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Dr. Andrew Rynne

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Is brain fog a symptom of insulin resistance?

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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 1412 Questions

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Posted on Wed, 4 Nov 2015 in General Health
Question: Hey there, I'm back.
So let me fill you in. I had been feeling better for about 2 and a half weeks now. Up until last week I began to feel the lack of concentration, brain fog, etc. although it wasn't after every meal anymore. And same thing, sometimes I would eat highcarb meals with high sugar and feel just fine. Other times not fine. Same symptoms except not after every meal anymore and with that 2 week break in between. Didn't change anything. MRI came back normal as in no tumors, etc. So I went to a doctor in Mexico and he ordered some tests, one being a glucose intolerance test on an empty stomach. Everything can back normal except one tiny thing; insulin resistance. He said it was very low but that 30 minutes after food consumption my body was acting a bit insulin resistant. I know what insulin resistance is but what does that have to do with my brain fog? By the way, the times it happens now it's not as soon as I begin eating anymore. It happens after I'm done eating for the most part. The doctor also told me the pancreas can work better on some days than others? Could insulin resistance be the cause of all these symptoms and why do I get them when most people don't even realize/show symptoms that they're insulin resistant until they get checked? How did I even develop some insulin resistance even by eating clean AND exercising? Could the strictness of competition prep have done something? Could how I feel have to do with the bit of resistance I developed or how? I need help understanding this a bit more...
doctor
Answered by Dr. Dariush Saghafi 24 hours later
Brief Answer:
happy eyes!

Detailed Answer:
I've just been thinking about you over the past few days and trying to think whether I'd ever hear about any outcomes in your case.....so glad you wrote....

So you went to MEXICO to see a doctor? But you wouldn't come to CLEVELAND? ;)

Well, XXXX....I guess that tells me where I stand with YOU! HMMMMM?? XXXX!!

I know, I know....for you going to see a doctor in Mexico is about as time consuming and difficult as me going from where I live in the burbs to work at the hospital! HA!



Except, I don't need my PASSPORT.....I just have to pass metal detectors and bomb sniffing dogs! HAHA!

So, as predicted you are starting to turn around.....I knew you would....you just needed to get less strict with your dieting on a CONSISTENT BASIS and allow your body to get used to another SET POINT...if that makes sense.

Now, XXXX me this...(that's what XXXX would always say to XXXX...original 1960's series), are you still training and dieting the way you used to? And you had an MRI of what? And the doctor in Mexico was what type of doctor? I would've preferred you hooking up with an ENDOCRINOLOGO...may be, gastroenterologist but not both come gastroenterolo....true? How long did they run the GTT for? I would've held you for a 5 hr. test although you could probably get decent information after 3....I'd just want to keep your friendly company....nice patients are so hard to come by these days! HAHA! (Yes, I'm looking to score Brownie points for my critique! We DIE for those electronic STARS!....bottom line your GTT was demonstrating a trend toward insulin resistance...gotcha...

And yes, sure can be involved with brain fog.....but back when before you've come under better control I believe your brain fog was much more likely to have been due to simply a rapid LOWERING of your blood sugars AND possibly coupled to an inability to utilize the circulating glucose because of the resistance. What's the reason for the resistance? Anybody throw out any conditions or syndromes they thought you could possess?

And that's nice that your spells have moved off the IMMEDIATELY UPON EATING moment and readjusted themselves to AFTER DONE eating....at least that gives you time to recalibrate some things or at least get ready for the spell a little, I dunno...you tell me....

