Showing posts with label CT3M. Show all posts
Showing posts with label CT3M. Show all posts

May 30, 2013

Overview on my adrenal healing thus far

Between May 2012 and February 2013, my cortisol saliva results went from being:
At sample 1) just above the top of the bottom quarter of the range TO being just below the top quarter of the range.
At sample 2) in the top quarter of the range TO just barely under mid-range.
At sample 3) in the bottom quarter of the range TO the top of the bottom quarter of the range.
At sample 4) in the bottom quarter of the range TO perfectly at the very bottom of the range.
I did cortisol saliva tests in March, May and October 2012, then in February 2013. 

My first cortisol saliva test in March 2012 was before starting CT3M at the end of March.

3/2012
AM 18.2 (2.4-33.7) This result was about mid-range, which is 18.05
Noon 6.9 (1.2 - 17.8) This result is in the 3rd quarter of the range.  The bottom quarter of the range is  1.2-5.35  And 9.6 is mid-range. 
PM 5.4 (.5 - 12.1)  This result is a bit below mid-range, which is 6.3.  The top quarter of the range is .5-3.4 
Night 2.3 (.3 - 11.0) This result is in the top quarter which is .3-3.0 

I believe that these March results were SKEWED HIGH because of the adrenal supplement I had been taking less than two weeks before. 

Although, it's possible that even if my levels weren't skewed terribly high, that they dropped further by May because Ct3M wasn't working using NDT.  I did feel a lot better when I started using T3 for it in June.


5/28
AM 11.4 (2.4 - 33.7)  This result is just above top quarter, which is 2.4-10.23.  Mid-range is 18.05 
Noon 2.7 (1.2 - 17) This result is in the top quarter, which is 1.2-5.15 
PM 1.5 (.5 - 12.1)  This result is in the bottom quarter, which is .5-3.4
MN .6 (.3 - 11.0) This result is in the bottom quarter which is .3-3.0

I switched CM dose to T3 (iron was low) and slid NDT into daytime doses.
           
10/29/12
Morning 0.88 (0.27 - 1.18) This result is in the 3rd quarter .725-.95 (that is mid-range to the bottom of the top quarter)  Noon 0.27 (0.10 - 0.41) This result is just over mid-range which is .26
Evening 0.10 (0.05 - 0.27) This result is at the top of the bottom quarter which is .05-.11  Mid-range is .16 
Bedtime <0.03 (0.03 - 0.14) Perfect.


2/2013
Morning  .90 (0.27 - 1.18)  This result is in the 3rd quarter .725-.95 (that is mid-range to the bottom of the top quarter) - just below the top quarter of the range
Noon  .25 (0.10 - 0.41) This result is just under mid-range which is .26
Evening  .11 (0.05 - 0.27) This result is at the top of the bottom quarter which is .05-.11  Mid-range is .16 
Bedtime  .03 (0.03 - 0.14) Perfect.





May 27, 2013

My Updated Answer to "How did you do it?"

Eleven months ago, I wrote this post to share with others who asked how I was finding healing and treating my health issues.  Given that I've made a few discoveries since then and learned that healing is going to take longer than I thought, I figured I should write an update!   
  • I'm still taking Natural Dessicated Thyroid (NDT) hormones.  
  • I'm also still taking Cytomel brand T3 for the Circadian T3 Method which I have been using since the end of March 2012 to heal my adrenals.  (You can read here how CT3M and the other things I'm doing have changed my life, and you can read here to see how my adrenals have healed).
  • I'm continuing my gluten-free diet, as well as limiting grains and dairy, focusing on non-processed foods.  High fat, moderate protein, with plenty of veggies (admittedly, I struggle to eat enough!) and limited sugars (natural, no refined) is the diet I feel best consuming.    
  • All of the above, as well as good sleep, good vitamins and supplements, and stress-reducing practices, to help heal my whole body, including adrenals. 
Also, remember my symptoms list?  Last March, I was down to about six symptoms.  I was feeling really good and starting to work on my methylation issues.  Then I had some gluten mis-adventures, which really set me back.  I'm still amazed at how identical those symptoms were to my hypo/adrenal symptoms. 

