JayCS’s Fibro Blog

2023-11-17 Friday - recovery?: Afternoon over an hour with the kids good, morning difficult, praps from CVD med side effects? Praps too much statin (2mg?). Or from LDN? (Nov 17th 2x0.5mg): Hmm, today I took 2x0.5mg, it was yesterday I spread 1+1, which might have caused problems today.

What … worked / went wrong … today:
Morning I was a bit tizzy, “all too much”, but realized it was probably temporary due to meds, and sure enough afternoon went well.

Habit encouragement: time management (✅), self-treatments ✅.

Time (= stress) management: Blog earlier :white_check_mark:, forums less :white_check_mark:, jump off hamster wheels :white_check_mark:, 3rd meal 18:00-19:00 :x:
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Thursday night :white_check_mark:, sleep .day night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy with LDN (:white_check_mark:)/:white_check_mark:, keeping spirits up :white_check_mark:.

(V)LDN: Nov 17th 2x0.5. 16th: (1+1)x0.5 Nov 10th (2+1)x0.5, 1st 2x0.5mg (starting with Oct 1st ~0.07mg). It's improved mainly energy ✅ (22%) & heaviness ✅ incl. for walking 20' ✅, fine motor skills ✅, stiffness ✅ (10%), recovery time ✅, Ache ✅, pains ✅, but not my paleness ❌ or listening ❌. No more side effects ✅. Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th: (1+1)x0.5 17th 2x0.5.
VLDN :+1: for:
=1) Energy up from 10% to 22%: for activities :white_check_mark: - 75’ on playground, “high carrying” 5yo several times, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark: - but worse this morning than usual, stiffness :white_check_mark:, shorter recovery times :white_check_mark: - definitely short after grandchildren, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark:, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: capsules with TiO2 (HPMC with SiO2).

CVD med effects?: About an hour or so when too much. Nov 13th started atorvastatin 1mg/d. 6th: reached 4mg/d. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

24th dreadful. 25th not taken. Re-start with BP speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading the “candy” (candesartan) over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. I’ve reached the 4mg/d since Nov 6th.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅ except at night now without longer breaks (3). Stiffness ✅. TT 0:2 -> 2:2 (moving 30%, talking 30%, counting 0%) ➔ 80%/3 (✅), gardening/moving ➔ 80%/3 (✅), shaving 20' ➔ 70%/4 ❌, talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "78%" ✅ and sleep ✅ - 8h03, up 5x (20') but I've noticed with less breaks more "PPA" Ache, click for details:
EXHAUSTIBILITY today: “78%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 8h03, up 5x (20'), all deep. ✅, everything else OK ✅, 80%/3 (✅), ➔ getting up: 80%/3 (✅).

Sleep 22:40-7:03, 5x4=20’ =
Sum: 1h20+7h03-(20)’ = 8h23-20’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Only confused in the morning and overly irritated by an unimportant letter from work. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
Summary (Sep 12th): These have been stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept 4th bladder exam 3 days of ‘screaming’ while peeing (again 18th: seldom stabs few days), then a UTI and recurred for 3 days each, 22nd bladder pain and “2nd” UTI. 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
Oct: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. 15th starting to get slightly above 4mg BP without side effects, starting atorvastatin specks seemed to give a bit.

3) DOCS: Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - small left wrist pain re-curred whilst playing with grandkid, but massaging helped:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Nov 17th: LDN 1mg 10:00. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN 2nd? on 0.25mg, 9th on 10:00: 1.25mg, 16th on 10:00: LDN 0.25mg, 20th 10:00: 0.5mg, Nov 1st on 2x0.5mg, 10:00 and 15:00, 10th up to 2x0.5 and 1x0.5mg till 17th down to 2x0.5 at 10:00 cos running out. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

No ‘research’ today

Quality of life: 90%

Lessons in self-care:
Starting to identify plants again was first a stress hamster wheel, but got better.
Reasons to be cheerful:
a) Plant/fungus life: Found out the name of my 4th rhododendron at last, pink rather than cerise, comes from the US: rhododendron catawbiense. So ferrugineum (3) is the one that’s a homie here, the others are foreign, so that’s the one I need to care for most to get the insects back.
b) Bird life: Blackbird homie…
c) Animal life: Harley yawning after feeding.
e) Human life: Great fun with the kids & grandkids.
f) Environment:
fa) Good that the weather played along.
fb) Sun slanted into the garden made me take several pics.
g) Body: Fun to be able to “show my strength” and energy when playing with the grandkids, they love that.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-18 Saturday - recovery?: Fairly stable. CVD med side effects? On table tennis I believe. LDN? (Nov 17th on 2x0.5mg): Hmm, I’ll jump to 1.5mg tomorrow I think.

What … worked / went wrong … today:
Slower, I think cos of CVD meds, rather than praps LDN decrease cos of running out.

Habit encouragement: time management (✅), self-treatments ✅.

Time (= stress) management: Blog earlier :white_check_mark:, forums less :white_check_mark:, jump off hamster wheels (:white_check_mark:) - took a bit, but then OK, 3rd meal 18:00-19:00 :x:
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Friday night :white_check_mark:, sleep Saturday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy with LDN :white_check_mark:, keeping spirits up (:white_check_mark:) - I hate it when Harley hates to be force fed, I won’t do that again.

(V)LDN: Nov 17th- 2x0.5, 16th (1+1)x0.5, Nov 10th (2+1)x0.5, 1st 2x0.5mg (starting with Oct 1st ~0.07mg). It's improved mainly energy ✅ (22%) & heaviness ✅ incl. for walking 20' ✅, fine motor skills (❌) - I think the CVD meds, stiffness ✅ (10%), recovery time ✅, Ache ✅, pains ✅, but not my paleness ❌ or listening ❌. No more side effects ✅. Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 22%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy (:x:), stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:) - .
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: capsules with TiO2 (HPMC with SiO2).

CVD med effects?: About an hour or more when I increase too much, first from BP, then lipid med. Nov 18th: worse table tennis I think cos of them. Nov 13th started atorvastatin for lipids 1mg/d. 6th: reached 4mg/d of BP. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

24th dreadful. 25th not taken. Re-start with BP speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading the “candy” (candesartan) over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. I’ve reached the 4mg/d since Nov 6th.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 2:3 (moving 20%, talking 10%, counting 0%, laughing 20%) ➔ 75%/5 (❌), gardening/moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "82%" ✅ and sleep ✅ (8h05, up 5x (50')), except "postpostural" Ache, "PPA", now 3 (✅), click for details:
EXHAUSTIBILITY today: “82%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 5h slow, 4h medium, 1h quick
SLEEP (click for details): 8h05, up 5x (50'), all deep. ✅, everything else OK ✅, 80%/3 (✅), ➔ getting up: 80%/3 (✅).

Sleep 23:40-8:35 4x5+30=50
Sum: h20+8h35-(50)’ = 8h55-50’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Feeding Harley when he doesn't want to, but weight low. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
Summary (Sep 12th): These have been stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept 4th bladder exam 3 days of ‘screaming’ while peeing (again 18th: seldom stabs few days), then a UTI and recurred for 3 days each, 22nd bladder pain and “2nd” UTI. 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
Oct: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. 15th starting to get slightly above 4mg BP without side effects, starting atorvastatin specks seemed to give a bit.

3) DOCS: Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, he put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) Sunday morning I took a double of dose of nicotinic acid cos I mixed up the pill compartments.:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Nov 17th: LDN 1mg 10:00. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN 2nd? on 0.25mg, 9th on 10:00: 1.25mg, 16th on 10:00: LDN 0.25mg, 20th 10:00: 0.5mg, Nov 1st on 2x0.5mg, 10:00 and 15:00, 10th up to 2x0.5 and 1x0.5mg till 17th down to 2x0.5 at 10:00 cos running out. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

No ‘research’ today

Quality of life: 90%

Lessons in self-care:
a) Too much plant identifying again, but got off that wheel and at least I more and more got round to cleaning up my laptop by finding mp4s to delete or to move over to move out.
b) But too much watching very fast moving garden mp4s made me feel very sick.
c) Tolerated the 50% more nicotinic acid quite well, just the red flush which I don’t usually have any more - but interesting to know and note.

Reasons to be cheerful:
a) Plant/fungus life: Big patches of very big mushrooms on a green area near us, amazing. And saw lots of decorative leaves on a short walk that I want to use to decorate the cellar windows.
b) Bird life: Blackbird… a few jays on the walk.
c) Animal life:
ca) Found out yesterday what some of the bumble bees are called on the summer videos, there are 8 types, maybe I can learn them.
cb) Found a video with 7 snails on them 3 of them black slugs which a slug expert on a snail forum confirmed is a very dark leopard slug, which are good for the garden. I now know what kind of things to look out for.
cc) The reddish black Ballerina is dancing all around me looking for something - bit silly if it’s hazelnuts, cos I put them in the feeding box as ever…
e) Human life: Table tennis laughs as ever, despite losing.
f) Environment: Outdoors good as ever, when I can make it, and I don’t care if the sun’s gone down, I do lots in the dark (without lights) anyway - if I ever go blind I’m very much prepared. :open_hands:
g) Body: Good to know I can endure the cold quite well, altho it’ll be getting warmer after 2 slightly frosty days.

Foggies: Mixed up the pill compartments cos my normal box was where I’d disturb my wife and I thought I’d just take tomorrow’s but took some of the evening instead of morning ones. I should have just finished off the evening ones, but then jumped over to the morning ones too. So half an hour later a nice big flush from increasing nicotinic acid from 1.2g to 1.8g, oh dear, that’s a heck of a difference!

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-19 Sunday - recovery?: Back up, cos: CVD med side effects? less lipid med. LDN? (Nov 19th on 1x1.5mg): seems good.

What … worked / went wrong … today:
Reducing the statin again was “good”, not sure how well table tennis would have been.

Habit encouragement: time management (✅), self-treatments ✅.

Time (= stress) management: Blog earlier :white_check_mark:, forums less :white_check_mark:, jump off hamster wheels :white_check_mark:, 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Saturday night :white_check_mark: (but later, need to get back earlier), sleep Sunday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy with LDN :white_check_mark:, keeping spirits up :white_check_mark: (dipped a bit when Harley refused, but I just needed to be patient and a bit imaginative).

(V)LDN: Nov 19th- 1x1.5, Nov 17th-18th 2x0.5, 16th (1+1)x0.5, Nov 10th (2+1)x0.5, 1st 2x0.5mg (starting with Oct 1st ~0.07mg). It's improved mainly energy ✅ (22%) & heaviness ✅ incl. for walking 20' ✅, fine motor skills ✅, stiffness ✅ (10%), recovery time ✅, Ache ✅, pains ✅, but not my paleness ❌ or listening "(✅)" (20' in service was the limit). No more side effects ✅. Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 22%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:) - slightly better, TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:) - .
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: capsules with TiO2 (HPMC with SiO2).

CVD med effects?: About an hour or more when I increase too much, first from the BP med, then the lipid med. Nov 19th: Reducing statin was better again. Nov 13th started atorvastatin for lipids 1mg/d. 6th: reached 4mg/d of BP. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

24th dreadful. 25th not taken. Re-start with BP speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading the “candy” (candesartan) over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. I’ve reached the 4mg/d since Nov 6th.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅, stiffness ✅, no TT available, gardening/moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "78%" ✅ - a walk and 2x5' fast cycling without feeling a limit, and sleep ✅ - 8h10, up 5x (30'), except "postpostural" Ache, "PPA", now 3 (✅) - tonight less, 2-3, and I'm trying to trick myself into wanting to lie down again so I don't feel the Ache rather than staying up so the Ache wears off, click for details:
EXHAUSTIBILITY today: “78%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 8h10, up 5x (30'), all deep. ✅, everything else OK ✅, 80%/3-2 (✅), ➔ getting up: 80%/3-2 (✅).

Sleep 22:35-7:15 10’ 4x5’
?60-70%/?2-3/?5% p0 st2 fw2’ fl0’ deep/ air? -A8 drymouth30% sore throat10% tongue20% itch 0% nostril/s0-10% dryhands0% nausea0% stomach0-10% sinuses0% headache0% stools0 loose% zombie0%. plugs0 cream0 gel0 wet0 heat teeth0
Sum: 1h25+7h15-(30)’ = 8h40-30’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Harley, service and trying to listen to more beloved music than a few minutes. Add Nov? Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
Summary (Sep 12th): These have been stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept 4th bladder exam 3 days of ‘screaming’ while peeing (again 18th: seldom stabs few days), then a UTI and recurred for 3 days each, 22nd bladder pain and “2nd” UTI. 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
Oct: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: (From LDN stable energy 18->22% and stiffness down to 10%. 15th starting to get slightly above 4mg BP without side effects, starting atorvastatin specks seemed to give a bit.)

3) DOCS: Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, he put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) 5 local pains while walking (right knee, both feet, both elbows), 1 after (ribs right chest):
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN 2nd? on 0.25mg, 9th on 10:00: 1.25mg, 16th on 10:00: LDN 0.25mg, 20th 10:00: 0.5mg, Nov 1st on 2x0.5mg, 10:00 and 15:00, 10th up to 2x0.5 and 1x0.5mg till 17th down to 2x0.5 at 10:00 cos running out. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

No ‘research’ today

Quality of life: 90%

Lessons in self-care: Still can’t “decide” whether to force myself to get some important stuff like paperwork done. My wife says I look bad which seems to justify not stressing myself. But a bit of paperwork might unburden me.

Reasons to be cheerful:
a) Plant/fungi life: Saw and got quite a few enormous and/or colourful leaves for decorating outside our house.
b) Bird life: A flock of about 100 birds like small pigeons/doves zoomed above my head in the dusk, wish I knew what they were, praps that.
c) Animal life: Finding new ways of getting Harley to eat by himself.
e) Human life: Nice to be in service for 15’ and one song was done really beautifully.
f) Environment: Warmer is fun too.
g) Body: Stronger with less statin.
Foggies: Body foggies: Knocked over my morning muesli (still dry) twice… :roll_eyes: and spilled Harley’s mush and dandelion juice once after and I think yesterday too. So gotta watch my proprioception.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-20 Monday - recovery?: Faltering off and on. CVD med side effects? I believe atorvastatin caused that, so skipping it again tomorrow (every 2 days?)… LDN? (Nov 19th on 1x1.5mg): … otherwise it could have been LDN, altho the energy/stiffness is stable… 3rd thing would be B2 which I haven’t got round to encapsulating, so tomorrow without B2 and without atorvastatin I may see.

What … worked / went wrong … today:
Pretty needy and “disabled” today, e.g. on a walk in the afternoon often unsure and stumbling, altho the LDN energy/stiffness was still there, like running nimbly down the stairs before the walk.

Habit encouragement: time management (✅), self-treatments ✅.