I'm not sure I understand the concept of the PANCREAS WORKING BETTER some days than others? I'm afraid that makes no sense to me.....organs of the body are like LAZY WORKERS or something! HA....."Today, I think I'll work my ass off......but tomorrow, we're gonna slack off a little....come on.....it's JUST TODAY....!" Uh uh....the body's organs must be working at 100% optimal capacity according to the game plan...24/7 (sorry, body organs and cells, "Like, ummm....yeah....YOU'RE SLAVES for the rest of this body's LIFE CYCLE! WORK! WORK! WORK! Full Capacity (cracking whip)...."Full steam ahead, every second of every minute of every day of every week of every month of every year, etc. etc.!" You get the picture, don't you? So unfortunately, I'm having a tough time believing that explanation as to why some days are better than others.....I'd be content in simply accepting the fact that metabolic "S***" happens".....you know what I mean? And not everyday is your blood sugar going to necessarily be as well regulated as another....but that has NOTHING to do with your pancreas more or less.....your organs have 1 point at which they tend to operate.....FULL ON when they're healthy and under normal LIVING circumstances.....

I believe your "insulin resistance" WAS UNMASKED by the strictness of your dieting...remember we talked a little about that? In other words, your body's been HYPERSENSITIZED in a way....(of course, it's a heckuva lot better now) and that's why there were these major swings of sugar....but it's getting better. It could take a very long time for things to settle back down.

So remember, insulin resistance really comes down to one important thing and everything basically flows from that 1 understanding...and basically what it is.....it's: Body tissues poorly utilize blood glucose as their primary target fuel....so that will DEFINITELY SLOW the Black Box in your cranium down, right? No can utilize glucose, yes? Well, then, here are the consequences, goofiness, brain fog, lethargy, fatigue, fainting/hear fainting, weakness, confusion.... etc. etc.

It sounds like things are definitely going in the right direction now compared to before except it's going to take some time for the entire system to ratchet itself back to normal. How did you develop this entity? Possible genetic links cannot be ruled out...

Do you have any lab results as well as the MRI films to upload for me to see?

What's your weight now and where are you trying to maintain? How about another pic to compare to the last one you took of you in competition...do you notice a difference in how you LOOK? If you're not competing...are you OK with that? Don't forget what I told you before....that I know I've got contacts with people here who can map out a regimen for you on what to eat and how much IF YOU still wanted to compete without suffering from taking in hollow calories. Are you HYDRATING ENOUGH? Remember, WATER is the fuel in which all calories are burned...and when doing these types of competitions it really becomes extremely important the ingestion of sufficient water so that things are not climbing uphill due to lack of substrate in which to carry out their biochemical "due diligence!"

Anyways, it's SO COOL to see you back and sending me messages....A strong girl abrazote! I'm very happy that things are improving....don't get impatient....it may take you months more to fully stabilize.

Ok my dear....write back with some answers, try and do some uploading of information if you can get it and scan it in....and let's figure some stuff out....

This query required 60 minutes to read, research, and compile an envoy to the patient.

