Thursday, February 9, 2012

Drugs

Left- Chapstick for comparison. Middle- Calcium/Vitamin D. Right- Metaformin(don't forget, the goal is to get to four of these a day!) If this is what it takes to get pregnant... Bring it on.

Left- Morning multi-vitamin. Middle- Calcium/Vitamin D. 2nd Middle- Metaformin. Right- Synthroid.
Had an awesome visit with the endocrinologist today. Love her more every time I see her. She printed me out a copy of that massive blood work I just had done and actually went over it with me step by step. I almost fainted right there in the office. THIS is the difference between CRNP and MD. She took the time to answer questions I had about certain levels and explain where they should be etc. It was wonderful. She also gave me a packet with some awesome diet changes as well as a link to her blog. I know! A medical professional with a blog. I can't wait to read it. She said the whole month of January is about insulin resistance.
Basic jist of the blood work. Testosterone was high, should be between 2-45 and I am at 54. So not a huge jump out of the norm, but does confirm the PCOS diagnosis.
Vitamin D was low, I knew it would be I am TERRIBLE about taking vitamins. I can't take a multi-vitamin, or anything with iron, at the same time as my Synthroid which I take in the evening. Which means I have to take multi-vitamins in the morning, which just about never happens.
My thyroid levels were higher then she wanted them also, currently at 2.68 and she would prefer it around 1. Which means my Synthroid got bumped up and she will re-check it in a few weeks when I go to see her again. Hoping that helps with the energy level. Seem to notice I feel like sleeping a lot more lately, originally was concerned I was getting depressed. Hopefully the bump up will help with that.
So, what does all this mean... DRUGS! Since provera and clomid did not really work I am starting Metaformin. It is a drug used to treat insulin resistance which is the primary cause of PCOS. Finally, a doctor who is ready to treat the cause not just the symptoms! It is primarily used for people with type two diabetes, which I do not have, but have a similar kind of insulin resistance. That and diet change have upwards of 85% success rate in regulating menstruation in PCOS patients. Only catch is that it is hard on the stomach and some people cannot handle the side effects from it, mainly nausea and diarrhea. What fun I have in store for me. She started me on one 500 mg pill a day, taking with the largest meal of the day. After a week if I am still feeling ok I bump up to two pills. Increasing each one pill each week. The end goal is to get to four a day. That is where the highest success rates are, improvements can be seen on the lower doses just not as likely. So, for now, canceling the appointment with the fertility specialist and going to give this a few months. It is nice to know there is another option for me! That's the general update for the day, posted a few pictures so you can enjoy my new drug regimen!

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