RSS Feed

Category Archives: The Beginning of The End

Beginning Of The End – Week 7

Posted on

I start week 7 with a reminder via email that my period is due in 7 days! As I’ve posted previously, I have been taking supplements to help combat PMS. So I find myself this week looking for the onset/possible improvements to my hormonal imbalance. The first half of the week has been the same as the last two weeks, steady as she goes. Right?

Not so, by mid week, 4 days before my cycle begins, fatigue sets in, not a lot, but I definitely feel it. It starts about 5-6 pm and stays with me the rest of the evening.

Its now 2 days before my cycle begins, I feel like roadkill and have a big fat headache. For me though the jury is still out on weather the supplements have worked – or not. I will reserve judgment till after my cycle ends.

I also notice that my sleep cycle is out of whack. I go to bed feeling very tired, but instead of falling asleep right away like I usually do, I toss and turn for about two hours before falling asleep. And last night was the worst night yet. It felt like I was hovering somewhere between being awake and sleep for most of the night. I am hoping that this is part of PMS and it will soon pass.

Right now I am looking at PMS as a blessing and a curse. The curse part is pretty self explanatory, isn’t it? PMS sucks, there’s just no two ways about it.

The blessing part, well up till just a few weeks ago I felt like crap. Every day. Day in, day out. No relief from crushing fatigue, headaches, joint pain and muscle aches. I’ve been thrilled at the progress I’ve been making and because there is a big contrast between those weeks I do feel well versus the weeks that I don’t,  I know it’s a signal that somethings working better, so I keep pushing forward. And the title of the blog post says it all, this is the beginning of the end, end of all my hormonal imbalances. I am tackling one imbalance at a time.

Low Iron and Hypothyroidism

Posted on

Well what does low iron have to do with hypothyroidism you ask.

Turns out quite a bit.

Low thyroid makes it hard to hang onto iron, and low iron makes it hard to treat thyroid. It’s a classic “Catch 22″.

The more scientific explanation: Iron deficiency is shown to significantly reduce T4 to T3 conversion, increase reverse T3 levels, and block the thermogenic (metabolism boosting) properties of thyroid hormone. Thus, iron deficiency, as indicated by an iron saturation below 25 or a ferritin below 70, will result in diminished intracellular T3 levels. Additionally, T4 should not be considered adequate thyroid replacement if iron deficiency is present.

This is the situation I find myself in, if you’ve read the My Journey page on this blog, you know that during my labour and delivery of my second son I lost a lot of blood, to the point where I almost lost consciousness. I can tell you right now, my iron issue were never properly addressed, it was one of those things that fell through the cracks, dealing with babies and three auto-immune diseases. I guess it happens. It did raise a red flag with one doc that I can think of. It was around 2006, I had been in for some regular blood tests and I guess it came back abnormal, I got a call saying I have to come in as soon as possible, when I arrive the doc says I need iron shots. I got a series of 6 shots over several weeks, but he was not happy with the results, so off to the the Hematologist I went. The Hematologist took a look at my latest results and ordered more tests. I went back a few weeks later and he declared me ‘fine’ and that was that. Of course 20/20 hindsight, I should have asked for a copy of my test results, whaddyado!

Note to readers: Always ask for a copy of test results. ALWAYS!  And interpretation is EVERYTHING!

Here’s a link to a great article about iron deficiency. It describes in full who is at risk, complete list of symptoms, function of iron in the body and so on, it’s an interesting read.

I have to cover one more thing before you go running off to the doctors to get your blood test.

Here’s the thing,  your doc may only order 1, maybe 2 tests to determine if your iron deficient. If you want to get the real picture you’ll need more than those two tests.

I will use my latest iron labs as an example:

Hemoglobin 128 – Ref range 115-165

Normal, right? The doc would declare me ‘fine’ and move on.

Ferritin 14 – Ref range 11-145

Low normal, most doctors wouldn’t think there was anything wrong with this. Why? Well your hemoglobin in fine, so no need to worry, you can’t possibly be symptomatic (most docs think you can only have symptoms of low iron if you hemoglobin is low. And that is just plain W-R-O-N-G!).

The real picture of my iron status:

TEST Result REF RANGE
ATTN
Iron 5 10-26 LOW
UIBC 60 19-51 HIGH
TIBC 65 45-63 HIGH
Iron Saturation 0.08 0.25-0.50 LOW
Transferrin 2.6 2.1-3.6 NORMAL

So what this basically all means is that I am Iron Deficient. And if the doctor only relied on Hemoglobin/Ferritin alone this would have gone un-addressed.  Labsonline.com has a chart outlining what the more comprehensive iron tests mean.

