Low Fat/High Carb Day 9

On day 9 now of high carbohydrate (white rice, white sugar, whole fruit), moderate protein (low fat meats, oxtail broth daily), low fat (just what’s in the meat).  So far I’ve lost an inch on my waist, my energy is good, and my fasting blood sugars are under 110.  Take a look:

FBG

Interesting, isn’t it?  But the media says sugar is causing my diabetes!!!!!!!!

Oh well.  I’m learning that nothing anyone says has anything to do with me at all.  Sort of a metaphor for life, really.

I’m having a lab draw this week to look at lipids and HbA1C.  I guess we’ll see how this is affecting my triglycerides.  Last time I ate a lot of sugar over a long period of time my triglycerides reached 500, but I was also eating a lot of cheese and other fat and had a net positive energy balance (i.e., eating =/> my body needed for survival, as evidenced by weight gain).  Labs right now won’t tell me much after only a week and half, but hopefully it will be an indicator of whether or not I’m on the right path.

My family situation is causing me stress, of course.  This is the first time I’ve felt serious emotional stress that is not CAUSED by endotoxin in about 18 months.  My friends at Nourish Balance Thrive always recommended the Headspace for stress management.  I’m going to start using it.  I have historically had a really hard time with meditation.  I’ve participated in lots of meditation groups, classes and even retreats, and always the actual sitting and trying to control my mind was really difficult.  Probably an indicator that it’s something I need to work on.

Seeking Euphoria

I wrote to Ray Peat tonight.  I’ve hesitated bothering him with my health problems, but who knows – maybe he likes to be bothered.  I took a chance.

What’s been on my mind is that I felt really good earlier this year when I was eating fruit/juice/sugar throughout the day, as well as following the other Peat-recommendations. I knew what it was like to feel happy for the first time in my life…or at least since I was a little kid.  I’ve seen Peat quoted as saying,

The production of euphoria has been mentioned as a side effect, but I think euphoria is simply an indication of a good physiological state.

At the time a few months ago I didn’t think of it in those terms….I just knew that’s what happiness felt like.  No depression.  No anxiety.  No body image insecurity.  No negative self talk.  I would be driving in my car, and just be enjoying the day.  It was great.

Well, I got freaked out by my labs at the end of April, including triglycerides over 500, and cholesterol over 300, certainly related to consuming sugar.  I started looking for alternatives.  I tried the Perfect Health Diet, I’ve tried eating only protein/fat/vegetables/dairy, I’ve recently added starches back in my diet…my labs have improved and I feel fine I guess…but I still don’t have that HAPPY feeling.  So I wrote to Peat tonight to tell him about my problem with triglycerides and cholesterol, because I’m motivated to eat fruit/juice/sugar again – I think that’s what made the difference last Spring.  Thankfully, he wrote back already.  Here’s his answer:

High cholesterol compensates for low thyroid, keeping your pregnenolone, progesterone, and DHEA up. Sugar allows you to dispose of free fatty acids by turning them into triglycerides for storage. Free fatty acids activate stress hormones, which in turn cause the synthesis of fatty acids, even from the breakdown of amino acids, derived from protein by the action of cortisol. When cholesterol is that high, it’s almost always because of low thyroid activity, and stored PUFA are probably the commonest cause of that. I think free fatty acids, and their degree of unsaturation, would be the most meaningful blood lipids to test, but it’s easier to test for cholesterol and triglycerides.

Sounds like I’m an unsaturated mess.  I think what he’s saying is that I’ve probably got so much stored unsaturated fat from years of eating CRAP, and when these free fatty acids  are released they activate stress hormones, which then causes more fatty acids to be released in a vicious cycle.  Sugar stops this cycle by increasing triglycerides.  So the fact that trigs are high is a sign there’s something wrong – my body is literally swimming in PUFAs – but the trigs are high because they’re trying to protect me from them.  The happy feeling then might be the lowering of stress hormones.  Of course, thyroid function is also impaired by the sea of PUFAs inside me, which doesn’t help.

So I definitely had some intestinal dysbiosis, causing inflammation which was probably increasing cortisol…also due to a CRAP diet for so many years – I mean, how many decades did I eat pasta 328 times a week?? – and all of my stored PUFAs are also causing stress hormones to be released…that’s a lot of stress hormones.

