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Thread: Please post hcg/health issue questions here

  1. #25
    RN, Moderator Extraordinaire ILuvKats's Avatar
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    Good morning ! Sorry about not answering last night....worked over 12 hours and had too much to do when I got home. I'll get them all this morning!

    As for testing while on p2.... I wouldn't. Although your fasting insulin levels might be slightly elevated, they won't be that elevated on p2 because your pancreas isn't working as hard on p2 foods....too low carb. Your a1c will also be lower because of lower blood glucoses in general.

    Wait a few weeks into p3 to get a better overall picture.
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  2. #26
    RN, Moderator Extraordinaire ILuvKats's Avatar
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    Quote Originally Posted by teutonica View Post
    Shame this thread is so underused ... well I could post here all day but don't want to go down in forum history as hypochondriac, LOL. Anyhoo, can't help it, so here goes:

    1) I'm on R1P2VLCD23 and been having diarrhea since approximately 5 days (and no weight lost in the past 2 days). Around the same time my stomach and esophagus started to hurt a bit when drinking hot lemon water (I can feel each sip running down the esophagus and arrive in the stomach, causing a brief sensation/discomfort). Also, I've suddenly developed heartburn issues; initially only upon ingesting ACV (and I've been using this since VLCD1) but now also around 2 hours after a meal, usually showing through acidic burps.

    2) I mentioned in other threads already that I'm self-medicating my hypothyroid condition, so I don't know if it's related to that. Around 3 weeks ago, I started with a combination of natural desiccated thyroid and T3 (Tiromel/Cytomel) in the morning. I'm following very loosely the 'circadian method' protocol whereby I split my dose and take the first bit around 3 hours before getting up (the other around noon). Sorry for the long-winded intro ... So, I started with a 1/4 tablet (6.25 mcg) of T3 in the morning (while reducing the NDT accordingly). This seemed to go well, hence I upped the T3 to 1/2 tablet (again, reducing NDT accordingly) after 2 weeks (last Thursday, 8/2). I could feel my heart pounding a bit faster but nothing major. However, 2 days later, last Sunday, my heart is beating terribly fast in the morning, and I'm feeling slightly lightheaded. In the afternoon, I'd just been outside for an hour, 1/2 hour later, I'm feeling even worse so I measure blood pressure and heart rate and it says BP 103/78 and HR 112! I got quite scared so I lied down and an hour later, the pulse had gone down to 86 (though BP went up lying?!). This hasn't repeated since but I'm worried of course that it might happen again.

    Now I have to mention that I came down with a stomach infection in late April. It started off early in the month and for the first 2 weeks I also thought I was having heart problems (irregular heartbeat, pounding, high resting pulse) before it made itself known as some stomach bug. The issues above do actually resemble this but obviously, I've been eating super-clean on hcg, no cheating etc. unlike in April/May where I eating very unhealthy food.

    Could I have somehow re-contracted a stomach virus? But how? Is it the hypo medication? Or, does the digestive discomfort indicate problems with the gallbladder, as Dr S mentioned?

    Also, what's the deal with the constant high resting pulse and how dangerous is this in the long run? Ever since April, I rarely get under 80 any more, even though my BP stays low, as always, somewhere between 98/65 to 114/85. - Actually, I'm just looking at my stats and see some funny numbers from 7/6: BP 97/69 HR 95 - isn't that weird or what?

    Barb, thanks for any ideas or advice you have!
    Hmmm, I'll start with the stomach issues. I'm alittle worried that you are working on brewing an ulcer, or esophageal irritation. Do you reflux when you lie flat? Wake up with an acidy taste in your mouth? Are these the reasons you use ACV? Pain in the tummy 2 hours after eating is classic symptomatology for a duodenal ulcer. It might be the lemon water combined with the acv is just too much of an acid load for your tummy. Proton pump inhibitors are the mainstream therapy...but maybe try cutting out some of the acid load first.

