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  • #91
    No worries! Glad you found it.

    As far as diet goes, bumping up the carbs a bit is often recommended as it is said to help with conversion. I'm wondering if keeping them in for a little while longer won't make a difference in your energy overall. Are you keeping your overall calorie total the same and just adjusting your protein and fat intake?

    I'm eager to see how you're feeling over the next few days after your most recent med tweak combined with the increase in carbs. Hopefully you'll be back on that bike and feeling good soon. Keep us updated!
    Life is not a matter of having good cards, but of playing a poor hand well.

    - Robert Louis Stevenson

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    • #92
      Hm, well, I am thinking that due to the fact I no longer take any t4 at all, the conversion really isn't an issue for me anymore, as I am taking the t3 direct. So I have plenty of it. I was really expecting to have a good ride energy wise this morning, as I've been eating the carbs, and had a few days off exercising due to rain, so I thought I'd have been well stocked up on glycogen!

      I've notice when I eat carbs, I always end the day +2kg, but then it is completely gone the next am. When I don't eat a lot of carbs, my weight is stable all day and night.

      And yeah, I cut back fat to incorporate carbs. I wish I was one of those people that started primal and ate whatever they liked calorie and macro wise, and the weight just falls off! Generally that seems to be men though.

      More interesting temp and heart rate news though. Yesterday I took 20mcg at 6am, then again at 8.30, 12midday, 3pm and 5 pm, total 100mcg, and my heart rate didn't go over about 85, and my temp didn't get to 37 til late (after 5). Actually it only got to 36.8.

      Today, I took 30 at 6am, and my heart rate when too high, and my temp didn't go up, but once that settled down I took 20mcg again at 10, and my temp went up to 37, heartrate within healthy range, and both are still holding. I had planned to take another dose at 2pm, but I'll hold off because my temp is still at the right range. So maybe I do need extra in the morning to fuel my adrenals? I won't go as high tomorrow, as that obviously wasn't ideal, but I might try 25mcg.

      Energy wise, as in daily functioning, I am not as sleepy and more alert.

      Comment


      • #93
        OOH!! More alert and less sleepy is good! That's a start for sure. I have a feeling you'll start feeling better as it has a cumulative effect and kicks in completely.

        Are you worried at all about tweaking your dosages and adding more? Do you have an NP or other trained professional following you or guiding you? (Uh-oh, here comes the mom/nurse in me!) I know you saw one before, so you may have already mentioned whether or not you're under the care of someone, but my memory sucks not surprisingly (hurry up, Armour!).

        By the way, check your inbox again.
        Life is not a matter of having good cards, but of playing a poor hand well.

        - Robert Louis Stevenson

        Comment


        • #94
          Originally posted by GoJenGo View Post
          OOH!! More alert and less sleepy is good! That's a start for sure. I have a feeling you'll start feeling better as it has a cumulative effect and kicks in completely.

          Are you worried at all about tweaking your dosages and adding more? Do you have an NP or other trained professional following you or guiding you? (Uh-oh, here comes the mom/nurse in me!) I know you saw one before, so you may have already mentioned whether or not you're under the care of someone, but my memory sucks not surprisingly (hurry up, Armour!).

          By the way, check your inbox again.

          I am hoping so! And actually not as hungry this arvo, which is odd..

          Um, not really. The doc basically gave me the script and said figure out what works best for you, and wants an update in a few weeks. I think treating with t3 only takes a bit to get right. And I am monitoring my temp and heart rate to make sure I don't go hyper.

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          • #95
            Alright, actually managed to keep my temp up pretty much all day yesterday! I did have trouble sleeping though, so I may cut back on my evening dose...

            Dropped back to 25mcg this morning, and my heartrate is low 80's, and temp is a good 36.8 - not quite there, but better than yesterday. I wonder if going for a ride yesterday morning had anything to do with it...may have to assess the affect exercise has on my doseage requirements.

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            • #96
              Bugger, may have spoke too soon. Now I can't get my temps up over 36.6. Maybe I do need more in the morning, and just need a few days to get used to the bigger morning dose....
              Tricky.

              Comment


              • #97
                OK, need to rethinkg this dosing.

                This morning I took 30mcg upon waking 6am, and my temp wouldn't budge above 36.5, heart rate in healthy limits. Took 20mcg two hours later 8am, and then again two hours later 10am - continually 36.5, low health heart beat.

                I decided just to wait 4 hours then, since I didn't think taking another dose two hours later at 12pm was sensible (although my temp was still low etc), and all of a sudden I am 37degrees, still healthy heart rate.

