Tuesday 26 April 2011

Body hacking! (or, more about my tits)

Sorry it's been awhile. This winter, within the space of five months, I got married, defended my PhD thesis, and got a job in the midwest (which starts in the Fall). So it's been a pretty big year.

But now onto the fun stuff. Recently, I've continued my project with body hacking - this time, the attempt was to rid myself of the dreaded PMS.

You may remember my rant about xenoestrogens in the environment and what they might be doing to women's bodies. Well, since then, I've gotten rid of most of the plastics in my food prep/store arsenal, and I eat fewer things out of cans or plastic containers. Canned tomatoes are right out.

Why the paranoia? Because PMS. For me, "PMS" manifested as the (fairly typical) mood swings, fatigue, allergies, and bloating - and swollen, tender breasts. But this was not run-of-the-mill breast tenderness; this was "ohmigod it hurts to walk down the stairs because they're moving" and "wtf none of my bras fit me anymore because they're swollen." This was half the month spent in pain and shame.

I've lived with this since the end of 2006.

I went to the doctor for it - four times. The first time, my doctor prescribed Yaz (a birth-control pill). It made me suicidal (like, I'm Winona in Beetlejuice suicidal) for the whole week I was on it. The second time, my doctor gave me a pamphlet about PMS and told me to avoid alcohol and caffeine (because they make one retain water, and people assume that swollen tissues in the body must be due to water retention). Fair enough, but giving up alcohol and caffeine didn't work. The third time (which was this January), the doctor (who has been my functional GP for three years) tested my thyroid and told me to see a "women's doctor." The fourth time (seeing the women's doctor, the same one I saw the first time), my doctor wanted to put me back on my antidepressants and get a Mirena IUD, and she recommended that I seek counseling.

This all made me feel really angry, and disempowered, and hurt, and belittled. The various tests I had gotten showed that something was clearly wrong with my body - my thyroid hormones, though within normal range, were in the lower third of normal. My testosterone, which I demanded be tested at the fourth appointment, came back "a touch high" (my other gripe with this doctor is that she never tells me the actual results of my tests - including a high cholesterol reading in 2008 which she told me was "fine," but then said that I should "stop eating fried foods and meat" - which is extra funny because I've been vegetarian for 15 years. I found out later that my LDL had read 170, which is crazy high for someone my age and health). This fourth doctor also simply refused to test my estrogen and progesterone levels, even though I asked her.

Anyway. I considered the Mirena IUD, because the doctor told me that I would "stop ovulating," and therefore the monthly hormonal fluctuations would stop. But then I read a paper (Barbosa et al. (1990) "Ovarian function during use of a levonorgestrel-releasing IUD." Contraception 42.51) that showed that, although the various hormone levels of women with a hormonal IUD were lower than those in the control group, the levels were still high enough for ovulation to occur (read: you could still suffer the PMS). I did not bother arguing with doctor #4 about this point. The Mirena is also not covered by my insurance, and would cost about $500 to put in. I also have no need for a new birth control method. In short, it would have been a lot of money for something that may or may not have fixed my PMS, but would have introduced an artificial hormone into the area of my reproductive organs (a progestin, which is not biologically identical to progesterone but is meant to act similarly in the body. Don't get me started on non-biologically-identical hormones.)

Experiment #1: Left back at square one, I tried doc #2's suggestion (found in the handy "you and PMS" pamphlet). I gave up caffeine and alcohol, got regular cardiovascular exercise (despite my running allergy), ate protein at every meal, and took a ton of supplements (which have worked for me in the past and were recommended in Esther Blum's Eat, Drink, and Be Gorgeous: evening primrose oil, Omega 3s, DIM, Vitex, B vitamins, milk thistle, Alpha-Lipoic acid, calcium, and magnesium. It should be noted that Esther Blum also recommends going caffeine-free for PMS and associated breast issues).

Did that work? A bit - the girls were in less pain than they had been in previous months, though the swelling didn't go down at all. This got me through to mid-March, and boy was I miserable - no coffee, no alcohol, tons of pills every day, and running to boot (if I skipped a day of running, my running allergy also came back). AND my tits still hurt. So I started reading again, suspecting that my hormones were still out of whack.

Experiment #2, which I started March 13, was to go dairy-free. I kept eggs at first (though I've already lost my taste for them), but no yogurt, butter, milk, cheese, or anything derived from milk. The reasoning behind this experiment is that dairy products contain mammalian estrogens, which act like estrogens in the human body. I hypothesized that my body was getting too much estrogen from the dairy I was eating (and, to be clear, I was not eating a lot of dairy before this experiment, and almost all of it was organic - I will cite more about dairy and estrogens in a later post). Just to keep it scientific, I added back in caffeine and alcohol, and cut down my supplement intake to evening primrose oil, Omega 3s, a liver support (B vitamins, milk thistle, and alpha-lipoic acid), and Vitex and DIM between ovulation and bleeding (though I'm rethinking this and considering taking the Vitex throughout the cycle and the DIM only in the first half). Heck, I even mostly stopped running.

And guess what? IT WORKED! Since March 13th, I have been pain-free (through one complete menstrual cycle). All my bras fit. And I noticed significantly less bloating and fatigue in the days before bleeding.

So it's a win. Bodily, I don't feel 100% (sugar or gluten will be my next opponent/experiment), and I could still stand to lose some weight (so I might start running again), but holy damn leaving the breast pain behind is a revelation.

Alors, bienvenue, a (once again) vegan lady!