Time for another update.
Tried to balance things myself for a couple more weeks after the last post. I had the results of a new allergy test come back and I had developed an IgE allergy to chicken egg yolk and albumin which was not surprising with that being all I ate for months and regular pain in my stomach. I switched it up the next day and trialed some roast lamb but went way too aggressive (at least a pound and a half) and my body freaked out. I think I had been pushing a histamine overload or maybe my adrenals were worked up but ended up going to the hospital. Spent 6 hours in the emergency department including one episode of nearly passing out, another of full body dumping of sweat, and lots of ups & downs in vitals. They kept me a couple days in observation as my chest hurt during the whole ordeal. The only thing they found wrong other than elevated cholesterol was low sodium and set me up on a a total of 4 IV bags of saline to get me to normal levels.
After getting out of the hospital I went through hell dealing with at least mild re-feeding syndrome. The months of eating eggs, and my body's slowly increasing inflammation to them, meant I'd been on starvation rations for a very long time. The most eggs I ate in one day was 24 so 1,680 calories at most and many days were lower. I spent close to a week feeling like smashed ass struggling to keep my b vitamins, especially thiamine, up while getting food into me. I'm on a rotation diet right now as I have no safe foods (beef is a low level allergen at the moment). Cycling different fishes along with some fruits and some veggies. Trying to eat low histamine and low-mid oxalate as both are bothering me right now. Based on my reaction to coconut right now there's probably a salicylate intolerance as well.
I've been hitting my caloric needs, or exceeding them, for over a week. I was down to 162 pounds at the lowest. Today the scale read 180.4. My functional medicine doctor has me on an elemental liquid diet for breakfast. This is a powder based drink with reduced aminos for proteins. You mix with water and an oil and sip it slow. It absorbs into the stomach and upper intestines giving the lower intestines time to reduce inflammation (like intermittent fasting without the fasting). I'm having wild frozen supermarket fish for lunch with any number of fruits or veggies (apples, Bartlett pears, squash, arugula, watercress, etc.). Dinner has been salmon from Vital Choice which is frozen within 30 minutes of catch so as low histamine as possible. The is eaten with more fruits or veggies, usually the same as what was eaten for lunch. I'm supplementing with lots of fats from oils (flax seed mostly, some pumpkin seed, also have MCT to trial). I also have been eating a ton of sunflower seed butter which I think I'm craving for the biotin (B7) which is probably low. I'm pushing to start getting more raw foods into things beyond fruits and veggies but I need to do that with red meats. Freshwater fish have thiaminase in them which deactivates thiamine. Some saltwater fish does as well but I'm less worried about that. I have been cooking the swordfish I'm eating at lunch time less and less.
So, time for some conjecture on what happened particularly since my symptoms recently in the hospital were fairly similar.
I believe I have underlying issues with oxalates. I can tenuously stretch this all the way back to when I was a baby and had a horrific reaction to Amoxicillin. There are limited oxalate degrading bacteria in the human body and most prominent is Oxalabacter Formigenes. This bacteria is easily wiped out with antibiotics and so far they have not been able to provide a pill to rebuild it. I've read it's soil based so I suppose you could rebuild a colony eating the right soil but that's kind of iffy.
When the body is unable to degrade oxalates in the intestines and doesn't immediately bind them with calcium to excrete in the stool a portion of them will be absorbed into the body. With a healthy intestine this will be a modest amount. With a leaky gut the amount increases significantly. These oxalates wreak havoc in the body. They bind with the body's minerals like calcium and magnesium, the crystals can lodge all over the body (frequently they present as kidney stones and pseudo gout). They're a poison and the body tries to deal with them.
I spent a lot of my teenage years and early twenties dealing with extensive inflammation, brain fog, bad stomach, and other issues. At the time I attributed all of these issues to candida which may have been part of the puzzle but definitely wasn't all of it. I think I was loaded up with oxalates. I also think, based on how I'm navigating good versus bad carbs now, that there's some degree of fructose malabsorption at play as well.