P.S. Whatever happened with the doctor here in the states you were going to see, the endocrinologist? I guess he didn't impress! HA!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dariush Saghafi 47 minutes later
It was faster traveling to Juarez XXXX. I wish I could go that way. It all sounds so well put together. Plus I have some family there in Mx so that's who I was staying with for a couple of days.
The doctor I went to I believe was just a family practitioner. He was recommended to me by family.
The GTT was over a period of 3 hours I believe. I uploaded the image of that on here. It's in Spanish though so good thing you know the language XXXX.
He didn't mention any reason for the resistance except maybe genetic factors? I am wondering however... Could some kind of hormone imbalance cause this or even unmask it as you say? I know insulin is like the major regulating hormone and if that's not under control, basically neither are your other hormones. And the reason I ask is because I was diagnosed with an endometrial polyp not that long ago. About the same time as my cysts. From what I know those can be formed due to excess estrogen. And let me tell you... I have some random mood swings at times. My last doctor is so indifferent and dismissive though (I'm telling you... All doctors here in West, Tx basically suck) so I made an appt with one in XXXXXXX Tx (they're a bit better over there) in hopes to getting a better opinion on the situation. All she told me was "Eh. Sometimes they can be bad. Sometimes they can't. If you start having bad cramps come back and see me and we'll put you on birth control." How nice right? And if the other doctor suggests BC to regulate my hormones then I may give it a shot... Though I really don't want to but if it helps then I'm all for it.
And I'll be honest with you... I probably shouldn't have been drinking enough water lately. I know that's horrible... And I need to but I sometimes forget because I never get thirsty. I need to keep a bottle around me at ALL times.
So I know what they say about insulin resistance... You have to eat clean and exercise. Why is that so ironic to me? XXXX. So a question to you... What am I really supposed to do??? Haha. And no I'm not currently training anymore. With all these out of town doctor visits, and episodes I haven't been to the gym in a week and when I do go, I pace myself and take it easy which kind of sucks. I really don't know what I'm supposed to do with my "condition" since exercising supposedly helps it, but exercising is what altered it, you know? What do you think?
Do I want to compete again... I would love to... But I don't know that I'd be able to travel to Ohio :(
Unless there was a way to speak to your connections online.
My weight right now is around 122-125lbs.
Body fat: 19-20%
I would just love to put on muscle mass back on (I've lost about 3lbs of muscle and it sucks so bad considering how much).
Which brings me to another stump with the insulin resistance issue... How am I supposed to build muscle if supposedly people who are developing insulin resistance should go lower carb? I wouldn't have enough caloric energy to really build if I stay at the recommended ranges of 100-150grams a day :(
I can't believe I've dealt with this since May!!! There was one week that was absolutely dreadful which was about 3 weeks ago. I cut out all carbs except fats and vegetables and I was in like a full blown haze for like 4 days! Usually I got those breaks in between eating but not that week! And the headaches were BRUTAL which is why I'm glad my MRI came back normal for lesions & tumors. It almost felt like a sinus headache. My jaw hinges were hurting, and just around my teeth and my whole head was throbbing. Is that normal? Then as the fog was subsiding after 3 days I just felt ill, kind of like when you are about to come down with something. And I had plenty of dizzy spells for the following 2 days??? Then I began to eat carbs again (all kinds) and I was feeling like a new person for 2 & a half weeks without ANY symptoms!!! Then they came back. Not as bad though. Do you have a theory for this?... And here I am. Still getting symptoms here & there. Not after every meal anymore, and not as bad, and they don't last as long.
Oh by the way, I have family with blood sugar problems and both my mom and dad's side. My mom's mom had diabetes, and my dad's dad has some sugar problems. My dad's mom was also labeled pre-diabetic from what my dad told me yesterday. Not sure what kind but my dad told me he just knew it was sugar related. Neither one of my parents have blood sugar problems.
Ughhhh am I screwed? XXXX. I miss the gym..
And thats the best picture I got. It was about 2 weeks ago.
doctor
Answered by Dr. Dariush Saghafi 22 hours later
Brief Answer:
No insulin RESISTANCE is demonstrated by your tests

Detailed Answer:
Hey there....thanks for your response and explanations as to why you chose Juarez compared to XXXXXXX ...you're forgiven :) One day I'll tell you a story of a patient who I sent from Mexicali on a train to Ciudad Juarez....I had all the best intentions when I put him (literally and ACTIVELY with the help of the ambulance driver who drove him to the station with me) on the train to send him to a better life....I hope that's how it turned out...actually, his ticket was 1 way all the way to Guadalajara...but I could never verify if he made it or not....I'm sure he's passed away...he was in his 70s then and that was 1990....anyhow...

I looked at your labs for the GTT and I have to say that I do not see why anybody would say there was any insulin RESISTANCE? There's a slight bump in the amount of measured insulin at 60 min. but it's only 4% above the upper limit of normal and glucose levels come down by about 50% after 60 min. and continue to go down by about another 6% over the next hour with insulin going down as well.

So where is the resistance? If you had resistance then, your serum glucose levels would be higher significantly higher after 60 min. and in the face of a large release...make sense? In other words, to use your numbers, serum insulin would be at say 77 while serum glucose would be hanging out at say, 150 or 160....or even about 167 which was the peak at 30 min. Those would be examples of insulin resistance. The fact, that your serum glucose is not entirely back to fasting levels doesn't concern me after 2 or 3 hrs. because they shouldn't necessarily be expected to go back exactly to starting levels....after you've had carbs you'll get a cortisol push as well which can keep a little extra carb content in the blood above fasting levels...this is because the body assumes that after awakening in the morning (and I'm assuming that's when this was done...though there's no hour of collection noted) the body is going to be busy during the day....therefore, it will keep a little extra carb content above fasting......