    Rapid heart rate. When you put your fingers on your radial pulse, does it feel regular in its rhythm? If its not regular, this can cause some of the other symptoms you are describing. Our bodies are not made to run with a irregular heart beat. And the fact that your blood pressure was higher when your HR was lower is evidence in two ways...one is the blood pressure monitor will be inaccurate with an irregular rate....so could have been falsely low measurement....and second, your heart stroke volume is better at a regular rhythm and lower rate, hence the higher pressure. Too much thyroid med can speed up your rate...but shouldn't mess with your rhythm unless you have an underlying rhythm issue. Have you discussed the fast rate with your doctor? The problem is, unless you are clipping along at a fast rate when he puts a stethoscope on you, he can't make a diagnosis. Do they do holter monitor tests in GB? It's a device you wear for 24 hours that records your heart rhythm for that period of time, hoping to catch dysrythmias.
    I am a Registered Nurse and Moderator of the Hcg Diet Info forums. I am an expert on the Hcg Diet Plan and have over 10 years of experience as a weight loss coach.
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  3. #27
    Senior Member teutonica's Avatar
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    Quote Originally Posted by ILuvKats View Post
    Hmmm, I'll start with the stomach issues. I'm alittle worried that you are working on brewing an ulcer, or esophageal irritation. Do you reflux when you lie flat? Wake up with an acidy taste in your mouth? Are these the reasons you use ACV? Pain in the tummy 2 hours after eating is classic symptomatology for a duodenal ulcer. It might be the lemon water combined with the acv is just too much of an acid load for your tummy. Proton pump inhibitors are the mainstream therapy...but maybe try cutting out some of the acid load first.

    Rapid heart rate. When you put your fingers on your radial pulse, does it feel regular in its rhythm? If its not regular, this can cause some of the other symptoms you are describing. Our bodies are not made to run with a irregular heart beat. And the fact that your blood pressure was higher when your HR was lower is evidence in two ways...one is the blood pressure monitor will be inaccurate with an irregular rate....so could have been falsely low measurement....and second, your heart stroke volume is better at a regular rhythm and lower rate, hence the higher pressure. Too much thyroid med can speed up your rate...but shouldn't mess with your rhythm unless you have an underlying rhythm issue. Have you discussed the fast rate with your doctor? The problem is, unless you are clipping along at a fast rate when he puts a stethoscope on you, he can't make a diagnosis. Do they do holter monitor tests in GB? It's a device you wear for 24 hours that records your heart rhythm for that period of time, hoping to catch dysrythmias.
    Dear Barb, thank you so much! Well, I haven't had any lemon water for a few days and the heartburn's gone. Actually, the lemon water was only one half of the California Kicker, the cayenne pepper that goes with it, I swallowed in a capsule beforehand, perhaps that's what was causing the sensitivity and upset. Or ever heard of similar problems during PMS?

    I don't have reflux when lying flat. But, in general, and unrelated to hcg, could these be the first indications of gastrointestinal problems due to having bulimia for 30+ years? It is somewhat strange that the stomach problems returned not long after that stomach virus (diagnosed by doc) in April/May. In fact, that took 5 weeks to disappear. Maybe it never quite went away and just stayed dormant?

    Re heart rate, ok, I don't have a state-of-the-art monitor just a cheap one you put around the wrist - isn't that the same place where you measure the radial pulse? It usually shows when the heart rate is irregular (which it was in early April when I thought I was having cardiac problems), I went to see the doc then who examined me with a stethoscope but couldn't find anything. And that was the end of it. Whenever the doctor measures my BP in the practice, it's higher than at home (but still in the 'normal' range), I suppose because I don't get time to rest. Yes, I checked, they do have holter monitor tests here but I wonder who are the chosen few who get it? The doc even made the diagnosis of 'stomach virus' by simply feeling up my stomach, no other tests. [Similarly, when I saw her about the extreme hair loss, she sent me off with an anti-fungal shampoo, without looking for a hairloss pattern or actually making a diagnosis for fungal infection]. I remember my uncle (from Germany) was in complete disbelief when I told him how that stomach diagnosis was made - he asked exactly the same questions: did they do an ECG test, did they check your gallbladder/pancreas/stomach with ultrasound, blood tests, etc. ... nope, nada. He must think we're living in the Middle Ages here! (Although I have to say I don't have fond memories of German doctors from the 80s and 90s, so he may be a bit overly optimistic about their healthcare.)