Maybe how I feel right now – this sort of neutral, unemotional, functional-but-not-particularly-happy feeling I’ve had for the last 2 weeks – is how it feels when depression is gone but stress hormones are still high.  It’s better than depression…but I want the HAPPY back.  I guess I’m getting greedy.

I’m going to give niacinamide and aspirin another go.  Last time I tried them I got discouraged because the day I started taking them I started also having hot flashes.  Completely unrelated, I now realize.  Given what Peat says about FFAs causing my high triglycerides, it makes sense to use them.

If what Peat says is true, I’m likely to have FUBAR labs for the next 4 years or so, as long as it takes to detoxify all the stored PUFA in my body, while maintaining a low PUFA diet. I should probably stop trying to treat lab results, and just trust the process a little.  I’m not going to go crazy with sugar.  Just enough, to start…maybe I’ll try to focus on having distinct meals that are well balanced with protein/fat/carb, rather than winging it and grazing all day, chasing my blood sugar through ups and downs.  After a couple weeks of niacinamide/aspirin I may try to supplement thyroid hormone again.

Stream of Consciousness

After eating starches for a few days – some potatoes one day, a cup of brown rice pasta another day, and some homemade gluten-free bread another day, I spent the last 4 or 5 days being depressed, irritable, and tired.  I turned off the starch spigot 2 days ago, and last night I finally started to feel better.  Still have a short fuse though.

My body is sick.

I started feeling sick around December 2012 (here’s a random post from around that time, but there are many like it), when I was in the midst of a very stressful time in my life and was trying to maintain my health on a low-carb diet.  I now realize that that was just stupid.  The human body needs carbohydrates for fuel – especially when it’s stressed, as stress devours nutrients.  Low carb folks don’t realize this, however, because they do fine – great, even – for 6 months or a year, they lose weight, it’s all very rewarding.  And then at some point it catches up.  They’re cold all the time, they stop sleeping well, they become tired and their bodies stop fighting infections well.  I lurk over at Jack Kruse’s site sometimes and of the 5 or 10 long term followers still hanging out in the forums there, most are having worsening health problems.  They refuse to question the good doctor though.  They believe him when he says it’s their “zip code” that’s the problem (all of the EMF, you know), and several of them are planning out of state moves – uprooting their kids, quitting their jobs.  Because Jack Kruse said to!  They’re ignoring all information to the contrary, blaming themselves for their health problems rather than blaming the TERRIBLE ADVICE THEY’RE GETTING.

EAT SOME CARBS, DAMMIT!

It’s easy to sit and judge from outside, but I know I’ve fallen into the same trap.  I’ve gotten caught up in what someone is saying and I stop listening to the messages my body is sending.  I followed the low-carb path out of habit long after it stopped feeling good.

I was feeling great on a Peat-inspired high-carbohydrate (high-sugar) diet for a few months.  I felt happy – free of depression and anxiety for the first time…ever.  It was great.  I thought anxious was my personality.  Nope.  It wasn’t.  I know that now because I’ve seen what it’s like to not have it.  The last time I felt that way was about 2 weeks ago.  I remember watching my daughter play and having that feeling – that great feeling of “there’s nothing wrong.”  Even my bad body image takes a break during these periods of time, which last only a few hours. I look back my diet log in Cronometer and around then I was eating a high sugar, moderately low-fat diet at the time, no starches.

Well, that’s great, except my diabetes is probably causing endothelial damage as we speak…and of course then there’s the rising triglycerides/cholesterol (read: impending heart disease).

I’m on a merry go round of silly dietary stuff. I’m pretty tired of tracking what I eat. It would be worth the effort if I was seeing some improvement, but…I’m not. I’m tired of looking around and seeing nothing I can eat that isn’t in some way making me more sick (except milk….hm….all-milk diet?).  I’m avoiding going to the doctor because I think what’s next for me is 2-3 prescription medications, none of which I want to take, because it feels like I’m giving up.  I broke my body (somehow) – I should be able to fix it!  I’m intelligent and determined!

But also tired of running into brick walls.

