I started Paleo a year ago. It fixed a gazillion of health problems for me. But the few remaining problems, while I know how to fix them, they contradict one another. I'm at a loss. Here are the facts:
- IBS for 10 years, high inflammation all that time
- High DHEA-S, and relatively high estrogen.
- Started Paleo a year ago (~100 gr of net carbs).
- Malabsorption. Even months after I started Paleo and eating 3000% of the RDA of B12, I'm still deficient in it (I supplement now). Because my gut is in a mess, it's possible that I'm deficient on other nutrients too, even if I eat all kinds of foods.
- Fatty liver. This hasn't gone away in the one year of being Paleo (for others it goes away within 3 months!)
- I lost 20 lbs originally with Paleo, but then my weight loss stalled. I was left still obese.
- In December I had a lipid panel, which showed high cholesterol and high triglycerides. Not diabetic. Normal T4 and TSH.
- I started Paleo-ketogenic (up to 30 gr of net carbs daily) 5 months after I started Paleo, for two months, in February.
- On March I went low calorie in addition too, because just like the Paleo diet, the Paleo-ketogenic stalled for me, and I couldn't lose weight (even with exercise)
- Late March I went into HIBERNATION. My body just shut down.
- I started eating more carbs, up to 80-100 gr of carbs again, felt more alive, but I was still feeling fatigued.
- After started eating more carbs, my eczema came back. More incidents of IBS-D too.
- The months passed by, and I was feeling MORE AND MORE fatigued and tired, and COLD. Low temp too. My eye would close all by itself, and I wanted to go crawl into the bed and sleep more. Lost some hair too. I spent July being more cold and tired than April.
- I stopped exercising in April because I couldn't do it anymore, I was just shut down.
- In June, I did another lipid panel. Cholesterol still high, and triglycerides OFF THE SCALE. Iron, calcium, folic acid, rest of blood was ok (except for one type for blood which is caused by low B12).
- August came, and I developed high blood pressure. I was put on medication to bring it down, which I stopped 3 days later because I got VERY LOW blood pressure (which tells me that my high blood pressure was a symptom of something else, and not a chronic condition that I suddenly developed).
- In the last week I upped my net carbs to 150-200 gr (more fruits and a bit of rice/potatoes) and I feel less fatigued.
- Despite all this regimen, I haven't lost more than 5 lbs since the original weight loss of 20lb. I'm still obese, I'm still Paleo, and I'm still at a plateau many-many months later.
Other things to know about me:
- I sleep well, but I sleep really late at night, 3 AM. I can't sleep earlier. I work at home, so I don't go out much either. Melatonin probably screwed, dark circles on my eyes.
- I take D3 in the morning, 5000 IU (I'm at 38 ng/ml). I also take K2 Mk4, Mg, fish oil among others.
- I have a fibroid in a very atypical location (0.03% chance to have it where I have it near my bladder). I was put on temporary menopause (Lupron) in August to try and shrink it, since the surgery will be very hairy, and not a typical fibroid surgery, so the surgeon needs all the help he could get.
- I have a polyp in my uterus. I will remove this after my fibroid gets removed (it's impossible to remove it now, the fibroid is blocking it).
- I don't drink enough water, I don't like the water in the US (tastes... diluted).
- I eat eggs/avocado for brunch with a grapefruit, and then meat or fish with veggies for dinner. I eat fruits for dessert. Since I sleep late, I'm known to open sardine cans at 1 AM. I also do dairy (I need goat kefir for my IBS). Depending on the day, I eat between 1500 and 2000 calories. I'm doing offal, coconut oil, bone broth, fermented foods, the whole hard-core paleo shebang.
I made a lot of research about all this, and I now know that my fatigue was because I pushed my IBS-battered body too far with the ketogenic and later the low-calorie diet. My body was simply too screwed up to keep up with such a big change from glucose to ketones, or to get used to less food (since it couldn't absorb nutrients it needed more food, not less). Combined with B12 deficiency, malabsorption, and high cortisol (March/April was stressful to me because of a project I was working on), I'm pretty sure I developed high rT3. I have all the hypothyroid symptoms, and yet I'm not hypothyroid, which leads to one thing: excess rT3. The natural cure for this is to simply eat more carbs (150-200 gr, net), which I started doing recently. The Jaminets have a good article about this.
But the high triglycerides might point towards insulin resistance (I was pre-diabetic pre-Paleo). And my fatty liver is still there! I saw it on the MRI just a few weeks ago, when checking out my fibroid.
So what do I do to fix all these conditions? Insulin resistance/fatty-liver/triglycerides requires me to eat fewer carbs/calories and lose weight (which I can't, at least not without eventually driving myself into hibernation because of starvation due to malabsorption), but my adrenals/thyroid hormones are out of balance because I went low carb while my body can't absorb nutrients (resulting in starving it in a bad way). What can I do to fix all that? What's the right balance I need to hit to fix all these conflicting problems?
It seems that the first thing that needs to be fixed is malabsorption, since that could make me lose weight with less effort, which will eventually fix the rest. But how do you even fix that? Is it even fixable at this point, after 10 years of IBS screwing my insides pretty bad?
UPDATE Feb 21 2013: Yesterday I found out that I was celiac all these years, not IBS. My celiac test was negative in 2002, but it's known to not be a sensitive test. After all this time on Paleo, I still have fatty liver, high triglycerides, high cholesterol. It's likely not my thyroid to blame though. Is it possible that my celiac is making things difficult to fix and lose weight? (I'm still obese after all this time doing Paleo, 1.5 years, having lost only 25 lbs out of the 55 lbs I had to lose).