If you're just beginning your journey to health: 


Then, remember:
  • If you're going to get well, you have to assume ownership of your health issues and control over your education about those health issues.
  • If you have brain fog, you have to read and re-read.
  • Find a support network in various areas of your life.  This might include family members, friends, health care providers, a health coach, or peers who share your health issues in real life or in support groups online, like these.  
  • There will be stumbling blocks.
  • Healing ebbs and flows.  There are good days and bad.
  • Step away.  Sometimes we can get bogged down in learning about our health issues.  Learn when to step away from it all and get centered on the other things that matter - like faith, family and friends.
If you're not familiar with Janie Bowthorpe's Stop the Thyroid Madness website, blog and books, I will enlighten you to the fact that this is the precise reason why she has had such huge, rapid success:
 

Patient-based experience and patient-based information sharing 
is the brilliant, short-cut way to learning 
about the reasons for your health issues and how to treat them. 


If you've been on this journey a while and you're road-weary:


Then, keep plugging away.  You are not alone.  Review the basics and make sure you're supported by peers who are on this journey, as well.

May 12, 2013

The Importance of Progesterone for Adrenals

I was talking with a dear friend (older than me but also low in progesterone and using CT3M) about progesterone and the ways that it could be affecting us.
  • As T3 goes up, cortisol is supposed to go up, too.
  • Since Cortisol is directly synthesized from progesterone in the adrenal cortex, it makes sense that as a woman's T3 amounts go and adrenals respond with more cortisol, her body would need to make more progesterone to be able to synthesize that cortisol.
  • Progesterone is made from pregnenolone, but it is secreted from the corpus luteum.  
    • (*This is important information for women who have had their ovaries removed! They MUST have progesterone replaced in their bodies.)  
    • So, as the need for more cortisol rises with the rise in T3, so did would the need for more progesterone. This is important for any woman who is on progesterone replacement for whatever reason; theoretically, she would need more progesterone as she progresses with CT3M.

Also, I think we might need progesterone for the conversion of T4 to T3? Can't remember.

Finally, keeping in mind that cortisol assists with/affects:
Mood
Raising the BP
Blood sugar regulation
immune system
Depression
Salt uptake
Stress adaptation

January 23, 2013

My Story

In mid-January 2012, I did something that changed my life. I switched from Levothyroxine, a synthetic T4-only medication (like Synthroid), to Natural Dessicated Thyroid (NDT).

I had been on thyroxine for over 10 years, but
something wasn't right. 

I was experiencing 76 symptoms, including long-term depression and weight gain, irritability, flu-like aches, foggy-thinking, and chronic fatigue. It took me four hours to feel awake in the mornings. By 1 or 2 in the afternoons, I was sluggish and felt the need to consume caffeine and sugar to get through the afternoon. I was impatient and irritable with my family, especially my kids.  My hair was falling out; my skin had aged quickly.  In general, I had a foreboding feeling, as if a dark cloud was hanging overhead.

Three months after switching to NDT and one month after starting the Circadian T3 Method (CT3M), every single one of those 76 symptoms was significantly better than they were in January.  Eight months later, my list of symptoms was down to 12.  (Read my post comparing those symptoms here.)

The symptoms I was experiencing were the direct result of being on T4-only medication - a medication which is widely prescribed for large body of people - and doctors who are trained to use the TSH lab test to assess thyroid health.

T4-Only Thyroid Meds Don't Work.  

If my story resonates with you, if you experience any of the symptoms listed here, or if you are on a synthetic T-4 only medication, read the Stop the Thyroid Madness website.

There are thousands of patients reporting that natural dessicated thyroid has given them better quality of life than Synthroid.

Further background:

My mom's pregnancy with me was a high-risk complete placenta previa, involving three massive hemorrhages, the last of which resulted in an emergency cesarean and my birth at 32 weeks gestation.  I spent time in the NICU.  So cortisol issues were naturally present for me even before my birth. 

