Chronic health problem (Dehydration) - Faint hope somebody here might have some ideas

Callmestar

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Apr 3, 2019
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647
I stumbled across this forum when searching for possible answers to my health problems, then realized I had an account from a couple of years ago. There seems to be much wisdom on this forum so I'm reaching out on the hope of finding some answers.

I am male, early 30s, normal/healthy weight. I've had problems with my health for some years now, one specific issue with dehydration is the most problematic. It sarted around 4 years ago. I feel dehydrated, depleted and my mouth is dry almost constantly, I urinate very frequently (more so in the mornings) and the urine is nearly always clear. This accompanied by fatigue, weakness, and generally feeling unwell. Along with the eventual toll this all takes on general physical and mental wellbeing.

It was initially suspected I may have Central Diabetes Insipidus after a water deprivation test showed I was concentrating urine less than normally. Further, more recent testing indicates this is not Diabetes Insipidus but there is definitely a problem with hydration, an inability to concentrate urine optimally and dry mouth/thirst. My urine is nearly always clear, even if I drink very little.

No amount of fluid intake hydrates me. Water actually feels as though it washes me out and worsens the dehydration. Juice / smoothie are better than water but still do not hydrate. Any fluid I put in is urinated out quickly. It's as if my water hemostasis level has somehow been lowered to a permanent state of dehydration.

After getting nowhere through the NHS I've begun paying for private more comprehensive blood tests. Most of the blood markers are in normal parameters but DHEA is very high, Progesterone is very low and testosterone is borderline low. My cholesterol and triglycerides are high but that has always been the case even before the health problems and with me being a healthy weight. I'm assuming it's genetic.

Does anything have any ideas what might be going on? The constant feeling of dryness and dehydration is destroying my life and I cannot find any answers thus far.
 
Last edited:
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Callmestar

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My typical diet is gluten free due to what I suspect is an intolerance. I generally eat 2 large meals a day, late breakfast and early dinner. Breakfast usually consists of 2 eggs on 2 x gluten-free bread, a bowl of porridge oats with some fruit. Dinner: 2 x Chicken breast, rice and veg or similar meat, potato and veg.

Activities, currently quite sedentary. Working from home, sitting most of the day. I go for a short 10 min walk at some point on most days. Some light exercise maybe once a week currently. Previously up until around a year ago, I was far more active, weight training 3 x a week, sports/running 2 x a week. I've just come to the point now where I feel too drained, weak, and depleted to continue with exercise.
 

Sila

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Feb 22, 2020
Messages
60
I would recommend avoiding all grains and starches, I get severe dehydration from them. Instead opt for fruits, molasses, maple syrup and honey as your carbohydrates source.

Bicarbonate soda mixed in water before sleep seems to work for me with excess urination.
 

nitro warrior

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Feb 27, 2021
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I also think too much starch may be the culprit and suggest to go starch free for a while to see if that makes a difference. The big lack of movement also likely contributes coupled with the starches.
 
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Callmestar

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I will avoid grains and starches then, has to be worth a go.

Also just to add, I did a water fast those years ago and this dehydration issue developed a few days after finishing/eating again. Not sure if related but seems likely.

Anyone have any thoughts on the high DHEA, low progesterone? Is it worth supplementing with progesterone as a man?
 

Peatful

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From your first post I immediately thought your body is under some serious stress response.
Then upon reading your second post noting your diet- now I see why your body is under stress.
Your diet is one of an underweight teenage girl - not a healthy 30 year old male.
 

Vileplume

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My typical diet is gluten free due to what I suspect is an intolerance. I generally eat 2 large meals a day, late breakfast and early dinner. Breakfast usually consists of 2 eggs on 2 x gluten-free bread, a bowl of porridge oats with some fruit. Dinner: 2 x Chicken breast, rice and veg or similar meat, potato and veg.

Activities, currently quite sedentary. Working from home, sitting most of the day. I go for a short 10 min walk at some point on most days. Some light exercise maybe once a week currently. Previously up until around a year ago, I was far more active, weight training 3 x a week, sports/running 2 x a week. I've just come to the point now where I feel too drained, weak, and depleted to continue with exercise.
I agree with above that eliminating starch could be very helpful, replacing it with fruit. Also, eating two large meals a day could cause blood sugar dips with such a large gap between meals, especially when your body is under stress. I’d recommend eating pieces of fruit and sipping on easily digestible fruit juice throughout the day, making sure also to get enough salt. Add gelatin into your diet too and a calcium source.

