xena
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thanks @Gingergrrl ! I'll post after tomorrow's appointment when I hopefully have some more information!
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Created in 2008, Phoenix Rising is the largest and oldest forum dedicated to furthering the understanding of, and finding treatments for, complex chronic illnesses such as chronic fatigue syndrome (ME/CFS), fibromyalgia, long COVID, postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and allied diseases.
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thanks @Gingergrrl ! I'll post after tomorrow's appointment when I hopefully have some more information!
Miraculous! Ah! My recovery has been fast, but I still have a way to go before I can even work a part time job. I'm not acutely sick anymore, but compared to a healthy person, I'm definitely sick. But I know exactly what you mean.@jeff_w I think the reason I am so fascinated by your progress is b/c our history and symptoms were so similar and we see the same doctor except that you have made a miraculous recovery and I have not.
Thanks! I'll tell you everything I'm doing.And please know I am not saying this to make you feel bad or guilty in any way. I feel genuine happiness and hope at your story. So I am trying to figure out if there is anything that I can do differently to improve my own recovery. I can't change the age difference but maybe can change some of the other factors.
I never had bruising, not even as part of active mono. Dr. K. have any theories?Did you ever have the bruising?
It happened like this. I was 100% bedridden last July, except for trips to the restroom, and sometimes I needed to lean on someone's shoulder or use a walker to get there. I was trying to get out of bed to make my way to the restroom, but I couldn't get out of bed. I called for my dad. He helped get me to my feet, but I couldn't support my own weight. I collapsed on the floor and couldn't move. I could still breathe, but it was difficult. I barely managed to whisper and explain what was wrong. My body was no longer under my control at all. I couldn't move my own body. This happened twice. The first time was combined with acute chest pain, and I was rushed to the emergency room.Also, what did you mean that you had paralysis b/c I have never had that. Could you literally not move? Did you feel that your breathing was paralyzed or your muscles? Just want to understand.
Could you do fluid loading, instead? This is done by drinking massive amounts of electrolytes very quickly, first thing in the morning, and then again multiple times per day. I wonder if that would be safe for you. Also, do you have your electrolyte levels tested regularly? From time to time I have low sodium, so I need to add it to electrolyte drinks that already have a lot in them.1) Saline was a disaster for me and both my doctors do not think I should do it again b/c not safe for me.
On Valcyte alone, my EBV titers initially went down. Then they spiked back up, which Dr. K. called a "reactivation." My NK functioning went from 15 during my first visit with Dr. K, down to 7 during my last visit. Yet, I'm much improved. Dr. K. said that the labs don't reflect all that is going on.2) I'm taking an anti-viral (Famvir) for almost six months but my EBV and VZV titers are unchanged and ironically the VZV IgM actually went up! Did your actual viral titers go down? Did your NK functioning improve?
Sounds good! I'd recommend trying 1/4 of a 0.25 dose at night. Why start in the morning when you're going to have to switch to night anyway? The switch to night could throw you off. If that tiny dose gives you no insomnia, don't bump it up. Stay on it for a week, just to acclimate.3) My only attempt with LDN was a failure as we discussed but I will bring this up with Dr. K and will re-consider as long as I start really low and it does not give me insomnia, does not push me into hyper-thyroid, and I can still take painkillers on the days that I need them.
I'm taking an inventory this afternoon, to order more of what I need, and I'll write everything on here. There are so many!4) I take a million supplements but want to compare them to what you took when you have a chance.
I'm sorry to hear it. What does Dr. K. say?I had the sleepy fatigue and the sickly fatigue for a long time. I literally could not stay awake and felt feverish, hot/freezing chills and just very, very sick. This had gone away with Famvir or with time (I don't know which) but nothing else has improved and has actually worsened.
I had that *exact* problem. When I'd watch TV shows with flashing lights, I'd have to look away or change the channel. It was too distracting and made me dizzy, exhausted, and nauseous.Another thing that I can't tolerate are things that move like a flashing light or spinning circle. The footer on the bottom of CNN and other news channels is so distracting for my brain that I can't follow the verbal news while it is there and we have to cover the bottom of the TV with a pillow to block it out. That tells me that something is wrong with my brain b/c I used to be able to multi-task a million things at once in my former career.
