed, one of my favorite people on the planet, EVER. I would like to honor his memory today, but I am too upset and words fail me. What can I say that has yet to be said?

Because this is a health blog and because Roger’s problems debuted with thyroid issues, I shall compile a brief history of his ordeal.

His generous openness regarding his health issues offer other thyroid sufferers a unique insight...

A story in the USA Today, “Roger Ebert Reviews His Thyroid Cancer, by Mike Falcon, with medical adviser Stephen A. Shoop, M.D., from back in april, 2002, has a few Ebert quotes that echo Ray Peat’s views on radiation being a major risk factor for health.

"I had radiation for an ear infection in the fifties, says Ebert. “At that time it was still common to treat acne, earaches, and other head and neck problems with high levels of radiation we now know are dangerous. As a result there's a little epidemic of people in my age group who are developing this type of problem."

There was Chernobyl, there are still dental x-rays, many of them unnecessary… The American Thyroid Association just issued a recommendation to the effect that special collars should be used when dental work requires x-rays: Policy Statement on Thyroid Shielding During Diagnostic Medical and Dental Radiology 

"Sometime before Christmas I felt a lump underneath my chin while showering," says Ebert. "We had a biopsy done and the diagnosis surprised me. I had a tumor near the salivary gland removed in 1987 and I thought it might be a recurrence."

So, in the beginning there was a salivary gland issue, and then thyroid cancer. Roger got hospitalized and had this new tumor removed, then he underwent the radioactive iodine treatment. He downplayed its importance, at this point, and seemed quite reassured about the future outcome of his illness. 
In a profile story published by Esquire in 2010, “Roger Ebert: The Essential Man”, Chris Jones summarizes the terrible events that followed:

“A year later, in 2003, he returned to work after his salivary glands were partially removed, too, although that and a series of aggressive radiation treatments opened the first cracks in his voice. In 2006, the cancer surfaced yet again, this time in his jaw. A section of his lower jaw was removed; Ebert listened to Leonard Cohen. Two weeks later, he was in his hospital room packing his bags, the doctors and nurses paying one last visit, listening to a few last songs. That’s when his carotid artery, invisibly damaged by the earlier radiation and the most recent jaw surgery, burst. Blood began pouring out of Ebert’s mouth and formed a great pool on the polished floor. The doctors and nurses leapt up to stop the bleeding and barely saved his life. Had he made it out of his hospital room and been on his way home—had his artery waited just a few more songs to burst—Ebert would have bled to death on Lake Shore Drive. Instead, following more surgery to stop a relentless bloodletting, he was left without much of his mandible, his chin hanging loosely like a drawn curtain, and behind his chin there was a hole the size of a plum. He also underwent a tracheostomy, because there was still a risk that he could drown in his own blood. When Ebert woke up and looked in the mirror in his hospital room, he could see through his open mouth and the hole clear to the bandages that had been wrapped around his neck to protect his exposed windpipe and his new breathing tube. He could no longer eat or drink, and he had lost his voice entirely. That was more than three years ago.”

It is hard to not remark the dooming role radiation played, yet again. Just reading this makes me look for comfort — and where else can I find it, but in Ebert’s own words, from the same "Esquire" article:

“These things come to us, they don’t come from us, he writes about his cancer, about sickness, on another Post-it note.

Dreams come from us.”  

Thyroid Gland Physiology, Musings, Gadgets...

...by Dr. Adeleke Adesina. More videos like this on http://www.ftplectures.com/:

-- a subscription is required, free for the first three days. Another free video on "Thyroid Storm" can be found on YouTube.

Can a thyroid gland ever come back from Hashimoto's? My ultrasound shows that destruction of the gland has happened. It is not clear to me whether it is still going on. I do have some moments when I feel BETTER, as in almost hyperthyroid... So that would be consistent either with continued destruction and cleaning of debris by antibodies (which have considerably diminished in the past year) or with slow regaining of function and improvement. It will be interesting to have the same doctor perform an ultrasound in the near future and compare the results with the previous ones.

A few studies out there let me believe that the thyroid can indeed be destroyed by incorrect nutrition and rebuilt in the presence of high TSH and low T4.  I have both, as well as normal T3.  My doctor said I should not supplement with thyroid hormones unless I reach a TSH of 10 (I am currently at 7) or I run into serious symptoms.

Since I started eating Peat style, I can say that my energy has increased a whole lot.

I have also had a series of bacterial infections, in my left ear, the last of which has been extremely virulent, to the point that surgery was considered an option. I had very high fever and then...

And then, I don't know if this is temporary or not, but I have been pretty much walking on air! I am still trying to understand how this happened and what is it that makes me feel not good, but GREAT! Again, I hope it was not an episode of thyroid destruction that released lots of T3 and T4 into the bloodstream.

If my next thyroid numbers are awesome, I will attribute this to the Peat lifestyle, without a doubt.

If the antibodies have increased, I will not be too happy -- that means that further destruction has occurred.

But I want to get to the bottom of this diet experience by following Dr. Georgia Ede's example, namely doing readings of blood glucose and frequent blood tests and pulse and tension and recording properly everything that happens to me. I should also keep a serious diary with all this, but I am reluctant to do it here, it might make this blog too messy with a mix of personal experience and science and thoughts about diets and what not. Maybe I should start a separate blog for the daily diet experience, connected here in the upper tabs...

I need to round up some equipment in order to do this. I had set my eyes on the Withings smart body analyzer and their blood pressure monitor. I could do some mean graphs without even trying using those... Besides, I needed a good excuse to get them.

So, lots of work ahead, but that's alright, 'cuz now I've got the energy!