You will figure this out!
 

HLP

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Joined
Oct 29, 2015
Messages
324
I stumbled across this forum when searching for possible answers to my health problems, then realized I had an account from a couple of years ago. There seems to be much wisdom on this forum so I'm reaching out on the hope of finding some answers.

I am male, early 30s, normal/healthy weight. I've had problems with my health for some years now, one specific issue with dehydration is the most problematic. It sarted around 4 years ago. I feel dehydrated, depleted and my mouth is dry almost constantly, I urinate very frequently (more so in the mornings) and the urine is nearly always clear. This accompanied by fatigue, weakness, and generally feeling unwell. Along with the eventual toll this all takes on general physical and mental wellbeing.

It was initially suspected I may have Central Diabetes Insipidus after a water deprivation test showed I was concentrating urine less than normally. Further, more recent testing indicates this is not Diabetes Insipidus but there is definitely a problem with hydration, an inability to concentrate urine optimally and dry mouth/thirst. My urine is nearly always clear, even if I drink very little.

No amount of fluid intake hydrates me. Water actually feels as though it washes me out and worsens the dehydration. Juice / smoothie are better than water but still do not hydrate. Any fluid I put in is urinated out quickly. It's as if my water hemostasis level has somehow been lowered to a permanent state of dehydration.

After getting nowhere through the NHS I've begun paying for private more comprehensive blood tests. Most of the blood markers are in normal parameters but DHEA is very high, Progesterone is very low and testosterone is borderline low. My cholesterol and triglycerides are high but that has always been the case even before the health problems and with me being a healthy weight. I'm assuming it's genetic.

Does anything have any ideas what might be going on? The constant feeling of dryness and dehydration is destroying my life and I cannot find any answers thus far.
Hypothyroidism cause sodium wasting. Get some labs done and share here. Increase salt intake. Drink juice or milk for hydration. Your TSH should be 1 or below.
 
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Callmestar

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From your first post I immediately thought your body is under some serious stress response.
Then upon reading your second post noting your diet- now I see why your body is under stress.
Your diet is one of an underweight teenage girl - not a healthy 30 year old male.
I hear you. I can see it would appear that way but I assure you they are very large meals and I don't think my calories are particularly low. I'm certainly not underweight, plus my cholesterol is high. So I don't deny the diet may be lacking but I don't feel any hunger for more than this currently.

I agree with above that eliminating starch could be very helpful, replacing it with fruit. Also, eating two large meals a day could cause blood sugar dips with such a large gap between meals, especially when your body is under stress. I’d recommend eating pieces of fruit and sipping on easily digestible fruit juice throughout the day, making sure also to get enough salt. Add gelatin into your diet too and a calcium source.

You will figure this out!

Thank you. I will certainly amend the diet accordingly.

Hypothyroidism cause sodium wasting. Get some labs done and share here. Increase salt intake. Drink juice or milk for hydration. Your TSH should be 1 or below.

I suspect you could be on the right lines in terms of the thyroid. My TSH is well above 1, although still in normal ranges when it comes to standard UK doctors. I do drink a lot of juice and milk, unfortunately, they barely do anything, there's a real inability to hydrate. Although they are certainly better than water. I take in a decent amount of salt and have tried upping it greatly on some occasions but I've not felt it's helped.

I will fetch my bloods and post here.

Thank you so much for the ideas so far guys. Better than I've had in years from paid specialists!
 
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Callmestar

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Bloods. The results in pink and dark blue indicate the markers most out of range.

2021-03-17 (3).png
2021-03-17 (2).png
2021-03-17 (5).png
 

Peatful

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I hear you. I can see it would appear that way but I assure you they are very large meals and I don't think my calories are particularly low. I'm certainly not underweight, plus my cholesterol is high. So I don't deny the diet may be lacking but I don't feel any hunger for more than this currently.



Thank you. I will certainly amend the diet accordingly.



I suspect you could be on the right lines in terms of the thyroid. My TSH is well about 1, although still in normal ranges when it comes to standard UK doctors. I do drink a lot of juice and milk, unfortunately, they barely do anything, there's a real inability to hydrate. Although they are certainly better than water. I take in a decent amount of salt and have tried upping it greatly on some occasions but I've not felt it's helped.

I will fetch my bloods and post here.