Thank you! I will post my supplements when I go through them this afternoon. I could list some by memory now but I want to post the full list.It doesn't matter and you still did it and don't have to minimize your recovery. I am genuinely happy for you and I hope to learn from your recovery.
Maybe so, but it coincided with your "sickly fatigue" going away. I'd stay on it for that reason, but that's just me!I am feeling that if Famvir was going to help me, it would have already done so.
I tried it out of pure desperation, and it's helping. You might feel worse on it before you feel better. It magnified my fatigue at first, and I felt like I was in a hazy fog of sickness for a month. It was very worth it.I am also becoming less scared of trying Valcyte
I wondered about this because it occurred to me that your recovery might not be abnormal. Don't compare yourself to me, Dr. K. officially said I'm abnormal. If Dr. K. said that you're doing as expected, wouldn't it be good to know?I have never asked Dr. K. how my recovery (or lack of) compares to others but I do agree that yours has been very fast!
Glad to help. I want you to get better.Your answers have been very helpful and I really appreciate it.
Mine only got that low when my sodium was too low. Has yours been checked lately?ETA: I just checked my BP and it is 87/59 which usually correlates with when I am feeling this bad. Jeff, do you get this low BP, too?
@jeff_w i'd love to hear about the supplements you're taking,, especially the gut related ones.
Are they possibly the 'glutamine, zince.. carnitine, coenzyme Q10, and lipoic acid; and curcumin' mentioned in Michael Maes' paper "Normalization of leaky gut in chronic fatigue syndrome (CFS) is accompanied by a clinical improvement"?
Good luck and keep us posted.side note: i'm a new patient of Dr. Kaufman's going for a first follow up tomorrow. this thread makes me rather optimistic!
This is a really common symptom for us. I have always thought it was related to ME/CFS patients being "above the middle" on the scale between coma and seizure. In other words, our neuron activity has been said to be over-active--excitotoxicity (sorry about the inexact language!). I have a lot of strategies for blocking out flashing lights and squiggly moving things. I think I might have a seizure if I were in a room with strobe lights.Another thing that I can't tolerate are things that move like a flashing light or spinning circle. The footer on the bottom of CNN and other news channels is so distracting for my brain that I can't follow the verbal news while it is there and we have to cover the bottom of the TV with a pillow to block it out.
Another thing that I can't tolerate are things that move like a flashing light or spinning circle. The footer on the bottom of CNN and other news channels is so distracting for my brain that I can't follow the verbal news while it is there and we have to cover the bottom of the TV with a pillow to block it out. That tells me that something is wrong with my brain b/c I used to be able to multi-task a million things at once in my former career.
This is a really common symptom for us. I have always thought it was related to ME/CFS patients being "above the middle" on the scale between coma and seizure. In other words, our neuron activity has been said to be over-active--excitotoxicity (sorry about the inexact language!). I have a lot of strategies for blocking out flashing lights and squiggly moving things. I think I might have a seizure if I were in a room with strobe lights.
The basic problem is the misperception of the saliency of sensory information by the prefrontal cortex...
Norepinephrine enhances the “signal-to-noise (STN) ratio” in the processing of sensory input by the brain. If there is a high STN ratio, important information will be extracted from a welter of sensory input. If STN ratio is low, much more sensory input will reach the cerebral cortex, some of it irrelevant. STN ratio is low in [ME/CFS] patients, accounting for misperception of sensory information, as well as distractibility in stimulus situations where cues are increased - environments as disparate as malls and short-term memory testing.
Substance P (SP) lowers STN ratio. There is a “Yin-Yang” relationship between NE and SP – when one is high the other is low. NE metabolites are low in [ME/CFS] and SP levels are quite elevated.
Miraculous! Ah! My recovery has been fast, but I still have a way to go before I can even work a part time job. I'm not acutely sick anymore, but compared to a healthy person, I'm definitely sick. But I know exactly what you mean.
I never had bruising, not even as part of active mono. Dr. K. have any theories?
