Depressed (Updated)

Depressed today.  Ate starches several days this week.  I’ve been feeling dull the last few days, and today it’s full-on depressed. I’m sure it’s because of the starches…because this is what happens.  But you know what?  I’d really like to be able to eat a slice of home-cooked gluten free bread now and then without it having such a dramatic effect on my mood.  I’m tired of having to stick to such a restrictive diet in order to feel ok.

After reading this post over at Free The Animal, I’m asking myself if my current restrictive diet (basically just dairy, coconut oil, butter, meat, eggs, fruit, juice, seafood (1x a week), liver (1x a week), and sometimes chocolate) is really just symptom management.  I feel great when I’m able to stick to it for a string of consecutive days, but eating the same 9-or-so things is monotonous and isolating.  I don’t feel like I can eat at restaurants or sit down to meals with my family, because most often I’m having something weird like juice and cheese for dinner.

Again, though – I feel great when I can stick to this.  But as I’ve said before, a diet is only as good as your ability to stick with it long term.  I can’t stick to sweet drinks and cheese for the rest of my life.

So I’m wondering if my gut needs some serious help.  Why the hell can’t I eat regular foods and still feel ok (and by regular foods I don’t mean the Standard American Diet – I mean a daily serving of gluten-free bread, potatoes, or a salad).  I don’t want to get into the details of my bowel health or function, but things in that department are inconsistent, and depend greatly on eating raw carrots.  Miss a day or two of those and I’m not doing well.

I’m considering doing a Metametrix GI Effects test, to test for digestive system problems.  Unfortunately you need a doc to order it, and my insurance covers NOTHING unless I’ve had greater than $12,000 worth of illness in one year, so we’re looking at probably $600-700 dollars, between doctors visits and testing.

Hm….the tax man just took all my money.  Maybe I’ll just continue on, avoiding things that trigger symptoms.

Back to no starches.  Maybe I’ll feel better by Monday.

Update:

It occurs to me that I should really put some effort into learning how to cook with the few ingredients that make me feel awesome so I can learn to tolerate a restrictive diet.  I’ll share the recipes I come up with.

Updated Labs and Gut Health

I didn’t get everything tested – just the basics, which is what I could afford right now.  Here they are, with the current results in RED.

