I Have Been Sick For Years Please Help

[Robert]

Hi.
Okey, so where do i begin.
I am a 28 year old male.
Never had any diaseses or other issues.
My mental problems started about two years ago with anexity, feeling low, sadness etc etc.

Fast forwarding to my situation right now.
I went to my doctor for a couple a weeks ago and described my problems.

Ofcourse he immdiaetly recommended me to start with SSRI
-> Citalopram.
But i wanted to look at other natural options first.

So, two weeks ago i bought 5-HTP.
I just took two low doses and during this time i feelt like complete ***t.
First day i felt tierd and just weird.
On the second night i had by far The most discussing, scariest nightmares ive ever experienced.
It was so overwhelming i had trouble going to bed for a couple of days. So you might understand why i quited taking the 5-HTP.
(Any ideas of what triggerd this?)

So i searched for other serotonin boosting supplement and came across L-tryptophan. Every seemed to think this was such a good supplement so i thought i give it a try.

So The first day i took 500mg.
After i while i feelt weird again.
The day just seemed to be flying by.
I felt strongly effected by this.. when i looked in the mirror my face looked sick.. I felt kinda trashy and tierd to.
And this aminoacid was suppose to aid in sleep..well i could not sleep Easy.. I felt wierd! Took med three hours to fall a sleep.
I do felt a little improvement in mood... like i didint give a ***t about stuff... I suddenly looked at the sky and thought wow The clouds are beautiful today. BUt thats about 10% positive and rest was just bad for me.
So i took it for two days.
Two days of i have a mental brakedown cry and feel like ***t out of nowhere.

So now i started reading about
L-phenylalanine but this was suppose to help with my dopamine.
I took 500 mg today and first hours felt ok.. Then i started feeling weird again. Similar to tryptophan i look tierd in my face, more visible blues rings under my eyes, feel burned out in my head kind of.

I just dont know what to do any more.

My symptoms with out taking any supplement is like, there is someting missing in my head.
I am worring and thinking about events that happend for years ago.
I feel low self a Steem..
No motivation... no joy in life..
Everythings just keps Rolling on..
I cant travel to far i get home sick like a baby for Christ sake and get anxious. I hate my brain right now. I have always been The opposite of what i am and feel today.

Should i combine l-phenylalanine with someting?
Try another aminoacid?

I dont know what to do any more.
I just want to get rid of my sick thoughts, feeling and other stuff.
I want to be me again..
I havent feelt like my self in years now..

Please help.

 

[mangoes]

According to Peat serotonin isn't what mainstream medicine make it out to be, the "feel good" hormone. Quite the opposite in fact, high levels contribute to the disease process. From this point of view it makes sense why 5htp/tryptophan made you feel worse, (serotonin is made from tryptophan). Peat recommends avoiding high levels of tryptophan (through not eating as much muscle meat) and trying to lower levels of serotonin in the body. I have no experience with phenylalanine so perhaps someone who does will be able to advise you about it. I'm dealing with some depression/anxiety myself and I wouldn't say it's yet cured but I have noticed an anti-anxiety, positive effect on my mood and outlook on life with supplemental taurine and lysine. Both of these act as serotonin reducers, and maybe dopamine promotors too, I'm not too sure. I also think cyproheptadine which is an antihistamine used quite a lot around here has serotonin lowering mechanisms but I'm not entirely certain. Just use the search bar on the top right to find plenty of info on it. There are other things you can try, changing diet, optimising metabolism/thyroid, socialising, having meaningful experiences, meditation, etc. There's quite a bit on this forum about an antidepressant drug called Tianeptine which is a serotonin reputake enhancer rather than what most doctors prescribe (SSRI's). It works by again reducing serotonin levels rather than increasing them, and has shown (in rat brains) to promote neuroplastictity and protect from stress. I've been toying with the idea of trying it out myself but I've yet to make my mind up. There's plenty of information around here on depression, just search it, and Peat has a couple of articles on it on his website too :)

 

[CarbAppreciator]

Chronically high serotonin, along with estrogen, contribute to reduced cellular energy production, which makes you feel like ***t. 5-HTP and tryptophan will raise your serotonin, phenylalanine may lower it a little, but you should try to lower it through food choices first. A better amino to try would be L-Theanine, but don't take it when you need to drive.

 

[Robert]

Thank you for your reply.

