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  1. #511
    NDF's Avatar
    NDF
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    Lemontwist, you are describing some pretty classic low-thyroid symptoms and based on the diet you posted, I'd say it's highly possible that your thryoid levels are low from eating low carb.

    Even if you are eating a iso-caloric diet (ie maintenance level calories), but you are eating a keto diet, your thyroid hormones can plummet - especially if you are exercising.

    In addition to eating the food, I'd suggest eating some starch carbs - potatoes, bananas, rice, fruit.
    I'd be interested to hear if eat more carbs on a more regular basis (ie daily) fixes your hair loss and weak nails.

  2. #512
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    Quote Originally Posted by NDF View Post
    Lemontwist, you are describing some pretty classic low-thyroid symptoms and based on the diet you posted, I'd say it's highly possible that your thryoid levels are low from eating low carb.

    Even if you are eating a iso-caloric diet (ie maintenance level calories), but you are eating a keto diet, your thyroid hormones can plummet - especially if you are exercising.

    In addition to eating the food, I'd suggest eating some starch carbs - potatoes, bananas, rice, fruit.
    I'd be interested to hear if eat more carbs on a more regular basis (ie daily) fixes your hair loss and weak nails.
    I completely agree with you - eating a very low carb diet for about a year before starting to follow the PB, then staying relatively low carb for the next year (until rather recently) has almost certainly caused these troubles. I have made a conscious effort in the last month to six weeks to eat more starchy carbs each day...fruit (two or three pieces, always at least one banana), a potato, sweet potato, squash or rice. I don't intentionally try to eat a ketogenic diet, especially since I'd determined that eating so low carb was what caused me these troubles in the first place.

    The hair loss and nail breaking cycle just started again about two weeks ago, so I will see how long it goes on for and continue eating higher daily carbs (along with more of everything, ha) and see how it helps. In my experience, my hair falling out always happens closer to three months after some kind of event that impacted my nutrition (eg. two weeks of GI illness where I couldn't keep anything in me and lived off gatorade and saltines...pre-primal). Thankfully, I have so much of it that even having lost upwards of half of it before it's not noticeable to anyone but me and my hair stylist

    Thank you for the input!

  3. #513
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    Ba-dump-bump...

    So, another week, another 2.5lbs gained.

    Had a spectacularly disappointing follow up appointment with my internal medicine specialist on Friday. He told me that the results of all the testing he'd sent me for previously (in regards to my excessive water retention) were a 'mixed bag' and he had no clear indication of anything. I spent a lot of time trying to talk to him about thyroid issues, and he basically poo-poohed all my concerns, saying all my symptoms could be indicative of any number of things. I will give him that, but all together, they point very specifically in one direction. Anyhow...

    He focused on the fact that my sleep is consistently not very good, advising I should consider trying 'establishing a new sleep habit' with the use of prescription sleep aids. Been there, didn't help, thanks anyway. He also told me that gaining 10+lbs in a matter of six weeks (give or take) is an issue of insulin resistance, so I found myself at the lab this morning for a fasting blood glucose test, among other things. He also said that the gain is likely an issue of my simply eating too much and that I should think about tracking cals and/or portion control. Thanks for the tip.

    I asked him, since he was sending me for labwork anyway, if he would retest my TSH along with free T4 and free and reverse T3. He argued with me about it using my 'normal' TSH level of 1.95 (as of Dec 2012) as his argument (even though it was nearly 5 back in 2010, according to my labs history) but I convinced him on the grounds that if my T3/T4 levels were fine after then at least we'd eliminated that as a possibility. He concurred there, but still refused to request the reverse T3, saying I'd be an 'anorexic on anxiety meds' if there were anything amiss with that. So I wrote it on the requisition form myself this morning before I went in to the lab. I ended up having to pay for the test, but so be it. I also asked him about a cortisol test and again he flat-out refused. I have an appointment with my GP next Tuesday and will discuss the results of today's labs with her then and request a referral to an endocrinologist if the T4/T3 levels aren't where they should be and will also ask her to send me for the cortisol test.

    All this aside...this past week was another where I just didn't feel like eating all that much, at least not to crazy excess. I know my intake is way down from where it was when I first started this, but the scale keeps creeping up which says to me this metabolism malfunction is something more than can be fixed with a 12 week refeed, so to speak. It's been 7 weeks and I'm up nearly 20lbs (as per the scale yesterday morning), which doesn't feel great, but I'm focusing on the fact that there is most definitely something amiss with my body as a whole and this is just the body's way of making that known, along with all the other indications. On the bright side, it's fixable.