Time (= stress) management: Blog earlier :white_check_mark:, forums less :white_check_mark:, jump off hamster wheels :white_check_mark:, 3rd meal 18:00-19:00 :white_check_mark:. :x:
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 75-80%-ish ((:white_check_mark:)) - down a bit from fog, energy today still (:white_check_mark:, relatively), sleep Sunday night :white_check_mark:, sleep Monday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy with LDN :white_check_mark:, keeping spirits up :white_check_mark:, but pondering on possible triggers of the brain/body fog. :thinking: - LDN 1.5 or atorvastatin 1-2mg or B2 0mg.

(V)LDN: Nov 19th- 1x1.5, Nov 17th-18th 2x0.5, 16th (1+1)x0.5, Nov 10th (2+1)x0.5, 1st 2x0.5mg (starting with Oct 1st ~0.07mg). It's improved mainly energy ✅ (22%) & heaviness ✅ incl. for walking 20' ✅, fine motor skills ❌ - these were definitely down today, stiffness ✅ (10%), recovery time (✅) - down a bit, Ache (✅) - up a bit altho the last nights were actually less Achy and sleep was great, pains ✅, but not my paleness ❌ or listening ❌, on the other hand VISION and BLADDER better today ✅. No more side effects ✅. Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 22%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy (:white_check_mark:), stiffness :white_check_mark:, shorter recovery times (:white_check_mark:), all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision :white_check_mark: - good, bladder: pee frequency & urge :white_check_mark: - OK.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: capsules with TiO2 (HPMC with SiO2).

CVD med effects?: About an hour or more when I increase too much, first from the BP med, then the lipid med. Nov 21st 0mg = 0 problems. Nov 20th taking a bigger speck (2mg?) may have caused brain & body fog. Nov 13th started atorvastatin for lipids 1mg/d. 6th: reached 4mg/d of BP. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

24th dreadful. 25th not taken. Re-start with BP speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading the “candy” (candesartan) over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. I’ve reached the 4mg/d since Nov 6th.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅ (better at night), stiffness ✅, TT 1:3 (moving 20%, talking 10%, counting 0%) ➔ 60%/3 (❌), gardening/moving ➔ 75%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80-90% ❌. Exhaustibility "80%" ✅ and sleep ✅ - 7h50, up 5x (25'), except "postpostural" Ache, "PPA", now 3-2 (✅), click for details:
EXHAUSTIBILITY today: “80%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "8h rest", 0h very slow, 3h slow, 4h medium, 1h quick
SLEEP (click for details): 7h50, up 5x (25'), all deep. ✅, everything else OK ✅, 80%/3-2 (✅), ➔ getting up: 80%/3-2 (✅).

Sleep 22:45-7:00 -25’ Sum: 1h15+7h-(25)’ = 8h15-25’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: When I feed up Harley I'm typing a lot, so it should be relaxing as usual, but I'm totally knackered after it every time, even when he doesn't refuse. OK 1st meal 35' Tuesday morning. Add Nov? Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. 15th starting to get slightly above 4mg BP without side effects, starting atorvastatin specks dulled, proprioception, fatigue.

3) DOCS: Nov 21st: Should I talk with my GP#2 about onco#1? Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, he put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) Focal seizure I think it was today, just forgot to write it down, triggered by food falling from my spoon in my bowl....:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th? (1), Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Focal seizure I think it was today, just forgot to write it down, triggered by food falling from my spoon in my bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN 2nd? on 0.25mg, 9th on 10:00: 1.25mg, 16th on 10:00: LDN 0.25mg, 20th 10:00: 0.5mg, Nov 1st on 2x0.5mg, 10:00 and 15:00, 10th up to 2x0.5 and 1x0.5mg till 17th down to 2x0.5 at 10:00 cos running out, 19th on: 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

No ‘research’ today

Quality of life: 90%

Lessons in self-care:
My alarms are helping me to get outdoors again faster after feeding Harley.
Reasons to be cheerful:
a) Plant/fungus life: Good to have found out the leaves on the meadow do not harm it. Not sure about the moss.
b) Bird life:
ba) Robin very close, me talking to him, him chirping at me, I could see him very clearly.
bb) Long soft blackbird songs quite frequently.
bc) Woke up 2nd from last time to the loud sound of a robin singing.
c) Animal life: I’m taking on identifying ladybirds now, too, cos my wife said one I’d seen was probably an invasive sort. I now know these have a W/M in black or white behind their heads.
e) Human life: Table tennis laughs mainly cos of the rain.
f) Environment: Good to be outdoors again more, cos of alarms.
g) Body: Good to see energy/stiffness is still quite good despite fog.
Simplified:
a) Feeding Harley I now take a bigger glass lid, cos I keep knocking down the plastic lids with smaller stuff on.
b) Cos he wants to keep a cloth over him all the time I now let him and tuck things I get for him under it on to the glass. That feels nicer, cos he can do it like he wants, whilst my wife forces him to face her and keeps delivering the goods tidbit by tidbit. Mine is starting to seem just as encouraging as hers, but less strenuous.
c) I’ve put everything I need to do around my and Harley’s meals in my alarm for each meal, so I snooze that for 5-15’ and it reminds me what to do next till that meal is thru and it reminds me to go outdoors again until I do so.

Foggies: Loads, brain and body fog: besides as written in the last entry knocking over a few things and breaking two shot glasses we use for feeding Harley in the sink, I was extremely unstable on our walk, scared of crossing roads etc.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-21 Tuesday - recovery?: Yup, morning bit better again afternoon a lot better cos… CVD med side effects? … down by stopping atorvastatin… so… LDN? (Nov 19th on 1x1.5mg): …can do its full job again.

What … worked / went wrong … today:
Stopping the atorvastatin helped LDN help table tennis etc. in the morning and a 60’ brisk walk in the afternoon.
Pee urge, frequency and pain from 30’ before the walk till an hour after and getting dry mouth too (early night: dry hands too, incl. right thumb pain → cream) - is the atorvastatin aggravating the bladder mast cells?

Habit encouragement: time management (✅), self-treatments ✅.

Time (= stress) management: Blog earlier :white_check_mark:, forums less :white_check_mark:, jump off hamster wheels :white_check_mark:, 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Monday night :white_check_mark:, sleep Tuesday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy with LDN :white_check_mark:, keeping spirits up :white_check_mark:.

(V)LDN: Nov 19th- 1x1.5, Nov 17th-18th 2x0.5, 16th (1+1)x0.5, Nov 10th (2+1)x0.5, 1st 2x0.5mg (starting with Oct 1st ~0.07mg). It's improved mainly energy ✅ (22%) & heaviness ✅ incl. for walking 20', no >60'! ✅✅, fine motor skills ✅, stiffness ✅ (10%), recovery time ✅, Ache ✅, pains ✅, but not my paleness ❌ or listening ❌. No more side effects ✅. Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 22%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: capsules with TiO2 (HPMC with SiO2).

CVD med effects?: About an hour or more when I increase too much, first from the BP med, then the lipid med. Nov 22nd: good without. Nov 13th started atorvastatin for lipids 1mg/d. 6th: reached 4mg/d of BP. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

24th dreadful. 25th not taken. Re-start with BP speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading the “candy” (candesartan) over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. I’ve reached the 4mg/d since Nov 6th.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 3:1 (moving 20%, talking 20%, counting 5%) ➔ 80%/3 (✅), gardening/moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "78%" ✅ and sleep 8h25, up 5x (20') ✅, even "postpostural" Ache, "PPA", now 3-2 ✅, click for details:
EXHAUSTIBILITY today: “78%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 8h25, up 5x (20'), all deep. ✅, everything else OK ✅, 80%/3-2 ✅, ➔ getting up: 80%/3-2 ✅.

Sleep 22:30-7:15 5x4=20’ Sum: 1h30+7h15-(20)’ = 8h45-20’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) (✅): A small claustrophobic panic attack in the evening after wife reminde me of a few details from the autobiography of a woman who had been kidnapped and kept for 8 years. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. 15th starting to get slightly above 4mg BP without side effects, starting atorvastatin specks dulled, proprioception, fatigue.

3) DOCS: Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, he put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) DAO before 200g baked beans prevented a burnt tongue, been meaning to test that for ages:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th (1), Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th? Triggered by food falling from my spoon in my bowl. Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW Nov 21st: DAO before 200g baked beans prevented a burnt tongue, been meaning to test that for ages. From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

No ‘research’ today

Quality of life: 90%

Lessons in self-care: Great to use the weird energy, but also to be careful as soon as I realize any weird limits.

Reasons to be cheerful:
a) Plant/fungus life:
aa) Quite a few wild plants are growing well despite the cold, and ab) the mums of course like heck, whilst
ac) the Christmas cactus still only has 6 buds, but they’re growing, and
ad) the small money tree offshoots are doing much better even outside in the cold and rain, altho it’s sposed to only be watered 1x/m now, probably the new soil/substrate I potted them into.
b) Bird life:
ba) Great (“Colourful”) Woodpecker back hacking at the dead wood.
bb) Woodpecker, GreatTit and chattery magpie ranting at one another.
bc) Blackbird girl, pretty dark brown with black beak sat on our balcony for ages quite contently - unusual.
c) Animal life: 2 busy squirrels now it’s been frosty for the 3rd time, keen on planting all hazelnuts I put out.
e) Human life: My wife is really enjoying me being able to go out for longer walks with her again without needing to take my bike! Even tho she’s worried I’m overdoing it.
f) Environment: So good outdoors.
g) Body: Wow, a normal walk! Just shaky & wonky after about 30’, but as if there was a motor in me, something propelling me at a constant speed in a constant movement, like on my bike. As soon as I go out of that, like there’s a curb or stone or curve, I start getting unsure.
Foggies: I’ve managed to again to delay health bills to the state insurance and will again lose 700€. Strange how I didn’t learn from the last years.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-22 Wednesday - recovery?: bad a lot of the day. CVD med side effects? bad. LDN? (Nov 19th on 1x1.5mg): only came thru in the afternoon.

What … worked / went wrong … today:
The atorvastatin I’m pretty sure mucked up quite a bit of the day.

Habit encouragement: time management (✅), self-treatments ✅.

Time (= stress) management: Blog earlier :white_check_mark:, forums less :white_check_mark:, jump off hamster wheels :white_check_mark:, 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Tuesday night :white_check_mark:, sleep Wednesday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy with LDN :white_check_mark:, keeping spirits up :white_check_mark:.

(V)LDN: Nov 19th- 1x1.5, Nov 17th-18th 2x0.5, 16th (1+1)x0.5, Nov 10th (2+1)x0.5, 1st 2x0.5mg (starting with Oct 1st ~0.07mg). It's improved mainly energy ✅ (22%) & heaviness ✅ incl. for walking 60' ✅✅, fine motor skills ✅, stiffness ✅ (10%), recovery time ✅, Ache ✅, pains ✅, but not my paleness ❌ or listening ❌. No more side effects ✅. Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 22%: for activities :white_check_mark:, walking: up from 5’ to 60’ :white_check_mark::white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: capsules with TiO2 (HPMC with SiO2).

CVD med effects?: About an hour or more when I increase too much, first from the BP med, then the lipid med. Nov 22nd: again dreadfully Achy, pretty sure from atorvastatin. Nov 13th started atorvastatin for lipids 1mg/d. 6th: reached 4mg/d of BP. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

24th dreadful. 25th not taken. Re-start with BP speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading the “candy” (candesartan) over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. I’ve reached the 4mg/d since Nov 6th.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 2:1? (but if so: Thursday too, just worse off) (moving 20%, talking 20%, counting 0%) ➔ 80%/3 (✅), gardening/moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 80%/3 (✅) - better. White lips 80% (❌). Exhaustibility "80-78%" ✅ and sleep - 7h13, up 4x (45') ✅, and "postpostural" Ache, "PPA", has normalized back to 2 (✅), click for details:
EXHAUSTIBILITY today: “78-80%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 7h13, up 4x (45'), all deep. ✅, everything else OK ✅, 80%/2 ✅, ➔ getting up: 80%/3 ✅.

Sleep 22:55-6:58 -45-50’ Sum: 1h05+6h58-(45)’ = 8h03-50’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: A bit cos of wife's problems, a bit cos of the health bills I forgot to send to insurance in time. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. 15th starting to get slightly above 4mg BP without side effects, starting atorvastatin specks dulled, proprioception, fatigue.

3) DOCS: Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, he put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - DAO before 200g baked beans prevented a histaminey "burnt" tongue! - Been meaning to test that for ages and should check that with all high histamine foods now. 1 focal seizure on around the 20th:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today - Bits ‘n’ bobs.

Quality of life: 90%

Lessons in self-care: It’s an up and down testing at the moment, but interesting how down in the morning is followed by up by the afternoon… (Tomorrow too…)

Reasons to be cheerful:
a) Plant/fungus life:
aa) Loads of leaves, esp. from the giant cherry, which I now know I can leave on our little meadow. I’ve already seen that the recent compost has crumpled up already, it was full 2 days ago, now there’s loads more space. My wife is sad that the trees are losing their leaves, whilst I am happy how the garden is changing and the green meadow is now pretty yellow from the leaves. Things I never used to see. Same in the neighbourhood on our walks, being able to name and distinguish all kinds of plants, understand their problems makes me “see more” and makes me happier. ab) Instead of being annoyed about people who just put lots of stone stuff in their front gardens to save their energy/time, I think I’ll start to just take them for what they want to be, altho they are very foreign styles to what I’m doing.
ac) Still taking stock of the flowers that are still blooming.
ad) Regularly checking the decoration around the house, found really big maple leaves in varying colours in the neighbourhood, which I’ve arranged in a half circle, and am watering the moss that doesn’t get enough of all the rain cos I put it in the cellar windows.
b) Bird life:
ba) female chaffinch, haven’t seen either sex in the garden before, didn’t have a clue what it was, but greenish grey back and two white longitudinal stripes on the wings helped identify it. Roughly like this one, but thicker stripes:

bb) Blackbird softly singing on wheelbarrow with beak closed. I thought that explains why it sounds soft until I had a look on youtube and saw that a blackbird can sing loudly with food in its beak! They call it “Alert”-Blackbird, but mean “siren”.

c) Animal life: Squirrel hiding hazelnut in my conifer deadwood on the pavilion!
e) Human life: Forgetting my health bills and getting up early made me tidy my room (fairly…) properly, and do some housework too…
g) Body: The bad periods in the mornings make me enjoy the good periods in the afternoons even more instead of taking them for granted.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-23 Thursday - recovery?: only afternoon. CVD med side effects?: Pretty severe. LDN? (Nov 19th on 1x1.5mg): cut thru in the end.

What … worked / went wrong … today:
Morning mucked up from atorvastatin, afternoon recovered and back to the new normal.
Slightly nauseous again, not sure what to put that down to.

Habit encouragement: time management (✅), self-treatments ✅.

Time (= stress) management: Blog earlier (:white_check_mark:), forums less :white_check_mark:, jump off hamster wheels :white_check_mark:, 3rd meal 18:00-19:00 :x:
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Wednesday night :white_check_mark:, sleep Thursday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy with LDN :white_check_mark:, keeping spirits up :white_check_mark:.

