Sunday, March 31, 2013

Tired


I went to see the doctor last week. My PCP said that my cortisol levels are still high. He said it is likely I have some sort of adrenal glad malfunction, but it’s really beyond his specialty. I will have to wait until my appointments with the two different endocrinologists I have scheduled in a month. I have to have some more blood taken to check some hormone levels. I guess we will see whether the dhea or testosterone is affecting anything or not. Meanwhile, the Rhodiola rosea (similar to ginseng), omega 3 fish oil, and tonakli extract (recommended by Dr. Oz) do seem to have had an effect on my cortisol. Here’s some interesting info on the Tongkat Ali discussed by Dr. Oz they look for a lot things in blood work when women are exhausted and it very well be cortisol-testosterone exhaustion. Cortisol goes up and testosterone goes down which can lead to exhaustion. Low testosterone is not just a problem for men, normal testosterone levels should be anywhere from 8 – 48, Michelle’s testosterone level was 7. Testosterone level of 7 is a sign of overall exhaustion says Dr. Talbott and some things to do to bring the testosterone back up to a normal range is to eat healthy, exercise and recommends a supplement for testosterone Tongkat Ali. Michelle plus 10 other women were also confirmed with pre diabetes.” http://dailyhealthweb.blogspot.com/2011/12/dr-oz-tongkat-ali-testosterone-booster.html

 

My PCP feels the fluctuations in gaining and then losing weight are due to other food allergies; ones I haven’t figured out yet. This makes sense because both of my parents have a lot of food allergies. My doctor and his wife read this book called “The Plan: Eliminate the Surprising "Healthy" Foods That Are Making You Fat--and Lose Weight Fast” by Lyn-Genet Recitas.  It is a 20 day plan to help you figure out which healthy foods don’t actually agree with you as an individual. This is extremely interesting to me because I have said all along that certain foods just don’t agree with certain individuals. I have said and felt since my experience with gluten that each person has foods that may not agree with you individually, and you may not know it. Hives or indigestion may appear or they may not. Reactions may be happening inside your body. Acid reflux is one example of such a reaction. I have been experiencing some acid/throat issues and I have to believe its due to some food I’m eating. Lyn Genet Recitas says about her book, “Foods that are revered by traditional weight loss programs, such as turkey, eggs, cauliflower, beans, and tomatoes, may be healthy in a vacuum, but when combined with each person's unique chemistry, they can cause a toxic reaction that triggers weight gain, premature aging, inflammation, and a host of health problems including constipation, migraines, joint pain, and depression.”


 


I think keeping a detailed food journal, writing down everything I’m eating, and eliminating foods one at a time to see what reactions I have or don’t have could really be useful. I’ll let you know what else the book says after I read it. It should be interesting. One specific food my doctor asked me about is spinach. Apparently, people with severe thyroid disorders have bad chemistry with spinach. About a month and a half ago (around the same timeline of when I started having issues) I began eating spinach every day for lunch. I love spinach and have been buying loose leaf spinach to eat as salad for lunch. Coincidence? Another possible food issue is eggs- for a long time I was just eating a protein shake for breakfast in the morning. When I realized that I wasn’t eating enough calories in a day, I started to eat three eggs for breakfast in the morning instead (you have to remember I can’t eat bread or most cereals. Just eggs and fruit really. Yogurt. That’s it). Have the eggs had an effect? I had a really difficult time losing weight when I was eating gluten, thinking I was eating healthy, and exercising. It wasn’t until I eliminated it that I was able to lose weight at all. Dr. Oz discusses food allergies and how they can cause weight gain with an author by the name of Mark Hyman who also has a 3 week allergy free diet book. http://www.doctoroz.com/videos/anti-allergy-diet?page=3#copy


 


I think that the past month has been a combination of stress/ high cortisol levels, possible food allergies, and also me not eating enough. The past three days due to Easter and my birthday, I have pretty much eaten whatever I wanted, taking in way more calories than I usually do. I lost a few pounds (figures) and I haven’t been to the gym in 4 days. So. Someone going through a plateau would not have these results. This is clearly an issue of my body (once again) not acting like normal people’s bodies and doing whatever it wants. I am not getting enough of some nutrients that my body needs which is why when I finally eat more, I lose weight.