Update.
I just went to the mall and my mood is really swining now.
I amost had a rage outburst.
I was so irritated!!
So angry!!
I went into a dispute with my friend and my temper went from 0 - 100 in one second.

So i guess maybe taking dopamine supplements makes med serotonin drop instead?

Jesus my brain is so annoying.

Maybe my problem does not lie in serotonin or dopamine.. maybe its someting else.

My thyorid is good i have checked sevral Times.
Maybe i should look upp testosterone? Estradiol? Fsh?

What other metabolic or diaseses could give me this mental problems?

 

[ste199]

Thank you for your reply.

Update.
I just went to the mall and my mood is really swining now.
I amost had a rage outburst.
I was so irritated!!
So angry!!
I went into a dispute with my friend and my temper went from 0 - 100 in one second.

So i guess maybe taking dopamine supplements makes med serotonin drop instead?

Jesus my brain is so annoying.

Maybe my problem does not lie in serotonin or dopamine.. maybe its someting else.

My thyorid is good i have checked sevral Times.
Maybe i should look upp testosterone? Estradiol? Fsh?

What other metabolic or diaseses could give me this mental problems?

The serotonin cause depression and aggression.
Your problem may not be a specific disease but a sistemic condition caused to cronical stress and depletion of energy.
The spiral of negative self talking like "what's going on me?!" Make the thing only worse.
At first you must have appropriate nutrition,you should eat around 3000 kcal with 80 grams protein and 300/400 carb sugar;eat small meal frequently to keep your blood sugar level balanced beacuse as it goes down the adrenalin raise and you feel anxious.
What do you usually eat?you should eat lot of fruits,milk,cheese,potatoes,carrot salad coconut oil,some eggs,shellfish,liver,salt and sugar.
Do relaxing thing,spent time outdoor in nature,make a warm bath,do creative thing,play a instrument or paint,spent time with friend.
For supplement you could take taurine,lisine and theanine like already said,also magnesium,glycine,niacinamide could be helpful and have anti anxiety effect.
The CO2 is another important factor you could do bag breathing or drink carbonated beverages or make a baking soda bath to increase it.the co2 play a role in relaxation and anxiety for me.
Hope i helped,sorry for my bad english

 

[marikay]

The serotonin cause depression and aggression.
Your problem may not be a specific disease but a sistemic condition caused to cronical stress and depletion of energy.
The spiral of negative self talking like "what's going on me?!" Make the thing only worse.
At first you must have appropriate nutrition,you should eat around 3000 kcal with 80 grams protein and 300/400 carb sugar;eat small meal frequently to keep your blood sugar level balanced beacuse as it goes down the adrenalin raise and you feel anxious.
What do you usually eat?you should eat lot of fruits,milk,cheese,potatoes,carrot salad coconut oil,some eggs,shellfish,liver,salt and sugar.
Do relaxing thing,spent time outdoor in nature,make a warm bath,do creative thing,play a instrument or paint,spent time with friend.
For supplement you could take taurine,lisine and theanine like already said,also magnesium,glycine,niacinamide could be helpful and have anti anxiety effect.
The CO2 is another important factor you could do bag breathing or drink carbonated beverages or make a baking soda bath to increase it.the co2 play a role in relaxation and anxiety for me.
Hope i helped,sorry for my bad english

+1

 

[keith]

I would highly recommend pregnenolone for anxiety, and in general. Personally I take 200 mg/day of 100 am and 100 pm). I'm a pretty big guy and the other effective dose for you may be different, but that works amazingly for me. I never considered myself to have severe anxiety, but it was an issue for me, but since I started taking pregnenolone, I have absolutely become much more confident, and outgoing, and have an overall better outlook on life.

Ray Peat has talked about it being very safe, and how he experimented with grams per day. I have not experienced any bad effects from it. Good luck to you!

 

[James IV]

I think its likely to be hard to try and heal yourself if you are focused on the supplement and drug path. Trying to figure out some perfect cocktail will be likely be difficult to sustain.
Maybe focus on being outdoors, in the sunshine, and around people. Eat lots of carbs of all varieties. Lots of plant food, a little animal food. Eat food that tastes good, and you enjoy eating. Eat plenty. Exercise. Have fun.

Hope you feel better.

