(04-13-2015 07:39 PM)DocWils Wrote: ... but you can still successfully lower your weight with only a little effort (reduce your sugar intake from carbs, drop your calorie intake by 10%, increase your awareness of not so much what you eat but how you eat).
Ha! easy for you to say
I am diabetic and allergic to everything under the sun and have to constantly watch every mouthful. Believe me if it was easy, it would have been done - I am a huge believer in educating myself, and also have a fair amount of stubborn will power (ask anyone
(04-13-2015 07:39 PM)DocWils Wrote: The other aspect is exercise, plain and simple, even if it just walking and above all, standing is vital - don't sit all day at work or when watching TV - stand up from time to time, at least 5 minutes per hour (current clinician's recommendation is 15 minutes, but that is not yet established, however 5 minutes is), same if you are working on your computer. This will have an extreme knock on effect that will be subtle at first but will build up over the years.
here ya got me. when it comes to exercise i am a wimp. I have a life long issue with hurting when I move, and an addition to all the garbage I already mentioned, my body neglects to make pneumococcus antibodies and is variably low in all classes of IG. I have a long history if catching everything, all the time. I have spent whole years and even the odd decade trying to get the better of my predilection for physical sloth, but I always revert. sigh
(04-13-2015 07:39 PM)DocWils Wrote: And of course, see your doc regularly to get your TSH levels controlled as well as your cholesterol and sugar. If you can keep off of statins, it would be great, but if you have to, you have to. But as for BP, if it is not brought under control by diet and exercise, then you will have to take calcium channel blockers and other forms of BP control meds, of which I am a great fan of a combo of Lisitril and Amlodipne used together. Bilol, a bet-blocker used to bring PVCs under control, also has a strong effect on the diastolic pressure and can lower it significantly, but you really don't want to be on them if you don't have to be. Get thee to thy doc regularly, but don't obsess about your AHI if it stays below 6 (it wiill every now and again go up above 5 if you have a bad night or a cold or any number of things, so only worry if it consistently remains above 5 or 6)
yeah... we have a regular gig going. I probably give her heartburn - lol. statins make me feel like someone beat the tar out of me, and I told my doc that life aint worth preserving if it feels like that - after an ok stress echo she reluctantly stopped nagging
for BP + Arrhythmia am on several meds. Lisinopril makes me cough and go all asthmatic and asthma meds dont play nice with arrhythmia (atrial tachy - not fib) im on an ARB + HCT and metoprolol and propafenone and metformin for the bloodsugar. going to need another something for bloodsugar, i am afraid, its been lousy lately!
(04-13-2015 07:39 PM)Mark Douglas Wrote: Oooo you punched one of really touchy buttons! I still have my thyroid way too much of it in fact. It is doing something though not enough so I cannot directly relate.
What I can say is TSH is Absolutely Not the holy grail of thyroid tests. I'm a service engineer (ret) and I want all the numbers but to borrow a phrase around here if a thyroid doc tells me the sky is blue I'm gonna go look.
If the body does not correctly convert T-4 to T-3 or the the pituitary has "corrupted code" you have a serious problem. Nothing short of a full panel is really useful.
If you are old enough to remember the Brit show "The Prisoner" ..... I AM NOT A NUMBER! Treat my symptoms not my numbers!
I fired a lot of MDs until finally finding one who is at least semi- enlightened.
I have learned incremental changes in thyroid meds need time to settle so best to sneak up on the correct dosage.
so right. I get all the numbers checked sometimes, but not as often since the surgery, they stay all nice and even and track well with TSH every time we have looked. Not like they were when I had a ginormous goiter spewing out unusable hormone. (for my money i had symptoms of both hyper and hypo until then) I have had a few full panels of all sorts of things with all my malingering hypochondria
I am also a big fan of lots of data and analytics of same. I fire doctors too - but it takes me roughly 3 years to train em to understand how to treat a person with an immune system defect, so i don't like to