                I am thinking my body needs a good big early dose, and less in the arvos. Possibly reflecting my backwards cortisol.

                So I am going to start the circadian method tomorrow - take 20mcg at 4.30am and see how I go (other doses then dependent on how I handle that).

                Comment


                • #98
                  Are you following some type of guideline or suggested method by someone who has experience with this? I have to admit, I don't know much about the each of the thyroid meds and the different ways of dosing and scheduling but from what I do know, it takes a while on a particular dose to get the full effect. I'm thinking it may not be possible to truly know (and feel) the result of each change until you've maintained that for at least a week or more - and then see where you are and re-evaluate. Wait, are you still taking the same overall dose but dividing it up to take at different times? Maybe I'm misunderstanding or just plain old forgetting and need to read back!

                  I'd be too nervous to be messing with my dose that much over the course of a day. I also wonder if using your temp as a gauge is even reliable, to be honest - especially with the adrenal issues and that whole special set of problems. So many factors at play over the course of a day, it's hard to know what's what. It's frustrating trying to figure out what works and what doesn't, it's like aiming your arrow at a moving target. That's a big reason I've had to force myself to be patient when I make any change so that I get an accurate idea of its true effect - whether it's diet, exercise, supplementation, etc.

                  Did you get on your bike today? Any difference after the additional carbs over a few days now?
                  Life is not a matter of having good cards, but of playing a poor hand well.

                  - Robert Louis Stevenson

                  Comment


                  • #99
                    Yes, I have a book on it - which recommends dividing the dose, self-monitoring using heart rate, temperature etc. Also blood pressure, but I don't have a monitor. When I take the measures I make sure that I have been inactive for 20-30 mintues, haven't eaten or drinken anything etc, and take repeated measures and average them. T3 is absorbed immediately and completely used by the body within 3-4 hours. I need to divide the dose otherwise it wouldn't last all day. The temps and heart rate are required to ensure that I am a) getting enough of a dose, and b) not overdosing. It's not like t4 that takes 6-8 weeks to reach full effect.

                    Erm, yes and no. Yes to the bike, still zero effect of eating the extra carbs.

                    Today I took my first dose at 5am and that seemed to help get my temp up earlier. It's still not at 37, but it's consistently higher than yesterday, and I managed to stretch out the time between the doses (i.e. my heart rate wasn't falling, and my temp wasn't falling, as soon after the first dose as yesterday). Recovering with T3 | Resources for people recovering from hypothyroidism using T3 replacement therapy or are considering doing so has a lot about using t3 to heal adrenals, which I know for a fact I have issues with, thanks to a 24 hour saliva test I did less than a month ago. This particular approach I am going to keep the same for a week or so, as the effect on the adrenals can take a few weeks to assess. Then I can play with the timing and size.

                    Comment


                    • Sorry if that came across blunt It's just I have had doctors giving me the wrong thing for over a year now, and it has taken me ages to finally get the right treatment. I feel better already, even without the perfect dosing schedule. The doc who prescribed me the t3 gave me bad advice - i.e. two take 40mcg in the am and 40mcg at lunch, which given I am getting my heart rate up with 30mcg, 40 x 2 would have sent me over the edge. So I have to instead follow what I have read, and chatting to other people in similar situations on facebook and yahoo groups

                      Comment


                      • Not blunt at all, and even if it were, I'd have no problem with it! No point in mincing words. I get what you were saying, anyway.

                        What positives have you noticed after having started the t3? Glad to hear that you're already feeling some improvement there. How or when will you know you've found the right dose/timing for now - are you just going by how you feel combined with your temps, etc.? It will be nice when you've found your sweet spot (for the time being) and can just take your pills when it's time and not have to think about it so damn much!

                        When's the next bike ride?
                        Last edited by GoJenGo; 12-16-2012, 04:24 PM.
                        Life is not a matter of having good cards, but of playing a poor hand well.

                        - Robert Louis Stevenson

                        Comment


                        • Hm, well I am definitely feeling more 'awake' - it's hard to explain. You know when you are hypothyroid you just feel a bit foggy, a bit exhausted all the time? Now I am feeling bright and alert. And I haven't been needing naps morning and afternoon - like, not even really daydreaming about napping!

                          As for the right dose, I guess it will be when my temps are consistently up, and also when I start to lose weight! And maybe eventually when my hands and feet return to a normal colour.

                          I think I will probbaly always routinely check temp and heartrate, even if it's just weekly, once I am at the 'right' dose, as demands can change over time.

