Better living through pharmacy

I've been doing fairly well lately despite some intense stress from another person's health problems. Normally I think that this amount of stress would have rendered me bedbound, but now I'm fairly functional. My cognition is actually fairly alright these days, even though still impaired. So I guess it took some time for the piracetam (and perhaps LDN) to achieve its full nootropic effects - or perhaps they still aren't at their highest. Other symptoms have been alright as well, except for sleep, stomach pain and muscle/joint pain. The sleep problems I can attribute to stress and overly warm weather, but I'm not sure what's flaring up the rest.

I saw my doctor last week and we couldn't decide whether should get tamsulosin (a selective alpha blocker, meant for prostate hypertrophy) or nimodipine (a calcium channel blocker with some other neuropharmacological effects), so he prescribed me both (and celecoxib for my aches, since ibuprofen gives me such stomach churning these days that I feel like I'm playing Russian roulette every time I take it).

I've been taking tamsulosin in 0.4 mg depot capsules every other day since Wednesday last week, and I haven't been too impressed. It was prescribed to improve overall vigilance and to decrease the urinary frequency, but so far neither has been improved at all. My orthostatic hypotension hasn't worsened as I feared, but the med gives me rhinitis, which is annoying and interferes with my sleep. I also woke up with a massive headache last night, which I believe is related. So if I don't start seeing some results soon I'll probably discontinue it.

So, I could try the nimodipine, but the problem is that the smallest pack (100 tablets) costs 130 euros, and it isn't covered in our public insurance which covers wonderfully arbitrary 42% of almost all prescription medications - the tamsulosin cost me 5 euros for 30 capsules. The nimodipine might help me a lot, but I might not be able to tolerate it. I'll have to talk with my dad since he's the one who pays for my meds as I don't have the money myself.

I've finally tried valerian for sleep and it seems to work alright without any side effects. However, at about 15 euros a month it is quite pricey for me. But maybe if I do manage to drop the ginkgo I can start taking it. I'll have to discontinue MSM, NAC, ALC and glucosamine soon due to money issues (the MSM is fairly cheap, but it hasn't done much of anything). At least I'll need to take much fewer pills.

My doctor suggested that I go to another city for a 24h cortisol and growth hormone testing in September. 24h bloodletting doesn't sound like much fun, but it would be free of cost for me, and advancing scientific research is a big priority for me. LDN may increase cortisol levels, but I believe I'm probably still low on it (adrenal fatigue) and I suspect my GH is low too. If the latter turns out to be true we'll probably try pyridostigmine, a very cheap cholinesterase inhibitor that can increase GH secretion.

My Finnish LDN website is close to completion. I'm very happy with it, especially with the bunch of studies I've collected.

Summer heat

Some three months now. Time sure passes quickly. I got the first copy of my book, the summer is coming and stuff. I seem to be more intolerant to heat than before, I don't think it's the LDN, but residue from the prednisone - as compensation I'm much less sensitive to cold, which used to be a major culprit for me. I'm dehydrated all the time, and drinking doesn't help much, as I'm probably deficient in antidiuretic hormone.

The LDN makes me tan a lot more easily without making me burn easier. Not surprising really, as beta endorphins stimulate melanocytes (which in layman language means tanning). Not that I'm brown or anything, but usually I tan very little and burn easily.

My exercise tolerance hasn't really improved from what it was two months ago and hills are a pain, but my persistence has paid off and I've managed to lose pretty much all the weight I gained while on the pred. I still have a little paunch, but I can fit in every single one of my clothes again. Apparently my face has got a lot thinner in the past month (sadly my face has always looked somewhat chubby, even though I've been underweight for well over a decade).

The MSM doesn't seem to do that much at 6 grams a day, eg. my congestion is still there. Though now that I started large dose N-acetylcysteine it's gone except for the mornings. The NAC seems to improve my muscle endurance, even though it doesn't affect the overall fatigue.