(V)LDN: Nov 19th- 1x1.5, Nov 17th-18th 2x0.5, 16th (1+1)x0.5, Nov 10th (2+1)x0.5, 1st 2x0.5mg (starting with Oct 1st ~0.07mg). It's improved mainly energy ✅ (22%) & heaviness ✅ incl. for walking: Afternoon walk 35-40' extremely fast with no problems after. ✅✅, fine motor skills ✅, stiffness ✅ (10%), recovery time ✅, Ache ✅, pains ✅, but not my paleness ❌ or listening ❌. No more side effects ✅ (only from the atorvastatin). Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 22%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: capsules with TiO2 (HPMC with SiO2).

CVD med effects?: About an hour or more when I increase too much, first from the BP med, then the lipid med. Nov 23rd: Atorvastastin 1mg after yesterdays 2x1mg. But is it that or the LDN in the early mornings first inhibiting my opioid receptors? Friday-Sunday 0, let's see. Nov 13th started atorvastatin for lipids 1mg/d. 6th: reached 4mg/d of BP. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

24th dreadful. 25th not taken. Re-start with BP speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading the “candy” (candesartan) over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. I’ve reached the 4mg/d since Nov 6th.

[details=“1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (:white_check_mark:), hardly post postural ache :white_check_mark:. Stiffness :white_check_mark:. TT 2:1 pain from the 1st game on, had to stop after 3, not cos people were playing next to us.
(moving 20%, talking 20%, counting 0%) ➔ 80%/5 (:x:), gardening/moving ➔ 80%/3 (:white_check_mark:), talking 15’ ➔ 80%/3 (:x:), music 5’ ➔ 70%/4 :x:. White lips 80% (:x:). Exhaustibility “78%” :white_check_mark: and sleep :white_check_mark: - 9h10, up 5x (50’), no “PPA”, pain at night back down to 2 (:white_check_mark:), click for details:”]

EXHAUSTIBILITY today: “78%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 9h10, up 5x (50'), all deep ✅, everything else OK ✅, 80%/3 (✅), ➔ getting up: 80%/3 (✅).

Sleep 22:30-8:30 3x 30’ 1x. Sum: 1h30+8h30-(50)’ = 10h-50’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Insurance bills getting. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. 15th starting to get slightly above 4mg BP without side effects, starting atorvastatin specks dulled, proprioception, fatigue.

3) DOCS: Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, he put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - DAO before 200g baked beans prevented a histaminey "burnt" tongue! - Been meaning to test that for ages and should check that with all high histamine foods now. 1 focal seizure on around the 20th:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today
Read Masterjohn again on B2 saying: only a few mg of it are necessary and not the 100mg often in supps (I’m now taking 3x600mg/d again) and can mess with the other B-vitamins, which explains my high B6 and B7. This is making me think it important to stop it again after all, as it’s in the lower normal range.

Quality of life: 90%

Lessons in self-care:

Reasons to be cheerful: Skipping this today, too much concentration on the health bills.

Fibro/rheum clinic Sept 2020

Someone asked me about the fibro/rheum clinic I was in, back in Sept20, shortly before I started this blog, and I listed all the treatments I can remember, which I don’t seem to have put on this blog, so here goes:

  • I’d recommend all clinics and docs to tout as much multi-modal as possible anyway, i.e. at least point to all 5 areas from this list (the “contents” of my big list - see below):*
  • A. MIND (1. pacing, 2. understanding, 3. therapy, 4. relaxation, 5. sleep, 6. fog help)*
  • B. PHYSICAL (1. Exercise, 2. Manual, 3. Meridians 4. Breath 5. Cold/Heat, 6. Electro, 7. Water, 8. Devices, 9. Positioning, 10. Sports)*
  • C. BIOLOGICAL (1. Diets, 2. essential oils, 3. oxygen/ozone)*
  • D. ENVIRONMENTAL (1. Inside: air, bed, heating, light, noise; 2. outside: weather, aids)*
  • E. BIOCHEMICAL (1. Meds, 2. supps)*

Multi-modal here in these clinics like that one means

  • 2 weeks inpatient,*
  • mainly “B”: almost 20! types of physical/manual therapy, exercises) and*
  • some of “A”: progressive muscle relaxation most days, 4 general pain talks, but too general, 1 psychologist session - 2 might have been better. More about A1+2+5+6 I’d’ve welcomed.*
  • The reason I chose that clinic from 3 was they had a cold chamber for whole body cryotherapy, and I knew that helped me (their’s wasn’t cold enough for me though).*
  • I think clear pointers to elimination diets, oxygen, environmental triggers and meds/supps would have been enough.*
  • I’d’ve welcomed more patient interaction, but Covid was rampant. Disappointed after this didn’t happen I looked for online support and information and filled the gaps more and more, esp. on the forums. As German health forums are scarce and pretty useless, I couldn’t have expected the docs/therapists to point to them, but I think they should do so worldwide. (I used international health mailing lists in the 90s, a time where you got severely bashed on forums as they were badly moderated. Thankfully that’s changed.)*

The other two clinics were a pain clinic and a “manual therapy” clinic - these also would have done this kind of “multi-modal” pain treatment, e.g. the orthopedist who talked with me for going to the pain clinic was also an osteopath. None of them dealt in meds.

Tai chi, aqua jogging & swimming, Nordic walking, light “dancing”(?), gym with a the whole variety of gadgets and realistic training targets, local cold air treatment, whole body cryotherapy, hand/wrist exercises, hand bathing in hot or cold grains, deep tissue massage, osteopathy, electrotherapy, various kinds of normal physiotherapy. The progressive muscle relaxation was in a beautiful room with flowing water and soft colours and music and electric reclining armchairs, it was good just to be in there to relax on my own.

No, I’d say everyone there got something out of about everything, even if they couldn’t praps implement it at the time. Most difficulty I had with the slow arm movements of tai chi, I had to stop and sit down after a few minutes, but everyone else was fine with it. And their normal “physiotherapy” exercises. But I think part of the problem with those was my own ambitiousness, not yet able to adapt to having the same underlying strength but not being able to use it without a severe backlash, i.e. pacing, low & slow… I bet they could have told me till they were blue in the face to do “more repetitions with less strain”. I think they weren’t that normal. Now I’ve learnt when and how to move less, and am learning to start very low with substances, too…

But… the whole 2 week inpatient stay flared me severely for many weeks, cos of bed/mattress (meaning I slept on my own mat on the floor), snoring/apnea bed neighbours) meaning I had to often flee to the common room open to the corridor), the social involvement, and the food caused problems, altho they were very amenable for my strict diet (but offered unaccustomed things for others they couldn’t, too many changes and stuff like celery I thought I might tolerate, but didn’t realize I didn’t)… So a valuable experience which showed me many things, but more like that I was already on a good path already (which my docs & therapists also thought beforehand).

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-24 Friday - recovery?: Yep, back up to let’s say “23%” all day. CVD med side effects? 5mg candesartan, 0 atorvastatin, only few issues / side effects. LDN? (Nov 19th on 1x1.5mg): Effect possibly increasing.

What … worked / went wrong … today:
Extremely surprised how low my blood pressure is now, so the 4-5mg after not even 4 weeks (Nov 6th = 4mg) wasn’t just giving me a difficult time with side effects, it has also worked much better than the average of 9mmHg. It’s I’d say more like 20-40mmHg, considering I only took it once after having moved around, which would normally have made it shoot to 150-160 for a few minutes. Only with pee urge did it shoot up to 157 once (but only to 129 a 2nd time before bed), and with a stressful thought it was up to 145 for a minute, but 140 and under after that, then all night between 87-91! and once 111. Talked with my wife and she agrees if I feel it’s more than enough I don’t need to check more diligently, I can go back down to 4mg and then re-check in another few weeks. I’ll ask my GP and cardio too, cos we’re both not sure about the spikes from pee urge, sports and longer stress moments.
:trophy:

Click for BP/RR measurements...:

10:44 96/57-63 102/64-64, with arm horizontal, directly after moving/sitting, then with strong pee urge suddenly coming up 157/89-69 (talk about variability! :roll_eyes:, but after that pee & unclothing only 111/74-62, after cold showering & clothing 135/75-65 sitting on the floor, 130/79-64 sitting on the sofa)
Dizzy at 12:55 maybe BP. 16:23 Stress thought moment: 140/80-68, 145/94-63, 142/91-63, 140/84-64, 136/79-66. 20:15 sitting at table after moving around: 116/78-68.
22:15 129/90-68 pee urge.
At night (after pee and directly after drinking; all standing):
1:15 87/60-76
2:30 87/59-66
4:15 111/88-70
5:55 91/66-66.

Habit encouragement: time management (✅), self-treatments ✅.

Time (= stress) management: Blog earlier :white_check_mark:, forums less :white_check_mark:, jump off hamster wheels :white_check_mark:, 3rd meal 18:00-19:00 :x:
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Thursday night :white_check_mark:, sleep Friday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy with LDN :white_check_mark:, keeping spirits up :white_check_mark:, and I keep forgetting to add: CVD meds, but BP is now solved and lipid/statin I’m still working on.

(V)LDN: Nov 19th- 1x1.5, Nov 17th-18th 2x0.5, 16th (1+1)x0.5, Nov 10th (2+1)x0.5, 1st 2x0.5mg (starting with Oct 1st ~0.07mg). It's improved mainly energy ✅ (23%) & heaviness ✅ incl. for walking 20' ✅, fine motor skills ✅, stiffness ✅ (10%), recovery time ✅, Ache ✅, pains ✅, but not my paleness ❌ or listening ❌. No more side effects ✅. Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 23%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: good for 2h video call with my sister (:white_check_mark:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: capsules with TiO2 (HPMC with SiO2).

CVD med effects?: About an hour or more when I increase too much, first from the BP med, then the lipid med. Nov 24th: Hardly any problems with 0 atorvastatin and (like yesterday) 5mg candesartan, 24th/25th: BP is good now. Nov 13th started atorvastatin for lipids 1mg/d. 6th: reached 4mg/d of BP. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

24th dreadful. 25th not taken. Re-start with BP speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading the “candy” (candesartan) over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. I’ve reached the 4mg/d since Nov 6th.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. no TT av, but 45' fairly fast walk ➔ 90%/3 ✅✅, gardening/moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/3 ❌. White lips 80% (❌). Exhaustibility "77%" ✅ and sleep 8h16, up 4x (24') ✅, "PPA" now 2 ✅, click for details:
EXHAUSTIBILITY today: “77%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 8h16, up 4x (24'), all deep. ✅, everything else OK ✅, 80%/2, ➔ getting up: 80%/2 ✅.

Sleep 23:20-8:00 1:15 87/60-76 6’ 2:30 87/59-66 6’ 4:15 111/88-70 (after pee and directly after drinking; all standing) 5:55 91/66-66. Sum: 0h40+8h-(24)’ = 8h40-24’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Great to manage such a long talk with hardly a backlash, but interesting that a short 5' talk in my shop was almost just as strenuous, just goes to show it depends on who and what about etc.... (It'd've been strenuous even without the long talk before.) Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. 15th starting to get slightly above 4mg BP without side effects, starting atorvastatin specks dulled, proprioception, fatigue.

3) DOCS: Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, he put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - DAO before 200g baked beans prevented a histaminey "burnt" tongue! - Been meaning to test that for ages and should check that with all high histamine foods now. 1 focal seizure on around the 20th:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today

Atorvastatin harming

As I’m now pretty sure I don’t tolerate my (brand of) atorvastatin anymore, not even 1mg, altho I did before the jabs.
I’ve looked at the excipients. My brand contains 10 substances, of which 2-3 are harmful substances: Triethyl citrate, Polysorbate 80 and titanium dioxide. They’re not in the contents, but the coating. So first I’ll be trying to rasp off the coating and just take 1mg of the inside. As mine are splitable I can see how big the coating is. I’m also looking together with my pharmacy for a brand with less or different harmful substances. And I’ve asked them if they can get the pure substance and compound it.
Thinking about interactions with the statin, like the high dose of nicotinic acid, I looked that up, and general pages say interactions are possible. But it’s often used together, so there is a lot of data and don’t mention increasing pain/fatigue or anything like that. B2 I’d stopped during the statin tests, so it can’t be that either. I can’t think of anything else that’d be risky.
Of the 3 most harmful substances above, the most likely from the possible reactions seems Polysorbate 80, What Is Polysorbate 80 And Why Should You Avoid It? which “also links to a variety of systemic responses (e.g., hypersensitivity, non-allergic anaphylaxis, rash) and injection- and infusion-site adverse effects in medication formulations (ISAEs; e.g., pain, erythema, thrombophlebitis).”

Quality of life: 90%

Lessons in self-care: Health bills were priority, but also my sister and Harley, so going outdoors or yesterday’s blog only got done after. But I do get out quite a bit of fresh air all the same, for shops - the long walk every day and table tennis - if not today, plus airing much more and longer, day and night in my sleep breaks.

Reasons to be cheerful:
c) Animal life:
ca) Fun to see Harley eating freely and together with Stuey, so maybe this is better cos more natural than feeding in a box.
cb) Put hazelnuts out for Ballerina Squirrel to hide again, the red one is here more at the moment. The light flowing movement of the tail is what gives the ballerina effect. But the way all four paws/arms move is is so nimble and cute too, wanna cuddle! But at least I can cuddle Harley and him back.
cc) Whoo-hoo, Squirrel very close, how big, I thought he was smaller, then ran right up to where I’m sitting with laptop on chair and sun shade over it to stop the rain. As long as I don’t move, he doesn’t mind…
e) Human life:
ea) Talking to sis was wonderful, first she saw how I fed Harley, how cute he is, then we talked thru her job problems, developed quite a lot of solutions.
eb) Great talk with my wife about that and other things, and we helped an old man that had fallen over whilst help was being fetched.
f) Environment: So good every time I do get out or even let in fresh air.
g) Body: Having to change a lot in the template cos of the CVD med work.
Foggies: I keep having to look for things, at the moment my DAO pills, so I can’t do the walnut histamine test. Probably cos I tidied up too much? :wink:

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-25 Saturday - recovery?: Yep. Statin med side effects? 3rd day of 0 statin, tomorrow 1mg of the innards of one. LDN? (Nov 19th on 1x1.5mg): good, small increase again, but fairly knackered till next morning after 5 games plus walk (if it was that).

What … worked / went wrong … today:
Table tennis alone 5 games was great, but overdid it a bit by going for a walk 2x20’ to a shop with my wife pretty directly after.

Habit encouragement: 3rd meal before 19:00? ❌ , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Friday night :white_check_mark:, sleep Saturday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): is atorvastatin the problem, or the ratiopharm excipients?