Thank you so much for the ideas so far guys. Better than I've had in years from paid specialists!
Just saw HLP response- which adds a lot and is also relevant to my point (not to mention- high cholesterol is an indicator of low thyroid).
when you are using stress hormones due to suboptimal diet or lifestyle- you wont feel hungry.
low thyroid = high cortisol.
high cortisol = low thyroid

low thyroid. Poor energy metabolism. Poor mitochondrion respiration.
your anecdotal story of water fasting and its consequences supports this.
your metabolism is tanked. You’re running on stress hormones. Eating robustly and easy to digest foods will restore you.
no fancy bloodwork nor supplements needed.
keep your blood sugar steady or you wont calm the stress hormones down (because they will be running trying to regulate your bs)
 

Peatful

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Messages
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Just saw your lab work.
Upon seeing- I wont change a thing I said. Those numbers confirm it.
 
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Callmestar

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Messages
647
Just saw HLP response- which adds a lot and is also relevant to my point (not to mention- high cholesterol is an indicator of low thyroid).
when you are using stress hormones due to suboptimal diet or lifestyle- you wont feel hungry.
low thyroid = high cortisol.
high cortisol = low thyroid

low thyroid. Poor energy metabolism. Poor mitochondrion respiration.
your anecdotal story of water fasting and its consequences supports this.
your metabolism is tanked. You’re running on stress hormones. Eating robustly and easy to digest foods will restore you.
no fancy bloodwork nor supplements needed.
keep your blood sugar steady or you wont calm the stress hormones down (because they will be running trying to regulate your bs)

Thanks. That sounds plausible. The problem is, my thyroid was nowhere near these numbers and cholesterol nowhere near that high when these dehydration symptoms started. I don't know if it's a chicken before the egg scenario, in the sense that my inability to retain any fluids means I'm washed out / depleted and this is causing the stress on my system and problems with the thyroid. As I say, I had a water deprivation test and at the time was diagnosed with diabtetes insipidus due to such low urine concentration, which still remains. Although a more recent hypertonic saline test showed I am producing vasopressin normally so the inability to concentrate urine is a bit of a mystery. But it certainly adds to a completely washed out/depleted system.

I will certainly go down the dietary route upon the suggestions here. Most have recommended cutting out starch and grains. You suggest eating robustly and easy to digest foods. Can you give me a basic meal example or link to what you would recommend?
 

Peatful

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Joined
Dec 8, 2016
Messages
3,582
I have not read this myself but it has been endorsed here. Kate Deerings book.
Amazon product ASIN 1511585625
I assume it has a blueprint and recipes etc.

The basics from me are:

1- eat small easy to digest mini meals 5-6x a day.
2- you want to keep your bs steady which keeps stress hormones down and will allow your adrenals to quite and your thyroid to recharge (for lack of a better word)
3- macros at each meal of roughly 40/30/30. C/f/p
4- try to get that protein up. Helps your liver and rebuild
5- easy to digest is quite individual. I would personally recommend tubers, white rice, sourdough bread, eggs, cheese, tropical fruit, beef, coke, ice cream, stews, white fish , shrimp blah blah blah
6- easy on the liquids. Soild over liquid nutrition.
7- dont drink water; eat cantaloupe etc
8- halt your supplements for a season. Multiple reasons why- but im out of time.
gotta run

your body is amazing snd smarter than we are. Its looking to heal. Nourish it and yourself well. Our grandparents didn’t call it a “healthy appetite “ for nothing- but weve lost that simple wisdom....

best to you
 

amz

Member
Joined
Feb 5, 2021
Messages
15
Hi,

I've had the same issue since 2015, including the urine being constantly clear regarding how much water I drank. Constant thirst and dry mouth.
In my case at least, I suspect it was because of high lactic acid due to chronic Lyme or b1 deficiency (both cause increased lactic acid). Even now, the way to go is drinking 4-6 liters of water per day. (My symptoms are cleared by simple I.V. with saline solution for 1.5 hours - all of them, including the thirst, the urine colour, the fibromyalgia, neurological, etc. etc. I.V. saline solution is the gold standard in hospitals for people with lactic acidosis. Basically water removes this lactic acid.)

This is what I found to work for me - it's a long story but worth the read, considering the spectacular results and the fact that you can find a lot of information on allithiamine on this forum:

My 6 month experience with Allithiamine treatment
NB: Allithiamine without the rest of the B vitamins and calcium + magnesium didn't do much for me and couldn't get my dose up without increasing the dosage of the other vitamins. If you're interested, I can write down how I upped my allithiamine intake until I could reach the 600 mg dose, the one with astonishing results.

