2

votes

Whew! Almost Passed Out

Answered on August 19, 2014
Created November 19, 2011 at 3:08 PM

Pleas help! This is Scary. As I was lifing weights this morning and suddenly noticed my music slooooow down, I lost the sensation of the weights in my hands, and I felt like I was about to close my eyes... all unintentional. I nearly passed out.

Is that a lack of blood to my brain? Lack of oxygen, or lack of sugar? Maybe combination of all?

I've been Paleo for about 1 year. I workout with somewhat heavy weights four times a week for about 1/2 hr. in AM before breakfast. Eat mostly bacon, free range meats, and coconut. Since I have Hashimoto's I can not eat potatoes and rely on veggies such as pumpkin, squash, cauliflower, and broccoli for carbs. Most days I protein fast after 3 pm.

I am 43 yrs old, 5'2", about 128 pounds, and can not seem to get rid of the layer covering my abs, although it's likely due to hormone imbalances because doc. thinks my pituitary is messed up and I'm doing extensive saliva tests and such to check that out. Hope that's not too much info.

Why did I almost pass out? How can I avoid this in the future without relying on carbs that add fat to my slow thyroid body?

For more Paleo hacks: http://paleohacks.com/questions/ask/post#ixzz0Dx8Y4nt3

7bf306ada57db47547e9da39a415edf6

(11214)

on May 03, 2012
at 09:17 PM

There's only 15g of sugar in a tablespoon of honey, and it seems most of it goes to the liver. Fructose gets shuttled to the liver and it in turn helps release an enzyme that allows the liver to take up glucose. So, it may be possible to use it without totally wrecking the whole low-carb thing.

7bf306ada57db47547e9da39a415edf6

(11214)

on May 03, 2012
at 07:46 PM

There's only 15g of sugar in a tablespoon of honey, and it seems most of it goes to the liver. Fructose gets shuttled to the liver and it in turn helps release an enzyme that allows the liver to take up glucose. So, it may not be possible to use it without totally wrecking the whole low-carb thing.

6670b38baf0aae7f4d8ac2463ddc37c0

(3946)

on November 19, 2011
at 11:24 PM

Try adding salt and/or carbs to your diet.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on November 19, 2011
at 11:04 PM

Oh, I misunderstood you & thought you were only eating protein in the afternoon.

072fd69647b0e765bb4b11532569f16d

(3717)

on November 19, 2011
at 10:03 PM

Reading through your post again, I would tend to agree with those who advise seeing a doctor. The "slowing down" and loss of feeling with weights in your hands is a little disturbing, especially if you are feeling light headed on a regular basis. Not sure rice cures that.

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 09:30 PM

Thank you for the tips on magnesium and zinc! I am currently eating only carbs and fat after noon, as it serves as a protein fast to encourage autophagy. But, I am wondering what is your reasoning for carbs later?

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 09:24 PM

Thanks Tom! I have definetely felt the same "look for a place to lean" after sets, I know exactly what you mean. But never mid-set with music slowing... That was weird, not sure if it's an exagerration of my norm or completely new. I have been more lightheaded lately, it's disturbing. I definetely focus on breathing and see if that was an issue. I just breath normal - maybe I should monitor it better. That, along with eating some rice and protein in the morning before workouts, and supplementing better all sound like great advice.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on November 19, 2011
at 06:45 PM

You may also want to try eating most of your carbs later in the day.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on November 19, 2011
at 06:44 PM

Take both before going to bed. You likely need 400-600 mg Magnesium and 30-50 mg Zinc (Picolinate is well-absorbed.)

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on November 19, 2011
at 06:43 PM

Take both before going to bed. You likely need 400-600 mg Mag Citrate and 30-50 mg Zinc Picolinate.

E34fbfa1bca9ae970c9c7313bf9de9f8

(1436)

on November 19, 2011
at 06:12 PM

You're very welcome. You have to play with this stuff and see what works for you. Good luck!