Another potential problem with this GTT is a little known detail that patients should be instructed not to restrict carbs in any specific way for at least several WEEKS prior to the test. Is that true in your case? Or were you still in a training and dieting mode which means you were very much limiting carb intake and had altered physical activities which could've altered these results. Actually, I don't think it's ultimately that important because I see your curves as pretty normal.

Here's the bottom line in your case....in my opinion your dieting and exercise activities were in the extreme range for what most people would do for a long time and I think as a result you unmasked a possible intolerance issue to large swings in glucose after a certain point that your body just said, "Sorry, no can take anymore" and that's I believe when you started experiencing the "brain fog" phenomenon that started this whole thing and the reason why you needed to start writing on this network. I don't think the endometrial polyp has anything to do with this whole thing. But if you have ovarian cysts then, that MAY have some relationship to the current problem.

As far as being able to continue training, following regimented diets in order to build muscle etc. I don't see a problem with that...but I think you have to now recognize that your body is telling you about some of its own intrinsic limits and forcing it to take in exactly this many grams of carbs, this many grams of fat, this many grams of protein..etc....know what I mean.

You can certainly diet in order to keep what would be considered IBW for you and train for the purpose of gaining strength and muscle if that's what you want but it has to be done within these new constraints. With all the genetic diabetes you've uncovered in your family....unfortunately, you're at risk for this problem and so your best hedge AGAINST coming down with it is to embrace and embody good dieting perspectives and ongoing exercise regimens.

I can't be too much more specific in what I'm telling I'm saying because I can't predict numbers since I'm a neurologist and not a nutritionist. That's why I want you to come to XXXXXXX and you can talk to someone well versed who is professional and works with professionals who understands how to mix things up with constraints such as what you have. Make sense.....I understand why you may not be able to come up here....but if you're going to go to Mexico then, you need to find someone other than a GP...and frankly I don't even know if just an endocrinologist would be the person for that job. An endocrinologist WOULD be who you want to see about what's going on with the ovarian cysts and to be able to counsel as to whether or not you should go on BC....but we need more of an exercise physiologist or an EXERCISE NUTRITIONIST (do they exist?) Are any of your professors capable of grasping this type of situation?

And you never told me what part of your body was MRI'ed. I'd want to make sure that nothing was up in the pituitary gland or pituitary hypothalamic axis if we're really going to rule out anything that could be working in the background with all these other numbers being normal and yet you feeling brain fogginess then, I think a head MRI is worthwhile. Just my thoughts though......