I've started to use rhodiola more often, now that I noticed that yes,
it actually works quite well - it seems to work better on the LDN than before. I also started propolis today, when I noticed I could get three month's worth for some six euros. I still want to try creatine and olive leaf extract, but I'm trying to promise myself no more stuff after that (except for some prescriptions which I might get soon).

I can't really remember when I last had noticeable urticaria. It's not like it has been weeks, but it's becoming less and less frequent.

(Sorry for any odd linebreaks, Blogger's acting up again.)

Brain and other tissues

A few assorted things: I got my MRI results a few weeks ago. There were abnormalities typical of CFS, but they were of course written of as "normal". I assumed there would be such punctate changes, but it's still a bit freaky to get the results, that you have brain damage that shows up even in something as unspecific and crude as an MRI. So I have objective evidence of CFS having caused me both brain lesions and heart damage. Which is just disturbing to think about, damage to two of your most important organs. The brain lesions might also explain why I still have so much trouble with memory and concentration, even though LDN, piracetam and other things have helped them and reduced my cognitive fatigability quite a bit.

On the good news side, I've managed to lose a little weight. I've never been overweight by any stretch, but for a while I could hardly fit in any of my pants due to the prednisone-caused "paunch". I can mostly thank LDN for this, as without it I wouldn't have been able to exercise nearly as much as I've done recently. Actually I probably do too much of it as my muscles and joints are frequently sore afterwards, but at least I don't get CFS crashes. But the weather is already starting to get too hot for me already, at below 20C.

I don't know if my exercise tolerance will worsen now that I will most likely have to discontinue both acetyl-L-carnitine and glucosamine at least for a while due to money issues. But then again I'm taking too many supplements as it is. For a week now I've been trying some kind of a "brain stimulator" which is a little device with a few infrared leds. NASA has used them for healing injuries, but the guy who borrowed this device for me says it's good for brainfog. I'm not convinced but I got a free trial, so I could as well try. So far I don't think I've noticed anything.

My skin still isn't doing particularly well, but I'd say my hair and nails are definitely better than they were before LDN. Not that I had much problems with them before - CFS has made my hair brittle and it gets tangled very easily, but it has always looked fairly silky, smooth and shiny. But now I think it looks better, and my nails are stronger. Not that it's really relevant, just an observation. Shows how my body is in a better shape overall.

Two months

Two months now, not much to add to my one-month update. I still can't walk uphill well at all and I still have quite a bit of cognitive issues despite the addition of piracetam, but many things I just couldn't have done before I can do now. I even did some laundry last week, one of the most killer activities. A few days ago I vacuumed my apartment though it required taking breaks. I haven't taken a single ibuprofen tablet in the last month. I've had two moderate headaches but magnesium has taken care of them. No lymphadenopathy for ages, and urticaria has been almost non-existent.

Muscle tension has bothered me quite a bit, I think mostly due to several nights of poor sleep, and carrying too much stuff. IBS has been nasty for a few days now and I've had some nausea, which has always been a very sporadic symptom for me. I haven't done very well the last two weeks, but it hasn't been about fatigue, but tiredness/"eye fatigue" and other things. Today I was feeling super tired to the point of feeling fluish, but two ginseng tablets alleviated it somewhat. I'm also having problems with temperature regulation, which doesn't feel like feverish chills and sweats, but as if the ambient temperature just changed even if it doesn't. I wish I didn't have so many different symptoms.

The other Finnish girl who was on LDN stopped it after a month or so because it didn't seem to be working for her. I do wish she'd have gone on a bit longer, but of course nothing works for everyone. But my Canadian friend is now sure that the LDN is working for him. He has results pretty similar to my own, eg. if he exercises some muscle group only the muscles get fatigued instead of getting general killer fatigue, which is just like my own experience. He says his doctor is considering trying it for other CFS patients, which would be awesome.