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 05:56 PM

Thanks Andy! I made some white rice when I got home after the episode. Ate about 1 cup rice, 1/2 scoop whey protein, and mixed in some raw mushrooms for bulk. I'll be eating this white rice and protein early mornings for a week and see how I feel.

E34fbfa1bca9ae970c9c7313bf9de9f8

(1436)

on November 19, 2011
at 04:48 PM

I prefer white rice as it has less anti-nutrients. and I think the glycemic index is bunk.

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 04:44 PM

That sounds good. How about rice? And should it be white or brown? White is high glycemic, but does brown have more lectins? It's less Paleo than potatoes, but Hashimoto's sufferers are better avoiding night shades per Robb Wolf and Nora Gedgadeus. I think I'll feel much better if I eat carbs prior to workout :) Definetely worth a try!

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 04:41 PM

I take 100 mg ionic magnesium a few times a week. I was afraid it was making me tired, but I'll put it back in. I have some zinc and will put that back, too. Thanks

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 04:39 PM

Very interesting! As I recall, blood tests have shown for years that my sodium levels are low and something was off with potassium but I can't remember if it was low or high. I will absolutely put sea salt on things and in water, plus take potassium. My DHEA is low, pregnenolone low, afternoon cortisol high, and Hashimoto's hypothyroid condition... I take meds for these and seeing a "Kharazian trained" doc. but haven't recieved any results back from testing yet.

18d89478c2fbd0a69889ae094f5fa5d3

(418)

on November 19, 2011
at 04:03 PM

I think you've begun to uncover a partial answer. If you've been fatigued/sleeping a lot, always tired, something is wrong. Passing out (almost) was your body's way of saying "slow down". Stop working out, rest, and figure out what is causing your tiredness. See a Doc.

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 03:53 PM

Just weeks ago I was lifting with farmer's walks in btw sets. Lately I am doing things much slower since I'm in a new gym and feeling a bit tired. BP is usually 118/78 or so, strong heart with resting rate of 60 or less. I've been fatigued for no reason, sleep a lot and not waking up refreshed.

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11 Answers

3
7669ae35850a4eb1e4a13e80c60ea1ab

(30)

on November 19, 2011
at 04:13 PM

This may very well be a blood pressure issue. When BP to the brain drops, you can get fainting, similar to the dizziness when you stand up too quickly, but more pronounced. A few things can cause this, holding your breath too long during lifting or improper form can increase the likelyhood of this happening. Too much stress and/or too little salt can also reduce your blood pressure.

I noticed this myself, and adding more salt to my diet helped. The chronic stress thing that can occur is called a pregnenolone steal, in which pregnenolone(a precursor to cortisol, DHEA, and aldosterone) is directed mainly into the cortisol pathway, lowering aldosterone and DHEA production. The problem is that with decreased aldosterone, you reabsorb less sodium and water, and excrete more potassium, so blood pressure drops.

So, I would recommend adding more salt to your diet, both in food, and add a pinch of salt to your water that you drink(which will also help with better hydration). Also try to reduce any chronic stress in your life, whether it be over training, lack of sleep, whatever.

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 04:39 PM

Very interesting! As I recall, blood tests have shown for years that my sodium levels are low and something was off with potassium but I can't remember if it was low or high. I will absolutely put sea salt on things and in water, plus take potassium. My DHEA is low, pregnenolone low, afternoon cortisol high, and Hashimoto's hypothyroid condition... I take meds for these and seeing a "Kharazian trained" doc. but haven't recieved any results back from testing yet.

2
Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on November 19, 2011
at 04:16 PM

Sounds like orthostatic hypotension. You probably need Magnesium.

And zinc as well for the hormone balance.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on November 19, 2011
at 06:43 PM

Take both before going to bed. You likely need 400-600 mg Mag Citrate and 30-50 mg Zinc Picolinate.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on November 19, 2011
at 11:04 PM

Oh, I misunderstood you & thought you were only eating protein in the afternoon.