It happened like this. I was 100% bedridden last July, except for trips to the restroom, and sometimes I needed to lean on someone's shoulder or use a walker to get there. I was trying to get out of bed to make my way to the restroom, but I couldn't get out of bed. I called for my dad. He helped get me to my feet, but I couldn't support my own weight. I collapsed on the floor and couldn't move. I could still breathe, but it was difficult. I barely managed to whisper and explain what was wrong. My body was no longer under my control at all. I couldn't move my own body. This happened twice. The first time was combined with acute chest pain, and I was rushed to the emergency room.
Could you do fluid loading, instead? This is done by drinking massive amounts of electrolytes very quickly, first thing in the morning, and then again multiple times per day. I wonder if that would be safe for you. Also, do you have your electrolyte levels tested regularly? From time to time I have low sodium, so I need to add it to electrolyte drinks that already have a lot in them.
On Valcyte alone, my EBV titers initially went down. Then they spiked back up, which Dr. K. called a "reactivation." My NK functioning went from 15 during my first visit with Dr. K, down to 7 during my last visit. Yet, I'm much improved. Dr. K. said that the labs don't reflect all that is going on.
Sounds good! I'd recommend trying 1/4 of a 0.25 dose at night. Why start in the morning when you're going to have to switch to night anyway? The switch to night could throw you off. If that tiny dose gives you no insomnia, don't bump it up. Stay on it for a week, just to acclimate.
I had that *exact* problem. When I'd watch TV shows with flashing lights, I'd have to look away or change the channel. It was too distracting and made me dizzy, exhausted, and nauseous.
Maybe so, but it coincided with your "sickly fatigue" going away. I'd stay on it for that reason, but that's just me!
I wondered about this because it occurred to me that your recovery might not be abnormal. Don't compare yourself to me, Dr. K. officially said I'm abnormal. If Dr. K. said that you're doing as expected, wouldn't it be good to know? Glad to help. I want you to get better.
Mine only got that low when my sodium was too low. Has yours been checked lately?
This is a really common symptom for us. I have always thought it was related to ME/CFS patients being "above the middle" on the scale between coma and seizure. In other words, our neuron activity has been said to be over-active--excitotoxicity (sorry about the inexact language!). I have a lot of strategies for blocking out flashing lights and squiggly moving things. I think I might have a seizure if I were in a room with strobe lights.
Whenever I see something like this on TV or in a film, I have to close my eyes. When I am driving, even the sun shining through trees on the side of the road as I drive by is too much for me. I keep a baseball cap in the car to block out things like that.
@Sushi, that sounds very much like what Dr. Cheney was saying in his well-known talk, Cheney on Klonopin: Protecting the Brain. That always made a lot of sense to me, too. It turns out that Dr. Goldstein had described this process in a bit more detail about four years earlier, in the summary section of the Introduction in his book Betrayal by the Brain:
aww hope you feel better @Gingergrrl !!
My tests were negative for, like, everything except for possible evidence of HHV 6 reactivation, a functional NK of 4, and odd thyroid levels (and "nonexistent" ADH). Dr. Kaufman suggested taking mushrooms (not the fun kind ) and thyroid hormone, and Valtrex and treating likely SIBO.
I had a mild case for seven years (improving from 60 to 80%) which started to worsen in May 2014 to around 30% following the development of GI troubles. I made an appointment to see Dr. De Meirleir later in the month in Reno to hopefully shed some light on that part of it. I think I might be in the 15% not virally triggered category but I guess more testing will tell.
Thanks. When I think of a "miraculous" recovery, I imagine being able to go to the gym again, handling full time school with energy to spare, etc. I knew what you meant though and wasn't offended. And I'm glad my recovery gives you hope!Jeff, sorry for my delayed reply and I want to re-phrase what I said b/c when I said miraculous I hope it didn't sound that I was minimizing how hard you have worked in your treatment or that you were now fully well. I know you still have a long way to go to re-gain your life and grad school. But the speed and depth of your recovery has been miraculous to me and it gives me hope that these things are possible.
Yes, I hope Valcyte works out great for you.Wow, I am so sorry and that sounds really scary. Nothing like that has happened to me which is why your recovery is so incredible to me b/c you started even sicker than I was (from this description) but in four months of treatment you have made so much ground and in six months of treatment for me, I am the same or worse! But hopefully with Valcyte, I will make some of the gains that you did.
