1

votes

Hack my symptoms please? :)

Answered on August 19, 2014
Created May 28, 2013 at 7:01 AM

Hi folks. :)

I've been "paleo" for a while now (two years), though not always low-carb. I've been low-carb paleo for about several months now (if not half a year), and it's been controlling my acne fairly well.

(I did go on minocycline for 4 months and ended the course three months ago, if it's necessary.)

I know I have pretty severe fructose malabsorption (bad gas, acne flares), and so generally low-carb works for me.

However, very recently I've been feeling very weak. It's a whole-body fatigue kind of thing, and I've been taking very long to recover from the muscle soreness from workouts.
Even going up stairs slowly is tiring, and in the words of my classmate, I "move like roadkill".
I was wondering if it might have something to do with my low carbohydrate intake (<10g net, <25g total).
No matter how much I sleep I'm tired and can't help but crash in the middle of the day.

Just today I dropped my bowl of food just because I was feeling so weak, and I don't think that's ever happened before, even when I was sleeping 4-5 hours a day a few years back.

Today I had ~80g carb from white rice as well as a fair amount of salt, and I feel slightly less weak though still generally quite tired.

I'm just worried that the carbs will make me gain weight, or worse, break out again.

I've done low-carb paleo in the past (two years ago, when I first started), and it worked great. Coupled with bodyweight HIIT, my skin was great, I lost 12 pounds, and I was able to fast without a problem.

Now, I can't fast (tried the Leptin Reset and skipping lunch makes me ravenous, eating lunch makes me overshoot my calories heavily), I slowly gained the 12 pounds I lost back, and I don't think it's "low-carb flu", unless it just took really long to kick in.

Also, protein and fat just don't seem to satiate me any more, and I can easily overeat my maintenance calories by 1000 or so.

Basically, my questions are:

  1. Should I raise my carbs? Is white rice alright?

  2. What range is ideal for weight loss and acne? (Anyone have acne that try experimenting with carbs?)

  3. Do I have adrenal fatigue or something, or did I mess up my thyroid?

  4. Is it possible to do high-fat and high-/moderate-carb combined with low/moderate protein? (It's just better for satiety for me)

Stats:

18 years old
Female
Recently tried introducing bodyweight HIIT workouts, about 2-3x a week (though now lack of energy)
166 cm or 5'5" (and a half inch?)
65 kg or 143 pounds
Not restricting calories (on average I try to keep around 2000 max, though it's a challenge recently and I've been eating about 2400-2800)

008bf1341d7ab4f3c49e74da86a7a6eb

(5)

on May 30, 2013
at 10:19 AM

Hi paleot, thanks for your answer! I've always wanted to eat that much. Oddly I find that the more I eat some days, the better I wake up feeling the next day. Will try to add more carbs, just had a cup of dry basmati today!

008bf1341d7ab4f3c49e74da86a7a6eb

(5)

on May 30, 2013
at 10:16 AM

Hi Albert, thanks for your advice and time! I will look into your suggestions. Funny you mention sea food, I think I haven't eaten any in a while...

008bf1341d7ab4f3c49e74da86a7a6eb

(5)

on May 28, 2013
at 07:01 AM

Whoa I'm really sorry, I didn't realize my question would be so long.

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2 Answers

1
048dd52752c45129c1212bfffb37ca72

on May 28, 2013
at 09:44 AM

I'd go to the doc and try to get a comprehensive blood work if you haven't done any recently. I don't think anyone should feel that bad even on 25gr of carbs a day, even less if you are eating some rice, that should suffice IMHO, being so tired seems to have a more profound cause to look at.

Try to get complete blood count, full thyroid panel, sex hormones, Vitamin D, iron status, lipid profile and if you can have salivary DHEA and Cortisol it would be awesome, HS-CRP would be nice also. Trying to hack you without having a comprehensive picture of your actual health status beyond your own feelings is difficult. As you're quite young, It could be worth checking for the epstein-barr virus (nomonucleosis) since it's quite common and gives that fatigue feeling amongst others. I'd also try to self-educate on IBS and the gut health and everything related to it as it seems that it could be the root cause of your problems, the fructose malabsorption and bloating thing makes me think about this. You could try some L-Glutamine and Bone Broth, people speaks wonders about them (will help also with the HIIT recovery).

You don't tell much about your lifestyle beyond doing HIIT, but we can deduce you're studying since you mentioned the class mate, and we know that you slept only for 4-5 hours some time ago... make sure you get between 7 to 9 hours of sleep a day to deal with fatigue and if you feel stressed try to manage it properly. Poor sleep + high stress is great formula for high cortisol and that is the worst thing regarding adrenal fatigue symptoms.

As for the dietary calories thing, If you have problems being satiated and do worry about calories I'd try to add tons of veggies if you can handle them, mostly leafy greens and huge as hell salads, with some meat and fish (please eat tons of sea food) this should trigger enough satiety. Don't know if you go dairy but be careful with it, seems to trigger hunger a lot... Since you say you have been into paleo for some time I assume you do not eat any sugary stuff nor gluten, these are killers for satiety also.

008bf1341d7ab4f3c49e74da86a7a6eb

(5)

on May 30, 2013
at 10:16 AM

Hi Albert, thanks for your advice and time! I will look into your suggestions. Funny you mention sea food, I think I haven't eaten any in a while...

0
Cf08ad26759fdd206a2c9f9385080a57

(995)

on May 28, 2013
at 07:13 AM

<25g carbs is very low and kind of hard to do. (I don't feel that great until I hit at least 50.) I would definitely try adding some carbs. Potatoes and white rice.

Maybe even go for 100-150g for a week and see what that does.

I've read things to suggest that going too low carb for too long can also reduce your insulin sensitivity, (use it or lose it.) All things in moderation.

White rice shouldn't cause any problems, as it's pretty close to pure carbs. I'm actually looking to add more myself. (Today I'm at 100g carbs 20/40/40. I want to say optimal comes in around 40/30/30.)

I would aim to feel great before looking great. (Whatever that requires that you eat / do.) When I wake up feeling ready to conquer the day, I find I'm able to lose weight eating upwards of 3,000 calories.

008bf1341d7ab4f3c49e74da86a7a6eb

(5)

on May 30, 2013
at 10:19 AM

Hi paleot, thanks for your answer! I've always wanted to eat that much. Oddly I find that the more I eat some days, the better I wake up feeling the next day. Will try to add more carbs, just had a cup of dry basmati today!

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