(V)LDN: Nov 19th- 1x1.5, Nov 17th-18th 2x0.5, 16th (1+1)x0.5, Nov 10th (2+1)x0.5, 1st 2x0.5mg (starting with Oct 1st ~0.07mg). It's improved mainly energy ✅ (23%) & heaviness ✅ incl. for walking 20' ✅, fine motor skills ✅, stiffness ✅ (10%), recovery time ✅, Ache ✅, pains ✅, but not my paleness ❌ or listening ❌. No more side effects ✅. Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 23%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? (BP pretty much solved with 5-4mg by Nov 24th/25th): About an hour or more when I increase too much, first from the BP med, then the statin (1-2mg more than neutralizes the LDN for many hours). Nov 24th: stopping atorvastatin for 3 days, then trying a speck of the pill inside on the 27th, if that works, file off the coating with a cleaned file (the splitting I'm now doing with a screwdriver). Nov 13th started atorvastatin for lipids 1mg/d. 6th: reached 4mg/d of BP. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 3:2, lost the 2 cos of more leaves on my side, as well as rainwater (moving 20%, talking 20%, counting 0%) ➔ 80%/3 (✅), gardening/moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "77%" ✅ and sleep - 8h50, up 3x (20') ✅ ("PPA" between 2 and 3 (✅)), achier night, after tough evening. Just cos of overdoing it, or was drinking 1L of goat milk a problem? Smell of bed stuff irritating me. Click for details:
EXHAUSTIBILITY today: “77%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 8h50, up 3x (20'), all deep. ✅, everything else OK ✅, 80%/2-70%/2-60%/3, ➔ getting up: 70%2 ✅ nauseous.

Sleep 22:40-7:50 5+10+5 70%/2 nauseous 60%/3 5:35
Sum: 1h20+7h50-(20)’ = 9h10-20’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Feeding Harley. Comparing car insurances. Add in details? Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue.

3) DOCS: Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, he put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - DAO before 200g baked beans prevented a histaminey "burnt" tongue! - Been meaning to test that for ages and should check that with all high histamine foods now. 1 focal seizure around Nov 20th:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today
Atorvastatin:
It was medbroadcast that listed niacin as possibly interacting with atorvastatin, but now I’m sure they just mean that it decreases the lipids more.
The ratiopharm page listing its contents.
The German page describing why titanium dioxide is now in the EU officially considered as dangerous as warners always said.

Quality of life: 90%

Lessons in self-care:
a) I walked a bit into a lantern on the way home, seemed only a little, but after a time something was hurting inside, like spleen or so.

Reasons to be cheerful:
a) Plant/fungus life:
aa) The less plants the more I appreciate all the blossoms that are still there (one Apple of Peru/nicandra with 4 small blossoms despite frost), all the flowers that are already preparing themselves with thick leaves (bellflowers, poppies, evening primroses) or buds (rhododendrons) or are preparing their berries (ivy).
ab) Seeing the GreatTit’s pure white head I looked to the plants again and saw how many hues of green there still are, incl. the deep green of the 5 boxwoods, the 2 yew shrubs/trees and the firethorn, realized that even the Scotch broom “twigs” are green, not brown. The various grass types are different greens, contrasting with the nicely undertidy :stuck_out_tongue_winking_eye: yellow to brown cherry leaves I’m now leaving on the meadow. The ivy also comes in different greens, altho it’s all called helix hedera.
ac) And now looking at the contrast of the green to the orange bronze conifers, a few red leaves (I’d cut the vine back too much for it to manage to turn red this year), the 200 bright light red rose hips.
b) Bird life:
ba) Pretty near to the feeding boxes hiding behind the boxwood I saw how beautifully pure white the head of a GreatTit was. That made me think I’m seeing more details of what there is, cos there’s less leaves and flowers, the things that are left stand out more to he who has eyes to see…
bb) 4, 5, 6, 7, then 8 pigeons in our cherry, had to take a photo, since they’ve somehow grown very shy.
bc) Near the shop a blackbird was singing full throttle cos of Christmas lights, taped it. They’ve occasionally been found to breed in January, cos of all the lights.
bd) Wild geese migrating again twice today.
be) Jay over the table tennis tables imitated a sparrowhawk again, pulling my leg - I prided in telling my table tennis mate it was that, until I saw him and had to correct myself.
bf) Black squirrel round today. My wife saw both playing at full speed in our trees.
d) Plant, bird & animal life: The birds throwing down moss from the gutters and tree branches are allowing me to collect it and renew the decoration around the house.
e) Human life: Good to read about a group of Palestinians and Israelis joining forces for peace and end to conflict.
f) Environment:
fa) Outdoors more today was good.
fb) Fairly full moon halo and a bright planet near it, pretty sure Jupiter.
g) Body: Wow, 5 games and going for a walk after - fresh air and not that much backlash.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-26 Sunday - recovery?: Yup. Statin med side effects? 3rd day of 0 mg = 0 sfx. LDN? (Nov 19th on 1x1.5mg): yep.

What … worked / went wrong … today:
Quite OK - good enough, considering.

Habit encouragement: 3rd meal before 19:00? ❌ , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Saturday night :white_check_mark:, sleep Sunday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): is atorvastatin the problem, or the ratiopharm excipients?.

(V)LDN: Nov 19th- 1x1.5 slowly increased from ~0.07mg Oct 1st. It's improved mainly energy ✅ (22%) & heaviness ✅ incl. for walking 60'(?) & fast cycling 30' ✅✅, fine motor skills ✅, stiffness ✅ (10%), recovery time ✅, Ache ✅, pains ✅, but not my paleness ❌ or listening ❌. No more side effects ✅. Click for details on dosage and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 22%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? (BP pretty much solved with 5-4mg by Nov 24th/25th): About an hour or more when I increase too much, first from the BP med, then the statin (1-2mg more than neutralizes the LDN for many hours). Nov 26th: fairly dizzy - BP? - the last 20' before bed at 22:45, nauseous in the morning, sure enough: 107/71-67, later 117/75-89 after moving/exercising, so maybe I can reduce the BP med further (3mg/d?), esp. now I'm testing 1mg of the innards of the statin tablet. Nov 24th: stopping atorvastatin for 3 days, then trying a speck of the pill inside, if that works, file off the coating with a cleaned file (the splitting I'm now doing with a screwdriver). Nov 13th started atorvastatin for lipids 1mg/d. 6th: reached 4mg/d of BP. Spreading pulverized BP specks increasingly over the day since Oct 31st is working, whilst the small starting dose from 24th on was dreadful, and even amounts of 1-2.5 mg once a day took all LDN energy.

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 3:1 and 1:0 with a kid (moving 20%, talking 30%, counting 0%) ➔ 80%/3 (✅), gardening/moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "78%" ✅ (morning a bit more than 77%) and sleep ✅ ("PPA" now back to 2 ✅), click for details:
EXHAUSTIBILITY today: “78%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 8h30, up 5x (45'), all deep. ✅, everything else OK ✅, 80%/2, ➔ getting up: 80%/2 ✅.

Sleep: fairly dizzy (BP?) the last 20’ before bed at 22:45-7:55 20’ +4x5’ = 45’
Sum: 1h20+7h55-(45)’ = 9h15-45’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Feeding Harley back to an older style and more concentrated was less stressful. But 5' of service (praying, esp. song, altho nice) caused twitchy strain-stress so I had to be off again, but wife was happy I was there at all, and looking up that it started Sep 24th in a service (online and 3' live) after severe bladder exam problems, CoV-type symptoms and work stress starting 4 days before. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue.

3) DOCS: Nov 16th: Report from onco doc came, claiming it was me that'd stopped coming, and that my lymph nodes, liver and spleen sizes would need to be checked next, but no cancer is detectable to date, he put the eosinophilia (at the time) down to fibromyalgia or (MCAS) intolerances. Nov 8th: Urologist: IPP/Peyronie - but I'm still looking for natural alternatives, and I believe the cystoscopy injured me, whether I have a genetic predisposition or not. Nov 4th/5th: See 5th for bloods of Oct 23rd: need to keep up most supps plus try to re-start all 3 CVD meds. Oct 30th: Onco appt scheduled for Jan 8th - distant time, but place near enough. Last update Oct 24th: Complaint about the lax onco doc after exactly 6 months. Oct 23rd: Cardio: bloods, and convinced me to re-start the CVD-meds. Oct 11th: GP#2's office checked back about onco, GI & bloods. Sep27th: Wife's GP will get me a cancer appt., ask about GI. Aug 7th: Very painful uro bladder exam and bloods was followed on 9th by a vertigo attack - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - DAO before 200g baked beans prevented a histaminey "burnt" tongue! - Been meaning to test that for ages and should check that with all high histamine foods now. 1 focal seizure around Nov 20th:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

No ‘research’ today

Quality of life: 90%

Lessons in self-care:
At least airing a lot when I’m stuck indoors, but still not enough, need to get out!

Reasons to be cheerful:
b) Bird life:
ba) I’m putting my unidentified bird recordings on a forum, that’s taken a lot of time, so is my main pastime at the moment.
bb) Female blackbird was sitting above me whilst I put seeds out close to dusk, but then neighbour came out so I had to talk louder, which irritated her altho I was further away than before, flew to the male and tut-tutted loudly…

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-27 Monday - recovery?: Yep, I think so, never came to my limits, cos no TT and too long indoors/not moving, but shop was with no limitations. Statin med side effects? NONE, 1mg statin out of the pill innards at I think 15:00. LDN? (Nov 19th on 1x1.5mg): Yep.

Reduced VLDN, CVD, 3) DOCS and 4) UNDER CONTROL on Nov 27th…

What … worked / went wrong … today:
First try with statin innards worked. Bird forum took too much attentions, but it’s fascinating me and fun and cheering.

Habit encouragement: 3rd meal before 19:00? ❌ , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Sunday night :white_check_mark:, sleep Monday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): is atorvastatin the problem, or the ratiopharm excipients? - looks like it’s the coating excipients…!

(V)LDN: Nov 19th- 1x1.5, slowly up from Oct 1st ~0.07mg. (It's improved mainly energy (22%) heaviness, walking 20', fine motor skills, stiffness (10%), recovery time, Ache, pains ✅, but not my paleness or listening ability/sense ❌. No more side effects ✅.) Click for details on dosage, effects and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 22%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT not available (rain/snow), stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? (BP pretty much solved with 5-4mg by Nov 24th/25th): ATORVASTATIN: Nov 27th: speck of the innards of a pill (Nov 13th-24th atorvastatin for lipids 1mg/d off and on: tolerated. CANDESARTAN: Need to spread pulverized specks over the day, Oct 31st 1mg to Nov 6th 4 mg, otherwise it took all LDN energy for hours. RR shows 4mg seems more than enough!

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. No TT, gardening/moving ➔ 80%/3 (✅), no talking really, listened to a lot of snips of music, but it was a heck of a strain ➔ 70%/4-5 ❌. White lips 80% (❌). Exhaustibility "78%" (at least) ✅ and sleep - 7h05, up 6x (58') (✅) ("PPA" now back to 2 ✅), click for details:
EXHAUSTIBILITY today: “78%"+. Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 7h05, up 6x (58'), all deep, except last hour ✅, everything else OK ✅, 80%/2, ➔ getting up: 80%/2 ✅.

Sleep 22:55-7:00 4x5’ 12 26 = 58’ 3x 3:52 12’ 5:41 26’ 6:58 (last hour shallow) 7:00
Sum: 1h05+6h58-(58)’ = 8h03-58’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅?: Bit too much on bird forum. Harley didn't stress me too much, but wife sad, cos again losing weight after a plateau. Add in details? Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue.

3) DOCS: Phone GP#2 tomorrow, for appt.? ONCO: Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Nov 8th: URO: IPP/Peyronie - trying self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - Still to find the DAO and test with walnuts, where the heck have I hidden the pills?:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

No ‘research’ today

Quality of life: 90%

Lessons in self-care:

Reasons to be cheerful:
a) Plant/fungus life: Researched what to do with the balcony plants: Most of them into the shed with windows, except the mums. It hurt a bit to cut the petunia flowers off/back and the nice geranium leaves, but I’ve put them in water on the kitchen table.
b) Bird life: Learnt quite a bit reading and writing on the bird forum and did a bird quiz too.
c) Animal life: Harley ate 45’ on his own, just with me placing him small cut things, not really feeding, that felt good.
e) Human life: Good to get some mails off my chest.
f) Environment: Fresh air…
g) Body: Still OK.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-28 Tuesday - recovery?: Yep, progressing. Statin med side effects? Under control with less excipients, but too much too late stopped sleep at 4, just deep dozing despite breaks. LDN? (Nov 19th on 1x1.5mg): yep.

Reduced VLDN, CVD, 3) DOCS and 4) UNDER CONTROL on Nov 27th…

What … worked / went wrong … today:
LDN and candesartan still good, atorvastatin again a problem.

Habit encouragement: 3rd meal before 19:00? ❌ , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Monday night :white_check_mark:, sleep Tuesday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): removing the coating excipients (polysorbate 80?), today increasing to 4mg.

(V)LDN: Nov 19th- 1x1.5, slowly up from Oct 1st ~0.07mg. (It's improved mainly energy (22%) heaviness, walking 20', fine motor skills, stiffness (10%), recovery time, Ache, pains ✅, but not my paleness or listening ability/sense ❌. No more side effects ✅.) Click for details on dosage, effects and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 23%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? (BP pretty much solved with 5-4mg by Nov 24th/25th): ATORVASTATIN: Nov 28th: 1+1+2mg of the innards of a pill caused insomnia from about 4 on, candesartan down a bit (Nov 13th-2rd atorvastatin for lipids 1mg/d off and on, then 27th speck(s) of innards) CANDESARTAN: Nov 29th at 10:30 after showering and clothing: 118/75-91. Need to spread pulverized specks over the day, Oct 31st 1mg to Nov 6th 4 mg, otherwise it took all LDN energy for hours. RR shows 4mg seems more than enough!

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. So 24th: stopping 3 days and then trying the middle of the middle without the worst excipients. 27th good, but 28th 1+1 and then 2mg too late caused insomnia, so earlier in the day.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 2:2 cos of some ice still on table, no problem.(moving 30%, talking 30%, counting 0%) ➔ 80%/2 ✅!, cycling/moving (Cycling 2x20' to get straw was OK, but continually less energy) ➔ 80%/3-4 (✅), hardly talking, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "77%" ✅ and sleep - 6h45, up 4x (1h), only 5h deep (❌) ("PPA" now back to 2 ✅), click for details:
EXHAUSTIBILITY today: “77%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 6h45, up 4x (1h), only 5h deep. (❌), everything else OK ✅, 80%/2, ➔ getting up: 80%/2 ✅.

Sleep !93/72-86 before bed 23:15-7:00, 2:10 76/61-72. 15’, shallow 10’, 5:03-5:33 6 - 7:00 was that from too much atorvastatin? 7:00 105/75-74
Sum: 0h45+7h00-(15+10+30+5=)60’ = 7h45-1h =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Various forum hamster wheels. Add in details? Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue, so stopped again. Nov 28th/29th: taking it too much too late caused insomnia.