Reasons I am iron deficient and you might be too:

Un-diagnosed hypothyroidism (5 years)

Inadequately treated hypothyroidism ( 9 years)

Pregnancy/labour/delivery/breastfeeding (x2 – babies are iron sucking machines)

I’m a menstruating women (having un-diagnosed/inadequately treated hypothyroidism can result in heavier periods)

Malabsorption (un-diagnosed/inadequately treated hypothyroidism can result in lowered production of hydrochloric acid)

Low body temperature (low body temp is a symptom of both low iron and hypothyroidism, which causes you to make less red blood cells)

So, what’s the solution? Well it’s time for corrective measures!

If you suspect that you have un-diagnosed or inadequately treated hypothyroidism visit www.stopthethyroidmadness.com.

If you are pregnant or nursing and you suspect that you have an iron problem, first get tested, then have your doctor recommend supplements that are safe to take while pregnant or breastfeeding. You may require more iron than what your prenatal vitamin provides.

If you suspect low stomach acid, thyroid issue or not, there are plenty of  hydrochloric acid supplements to choose from at your local vitamin store.

Heavy periods? Fixing any thyroid issues would be a good start. But if that turns out not to be an issue for you there is some evidence that vitamin deficiencies could a problem. Taking vitamin C, K, and vitamin A have been shown to help curb heavy menstrual bleeding.

I’ve made all the necessary corrections and now it’s time to replace the iron my body is so desperately craving.

Not knowing how important it was to have optimal levels of ferritin, I had only made feeble attempts at taking iron after the birth of my second son. And from 2006 to 2011 I have taken a number of iron preparations to correct my very low iron, for me, none of it has seemed to work, despite all my best efforts, and making corrections mentioned above.

That’s why tomorrow I go for my first of three appointments at my local hospital to receive IV Iron. Yaaay! After years of struggling I can have my iron problems corrected in three weeks!  THREE WEEKS! I’m so excited!

Here’s to new beginnings!

The Beginning of The End – Week 6

Posted on

Week 6 is good. Steady. I am still taking EstroSmart and Vitex, again, as far as I can tell it’s not interfering with my cortisol levels. The real test will be if it has the desired effect on my PMS.

I thought for some reason that keeping a summer schedule would be easier…ummm….WRONG!

Turns out the easy breezy days of summer are wrecking havoc on this still, very new schedule that I’m on. Being Canadian, I hate to rush summer in favour of Fall, but there is a small part of me that can’t wait for Septembers more predictable timetable.

As of this week I am declaring the use of hydro-cortisone, for me, a success. I still have imbalances and deficiencies to work on, namely thyroid, iron, B12 and D3, but I can tell you about the symptoms where I have noticed an improvement:

Aches and pains – With in the first week I was using less anti-inflammatory medications.

Anxiety – Generally feeling calmer, more peaceful.

Fatigue – I am still very tired due to extremely low iron, but I can report that I don’t feel like roadkill!

Weepiness – In the past nine years I could cry over just about anything, the thing is before getting sick this was never the case. The times I do feel weepy are getting fewer.

There is still a long road ahead for me. Using Cortef is no quick fix, it takes a commitment of 6 months to 2 years of using hydrocortisone to fully heal from Adrenal Fatigue. But I am confident that I am the path to recovery for the first time in 9 years!

The Beginning of The End – Week 5

Posted on

As week 4 winds down and I am moving into week 5 things feel like they are starting to come around. Still not feeling like I did before the PMS, I’m still waiting with my fingers crossed. After the  all day shopping excursion I decided I needed to stay at home and recuperate, and follow my body’s cues. I took my medicine on time,  ate when I was hungry, took my supplements, laid down when I felt tired, puttered around the house doing odd chores. Generally just going with the flow. It seems to have helped.

I am still taking one capsule of  EstroSmart with an extra 80 mg of Vitex with no ill side effects. Hopefully this is good enough to balance my progesterone and estrogen before my next cycle starts.

By mid week things are definitely looking better, I am back to my pre PMS days!

The Beginning of the End – A 30 Day Recap

Posted on

As of today I am 30 days into the next phase of my journey.

I call it the “Beginning of the End”, because for me that’s what it is, the end of feeling like crap!

On June 10th I started taking hydro-cortisone and for the first time in many, many years I know that recovery is possible.

After years of inadequate treatment for Hashimoto’s Thyroiditis, plus two other autoimmune diseases, I developed what’s called HPA Dysfunction. That is Hypothalamus Pituitary Adrenal Dysfunction – better known as Adrenal Fatigue.