 

[Footscray]

I have just read your story Robert, and you are obviously in a bad place at the moment. And I am no expert around here but my first thoughts are too just SLOW down and not panic. Read, read and then read some more. Slowly and relaxingly. You will soon pick up some ideas like 'you don't want to increase serotonin', learn to 'under breathe' and stop eating anything that contains Polyunsaturated fats (PUFAs). And don't worry about sups. for a little while until some point that you feel like you are making wiser choices. And then maybe just start with some b vitamins, magnesium or aspirin. Good luck, enjoy learning some fun new ideas.

 

[Ukall]

Exercise.

Intense running/Cardio too?

 

[James IV]

Intense running/Cardio too?

Maybe. If it makes you happy, and you are very metabolically healthy and very well fed. I have some friends that are into crossfit and it truly appears to make them healthier mentally and physically. However, they eat like horses.
Is it best for longevity? I don't know.

 

[PakPik]

I have always been The opposite of what i am and feel today.

Hi Robert, so sorry you're having such a rough time.

What other metabolic or diseases could give me this mental problems?

A bunch of different maladies/factors can create a problem such as yours. Did I get right that in your case you went from basically normal to abnormal in a rather all-of-a-sudden matter? There are are many situations you can inquire about:
-Environmental: was there an increase in exposure to mold? moving to a moldy place, etc? pesticide/toxic exposure?
-Infection: did you catch new infections, or did latent ones have the chance to reactivate? Did your onset of maladies coincide with some sort of vaccination?
-Drugs: There are some rather dangerous drugs that are well known for their rather disturbing side effects, changing a person's biology powerfully -even the epigenetics-. The most famous that come to my mind are Propecia (Finasteride), Accutane and the Fluoroquinolones antibiotics. Did your changes coincide with some sort of drugs like the ones mentioned?
-Supplements: did you take methylation related supplements? These can change the body's epigenetics and change the "sensitivity" or "response" to stimulus.
-Emotional stress: If problems coincided or came right after rather strong unpleasant emotional turmoil, chances are it contributed to the brain issues.
-Restrictive Dieting: Did your problems start after doing some kind of restrictive diet, like for example the ones that restrict carbs? Intermittent fasting, low calorie, etc?

No need to answer these questions to us if you don't want to, but please answer them to yourself :)

My thyorid is good i have checked sevral Times.
Maybe i should look upp testosterone? Estradiol? Fsh?

If by that you mean lab tests, more than often they are unreliable in the sense that people can be hypothyroid yet have super nice thyroid labs. Though I'd like to clarify that being hypothyroid doesn't mean one should jump on a thyroid supplement, some people even cure it without taking thyroid (by fixing the root causes). In any case, I suggest just take things easy, in a non paranoid way like someone suggested, and assess your situation with all the tools you consider necessary.

So i searched for other serotonin boosting supplement and came across L-tryptophan.

I've read rather bad things about tryptophan in its free form, like l-tryptophan. I'd suggest be careful with such supplement.

My best hopes for you.

 

[tara]

Robert
If you haven't yet read any of Peat's articles or interviews, I'd recommend it. If you are interested in serotonin, here are some of his articles on it:
Tryptophan, serotonin, and aging
Serotonin, depression, and aggression - The problem of brain energy.
Serotonin: Effects in disease, aging and inflammation

Do you want to tell what and how much you are eating? I think that's a good place to start - no point in adding in drugs and supplements until you've taken a look to see what nutrition you are getting from your food (incl. approximate calories).
Are you getting regular sunlight on your skin?
How's your breathing - relaxed, nasal, diaphragmatic, or more mouth and chest? Sometimes just slowing down breathing can calm down an aggitated mood. Being hangry can be an issue too - in which case food can often help.

If you want to assess general metabolic rate, you can monitor body temps and resting heart-rate, too.

 

[Robert]

The serotonin cause depression and aggression.
Your problem may not be a specific disease but a sistemic condition caused to cronical stress and depletion of energy.
The spiral of negative self talking like "what's going on me?!" Make the thing only worse.
At first you must have appropriate nutrition,you should eat around 3000 kcal with 80 grams protein and 300/400 carb sugar;eat small meal frequently to keep your blood sugar level balanced beacuse as it goes down the adrenalin raise and you feel anxious.
What do you usually eat?you should eat lot of fruits,milk,cheese,potatoes,carrot salad coconut oil,some eggs,shellfish,liver,salt and sugar.
Do relaxing thing,spent time outdoor in nature,make a warm bath,do creative thing,play a instrument or paint,spent time with friend.
For supplement you could take taurine,lisine and theanine like already said,also magnesium,glycine,niacinamide could be helpful and have anti anxiety effect.
The CO2 is another important factor you could do bag breathing or drink carbonated beverages or make a baking soda bath to increase it.the co2 play a role in relaxation and anxiety for me.
Hope i helped,sorry for my bad english

Hello, thank you for your reply!