Then at age 6, I was diagnosed with type I diabetes, an autoimmune disease.  I did shots for ten years and I have had an insulin pump since 2000.  We suspect that it was around this time that I developed Hashimoto's Thyroiditis as well, but I did not find out I had that until I was tested for those antibodies at age 29.

Heavy, painful periods with low back pain have been my "norm" since I was 12. 

In hindsight, I can see signs of adrenal dysfunction going back to my premature birth at 32 weeks gestation.  But it was during my senior year of high school, when I was incredibly busy and stressed, that I began to show serious signs of hypothyroidism and adrenal fatigue.  

My freshman year of college was no easier.  I had only had my insulin pump for about six months before I left home, so I didn't have a comfortable grasp of how to manage my new lifestyle.  Still, I can say with confidence that I would not have been able to hack college life without my pump! 

I can't help but add that the cafeteria food at my college was downright treacherous.  Loads of white flour and sugar; extremely limited vegetables and fruits; vegetable oil on or in everything!

I finished my freshman year of college exhausted.  After a month of summer break, I had not recuperated, despite good food and lots of sleep.  I was falling asleep mid-morning. 

I requested to be tested for mono and was full of disbelief when the results came back negative. Then, with the TSH lab test,
my endocrinologist diagnosed me with hypothyroidism and she prescribed T4-only thyroid medication Levoxyl.

Shortly before summer break was over, I decided not to go back to the college I had attended, but rather to stay at home and attend a local university.  But a few weeks into school, I had a nervous breakdown.  I could not handle any stress whatsoever.  Deciding what to wear and eat - even the thought of organizing a to-do list - sent me into a tailspin.
 
My parents pulled me out of school and I took the rest of the semester off, recuperated and spent time with my family.    

It was at this time that my endocrinologist prescribed me Prozac for my depression and anxiety. I stayed on Prozac for ten years.  At no time did Prozac help me; it merely dulled my senses, lowering my highs and heightening my lows. 


In January I returned to the college where I had spent my freshman year.  I rapidly gained weight, despite being off the college's meal plan and cooking my own food.  Despite my efforts, no amount of dieting and exercise led to weight lose. 

This was when I began to experience facial swelling and tightness in my neck and throat.  I thought I had a peanut allergy!  


By my junior year of college, I had gained over 50 pounds.  For the first time in my life, I experienced suicidal ideation.   

Reproductive Issues:  

During college, I began to learn the Creighton Model NaproTechnology, formulated by Dr. Thomas Hilgers of the Pope Paul VI Institute, for my reproductive issues.

During the summer of 2004 that Dr. Hilgers informed me of his assessment that I had endometriosis and Poly-Cystic Ovarian Disease, abbreviated PCOD or PCOS.

In December 2004, I finished my college degree then immediately traveled to Omaha, NE where Dr. Hilgers and his associate performed an ultrasound, laparoscopy, luna procedure, and lasered my endometriosis.  PCOS and endometriosis were confirmed.

(A luna procedure involves the severing of a ligament that runs down the back of the uterine wall.  Part of this severing is permanent, while another part regrows.  I was told that the procedure was formerly used by surgeons in the 1980's, but fell out of practice.  It has since been improved by Dr. Hilgers and his staff.)     

More Surgery, Starting a Family, and more Bad Advice from Endos:

In July 2005, I had carpal tunnel surgery on my right wrist.

In 2006, I got married and in May 2006 conceived our first child, a girl. She was born in 2007.  Her birth was a traumatic one in  many ways.  She was born six weeks prematurely by cesarean and spent two weeks in the NICU.

For some reason, in April 2007 my endocrinologist told me to stop taking my Levothyroxine and I stupidly listened. 

In late June 2007, we moved half-way across the country to live close to family.  We lived with my parents for a short time.  My husband finally got a job.  That was stressful!

At this time, I weighed about 205 lbs.

In October 2007 (the soonest I could get an appointment with an endocrinologist), my TSH was 36.  I felt horrible!  My doctor put me on Levothyroxine.

In September 2008, I hit a low with my depression.  My cycles were horribly long - sometimes 190 days.  

In December 2008, I went off Prozac.  It wasn't helping and I was mad.  I successfully stayed off Prozac with the help of increasing my levels of Vitamin D3 to 10,000 IU.  I would later increase this to 20,000 IU.
  