This query has required a total of 135 minutes to read, research, and compile an envoy to the patient.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dariush Saghafi 2 hours later
Thank you for your insight as always!
Hmm... I wonder what it could be then? I figured maybe the insulin thing was accurate since a lot of the symptoms I was having at first was similar to blood sugar. You know, the whole shakiness, headache, that weird eye pressure or whatever? The only other thing I recall doing about a month before all this mess began was take antibiotics for 7 days for a throat infection I had. Then almost exactly a month later (In May) all this began.
The GTT was indeed first thing in the morning, and the MRI I had done was of my head. I have a CD of the images but I don't have an option to save them onto my computer... The neurologist mentioned something about my braces creating too much light to see whether I had vestibular neuritis. But I doubt that's what it is because my problem happens after ingesting foods. By the way, when I had my MRI done they turned some thing on that felt as though there was a small current of electricity going through my body? Well whatever that was, it made me unable to take deep breaths while I was in the machine? No matter how hard I tried I just couldn't so my breathing had to be very shallow and that almost gave me an anxiety attack aside from not being supposed to move inside a small tube.
I've been thinking of everything that it could be since the brain fog I read can be a cause of inflammation in the body. My mom suggested gallstones? But I'm not sure how those work. A few days ago I was experiencing some upper abdominal pain along with nausea, a lot of bloating and repeated burping after some meals or at nighttime that happened while my stay in Juarez so I just figured it was the change in food or any spice I don't normally ingest. I told my mom this and that's when she threw out gall stones, indigestion, gastritis, etc. so idk. Could an ulcer be causing inflammation the times I eat or any of the above? Or could anything have been damaged due to antibiotics?
My next thought was some kind of hormone imbalance? I do exhibit the polyp, and the cysts that could be a cause of hormone problems. And I've noticed that my brain fog gets a WHOLE lot worse around you know, those female days. So basically when estrogen is higher. The weeks I've felt better have been around those of ovulation. I have a calendar to keep track of these things just in case I run into any problems and I'm glad I do. My body is seriously trying to tell me something but I can't figure it out. Hormones could've been another thing thrown off during training?
Today I've been having horrible PMS to the point I can't think straight. So basically I've had this lack of concentration all day paired with EXTREME fatigue. I feel so drained mentally even though there is no reason for me to feel that way except hormones. It has NEVER in the past been this way though so it makes me wonder about that.
By the way, im waiting on results for gluten intolerance,and the doctor in Mx also checked me for parasites just in case and that was clear.
doctor
Answered by Dr. Dariush Saghafi 24 hours later
Brief Answer:
Symptoms definitely had to do with glycemic indices NOT insulin resistance

Detailed Answer:
So, just to be clear-- in my opinion your symptoms of lightheadedness, "brain fog", lethargy and whatever other symptoms you had that you could consider "slowing you down" after eating something were related to rapid changes in your blood sugar levels...but they had nothing to do with any problem of insulin RESISTANCE which I don't believe you suffer from based on your GTT numbers. I believe your sugars were dropping more dramatically due to a rapid rise in insulin release...but this was going on while you were having your most severe episodes. Since you've gotten off the strict dieting and strict training schedule and since you've gained some weight....things are starting to settle down. Your GTT numbers are now coming into normal range and that's why your symptoms are much better. I can't say why you're not 100% back to normal except to say that I'm wondering if your ovarian cysts could be playing a role in anything. But that hasn't been looked at yet. If that's not the explanation then, honestly I don't have any other GREAT ideas at this moment except to say I think we need a really good ENDOCRINE specialist involved who is going to really work on getting a good diagnosis and then, start working on a solution. I think TINCTURE of time may be your best solution so that you don't have to destabilize things using unnecessary drugs. I don't understand what the neurologist was really trying to say when telling you that he wouldn't be able to SEE VESTIBULAR NEURITIS.....nothing really to see unless he were looking for some type of vascular abnormality in the inner ear but then, again, symptoms would be much more constant rather than just occurring at meal times. Make sense? I know that your braces can cause BEAM ARTIFACT which can make it difficult to read everything on the film....are you getting the braces off any time soon? Also, did they do the MRI with gadolinium contrast or without? I would've sent you with a contrasted order but non-contrasted should still be interpretable...depending upon the BEAM ARTIFACT.

Don't worry...they weren't electrocuting in the MRI scanner....you were feeling the common symptoms of claustrophobia that many feel inside the MRI scanner. In the future if you cannot get yourself into the zone to go into the tube you should ask your ordering doc for an order of ATIVAN before going into the tube. For the time being you may not need another study since you will still have your braces, right? And that means the beam artifact will still be there.

If you could upload your images to a DROPBOX ACCOUNT and then, send me the link to the file then, I could look at all your images.

Yes, I think hormones could be involved....and that's why we need to define what's going on with respect to the ovaries and reported cysts. There's an entity called PCOS (polycystic ovarian syndrome) which can cause problems with blood sugars, excessive release of insulin, rapid lowering of glucose, and brain fog. That may make sense then, if you're saying that things get worse right around your period time as well.

BTW, what's your Vitamin D, D2, D3, and serum Magnesium levels these days?