I totally agree that the negative thinking about the whole situation ofcourse it's only making it worse.

I usally eat good.
Breakfast is always 30g Whey protein power + 50 grams of oat.
Lunch is often 200-300g protein (chicken, beef, fish, etc) + rice, coscous, pasta but mosly i try to replace the pasta and stuff for broccoli, paprics, carrot etc.
At eavning i always eat cottagecheese with some fruits, a big fist of almonds (or some other nuts).

I think its likely to be hard to try and heal yourself if you are focused on the supplement and drug path. Trying to figure out some perfect cocktail will be likely be difficult to sustain.
Maybe focus on being outdoors, in the sunshine, and around people. Eat lots of carbs of all varieties. Lots of plant food, a little animal food. Eat food that tastes good, and you enjoy eating. Eat plenty. Exercise. Have fun.

Hope you feel better.

Hi Robert, so sorry you're having such a rough time.

A bunch of different maladies/factors can create a problem such as yours. Did I get right that in your case you went from basically normal to abnormal in a rather all-of-a-sudden matter? There are are many situations you can inquire about:
-Environmental: was there an increase in exposure to mold? moving to a moldy place, etc? pesticide/toxic exposure?
-Infection: did you catch new infections, or did latent ones have the chance to reactivate? Did your onset of maladies coincide with some sort of vaccination?
-Drugs: There are some rather dangerous drugs that are well known for their rather disturbing side effects, changing a person's biology powerfully -even the epigenetics-. The most famous that come to my mind are Propecia (Finasteride), Accutane and the Fluoroquinolones antibiotics. Did your changes coincide with some sort of drugs like the ones mentioned?
-Supplements: did you take methylation related supplements? These can change the body's epigenetics and change the "sensitivity" or "response" to stimulus.
-Emotional stress: If problems coincided or came right after rather strong unpleasant emotional turmoil, chances are it contributed to the brain issues.
-Restrictive Dieting: Did your problems start after doing some kind of restrictive diet, like for example the ones that restrict carbs? Intermittent fasting, low calorie, etc?

No need to answer these questions to us if you don't want to, but please answer them to yourself :)


If by that you mean lab tests, more than often they are unreliable in the sense that people can be hypothyroid yet have super nice thyroid labs. Though I'd like to clarify that being hypothyroid doesn't mean one should jump on a thyroid supplement, some people even cure it without taking thyroid (by fixing the root causes). In any case, I suggest just take things easy, in a non paranoid way like someone suggested, and assess your situation with all the tools you consider necessary.


I've read rather bad things about tryptophan in its free form, like l-tryptophan. I'd suggest be careful with such supplement.

My best hopes for you.

I'm sure it has nothing to do with enviroment.
I have not been taking any vacciantions last 10 years.
I dont take theese kind of drugs, but in my late teens i did smoke a lot of hasch/weed, exprimented with cocacin, and x-tacy (2 times) but..
I do remember i had to stop smoking hasch because it gave me the scariest panic attacks.
Suddenly one day when i got i high i started to feel like a robot almost, and my mind was screaming thoughts about beeing trapped.
I thought i was gettin psychosis or something so i never tried to smoke after that cuz every time i smoked i felt like i was going INSANE... lol..

Can you give me some examples of these methylation drugs? I dont really know what you mean

Yeah i dont know.. about that.. sure there have been som tough situations in my life but i never felt this way about it.

The problem is that.. it all started like 3 years ago when i was at a job...
It was after i had been taking a performance enchaner for my traning called "SARM Ostarine".
(I used to gym all the time a few years ago, 4-5 times every week).

Out of no where i became EXTREMLY insecure, and starting shaking when talking to customer it came out of nowhere..
On the train home i had my first Panic attack.
It was so scary, i didnt know what do you but suddenly beeing around a lot of people made me extremley anxoius.
I have never, EVER had any type of signal of this is my life before it was just so unfamiliar to me.