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 09:30 PM

Thank you for the tips on magnesium and zinc! I am currently eating only carbs and fat after noon, as it serves as a protein fast to encourage autophagy. But, I am wondering what is your reasoning for carbs later?

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 04:41 PM

I take 100 mg ionic magnesium a few times a week. I was afraid it was making me tired, but I'll put it back in. I have some zinc and will put that back, too. Thanks

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on November 19, 2011
at 06:45 PM

You may also want to try eating most of your carbs later in the day.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on November 19, 2011
at 06:44 PM

Take both before going to bed. You likely need 400-600 mg Magnesium and 30-50 mg Zinc (Picolinate is well-absorbed.)

1
32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on November 20, 2011
at 01:50 AM

You'll get a dozen different answers here, but until it manifests as a chronic issue, it's likely just a fluke.

1
E34fbfa1bca9ae970c9c7313bf9de9f8

(1436)

on November 19, 2011
at 04:40 PM

It sounds like orthostatic hypotension. It could be due to muscles trying to replenish glycogen in a high work output (glycolitic)/ low carb state. If I get it, I just add more carbs and it goes away... Eat a piece of fruit or half a sweet potato before workout. I seriously doubt doing this would cause any increase in bodyfat.

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 05:56 PM

Thanks Andy! I made some white rice when I got home after the episode. Ate about 1 cup rice, 1/2 scoop whey protein, and mixed in some raw mushrooms for bulk. I'll be eating this white rice and protein early mornings for a week and see how I feel.

E34fbfa1bca9ae970c9c7313bf9de9f8

(1436)

on November 19, 2011
at 06:12 PM

You're very welcome. You have to play with this stuff and see what works for you. Good luck!

E34fbfa1bca9ae970c9c7313bf9de9f8

(1436)

on November 19, 2011
at 04:48 PM

I prefer white rice as it has less anti-nutrients. and I think the glycemic index is bunk.

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 04:44 PM

That sounds good. How about rice? And should it be white or brown? White is high glycemic, but does brown have more lectins? It's less Paleo than potatoes, but Hashimoto's sufferers are better avoiding night shades per Robb Wolf and Nora Gedgadeus. I think I'll feel much better if I eat carbs prior to workout :) Definetely worth a try!

0
7bf306ada57db47547e9da39a415edf6

(11214)

on May 03, 2012
at 07:43 PM

So, after passing out at 3am after getting up to go to the bathroom, I am exploring the wonderful role of liver glycogen. I figured out the reason I passed out was because of low blood pressure, and various bits and pieces here and there led me to read a book called Honey Revolution. I upped my calories immediately, and the book suggests eating a tablespoon of honey before bed to keep liver glycogen steady. I think normally, for people on low carbohydrate diets, excess protein is turned into sugar to keep liver glycogen stores steady, but at some point, if there is a problem, cortisol is increased. The increase in cortisol is basically meant to wake you up so you can eat something. So, if we stay too low-carb, maybe we push the adrenals into overproducing and start an uncomfortable chain reaction? In any case, low blood sugar can make you pass out too.

The tablespoon of honey seems to be keeping me feeling steady. If you enjoy weird dreams, this is definitely for you. I am still eating more. I probably have around 150g carbs a day right now. I am tempted to drop that down and see what the minimum needs are, but I'm not very keen on falling.

7bf306ada57db47547e9da39a415edf6

(11214)

on May 03, 2012
at 09:17 PM

There's only 15g of sugar in a tablespoon of honey, and it seems most of it goes to the liver. Fructose gets shuttled to the liver and it in turn helps release an enzyme that allows the liver to take up glucose. So, it may be possible to use it without totally wrecking the whole low-carb thing.

7bf306ada57db47547e9da39a415edf6

(11214)

on May 03, 2012
at 07:46 PM

There's only 15g of sugar in a tablespoon of honey, and it seems most of it goes to the liver. Fructose gets shuttled to the liver and it in turn helps release an enzyme that allows the liver to take up glucose. So, it may not be possible to use it without totally wrecking the whole low-carb thing.