I’ve decided to start another resistant starch experiment.  I ordered – and received – the 3 probiotic products (scroll a bit to see the “Frequently Bought Together” section) recommended by RN over at Free The Animal.  I may use Dr. BG’s 7 step fix-your-gut protocol. I don’t know if I’ll be using potato starch or not.  Pros: It’s still in my kitchen cabinet and it’s easy and tasteless.  Cons: Possible organ failure related to long-term use.  I’m at the point now where I’m willing to roll the dice on this one.  Or, maybe I’ll find a resistant starch that has a smaller granule size, thus side-stepping the organ death thing.  Don’t know.  I’m not going to do anything though, until I get my gut critters analyzed.  A year ago I ordered a sample kit from the American Gut Project, out of curiosity.  Then I moved 3 times within about 6 months and never got around to using it.  Only problem is, now I can’t find the sample kit. Guess I have some house cleaning to do today.

What else…oh, the hot flashes stopped a couple days ago.  Don’t know why they started.  Don’t know why they stopped.

/stream of consciousness.

Results and Changes

Had a lipid panel done today, about 2 weeks after my last one.  Over the past week I did the following:

  • Aimed for a 2:1 carbohydrate to protein ratio.  I found this difficult because I don’t particularly like sweet food, so I fell short some days.
  • Aimed for a 1:1 calcium to phosphorus ratio, because Ray Peat says.
  • Ate no starchy foods, getting all of my carbohydrates from sugar (fruit, honey, juice, and white sugar)
  • Maintained a lower-fat diet (averaged 59g fat/day or about 24% of total calories, on average).
  • Took niacinamide and aspirin 3x a day
  • Doubled thyroid supplement (Cynoplus, a combination T3/T4) from a very small dose -1/4 tablet (7.5mcg T3 / 30mcg T4) to two 1/4 tablets per day.

The results of today’s lipid panel:

  • Total Cholesterol: 316 (first time ever above 300).  Shouldn’t increased thyroid supplement decrease cholesterol?
  • Triglycerides: 495 (a 3% improvement. I’m not impressed.)
  • HDL Cholesterol: 30 (lowest ever)
  • LDL Cholesterol: Couldn’t be computed because Trigs were so high (this was the case last time too).

So, not great.

Here’s a handy chart showing my lipid panels over the last 2 years, along with brief notes about my diet during that time:

lipid panels

So you don’t have to turn your monitor on it’s side, here are the notes that correspond with the different testing dates:

3/27/2012 – Low Carb/Leptin Reset

11/14/2012 – Low Carb + Stress (Moved to a new state, started a new and very stressful job, was doing the Wiley Protocol and supplementing estrogen + progesterone).

6/19/2013 – Low Carb, without following any particular plan.  When I ate carbs they were in the form of starches from potatoes and rice, some vegetables, no fruit.

12/30/13 – Ray Peat, low sugar – around a 1:2 carb:protein ratio.  I was fiddling around with eating fruit, juice, and sugar but I was scared by the effect it was having on my blood sugar.  It was about this time I realized I was diabetic and was afraid of eating more carbohydrates.

4/19/14 – Ray Peat, high sugar – 2:1 carb:protein ratio – I decided to jump in with both feet and start eating more carbohydrates. When this test was done I was eating high fat (90-120g/day), high sugar (over 200g/day, some of which were starches), moderate protein (about 110-120g/day).  Pressure under my left ribcage was making me concerned that something might be wrong.

5/2/14 – Ray Peat – high sugar (2:1 carb:protein), low fat (around 25% of calories), taking niacinamide/aspirin/increased thyroid to address scary lab results.

According to this, my body (well, at least my lipid panel) responds best to a low carbohydrate diet, with minimized environmental stress.  I can tell you I didn’t feel great eating low carb after a while – I felt tired all the time, irritable.  But maybe that was because I wasn’t getting enough nutrition – I wasn’t tracking my food back then – vitamins/minerals were pretty much off the radar for me. I wasn’t eating liver or taking progesterone then.

Of course, other things were worse then.  My BUN/Creatinine ratio for example, got worse the longer I was on low carb, and improved since then.

