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complicated response
That is a common sign of insulin resistance, basically the human insulin is more attuned to the insulin curves (gentle but long lasting) for protein, but we have a diet high in carbs which spike blood glucose - so to get enough insulin to bring down the glucose in a resistant person will actually cause hypoglycemic events!
The vast majority of doctors receive little to no nutritional training (even endocrinologists) outside of tube feeding in a hospital setting - so nutritional help isn't what they are strong at.
I'm curious what happened, if your open to going into details.
You might want to reach out to medically supervised low carb programs, they may actually be equipped to help you with your medical history. Virta health is the one I have personal experience with, and they are great.
Oh that's interesting. Maybe I'll try a dietician instead, I just assumed doctors know all about diabetes stuff...
Keto Problems
What happened with Keto was, I felt like I was eating too much fat per day. I felt greasy and horrible and disgusting and heavy, and my LDL cholesterol went even worse (6.3–7.8).
I tried fixing it by eating mostly protein and low fat instead, but considering I can't eat much volume per day, that just ended up with me eating almost nothing and things went real bad from there. I couldn't get out of bed for days at a time levels of fatigue. So I slowly added back in wholemeal carbs and some fat, and at least now I know what types of carbs cause spikes.
The reason I can't eat much is I have erosion in my esophagus, stomach, and intestines from GERD acid reflux (confirmed via endoscopy). I've been on strong acid suppressants for a while but it seems like the "damage is done" so to speak from decades of acid splashing all over the place, and it's not healing. At least I don't wake up with a melting throat anymore so I'll take that.
I'm on statins recently to try and reduce my LDL. The first type I tried gave me severe full body cramps so hopefully this type is better. And this is only a small part of my medical problems. Before we get into POTS, CFS, hEDS, MCAS, chronic migraines, arthritis, hormone problems, heart problems, neuropathy... I always forget most of my issues as well I can't keep track of them all. I take more than 10 pills per day to manage all that.
I just accepted I'm going to die sometime soon based on this trajectory.
I've been trying to increase my walking per day because I heard walking is a great way to reduce diabetes and heart attack risk. I'm up to 15 minutes walk per day and some sneaky resistance training, which knocks me out for the rest of the day, but it makes me feel like I'm doing something at least.
Basically my body is failing in a million different ways at once at this point. If I only had one problem it would be easy to fix, but everything interacts and compounds the issue. Thanks for listening and trying to help by the way, you're a kind person.
nerdy details
They do! They know how the hormones work, but not how the food relates to the hormones - they really don't get training on this.
This sounds like a gallbladder wake up issue - after a long time on low fat the gallbladder has some starting pains.
LDL, and cholesterol is not a disease - if your doing proper LCHF and in ketosis - very lean people do see a elevation in LDL, but since you indicated some adiposity this probably wasn't your scenario.
Low fat isn't sustainable on keto, if you join one of the medically supervised nutrition programs they won't let you stay low fat for the reasons you describe. The probably will have you slowly increase fat so your gallbaladder can keep up, or add some bile supplements while you adjust.
Suppressing stomach acidity does match up with your fat intake symptoms. The literature does indicate that keto (but especially zero carb) helps with GERD, but this must be done under medical supervision as medications will need to be adjusted during the onboard phase. I'd recommend either revero (zero carb) or virta health (keto) as programs to work with their physicians in a Telehealth setting.
Statins increase the risk of t2d, so that lines up with the prediabetes.
I'm not familiar with all of those - but migraines, arthritis, hormonal issues, heart, and neuropathy all have strong foundations in the underlying diet and hyperinsulinemia.
I don't think thats necessary. Work with a low carb doctor to improve your metabolic health. There are LOTS of people with testimonials about how their life turned around by focusing on small metabolic changes. I'm happy to share those if you would find them motivating. Where ever you are - you can improve - just focus on one step at a time.
That is great! every bit of movement helps.
My suspicion is that everything is rooted in metabolic problems just manifest in a hundred different ways.
Yeah! I'm happy to help if I can. I really think you should reach out to virta, this is exactly their focus. Please reach out to either revero (zero carb) or virta health (keto) to see if they can help with your health management.
I get high LDL on very low carb even at 20% body fat (but with a waist smaller than my hips)
You don't need to be super lean to be a lean mass hyper responder
Really? wow. I didn't realize the effect was so common