Showing posts with label cortisol. Show all posts
Showing posts with label cortisol. Show all posts

Friday, November 25, 2016

Dx and Rx, round one

Right off the bat, my new functional medicine doctor told me that everything I am experiencing is linked to my gut health. 6 years ago I experienced some kind of event that triggered a gut bacterial imbalance, and it has wreaked havoc on my ability to absorb nutrition and regulate hormones.

Initial treatment:
She did not want to wait before starting a round of antibiotics and probiotics.
For sleep-
Melatonin-1 mg
2 weeks-
Xifaxan, 1 pill 3x/day
2 months-
Candibactin AR, 2 pills 2x/day
Candibactin BR, 2 pills 2x/day
2 hour gap between next two
GI Revive, 7 pills 2x/day
Ultra Flora IB, 1 pill 2x/day

This sounds like a lot, but if it helps I am all for it! I would do FMT if it was available for people without C. Diff.

Initial test:
Stool Sample- Genova Diagnostics
This was pretty weird, and I am still, waiting for the results. I look forward to the results.

Cortisol Saliva Sample- Quest Diagnostics
Quest only shows upper normal limits for this test, so it is hard to assess adrenal fatigue. I looked up lower bounds and discovered that my levels were extremely low. This occurs when your body is bombarded by stress and it becomes unresponsive to it. That's what 6 years of stomache pain will do!

40 blood tests- Quest Diagnostics
We checked for metal poisoning as well as auto-antibodies, metabolic markers and markers of PCOS. I have only gotten 1 of 4 tests back, but I have found this so far:
- TSH: 1.4, down from 3.5 last year and 2.6 3 months ago, progress!
- T3 total: 91, low normal and much lower than the optimal/functional values
- blood cortisol: 7, low normal is 4. Again, much lower than ideal
- DHEAS: 343, in high normal.

Thyroid Ultrasound- TBD
My doctor felt a nodule during my physical exam, and I have yet to follow up on this test

Lactulose Breath Test- Brigham and Women's Hospital- 
My kind technician let me take a copy of my results. My hydrogen levels had a HUGE peak at 60 min indicating SIBO.

My next visit is in 2 weeks, and I can't wait to discuss these results and come up with a plan.

*If you need Xifaxan, don't let your insurance bully you into taking an alternative, less effective, antibiotic. Use their copay card: https://www.xifaxan.com/Copay-Card?gclid=CPbxsIv0xNACFYWVfgodMHoD0g