                          Today went well - same deal as yesterday, 20mcg an hour before waking, then 30mcg at 9am. The morning dose doesn't *quite* get me there - in a few days I'll either push it back to earlier, or more likely increase the size. The second dose gets me to 37 degrees, and my heart rate is still low 80's, which is good. Yesterday I took another dose around 4pm when things started to drop. I may do that again today, depending on how things are going.


                          Hm, may do another ride Thursday. I don't want to over do it.

                          Comment


                          • I know what you mean about feeling "awake". That's been the biggest difference I've noticed since starting the Armour. It also seemed like I started sleeping a little better, which surprised me. Going to see my endo NP today to see what my estrogen and progesterone have been doing - looking for a verdict on whether or not this bum ovary even works anymore. My guess is that it's a goner and has been for some time. We'll see, though.

                            I have a feeling we'll increase the Armour after I've done my six week bloodwork. At least I'll know today whether or not it's Hashi's and can restart the iodine if I don't have antibodies. It seemed like I felt better when that was part of the regimen, and I wasn't even on the Armour yet.

                            What's new with you - how are you feeling?
                            Life is not a matter of having good cards, but of playing a poor hand well.

                            - Robert Louis Stevenson

                            Comment


                            • I am very glad to hear that you are also feeling some positive effects! I also am sleeping better - it seems odd doesn't it? I hope you get some good, or at least conclusive, news from the doc.

                              Personally feeling good, just waiting for weight loss! Actually, my temps were up from the get go this morning, and I noticed a pattern - days when i exercise, my temp plumets in the morning and I struggle to get it up before noon. Days I don't exercise, it seems to be up early and stays up. I asked on a mailing list, and apparently this is the low cortisol issue. When a normal person exercises, they can produce extra cortisol, and so cope with the exercise. When an adrenal fatigued person exercises, their body can't produce the cortisol. Which in turns means the t3 can't be utilised properly. Hence low temps etc.

                              So I have a few options. 1. stop exercising for a while, but I don't really want to do this as I don't have severe fatigue. 2. Keep going with the circadian method to try and heal my adrenals. or 3. Take some cortisol before exercising to help my body cope. Which the doc prescribed me but I haven't used yet.

                              Or I could exercsie in the afternoons when my adrenals are OK, but it's mid Summer here and the weather is just too awful even to walk in the afternoons.

                              Comment


                              • How hot is it there? That's too bad, because walking sounds just like what you should be doing for exercise. Do you think that walking earlier would be as problematic as a tougher workout at the same time? Maybe there's a comparable low intensity but fat burning workout you could do indoors? I agree with you that stopping exercise completely is probably not the route to take - I think that makes things worse, especially when workouts are a source of stress relief. They also seem to help with water retention and overall circulation which can make a big difference in how I feel - not to mention the difference in how my clothes fit!

                                So, good news on a couple of fronts. No thyroid antibodies and therefore no Hashimoto's, which means I'll be back to taking the small amount of iodine which seems to make a difference in my overall metabolism. I'm really confused as to why my liver sucks at conversion like it does, but it does. I'm not sure what else I can do to improve the health of my liver - haven't had a drink in two years, I eat a very clean diet, take Milk Thistle, NAC, Glutathione and other recommended supps, and start my day off with a big ole glass of water with lemon juice (and salt for the lovely adrenals!).

                                It also looks like the bum ovary may have ovulated, although my levels of all hormones are reeeeallly low. (No surprise with only one subpar ovary!) I knew this, but now I have it in writing. Considering starting back on very low dose Estrogen, I'm definitely starting back on Testosterone and I have a Progesterone script that I may or may not use. (I stopped the Estrogen after being primal for a while helped me become migraine free - that was my biggest symptom that I was in no way willing to live with) If the Progesterone will help me sleep, I'll be thrilled and will consider it a success. I know there is a link between it and Cortisol/adrenal issues. Many women suffering AF/Insufficiency have low Progesterone, probably as a result of it. I need to read back up on it all, though. I've read so damn much, it's ridiculous and a review is in order. I'm sure you can relate! I canNOT wait until my nightshift life is finally over - about 2 and 1/2 more years. I doubt I'll be dealing with any of this crap ever again once that change is made.

                                Ok, more than enough about me. I keep meaning to ask - how much weight you are hoping to lose? (Maybe asking how many sizes in pants is a better way of phrasing the question!)
                                Life is not a matter of having good cards, but of playing a poor hand well.

                                - Robert Louis Stevenson

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