    I'm due to see the doctor soon, so will bring this heart rate issue up then. btw, just checked a few minutes ago: BP 130/77 HR 80 ---> the '80' is the new normal since May, BP however, is fairly high for my average - could be the T3 at work which I took 5 hours ago?
    F | 48 | 5'5'' | 166.6 lb
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  4. #28
    RN, Moderator Extraordinaire ILuvKats's Avatar
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    Yep, bulemia can cause stomach issues. I'm wondering now though about that "stomach virus" in April. I'm thinking that was the beginnings of this....maybe a mild gastritis...which then has a tendency to recurr with the acid load you've been giving it lately. If its gastritis, you need to give it a food long rest...a few weeks more than just when the symptoms abate. Watch for any worsening of symptoms...extreme pain, vomiting blood...etc. that can be a medical emergency.

    Heart rate...taking your BP on your wrist is fine. Alot of folks' BP is higher at the doctor....we call it white coat hypertension. Do you ever feel like a fluttering in your chest? Sometimes folks with irregular beats called PVCs can feel them. Those are generally more benign than an irregular rate.
    I am a Registered Nurse and Moderator of the Hcg Diet Info forums. I am an expert on the Hcg Diet Plan and have over 10 years of experience as a weight loss coach.
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  5. #29
    Senior Member teutonica's Avatar
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    Quote Originally Posted by ILuvKats View Post
    Yep, bulemia can cause stomach issues. I'm wondering now though about that "stomach virus" in April. I'm thinking that was the beginnings of this....maybe a mild gastritis...which then has a tendency to recurr with the acid load you've been giving it lately. If its gastritis, you need to give it a food long rest...a few weeks more than just when the symptoms abate. Watch for any worsening of symptoms...extreme pain, vomiting blood...etc. that can be a medical emergency.
    I knew I'd eventually suffer the consequences. What do you mean by 'give it a food long rest'? I don't understand what this means. What should I be eating, well, that is after P2 because I've still got 20 days to go? When I got ill in April (and the first day I was in horrible pain!) I re-introduced milk which I hadn't consumed since summer 2010, ate porridge and rice pudding (homemade) which I thought would calm the stomach. Perhaps I shouldn't have but it reminded me of childhood and how I was nursed back to health Luckily, I didn't vomit at all during that time, neither self-induced nor involuntarily.

    Quote Originally Posted by ILuvKats
    Heart rate...taking your BP on your wrist is fine. Alot of folks' BP is higher at the doctor....we call it white coat hypertension. Do you ever feel like a fluttering in your chest? Sometimes folks with irregular beats called PVCs can feel them. Those are generally more benign than an irregular rate.
    No, no fluttering in the chest. Only occasionally, some 'poking' from the inside underneath my left breast, about 4'' above the lower end of the ribcage. Again, that started before the stomach bug broke out.

    btw, my mother died last year. She had been going through cancer treatment but they say her heart stopped in her sleep. Unfortunately, I'm rather estranged from my family, so I'm not exactly sure what was going on. I'm bringing this up because my mother was born with some heart defect, something with the ventricles starting to pump arrhythmically? Occasionally, she had to go to hospital where her heart was stopped and re-started to make it beat properly again. Anyway, I don't think it affected her until her 50s because I don't recall any issues with this before, however, in the last 10-15 years, she had to take blood thinners to manage the condition. She always told me I didn't have to worry but obviously, I DO worry. Could I be affected by this even though it was a congenital anomaly?
    F | 48 | 5'5'' | 166.6 lb
    R5P2L1-L2 3/31-4/1/2014
    WK1 160.6 (-6.0) | WK2 156.4 (-4.2)
    WK3 154.2 (-2.2) | WK4 151.0 (-3.2)
    WK5 147.8 (-3.2) | LIW 145.4 (-2.4)


