I thought the brain fog was starting to go away and then yesterday, it settled back in again. I think I hate the brain fog symptom worse than any other. Not only is it an odd pressure type feeling in my head that I can’t describe, it’s also my stupid “pill”. I can’t get the right words out, I can’t concentrate and my depth perception seems off (which is especially scary when driving in lots of traffic).
I also think I’m typing one thing but when I go back to read it, I realize I typed something else. Or I spelled words completely wrong or used the wrong one (there instead of their). That may not seem like a big deal to most people but before all of this, I never had to proofread anything I wrote. I could be confident after I wrote an email, I could just hit send. Now? Not so much. I reread it slowly multiple times and each time I’ll see another screw up. It doesn’t help that our ( <– I actually typed “or” there – perfect example) email program at work doesn’t have spell check!
So today as I was sitting there, I just thought I can’t take this. I go back to my thyroid doctor next week but it takes FOREVER to get blood work results back from his office (3-4 weeks) and I just can’t imagine dealing with this for another 4-5 weeks if it could be a relatively easy fix. Probably not that lucky but a girl can dream, right?
I called my regular doctor and asked if I could come in to be tested for anemia since my OB/GYN mentioned it at my last appointment. They said they would be happy to test but I needed to be seen first. As luck would have it, the NP who leans more towards the alternative/holistic side is who had an opening. So I grabbed it.
My main symptoms right now are the brain fog (and all that comes with it), getting dizzy when I stand up, heart racing for no apparent reason and fatigue (though it’s been much worse in the past).
In all of my research, there are several things that continue to come up with those symptoms: (1) Celiac/gluten intolerance, (2) Hypothyroid, (3) Adrenal Fatigue, (4) Anemia and (5) Lyme (of course).
So I went over this with him and he patiently listened. In fact, it’s probably one of the longest appointments I’ve had with a “conventional” doctor outside of my thyroid doctor and I don’t really consider him to be conventional.
Let’s break it down….
Celiac/Gluten Intolerance
About 18 months ago, I saw this same NP about not being able to lose weight despite being on a low calorie diet and exercising five days a week. I had been doing this for 2 months at that point and had lost less than 2 lbs. After running a bunch of blood work that came back normal, he suggested cutting out wheat. I decided to just go low carb which essentially did the same thing (minus cross contamination) and the weight started to come off. I lost 60 pounds. With the Lyme diagnosis and prior, I altered my diet again and tried products with wheat – that’s when the intolerance symptoms started though I didn’t recognize them at first. I cut it out for the most part starting in December. But as I’ve better educated myself, I’ve been more diligent. I got super serious about gluten free this past spring as far as cross contamination, changing cooking utensils at home, checking supplements and toothpaste, etc. So I explained that my test for celiac had always shown negative because I wasn’t willing to gluten myself to get a positive diagnosis.
I asked if the celiac diagnosis would be of any benefit – is there any kind of treatment that I would receive that would be different versus a gluten intolerance? He said the main thing is the gluten free diet and with celiac, it’s a matter of trying to re-balance your gut, which is done by being strict with the diet, probiotics and monitoring nutrient levels. He said celiacs tend to have issues with B12, vitamin D and iron absorption. Um, check, check and maybe.
So good to know that there’s no real benefit to diagnosis and as long as I stay strict with the diet and continue my probiotics, I’m taken care of.
Hypothyroid
We know I have this already. The problem is trying to get me optimized on my meds. I explained to him that no matter how much Armour I take (1 pill or 4 pills), I feel no different. He said he didn’t think that was because of the thyroid but because other things were interfering with my thyroid being able to work as it should – either on or off medication. That theory works for me.
He also wanted to know who was treating my thyroid once I said I was on Armour. I told him and he seemed surprised but said he hadn’t talked to him much in the past few years since he moved out of the alternative medicine practice he was in and moved to this more conventional practice. He did say my heart rate could be due to thyroid as well.
Adrenal Fatigue
I told him I have been more tired since I came off of the Cortef but I really wanted to be able to take the saliva test with no medicine interfering with the results. He understood that but thought I probably still needed it and that could also be why I see no difference with thyroid meds. He asked me if my thyroid doctor does the saliva test, I said yes and he said to have him order that one for the best possible results along with DHEA-S and the other markers from that test.
Anemia
He thinks this is the most likely cause of my symptoms – particularly since I’m getting dizzy when I stand up and things typically coincide with my period. I told him my Ferritin level was 41 this time last year and he said wow, that’s low. Well, no one has said a word!! And it dropped into the 20s on my last test in March. He kind of nodded his head so I think that’s what he is leaning towards. If 41 is low, obviously in the 20s is worse!
Lyme
I’m actually okay with the symptoms being any of the above (minus the celiac as I have no idea how my diet could be stricter) but the one thing I don’t want it to be is Lyme. Though I’ll still take celiac over Lyme, I just may need to find a doctor who specializes in it if that’s the case.
Interestingly enough, today a report was released that the CDC has grossly misrepresented Lyme cases by saying there are 20,000 to 30,000 cases per year. In actuality, they admitted today it’s closer to 300,000 per year! Maybe next they’ll finally admit it’s not easy to diagnose and easy to cure! I won’t hold my breath.
Anyway, he said as you’re well aware there are many different opinions on Lyme, how to treat it and if it can be chronic. He said his own theory is that if you received proper treatment (with proper being up in the air as to what that is), then he believed lingering symptoms were due to the immune system attacking itself. I could buy that to a certain extent especially since everything I mentioned above is connected to the immune system (minus the anemia, possibly – depends on the cause). But there have been studies in animals and a group of about 160 people in the 1990s that show the actual germ still exists even after very aggressive treatment.
However, I gave up a long time ago with fighting with doctors about their beliefs on Lyme. I’m not going to change their mind and I don’t want another doctor to drop me so it is what it is. I just nod and move on. Now, if all these tests come back “normal”, then it will be a whole new ballgame if I feel like I need to pursue the world of Lyme again.
I planned to ask for another western blot but upon hearing his theories, I knew I was pushing it. And I really wanted all of this other blood work done so I let it drop. I’m pretty certain I can get my thyroid doctor to do it if all of these other results show normal.
So that’s where I am. He is doing CBC, metabolic panel, all thyroid levels (including FT3 and FT4 – no conventional doc usually does those!), blood cortisol, vitamin D, B12, kidney and liver function, all of the iron panels including ferritin, electrolyte levels and a few other things.
He drew blood and said the results should be back within a few days. Luckily, they have a patient portal so I can see them when they come in. Only exception being if something is really out of whack because they typically won’t post them until someone has called to explain.
More waiting….but hopefully in a few days I will get some answers. Good thing is I’m going to start cross fit again. I had stopped in the event that it was somehow contributing but that’s made zero difference. So I’m going back to it. I at least feel stronger when I do it and that can’t be a bad thing, right?
I’ll post when the results come back. Keep your fingers crossed it’s a simpler thing to attack and NOT Lyme!