Its progressed to daliy and nightly panic attacks for about 3 month then it stopped and it got recpleced with depression, fat gain,
etc..

 

[Robert]

Update:
I dont know what to do with all this weird symptons..

Today its one of theese days where my head feels like it stretching out from inside out,
My jaws feel hard like i just want to shake them or it kinda feels like they just want to start shaking sometimes, really weird.
Looking at my computer screen makes me feel weird and my eyes get irritated fast..
Libido is not great, but buttom line feeling is still like ... what the hell is going on with my brain..
Why cant i just feel like my self...

I'm thinking maybe i should get my brain scanned or something cuz i dont know what to do anymore..

I like my brain belongs to a 9 year old girl, if i travel to another country, i feel extremley insecure and scared and want to go home.
I DONT KNOW WHY.. i never been like this... i have always been the coolest guy emotionally, never panic, never scared, always feeling safe inside...

 

[PakPik]

I usally eat good.
Breakfast is always 30g Whey protein power + 50 grams of oat.
Lunch is often 200-300g protein (chicken, beef, fish, etc) + rice, coscous, pasta but mosly i try to replace the pasta and stuff for broccoli, paprics, carrot etc.
At eavning i always eat cottagecheese with some fruits, a big fist of almonds (or some other nuts).

Hi :)
I may be wrong, but that sounds like a rather low calorie diet, specially for a man? It seems it is less than 2000 cal, have you calculated the calories? An adult man should get at least 3000 cals in order to support metabolism and repair. Also, are you getting enough carbs -insufficient carbs increases stress hormones-?
Many brands of Whey supplements have been analyzed and found to contain astronomical, unacceptable amounts of heavy metals. Heavy metals can cause or exacerbate brain/nervous function problems in particular, so you may want to check into that.

The problem is that.. it all started like 3 years ago when i was at a job...
It was after i had been taking a performance enchaner for my traning called "SARM Ostarine".

So it seems you had a turning point mysteriously coinciding with that product you took. Since you basically answered negatively to most of the factors/questions I suggested for you, this product seems worth checking as a suspect.

Out of no where i became EXTREMLY insecure, and starting shaking when talking to customer it came out of nowhere..
On the train home i had my first Panic attack.

I am by no means knowledgeable about SARMs, but I did a quick search on Ostarine and they claimed this : "Ostarine does have two significant side effects – HPG axis suppression and elevated estradiol levels" https://content.tigerfitness.com/ultimate-guide-sarms-selective-androgen-receptor-modulators/
I also read about how many of those SARM supplements can be low quality and be tainted, altered, etc...

Anyways, I do know about estrogen a few things:1-Together with cortisol, is a major culprit in psychosis, seizures, and several other nervous disorders. 2- it may induce aggressive/fearful behavior. 3-it can cause immunosuppression and also may induce viral reactivation.

So, estrogen sounds like a possible suspect to me as well.

Today its one of theese days where my head feels like it stretching out from inside out,
My jaws feel hard like i just want to shake them or it kinda feels like they just want to start shaking sometimes, really weird.
Looking at my computer screen makes me feel weird and my eyes get irritated fast..

I like my brain belongs to a 9 year old girl, if i travel to another country, i feel extremely insecure and scared and want to go home.

This sounds like your brain is def. struggling; the feeling of the head is being stretched from inside out sounds like brain edema to me, which can be caused by inflammation/infection. An swollen brain can contribute to bad nervous symptoms since a swollen brain usually is hypoxic and vascularity is compromised, leading to a lot of neuroexcitotoxicity (through increased glutamate, nitric oxide and lactic acid, for example) and malfunction of nerves.

I'm only speaking from personal research on these subjects and personal experience (I suffered from debilitating, mind bending brain edema).

Of course, it would be good to get some tests to rule out issues and hopefully get some answers (I suggest check electrolytes, in particular sodium, since electrolyte disturbances can cause nervous problems).

Hope the best for you.