  6. #30
    RN, Moderator Extraordinaire ILuvKats's Avatar
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    Arrrg! Dang iPad keyboard...I meant good long rest, not food long rest.....lol! Milk is not recommended for ulcers or gastritis anymore...it is actually pretty acidic and the sugar isn't good for an irritated stomach either. Long ago, it was recommended, but no more. You can google ulcer diets to get more up to date info....But generally, no alcohol, no caffeine, limited spices, no citrus, limited roughage....you get the idea. Your moms heart condition sounds like atrial fib...which periodically may require cardio version, the procedure you described her having....and folks take coumadin to keep from forming clots that can embolize to the brain. But I'm not aware of a-fib being considered congenital....hmmmm. Does your doctor know about your moms cardiac issues?
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  7. #31
    Great thread. Very informative.

    I was wondering how much grapefruit you would have to eat for it to interfere with anti-depressants? I'm taking 40mg of citalopram/day. I know that grapefruit can render many meds impotent and should be avoided, but I love to have juice of half a grapefruit mixed with sparkling water as a "cocktail" now and then. Most of the serious issues that I've heard of involve people drinking several glasses a day before it becomes an issue. Any thoughts?

  8. #32
    Senior Member teutonica's Avatar
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    Quote Originally Posted by ILuvKats View Post
    Arrrg! Dang iPad keyboard...I meant good long rest, not food long rest.....lol! Milk is not recommended for ulcers or gastritis anymore...it is actually pretty acidic and the sugar isn't good for an irritated stomach either. Long ago, it was recommended, but no more. You can google ulcer diets to get more up to date info....But generally, no alcohol, no caffeine, limited spices, no citrus, limited roughage....you get the idea. Your moms heart condition sounds like atrial fib...which periodically may require cardio version, the procedure you described her having....and folks take coumadin to keep from forming clots that can embolize to the brain. But I'm not aware of a-fib being considered congenital....hmmmm. Does your doctor know about your moms cardiac issues?
    LOL, I'm afraid as a non-native speaker of English I don't master the art of free interpretation very well plus, if it's early in the morning my brain works far slower, otherwise I would've understood!

    Thanks for the tip on ulcer diet, I'll have a look. As for my mother's condition, I suppose I'll have to get in touch with my step-siblings and ask them what exactly she had. All I remember was that she had to take Warfarin which is - as I'm reading right now on drugs.com - an anti-clotting medication. Nope, haven't brought it up at the doctor's yet. There are so many things I haven't been able to talk about, there's not much time left in a 10-minute appointment. TBH, look at all my conditions that ARE known to the doctor: bulimia, PCOS, hypothyroidism and what's being done about that ... the eating disorder's been in my file for almost as long as I've been in the UK, at least 12 years, yet, I'm not getting any treatment for it.

    OTOH, if I were anorexic and refused to participate in socially accepted gluttonous behavior, they had me in the hospital force-feeding me through a tube right away. BTW, are there any tests, other than checking electrolytes, that can test for long-term damage from bulimia? Plus, as I was conveniently psychiatrically assessed with a sudden onset of personality -, and adjustment (to what?) disorder 8 years ago without checking for biochemical/hormonal imbalances, I think rather then listen to my concerns, it'll be shrugged off as my being a nutcase seeking attention.