I'm going to see if I could get rid of the acetyl-L-carnitine (it's the most expensive supplement I'm taking) which I've reduced from 1 g to 500 mg a day, and gingko biloba, but I'm not sure if I can pull it off. I'm taking far too many things and I'd really like to try large-dose N-acetyl-cysteine for eg. my chronic congestion.

Purple, and fine

Today hasn't been my best day. But I'm not let down because I know that tomorrow will most likely be better. And even today has been better than most days I had before LDN. The piracetam made me a bit lethargic and slightly irritable for the first days, but it's working quite well now. I'm hoping that in a few months my brain will be a bit more functional when the piracetam reaches its full efficacy.

I have something purple and wonderful cooking up on the stove (red cabbage stew, pretty much the same thing as the traditional Finnish cabbage casserole). It's one of my favorite foods, but I haven't been able to cook it for a few years now, because grating the cabbage was too exhausting. Now I can.

Even if I will never get better than this, I can deal with it. I'm still disabled, but my quality of life is way better - getting your health even 50% better can make a much bigger difference in quality of life. And life is very good now. Now I can make it better for other people, too. I'm determined to get my friend out of wheelchair, with LDN and/or something else. And another good friend of mine could use a prescription as well. I probably won't be posting much here any more, except for the LDN miracles I witness, and perhaps an update on myself every once in a while.

Piracetam

I got a prescription for piracetam yesterday. It's a medication that I've wanted for several years now due to my cognitive problems, which haven't been relieved by LDN as much as I'd have wished, and luckily my doctor thought it was alright even though he had no prior knowledge about the drug.

I've taken four 1200 mg tablets yesterday and today as an "attack dose" and after that I'll probably take 2-3 tablets a day. Hard to judge about brainfog, but the circulation in my limbs feels better already.

So I'm taking a hefty number of pills and such at the moment, even after I dropped carnosine and astragalus, both of which I had been taking twice a day. Each amount is for the single pill, eg. I take 3 1.5 mg pills of LDN at once for a total of 4.5 mg a day.

• piracetam 2-3x1 (1200 mg)
  
• LDN 1x3 (1.5mg)
  
• bromelain and quercetin 3x1 (125 mg/250 mg) (I will probably drop this as soon as it ends, it doesn't seem to work)
  
• glucosamine 3x1 (500 mg)
  
• sublingual B12 and folic acid 1x (1 mg/400 ug)
  
• acetyl-L-carnitine 2x1 (500 mg)
  
• R lipoic acid 1x (100 mg)
  
• ubiquinone (coenzyme Q10) 1x (100 mg)
  
• siberian ginseng 1x (1,000 mg)
  
• probiotics 1x
  
• gingko biloba 3x20 drops (hopefully the piracetam will let me drop this, I've been taking it for three years and it's the most inconvenient supplement, even though it works well)
  
• oil of oregano 2x2 drops
  
• magnesium citrate 1x (sometimes up to 3x1) (100 mg)
  
• vitamin C 1x (500 mg)
  
• a multi vitamin with essential minerals included 1x
  
• vitamin D about 30 ug a day (not every day, but it averages to that amount)

That works out to a total of 22 pills/capsules and a bunch of drops. But it has been similar in the past, eg. last autumn when I was taking many things I currently do and eg. prednisone, omeprazole, vitamin B complex, glutamine, astragalus and a total of five pills of beta carotene a day (the latter was a short trial recommended by some doctor in eMedicine, didn't work), then I averaged 22 as well. :-P

Female stuff

Those with XY chromosomes can skip this post.

I got my first period on LDN (yeah, I'm a modern woman and don't keep them every month) and I had been a bit wary, as some people with MS had said that LDN had made their periods heavier. But I assumed that it was probably a normalizing effect - a severely ill person would often have light or no periods, and anything that made them more healthy would affect that. I guess I might have been right. Definitely no change for the worse, perhaps even a slight change for the better (from a fairly normal base level).

(Damn Blogger being buggy again and inserting line breaks where there are none, can't get rid of them in either HTML mode or the normal text compose mode.)