Life Coaching

My Journey Through The World of Functional Medicine Pt 2

Today we venture into part deux of my journey to restoring good health. Since I last updated you, I’ve received the results of two things:

  1. the blood work that my medical doctor requested to investigate my level of fatigue i.e. I have had significant anemia in the past and he queried my thyroid function.  
  2. the results of my fecal test – my urinalysis results should be back next week.

I met with Dr. Binning earlier this week and I’ll update you on that in a moment.  

First, what I want to acknowledge first and foremost is that I genuinely believe that medical doctors all enter the profession with good intentions (to help people) and end up battling a system that doesn’t set them up for success. It’s not their fault that the system only allows for 11 minute appointments or that they only get paid for one concern so they only want to treat one concern per visit – which prevents a wholistic medicine approach.  1 issue per appointment isn’t conducive to treating someones HEALTH (in my humble, non medical opinion).  

I’m not against conventional forms of medicine – at all – I feel that there are things we absolutely need medical doctors – like acute/trauma care – that naturopathic or functional medicine cannot begin to address.  In this instance I’m addressing my non-acute, non trauma CHRONIC conditions.  

Ok, so now that I’ve addressed that, let’s delve into the results of my stool test shall we?   It feels rather personal sharing these results with you – and in doing so what I accomplishing is sharing not only the results – but also the information – because what I learned from these results essentially presents us with an opportunity – when we have information that we didn’t have previously we can create change – everything that I learn here is actually a positive (even if the results aren’t great) because that’s an opportunity for better health.

Results Of GI-MAP DNA Stool Analysis

Pathogens = none (yay!)

8 virulence factors for H Pylori = none (yay!)

Bacterial Flora:

IMG_4046

Most are low, one is high – indicating dysbiosis = so, there’s an imbalance in my gut.  So we want to look at can be driving that imbalance – which could be as simple as poor dietary diversity (vegetable fibre – which is odd because until last week I was vegetarian) or not enough or something can be suppressing the growth of healthy bacteria – these bugs all all live off these fibres and if they’re not getting them they can’t grow.  

Overview: insufficient levels of good bacteria and poor mucosal health – these bacteria are all there to protect us, they all serve a purpose, so important that these levels are improved — all of this leads to a healthy gut and healthy immune system.  My AKK MUCI (abbr) is just above the acceptable range.  Phyla Microbiota essentially again saying “Hello! Not bacterial enough growth!”  Is something suppressing that growth?  Is another bug coming in and screwing everything up and taking all the resources or are there really no resources to begin with?

Opportunistic Bacteria: 

IMG_4047

Streptococcus – remember that HUGE rash on my face that my MD diagnosed as peri-oral dermatitis and gave me an antibacterial cream and antibiotics for?  If you missed it – you can check out part 1 of this series here.  This makes a lot of sense!  This is something generally on skin and mouth – if there’s an overgrowth we need to start balancing this out.  

** I’ve left out some of the other results – which are within the normal range **

Intestinal Health:

These levels are look normal – and nothing can be further from the truth.  That’s where the benefit of knowing your patient inside and out, and basing it solely on them and not a “range” comes into play.  This I find interesting.

By way of background until last week, I ate a 95% vegetarian diet. So my steatocrit is at a 7 – the limit <15% – if someone is eating a lower fat diet – that number is high then – why would this be so elevated?  If they're on a high fat diet that number might be ok – ideally we don't want to see a number here – we want it as close to 0 as possible.  So what this is saying is that fat is leaking out of my digestive system, I'm not absorbing it and it's showing up in my stool.  

Screen Shot 2019-12-14 at 11.15.27 AM

Elastase-1 – is at 261 – results show “normal” however it should be in the 400-500 range – even higher.  What this is telling us is that my pancreas isn’t making the things it should and releasing them well (insulin and digestive enzymes).  

B-gluconatodase level is at a 2042 – which indicates normal here – and this can’t be further from the truth.  When your body is exposed to toxins, even the waste of the bacteria that live within you or event the waste of the byproducts of my own metabolism (of every cell) creates waste – my body has to detoxify these things through the liver – not going to lie here – I need to revisit that Dr. Binning sent me on this — something about binding, neutralizing and that that enzyme cutting those two things from each other and frees that toxin to go back into circulation and cause more havoc.  We’ll talk more about this at my follow up appt once I get the results back from my urine test. 

Secretory IgA – 90% of your immune system exists in your gut — this # should ideally be at around 1000 – not high enough – the decrease in this number can be caused by chronic infections or chronic stress – they will just deplete this.  The anti-gliadine is at 55 showing some insensitivity to gluten.  
Screen Shot 2019-12-14 at 12.03.04 PM
Zonulin – marker for leaky gut — so I’m pretty close at 99.1 – definitely don’t want this number going up and higher that’s for sure!  
So, that’s a really great first step with Dr. Binning – I’m super happy about getting these results – because now I know where we can move forward in the betterment of my health.  We have an appt scheduled for December 27, 2019 to go over my urine results and then we can overlap all of the results to come up with a treatment plan that’ll be aimed at getting me back to good health and function.

Results Of Anemia and Thyroid Testing

My interim GP had requested blood work at my request last month as I had asked him to refer me because I was dragging my butt.  I have those results and my Hemoglobin and Hematocrit levels are low and my ferritin is at a 5 (which his the low end of normal reference range (5-272 — how is that even a realistic range??). My Thyroxine Free is at a 10 – and the “normal” reference range is from 9-19 – which again is at the low end of norm.  
Screen Shot 2019-12-14 at 11.29.27 AM
I have an follow up appointment scheduled with my interim GP to go over the results – he’ll likely recommend that I recommence iron tabs.  As an aside, have you ever taken iron pills?  When I was severely anemic a couple of years ago, I had to take 4 at a time and it wreaks havoc on your GI tract, if you know what I mean 😉  

As an aside, I had a brief conversation with a medical doctor I know, last week about these results, and his response was “you’re barely anemic!”.  This is what frustrates me about the medical profession at times.  That statement hit me in the gut.  I’m barely anemic?  That may well be based on these results – however, why am I dragging my arse?  Why can I hardly function?  Why can I hardly make it though a day without napping?  I know my body, I know what normal for me, I know how I’m feeling and I know where I’m struggling – I wish MDs would put more emphasis on their patients words (I know this is not true of all MDs, I’m just pointing out that this is a common theme I hear regularly throughout the course of my job as a disability claims specialist).  

Conclusion

I won’t be commencing anything until I get my final results back from Dr. Binning and together we come up with an appropriate plan.  My body is clearly deficient of other nutrients so I want to balance out my who body and gut biome.
All of these tests are starting to come together to give me a clearer picture of what’s going on in my body and why I’m feeling how I am.  
I can already start noticing little changes in how I feel just by eliminating gluten and dairy and reintroducing meat to my diet (organic).  Some days I don’t have the need to nap (although it is a bit of a struggle still). 

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