Dear Heppy
today i went to my GP to have blood taken.
it's been six months since i had any blood-work done, and it was about time to have next check-up to see what's going on.
i brought my scribbled-down bloody wish list with me and whipped it out at the nurse.
the following were on the menu:
FBC - full blood count
ALT - alanine aminotransferase (liver)
AST - aspartate aminotransferase (liver)
AFP - alpha feto protein (liver tumor marker)
ALP - alkaline phosphatase (liver)
GGTP - gamma-glutamyl transpeptidase (liver & bile ducts)
bilirubin (liver)
albumin (liver)
TSH - thyroid stimulating hormone (thyroid)
T3 - triiodothyronine (thyroid)
T4 - thyroxine (thyroid)
fasting full lipid panel - cholesterol, HDL, LDL & triglycerides
and finally fasting glucose.
it beats me why they don't do fasting insulin, which means without it i won't be able to calculate HOMA to check against IR, oh well...
also, i didn't know, that to test for ferritin and vit D level, i should have called in on any other day but friday, because the blood samples won't be sent off to the lab before the weekend, and those two tests need to be lab-processed within 24 hrs. lesson learnt, and i will do those some other time.
i am very excited about getting full lipid panel done, because before, i've had only cholesterol checked a couple years ago and it was bordering high.
the results should be back in about 10 days, and it will be interesting to find out how things are going.
also, i am thinking of compiling a stand alone page with all my previous and upcoming lab results to have it in one place, with easy way to compare and keep an eye on them.
i have not received my medical file from kilkenny hospital yet, and if i still don't have it in a couple of weeks i'll be writing to them again.
and still waiting for appointment letter from dublin, for second opinion with a specialist.
but i'm not in any rush.
me
Friday, March 25, 2011
Thursday, March 24, 2011
Trip-To-Fun
Dear Heppy
for a while now i've been looking into natural, and over the counter means of battling HCV related depression and mood swings, without having to join an ever-growing number of antidepressant users.
my problem with ADs is, they suck all the available serotonin from within the body and pump it into the brain. in the long term it's like running a battery completely flat, without providing any refill on the way, and after it's sucked dry - then what?
nope - i don't like that, it doesn't appeal to me, there has to be another way.
so i ventured forth on a quest and here's the result.
i found that serotonin is metabolised from 5-HTP (L-5-Hydroxytryptophan) - i got excited, it seemed like i had found the solution fairly quickly, but with more in depth reading, obstacles have started to mount.
in itself 5-HTP crosses the blood-brain barrier very easily, but when administered orally as a supplement, it is readily converted into serotonin while still in the blood stream, and serotonin molecule is too big to get to the brain where it's required. especially, if someone like me, infected with you, Dear Heppy, is taking vit B6, which facilitates that conversion.
dang! so now what?
well there is a way of stopping 5-HTP from converting into serotonin, before it reaches the brain, with a drug called carbidopa - awesome? erhm not as much as it seems again, for carbidopa carries its own set of possible side effects, and in overall there is no consensus, whether it's better to take 5-HTP with or without it.
uuugh i'm getting confused and frustrated!
this neat fact sheet could ease my mind, but it's based on research and studies dating back from '90s and its authors seem too eager with promoting 5-HTP without single mention of any drawbacks - hmmm.
still, i wasn't giving up that easily.
i took another step back in the chemical process and dug fiercely into L-tryptophan, immediate precursor to 5-HTP.
future looked bright again, as i read more about benefits of this fantastic essential amino acid. not only it is good for depression, but also for insomnia, food cravings and aging - yes, tryptophan stimulates production of HGH (human growth hormone) - too good to be true?
indeed...
tryptophan requires vit B3 to metabolise into 5-HTP, it has to compete with other amino acids for a lift to the brain (that's why it should be taken away from food and with quick releasing carbohydrates ie fruit juice), plus a significant amount is catabolised into other various by-products including kynurenine and quinolinic acid which are neurotoxic, so it's not exclusively converted into 5-HTP only - whatta bummer.
nevertheless research supports that either, L-tryptophan or 5-HTP, are better solution to depression, rather than conventional ADs.
even more so, in case of HCV infection and especially tx, it's been proven that plasma level of tryptophan drops dramatically in presence of INF-α during the treatment resulting in irritability, mood swings and depression.