0
67eb046a3613db328f3c6d6f974a6147

on May 03, 2012
at 07:05 PM

This happened to me, too! Except i wasnt lifting weights or anything. I was just barely running, maybe not even jogging, only for about 10 seconds (maybe not even) and i felt really dizzy, i didnt even know were i was going. I was really scared and i didnt know what to do. I looked it up online and it said it was either a lack of suger or salt.

0
Medium avatar

(3259)

on November 20, 2011
at 12:12 PM

Might be a breathing issue. When I lift heavy and try to use the valsalva maneuver, I get lightheaded. I now let a little breath out through the rep and it's helped. Lyle MacDonald has a good discussion about breathing and lifting here.

I also find that I'm much more likely to feel woozy and lightheaded when I work out first thing in the AM. Although I usually train fasted, noon feels much better for some reason.

0
072fd69647b0e765bb4b11532569f16d

(3717)

on November 19, 2011
at 07:14 PM

I hestiate to totally disagree with most of the diet-related answers above. I can't count the times I have finished off a heavy set of squats or deadlifts and felt the "blood rush" (if you will) to my head, causing me to lose focus and balance and look for a place to lean or take a knee. I've never fainted from this. I chalk it up to extreme physical exertion, which caused me to cut off oxygen to places that need it to function normally (I'm no doctor or physiologist though). I'd say to be careful and try to focus on breathing as normally as possible while lifting heavy.

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 09:24 PM

Thanks Tom! I have definetely felt the same "look for a place to lean" after sets, I know exactly what you mean. But never mid-set with music slowing... That was weird, not sure if it's an exagerration of my norm or completely new. I have been more lightheaded lately, it's disturbing. I definetely focus on breathing and see if that was an issue. I just breath normal - maybe I should monitor it better. That, along with eating some rice and protein in the morning before workouts, and supplementing better all sound like great advice.

072fd69647b0e765bb4b11532569f16d

(3717)

on November 19, 2011
at 10:03 PM

Reading through your post again, I would tend to agree with those who advise seeing a doctor. The "slowing down" and loss of feeling with weights in your hands is a little disturbing, especially if you are feeling light headed on a regular basis. Not sure rice cures that.

0
13a44ea00b0c9af0b6d0f3d5f5c2cfca

(7223)

on November 19, 2011
at 03:41 PM

I would definitely advise you to see a doctor. There are lots of reasons this could have happened and not all are directly dietary related--although certainly some are. A doctor can rule out the more serious possibilities and help you figure out what may be to blame so you can avoid having this happen again in the future.

0
0e395acc856e3353f3f5892e6b09b0e7

(1227)

on November 19, 2011
at 03:26 PM

I passed out and hit my head and ended up in the ER after eating too much coconut in curry a year ago and in the spring almost passed out after a tablespoon of coconut oil. I want to eat coconut products, but they don't seem to agree with me. Not saying that is your problem, but you could try eliminating coconut for a bit and see what happens

0
A03f0d03067a43c61786481d91e5d3a0

(1078)

on November 19, 2011
at 03:22 PM

See a doc? I don't think this is simply diet related....

Lifting weights does raise your blood pressure. How's your BP? How's your heart?

18d89478c2fbd0a69889ae094f5fa5d3

(418)

on November 19, 2011
at 04:03 PM

I think you've begun to uncover a partial answer. If you've been fatigued/sleeping a lot, always tired, something is wrong. Passing out (almost) was your body's way of saying "slow down". Stop working out, rest, and figure out what is causing your tiredness. See a Doc.

99946d97fc74107612d8331dd940ed6b

(55)

on November 19, 2011
at 03:53 PM

Just weeks ago I was lifting with farmer's walks in btw sets. Lately I am doing things much slower since I'm in a new gym and feeling a bit tired. BP is usually 118/78 or so, strong heart with resting rate of 60 or less. I've been fatigued for no reason, sleep a lot and not waking up refreshed.

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