My weight is 199 (finally).
I'm not sure what exactly messed me up, whether it was a drug interaction or occasional drinking (I stopped following the Banting diet and only drank a few drinks since my last post) but something threw my hormones out of whack. I since detoxed from basically all medication except when absolutely necessary, stopped all alcohol, and had to supplement like crazy with potassium and magnesium. I didn't check every day but I had a test for ketones in my urine and none were found after IF and low carb when they should have been there, and I stayed at 202/203 for way too long, I think because I was holding water and possibly not going into ketosis. Finally today, the day I was scheduled to weigh myself, I lost a few pounds, and that was after eating throughout the day and having sushi and a sweet bun yesterday. If my body hadn't been out of whack, I theoretically should have lost significantly more weight a lot sooner based on what and when I was eating. It has been an extremely frustrating experience and a really long and stressful week or two full of mostly good things, but also a lot of big changes and decisions.
After what happened to me, I have no appetite for drinking right now. Alcohol can concentrate drugs in your system because it can inhibit cytochromes, and that's no joke if, like me, you tend to be sensitive to medication (hypothetically, already have slow cytochromes). Basically, imagine drugs are forms that need processing and my cytochromes are overburdened bureaucrats, already slow. Now imagine giving those bureaucrats a lot of wine, they get even slower, and the forms build up and don't have anywhere to go. I don't know if that's a good metaphor, but the freaky side effects I experienced that can't be explained by drinking on top of medication because the medication should have been out of my system give me pause when a friend casually asks if I want a glass of wine with my meal. And anything that stops me from losing weight, that is a huge red flag that screams "Doing This Is Bad For My Body!"
I tried a serotonin antagonist and it turns out one of the antihistamines I was taking for insomnia was also a serotonin antagonist (which also has an extremely long half life), and taking them together was bad which I didn't realize for awhile, but taking them hours apart from drinking or other medications was also bad, for me at least. I think I'm very sensitive to changes in serotonin in regards to my adrenal system, and if I'm right it meant too much of certain hormones were released (angiotensin, which leads to increased aldosterone) that raised my blood pressure, lowered my ability to make insulin, and told my body to get rid of potassium. I never would have dreamed taking lower than prescribed doses seemingly far apart could lead to a bunch of weird stuff happening in my body, but it seems to finally be over now and I am so grateful. It makes me concerned about what the insomnia medication has been doing to me since I have been taking it to help with sleep and panic attacks as needed for years. It's made me concerned what all medications I've taken have been doing to me. Not, like, in a nefarious way, just, literally what has it been doing, and how concerned should I be? For example, my rate of panic attacks went way up over the past two weeks. In the past certain anxiety medications has made me more anxious, could other medications be doing that too?
As someone who has experienced rare yet severe side effects in the past that disrupted my quality of life, it is very frustrating when doctors just shrug and say that's just something that happens when you take a drug or discount when you say you think something is wrong because a drug is safe, or people usually don't have the side effect you're having, so it can't be that drug's fault. As a layperson who knows their body and can tell something is wrong but who also doesn't have tests to prove it, especially when it something like migraines or panic attacks or inability to lose weight that can't be tested for objectively, the medical system can make you feel even worse and like you don't know what you're talking about. And also it seems like if you're not like, dying, you're fine. Oh, your blood pressure is thirty points higher than it normally is? Meh. You fasting blood sugar went from the 80's like it has been for years into the prediabetic range although you're eating keto and fasting? Why are you worried? Are you sure you're really trying to lose weight, people don't have a problem with this medication. Sheesh! It can really be invalidating.
And yet low and behold, when I stop the medication, and my side effects go away, then yeah, now they believe me. Usually. Otherwise I guess they assume I'm just a neurotic schlub eating sugar and carbs all day and just expect me to have deteriorating or suboptimal health like high blood pressure and high blood sugar like the rest of the StandardAmericanDiet-sacks. Again, sheesh! The medical profession needs to wake up and start caring about side effects and WHY they happen, and what they mean systemically, because drugs that do things like making you sleepy or hungry don't happen in a vacuum or by magic. They happen because of hormones and neurotransmitters and catecholamines and choline, and it's a very complicated and intertwined system, but that doesn't excuse ignorance of mechanisms when the information is out there or lack of symptom management to maintain homeostasis. And doctors need to stop being ok with people being a little metabolically sick and just being happy they're not really really sick.