Started in Mid-October 2020
Initial dosage 50 mg, quickly (2 weeks) ramped up to 150 mg/day
Stayed on 150 mg/day for a month.

Mid- November:Ran out of Allithiamine for 2 weeks during which I was bedridden again.

December: Ramped up the dose again to 300 mg per day in the first two weeks of the month.

January: Ramped up the dose to 600 mg per day and noticed a 80% reduction in all my symptoms.

February: Added sugar/glucose back into my diet + natural progesterone and noticed an almost complete remission of all symptoms (95%).



My state before allithiamine, since end of May 2018, after I did 4 months of intermittent fasting:

100%, 24/7 ---Light intolerant. Hypertonic muscles, all over. Migraine-like headache 24/7. Depersonalisation. Derealisation. Wounds that just wouldn't heal. Cognitive impairment (attention, memory, organisational skills etc.) Histamine intolerance. Sugar, dairy, gluten intolerance. Inability to take b vitamins (neuerological issues especially from b6). Muscle weakness (quadriceps). Inability to climb stairs. Severe POTS after light physical activity. Heart symptoms after climbing up the stairs. Extremely dry skin, especially on the soles of my feet (craked sking, 2 mm cracks; a thick, 0.5 cm layer of dead skin peeling off every time I took a shower). Skin dryness all over for 1-2 weeks after a showe. Gastroparesis since May 2020, SIBO, vagus nerve issues, occipital neuralgia/Arnold neuralgia prolonged attacks. Severe endometriosis pain and symptoms (this one since my first period). Untreatable insomnia (waking up at 3 am).
Three stroke-like episodes in July-September 2018.

Lived in bed, in darkness, with a sleep mask, just to avoid a worsening of my condition and end up in hospital.


Improvements while taking allithiamine, dose-dependent:

300 mg/day -- all of the above improved by 80%. I could spend 5-6 hours per day out of the bed, doing things around the house and
Some disappeared altogether: depersonalisation and derealisation; sensibility to B vitamins; wounds started healing themselves; all symptoms related to dryness of skin.

At 600 mg/day + added sugar (cakes, etc) in my diet, 95% improvement of all of the above symptoms.
The connection to sugar/glucose showed up because my birthday was at the beginning of February and my husband bought a commercial cake for me. Instead of dealing with a terrible relapse, I just felt SO much better. I could handle a 1-hour discussion of highly abstract and philosophical topic with my husband, with no relapse,

Stage 4 Endometriosis that has been going on for 20 years (since my 3rd period) disappeared completely, and this was totally unexpected (a large number of women/females in the Lyme/CFS community mention an increase in symptoms during/around their period; during my periods I walked like an old woman, half bent, very small steps). From heavy bleeding, filled with tissue and cysts fragments, that lasted 6-7 days every month (always), I have 3-4 days of light bleeding, no cramps, just a level 3 pain.

I told my husband that if this continues, I would recover completely in less than a year. The last 6 months did for me what none of the treatments for Lyme disease ever did.

Then I went out on 21st of february, walked 800 m in a day and all of my symptoms, the ones I started experiencing since I was 20 years old, came back. I also carried a heavy box (20 kg) up the stairs (2 flights of stairs), and I relapsed. I'm bedridden again. But my horrible period didn't come back, at least.
I'm slowly recovering now. It takes time. Key to my recovery has been the refusal to do any physical activity other than cooking. This points out to a genetic form of myopathy (intolerance to exercise). Genetic myopathies can vary wildly in their manifestations, even among siblings.

This 6 month experience was possible because I saw that none of the treatments that worked at least a little bit for other people diagnosed with Lyme disease, didn't work for me. At all. So I started looking elsewhere and didn't cling to my paper stating that my IgM in ELISA and WB were positive, 3 months in a row in 2017.
I just thought that it's extremely unlikely to have extreme neurological symptoms (stroke like episodes), and intravenous ceftriaxone, mynocicline, Buhner's herbs (antibiotics and herbs that support the body and reduce inflammation) and essential oils to just not work. I had studied every scientific paper detailing how Borrelia burrows itself in the body, how the inflammatory mechanisms work, etc. and everything COULD potentially explain my 300+ symptoms in the last 13 years. But at the same time, the reality of my ineffective treatment also was very much present.
ALL cases of people with such severe neurological symptoms that were treated with intravenous antibiotics, no matter how long they had had their symptoms, showed an improvement, smaller or greater, but it was there. In my case it has never been there.

I discovered that B1 deficiency can cause the same symptoms (300+ symptoms) as chronic Lyme disease and it can also be the substrate for the development of chronic symptoms that never really go away, the reason why the infection never really clears up.