Parasites have zero to do with this...but of course, in Mexico parasites are on every doctor's mind since it's so endemic there...but you live in the U.S. Nobody worries about parasites here....we don't eat Taquitos in the Street nearly as much! XXXX!

Not sure why your mom would want to think gallstones since I haven't heard you complain of anything that sounds like gallstones...and again if we simply pay attention to the history of how this all comes about and how it subsides we'll see that there is no correlation to something like a blocked or obstructed bile duct.

An ulcer could be present under ANY circumstance in anyone....but you'd only see them with an endoscopy. Personally, I don't think you need one. An ulcer can't cause these symptoms.

Antibiotics wouldn't have anything to do with this for all the obvious reasons:

1. You're not on them anymore
2. They typically don't cause nor are related to the symptoms of Brain Fog you're talking about
3. Your symptoms are focused around when you eat....no relationship with antibiotics that you no longer take and haven't for some time now.

Throwing the ball back to you chica...! XXXX....

This query has required a total of 173 minutes to read, research, and compile an envoy to the patient.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dariush Saghafi 5 hours later
I guess it is just a matter of waiting... More waiting. XXXX. What else can I do. And yeah I think he was looking for some vascular and normality in the ear because he was explaining (or trying to anyway) to me how sometimes you can get little tumors or something in there? But yeah I don't think that's my problem either, but I'm glad nothing is wrong with my brain :) so that's out of the way. He said the fluid was good too. And yeah they did the MRI with contrast and without. And he still couldn't see whatever it is he was wanting to see. Do you want to slap the doctors here first, or should I it next time? XXXX.
Oh no I'm not claustrophobic at all. He asked me if I would like something for claustrophobia but I told him I would be fine. I didn't even realize I was all the way in the tube until after I began feeling that weird sensation which was when I opened my eyes and looked down (because I had a small towel over my eyes). That's when I began to freak out because I was having those odd sensations through my body and I was basically stuck in that cylinder not supposed to move without knowing how much longer it would be without me being capable of breathing properly. I promise, this was NOT psychological. Even the sounds of the machine changed when these sensations began. Luckily for me it didn't last long, and when he finally brought me back out I asked the tech, "What was that weird feeling? I felt weird for a couple of minutes? Almost like a tingling all over my body?" And he replied that it was some proton stimulation thing and assured me it was normal? What ever that is. All I remember is something about magnetic field and protons. Which is just weird how it affected my breathing.
I could try and see if DropBox lets me upload. I'll have to open another conversation when I do.
I definitely feel like my body is trying to tell me something but it's signs are being tricky. I definitely don't feel this is where I should stop searching for answers though. Hopefully I have better luck in XXXXXXX
I'm not sure what my vitamin levels are nowadays but I can find out Monday. And yes I still have my braces unfortunately... Anyhow, well have a good night! Thank you for your time!
Taquitos sound so good by the way...
doctor
Answered by Dr. Dariush Saghafi 23 hours later
Brief Answer:
Very good news that your head is "clean"

Detailed Answer:
I agree with you that I think it's terrific news that after the studies and hassles you went through getting the head imaging studies that nothing of an evil nature turned up inside the skull. I'm not sure about the zapping you felt but I'm wondering if it had anything to do with your braces on your teeth? That is, IF you are entirely unwilling to accept the more likely fact that you're probably JUST XXXX! XXXX....HA! Come on....of course, it's all PSYCHOLOGICAL.....admit it....you've finally FLIP-PED! XXXX....just teasing you my dear!

Seriously, I've had people with braces on their teeth tell me the same thing that when they turned the magnet on they felt something a little odd throughout their body.....so that's pretty cool, no? You're lucky the damn machine didn't just YANK your entire set of choppers out and just have them laying next to you in the tube! HA! I've had an MRI of my head in the past as well so I know what you went through.....that is a damn small crawl space isn't it? Feels like a torpedo tube...and the noise is what you get when you turn each magnet on and off. What ends up happening is that the machine has 3 magnets and they are all oriented at right angles to each other..that's what allows the machine to scan you thoroughly in 3D although it can only "draw" your picture in 2D. Every time they turn 1 magnet on and the other 2 off you get a BANGING SOUND which some people have a terrible time trying to deal with...which is why most places either give you a sedative or earplugs. I never needed either one...neither thing bothered me that much but you're right, I was looking forward to getting out....can't say as how I think something like an MRI machine would make it as a RIDE at either 6 Flags or Cedar Point! XXXX....