Allergies to food items result in antibodies that cause inflammation and weight gain. My hashimotos thyroid disease is detected because of ANTIBODIES that are not supposed to be there. I wonder why that is? I have long thought it was due to the gluten (which is a proven fact in the Wheat Belly by William Davis that gluten allergies will cause hashimoto’s disease due to this reaction from your body causing antibodies).  It would make sense that gluten wasn’t the only thing causing my body to freak out. I will repeat this for the last time. This is not a plateau. My doctor agrees that it is not a plateau- in fact he thinks that most of the problem is food allergies more than cortisol or anything else. At least that one single person knows me and understands what I am going through. He and his wife did the plan to also figure out what unknown foods were holding them back.


To all of you that have normal bodies with normal reacting thyroid and metabolisms: Please stop telling me this is a plateau. Also please stop saying “well it took you 10 years to put on the weight so it only makes sense it will take you a long time to lose it.” YOU ARE FORGETTING THAT THE WEIGHT GAIN WAS DUE TO MY THYROID IN THE FIRST PLACE. This is a really insulting thing to say. I wasn’t sitting around eating a bunch of fucking pizzas and ice cream and woke up one day and said “Oh geez, wish I wasn’t so fat!” My thyroid freaked out and gained lots of weight and it was totally out of my control. Let me define plateau for you now. So I can stop losing my mind. “It's normal to shed pounds quickly at the outset of your weight-loss program. When you cut calories, your body releases glycogen, the storage form of carbohydrates found in your liver and muscles. When glycogen is burned, water also is released, which results in substantial water weight loss that accelerates your positive trend on the scale.
Despite this initial success, you are likely to hit a plateau because you lose both fat and lean tissue when you cut calories. The lean muscle mass slows your metabolism. Since the rate at which you burn calories declines, you need to either increase your activity or cut calories again.” Read more: http://www.livestrong.com/article/381752-weight-loss-plateau/#ixzz2PBRm716C


Cutting calories isn’t my issue here- in fact, my doctor agrees I’m not eating enough calories or protein. I also know that lean muscle mass is critical to losing weight and is something that I have focused on for many months yet am having a hard time putting on more lean muscle mass. The reason for my weight loss wasn’t because I went on a diet and cut calories so now I’ve hit a “plateau” and need to work out or cut more calories. I started losing weight when I stabilized my thyroid. I next cut out gluten and was working at they gym. I increased my gym exercise. That is why I was losing weight. It wasn’t because I was doing a diet and needed to add in some exercise or “fell of the wagon” and stop eating chocolates and wine.


In fact, working out 5 days a week 2 hours a day may have been too much and I have cut that in half the past two weeks. More exercise or cutting more calories are what is recommended for a plateau. Gee, wonder why I didn’t’ think of that????!!@  Now, I recognize and agree that after a certain point (six months is what livestrong says, and that is where I am) you are not going to lose as much weight or see the same amount of success as you did early on. I get that. I’m not going to lose the 16 pounds I did back in November when I first quit eating gluten. What I am saying though, is that something isn’t exactly right. I feel it in my bones and I know it my soul.  Any normal person eating a 2000 calorie diet working out 5 days a week with no food allergies, no thyroid problem etc. etc. would be steadily losing weight each week.