In January 2009, I had a Spectracell Lab Test done, through my new doctor's office.  I started taking lot of vitamins and supplements based on my results.  I was also walking more and making nutritional changes like incorporating raw milk into my diet and cutting out hydrogenated oils. 

In April 2009, I conceived our second daughter.  This pregnancy was a very difficult one, full of stress, anxiety and trepidation.  I now realize that in addition to a poorly treated thyroid, I had extreme adrenal fatigue and low progesterone levels, although I had no signs of possible miscarriage. 

One tell-tale sign of my adrenal fatigue was that every evening, I had extremely sensitive skin, bodily aches, and fatigue.  Afternoons were difficult as well.  I was very short-tempered and irritable.  I didn't know why; I mentioned these things to my doctors, but they just sort of shrugged and looked thoughtful.  So, I chalked it up to pregnancy.   

Shortly before our daughter's birth in January 2012, I had several sinus infections which I was not able to successfully treat with natural methods, so I went on antibiotics.  I was also on antibiotics during labor for being GBS+ (Group B Strep Positive). 

For a number of reasons I will not go into here, our daughter was born by cesarean and weighed a whopping 10 pounds 4 ounces!

A few weeks after surgery, my incision developed an infection and I had to go on a very strong antibiotic.  

Post-Partum Depression

When I was about six weeks post-partum, my Creighton Model Practitioner helped me to realize that I was suffering from post-partum depression as the result of extremely low progesterone. 

It was a very dark time in my life.  Due to the stress my body was under, my milk supply dropped.  I was heartbroken, but determined to put every effort I could into regaining my supply, which I did, so that I could nurse my daughter.      


Thankfully, the PPD was helped immensely by natural, bio-identical progesterone through Dr. Hilgers.  Please, read this and this.  Looking back at the labs (TSH, FT4) my doctor was running, it is clear that my thyroid hormones dropped at this time.  


At this time, I weighed about 215 lbs. 

Cyclical Progesterone Treatment, a New Baby, Miscarriage


In May 2011, I began working with Dr. Hilgers at Pope Paul VI Institute on cyclical bio-identical progesterone treatment, as well as Low-Dose Naltrexone (LDN), for my infertility issues.  Our primary goal was to regain reproductive health for the overall health of my body.  However, we weren't opposed to having another baby. 

In July 2011, we conceived our third child.

But, at the end of August 2011, my progesterone plummeted despite on bio-identical progesterone and having my levels checked weekly.  There was a mix-up three times in a row at the lab where my blood was drawn, and Dr. Hilgers never received the blood to run my labs at his National Hormone Lab. 

In September 2011, our baby died at 8 weeks and I passed him or her at 11 weeks. 

It is my belief that my miscarriage was the result of my thyroid and adrenal dysfunction, as well as my low progesterone which is related to those.  I believe that my adrenals were stealing progesterone to make more cortisol - similar to what Dr. Rind writes about here.

October/November 2011, gained 15 pounds, totaling 234 pounds.  With each pregnancy, I lost my own weight during pregnancy but gained significant weight post-partum.  I have wondered if this was thyroid related.

Escalating Health Issues

By the fall and winter 2011, I was experiencing 76 separate symptoms, including moderate-to-severe depression, flu-like aches, foggy-thinking, and chronic fatigue.  

It took me four hours to feel awake in the mornings. By 1 or 2 in the afternoons, I was sluggish and felt the need to have more caffeine and sugar to get through the afternoon.

I was impatient and irritable with my family especially my kids.  Just as it had with my daughter, my progesterone levels were very low post partum, resulting in post-partum depression. 
In general, I had a feeling that a dark cloud was hanging overhead.

Hope

In January 2012, I was at an all-time low.  A friend said, "You've got to get on dessicated thyroid."

I saw an alternative MD and the following day I started taking Natural Dessicated Thyroid Hormones (NDT).  
As I mentioned before, my symptoms dropped consistently over time and the difference was dramatic.  You can read about the changes I made here. 