The treatment for HPA Dysfunction, if severe enough, is physiologic doses of hydro-cortisone.

Week 1

Week one starts off well enough, I was already coming from a pretty bad place, I had experienced what’s called  a “crash” the previous month. My days start at 7am with my first dose, 10 mg of HC + 25 mcg of Cytomel, next dose at 11am 7.5 mg of HC + 25 mcg of Cytomel, a 3pm dose of 5 mg of HC and 2.5 at bedtime, just as the lights are going out. A 10pm bed time is a must when healing from HPA Dysfunction.

The motto here is slow and steady wins the race. I feel good, one of the first things I notice is the return of mental clarity, an evenness in my emotions. At this point I am still quite tired and I lay down at least 1 to 2 times a day for short naps.

Night time was a bit of an issue. I woke up frequently through the night, a couple of times I jolted awake, heart racing, I felt a little panicky as if I had awoken from a nightmare. Because  I had done my research before starting HC, I knew that what I was experiencing was a drop in cortisol and/or blood sugar and a spike in adrenalin. Good thing there is a fix for this, I upped my night time dose from 2.5 mg of HC to 5 mg and took it with a big spoon of peanut butter. There, much better.

Week 2

Week 2 looks and feels a lot like week 1, there is a sameness about the whole thing. It feels like things need to run like a military operation, with no deviation from the plan. This will take some getting used to, but it’s a heck of a lot better than the alternative. That’s for sure.

As week 2 moves along I feel a steady and reliable return of energy. Already I feel less of a need to nap, but I do anyway. I know I won’t be running any marathons, but it seems like every day activities like household chores feels like less of a chore. The general feeling of getting through the day used to be a chore and I would want to shut down physically, mentally and emotionally. This seems to no longer be the case. Getting up at 7am is a breeze, this would have been an impossible task before HC.

I have had a nine year struggle with aching joints and muscles, it started after getting Sarcoidosis/Takayasu Arteritis in 2002. The tenderness would come with any kind of prolonged activity. I mention this only because since starting HC I have not taken any anti-inflammatory medications, while generally being more active than I have in years.

Week 3

This week starts out a little rough, we had a welcomed visitor from out of town. I wasn’t feeling as “peppy” and thought it was the excitement from having an extra person in the house. As it turns out I was about 4 days from starting my period. The imbalance of progesterone to estrogen was too much for my body to manage.

PMS Sucks!

Anyway, I started to feel like I did before starting HC. It was crazy to go from feeling so good only to feel like it was all a dream. It seemed like a terrible joke. I consulted with a wise group, who have not only been through this themselves but also support others through their journey. They are life savers to say the least. My question to them was “What the heck happened and what do I do about it?”

The long and the short of it is, not much. I am not menopausal, not yet anyway! Like taking anything that effects your hormones, (birth control would be an example of this), it takes a few months for the rest of your body to catch up. Next cycle I will try stress dosing, which means I will take an extra dose of HC, probably starting with a 2.5mg increase and see how it goes.

The other thing I am trying is a supplement called EstroSmart Plus. I have taken this supplement in the past and it helped immensely. It however is not recommended by the wise group of life savers for two reasons – 1. it has zinc and zinc lowers cortisol and 2. it has green tea extract – which can be too stimulating for the adrenals. I like the quality of this supplement and when I took it in the past at the lowest effective dose for me, which was 2 daily, I saw great results. So, because there is still some kicking around I have decided to take 1 daily along with an extra 80 mg of Vitex. My thinking behind this decision is that if 2 daily worked wonders I should be able to get away with taking 1 a day, so that the 3 mg of zinc and 50 mg of green tea extract should be inconsequential to my cortisol levels/adrenal glands – I don’t know. It’s an experiment, if it starts to interfere with my overall progress I will stop taking it. Simple as that.

Week 4

This was a crazy week for me. It feels like I only just started on this new drug, I feel great, then I don’t, my family is on vacation, including extended family, summer break for the kids. It was July 1st weekend here in Canada and we were being invited to fire works, bbq’s, shopping excursions, having sleep overs….all the regular holiday stuff.

I went rogue for a few days, did not go to bed on time, did not get up on time, because of that I had to adjust my dosing schedule. I don’t recommend it.

By mid week I was back on track but still not feeling great. My period has lasted longer than it should, my breasts stayed tender well into the beginning of my cycle, everything was still unbalanced. At this point I was getting a little worried that my first few weeks on HC were a figment of my imagination. Oh, I hope not.

More updates to come.

Take care and stay healthy.

Follow

Get every new post delivered to your Inbox.