Hi. I've been eating fully primal for about 2.5 months now, and for the year prior to that I was largely gluten/dairy free. I've lost about 35lb in the last 2.5 months by being primal and focussing on keeping my carbs low (I try to be under 50g a day at least 5 days a week). I exercise 2-4 times a week, usually 30-50 mins of cardio at approx 70% max heart rate, and occasionally weights. I drink 2L of water at least 5 days a week, and never below 1L on the other 2 days when I forget to keep track.
I have been told I have prediabetes before (about a year ago) and for the last 3-4 years I've been suffering from random rashes and hives, and recurring boils. I suspect the boils are to do with blood sugar, but I don't know why they aren't leaving when I'm controlling my carb intake 80% of the time. The hives I assume are food related - I think coconut milk is a no go for me. I also have another recurring rash in a specific place that I suspect is due to blood sugar issues as it often flares up if I cheat. I also often have low iron, but my platelet count is often too high? I suffer from fatigue - since being overweight I can't remember a time I haven't battled fatigue. I've also been low in vit D before.
Basically, I don't know what to do now. My boils/abscesses/carbuncles recur in the same locations all the time, and whenever the doctors swab them I don't hear back, which means it's not MRSA. Why can't I get rid of these infections?? I have really good hygiene, I wash with clorhexidine and I'm currently on doxycycline and I still have inflamed lumps.
I want to go in for a blood test and get the following things checked - Cholesterol (haven't had this checked in a long time) Thyroid (I suspect it's underactive. Even if it's in the "normal" range I doubt it's optimal) Vit D Iron
What specifically do I need to get them to check? I've heard the usual way they test for thyroid problems doesn't necessarily show everything? And what should I get them to check for vit d and iron, are the standard tests they do for that sufficient?
I just don't think it's normal to be having these infections constantly. I'm a reasonably healthy person otherwise.
What comes to mind for me as I read your issues, is leaky gut. Sounds like you have been on more than one course of antibiotics recently and that alone can cause leaky gut and thus make you more susceptible to food sensitivities. I mentioned in another post that I had really good luck clearing up my l.g. with a really clean diet of course, but also a product called PermaVite by Allergy Research Group along with a very high dose of pro-biotics. Used used a combo of VSL3 and Klaire labs. I took 1 packet twice a day of the VSL3 (that is 450 billion twice a day) for 10 days then decreased it to one packet. I used the PermaVite for 90 days and used THREE tablespoons per day (the max dose they recommended). I was also on a high dose antioxidant protocol (Ubiquinol, R-La, Lycopene, cloves). I did a before and after GI Permeability Test, I think its from Metagenics. you might want to do that test, or just treat yourself for Leaky gut since you likley have it - its very common and especially from oral antibiotics. I hope you have a good primary care physician who knows what things should be tested on labs.
Also, in terms of the water you are drinking... its not tap water, is it? Yikes. I cannot believe all the people I know who drink tap water. So many bad bad things for the gut in tap water. Good luck.
You need to confirm if the boils are bacterial in nature. There are a lot of bacteria out there that can cause problems, and MSRA is only one of them. If the antibiotics you are on are not effective against the strain of bacteria in the boils, then all of this is for nothing.
(I had a huge pus filled boil, and went on antibiotics for it, then found out that it was a weird bacteria strain that tends to only be seen in hospitals. never knew where I got it, but after the antibiotics it did go away.)
Otherwise, I second the recommendation of probiotics. Your system has been decimated with antibiotics, now there may not be any good bacteria left to fight off the incoming bad bacteria. Go for a majorly strong probiotic, and try to increase your fermented foods. You can also look into the GAPS diet as a way to both 1) do an elimination diet, 2) detox from some of the issues, and 3) seal and heal your gut.
Great to hear your exercising as well - I'd consider tweaking your excercise program. Cardio is great, but it is just that - just cardio for the heart. Without going into specifics, it doesn't help your goals as much as doing more weights will.
I'd suggest talking to a trainer that has good experience working with diabetes and similar conditions.
What about checking for celiac disease and/or also have a dermatologist do a skin biopsy for dermatitis herpetiformis? Most celiacs with DH get their rash in a recurring area, these photos show a range of locations: http://hardinmd.lib.uiowa.edu/dermnet/dermatitisherpetiformis.html A swab of the lesion won't tell you anything. A skin biopsy taken from good skin immediately adjacent to a rash or lesion can be looked at microscopically to look for antibodies. Sorry, I'm in a rush but I would check into it. I was an undiagnosed overweight celiac for decades. Not all celiacs are underweight with diarrhea. A third don't have any symptoms. 10-15% have the rash, DH.
Definitely get your D tested. Make sure it is the 25(OH)D test. Sun/supplement to 60-80 ng/ml.
You may also need to supplement Zinc and C to help your skin heal. Liver(for A & iron) and gelatin (for collagen) will help, too.
Coconut oil is great for antibacterial/antifungal topical use. Chlorhexidine may be messing up your skin pH.
Agree with addressing gut health, since all the supplements & good food in the world will not be of use if you aren't absorbing them.
What you are describing, I would bet is hidradentis suppurativa. http://en.wikipedia.org/wiki/Hidradenitis_suppurativa
It's an autoimmune condition that is not infectious or contagious and the pus is generally sterile. You won't find anything from cultures. It is aggravated by excess androgens, and in women generally flares up with your cycle as a result.
You need to be diagnosed by a competent dermatologist. Nobody in my primary care office had a clue what it was. Because it's not bacterial, standard disinfectant and antibiotic treatments are useless. Standard treatment is spirinolactone to reduce circulating androgens or hormonal birth control (did keep me in remission for years but I didn't want to mess with my hormones anymore). There are several radical treatments (like chemo and skin grafts) that people undergo for severe cases.
The good news - by being 100% gluten free, I am almost completely cleared up. I still do get small flareups occasionally. But nothing like I did before. The last really bad outbreak was a direct result of getting seriously glutened at the wrong time of the month. I believe that if I can dial in my diet well enough to heal my gut and get my autoimmune issues in check it will go away completely. But even if it doesn't, it is at a point that it is completely tolerable. Good luck.
Nuts and eggs can be highly allergenic. Have you been tested for allergies? Also Doxy is a pretty strong antibiotic and kills the good with the bad.
I'd try avoiding nuts first for a bit and continue with your clean diet. A lifetime of abuse, won't clear up in just a couple of months. Hang in there.
It's possible the rashes and boils could be related to your rapid weight loss. Toxins are often stored in body fat and will be dumped when that fat is dropped. Your body could be having a hard time processing and detoxifying them quickly enough. Drinking more water daily will help with excretion, as will sweating a lot - as in a sauna - but only with extra water. The "detox" products all over the internet are scams, don't go there.
And as others have said, check out possible allergens.
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