I’m so tired of trying to figure out what’s wrong. I’m more tired of trying to explain it to people to have them not understand. Most people think this is just a phase or something “normal” that I was going through- the thing is, I’ve never been normal. Any of you with normal metabolisms and normal bodies need to treat yourselves properly. Eat well, go to the gym, take a walk- live your life. Because you can. If you need to cut calories- do it! Don’t sit around eating donuts complaining about how you have constant indigestion. Do something about it! Be appreciative for the fact that you can do something about it in a simple and efficient way unlike the many thousands of people suffering from thyroid problems or other issues that is beyond their control. Many people have health issues beyond their control that keep them from exercising (such as arthritis) so go out there and live your life! You owe it to yourself!

Wednesday, March 13, 2013

Frustrated


So the past couple weeks I haven't posted. February was very difficult for me. For some reason, I gained several pounds back in the middle of the month. I managed to lose them again, and did manage to lose a total of 7.5 pounds for February (which was good) but it was a real struggle. Nothing in my diet had changed. I am as dedicated as ever to eating and living a healthy lifestyle. Some may say well "you probably put on some muscle, yeah that's all" or "you put on some water weight, that's it." If that is true, than why is happening again in March? I lost 3 pounds the first week of March. I was off to a great start. The next week I gained them back and haven't been able to loose them since. I have tried water pills (in case it was the water weight) and if I truly was putting on more lean muscle mass (which is the goal) I would be promptly losing weight after because lean muscle burns more fat. So WTF???

 

 

Yesterday, I almost gave up. I figured hell; I made it from a size 26 to a size 16- that was further than I ever thought I would go. And I was just so tired. Work has been extra stressful this past week which is not good since I am pretty sure it is jacking up my cortisol. I suffered a major disappointment when Half Price Books decided not to put in a new store in our area, severely limited my ability to move up. I have been working out 5 days a week, doing cardio for at least an hour each day, with weight lifting 3-4 of those days including seeing a personal trainer each week. I went to my sh'bam and yoga class yesterday even though I was tempted to just to take a nap, eat some chocolates, drink some wine, and call it a day. I love my sh'bam and yoga instructors and I know that I will be missed if I don't go which motivates me not to miss those classes. (Thanks guys for the motivation!). I felt better after the classes, as I usually do. But still today, I am frustrated. I am not sure what more I can do or accomplish if I am having internal issues such as my cortisol that I don't have direct control over. Furthermore, I wish everything wasn't such a fight for me. Why is everything so hard? I am doing everything I am supposed to be doing, so why isn't that enough?

 

 

I learned along time ago that my body does not act like it is supposed to. Years of issues with my thyroid and insulin resistance have taught me that I am not normal. What works for other people does not apply to me. My body seems to have its own set of rules. There is a documentary on Netflix called Fat Sick and Nearly Dead that focuses on juicing and fasting. The star of the film, an Australian man, decides to just drink fresh juice (he makes himself) morning, noon, and night, from vegetables and fruits for 60 days to lose weight and feel better. He loses a 100pds on his journey. It is an interesting film and was recommended to me from some coworkers who sparked my interest in juicing. The thing is, my body doesn't respond well to threats. If I thought for one second that I could just drink juice and "fast" and I would lose all of this weight and my problems would just "poof" away magically I would do it. I am an insanely determined, focused, person. I would do anything to lose the last 65 or so pounds I need to lose and feel better. My body didn't respond well to me not eating enough calories (see my last post) and I have learned also that my body requires some amounts of healthy fats in order to burn more calories. In fact, every time I eat more calories than I usually do, I lose more weight. I have been drinking juice during the day at work to keep my metabolism going and help me in between long periods of time where I can't eat to boost my calorie count in a healthy way. The thing that upsets me about the film is that the man who is juicing would eat a lot. He admits that he would eat two whole pizzas by himself. The overeating affected his health severely.  I admire his strength to change his habits, but he hasn't had to struggle for 10 plus years going doctor to doctor trying to resolve a severe thyroid disorder. He hasn't had medical issues such as insulin resistance that no doctor could help with. I had to figure out everything myself. I have cured myself of an incredible amount of aliments and have lost over 50 pounds through pure hard work, tears, determination, (and more tears). My problems were never as simple as putting down the fork. IF ONLY ALL MY PROBLEMS WERE CAUSED BECAUSE I ATE TOO FREAKING MUCH!!!! How simple that would be!!??!! I could just cut calories, work out, and lose weight like a normal freaking person without struggling each and every day to lose just a pound or two a week.