I discovered that, just like the test for boreliosis, the blood test for vitamin b1 deficiency is not reliable. I discovered that the first disease known to cause an enormous amount of symptoms (at least known in the last 2 centuries) is beriberi disease, also called "the disease with 100 faces".
 
Last edited:

Vins7

Member
Joined
Feb 23, 2020
Messages
900
Hi,

I've had the same issue since 2015, including the urine being constantly clear regarding how much water I drank. Constant thirst and dry mouth.
In my case at least, I suspect it was because of high lactic acid due to chronic Lyme or b1 deficiency (both cause increased lactic acid). Even now, the way to go is drinking 4-6 liters of water per day. (My symptoms are cleared by simple I.V. with saline solution for 1.5 hours - all of them, including the thirst, the urine colour, the fibromyalgia, neurological, etc. etc. )

This is what I found to work for me - it's a long story but worth the read, considering the spectacular results and the fact that you can find a lot of information on allithiamine on this forum:

My 6 month experience with Allithiamine treatment
NB: Allithiamine without the rest of the B vitamins and calcium + magnesium didn't do much for me and couldn't get my dose up without increasing the dosage of the other vitamins. If you're interested, I can write down how I upped my allithiamine intake until I could reach the 600 mg dose, the one with astonishing results.

Started in Mid-October 2020
Initial dosage 50 mg, quickly (2 weeks) ramped up to 150 mg/day
Stayed on 150 mg/day for a month.

Mid- November:Ran out of Allithiamine for 2 weeks during which I was bedridden again.

December: Ramped up the dose again to 300 mg per day in the first two weeks of the month.

January: Ramped up the dose to 600 mg per day and noticed a 80% reduction in all my symptoms.

February: Added sugar/glucose back into my diet + natural progesterone and noticed an almost complete remission of all symptoms (95%).



My state before allithiamine, since end of May 2018, after I did 4 months of intermittent fasting:

100%, 24/7 ---Light intolerant. Hypertonic muscles, all over. Migraine-like headache 24/7. Depersonalisation. Derealisation. Wounds that just wouldn't heal. Cognitive impairment (attention, memory, organisational skills etc.) Histamine intolerance. Sugar, dairy, gluten intolerance. Inability to take b vitamins (neuerological issues especially from b6). Muscle weakness (quadriceps). Inability to climb stairs. Severe POTS after light physical activity. Heart symptoms after climbing up the stairs. Extremely dry skin, especially on the soles of my feet (craked sking, 2 mm cracks; a thick, 0.5 cm layer of dead skin peeling off every time I took a shower). Skin dryness all over for 1-2 weeks after a showe. Gastroparesis since May 2020, SIBO, vagus nerve issues, occipital neuralgia/Arnold neuralgia prolonged attacks. Severe endometriosis pain and symptoms (this one since my first period). Untreatable insomnia (waking up at 3 am).
Three stroke-like episodes in July-September 2018.

Lived in bed, in darkness, with a sleep mask, just to avoid a worsening of my condition and end up in hospital.


Improvements while taking allithiamine, dose-dependent:

300 mg/day -- all of the above improved by 80%. I could spend 5-6 hours per day out of the bed, doing things around the house and
Some disappeared altogether: depersonalisation and derealisation; sensibility to B vitamins; wounds started healing themselves; all symptoms related to dryness of skin.

At 600 mg/day + added sugar (cakes, etc) in my diet, 95% improvement of all of the above symptoms.
The connection to sugar/glucose showed up because my birthday was at the beginning of February and my husband bought a commercial cake for me. Instead of dealing with a terrible relapse, I just felt SO much better. I could handle a 1-hour discussion of highly abstract and philosophical topic with my husband, with no relapse,

Stage 4 Endometriosis that has been going on for 20 years (since my 3rd period) disappeared completely, and this was totally unexpected (a large number of women/females in the Lyme/CFS community mention an increase in symptoms during/around their period; during my periods I walked like an old woman, half bent, very small steps). From heavy bleeding, filled with tissue and cysts fragments, that lasted 6-7 days every month (always), I have 3-4 days of light bleeding, no cramps, just a level 3 pain.

I told my husband that if this continues, I would recover completely in less than a year. The last 6 months did for me what none of the treatments for Lyme disease ever did.