BUN

Maybe eating too much meat is stressful on the kidneys after all?

Let’s look at thyroid:

thyroid

Seems sort of unrelated to sugar intake, actually, and more related to environmental stress. When I had the labs drawn in 12/2013 I was experimenting with resistant starch.  I think that was stressful on my body – I know it was stressful on my emotional state. So that may account for the increase in TSH last December.  I know TSH isn’t the ideal measure for thyroid function, according to many people…but Peat seems to think it’s a decent gross measure, so good enough.

And of great importance to me is my blood sugar.  Let’s see the data:

blood sugar

This is a crazy graph, right?  There was definitely an increase in fasting blood sugar when I started following Peat and adding carbohydrates to my diet, but that’s to be expected.  Anyone can have “well managed diabetes” with a low carb diet.  I wanted to actually FIX my diabetes, so I was experimenting with adding carbs back in to see what it would take to do that.  From the graph it looks like the best things I did for my blood sugar were bicycle for 30 minutes a day and eat a low-fat diet.

Holy crap!  Just like my conventional doctor told me!  Exercise and eat a low fat diet!

hahaha

It does seem my current supplements are confounding things.  The graph shows that eating a low-fat high sugar diet results in lower fasting blood sugar…but not if I add niacinamide, aspirin, and increase thyroid.  Hm…interesting.  If I was a patient person, and if I really loved sweet food, I’d probably just eliminate the supplements I’m taking and go back to high-sugar/low fat for a while to see if that trend continues.

I’m neither patient nor in love with sugar.

And considering that I’m STILL having hot flashes – even while sitting right here, right now, I’m going to stop taking niacinamide, aspirin, and thyroid.  One of them is bothering me.  Later on I may try to add them in one at a time and see what I can tolerate.

So to sum up: It looks like the best thing for my lipids is low-carb.  The best thing for my BUN/Creatinine is low meat.  The best thing for my thyroid is low-stress.  The best thing for my blood sugar is low fat and bicycling 30min a day on flat terrain.  The best thing for my enjoyment of life – to not have to eat so much sugar.  I really don’t look forward to it.

So what kind of diet is low-carb, low-meat, low-fat, and lower-sugar?  Maybe one with dairy (mostly low-fat), some lean meat, lots of vegetables, some fruit (when I feel like it).  Plus avoid stress and get exercise.

I still love Ray Peat – he gave me progesterone, Vitamin E, red lights, liver, vitamin K, dairy, raw carrots, and taught me that estrogen, PUFAs and serotonin are bad guys.  I’m continuing on with much of what he has to say.  Just less sugar.  More vegetables.  More exercise.

I might as well retire the blog.  I have nothing original to say anymore.

So there it is.  That’s my new plan.

Train Wreck

Fasting blood sugar this morning: 143.  Not awesome.

Weight steady for 6 days straight at exactly 207.5.

Still having hot flashes.  Is it possible it’s completely unrelated to the niacinamide/aspirin regimen I just started?  How could that be when the hot flashes started right after I started taking these supplements 3x a day?  Well, to be accurate they started 3 days after I started taking them, exactly when I increased the niacinamide to 250mg 3x/day from 100mg 3x/day.  They’re annoying now.  I can’t seem to correlate them to anything.  They happen in the middle of the night, right before eating, right after eating protein, right after eating sugar, an hour after eating sugar…If this was a stress response related to not enough sugar I think it would be prevented by eating it, right?

I’m starting to feel discouraged.

I started the niacinamide to address my ridiculously high triglyceride level.  However, various sources around the web say that niacin (NOT the non-flushing niacinamide) is more effective for this.  And apparently both niacin and niacinamide can cause higher blood sugar in diabetics (yup, got that too).  I feel like I’m completely fucked!  I mean, I’m trying to fix one thing and it’s making the other thing worse…and I’m not even sure it can possibly help the first thing, plus weird hot flashes.  WTF IS GOING ON WITH ME?