IMO, it is really important for you to fluid load because your symptoms are SO heavily autonomic/cardiac-based.I have to admit that I really struggle with drinking enough and on the average day of literally forcing myself to drink, I manage six to eight cups. I do better with Vitalyte than with anything else I have tried to drink.
He currently prescribes my LDN, so I'm sure he'd be on board. Good idea about doing Valcyte alone first.I am going to ask Dr. K what he thinks about LDN for me since my previous attempt was with my ND. But if I start Valcyte, I am only going to try one new thing at a time and that would be my priority.
No, that has completely gone away.Do you still have this problem? I literally cannot watch anything with flashing or moving parts and have to look away.
My strong bias is to take both at once, because once I began taking both, my recovery really sped up. Your mileage may vary, of course.I am going to see if Dr. K thinks I should continue taking Famvir with the Valcyte or stop it altogether. I will let you know what happens.
Mine is too, and I supplement with sodium as well. The more I supplement, the better I feel, and the less OI I have. Maybe you could try taking more along with drinking more. Who knows, maybe that will do something positive?My sodium is always on the low end of the normal range even though I eat tons of salt and take "Salt Stick" tablets every day. I just had all the electrolytes tested yesterday as part of the tests for my Endo (I also have Hashimoto's disease) so I will find out next week.
Pregnenolone 30mg (morning and afternoon) - My serum Preg level was 10 before doing thisVitamin D (25,000mg every other day, 5,000mg every other day)
Flax Seed Oil (2-3 Tbs per day)
Fish Oil (1 capsule per day)
NADH 20mg sublingually every morning
CoQ10 powder 800mg (morning and afternoon)
NAC 600mg (afternoon and evening)
Zinc Carnosine 8mg (2 tabs with each NAC dose)
Curcumin with Bioperine 750mg capsules (2 pills in the afternoon)
L-Carnitine Tartrate 1,000mg (afternoon)
Liposomal Glutathione 375mg (evening)
B-Complex which includes methyl Bs (afternoon)
Sublingual 5mg Methyl B12 (afternoon with B-Complex)
Methylfolate 15mg (afternoon with B-Complex)
Potassium Gluconate 595mg (2 pills afternoon with B-Complex)
Magnesium Citrate 250mg (afternoon)
Melatonin 3mg (night)
Epicor 500mg (night)
NOW Probiotic (25 Billion, night)
Yes, my source for this was both Dr. Cheney and Rich, who also posted about it. Here is a quote from Rich:@Sushi, that sounds very much like what Dr. Cheney was saying in his well-known talk, Cheney on Klonopin: Protecting the Brain. That always made a lot of sense to me, too. It turns out that Dr. Goldstein had described this process in a bit more detail about four years earlier, in the summary section of the Introduction in his book Betrayal by the Brain:
He spoke of this issue to indicate the "urgency for care."We have evidence that there is excitotoxicity in both CFS and FM now. It is known that excitotoxicity can kill neurons. It is known that neurons are generally not replaced. There is published evidence from quantitative MRI studies that the gray matter volume decreases over time in CFS, FM, and most recently, in Gulf War Illnesses. The gray matter is composed of neurons. In view of these facts, I think it is reasonable to suspect that excitotoxicity is responsible for the decrease in gray matter volume in CFS. This last statement is, however, an unproven hypothesis.
No, I have never had a seizure. I get the feeling that "I can't stand this," and close my eyes or block it in some other way. It is interesting thought that Ken Wilbur, who "got" ME in 1985 in the Incline Village outbreak (and thus has been sick longer than many of us) did have grand mal seizures a few years ago. I guess this is just a reminder that it could happen.@Sushi Have you ever actually had a seizure from this type of thing? I have not but your explanation makes total sense to me. One of my very best friends in the world has epilepsy and she cannot tolerate looking at flashing or moving things and it is identical to what I experience (except I do not have epilepsy.)
@jeff_w
I really wanted to respond to your supplement list and it is very detailed and thank you for posting it!
The ones from your list that I have never tried: Pregnenolone, Flax seed oil, NADH & Curcumin.
Can you tell me (later of course!) what the ones are for that I bolded? Thanks again!!!
What's your story @Gingergrrl ? Please link me to another thread if you've already written it up!