Section
I
Introduction
(Major changes 12/6/2004
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(Modified 9/25/2004
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(Rewrite 9/14/2004 ) |
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About This Site
I have suffered from varying degrees of chronic fatigue for
almost nine years. I've maintained this site for six. The purpose of
this site has been to bring together different things that I've found along the
way. This site listed different things that helped the condition,
but nothing that might completely cure someone.
Recently, I found
some things that has helped me a great
deal and in the next few months I hope they will help even more. I have completely rearranged the site to reflect this new reality.
There is now a
section for primary causes of chronic fatigue such as sleep apnea, low vitamin
D, and hyperparathyroidism. Vitamin D is controversial. Sleep apnea
and hyperparathyroidism are recognize by mainstream doctors but often
overlooked.
Sleep
Apnea
I was recently
diagnosed with severe sleep apnea. I have written a page on this.
This is a condition which is receiving more attention all the time from
mainstream doctors. Major research is being conducted at Stanford and
other well-known institutions throughout the country.
I am a strong
believer that ALL chronic fatigue patients should be tested for this
condition. Loud snoring is a major symptom, but it is not always present.
Vitamin
D
What has
helped me is plain old vitamin D and magnesium. This has cured my very
painful sciatica
and greatly improved my prostate, brain-fog and other problems. I had a
recent dental appointment and my doctor could not believe how much my gum
disease has improved.
There are other
symptoms such as mucous in the stools that have not improved.
There are some
important warnings and pitfalls. (You should avoid the most common type of
vitamin D supplement.) So please read my vitamin D pages, the paper by Dr.
Vieth and the paper on vitamin D and multiple sclerosis before
taking it.
As always, there
is nothing for sale on this site. I am paying for it out of my own pocket.
Warning
On Dose
You should NEVER give more than 1,000 units of vitamin D to an infant or more
than 2,000 units to a child.
The government
limit for adults is 2,000 units per day. Dr. Reinhold Vieth has written a
paper published
in the American Journal of Clinical Nutrition arguing that up to 10,000
units is safe for adults, but this is controversial. Excess vitamin D can
cause dangerous levels of calcium in the blood. To be safe, I urge adults that decide
to exceed the government limit of 2,000 units to have their blood calcium levels
tested by a doctor periodically. If possible you should have also have
your vitamin D blood levels tested, but this test is not always available.
Symptoms of
vitamin D toxicity include nausea and vomiting. See the Merck
Manual for more information. If this occurs, discontinue taking
vitamin D immediately. If it continues, see a doctor right away.
Once vitamin D levels
rise, they can take weeks or even months to come back down.
If you feel that it is making you worse, keep this in mind. I have found
that the amount of time it takes to come back down is approximately equal to the
amount of time that I was taking it in the first place.
Recent
Events
Wow! I
recently posted a few messages to some web-sites about vitamin D and you would
have thought that I'd advised people to take strychnine with an arsenic chaser!
I have even been told that vitamin D is so dangerous I should take down my
pages.
I understand some
of this skepticism. Skepticism is a healthy thing. Many claims for
therapies that cure CFS have turned out to be wrong or outright frauds.
Vitamin D does have some risks that I will address.
All I can tell you
is that I am not cured, but I have seen significant improvement from using
vitamin D. I have carefully spelled out what has and what has not
improved.
It has helped me,
but that doesn't mean it will help others. The cause of your chronic
fatigue may be different than mine.
If getting better were easy and
risk-free, everyone would do it! Read on and you will see that this has
been hard!
Each time I have raised the dose I have felt feverish.
This has lasted from two to eight day, but this eventually subsided and I felt better than before.
Let me caution you
that I am the only person I know of that has done what I have done. I do
not know if it will work for anyone else.
I do urge people
to read this introduction and both of my vitamin D pages to make an informed
choice. I also urge everyone to read the paper on vitamin D safety by Dr.
Reinhold Vieth published in the American Journal of Clinical Nutrition for a
realistic overview of the risks. There is also a paper on Multiple
Sclerosis and vitamin D that should be read. It contains fascinating
information on the benefits of vitamin D.
Let me emphasize
that I can only speak from my own experience. If you have read about my
experience and read the papers by Dr. Vieth and the paper on the MS site, you know
what I know. I am not a medical professional of any kind. I am a CFS
sufferer trying to get well, but I believe I have found something that does
help. I have made some changes to my site to make sure there are no
misunderstandings.
Why
Did I Decide to Take the Risk?
If there are
risks, why did I decide to take them?
Over the years I
have found things that helped my chronic fatigue such as diet and addressing a
severe dust mite allergy. These made me better but in the years since then
I had been slowly getting worse again.
Both my
grandfather and his brother died before I was born. Several years before
they died, they came down with what we would today call chronic fatigue.
They both died at age 50. I am 47 years old and I felt that there was a
good chance I was on the same path.