3/27/2012 11/14/2012 9/6/2013 12/30/2013
Units Ref
Glucose 98 98 117 114 mg/dL 65-99
Hb A1C 6.4 <7.0
Uric Acid 5.9 5.2 5.4 5.4 mg/dL 2.5-7.1
BUN 19 25 18 18 mg/dL HIGH 6-24
Creatinine 0.69 0.73 0.57 0.6 mg/dL .57-1.00
eGFR 108 101 113 111 mg/dL >59
BUN/Creat Ratio 28 34 32 30 HIGH 9-23
Sodium 138 139 139 138 mmol/L 134-144
Potassium 3.8 3.8 4.5 4.1 mmol/L 3.5-5.2
Chloride 1.3 104 103 104 mmol/L 97-108
Calcium 9.3 9.2 9.4 9.2 mg/dL 8.7-10.2
CO2, Total 28 20 mmol/L 19-28
Phosphorus 3.6 4.1 4.0 3.4 mg/dL 2.5-4.5
Protein, Total 6.8 6.9 7.2 7.1 g/dL 6.0-8.5
Albumin 4.3 4.4 4.4 4.1 g/dL 3.5-5.5
Globulin, Total 2.5 2.5 2.8 3.0 g/dL 1.5-4.5
A/G Ratio 1.7 1.8 1.6 1.4 1.1-2.5
Bilirubin, Total 0.2 0.3 0.3 0.3 mg/dL 0.0-1.2
Alkaline Phosphatase, S 63 64 70 62 IU/L 25-150
LDH 142 137 137 143 IU/L 0-214
AST (SGOT) 20 14 12 15 IU/L 0-40
ALT (SGPT) 25 17 18 20 IU/L 0-32
GGT 14 14 27 20 IU/L 0-60
Iron 66 81 116 88 ug/dL 35-155
WBC 8.7 x10E3/uL 3.4-10.8
RBC 4.36 X10E6/uL 3.77-5.28
LIPIDS
Cholesterol, Total 222 297 270 274 mg/dL HIGH 100-199
Triglycerides 107 203 288 312 mg/dL HIGH 0-149
HDL Cholesterol 54 56 43 46 mg/dL >39
VLDL Cholesterol 41 58 mg/dL HIGH 5-40
LDL Cholesterol 147 200 169 166 mg/dL HIGH 0-99
T. Chol/HDL Ratio 4.1 5.3 6.3 6.0 HIGH 0.0-4.4
Estimated CHD Risk (Tot. Chol/HDL) 1.4 1.8 HIGH 0.0-1.0
OTHER
Vitamin D 34.2 67 (on 11/11/13) ng/mL 32-100
Insulin, Fasting 27.9 uIU/mL HIGH 2.6-24.9
hs-CRP 8.65 8.12 13.58 mg/L HIGH 0.00-3.00
THYROID 3/27/2012 11/14/2012 6/19/2013 12/30/2013 Units Ref.
TSH 1.7 4.01 1.55 2.92 uIU/mL 0.450-4.500
Thyroxine (T4) 4.1 8.9 7.4 6.9 ug/dL 4.5-12.0
T3 Uptake 32 25 27 24 % 24-39
Free Thyroxine Index 2.5 2.2 2.0 1.7 1.2-4.9
T4, Free (Direct) 1.04 0.97 ng/dL 0.82-1.77
Reverse T3 20.9 10.2 ng/dL 9.2-24.1
Triiodothyronine (T3) 126 120 ng/dL 71-180
Thyroid Peroxidase TPO Ab 10 8 IU/mL 0-34
Antithyroglobulin Ab <20 <20 IU/mL 0-40
Free T3 2.9 2.8 pg/mL 2.0-4.4

The first two columns (3/27/12 and 11/14/12) are when I was eating low carb with about 5% of my diet being carbohydrates for the first, and 10-15% for the second.  The third column (9/6/13) I was floundering around, trying on various diets/lifestyles.  At that time, about 20% of my diet was carbohydrate.  In November I started paying attention to Ray Peat and I increased my carbohydrate consumption to 40-50%, most in the form of simple sugars/fruit.  My blood sugars started soaring though, so a few weeks later I switched from simple sugars to starches and cut the quantity down to about 30%, while increasing protein.

So how am I doing?

Blood sugar – fasting glucose is high (but not over 126), HbA1C is not ideal, but is not in the diabetic range, and fasting insulin is high.  These factors suggest to me that I am more likely VERY insulin resistant, but not necessarily diabetic yet.  The fact that my body is still pumping out that much insulin is a good thing.  My pancreas isn’t dead yet.  I’m certainly very close to type 2 diabetes, if I’m not there yet…and I know I need to take this very seriously.

Thyroid – I was hoping eating carbs would help thyroid function.  However, if TSH is a reliable marker (and Ray Peat says it is) it looks like I did best with some carbs but not many.  Of course my triglycerides were happiest with none, but you can’t please everyone.

Lipids – OMG, I’m so about to die of a heart attack.  Triglycerides absolutely not going in the right direction…HDL was highest on low carb, LDL a bit better now than it was last winter but still not good.  I have been taking very small doses of T3 every day (6mcg), but that clearly isn’t enough to have an impact on cholesterol.  Will have to increase it.

Other – That CO2 number is terrible.  What happened there?

My ability to interpret labs is limited – please feel free to add your interpretation in the comments.

And in other news, I’ve decided my gut is completely torn up from 2 rounds of antibiotics this year, and that’s why I’m having trouble tolerating the potato starch.  I’ve decided I’m going to mix it with all kinds of junk and make it into BIONIC FIBER.  (<– Imagine I said really loud with an echo.)   I’m on day 3 of probiotics.  I’m going to fix my gut biome, dammit!  But most importantly, I have baseline data for my Resistant Starch Experiment.