So, speaking of 6 Flags and Cedar Point....there's still time to come up to XXXXXXX and catch Cedar Point....come on....tell me you haven't been dying to go to CP? Everybody does....it's very very cool....and I'm sorry, YES it is way better than 6 Flags....been there and it's nice...don't get me wrong but if you've never compared it with CP then, you just don't know what an amusement park is all about. The only place that would possibly be better and I'm not even sure it's a totally fair comparison would be Disney....but that's it....so whaddya say?

So if you ever do get an MRI again, either request they do an OPEN scanner or have them give you just a tiny dose of Ativan or something like it so you'll relax...and then, just keep the towel on your face....you'll be fine! BTW, for the record, I think you look great these days even you're not heavy duty training anymore and even though I guess you took that pic in the locker room or bathroom.....I'm assuming that was the girls' side? HA! Where are the rest of the women man? Or were you on the guys side? XXXX....

If you want to try DROPBOX to see if you can upload your MR images that'll be cool and then, just give me the URL and I'll look at them....but if you were told they were absolutely normal then, you could also just upload a .pdf of the report....your call, I'm happy to look at the pics if you'd like. By the way, give me your exact height and weight nowadays as well...I don't think I have a precise BMI right now to compare with what you were before.

Let's see what your vitamin levels look like as well but I think the next major step for you is to figure out what the cysts on the ovaries are all about and try to correlate anything there with what's going on if you believe that symptoms are either more intense or get more noticeable around your period time....

Oh, one last thing before we close out this thread...I don't think I've asked this question before...but start keeping track of the following to see if there are any patterns....what would the intensity of your symptoms be like COMPARED to the GLYCEMIC INDEX of the food(s) you're eating at the time you feel a bit goofy? I don't think we've ever compared those 2 parameters yet. Glycemic Indices vs. Intensity of Zoning Symptoms. So, what we're trying to do is see if there are certain foods that you could possibly either eliminate, cut back on, or substitute for which are associated with when you feel your worst.

So, if you want to send me answers to those questions....or wait a minute till you get more information you can....then, you'll need to open a new thread since we've come to the end on this one. You can also wait till you've got a date for when you want to make the road trip up here so we can get you back into training and figure out the exact dietary regimen that's going to work for you!

STRESSES THE, true? XXXX!

I just know you'd love seeing XXXXXXX more than XXXXXXX TX--- but I understand, keep trying to find that green pasture down there.....IN THE DESERT! HA! Ustedes, Texanos---

This query has required a total of 211 minutes to read, research, and compile an envoy to the patient.

Please don't forget to CLOSE QUERY ON YOUR END and leave some written feedback and a HIGH STAR RATING....very important if you want them to throw me a big bag of peanuts and keep me going on this end! XXXX!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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I have a closed reduction partial break in my fibula just above my ankle. Ankle was put in fiberglass cast on August 17th. On August 22nd; followup x ray showed all was good. Next follow up is Sept 14th. However; I have been over come with cast...

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one year after CABG I feel irritation/ slight heaviness near my heart. this is increased when I have gas/acidity especially during the night. also towards early morning my sleep gets disturbed due to a nervous/fearful feeling starting from my guts and creeping towards my heart and finally the brain.this is accompanied by a deep stroke of claustrophobia whence I have to get up from my bed and open all doors and windows lasting about 5 to 10 minutes. what is the root cause of all this ? ------ kaushik joshi, nashik

doctor1 MD

Hi, I have been having weakness in my left arm and leg, it only lasts about 1 minutes. Went to the hospital today they did a cardio gram but all was good. Can you explain what could be causing this problem

doctor1 MD

I have been experiencing high doses of anxiety lately. I have never seen a doctor for this. I use deep breathing and sensory coping skills when I start to feel overwhelmed. The anxiety usually gets worse when I am around large crowds.