I accidentally
discovered that sunlight seemed to help me. I knew that I had started to
go downhill when I started to work in office buildings. Before that I had
worked at home next to a large picture window that faced south. When I
learned about vitamin D, it made sense to me that a lack of sunlight and vitamin
D might be what was causing my health problems.
I realized that
the risk of not trying this was greater than the risk of doing it.
Where
does Vitamin D Come From?
Vitamin D is
created when ultraviolet light from the sun strikes the skin. UV light is
usually only present at mid-day. Just a small change in your schedule
could result in a large reduction in vitamin D. The only food that
naturally contains significant vitamin D is fish liver.
Our stone-age ancestors were
hunter/gatherers or farmers and spent most of their time in the sun without a
lot of clothes!
Today, we get very little sun and use sun-block when we do. Our ancestors
got ten times the amount of vitamin D we do today.
Could
Vitamin D be one of the Root Causes of Chronic Fatigue?
Chronic fatigue
usually starts in one of three ways. It can start with a sudden
illness. This is the case of Seabiscuit author Laura
Hillenbrand. In other cases, people slowly go down hill over a period
of many months.
In yet other
cases, it can be a combination of a gradual and sudden onset. This is what
happened to me. I had been slowly going downhill for nine months. I
was then given tetracycline for an eye problem and suddenly became much
worse. The tetracycline had caused an infection in my intestinal
tract. Since tetracycline can kill "good" bacteria in the
intestinal tract, it can actually leave the patient vulnerable to infections by
other bacteria. I believe I had been going downhill, but this infection
greatly sped up the process.
A slow increase in
fatigue can be explained by a lack of vitamin D. Vitamin D has a half-life of about two
months in the system. If a person starts getting less sunlight, the amount of
vitamin D in their body will slowly decline over a period of months leaving.
This could leave them
vulnerable to infections.
CFS
- A Combination of Causes
There are also many secondary causes.
In Section II of my site, you
will find pages discussing how food allergies, dust mite allergies and
infections like Candida Albicans and helicobacter pylori can contribute to
fatigue. Lack of vitamin D can greatly weaken the immune system which can
leave you vulnerable to infections and allergies that cause even more fatigue.
To understand why
a weakened immune system can cause allergies, you have to understand
what an allergy is. An allergy is when the immune system attacks something
it should ignore. The immune system should ignore pollen, but
instead it attacks it. Have you ever noticed how difficult it is to tell
the difference between a cold and an allergy? When you get a cold, a virus
invades the throat and sinuses. The body then tries to make these places
less hospitable to the virus by flushing out the area with mucous. When
you have a pollen allergy, pollen gets into these areas. The immune system
should leave it alone, but because it is weakened and not functioning properly
it attacks the pollen the same way it attacks a virus.
Allergies and
infections can both contribute to fatigue, but these are not the root cause of
chronic fatigue. They are caused by an already weakened immune system.
Irritable
bowel, fibromyalgia, and other problems
Most of the people I have communicated with who have chronic
fatigue also have gastrointestinal problems, especially gas and bloating, though
some have constipation or diarrhea.
Most have back and neck problems. Some, but not all have fibromyalgia, a
very painful condition affecting the muscles of the back. Many have acid
reflux disease.
How can these conditions all be related?
Most doctors are baffled by the connection. The answer I
believe is actually rather simple. Chronic fatigue not only causes fatigue
among the voluntary muscles, but in the many muscles of the back and the
dozens of muscles connected to the stomach, intestines and colon.
Fatigue in
the back muscles cause back and neck problems.
Dr. Paul St. Amand
believes that fibromyalgia is caused by a problem with phosphate levels.
Low vitamin D can affect phosphate levels in a major way. I will explain
on my vitamin D page.
Fatigue in
the muscles connected to the gastrointestinal tract can cause infections,
and digestion problems. These muscles push the food through the
intestines. If they become fatigued, the food is not pushed through
as quickly and it can literally spoil in the intestines. This can
cause symptoms of Candida, a condition I will discuss later.
Keep a Journal of Your Symptoms
I keep a document of my symptoms on my PC. I write down
my vitamin D doses, foods that I
eat, and when I try something new I record it. I really believe this is critical.
Sometimes an improvement will take a week and will be subtle. It may seem
like there has been no improvement at all, but looking back a week in the journal will
make it clear.
When you get up in the morning, write down how you feel. Was it hard
or easy to get out of bed? Do you feel foggy? Does your back hurt? Do
you have sinus pressure? Or do you feel really good. As the day goes on and these things change, write it
down or better still, enter it into a word processing document.
There were times
when I was feeling worse, especially after raising the vitamin D dose and
feeling like I would never get better again. Then I looked at my journal
and started seeing a pattern. The day I raised the dose or the day after I
often felt tired and feverish, but the day after that I would often feel good. That really lifted my spirits and
helped me get through it.
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