September 18, 2012

Symptoms Overview

The following is a list of my current symptoms compared with my symptoms from before I went on NDT in January.  I must be doing something right!  See what it is I've done to change my life.

Symptoms in September 2012

  1. Low progesterone, estrogen and testosterone
  2. Some anxiety (related to low reproductive hormones)
  3. Some depression
  4. Occasional heart palpitations 
  5. Occasional nausea
  6. Occasional low back pain
  7. Occasional fatigue
  8. Dry eye
  9. Thin, crooked eye lashes  
  10. Hair loss
  11. Inflammation
  12. Longer recovery period after strenuous or stressful events
Note: Numbers 2-9 are directly related to my low reproductive hormones, especially progesterone. 
Number 10 is related to my low reproductive hormones and low iron. 
Number 11 is probably related to stress and my autoimmune juvenile diabetes as well as my Hashi's.  Read about inflammation here. 
Number 12 is definitely getting less so with time. 


Symptoms in January 2012
1.              Anxiety
2.              Nervousness
3.              Depression
4.              Fixation
5.              Easily stressed, not coping well with stress
6.              Defensive 
7.              Irritable, angry outbursts  
8.              Chronic Low Grade Depression, developing into severe depression
9.              Suicidal thoughts
10.          Teeth grinding
11.          Low appetite
12.          Hair loss
13.          Itchy legs, hands and feet - not always at the same time
14.          “Hot" feet
15.          Dry skin
16.          Difficulty swallowing
17.          "Growing" pains
18.          Addicted to sugar and white carbs
19.          Inflammation
20.          Easily winded, can’t catch breath, air-hunger
21.          Racing heart
22.          Shaky
23.          Sore feet and calves, as after Charlie horse
24.          Insomnia
25.          Light headed
26.          Extreme fatigue 
27.          Significantly less stamina than others
28.          Significantly less energy than others
29.          Long recovery period after any activity
30.          Difficulty waking up  
31.          Needing caffeine to wake up in the morning  
32.          Sinking feeling in the afternoon/feeling at my worst in afternoon
33.          Needing caffeine and/or sugar to get through the afternoon
34.          Feeling better after 6 PM
35.          Suddenly feel extremely hungry, especially at night
36.          Muscle weakness
37.          Flu-like symptoms: sensitive skin, all-over body ache
38.          Inability to hold children for very long 
39.          Inability to stand on feet for long periods
40.          Low back pain
41.          Exacerbated reactions to daily stress
42.          Taking days to recover from even minor stress
43.          Debilitating reaction to exercise or physical exertion
44.          Foggy-thinking, poor focus 
45.          Sweating 
46.          Hot flashes 
47.          Sensitive to bright lights  
48.          Dry eye
49.          Thin outer eyebrows
50.          Thin, crooked eye lashes
51.          Broken/peeling fingernails
52.          Dry skin
53.          Worsening allergies
54.          Internal itching of ears
55.          Appetite swinging from no appetite to not being able to eat enough
56.          Inability to lose weight
57.          Easy weight gain
58.          Failure to ovulate
59.          Moody periods and ovulation 
60.          PMS (actually, PMDD)
61.          Loose stools/diarrhea, particularly associated with menstruation but not limited to it
62.          Low progesterone
63.          Excruciating pain during period from endometriosis
64.          Carpal tunnel symptoms
65.          Headache, almost daily
66.          Unquenchable thirst & frequent drinking
67.          Frequent urination
68.          Irritable Bowel Symptom, including colitis attacks
69.          Nausea
70.          Scalp ache
71.          Hyper feeling, especially in the evening 
72.          Jittery
73.          Clumsy (drop things, bump into things) 
74.          Confusion
75.          Feeling dull
76.          Dizziness

For a more detailed list of symptoms hypothyroid patients have, see here. 
For adrenal fatigue symptoms, see here.

September 9, 2012

NDT, T3 and Circadian Method Update

CT3M is going really well!  I must say, the method takes patience and some real dedication especially in the beginning when you're so tired and brain fogged, but it works beautifully with time, following the protocol, and making it "your own." 