this small study presents that supplementing with tryptophan during tx for HCV can alleviate severity of depression. and it has been later followed up by discussion in favour of 5-HTP.
despite certain drawbacks to use of either L-tryptophan or 5-HTP, there is no question, as to how hugely beneficial they can be, for anyone who suffers from HCV related depression or even more so, when undergoing grueling tx for hepC.
in the end, my dilemma only boils down to the choice - which one should i pick to treat myself with?
i think, i shall experiment with tryptophan first, and if it doesn't take me on a trip-to-fun, then i would switch to 5-HTP.
it's just ironic, that in ireland, being a country with high prevalence of depression and suicide rate, both are forbidden and unavailable.
thank god for the internet and online shopping!
but please Dear Heppy shhhh! don't tell anyone ok?
me
for a while now i've been looking into natural, and over the counter means of battling HCV related depression and mood swings, without having to join an ever-growing number of antidepressant users.
my problem with ADs is, they suck all the available serotonin from within the body and pump it into the brain. in the long term it's like running a battery completely flat, without providing any refill on the way, and after it's sucked dry - then what?
nope - i don't like that, it doesn't appeal to me, there has to be another way.
so i ventured forth on a quest and here's the result.
i found that serotonin is metabolised from 5-HTP (L-5-Hydroxytryptophan) - i got excited, it seemed like i had found the solution fairly quickly, but with more in depth reading, obstacles have started to mount.
in itself 5-HTP crosses the blood-brain barrier very easily, but when administered orally as a supplement, it is readily converted into serotonin while still in the blood stream, and serotonin molecule is too big to get to the brain where it's required. especially, if someone like me, infected with you, Dear Heppy, is taking vit B6, which facilitates that conversion.
dang! so now what?
well there is a way of stopping 5-HTP from converting into serotonin, before it reaches the brain, with a drug called carbidopa - awesome? erhm not as much as it seems again, for carbidopa carries its own set of possible side effects, and in overall there is no consensus, whether it's better to take 5-HTP with or without it.
uuugh i'm getting confused and frustrated!
this neat fact sheet could ease my mind, but it's based on research and studies dating back from '90s and its authors seem too eager with promoting 5-HTP without single mention of any drawbacks - hmmm.
still, i wasn't giving up that easily.
i took another step back in the chemical process and dug fiercely into L-tryptophan, immediate precursor to 5-HTP.
future looked bright again, as i read more about benefits of this fantastic essential amino acid. not only it is good for depression, but also for insomnia, food cravings and aging - yes, tryptophan stimulates production of HGH (human growth hormone) - too good to be true?
indeed...
tryptophan requires vit B3 to metabolise into 5-HTP, it has to compete with other amino acids for a lift to the brain (that's why it should be taken away from food and with quick releasing carbohydrates ie fruit juice), plus a significant amount is catabolised into other various by-products including kynurenine and quinolinic acid which are neurotoxic, so it's not exclusively converted into 5-HTP only - whatta bummer.
nevertheless research supports that either, L-tryptophan or 5-HTP, are better solution to depression, rather than conventional ADs.
even more so, in case of HCV infection and especially tx, it's been proven that plasma level of tryptophan drops dramatically in presence of INF-α during the treatment resulting in irritability, mood swings and depression.
this small study presents that supplementing with tryptophan during tx for HCV can alleviate severity of depression. and it has been later followed up by discussion in favour of 5-HTP.
despite certain drawbacks to use of either L-tryptophan or 5-HTP, there is no question, as to how hugely beneficial they can be, for anyone who suffers from HCV related depression or even more so, when undergoing grueling tx for hepC.
in the end, my dilemma only boils down to the choice - which one should i pick to treat myself with?
i think, i shall experiment with tryptophan first, and if it doesn't take me on a trip-to-fun, then i would switch to 5-HTP.
it's just ironic, that in ireland, being a country with high prevalence of depression and suicide rate, both are forbidden and unavailable.
thank god for the internet and online shopping!
but please Dear Heppy shhhh! don't tell anyone ok?
me
Thursday, March 3, 2011
Future
Dear Heppy
possibly you'd like to know where things are gonna go from here,
well i'll be waiting for the second opinion appointment to come, whenever that's gonna happen,
every few months i'll have a battery of blood tests to keep an eye on liver function, cholesterol, thyroid, glucose, AFP and standard FBCs,
i'll continue being plugged in to pipeline news about developments in upcoming tx drugs and looking out if any clinical trials are available in ireland with possibility of signing up as a laboratory mouse,
so as you can see it's not a total 'game over',
no, absolutely not, i'm not that kind of person,
i'm a dragon remember?