I haven’t even told you the best part yet.  For the last few months I’ve been feeling a sort of pressure under my left ribcage.  It had recently been turning into discomfort, and a little bit of pain throughout my upper torso. Research on the web suggested in might be an enlarged spleen, which can signal that other organs (like the liver) are having some kind of problem. That’s why I got labs done a couple weeks ago, including a complete blood count (CBC) – to look for elevated liver enzymes or other indicators that some organ might be struggling or fighting an infection or something.  After seeing those triglyceride numbers I was motivated to stop with the starches (again) and started eating a low fat diet – because hell, I’ve tried everything else, right?  (Well, and also because Ray Peat suggested it might be a key to lowering my blood sugar.)  Well, since I’ve been eating lower fat the pressure under my ribcage has gotten better – it’s not gone, but I’d say 75% improved, and the pain is gone.

I consulted Dr. Google again today, and it turns out high triglycerides can cause inflammation of the pancreas.  Definitely when trigs are SUPER high, like over 1000 mg/dL, but who knows – maybe when lower but still high (like me)?  Symptoms of pancreatitis: pain/pressure in upper abdomen, radiating to the back, as well as other things like nausea (which I didn’t have).  Holy crap – so now my pancreas is about to explode?  Recovery from mild pancreatitis involves a low-fat diet (maybe that’s why mine is helping?) and medication to reduce triglycerides.  Oh, and stop eating sugar and fat.

I’ve decided to get another fasting lipid panel done tomorrow, to see if I’m on the right track.  Our local health department will do it for $20, and you get the results right away….so I’ll be following up on this tomorrow.  If things are NOT even a tiny bit improved after abstaining from starches, eating lower fat, and taking niacinamide and aspirin 3x a day, I’ll be seriously reconsidering the path I’m on.  I FEEL better with a Ray Peat inspired diet, but if my labs continue to suck I’m going to have to change directions.

Here’s my diet breakdown today:

crono

Carb/Protein ratio and Calcium/phosphorus ratios were short of ideal today, and fat was a little too high.

And did I mention it really pisses me off that niacinamide raises blood sugar!?

Crap.

High Carb Low Fat – Day 3

Today’s Cronometer breakdown:

crono

Seems like I always eat within about 100 calories from day to day.  Ok…so how did I do?  Carb:Protein ratio was 2:1.  Calcium:Phosphorus ratio was almost 1:1 (about 200mg shy on the calcium end, 2219mg of calcium and 2448mg of phos.)  I could supplement to make up the difference there but last time I took a calcium supplement my stomach did lots of weird things for a couple hours.  Apparently calcium carbonate is hard to digest.  I may try it again sometime, but for now I’m trying to keep these guys in balance with food. Fat…a little too high…trying to stay under about 50g.  I think I’ll need to stop with the grass fed ground beef for a little while.

I’ve decided to up my niacinamide dose from 100mg 3x a day to 250mg 3x a day, and see how that goes.  Concerned parties who shall remain nameless made an excellent case for increasing the dose, including something along the lines of, “Your labs are pretty bad. You need more drugs.”  Anyway, more niacinamide. If I tolerate this increase well I may even increase further.  Why not?  My labs seem to indicate I’m at death’s door anyway.  May as well experiment!

Plan of Attack

I’m very much back on track now…inspired by my last set of not-so-hot labs.

My short term goals are as follows:

Maintain a higher-carb, lower-fat diet in order to reverse my type 2 diabetes and reverse my abysmal lipid panel.  Rationale:

  • Lower fat to address high blood sugar (<20% of total calories, or in the neighborhood of 40-50g/day).  My dabbling in low-fat eating in the past month or two suggests that Ray Peat may be on to something when he talks about the Randle Cycle.  He says glucose oxidation is impaired by a high fat diet and/or fatty acids in the blood stream.
  • Higher carb in order to reduce stress hormones (namely, cortisol) (>250g carbohydrate) – Nearly all in the form of simple sugars – no starches, as those make me depressed, with the goal of eating at least a 2:1 carbohydrate:protein ratio.
  • High calcium intake (nonfat dairy, most likely), low phosphate intake (less meat).  I’m going to shoot for a 1:1 calcium:phosphate ratio.
  • I’m not going to make any effort to restrict calories.  That’s stressful and no fun.