 

[Robert]

Hi :)
I may be wrong, but that sounds like a rather low calorie diet, specially for a man? It seems it is less than 2000 cal, have you calculated the calories? An adult man should get at least 3000 cals in order to support metabolism and repair. Also, are you getting enough carbs -insufficient carbs increases stress hormones-?
Many brands of Whey supplements have been analyzed and found to contain astronomical, unacceptable amounts of heavy metals. Heavy metals can cause or exacerbate brain/nervous function problems in particular, so you may want to check into that.


So it seems you had a turning point mysteriously coinciding with that product you took. Since you basically answered negatively to most of the factors/questions I suggested for you, this product seems worth checking as a suspect.


I am by no means knowledgeable about SARMs, but I did a quick search on Ostarine and they claimed this : "Ostarine does have two significant side effects – HPG axis suppression and elevated estradiol levels" https://content.tigerfitness.com/ultimate-guide-sarms-selective-androgen-receptor-modulators/
I also read about how many of those SARM supplements can be low quality and be tainted, altered, etc...

Anyways, I do know about estrogen a few things:1-Together with cortisol, is a major culprit in psychosis, seizures, and several other nervous disorders. 2- it may induce aggressive/fearful behavior. 3-it can cause immunosuppression and also may induce viral reactivation.

So, estrogen sounds like a possible suspect to me as well.


This sounds like your brain is def. struggling; the feeling of the head is being stretched from inside out sounds like brain edema to me, which can be caused by inflammation/infection. An swollen brain can contribute to bad nervous symptoms since a swollen brain usually is hypoxic and vascularity is compromised, leading to a lot of neuroexcitotoxicity (through increased glutamate, nitric oxide and lactic acid, for example) and malfunction of nerves.

I'm only speaking from personal research on these subjects and personal experience (I suffered from debilitating, mind bending brain edema).

Of course, it would be good to get some tests to rule out issues and hopefully get some answers (I suggest check electrolytes, in particular sodium, since electrolyte disturbances can cause nervous problems).

Hope the best for you.

Thank you for your reply.
I did also did come to the same conclusion a while ago and thought i had some estrogen problems.
So i bought a drug called aromasin (pharmacy) and took 0.5mg. But it didnt help with my condition at all.
Actually kind of made med worse..Didnt feel good at all.
Maybe i should check estrogen levels? Labtest?

It doesent happens very often this brain problem but. It happens occassionly and its really annoying.
What should i tell my doctor which test should i do?

I also, kinda often have problem while speaking. Its like my words trips on my tounge.. like i know what to say but the prononset just gets wrong..
At this moment my brain also can feel jammed up a bit..

Good tip on the Whey protein.
Will defently re consider this.

 

[PakPik]

So i bought a drug called aromasin (pharmacy) and took 0.5mg. But it didnt help with my condition at all.
Actually kind of made med worse..Didnt feel good at all.
Maybe i should check estrogen levels? Labtest?

What should i tell my doctor which test should i do?

Hi!
I'm not sure I like what I have read on aromatase inhibitors meds. They can be problematic long term, many unwanted effects, as they can mess with estrogen usage and metabolism. We need estrogen for good health, it's just that wee need it in physological amounts and well used.

As far as i know, blood estrogen tests are not representative of the actual estrogen burden in the tissues -you'd need biopsies for that :) - But it may be worth to get the blood levels (estradiol for example) to have a baseline number or see if it's weird?

It has been mentioned in the forum that prolactin gives a good idea of estrogenic plus serotonergic burden. The good news is that prolactin is a *usually* reliable test (hopefully the person got a good night's sleep the previous night).

It also may be worth to get blood tests for progesterone and pregnenolone; again, these tests are not perfect but if they come back low then that would hint to problems with steroidgenesis or steroid metabolism in the nervous system. I mention those two because they are neursteroids, very protective for nervous system.

Liver function tests are also important in my opinion because liver problems can lead to encephalopathies. According to forum member Haidut, "You can ask for AST, ALT, ALP, GGT, PT, PTT, billirubin, fibrin, albumin and total protein. This is a comprehensive panel and usually most doctors will only want to check AST, ALT and ALP. Even that is helpful but for good knowledge of your liver I'd ask for the full panel. If they insist in doing just the basic enzymes at least ask them to add GGT."

Finally, I wouldn't miss the tests for electrolytes (especially sodium, hopefully calcium and potassium as well), a cholesterol panel, and Complete blood count. They give important numbers.

These are just tests I think can be worth having in a case like yours; of course, talk to your doctor to see what he suggests checking out.