3) DOCS: ONCO: Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Nov 8th: URO: IPP/Peyronie - trying self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - Still to find the DAO and test with walnuts, where the heck have I hidden the pills?:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today: Atorvastatin
Atorvastatin can cause sleep disturbance, altho it doesn’t on average.
1 says nocebo, 2 from 2023 is a case report where it does. 3 from 2017: “The results indicated that patients taking atorvastatin reported sleep disturbances more often than patients without statin therapy or those on rosuvastatin therapy.” 4 (2023): "Statins, regardless of lipophilicity, are associated with sleep disorders and induce insomnia. The study also showed that patients taking atorvastatin or rosuvastatin for more than 3 months reported inferior quality of the night compared to the quality of the day on the AIS. " 5 (2015): “The results indicated that statins have no significant adverse effect on sleep duration and efficiency, entry to stage I, or latency to stage I sleep, but significantly reduce wake time and number of awakenings.”

Contents of other brands of atorvastatin (pdfs at aponet.de; in German) than mine.

  1. Aristo
    *Tablettenkern: Mikrokristalline Cellulose (E460), Lactose-Monohydrat, Calciumcarbonat (E170), Hyprolose (53,4-80,5 % Hydroxypropoxy-Gruppen) (E463), Croscarmellose-Natrium Type A (E468), Hochdisperses, hydrophobes Siliciumdioxid (E551), Magnesiumstearat (Ph.Eur.) [pflanzlich] (E572)
    Filmüberzug: Hypromellose (E464), Macrogol 8.000, Titandioxid E171, Talkum (E553b)
    Macrogol 8000 = a form of polyethylen glycol (PEG), which is also used as a laxative.
    Gethealthcare says “PEG hypersensitivity diagnoses have increased in frequency recently, particularly since the COVID-19 vaccination program started.” But that is only on the outside, whilst on the inside we have croscarmellose sodium, about which remedysnutrition says “It is also suggested that anyone with any intestinal conditions should avoid croscarmellose sodium altogether. This additive may make it risky for those who are on the verge of a relapse of Crohn’s and other conditions.” Here there’s a case study of someone allergic to it, but here it says that’s very rare.

  2. Zentiva
    "Tablettenkern: Calciumcarbonat, mikrokristalline Cellulose, Lactose-Monohydrat, Hyprolose, Povidon K12, hochdisperses Siliciumdioxid und Magnesiumstearat (Ph. Eur.).
    Filmüberzug: Hypromellose, Macrogol 6000, Titandioxid (E 171), Talkum, Eisen(III)-thydroxid-oxid x H2 O, Lactose-Monohydrat.
    plus 30 mg / 60 mg enthält… Eisen(III)-oxid."
    Macrogol 6000 is again PEG, see above.
    Povidon = Polyvinylpyrrolidone, PVP.

Looking for a method to remove pill coatings I found only a pharmaceutical patent.

Looking up povidon/PVP I found it’s in tadalafil, and that also contains macrogol (3350). But about povidon itself it says here: that researcher found 38 excipients to be potentially allergic, and name povidon along with PEG (and colouring agents propylene glycol und benzoic acid).

Quality of life: 90%

Lessons in self-care: Gotta get out of the forum hamster wheels.

Reasons to be cheerful:
b) Bird life: Lots on bird forum - fun, but too much.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-29 Wednesday - recovery?: Good considering tired (and a bit sad cos of Harley still lighter). Statin med side effects? Too little sleep Tuesday night. LDN? (Nov 19th on 1x1.5mg): Good, 6x TT.

What … worked / went wrong … today:
Sleep too short and late. DAO before 200g baked beans prevented tongue burning.

Habit encouragement: 3rd meal before 19:00? ❌ (more like 21:00, really 'bad', but praps that's what it needs to turn it around now), self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Tuesday night (:x:), sleep Wednesday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): Taking off the coating (I guess polysorbate 80) of atorvastatin worked, now decrease insomnia by taking it mainly in the mornings.

(V)LDN: Nov 19th- 1x1.5, slowly up from Oct 1st ~0.07mg. (It's improved mainly energy (up to 23%) heaviness, walking 20', fine motor skills, stiffness (10%), recovery time, Ache, pains ✅, but not my paleness or listening ability/sense ❌. No more side effects ✅.) Click for details on dosage, effects and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 23%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? (BP pretty much solved with 5-4mg by Nov 24th/25th): ATORVASTATIN: Nov 28th: 1+1+2mg of the innards of a pill caused insomnia from about 4 on, candesartan down a bit, 29th atorvastatin down to 1 in the morning (Nov 13th-2rd atorvastatin for lipids 1mg/d off and on, then 27th speck(s) of innards), 29th 1mg early. CANDESARTAN: Need to spread pulverized specks over the day, Oct 31st 1mg to Nov 6th 4 mg, otherwise it took all LDN energy for hours. RR shows that 4mg seems more than enough! - so down to 3mg

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients. 27th good, but 28th 1+1 and then 2mg too late caused insomnia, so earlier in the day, 29th earlier and reduced, candesartan 3mg.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 3:3 cos wet, but 6 games! (moving 30%, talking 30%, counting 0%) ➔ 80%/3-2 ✅, gardening/moving ➔ 80%/3 (✅), talking not much, music: didn't try. White lips 80% (❌). Exhaustibility "77%" ✅ and sleep 7h43, up 3x (12') ✅ ("PPA" now back to 2 ✅), click for details:
EXHAUSTIBILITY today: “77%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 7h43, up 3x (12'), all deep (praps 20' after 3rd break with forum worries) ✅, everything else OK ✅, 80%/2, ➔ getting up: 80%/2 ✅.

Sleep 23:40-7:35 3x4’
Sum: h20+7h35-(12)’ = 7h55-12’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Bird forum stress. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue, so stopped again. Nov 28th/29th: taking it too much too late caused insomnia. Bird forum stress.

3) DOCS: ONCO: Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Nov 8th: URO: IPP/Peyronie - trying self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - Found the DAO (on my tray!) and test with 200g baked beans worked!:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth (day and) at night at least not hurting/sticky (:x:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW from Nov 29th: Found the DAO (on my tray!) and test with 200g baked beans worked! Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today
Only atorvastatin like I put in yesterday’s entry.

Quality of life: 90%

Lessons in self-care:
a) From keeping my mouth self-moisturized by sucking saliva I’m not only protecting it from the cold air from airing inside and outside, it also seems to be minimizing sore throats, even at night. The technique of sucking a smooth small stone won’t be particularly viable in winter, unless I put it on the heating first, which is impractical.
b) At table tennis I was able to play without exertion or trying to win and after the 4th game only had slight exhaustion, so tried 2 more and that worked too, could even have continued further.

Reasons to be cheerful:
f) Environment: The bits of snow are beautiful.
g) Body: 6 games of table tennis without exhaustion or Ache!

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-11-30 Thursday - recovery?: OK. Statin med side effects? OK. LDN? (Nov 19th on: 1x1.5mg): OK.

What … worked / went wrong … today:
Can’t be true, or can it? My tongue (right side this time) has started burning a little at 12:00 today after baked beans with DAO before yesterday at around 14:00. But cos it’s on the right and further back, and not tip and left, I’m guessing it’s my other tongue inflammation spot. But best to note.

Habit encouragement: 3rd meal before 19:00? ❌ , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Wednesday night :white_check_mark:, sleep Thursday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): Taking off the coating (I guess polysorbate 80) of atorvastatin worked, now decrease insomnia by taking it mainly in the mornings.

(V)LDN: Nov 19th- 1x1.5mg, slowly up from Oct 1st ~0.07mg. (It's improved mainly energy (23%) heaviness, walking 20', fine motor skills, stiffness (10%), recovery time, Ache, pains ✅, but not my paleness or listening ability/sense ❌. No more side effects ✅.) Click for details on dosage, effects and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 23%: for activities :white_check_mark:, walking: up from 5’ to 30’ :white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy (:white_check_mark:) - would have been OK if available, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? (BP pretty much solved with 5-4mg by Nov 24th/25th): ATORVASTATIN: Nov 28th: 1+1+2mg of the innards of a pill caused insomnia from about 4 on, so stopped again, 29th OK again, 30th 1x3mg in the morning OK too (Nov 13th-2rd atorvastatin for lipids 1mg/d off and on, then 27th speck(s) of innards) CANDESARTAN: Need to spread pulverized specks over the day, Oct 31st 1mg to Nov 6th 4 mg, otherwise it took all LDN energy for hours. RR shows that 4mg seems more than enough, so down to 3mg.

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients. 27th good, but 28th 1+1 and then 2mg too late caused insomnia, so earlier in the day, 29th earlier and reduced to 1mg, 30th 1x3mg in the morning OK too.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. no TT available, but would've been ➔ 80%/2-3 ✅, gardening/moving would've been ➔ 80%/2-3 too ✅, but feeding Harley is today as I think always ➔ 70-60%/4-5 ❌, talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "77%" ✅ and sleep ✅ 8h42, up 2x (8'), all very deep, but after 6 sort of not that deep? First suspicions: Taking my C-meds (incl. passiflora) in the evening cos I'd forgotten them added up with the candesartan which I feel is drugging my sleep somewhat? ("PPA" now back to 2 ✅), click for details:
EXHAUSTIBILITY today: “77%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "6h rest", 0h very slow, 3h slow, 6h medium, 1h quick
SLEEP (click for details): 8h42, up 2x (8'), all very deep, but after 6 sort of not that deep? ✅, everything else OK ✅, 80%/2, ➔ getting up: 80%/2 ✅.

Sleep 23:15-8:05 2x4’
Sum: 0h45+8h05-(8)’ = 8h50-8’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Kept calm despite Harley losing even more weight and having to look for tax stuff for an hour. Add in details? Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue, so stopped again. Nov 28th: taking it too much too late (1+1+2mg) caused insomnia, 29th 1mg & 30th 3mg OK again.

3) DOCS: ONCO: Wife thinks a GP-appt. is risky for me what with all the viruses around at the moment. Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Nov 8th: URO: IPP/Peyronie - trying self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - DAO worked for 200mg baked beans Nov 29th, dry mouth with salivating technique(s):
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth better with salivating technique(s) (:white_check_mark:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

No ‘research’ today

Quality of life: 90%

Lessons in self-care:

Reasons to be cheerful:
c) Animal life: Harley eating more again, a 4th tooth seems to be growing.
e) Human life: Of course the tax stuff was roughly where it should have been and I remembered it, just between other papers, cos other things had been laid on it. But in the meantime I tidied up all of our recent paperwork. Then got lots of tax stuff finished.
f) Environment: I miss the fresh air so - to get the tax stuff done quicker, I’ve stayed indoors.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-12-01 Friday - recovery?: Improved further. Statin med side effects? Good. LDN? (Nov 19th on: 1x1.5mg): Good.

What … worked / went wrong … today:
Energy increased to 25%+ with LDN 1.5mg, candesartan 3mg, atorvastatin 4mg.

Habit encouragement: 3rd meal before 19:00? ❌ , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 90-95%-ish :white_check_mark:, energy today (:white_check_mark::white_check_mark:, relatively), sleep Thursday night :white_check_mark::white_check_mark:, sleep Friday night :white_check_mark::white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark::white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): Increasing unmantled to 4mg atorvastatin worked.

(V)LDN: Nov 19th- 1x1.5mg, slowly up from Oct 1st ~0.07mg. (It's improved mainly energy (25%) heaviness, walking 20', fine motor skills, stiffness (10%), recovery time, Ache, pains ✅, but not my paleness ❌, whilst my listening ability/sense was better today (✅). No more side effects ✅.) Click for details on dosage, effects and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 25%: for activities :white_check_mark:, walking: up from 5’ to 50’ :white_check_mark::white_check_mark:, listening: better (:white_check_mark:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? (BP pretty much solved with 5-4mg by Nov 24th/25th): ATORVASTATIN: Nov 28th: 1+1+2mg of the innards of a pill caused insomnia from about 4 on, so stopped again, 29th OK again, 30th 1x3mg in the morning OK too, 1st 1x4-5mg in the morning still (Nov 13th-2rd atorvastatin for lipids 1mg/d off and on, then 27th speck(s) of innards) CANDESARTAN: Need to spread pulverized specks over the day, Oct 31st 1mg to Nov 6th 4 mg, otherwise it took all LDN energy for hours. RR shows that 4mg seems more than enough, so down to 3mg.

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients. 27th good, but 28th 1+1 and then 2mg too late caused insomnia, so earlier in the day, 29th earlier and reduced, 30th 1x3mg in the morning OK too, 1st 1x4-5mg in the morning still.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 3:0 and 3:1 (moving 30%, talking !60%, counting 20%) ➔ 80%/3 (✅), gardening/moving ➔ 80%/3 (✅), talking 20' ➔ 80%/3 (❌), music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "75%" ✅ and sleep 8h30, up 3x (15') ✅ ("PPA" now back to 2 ✅), click for details:
EXHAUSTIBILITY today: “75%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderately slow, with "4h rest", 0h very slow, 1h slow, 10h medium, 1h quick
SLEEP (click for details): 8h30, up 3x (15'), all deep. ✅, everything else OK ✅, 80%/2, except once 70%/3 ➔ getting up: 80%/2 ✅.

Sleep 22:55-7:40? 3x5’? Sum: 1h05+7h40-(15)’ = 8h45-15’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Nope, feeding Harley better now. Add in details? Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue, so stopped again. Nov 28th: taking it too much too late (1+1+2mg) caused insomnia, 29th 1mg OK again.

3) DOCS: ONCO: Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Nov 8th: URO: IPP/Peyronie - trying self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - DAO worked for 200mg baked beans Nov 29th, dry mouth with salivating technique(s):
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth better with salivating technique(s) (:white_check_mark:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of the year. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today
My brand of candesartan contains povidon K30 as well as croscarmellose sodium, and I am tolerating it. If I had or now have any allergic type reactions it could be the povidon, if any GI reactions the croscarmellose. I have had GI reactions, but off and on, so I doubt it can be the excipient. Applied to atorvastatin it would mean that maybe only macrogol/PEG would be the dangerous excipient in the other 2 brands. The advantage would be it might be an alternative to my brand without having to unmantle it.

Quality of life: 90%

Lessons in self-care:

Reasons to be cheerful:
a) Plant/fungus life: Trying to find the right places to overwinter the balcony plants is challenging, but fun too. Bit complicated cos the ideal conditions vary and
b) Bird life:
ba) Breaking up the ice, lots here, esp. the softly singing blackbird and the chattery Great+BlueTits
bb)
c) Animal life: Both squirrels often here too, or is it 3, cos it seemed a greyblacker one and a redblacker one as well as 1? red one… I need to start looking more closely.
d) Plant, bird & animal life: First a moaning squirrel, then a jay, then a sparrowhawk sitting in the cherry, the other squirrel buzzing past not quite fearlessly, lastly a cat, too, quite a dangerous to do, all in all, but nothing happened, the sparrowhawk left without prey.
e) Human life: My wife’s quite cheerful too.
f) Environment: Out more is lovely, doesn’t feel like under freezing, but it is. For one set of table tennis game I put rain legs over my thighs, but not for the rest.
g) Body: Energy increase is fun, feeling more and more normal!