I'm preparing to do another 24 hour cortisol saliva test to monitor my levels, but I am confident that my adrenals have healed and that there has been an improvement in most, if not all, my cortisol levels. 

I am also confident that my night time cortisol levels are elevated because I have difficulty falling asleep at night.  Before I stopped my adaptogens and a small bit of zinc that I was taking in the early evenings (to prepare for my cortisol test), my sleep issues were much better.  But now they have returned, which seems to confirm my suspicions. 

So, an updated cortisol test will be telling and it will give me guidance and confidence in moving forward.


Progesterone and Other Reproductive Hormones


Background on me and progesterone

I have PCOS and endometriosis.  If I don't take natural progesterone to create that rise and fall that progesterone should be undergoing (see the second graph here), I have really long cycles because my body is so low on progesterone. 

Before starting on natural progesterone, I was having 90-190 day cycles, at my worst.  I get lovely PMS-associated depression from my low progesterone, and also I get post-partum depression.  I even got PPD when I miscarried last fall - and I was taking progesterone during pregnancy.  So, the progesterone replacement is a lifesaver for me. 

I take three 100 mg intramuscular shots on the 4th, 7th and 10th days after ovulation.  The oral capsules were 200 mg.  But even with the shots being a lower dosage, they're soo much more effective.  It was like night and day when I switched.  They are a literal pain in the butt, but worth it.

The first time I ever started on progesterone was as treatment for post-partum depression after my second child was born.  I was a zombie; completely losing my mind, literally rocking myself in a corner.  I took a single dose of Prometrium (prescription natural progesterone) and it was all GONE.  It was unbelievable.  http://www.naprotechnology.com/depression.htm

Progesterone Mishap

In early August, I had a mishap with my natural progesterone shots.  My husband's business trip was coinciding when when I needed my second shot (out of three).

Instead of having someone else give me the shot, I thought I would just take a progesterone capsule that I had left from before I switched to the shots. 

Sounds like it would work, right?  Wrong!

Those capsules aren't nearly as effective, so my progesterone dropped and signaled the onset of menstruation, so I couldn't do shot #3 or it would have stalled menstruation.

In the end, I had shot #1, but not the second or third shots.

The day after I should have had shot #2, I saw a shocking return of adrenal fatigue symptoms that I hadn't seen in months.  I was depressed, anxious, and suicidal.  My blood pressure dropped; I was dizzy and light-headed. 


So, in short, not having that progesterone in my body wreaked havoc! 

I increased my 5-HTP and it really helped, but it's no replacement for progesterone.

Piecing it all together

Dr. John Lee writes in this book that cortisol (and aldosterone) are made from progesterone.  I had heard from my friends' on the STTM Facebook Discussion Groups that progesterone and cortisol share a pathway, and I have known for some time that progesterone is vital for me, so I've begun piecing things together about my past.  

I think that I'm beginning to understand why I miscarried one year ago:

  • My thyroid was deficient in its hormones (I was on 175 mcg Levothyroxine),  
  • plus my adrenals were fatigued from compensating for the lack of thyroid hormones and from other stressors.
  • To make more cortisol, my adrenals were "stealing" progesterone--progesterone which I needed to maintain pregnancy.
So despite the fact that I was taking extra progesterone to maintain my pregnancy, my levels dropped too much because my body was using high amounts of progesterone to make more cortisol for my low cortisol levels which were due to adrenal fatigue . . . which was in large part due to deficient thyroid hormones. 

That's my theory at this point.  I can't change the past, but I can learn from it and use it for the future.

Reproductive Hormone Labs

I got the results back from my reproductive hormone blood panel.  My progesterone, estradiol and testosterone (drawn on peak+7) are all low. 

Per Dr. Hilgers' staff recommendations, I'm taking chasteberry/vitex, plus a small amount of DHEA supplements each day.  I'm also adding progesterone capsules to my IM shot regimen. 

I am really eager to do that next cycle!
 

It is my hope that with more adequate progesterone replacement as well as the continued use of the Circadian T3 Method, continued iron supplementation and eventual optimization of my natural thyroid hormone replacement, I will see an even better improvement in my symptoms and gain better quality of life.