    On another note, the diarrhea I mentioned in my post on 7th Aug isn't going away. I had been taking pre- and probiotics a few days before it started, I thought they might be causing it so I stopped taking them the following day (8th) but it hasn't made any difference.
    F | 48 | 5'5'' | 166.6 lb
    R5P2L1-L2 3/31-4/1/2014
    WK1 160.6 (-6.0) | WK2 156.4 (-4.2)
    WK3 154.2 (-2.2) | WK4 151.0 (-3.2)
    WK5 147.8 (-3.2) | LIW 145.4 (-2.4)


  9. #33
    Super Member! Kitri2779's Avatar
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    Quote Originally Posted by teutonica View Post
    Thanks! The best thing my doc can do is not to muddle and make me feel worse, anyway, I won't let that happen. The only reason I let it get that far with the previous doc was that I thought he had the absolute power over my medication and hence my state of health. Thank god that's no longer the case!

    And sadly, the textbooks seem to lag totally behind. I've been reading tons of thyroid-related books and you would have thought they were relatively new so that's why this knowledge hasn't gone mainstream yet, but no, one of the books is from 1999, clearly outlining how low thyroid function that isn't treated will affect the entire hormonal system, leading to estrogen dominance, and adrenal exhaustion, among many other things. Hell, even a book about leptin from 2005 states various studies that demonstrated that leptin resistance directly causes low thyroid function. None of this is taught in medical schools. I bet my doc doesn't even know what leptin is, and that was discovered in 1995.
    You are absolutely right I never heard of Leptin until I came on here. It is not taught in school. They still teach the low fat diet!


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  10. #34
    RN, Moderator Extraordinaire ILuvKats's Avatar
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    Hi miss Edith! Actually, even a small amount of grapefruit juice, like one class can interact with alot of meds, but I'm not sure if citalopram is one of them. You need to ask your doctor. And actually, grape fruit juice doesn't make the drug inactive....it actually allows too much to enter your system, causing sometimes toxic levels. That could be serious with citalopram, since it can have alot of cardiac effects like prolonged QT interval. Some research has shown that the effects of one glass of grapefruit juice on meds lasts for as long as 24 hours. It does this by diaabling an enzyme in the gut that normally renders part of your prescription inert....so your dosing is based on the assumption that this enzyme is active and will do its job. If its not active, you get too much of your prescription drug into your system. Since 40 mg go citalopram is the max dose, you don't want to be absorbing more than that! I hope this helps explain it a bit...if I were you, I would skip the grapefruit juice just to be safe...but if you want to know for sure, ask your doctor.
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    RN, Moderator Extraordinaire ILuvKats's Avatar
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    Teutonica, it could be your thyroid meds causing the diarrhea. Also, how much magnesium do you take a day? That can do it too. It can also be because of your irritated tummy. The acid load hits your intestines and they essentially say, get the heck out of here! Give it a few more days, unless you are having increased pain or bloody stools, then you need to see a doc immediately.

    Coumadin is used in patients with an irregular heart rate called atrial fib to prevent a clot from forming in the atria from the turbulent flow of blood caused by the irregular beating of the heart. It's also used if you've had a mechanical (non tissue) heart valve placed, or if you've had a history of blood clots to the legs. I'm guessing your mom had atrial fib.
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    RN, Moderator Extraordinaire ILuvKats's Avatar
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    Quote Originally Posted by Kitri2779 View Post
    You are absolutely right I never heard of Leptin until I came on here. It is not taught in school. They still teach the low fat diet!


    Up or down??? She chose doooowwwnnnn! Too late now...(from my all time favorite movie, Labyrinth.)
    Lol! Me either! I learned about leptin by researching the paleo/primal way of eating, discovered Jack Kruse and his blog...etc. Most of the docs I work with still promote the low fat diet too. Very little mention of healthy fats, bad fats, inflammation, etc.
    I am a Registered Nurse and Moderator of the Hcg Diet Info forums. I am an expert on the Hcg Diet Plan and have over 10 years of experience as a weight loss coach.
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