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-12-02 Saturday - recovery?: Yep, seems so, except music/listening to people. Statin med side effects? Nope, despite increasing to at least 10mg. LDN? (Nov 19th on: 1x1.5mg): Even more energy: 27%? (TT 5:1)

What … worked / went wrong … today:
Very active, feels “fairly unlimited”, but thinking about it, it’s clear that this is far under where I’d need to be to work, which is/was 30-35%. Tidied the cellar, replaced screws on a bike, walked 10’ to a bazaar with wife and friend, went in 5’, then walked and ran back 10’. Slightly dizzy and nauseous at 18:00 from trying to listening to 15’ of recorded music. Again at 19:30 listening to 15’ of a live concert, couldn’t cycle after that at first cos of the dizziness. 21:30 focal seizure. Reminds me all of the vertigo attack on Aug 9th.

Habit encouragement: 3rd meal before 19:00? ❌ , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Friday night :white_check_mark:, sleep Saturday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): Increasing unmantled atorvastatin worked.

(V)LDN: Nov 19th- 1x1.5mg, slowly up from Oct 1st ~0.07mg. (It's improved mainly energy (27%) heaviness, walking 20', fine motor skills, stiffness (10%), recovery time, Ache, pains ✅, but not my paleness or listening ability/sense ❌. No more side effects ✅.) Click for details on dosage, effects and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 27%: for activities :white_check_mark:, walking: up from 5’ to 50’ :white_check_mark::white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? (BP pretty much solved with 5-4mg by Nov 24th/25th): ATORVASTATIN: Nov 28th: 1+1+2mg of the innards of a pill caused insomnia from about 4 on, so stopped again, 29th OK again, 30th 1x3mg in the morning OK too, 1st 1x4-5mg (mornings), 2nd 10mg or more. (Nov 13th-2rd atorvastatin for lipids 1mg/d off and on, then 27th speck(s) of innards) CANDESARTAN: Need to spread pulverized specks over the day, Oct 31st 1mg to Nov 6th 4 mg, otherwise it took all LDN energy for hours. RR shows that 4mg seems more than enough, so down to 3mg.

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients. 27th good, but 28th 1+1 and then 2mg too late caused insomnia, so earlier in the day, 29th earlier and reduced, 30th 1x3mg in the morning OK too, 1st 1x4-5mg in the morning, 2nd 10mg+ still no problem.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 5:1!! (moving 30%, talking 30%, counting 10%) ➔ 80%/3 (✅), gardening/moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌, 15' ➔ 60%/4 ❌❌. White lips 80% (❌). Exhaustibility "73%" ✅ and sleep 8h05, up 3x (15'), all deep, and when up feel no more awake at first than the sleep breaks before (I was wanting to count it as sleep break #4 until I looked at a clock). ✅ ("PPA" now back to 2 ✅), click for details:
EXHAUSTIBILITY today: “73%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile moderate, with "4h rest", 0h very slow, 1h slow, 10h medium, 1h quick
SLEEP (click for details): 8h05, up 3x (15'), all deep ✅, dry mouth and dry hands, everything else OK (✅), 80%/2-3, ➔ getting up: 80%/2-3 ✅, slightly nauseous.

Sleep 22:55-7:15 3x5’ Sum: 1h05+7h15-(15)’ = 8h20-15’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) (❌): I spose listening to music and talking is a form of overstimulation, so over-excitement. Add in details? Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue, so stopped again. Nov 28th: taking it too much too late (1+1+2mg) caused insomnia, 29th 1mg OK again.
Dec 2nd: music and listening is almost as overstimulating as ever since Sep 24th, sometimes possible for a bit, but finding it strange and too much.

3) DOCS: ONCO: Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Nov 8th: URO: IPP/Peyronie - trying self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess. Feedback from onco appt. Apr 24th is STILL pending.

4) UNDER CONTROL ✅ (attention necessary (✅)) - Slight focal seizure 2nd, praps not enough GABA cos of the reduced sleep breaks, or the dizziness. DAO worked for 200mg baked beans Nov 29th, salivating technique(s) for dry mouth:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth better with salivating technique(s) (:white_check_mark:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Dec 2nd (1), Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Dec 2nd (1) after the dizziness of 15’ of concert or from too little GABA at night. Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of 2022. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept.
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

No ‘research’ today

Quality of life: 92%

Lessons in self-care: Good to keep my activity in check.

Reasons to be cheerful:
c) Animal life: In the (big) shed I heard quiet rustling, so kept quiet myself and my suspicion was proven right: The bank vole (or a mouse)
e) Human life: Good to at least from outside take part in the concert of one of my favourite groups.
f) Environment: So good outside. Table tennis laughter.
g) Body: Soo “normal” long movement possible - only talking and music is not budging much - depending.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-12-03 Sunday - recovery?: New problems. Statin med side effects? Nope, despite increasing to at least 10mg. LDN? (Nov 19th on: 1x1.5mg): Stable energy, but even better sleep is creating a GABA/serotonin problem…

What … worked / went wrong … today:
Another seizure (GABA), but energy same, so TT 1:5.

Habit encouragement: 3rd meal before 19:00? ❌ , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Saturday night :white_check_mark::white_check_mark:, sleep Sunday night :white_check_mark::white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): Increasing unmantled atorvastatin: 10mg+.

(V)LDN: Nov 19th- 1x1.5mg, slowly up from Oct 1st ~0.07mg. (It's improved mainly energy (25%) heaviness, walking 20', fine motor skills (down today cos of seizures/GABA), stiffness (10%), recovery time, Ache, pains ✅, but not my paleness or listening ability/sense ❌. No more side effects ✅.) Click for details on dosage, effects and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 25%: for activities :white_check_mark:, walking: up from 5’ to 50’ :white_check_mark::white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? (BP pretty much solved with 5-4mg by Nov 24th/25th): ATORVASTATIN: Nov 28th: 1+1+2mg of the innards of a pill caused insomnia from about 4 on, so stopped again, 29th OK again, 30th 1x3mg in the morning OK too, 1st 1x4-5mg (mornings), 2nd+3rd 10mg or more. (Nov 13th-2rd atorvastatin for lipids 1mg/d off and on, then 27th speck(s) of innards) CANDESARTAN: Need to spread pulverized specks over the day, Oct 31st 1mg to Nov 6th 4 mg, otherwise it took all LDN energy for hours. RR shows that 4mg seems more than enough, so down to 3mg.

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients. 27th good, but 28th 1+1 and then 2mg too late caused insomnia, so earlier in the day, 29th earlier and reduced, 30th 1x3mg in the morning OK too, 1st 1x4-5mg in the morning, 2nd+3rd 10mg+ still no problem.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 1:5 (moving 20%, talking 10%, counting 10%) ➔ 80%/3 (✅), gardening/moving ➔ 80%/3 (✅), talking 25' ➔ 80%/3 (❌), music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "75%" ✅ and sleep 7h57, up 2x (8'), all very deep. ✅ ("PPA" now back to 2 ✅), click for details:
EXHAUSTIBILITY today: “75%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile medium, with "6h rest", 0h very slow, 1h slow, 8h medium, 1h quick
SLEEP (click for details): 7h57, up 2x (8'), all very deep. ✅, everything else OK ✅, 80%/2, ➔ getting up: 80%/2 ✅.

Sleep 23:55-8:00 2x4’ Sum: h05+8h00-(8)’ = 8h05-8’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: OK I think, just the seizures. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue, so stopped again. Nov 28th: taking it too much too late (1+1+2mg) caused insomnia, 29th 1mg OK again. Dec 2nd: music and listening is almost as overstimulating as ever since Sep 24th, sometimes possible for a bit, but finding it strange and too much.

3) DOCS: ONCO: Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Nov 8th: URO: IPP/Peyronie - trying self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess.

4) UNDER CONTROL ✅ (attention necessary (✅)) - another focal seizure 3rd means I'm now definitely increasing GABA in the daytime. DAO worked for 200mg baked beans Nov 29th, should order them again:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth better with salivating technique(s) (:white_check_mark:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Dec 2nd (1) and 3rd (1), Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Dec 2nd (1) after the dizziness of 15’ of concert or from too little GABA at night, and 3rd (1) 13:00 during TT, after feeling a bit seizure-ish, and not able to win: GABA now my main suspect… Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of 2022. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept. Nov: salivating technique(s) for dry mouth:
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today

Lenz’ talk is only about a case report of treating someone with ADHD/autism and fibro, as he concludes it might sometimes underlie fibro …, not very conclusive and not exactly a central topic…

But afterwards an interesting point by him was that it’s important and helpful to get the sense of feeling overwhelmed down, however much we can get the pain under control or not.

2nd talk is Myofascial Release with Jill Economakos. This is very centred on people with fibro (incl. neuropathy) and is full of practical demonstrations, something we don’t easily get anywhere else. Nothing really new to me, but that’s after many expert manual therapists and self-trials with youtube.

The 3rd is about “navigating”, someone who shares how she uses resources like images to feel good.

The 4th about bad vs. good chiropractic, they concentrate on the “upper cervical technique” as one example of “100” chiropractic techniques that may be relevant. (But in the presentation also explains the 5-4-3-2-1-grounding anchor technique, differently to the ways I’ve known, using all 5 senses.)

Marco Mizrahi talks a lot about various health systems all over the world, but then goes on to practical tips, starting here: Chairs everywhere, e.g. 2 in the kitchen, 1 chair in the shower, a kind of sponge ready-made with soap in it(?!), but 2 small kitchen towels in the shower soaked in soap too, cos more environmentally friendly (the deepen on that), prefers taking all pills at the same time, so he remembers.

Olga Pinkston gives an overview about fibromyalgia.

Chloe Jones on recent immune pilot study findings for fibromyalgia (U of Alabama, led by Jarred Younger, that’s the same one that tried to establish LDN with pilot studies): This is once again encouraging to see a researcher really going deep trying to find what changes in the blood when the immune system is realistically provoked, in the first study type they found fractalkine and leptin changes a lot, whilst cytokines and chemokines etc. were a bit more complicated. In the 2nd part they looked at inflammation in the brain. Excellent description of microglial activation. PET brain imaging showed brain inflammation in 2 studies

“Long vax” rather than post vac - that’s a new understandable expression for it, considering it’s often subsumed under “Long CoV” by the reporter, the study itself calls it PVS. Neuropathy and feeling “overwhelmed” aren’t my problems, but this fits to me: “The median number of symptoms attributed to PVS was 22”, with mainly exercises intolerance and fatigue, as well as LDN used by 20%. 241 adults is a fair number, but not peer reviewed. Interesting as ever is 80% identifying as female. And shockingly sad to me here in Germany is “21 (9%) feared running out of food before they could afford to buy more”.

Quality of life: 90%

Lessons in self-care:
a) Good I’m managing to listen to the Fibromyalgia Community Conference without too much nausea.
b) When I said I think of an MRI like being on a rave, someone said, yeah but then there’s the need to keep still… Whaa, so true, about rave but being still! But thinking about it, I think that’s just another mind game. I can’t dance non-stop for an hour like 10 years ago anyway, at most 5’ light dancing movement. So it’s more like a fond memory, and imagining all the movement going on in the room. Also that reminded me that I usually cycle 20’ to the MRI, partly uphill, so have moved too much before and really need a rest, so feel like sleeping rather than moving, so it’s more a rave in the trance area… - and actually I do try to and do get in a trancey state (NSDR helps that too). That also explains why last time I got claustrophobic towards the end: I was in hospital already, didn’t cycle there. So I’ll watch for some kind of activity before it next time.

Reasons to be cheerful:
e) Human life:
a) Wrote to a colleague what needs to be done now for a certain project, so I’m in the clear.
b) My table tennis mate was saying “but it’s snowed”, and I retorted “but you prepared everything yesterday”, he laughed: “cleverly parleyed”.
g) Body: Interesting and good to feel that my energy is there despite my fine motor skills being ditched by low GABA/serotonin. Good also to now be able to realize that quickly and take countermeasures.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-12-04 Monday - recovery?: Yep, better again. Statin med side effects? Nope, despite increasing to at least 10mg. LDN? (Nov 19th on: 1x1.5mg): Yep, but energy down a little (from 27 to 25%), I think from too little GABA?

What … worked / went wrong … today:

Habit encouragement: 3rd meal before 19:00? ❌ , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 :x:.
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 85-90%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Sunday night :white_check_mark:, sleep Monday night :white_check_mark: (but only feeling 60% “well”).
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): Increased unmantled atorvastatin worked.

(V)LDN: Nov 19th- 1x1.5mg, slowly up from Oct 1st ~0.07mg. (It's improved mainly energy (to 25%) heaviness, walking 20', fine motor skills, stiffness (to 10%), recovery time, Ache, pains ✅, but not my paleness or listening ability/sense ❌. No more side effects ✅.) Click for details on dosage, effects and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 25%: for activities :white_check_mark:, walking: up from 5’ to 50’ :white_check_mark::white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects? E.g. RR today at 17:15 135/76-68 after moving. and 20:28 122/76-56, night: 60%/3, is that BP? Cos I'd increased back to 4mg. Didn't measure, but better do so tomorrow incl. at night, Tuesday morning 9:15 112/76-71 despite pee urge. ATORVASTATIN: Nov 28th: 1+1+2mg of the innards of a pill caused insomnia from about 4 on, so stopped again, 29th OK again, 30th 1x3mg in the morning OK too, 1st 1x4-5mg (mornings), 2nd-4th 10mg or more, 5th less. (Nov 13th-2rd atorvastatin for lipids 1mg/d off and on, then 27th speck(s) of innards) CANDESARTAN: Need to spread pulverized specks over the day, Oct 31st 1mg to Nov 6th 4 mg, otherwise it took all LDN energy for hours. RR shows that 4mg seems more than enough, so down to 3mg.

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients. 27th good, but 28th 1+1 and then 2mg too late caused insomnia, so earlier in the day, 29th earlier and reduced, 30th 1x3mg in the morning OK too, 1st 1x4-5mg in the morning, 2nd-4th 10mg+ still no problem, 5th <10mg.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. TT 4:2, so better, almost back to the 'normal good' (moving 20%, talking 10%, counting 20%) ➔ 80%/3 (✅), gardening/moving/shop ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "75%" ✅ and sleep 8h55, up 3x (15') ✅, but 60%/3 again ❌, click for details:
EXHAUSTIBILITY today: “75%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile medium, with "4h rest", 0h very slow, 1h slow, 10h medium, 1h quick
SLEEP (click for details): 8h55, up 3x (15'), all deep ✅, seem to often dream about the Hamas :-( ❌, everything else OK ✅, 60%/3 ❌ ➔ getting up: 60%/3 ❌

Sleep 22:35-7:45 3x5’, Sum: 1h25+7h45-()’ = 9h10-15’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: Hardly, just nausea from music. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue, so stopped again. Nov 28th: taking it too much too late (1+1+2mg) caused insomnia, 29th 1mg OK again. Dec 2nd: music and listening is almost as overstimulating as ever since Sep 24th, sometimes possible for a bit, but finding it strange and too much.