of course i'll stay in touch with you whenever i have any news,
how could i possibly forget about you and abandon my own bloody companion?
no way!
so don't worry but in the mean time my main focus and energy will be channeled into my other experimental writing project at Shaperate which you are more than welcome to visit and take part in if you like,
talk to you again Dear Heppy,
me
possibly you'd like to know where things are gonna go from here,
well i'll be waiting for the second opinion appointment to come, whenever that's gonna happen,
every few months i'll have a battery of blood tests to keep an eye on liver function, cholesterol, thyroid, glucose, AFP and standard FBCs,
i'll continue being plugged in to pipeline news about developments in upcoming tx drugs and looking out if any clinical trials are available in ireland with possibility of signing up as a laboratory mouse,
so as you can see it's not a total 'game over',
no, absolutely not, i'm not that kind of person,
i'm a dragon remember?
of course i'll stay in touch with you whenever i have any news,
how could i possibly forget about you and abandon my own bloody companion?
no way!
so don't worry but in the mean time my main focus and energy will be channeled into my other experimental writing project at Shaperate which you are more than welcome to visit and take part in if you like,
talk to you again Dear Heppy,
me
Wednesday, March 2, 2011
Putting Feet Up
Dear Heppy
for the past few weeks possibility of tx was still viable and i'd been siting on the fence unable to make my own decision if to purse treatment or leave it,
weight of responsibility had been too great to turn away from tx by my own doing, i wouldn't have been able not to think 'what if' but finally passage of time had mercy on me and made only one path to follow available,
with all the best intentions ladies from dublin based 'community response' kept me hanging for quite a while because they told me it was in their power to squeeze me in for a visit in less than 6 weeks, despite their efforts there was nothing they could do for me but at least i know now that general policy of tx teams in ireland is to keep those who can, waiting for new drugs to come out,
so that's it,
tx won't be happening any time soon,
nevertheless yesterday i went to my GP for a referral because i want to be seen by a specialist who has no hidden agendas and document myself with them as a hepC patient case that will be in need of follow up and attention in the future, i believe this is the best way to go about it, in case anything should start deteriorating or required and kind of intervention for whatever related reason, it will be better to already figure in the system with documented history, rather than suddenly pop out of nowhere should you wish to make things worse for me,
as my GP referred my case with label 'for a second opinion' this time i expect waiting will exceed 4 months but i don't mind that because this time i won't be waiting nervously for it to come, i have already made peace and began joining fast lane of main stream of life, refocusing on more important and immediate things to enjoy my life as it is,
i'm putting my feet up Dear Heppy ready to enjoy what happens tomorrow and it will have nothing to do with you,
me
for the past few weeks possibility of tx was still viable and i'd been siting on the fence unable to make my own decision if to purse treatment or leave it,
weight of responsibility had been too great to turn away from tx by my own doing, i wouldn't have been able not to think 'what if' but finally passage of time had mercy on me and made only one path to follow available,
with all the best intentions ladies from dublin based 'community response' kept me hanging for quite a while because they told me it was in their power to squeeze me in for a visit in less than 6 weeks, despite their efforts there was nothing they could do for me but at least i know now that general policy of tx teams in ireland is to keep those who can, waiting for new drugs to come out,
so that's it,
tx won't be happening any time soon,
nevertheless yesterday i went to my GP for a referral because i want to be seen by a specialist who has no hidden agendas and document myself with them as a hepC patient case that will be in need of follow up and attention in the future, i believe this is the best way to go about it, in case anything should start deteriorating or required and kind of intervention for whatever related reason, it will be better to already figure in the system with documented history, rather than suddenly pop out of nowhere should you wish to make things worse for me,
as my GP referred my case with label 'for a second opinion' this time i expect waiting will exceed 4 months but i don't mind that because this time i won't be waiting nervously for it to come, i have already made peace and began joining fast lane of main stream of life, refocusing on more important and immediate things to enjoy my life as it is,
i'm putting my feet up Dear Heppy ready to enjoy what happens tomorrow and it will have nothing to do with you,
me
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