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.

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.

Dr. Peat vs. Dr. Servan-Schreiber, SOS Medecins, Dr. Gershon and Oysters

So what if Dr. Peat had cancer... I read Dr. David Servan-Schreiber's book "Anticancer" precisely because he was a cancer survivor. He had brain cancer at 31, survived for 20 years with a diet rich in vegetables, fish, vegetable oils, curcuma, green tea. I guess one might say that his views are quite the opposite of Dr. Peat's.

It would be interesting to know when did Dr. Peat have his terrible encounter with cancer, but if he did not make that public, it is his choice, I guess.

I know that one cannot compare these diseases, least of all someone without a medical education like myself, but still, if Dr. Peat didn't have any more issues after a diet such as his, his very state of health might be interpreted as a sign that Dr. Servan-Schreiber's diet may not be the answer and it would be really too bad that it has become the norm in the fight against cancer?

I will be seeing my doctor again, after two episodes of ... I don't know what that was. Generalized numbness. My blood glucose was 135 during the first episode. I ended up calling SOS Medecins (an association of doctors doing house calls for emergencies, very cool).  I did not impress the doctor who came, he bet on a magnesium deficiency and panic attack and said the blood glucose had gone up because I got scared. Of course I got scared. Here I was, reading peacefully, when I realize something is funny. The tips of my hands cannot feel the page, the soles of my feet cannot feel the ground... I scratch my head and cannot feel the roots of my hair, touch my face, cannot feel the fingers on it... Good Lord!

The next day it happened again, at the same time, around 5 p.m. and it lasted even longer, almost until I fell asleep.

Yesterday I tried a "trick". In the morning, I didn't take my 37.5 mcg of T4, nor any other supplements except  magnesium and 5 o'clock came and went without funny feelings. I took the T4 at night, as Dr. Peat advises, to improve sleep and counteract the TSH on the rise. As I type this, the back of my hands feel sort of numb. The face too, a bit. This is stupid. One and a half hour to go till I see my doctor. I can drive and walk, just that everything is bizarre. For instance, if I clench my fists together real hard, I can only feel some pain in the muscles, next to the bones, but no sensation on the skin.

I started reading Dr. Michael Gershon's book "The Second Brain -Your Gut Has A Mind of His Own". Excellent!

But it took away all desire to eat oysters, just as I had made up my mind to not let another week go by without eating at least a dozen.

(Do all these wonderful experts have to contradict each other with equal persuasion? How come Ray Peat, who is so careful about toxins, recommends oysters, despite their being these natural filters of filth next to our shores?)

Reading Gershon's story about that one sailor taking a dump in the sea during oyster harvesting and then getting so many people sick with the same bug he was carrying, all traceable back to him, cured all desire of fresh oysters I might have had. And his comments about the globalized food market and the handlers of food and the differences in microbial flora and the way things work at the colon's level made me contemplate with remorse the reckless food habits I had during my trips to SE Asia or even the forays to the local Asian markets. Just because the local people could eat all that wonderful food without any health issues did not mean I was supposed to, as well.

Who knows what is going on with me...

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.