3) DOCS: ONCO: Dec 5th still decreasing weight, today <75kg, with clothes 75.2kg, after 1st meal, without: 76.0kg. Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Nov 8th: URO: IPP/Peyronie - trying self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess.

4) UNDER CONTROL ✅ (attention necessary (✅)) - GABA up in the daytime cos seizures from only 2-3x0.3g at night, instead of double that. DAO worked for 200mg baked beans Nov 29th:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth better with salivating technique(s) (:white_check_mark:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Dec 2nd (1) & 3rd (1), Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Dec 3rd (1) 13:00 during TT, after feeling a bit seizure-ish, and not able to win: GABA my main suspect, cos of less sleep breaks. Dec 2nd (1) after the dizziness of 15’ of concert or from too little GABA at night. Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of 2022. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept. Nov: salivating technique(s) for dry mouth:
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today: Ezetimibe (for lipids, with statin)
Excipients:
Contains (German terms) Lactose-Monohydrat (another list calls that Lactose-1-Wasser/water) Hypromellose, Croscarmellose-Natrium/sodium (that’s in my candesartan), mikrokristalline Cellulose (that’s in many things I take), Natriumdodecylsulfat = Natriumlaurylsulfat = SLS or SDS (sodium lauryl sulfate and sodium dodecyl sulfate), anionic surfactant/tenside … bfarm.de says used locally as cream it can irritate it, esp. with people (like me) with atopic dermatitis, which means I’d need to watch out for GI problems.
On pubmed a review says that SLS has a falsely bad reputation in cleaning products, cos irritation depends on dosis, but the researchers were employed by a cleaning product company. But as excipient it says here: “As there are no reported adverse reactions to SLS when used as excipient in tablets and capsules, the scope of the safety assessment is limited to medicinal products applied to the skin or the scalp, such as creams, ointments, gels and shampoos, which contain SLS.” This is weird to me, as “The skin irritancy is thought to be due its surfactant properties, producing disruption of cell membranes and conformational changes of proteins.” - so the gut doesn’t have any cell membranes?

The ezetimibe stops the gut taking up cholesterol. -20% says wp.de. Side effects can be GI, tiredness & headache. Also together with a statin possibly an increase of cancer (EASE-study). There are no long term studies it says there, but seems outdated, so I’m checking studies/reviews on pubmed from “2022-2023”. (The Gelbe Liste has pharmacokinetic details, if needed.)
Here it says there is more evidence for it decreasing cancer than increasing it.
Here it says " Ezetimibe or PCSK9 inhibitors may reduce non-fatal MI and stroke in adults at very high or high cardiovascular risk who are receiving maximally tolerated statin therapy or are statin-intolerant, but not in those with moderate and low cardiovascular risk. " My risk is between high and moderate, so unclear = my decision.
This one favours combining it to lower LDL, but doesn’t check for whether it actually reduces the risk, but this TST trial one says it does consistently decrease the risk of stroke. Here it says it’s to be favoured cos of statin side effects causing compliance issues, altho it is “non-inferior” (pharma funded). Here, re. people with diabetes too it says “if the latter cannot be tolerated, or further reduction in LDL cholesterol is required”. This one brings in potential pleiotropic effects, which however are controversial cos of limited clinical data.
Altogether I think I just need to see how I tolerate it and juggle with the two.

Quality of life: 90%

Lessons in self-care:
Spose it’s time for more detailed health care before I go on to the other tax part. But even more important is to get outdoors, I’m “suffocating” indoors.

Reasons to be cheerful:
a) Plant/fungus life: Took some time to take stock of the wild plants now still growing in front of the house, and put more moss back the blackbirds had looked for insects under.
e) Human life: Got one part of the tax paperwork finished…
f) Environment: …but still outdoors a few hours, and airing well.
g) Body: Good to be back on track with fine motor skills.
Foggies: Talking to a cashier who asked about me losing my bank card 2 months ago, I ended on the funny that when something spills or falls at home I often just laugh and go away and say “tomorrow’s another day”, but then do come back after 5 or 10’ when the “surprise” is gone.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-12-05 Tuesday - recovery?: Not really improvement, but I think the problem is being outdoors less indoors more, to get the tax crap done. Statin med side effects? Nope, despite increasing to at least 10mg. LDN? (Nov 19th on: 1x1.5mg): OK-ish (or should I increase?)

What … worked / went wrong … today:
Too little outdoor air in the morning, but took it in the afternoon.
Everything except last meal timely.

Habit encouragement: 3rd meal before 19:00 (❌) , self-treatments ✅.

Time (= stress) management: 3rd meal 18:00-19:00 (:x:).
Self-treatments: Horse stance :white_check_mark:, balancing :white_check_mark:.

How was I today?: Feeling 80-85%-ish (:white_check_mark:), energy today (:white_check_mark:, relatively), sleep Monday night :white_check_mark:, sleep Tuesday night :white_check_mark:.
Mainly working on time management (:white_check_mark:), energy (LDN) :white_check_mark:, keeping spirits up :white_check_mark:, lipids (statin): Increased unmantled atorvastatin is working, but possibly it’s that that’s also a bit of a challenge in the mornings, but the night and getting up was better after less BP med.

(V)LDN: Nov 19th- 1x1.5mg, slowly up from Oct 1st ~0.07mg. (It's improved mainly energy (to 25%) heaviness, walking 20', fine motor skills, stiffness (to 10%), recovery time, Ache, pains ✅, but not my paleness or listening ability/sense ❌. No more side effects ✅.) Click for details on dosage, effects and symptoms:

Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10% to 25%: for activities :white_check_mark:, walking: up from 5’ to 50’ :white_check_mark::white_check_mark:, listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects?: RR 20:45 122/73-64 before pee, 111/71-70 after, 0:00 92/74-70, 3:44 97/66-64, 7:05 105/68-59. ATORVASTATIN: Nov 28th: 1+1+2mg of the innards of a pill caused insomnia from about 4 on, so stopped again, 29th OK again, 30th 1x3mg in the morning OK too, 1st 1x4-5mg (mornings), 2nd 10mg or more. (Nov 13th-2rd atorvastatin for lipids 1mg/d off and on, then 27th speck(s) of innards) CANDESARTAN: Decreasing Nov 5th may have improved how I was feeling at night. Need to spread pulverized specks over the day, Oct 31st 1mg to Nov 6th 4 mg, otherwise it took all LDN energy for hours. RR shows that 4mg seems more than enough, so down to 3mg.

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients. 27th good, but 28th 1+1 and then 2mg too late caused insomnia, so earlier in the day, 29th earlier and reduced, 30th 1x3mg in the morning OK too, 1st 1x4-5mg in the morning, 2nd 10mg+ still no problem.

1) Since VLDN Oct 1st: PEM VS. PPA: post exertional malaise when I use all of the extra energy (✅), hardly post postural ache ✅. Stiffness ✅. no TT available, moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "75%" ✅ and sleep 8h05, up 4x (20'), 80%/2 ✅, click for details:
EXHAUSTIBILITY today: “75%". Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile medium, with "6h rest", 0h very slow, 1h slow, 8h medium, 1h quick
SLEEP (click for details): 8h05, up 4x (20'), all deep ✅, everything else OK ✅, 80%/2, better after less bp med. ➔ getting up: 80%/2 ✅, same

Sleep 22:35-7:00 4x5’, Sum: 1h25+7h-(20)’ = 8h25-20’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: nope. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue, so stopped again. Nov 28th: taking it too much too late (1+1+2mg) caused insomnia, 29th 1mg OK again. Dec 2nd: music and listening is almost as overstimulating as ever since Sep 24th, sometimes possible for a bit, but finding it strange and too much.

3) DOCS: ONCO: Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Nov 8th: URO: IPP/Peyronie - trying self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected? Click for details.

Oct 21st (see 20th) pee frequency / urine retention med: I used to drink only 1.5L/d before fibro, plus lots of yogurt and raw veggies. Whist I’m not sure when that changed, 80/d supp capsules and my increased thirst and dryness are the reasons for drinking 3L/d and so for peeing more, so no sense in taking meds to artificially reduce my peeing. (Pulling my 3rd meal supps and the 1L almond milk forwards to 19:00 didn’t help for sleep breaks, and thirst and headache at night).
Still no other explanation for the “B symptoms” Feb/March (Mar 29th: night sweats, cough plus appetite & weight loss) so back to T4 + CoV being the reasons I guess.

4) UNDER CONTROL ✅ (attention necessary (✅)) - GABA up in the daytime cos seizures from less at night. DAO worked for 200mg baked beans Nov 29th:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth better with salivating technique(s) (:white_check_mark:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Dec 2nd (1) & 3rd (1), Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Dec 3rd (1) 13:00 during TT, after feeling a bit seizure-ish, and not able to win: GABA my main suspect, cos of less sleep breaks. Dec 2nd (1) after the dizziness of 15’ of concert or from too little GABA at night. Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of 2022. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept. Nov: salivating technique(s) for dry mouth:
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today
I could now go thru all the atorvastatin and ezetimibe types to look for something with less bad excipients.
Atorvastatin brands I could get aside from my ratiopharm (also in combination): 1A, AbZ, Accord, AL, Aristo, Aurobindo, Axiromed, Basics, beta, Elpen (+ezet), Fta (+ezeti), Hennig, Micro Labs, Mylan (+ezet), Puren, STADA, vivanta, Zentiva. That’s 18, plus praps variations with bigger or smaller tablet and in combination… roll_eyes. OK, to make things easier it seems macrogol/PEG is in everything, so that’s what I want to avoid, as well as Triethyl citrate, Polysorbate 80 and povidon. But almost everything has at least one, if not two… Only one is in AL (ALIUD), that’s Macrogol (PEG; in Opadry).

Atorvastatin excipients

1A contains polysorbate 80, Croscarmellose and Macrogol 6000
AbZ the same as ratiopharm, in all sizes.
Accord: Norway? polysorbate 80 inside, makrogol 8000 outside.
AL (ALIUD): “Opadry weiß YS-1-1-7040” which contains Macrogol.
Aurobindo: Copovidon, SDS.
Axiromed: Copovidon, Crospovidon, SDS, Macrogol 400
Basics: * Macrogol 8000, polysorbate 80
beta: polysorbate 80 and macrogol.
Elpen and Mylan (+ezet): polysorbate 80 and Povidon K 29-32
Fta Hennig: Like ratiopharm
Micro Labs: polysorbate and opadry with macrogol.
Puren: Copovidon, SDS it says on one page, but here crospovidon (type A), povidon, macrogol 6000.
STADA: Opadry YS-1-7040 and Macrogol 8000
vivanta: polysorbate 80 and opadry
Zentiva: see above

Looking at the main researchers of Sunday’s post vaccinations syndrome study, I see they have a broad expertise in work on “outcomes research and evaluation”, so I can imagine they do it to try to catalyze others to do more work on this. Maybe the pubmed page of the study will include other studies that cite it and praps peer review soon.

Interesting tho on his yale-page “He co-founded HugoHealth, a patient-centric platform to engage people as partners in research and clinical care, facilitate the secure acquisition and movement of digital health data, and promote learning health communities.” “Chooseable” how much of that data we offer to contribute to Big Data (hmm… what if not, e.g. the company is sold…). And on https://hugo.health: “Hugo Health Kindred is an anonymous safe space to access accurate and reliable information. It’s a means for people impacted by COVID to join a network with others who wish to contribute to vital research in partnership with and alongside leading scientists.”

Quality of life: 90%

Lessons in self-care: Not pressuring anything, and I only look in my work mails before midday.

Reasons to be cheerful:
a) Plant/fungus life: Still interesting how some plants are resting or have died, whilst others are budding or growing fresh leaves despite the cold.
b) Bird life: Less, but our main ones present.
c) Animal life: Traces of the bank vole everywhere.
e) Human life: Nice short chats with neighbours and nice advent presents with wife.
f) Environment: Outdoors more and always better for it, starting up using a hot water bottle again.
g) Body: Not brilliant, but satisfactory.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023

2023-12-06 Wednesday

What … worked / went wrong … today:
Recovery?: (:white_check_mark:). Feeling 85-90%-ish (:white_check_mark:). Sleep 95% :white_check_mark:. I keep forgetting to note that despite 6 games I’m now (slowly) picking up the ball again more often, and sometimes, like today, could play 6 games.
Statin med side effects (1x10mg)?: :white_check_mark:.
LDN? (1.5mg): :white_check_mark:. Energy 25-27% :white_check_mark:, walking 50’ (80%/2) :white_check_mark:, TT 4:2 (80%/2) :white_check_mark:, horse stance 1’40’’ :white_check_mark: only a blood pressure, not an energy problem.

(V)LDN: Nov 19th- 1x1.5mg, slowly up from Oct 1st ~0.07mg. Click for details on dosage, effects and symptoms:

(It’s improved mainly energy, heaviness, walking, fine motor skills, stiffness (to 10%), recovery time, Ache, pains :white_check_mark:, but not my paleness or listening ability/sense :x:. No more side effects :white_check_mark:.)
Dosage: Oct 1st ~0.07mg evenings, 8th 14:20 0.125mg, 9th-15th 10:00 0.125mg. 16th -19th 10:00 0.25mg. 20th-31st 0.5mg, 1st- 2x0.5mg, 10th (2+1)x0.5. 16th (1+1), 17th 2x0.5, 19th 1x1.5.
VLDN :+1: for:
=1) Energy up from 10%: for activities :white_check_mark:, walking: up from 5’ , listening: difficult (:x:), TT :ping_pong: fine motor skills and available short term energy :white_check_mark:, stiffness :white_check_mark:, shorter recovery times :white_check_mark:, all constantly :white_check_mark:. But :neutral_face:: still yellow/white face, black eye rims and white lips.
2) Pain: overall Ache :white_check_mark: - except at night cos of shorter sleep breaks, local: lower back :white_check_mark:, less :white_check_mark:, hangover :white_check_mark:.
3) Muscles: eyes = vision (:white_check_mark:) - OK-ish, bladder: pee frequency & urge (:white_check_mark:) - OK-ish.
4) Sleep (taking it in the mornings): feel better in breaks, waking up better, more awake (:white_check_mark:).
5) :-1: Nothing really since Oct 18th :white_check_mark:, except 20th: hangover 3h.
Additives: white capsules with TiO2 (HPMC with SiO2).