Change my supplement routine to include the following:

  • Aspirin 100mg 3x/day
  • Niacinamide 100mg 3x/day
  • Vitamin K2 1mg 3x/day
  • Cynoplus (T3/T4 combo) increased from 1/4 tab daily to 1/4 tab 2x a day.  I may increase further in a few weeks, but that’s it for now.

The aspirin reduces inflammation.  Niacinamide inhibits the release of free fatty acids into the blood, and vitamin k2 ensures that blood clots normally despite the aspirin, and that calcium goes into the bones rather than the soft tissues.  Cynomel provides thyroid hormone that I don’t seem to be making enough of (evidence: total cholesterol of almost 300).  I’ll continue to take Vit D (5000 IU), Vitamin A (2500 IU), and Magnesium Glycinate.

Knowing that I have a tendency toward poor planning and then eating whatever’s available, I’m going to create some accountability for myself with this blog.  I’m going to post a screenshot of what I enter into Cronometer every day.  Here’s today:

Crono1

This will make it difficult for me to rationalize eating things that don’t support my goals.  Also it’ll force me to take a critical look at what I’m eating each day so I can learn from it and do better.  Today, still too much meat…instead of chicken breast I should have had more dairy or something with gelatin in it.  At the time I just wanted to stop feeling hungry – a big dose of meat does that well.  Time to learn new strategies.

Macro % today:

  • Protein: 30.9%
  • Carbs: 50.4%
  • Fat: 18.6%

More to report tomorrow.

Getting Back on Track…and New Labs

I was wrong…my HSLFDE was not resumed…It’s still paused.  I’ve been having a hard time getting back on track.  One day of bad planning and I’m eating crap food from a restaurant…then visiting people and eating their crap food…then another day of bad planning….you get the idea.  I’m still tracking what I eat so it’ll all be data for my experiment, but I do want to get back on track with the intervention portion of the experiment – I think I’ve got a pretty solid baseline at this point, from which to measure.

It looks like in 16 days a movie will be hitting theaters called Fed Up: “…the film the food industry doesn’t want you to see.”  Hm…well, that has potential, right?  But then I scroll down and see there’s a “Fed Up Challenge” – can you be “sugar free for 10 days”?  Like that’s the ticket to awesome health.  Yeah, I can be sugar free for 6 months.  You know what that gets me?  High cortisol, high BUN/Creatinine, high TSH, low energy, low mood, low interest in interacting with my child….shall I go on?  So yeah, great…more anti-sugar propaganda.  Makes me even more determined to stick to a low-fat Peat-inspired diet for a while, so I have some N=1 data to point to when this movie starts making waves.

Got some lab results today.  Numbers are fun.
labs1
labs2labs3

Current labs are in RED.  If there’s a space with no result, that means I didn’t get that test done this time.  Money is always an issue with labs…I try to get just what I need to track progress.

A couple thoughts about these…Let’s start with the good stuff.  My BUN/Creatinine ratio is coming down.  It reached it’s peak of 34 when I was eating low carb and under a lot of stress.  It’s come down gradually and is just a little over the range now.  I’m not sure what this is about – I know BUN and Creatinine have to do with kidney function and can indicate dehydration.  I guess I drink more fluids now but don’t drink much water these days…too much to drink with actual nutritional value, like milk, juice, or coffee.  Or maybe the improvement is because I’m not eating as much meat as I used to?  Less work for the kidneys?  Anyway, nice to see improvement there. Calcium Dioxide is now 21 instead of 20…a very small improvement.  Maybe that’s from the addition of carbonated water to my diet?  I mix a few ounces with OJ in the morning – it’s so awesome that way.  I should really start bag breathing and get that CO2 level up. Thyroid function may be improving – TSH is down from last time.

OK, that’s it for the good stuff…now, seriously.  512 for triglycerides?  That’s kind of high.  Like 10 times higher than I want it.  Conventional wisdom says that high triglycerides are caused by eating too many carbohydrates.  Hm…maybe.  I asked the smarties on my Ray Peat Facebook page for input and got the following responses:

Niacinamide 3x a day. Too much cortisol. Coconut oil. get enough calcium and reduce phophates.

and

This was from a kmud interview, mar 2014 – “niacinamide inhibits the lipase enzyme which liberates the free fatty acid’s from the triglyceride stores in the tissue. aspirin also does this.”