doctor1 MD

Dear Doc,
I suspect my sinusitis problems have resulted in mild vertigo, sporadic anxiety, mild depression and general claustrophobia such as fear of flying, public elevators, basement parkings and too many people in close proximity (for example at big sporting events where one has to move in groups). I also have spells of dissiness and experience difficulty standing upright where one has to queue or stand (Banks, grocery store, post office, church, etc.) No problems with blood pressure or blood sugar levels though.



I am a 44 year old male, 1.92m in length and weight 110kg. I have stopped smoking 5 years ago, have balanced eating habits and do not use alcohol irresponsibly. I am a professional consultant and work mostly in an office environment. I am not aware of any serious medical condition.



I have been a sinus sufferer since the age of 20 and had a sinus operation about 17 years ago (relief lasted approx. 2 years).



I had a typical "collapse of the system" (sore throat, blocked nasal passages, nausea, painful forehead nose and cheek area) about a week ago. My visit to the Dr. resulted in the usual treatment. 2000mg of antibiotics per day (5 day course), nasal decongestant spray and mucus expellant in tablet form (same treatment as all the other 20 times before this visit).



During these treatments my anxiety level increases as for some reason I experience a tightening of the neck area and chest resulting in a perceived lack of oxygen intake and associated feeling of anxiety.(nose and throat airways are however clear) No wheesing sound from the chest either. I am not allergic to penicillan.



At night I do not want to switch the lights off and if I try to sleep, I awake with a jolt with a feeling that my throat is closing, with associated feeling of anxiety and increased heart rate. I usually have to get out of bed, walk around and calm myself by controlled breathing, once ended up in the garden at 2am in the morning in the middle of the winter, as I could not stand being inhouse as I perceived it as having not enough oxygen.



In order to escape the above and to get some sleep, I have tried sleeping pills, antihistamine, muscle relaxants, exercise, alcohol, etc. but to no great affect. The condition dissipates somewhat during the working day.



I suspect I am not alone in this situation. My underlying fear is that it will become worse as time goes on, it already impacts negatively on my physical and mental abilities, which in turn has a negative affect on my quality of life. There is also more frequent bouts of depression (but could be mid life changes).



I am also hesitant to climb stairs as the expected shortness of breath becomes a potential panic attack situation (keep in mind stairs are usually indoors and my perception that there is a low level of oxygen (yes I know it is irrational).



Is it possible that sinusitus can result in all or some of these mentioned problems or should I accept that some symptoms might be "mind over matter" and search wider for the root cause?



Thank you.



doctor1 MD

I am taking Drego-D twice in a day(one in morning and one in evening before taking breakfst/meal). It has been 6 months, and i am feeling wonderful can you tell me how much time it will take to cure it completely.. because i am feeling like my life is depend on this medicine, if i forgot to take medicine even in one time then i feel like hell. And one more thing, if i have got some tension or catching a flight (in work or on private matter) then i fell a bit more heart burn and full of gas in stomach. I am also taking drugs to sleep in the night for last one year to cure claustrophobia , and doctor also suggested that I have metabolic syndrome for which taking Sugamet MC 500 twice daily. I don t understand what has really happened to my life. in the age of 42 I am fully living my life on drugs . Pls advise properly. Regards, XXXXXXX

doctor1 MD

I am 62 and have worn dentures since I was 15. the last time I had them replaced was 25 years ago. this is because I had very bad experiences when I was young and also I suffer very badly from claustrophobia. I know I need new teeth and my gums at the bottom of my mouth are very sore and a bit swollen, I think because I have worn these teeth for far too long. I know I need to see someone but I am so scared, should I see a dentist or doctor because I'm pretty sure I have an infection. I have a doctor on the NHS but as I said I haven't seen a dentist for about 25 years ago and I am scared and don't know which way to turn. Please can you help me?