And, on a related tangent, people need to stop saying there are no predictors for prediabetes. There are, and they're not even that complex or expensive or controversial, from what I understand, I can't say from experience because I've asked about them but no one has actually ever done these tests for me.
Measuring visceral fat by ultrasound, uric acid levels with a blood test (I think they may made monitors for this similar to blood glucose monitors), and oral glucose tolerance tests for checking for insulin resistance, all of which should be routine as part of physicals. Fasting insulin tells you nothing about the actual function of your pancreas after you eat a cookie, just if it's really really dysfunctional without any food coming in, which is very bad news for your metabolic health. Oral glucose tolerance tests show in real time if your pancreas is overreacting and releasing insulin after you eat sugar, not if it's overreacting by releasing too much insulin all of the time. This is a distinct difference and really valuable information, but it's slightly more complicated and time consuming, so they just don't do it. Give me a break! I wish I could start a nonprofit and focus on just those three screening tests, I bet it could really help people catch things before they get really sick (idea copyright BantingLikeWilliam 2023 lol).
And don't get me started on the overwhelming attitude of doom and gloom if you would have visceral fat, elevated uric acid, or insulin resistance. You're doomed? No. You can reverse nonalcoholic fatty liver in DAYS just by giving up sugar, alcohol, and doing intermittent fasting (may take a few extra days if you don't fast). Notice I didn't say you have to give up carbs. Sugar (fructose) and alcohol stress your liver out in nearly identical ways because if how they are processed. This is not pseudoscience, yet NAFLD is considered by many medical professionals to be a progressive disease, not one you can reverse. And the earlier you catch it, the easier it is to reverse. Same with fatty tongue with sleep apnea. Liver and tongue fat are two of the first to be liquidated when you stop overwhelming your body with sugar (and alcohol, but most people just need to cut out sugar). It takes longer to shrink visceral fat and reverse insulin resistance and get your hormones to normalize, but it has been done over and over so many times in the same way that it feels like willful blindness and pessimism when the Mayo Clinic still talks about PCOS and fatty liver and diabetes like they're life sentences. You don't have to live with any of them, and the way you avoid them or turn them around is by changing what you eat. I try to help my friends who have these health problems and they tell me they don't like eating too much meat or that the keto diet requires processed foods and keep going to this specialist or that specialist and as long as the medical establishment keeps saying we are destined to get fat and decline in health as we age, I'm going to keep sounding like a nutcase telling people to eat more meat and that it's ok to give your organs a break from eating to be healthy. Virta Health, Low Carb Down Under, and all the other reputable low carb researchers, I hope you can help make this type of thinking more widely accepted before my friends have trouble conceiving, have trouble with their eyesight due to metabolic issues, or have to have limbs amputated, all which has happened to people I know.
People like to look to prescription drugs as miracle drugs or quick fixes, but they're often not, and what is a miracle and quick fix is keto. Not for all issues, of course, but for overall health and to balance hormones. Write me off as a nut if you want, but like my bae Mulder would say, the truth is out there. Except it's not classified, just google it and check your sources. I'm not making any claims that haven't been backed up by studies and actual doctors who see the conditions reversed in their practices.
I wish that more attention would be paid to side effects of drugs, but if doctors etc keep expecting people to have bad side effects or be ok with them being sort of metabolically sick, how can that ever happen? Who will advocate for people having horrible side effects from drugs that well meaning doctors prescribe? I genuinely don't know. Hopefully someday soon the mechanisms by which drugs work will be better elucidated and unified and psychiatry/other specialities and general medicine will work together in a holistic way that considers the patient's whole body. Until then, it doesn't hurt to know your body at baseline and keep track of side effects when trying a new medication, whether it is prescribed, over the counter, or even a supplement. Even food. Chips make you swell up? That's good to know, you may need more potassium if you're gonna eat chips. A drug makes you hungry? That's a metabolic red flag. At the end of the day, when you know what is normal for your body, you can better advocate for yourself and if you do need to take a drug, you have a better chance of finding one that will work with your body.
Rant over. This experiment is on hold. I'm aiming for keto.