These comments are from people I’ve come to trust, so I’ll give niacinamide a try again.  I stopped it because it didn’t seem to be making a difference in any way I could sense.  It would be worth it though to bring these numbers down.  Also, the  “too much cortisol” and “reduce phosphates” comments hit home – I still eat too much meat.  I need to embrace carbohydrates and stop eating so much meat.  Darn the carbophobia.  Right now my carbohydrate:protein ratio is about 1:1.  I need to pretty much double my carbs and cut my protein by 1/3 or so.

They couldn’t calculate my LDL cholesterol because my trigs were so high.  Can you believe that?  I’ve never heard of that.  I’m off the charts.

Looks like MCHC was a little low.  I don’t know what that means, but Google says I might be a little anemic.

That’s about it.  Please feel free to analyze and share your interpretations of these numbers.

Also please feel free to feel superior to me because my labs suck, and link to my blog from your blog and talk about how you’ve got it all figured out and about how much of a loser I am to be continuing on my current path.  Go ahead.  It’ll be fun for everyone!

Just kidding.

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.

Ups and Downs – Updated

Feeling a little discouraged today.  Could it be moodiness related to quitting the DIM two days ago?  Perhaps.  Cuz I didn’t feel so hot emotionally yesterday either.  Started taking it again today.  Even if it is responsible for a few minor headaches (of which I’m not really convinced), if it helps me handle CT detox issues, it’s worth it.  I think it’s time for a good/bad segment.  It feels like it might be mostly bad today, so lets start with that.

The Bad

  • Yesterday’s CT wasn’t fun.  It was 35 minutes at 49 deg F.  Nothing I haven’t done before but it just felt cold and not much fun.  I don’t know why – I was well-rested and had eaten a decent dinner an hour before.  Oh well…maybe there’s no obvious reason I’m less cold-tolerant some days. I’ve been trying to stay in 40 minutes now, and didn’t want to stay in past 35.  Hopefully today will be better.
  • WordPress has been acting up on Firefox:  I tried to blog earlier and it wouldn’t let me type anything into my post.  Gave up twice.  Finally switched to Chrome.  Thank you for being cooperative, Chrome.
  • Had labs done today.  Our local hospital does monthly cholesterol screenings, including a fasting blood glucose check, all for $30.  Not a bad deal, and no silly statin-happy doctor involved. So David and I went to have ours checked.  He’s been following a Paleo diet but not the Leptin Rx or CT.  I’ve been doing the Leptin Rx + CT.  His labs improved.  Mine got worse.  I know it was prolly dumb for me to test now, considering I’m still experiencing detox symptoms related to CT.  I thought since my blood sugar has been improved lately, maybe other things have too.  Well, no.  So I was hoping for a psychological boost and didn’t get one.  The worst part is this: I tested my fasting blood sugar before I left home and it was 92.  Then at the lab, 45 minutes later, it was 105.  Huh?  So now I’m wondering if my glucometer or test strips are unreliable.  I may have to get another one to do a reliability check.  In any case, Labs…bad.  Plus I had to delay my BAB which didn’t make me happy.  My body has become very accustomed to eating right away upon waking.

So specifics…Here are the sad numbers:

3/14/12 3/28/12 6/12/2012
Cholesterol, Total 238 222 250
Triglycerides 112 107 131
LDL Cholesterol 165 147 180
HDL Cholesterol 52 54 44
So my HDL dropped 10 points?  Can detox do that?  I sort of expected the LDL to rise…but the Triglycerides?  I ate some carbs 2 or 3 weeks ago…but other than that, nothing but veggies, meat, fat, and some nuts…and a little dark chocolate here and there.  How did my HDL drop?  Is it because I’m not eating as much coconut oil as I was for a while there?

Anyway…

The Good

  • David is watching the little one right now, which means I can go take a CB.  Bye for now.

Update: CB tonight at 49 deg F for 35 minutes.  Easier getting in and most of the time felt pretty good.  Still didn’t feel like staying in past 35 minutes though, and it took me a long time to warm up.  Oh well.  Keep plugging away.  Some days make up for the other days.