Don't mind at all. Hopefully this won't be too long and boring. The leptin business is stuff I have been dealing with for a long time, but didn't call it leptin.
To keep it short, I will just write what happened in order...
College days- frequent IBS type flare ups that I didn't understand, but looking back I attribute it to wheat. Weight was normal.
1986-Took a 2 week trip south of the border, took an anti-biotic that I was allergic to (septra-sulfa based).
This started colitis-type symptoms that never let up. This started 5 years of pure hell, ended up on Prednisone for the last 2 years until the colon had to come out. health was terrible, high stress. I got a j-pouch surgery to replace the colon. This makes a mini-colon out of small intestine.
No one at the time said anything about possible hormonal side effects of 2 years on prednisone. A dietitian at the hospital gave me the "low fat" lecture.
Weight started creeping up steadily, no matter what I did. Exercise never helped. I even started training with a semi-pro motocross buddy because MX is hard cardio. I rode my ass off for months, and ended up 245 lb. I saw a doc and he found triglycerides to be 1,600. He had no clue.
Weight keeps creeping up, 260, 270, 280. I was hardly eating. I start getting thyroid symptoms, so I get that checked and all docs know to do is check TSH. Mine is 131. Upper limit is 5.5. I get Synthroid (synthetic T4) and it helped the symptoms, but weight keeps expanding.
I ask my doc to explain how the previous history could be a factor, and what about the high trigs? She says nothing to do with it. I mark up my lap sheet myself to add trigs. This gets her attention and she now things I have insulin resistance, but doesnt know what to do about it. She suggests gastric bypass, and I decline.
I change careers and start travelling full time, so it's hard to see a doc regularly. I'm still on a lot of synthroid, but weight and health start getting worse. Finally in 2007 I had enough. I'm over 300 and getting tired.
I go to Holtorf Med in Torrance Ca an a last-chance to figure this out.
The doc takes one look at me and says based on the high amount of Sythroid, he would bet that I have high reverse T3, and need to get off T4.
The diagnosis is now hypothyroid, chronic fatigue, adrenal failure, and insulin resistance.
For thyroid, I switch to bio-identical T3 instead of T4. The doc is going to manage it based on T3 levels instead of TSH. Adrenals had just stopped. Instead of high cortisol, mine was low. Testosterone was low, so was Vit D, B and DHEA. I do testosterone injectable, DHEA, and for a while, cortisol. For insulin resistance, trigs were still high, and insulin was over 17. I do VLC, lots of omega 3 fishoil, and maitake SX fraction (a mushroom). To help with fatigue I sleep with melatonin, 4 times what most people use.
I lost 1/3 of my body weight in a year. A long list of symptoms and problems went away. Blood tests are quite good. Insulin went down, trigs went down, HDL went up, LDL went down, blood pressure is 110/65.
Before and after pics here-
dietforhumans.com: My Diet and Plan