CVD med effects?: ATORVASTATIN (10mg+ without coating since Dec 2nd), unwell in morning or not? Not once I got outdoors ✅. CANDESARTAN: 3mg decreases BP enough (with the 12 BP-supps), except !during toughest exercise, 1'40'' horse stance, however quickly down to 130 again immediately after: 14:49 132/79-66 and 146/78-65, 14:48 142/73-75, 14:47 139/69-93, 14:46 !222/123-97, 14:43 126/75-69, repeating with only 40'' horse stance after I'd finished 129/69-62, before 117/75 -56. Thursday night: 0:25 110/73-55, Wednesday night: 7:13 105/68-59, 3:44 97/66-64arrh 0:00 92/74-70. Unwell at night or not? ✅.

Candesartan for blood pressure Oct 24th dreadful. 25th not taken. Re-start with speck 26th. 1-2mg early 27th seemed not particularly good, but might’ve been too little sleep. 28th Worse after less sleep. 29th Better after longer sleep. 30th Worse after 2.5mg (or >2 at least) despite sleeping almost 8h. 31st: Spreading over the day in ~0.5mg specks worked, I think I felt it a little at ~14:00 once tho. 1st: spreading is working again, again felt it a little at ~12:00. 2nd: and again, no effects. After that sometimes nauseous sinus headache in the morning if I take a bit too much, but resolves quick, so trying to keep the specks higher in the daytime. Reached the 4mg/d since Nov 6th, with no more side effects, then 15th upping slowly to 5mg with no side effects around 20th, but checking RR 24th/25th it surprisingly seems 4mg is enough. Nov 13th started atorvastatin for lipids 1mg/d, but every time I increase and even with that I get severe fatigue/Ache effects from. so 24th: stopping 3 days and then trying the middle of the middle without the worst excipients. 27th good, but 28th 1+1 and then 2mg too late caused insomnia, so earlier in the day, 29th earlier and reduced, 30th 1x3mg in the morning OK too, 1st 1x4-5mg in the morning, 2nd 10mg+ still no problem.

1) Since (V)LDN Oct 1st: PEM (✅), "PPA" ("post postural ache") ✅, stiffness ✅. TT 4:2 cos wet (moving 40%, talking 20%, counting 10%) ➔ 80%/3 (✅), moving ➔ 80%/3 (✅), talking 15' ➔ 80%/3 ❌, music 5' ➔ 70%/4 ❌. White lips 80% (❌). Exhaustibility "75%" ✅ and sleep 7h55, up 2x (10'). ✅ ("PPA" now back to 2 ✅), click for details:
EXHAUSTIBILITY. Changed on Aug 23rd: Energy was up to 18-20(-24)% (TT 5:1, workout possible) since June 21st 2023 (and new symptoms better) from new circadian rhythm, but kept going down to 10% (TT 0-2 games) from monthly triggers, see #3 Triggers. Today's ENERGY profile medium, with "4h rest", 0h very slow, 1h slow, 10h medium, 1h quick
SLEEP (click for details): 7h55, up 2x (10'), all deep. ✅, everything else OK ✅, 80%/2, ➔ getting up: 80%/2 ✅.

Sleep 22:40-6:45 back exercises directly before was worse at night, so hanging 0:25 6’
Sum: 1h20+6h45-(10)’ = 8h05-10’ =

2) Watching "monthly" TRIGGERS, esp. of exhaustibility. Excitement (= strain rather than stress) ✅: colleague mailed back, but I managed to keep it off my mind till the morning, when it turned out there was nothing volatile in it. Click for list, incl. Sept summary added Oct 2nd...."

(1) JAB#3 (on Nov 7th 2022) caused MCAS / histamine problems like the first 2 till around July. Esp. ENERGY DOWN further to (10-)15-20% (max.), but more slow energy. Each jab -5%.
Made me stop cryotherapy/acupressure and acupuncture from Dec on!
(2) Jan: TCM recommendations for a few weeks
(3) Feb: ~3% of levothyroxine (T4) pill Feb 24th till Mar 23rd: more energy, but lost appetite and weight and sleep, antihistamine back up to 10mg to curb T4-insomnia & histaminey symptoms (stopped cos causing nauseous sinus headaches & painfully dry mouth).
(4) Mar: inkling of Covid, negative, but cough, appetite, night sweats…
(5) Apr: cancer checking ending with weird onco,
(6) May 20th… 17 stress triggers, till end of May: 8-12%, seizures May-June every 10d.
June 21st: circadian rhythm Better to 18(-24)% a few days, but mostly back down to ~10%:
(7) July 19th-24th: 3 garden bird deaths
(8) July 31st-Aug 6th uro exam and methylene blue trial.
(9) Aug 9th… severe vertigo, checking, back to minimal blood meds.
(-- Summary --) (Sep 12th): Stable for quite a time: Histamine/MCAS symptoms: Nauseous sinus burning headache: 0% :white_check_mark:, tongue burning: 10% day, 20% night :white_check_mark:. Watching “monthly” TRIGGERS (updated Aug 23rd 2023) that have brought up additional symptoms at least once a month and are continually bringing energy down from 20% to 10%.
(10) Sept: BLADDER EXAM, COV-TYPE, WORK, ABDOMEN, MUSIC PAINFUL, HARLEY, WIFE: 4th bladder exam 3 days of ‘screaming’ while peeing, recurred around 18th, UTI and recurred 2x3d, 12th: CoV-type symptoms: fluey Ache, cough (recurred 18th a few days), belly discomfort, feverish, temperature till 16th, up 11x that first night, moving difficult. From before 20th: binge work stress. 21st: feverish, histaminey, 22nd: severe pain in right upper abdomen for a few days. 24th: felt ‘ill’ and realized I couldn’t hear music any more. (27th: New GP OK.). 18th: stopped CVD meds again for the time being. Harley losing tooth, appetite and weight was the main trigger from September on. In Sept. the big work project, and wife’s mood (better in Oct).
(11) Oct: BETTER FROM LDN, WORSE FROM CVD MEDS: 1st VLDN 0.07mg, 9th 0.125mg, 16th 0.25mg. 17th: Complex filling - only 1-2 days recovery. Listening 15’ to very selected music improving. 20th LDN 0.5mg, 23rd: back to candesartan 4mg, atorvatastin 20mg, ezetimibe 10mg, 24th dreadful, 26th re-started with BP specks, increasing to 4mg, with only slight side effects.
Nov: From LDN stable energy 18->22% and stiffness down to 10%. Nov 15th starting to get slightly above 4mg BP without side effects, starting Nov 13th atorvastatin specks dulled, proprioception, fatigue, so stopped again. Nov 28th: taking it too much too late (1+1+2mg) caused insomnia, 29th 1mg OK again. Dec 2nd: music and listening is almost as overstimulating as ever since Sep 24th, sometimes possible for a bit, but finding it strange and too much.

3) DOCS: ONCO: Appt. with onco#2 Jan 8th, lymph nodes, liver and spleen sizes checked next says onco#1. Click for details.

Oct 21st (see 20th) pee frequency better now, drinking ~2.6L/d Nov 8th: URO: IPP/PD self-massage first, maybe shockwave therapy later. (Upon the very painful uro bladder exam Aug 7th followed the vertigo attack on the on 9th - connected?

4) UNDER CONTROL ✅ (attention necessary (✅)) - have had to switch some GABA from night to day. DAO worked for 200mg baked beans Nov 29th, so ordered new:
1) GI, pee, local pains, weather, dry mouth well under control: Details...

except GI: stools loose0% :white_check_mark:, appetite :white_check_mark:, pee pain: 0p1-2 :white_check_mark:, lower back unrest :white_check_mark:. Jaw: 2 new fillings June 23rd were enough, solved for the time being, but keep spaces free. Weather: SUN / WIND :white_check_mark:, dry mouth better with salivating technique(s) (:white_check_mark:).

2) Seizures and esophagus blocks fairly under control - click for details. Last SEIZURES: 1x/m - focal seizures Dec 2nd (1) & 3rd (1), Nov 20th(?) (1,) Nov 13th (1), 5th (only 2x GABA at night!). Oct (26th-)27th (1). Oct 18th/19th (3). Sep 19th? (1). Aug 9th, vertigo day: (2). July 17th (2), Increase to 2-weekly in May-June was stress, histamine, and less GABA, before that monthly. Last ESOPHAGUS BLOCKS: 1-3x/m - Oct 21st. Sep 30th, (25th,) 16th, 11th. Aug 31st, 26th & 8th, July 23rd & 16th, May 31st, Apr 4th.

Last focal seizures: Dec 3rd (1) 13:00 during TT, after feeling a bit seizure-ish, and not able to win: GABA my main suspect, cos of less sleep breaks. Dec 2nd (1) after the dizziness of 15’ of concert or from too little GABA at night. Nov 20th (1) I think it was, after food fell off my spoon into a bowl… Nov 13th 20:30 slight cos of wind noise. 5th very slightly seizure-ish at TT, then 20:50 (cos only 2x GABA at night, not compensated). Oct (26th-)27th 10:00 (seemingly seeing an ex-flat mate), seizure-ish 2x 26th. Oct 18th 17:50 (going on to busy street) & 20:15 (emotional music that could reach me). 19th: 11:00 table tennis. Sep 19th?? Aug 9th: 13:42 & 15:40 (after vertigo). Aug 1st: 4-5x seizure-ish. July 25th: seizure-ish 3-4x. July 17th: 18:30 19:55 after thunderstorm. July 7th seizure-ish 4x. Increase in May-June was stress, histamine, and less GABA: Jun 23rd: 11:30 12:15 14:00 15:06, 2 before, 2 after antihistamine, maybe from the confused night, taking sleep meds too late and more?? Jun 16th 20:05, June 6th 13:45 & 14:35. May 25th 17:40 & 21:00, maybe from higher histamine and not enough GABA lately, May 14th 9:00 and May 13th 20:00 from stress I think, but I have also reduced the night time GABA praps too much. Apr 16th 13:25, Apr 15th 22:00 (GABA too late plus cold type symptoms = histamine), Mar 31st 19:00 (too little GABA, too strenuous meeting), Jan 15th 10:40 (from a pee urge, only 2nd “wave”). Jan 14th 23:58 (no trigger, praps missing out on .6g GABA Friday). Jan 5th (after being scolded for being hyper). Dec 11th: 1x. Nov 21st: 2x.
Last esophagus blocks: 1-3x/m. Generally, mindfulness to be extremely careful and stop eating, spread supps & meal (length up to 2h), whenever there’s the slightest pressure. Oct 21st: sweet potato. Sep 30th: sweet potato. (Sep 25th: Sweet potato went down after 20-25’.) Sep 16th seemed scary. Sep 11th: peach. Aug 31st supp. Aug 26th: supps with buttermilk, Aug 8th: carrot, then chocolate. July 23rd distracted. 16th distracted. (June 6th narrowly avoided.) May 31st carrot, distracted. Apr 4th: Carrot. Mar 26th supps. Mar 23rd: Parsnip. Mar 13th & Feb 26th: muesli after supps. Feb 20th: massager helped. Feb 5th: supps. Jan 19th: massager sometimes. Jan 17th: B supps and back to bed is OK atm. Jan 8th: supps. Jan 5th-7th small. About 5x small blocks from pills around end of 2022. Dec (20th, 15th) 11th (9th,) 1st, Nov 30th 2x, 29th 2x, (28th,) 24th, 22nd, 20th.

SELF-TREATMENT & SUPPS optimal, stable, but necessary - NEW From Nov 19th: LDN 1.5mg mornings. Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Aug 6th: 40 supps, 435€/m +20€/m cps. Last changes see before Aug 22nd.
SELF-PHYSIO: Always OK, see before Aug 22nd what I now always do when needed. Jaw-joint end of Sept. Nov: salivating technique(s) for dry mouth:
Supps Aug 6th: 40 supps (was 42), costs 435€/m (was 470) +20€/m cps. From Nov 4th on: nattokinase 1x0.1g, from 15th 2x0.1g. Oct 16th: Silymarin 2x.5g now, LDN Oct 1st- 0.25mg, 9th- 1.25mg, 16th- 0.25mg, 20th 0.5mg, Nov 1st- (1+1)x0.5mg, 10th- 2x0.5 and 1x0.5mg, 17th- 2x0.5, 19th- 1x1.5mg. Sep 27th: Starting around the 20th I brought ginkgo back up to 3, seems good, so I reckon the eleuthero was a problem. Sep 11th (started around 8th): Stopping eleuthero and reducing ginkgo to 2 is reducing BP. Sep 1st: NADH, passiflora, magnolia and more GABA to daytime. Last changes see before Aug 22nd next: theanine divided up into 2x0.1g, probably not creatine, colostrum or ATP again. For details on the lists, with dosing batches by times and tubs see before Aug 22nd:

‘Research’ today: atorvastatin; blood pressure
Another quick look at the AL (ALIUD) brand of atorvastatin shows the only risky excipient in all sizes from 10mg to 80mg is the opadry with macrogol/PEG. Croscarmellose too, but as I have that in my candesartan I think I might be OK with even more of it.
PVA polyvinyl alcohol seems pretty harmless, this old study said, other pages say it’s been repeatedly tested, and another it can even be used in pregnancy. That was in the Aurobindo brand of atorvastatin.
I keep forgetting, so looked it up: in the winter blood pressure would be increasing, cos the blood vessels constrict, and the stroke and heart attack risk is 5-10% higher. So that means my results at the moment are even more favourable.
That makes me wonder whether I’m sleeping better cos I’m drinking less cos it’s colder?

Quality of life: 90%

Lessons in self-care: Not worrying that energy is down a little bit, just taking note.

Reasons to be cheerful:
a)-d) Plant, fungus, bird & animal life:
a) Wonderful how many trees are budding already, the magnolia, the hazel has got 5 small catkins, the big cherry and of course the cornel cherry which is gonna be blossoming in a month. (Disappointed to see one part of the clematis in the cornel cherry has been cut off, possibly by me before I knew what it was. - But good to see the other part blossomed between cherry and cornel cherry and I hope the other part will grow again)
ba) Our new male Blackbird is pretty tame at the moment, I could stand, look and take pics (despite clicking), whilst the female is shy.
ca) Harley cheerily running around in the evening as if there were no tomorrow, and doing his best to eat.
cb) Harley often grinding his teeth with appetite when I get him to feed him.
cc) Black squirrel jumping around in next door’s garden.
e) Human life: Table tennis laughter.
f) Environment: 5°C now seems really “mild” and is allowing me to be outside for a long time.

Development: Look before Aug 22nd for more details. Click for links to "biggest successes" (after June 18th 2023), "summary" (on June 14th 2023), jab side effects, foods, blog references, e.g. abbreviations, & guideline for symptom tracking & trigger hunting

Entry changes (after June 19th 2023)
Biggest successes (after June 18th 2023)
Summary of fibro 2020-2021, jabs 2022 and first half of 2023