 

I'm on my third trainer now. I have a new trainer I haven't mentioned yet. He is young, and I was worried that because he is fresh out of college that he wouldn't be able to help me or understand all the struggles I have been through just to get where I am now. He is very enthusiastic though, and seems serious about his job. I am trying to do everything he suggests and really give him a chance. I have seen him for about a month now, so he plans to do "measurements" and weigh in to see how far I have come in the past month next week. (I'll let yinz know how that goes). I am sort of terrified. I don't think that I've accomplished much, and again it's not because of my diet. He mentioned to me last week that I need to make sure I am not "binge eating." Again, if anything I struggle to eat 2000 calories a day and most days between work, going to the gym, and helping my son with homework, I eat 1500 calories. I was never a big eater. People that have known me for years can attest to this. Today, I had a protein shake with almond milk for breakfast, a vegetable mix with mushrooms, peas, green beans and carrots with some kiwi, oranges, and almonds for lunch, and for dinner I am planning on some chicken with a sweet potato. To drink, I only drink water or juice (other than my protein shake) and today has been just water all day. I will probably eat an orange, other fruit or some almonds throughout the day but that's about it. That is my typical day. I'm not eating a pizza for lunch and ice cream bars for dinner. I don't eat anything breaded or fried, I hardly eat anything sweet other than some dark chocolate every once in awhile, and I have severely restricted any alcoholic beverages to just a glass a wine every once in awhile. Today he mentioned he wants me to fill out a food log next week. That's fine- I'll try anything or do anything- but he also mentioned that he knows it’s hard to "stay away from the refrigerator" and "not snack." I told him again that if anything, eating is just a hassle for me. I can't seem to eat enough calories, and no matter what I do I'm gaining weight back and forth anyway. What the hell is the point?

 

 

I'm back to the cortisol thing. My cortisol has been high for years and years. I am going to have some blood work done in the next week to make sure that it's not my thyroid- my thyroid made me gain all the weight in the first place. Oh yeah, it can do that to you. If your thyroid is not working correctly, you will gain lots of weight for no reason. Cortisol can do this too though. The cortisol can cause low testosterone in women. Without enough testosterone (and Dr. Oz did a whole show on this, if you don't believe me), it will be impossible to lose weight, especially around the mid section (where I have lost NO inches) and the high cortisol suppresses the testosterone (the more stress I have, like at work for example, the more cortisol, less testosterone) and then it makes me unable to put on any lean muscle mass and cortisol also prevents people from losing weight. "In fact, fat cells in the belly have four times more cortisol receptors compared to fat cells elsewhere, so you just keep reinforcing the muffin top as your cortisol climbs and stays high. It’s not pretty." http://www.saragottfriedmd.com/2012/05/04/cortisol-switcharoo/ This is from a Harvard doctor- its well documented, in any case. Google it if you are curious. So, is it my cortisol? Doctors for years have been unable to do anything about my cortisol levels. Also, the exact testosterone level for women varies from person to person and doctors do not actually know what the correct levels are that women are supposed to have. In fact, testosterone therapy for women is a relatively new idea and there is no FDA approved testosterone therapy for women.

 

 

I have made appointments to see two different endocrinologists in hopes of finding out once and for all what is causing my high cortisol levels- it may not be my testosterone levels after all. I am not sure what it is. I do feel like it is holding me back and that it is ultimately up to me to figure it out. No one said that it would be easy losing weight. I solved many of my issues and have this last piece of the puzzle to decipher. I'm close to the goal; I just need to hang on. I have some natural supplements for lowering cortisol and boosting testosterone I am going to try. I'll let you know how it goes! Until then, be healthy, happy, and LIVE!