    Hope the rest of you are doing well...I've been following some of the other threads as I see them. Keep well!

  4. #514
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    lemontwisst- I have Hashimoto's, and problems converting T4 to T3 frequently develop with Hashi's. When that happened to me, about 5 years after initial diagnosis, I gained 10 lbs in 2 weeks, eating the same way in which I'd been steadily lose a pound a week. However, I was also so incredibly fatigued that I could not make it through the day without a 3-hour nap.

    The second time my T3 'tanked' (I was taking Cytomel but needed increased dosage), I had to eat only 500 cal a day to maintain my weight until I could get my Rx increased. At least the second time, I knew what was happening and could adjust my eating accordingly.

    Of course your symptoms could be from 'any number of things.' That's what's so difficult about getting a thyroid diagnosis. I stupidly listened to my primary doctor for 4 years as he told me all my symptoms were 'normal aging.' I was hypothyroid for almost 10 years before I finally got a diagnosis--by self-referring to an endo (who turned out to be excellent).

  5. #515
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    lemontwisst-- While emmie has a great endo, many find endos tend to focus on TSH.

    Mine did, he kept me undermedicated for years due to my very low TSH. He also threatened to stop prescribing Cytomel even though he said it was working for me. He just didn't like the med and didn't think anyone needed it.

    My point-- Don't automatically think you'll get the best care from a specialist. I think the best doctor is one who really listens and is willing to work WITH the patient until they're healthy. Also, if you don't do it already, get copies of all test results.

    Emmie and I have something in common. Like her, when my FT3 drops I can/do gain weight very quickly and without reason.

  6. #516
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    A littel update from me.

    It's nearly a month since I stopped "eating a ton". I'm not trying to control my appetite or restrict in any way, but I have scaled by on the snacking (ie. eating six meals a day) and am just eating three meals. Some days I'm hungry and I eat a lot. Other days I'm not as hungry, but I'm eating a healthy amount of food every day, and am totally satiated.

    Interestingly, the scales don't seem to be moving down, but I've lost nearly an inch on my hips, and an inch on my waist. I guessing that I've put on muscle It's brilliant to feel like I'm losing without dieting. Plus I'm making big gains strength and flexibility.

    More importantly, the eating disorder that has plagued my life for the last 13 years is strangely silent. I'm developing a healthy relationship with food. I don't look in the mirror and think that I'm fat. I'm trusting my body and not being obsessive about what I'm putting into it. I don't have a clue what my macros are, or how many calories I eat per day. I'm not binging, and I'm not restricting. Is this what it is to be normal?!

    I don't know what's going on beneath the bonnet, but something has changed in my psyche. I'm feeling very patient and looking forward to seeing where my body goes over the next few months.
    "I think the basic anti-aging diet is also the best diet for prevention and treatment of diabetes, scleroderma, and the various "connective tissue diseases." This would emphasize high protein, low unsaturated fats, low iron, and high antioxidant consumption, with a moderate or low starch consumption.

    In practice, this means that a major part of the diet should be milk, cheese, eggs, shellfish, fruits and coconut oil, with vitamin E and salt as the safest supplements."

    - Ray Peat

  7. #517
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    Hard to top that post,
    Congratulations.

  8. #518
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    Quote Originally Posted by Omni View Post
    Hard to top that post,
    Congratulations.
    Hear, hear. Great to read, Yoga Bare.

  9. #519
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    Quote Originally Posted by Omni View Post
    Hard to top that post,
    Congratulations.
    Quote Originally Posted by Annieh View Post
    Hear, hear. Great to read, Yoga Bare.
    Thank you both!

    I'm aware that these are early days, and the most difficult thing about changing is not changing back. But I can see implementing love and trusting my body have done me far more good than planned control.

    The body doesn't lie
    "I think the basic anti-aging diet is also the best diet for prevention and treatment of diabetes, scleroderma, and the various "connective tissue diseases." This would emphasize high protein, low unsaturated fats, low iron, and high antioxidant consumption, with a moderate or low starch consumption.

    In practice, this means that a major part of the diet should be milk, cheese, eggs, shellfish, fruits and coconut oil, with vitamin E and salt as the safest supplements."

    - Ray Peat

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