Then I went out on 21st of february, walked 800 m in a day and all of my symptoms, the ones I started experiencing since I was 20 years old, came back. I also carried a heavy box (20 kg) up the stairs (2 flights of stairs), and I relapsed. I'm bedridden again. But my horrible period didn't come back, at least.
I'm slowly recovering now. It takes time. Key to my recovery has been the refusal to do any physical activity other than cooking. This points out to a genetic form of myopathy (intolerance to exercise). Genetic myopathies can vary wildly in their manifestations, even among siblings.

This 6 month experience was possible because I saw that none of the treatments that worked at least a little bit for other people diagnosed with Lyme disease, didn't work for me. At all. So I started looking elsewhere and didn't cling to my paper stating that my IgM in ELISA and WB were positive, 3 months in a row in 2017.
I just thought that it's extremely unlikely to have extreme neurological symptoms (stroke like episodes), and intravenous ceftriaxone, mynocicline, Buhner's herbs (antibiotics and herbs that support the body and reduce inflammation) and essential oils to just not work. I had studied every scientific paper detailing how Borrelia burrows itself in the body, how the inflammatory mechanisms work, etc. and everything COULD potentially explain my 300+ symptoms in the last 13 years. But at the same time, the reality of my ineffective treatment also was very much present.
ALL cases of people with such severe neurological symptoms that were treated with intravenous antibiotics, no matter how long they had had their symptoms, showed an improvement, smaller or greater, but it was there. In my case it has never been there.

I discovered that B1 deficiency can cause the same symptoms (300+ symptoms) as chronic Lyme disease and it can also be the substrate for the development of chronic symptoms that never really go away, the reason why the infection never really clears up.

I discovered that, just like the test for boreliosis, the blood test for vitamin b1 deficiency is not reliable. I discovered that the first disease known to cause an enormous amount of symptoms (at least known in the last 2 centuries) is beriberi disease, also called "the disease with 100 faces".
How did you find out your B1 deficiency?
Did you do a Blood test or something like this?
 
Joined
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Messages
193
Looking at your labs definitely shows something is wrong. Some kind of major stress on the body. I think trying to lower the stress on your body would be helpful.

Your vitamin D is low. And I would guess you are low on B vitamins. Do you get enough light? Is your home dark? That can be a stress. Also eating only twice a day huge amounts may not be the best. I would try eating every few hours and only drinking fluids like milk and juice and coke. Do you drink coke? I find it surprisingly uplifting for me energy wise.
Do you have a lot of mental or internal stress?
 

amz

Member
Joined
Feb 5, 2021
Messages
15
Hey,

I just listened to Elliot Overton's videos and read his articles on this topic. I also read dr. Derrick Lonsdale's book on thiamine (on Scribd).
I had nothing to lose and everything to win if I tried it. I read an official report made for the European Union, which has evaluated b1 as being safe in all doses. That researchers couldn't find an upper limit for its intake.

I don't know which lab to go to in order to do the battery of tests shown by Dr. Lonsdale as much more reliable for vitamin b1 status. Blood tests are irrelevant for this.


Before this, I spent 24k euros on every supplement under the sun, that helped other people with the same issues as mine. With 0 success. I also applied Ray Peat's principles about diet and such. I had literally done everything.
 
Last edited:

mostlylurking

Member
Joined
May 13, 2015
Messages
3,078
Location
Texas
My typical diet is gluten free due to what I suspect is an intolerance. I generally eat 2 large meals a day, late breakfast and early dinner. Breakfast usually consists of 2 eggs on 2 x gluten-free bread, a bowl of porridge oats with some fruit. Dinner: 2 x Chicken breast, rice and veg or similar meat, potato and veg.

Activities, currently quite sedentary. Working from home, sitting most of the day. I go for a short 10 min walk at some point on most days. Some light exercise maybe once a week currently. Previously up until around a year ago, I was far more active, weight training 3 x a week, sports/running 2 x a week. I've just come to the point now where I feel too drained, weak, and depleted to continue with exercise.
Your T3 is low and your TSH is high, which looks like hypothyroidism to me. Hypothyroidism causes you to urinate too much and not lose water via sweating/evaporation. In addition, you may have a thiamine deficiency which causes similar symptoms because each of these block oxidative metabolism.

You could test yourself to see if you respond favorably to some thiamine. I did this with thiamine hcl: I recorded my temperature (98 degrees), took about 250-300mgs of thiamine hcl, waited less than an hour and experienced all of my pain disappearing and my temperature went up a full degree (to 99 degrees). The response was so remarkable that there was no doubt that my thiamine was being blocked or was extremely low.
 
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