Going zero carb raw paleo made me feel fantastic. I had already spent the past couple years moving further and further into a carnivore diet so the "dumping" I would experience from not having oxalates would be minimal. I did deal with some adaptation issues but these were mostly from the increase in fat of the diet and getting my gallbladder used to making enough bile. I'm sure I went through cycles dumping out oxalates that were left over but nothing super brutal.
For at least the last 5 years I've been pushing myself very hard for work. At first this was easy but the longer I did it the more tired I would be and the more coffee I drank to make up for it. I also found myself craving the fast calories of carbs and would indulge that more and more frequently. Often times they were "healthy" choices like almonds but all of these things were bad choices for my body.
Coffee runs down the body's store of thiamine as does stress and a bunch of other things. A thiamine deficiency can present as "wet" or "dry" beriberi and is surprisingly more common that you would expect. Wet beriberi's signature initial symptom is edema in the shins. Over time edema will present through the feet and lower extremities and eventually it leads to congestive heart failure. Most people would never get this far as another process it's involved in is the conversion of glucose from dietary carbs into ATP for cellular energy. A process which I had little dependency on seeing as so much of my energy was coming from ketones.
To my best guess I was flirting with thiamine deficiency for a couple years. The mold we had in our house was a constant stressor on my system so I wasn't going to easily rebuild thiamine stores. The coffee, the carb binges, the push to work as hard as I was, and the lack of sleep all contributed to a perfect storm. The weekend before I got sick I had fasted for 24 hours then gone to the supermarket and picked up a ton of vegetables. I figured that the "gout" in my feet was never going to get better if I was still eating my beef and I needed to find another solution. I believe that last binge ran down the limited thiamine stores I had and the initial issues I had in the office that Monday were a crazy blood sugar episode. I also believe with the limited thiamine and how hard I pushed myself I was dealing with re-feeding syndrome and didn't know it. I struggled for a week to right myself with wild swings in how I felt. Without supplementing thiamine I was going through periods where I couldn't breathe at all. I was probably dealing with minor congestive heart failure and none of the doctors really considered it. I did eventually find eggs were a better choice (low carb load) and found my footing for a while. Without digging deeper though this was set to fail as well which it eventually did.
So, I'm alive. I've putting weight back on. I'm following an intensive protocol from my functional medicine doctor (who is absolutely awesome). I'm taking a ton of supplements every day which doesn't thrill me but is helping me regain my health. I'm also on a couple psych meds to help with the anxiety (Klonopin and titrating up Zoloft) which thrill me even less and I plan to titrate back down as soon as I'm able to prove to myself and everyone else I'm good. My autonomic system, vagus nerve, and limbic system are all jacked up but I'm making progress getting them all back under control. Still sensitive to chemicals but that's getting better. And hoping to move back into my remediated and somewhat rebuilt home over the next month or two. Fucking 2020.
This whole ordeal is reforging who I am as a person. Coming out of it I'm going to invest the time and energy to get some form of certification in health coach, food & nutrition, or something else I can help others. If I can help other people avoid the bullshit I've been going through I'd like to do so. I'm also working to get to the root causes of my issues with food so I don't have to worry about my health in the future. I will find some carbs which work well for me and eat a balanced raw paleo diet. The raw paleo aspect is still absolutely the right way to go we just need to make the right choices.
TD: I will bet you money the issues which have come up for you in the past with going raw zero carb are the result of cutting out oxalates in your diet leading to dumping. There's a couple week "honeymoon" phase and then all sorts of unpleasant issues can start up. Everyone handles it differently. Part of the hell I went through the last 7 months was a result of having been increasing my oxalates for the couple years prior then going cold turkey on the eggs.
GS: Pork is one of the highest sources of thiamine there is. Your instinctive craving for pork to heal certain issues may be driven by this. It's powerful medicine.
It's good to be back. I'm physically at 80%. My diet is maybe 40% raw and rising. I hope by Christmas to be a new man.