I found a new general practitioner recommended to me by a coworker. She is nothing short of amazing. She completely trusts my word! She's actually a Nurse Practitioner and goes to bat for me like no one else ever has as a GP. I finally kicked Dr. HolierThanThou (who knew next to nothing about most of my issues) to the curb and went to see the NP about my worsening joint pain and suddenly rising triglycerides along with my ever crappy cholesterol issues. My triglycerides had come down from that 500 reading after going on Metformin, but they've still hovered in the 200's most of the time.
The run-down:
She ran a lot of tests. The basic finding is that my lipid bloodwork heavily suggests metabolic syndrome, aka insulin resistance. Big surprise there. We all know that having PCOS is a very strong indicator that IR might be going on. The suggestion there is that my HDL should be higher than usually suggested and that my LDL lower. Of course this is never even close to being the case no matter what I do. They also found that my LDL size pattern itself is even crappy and indicative of a genetically passed on heart disease. The best pattern to have is A; the large buoyant, "fluffy" kind that doesn't gunk up your arteries as much. Next most desirable is a combo of A/B. Least desirable is mostly B; the small, dense kind that clogs you up. Can you guess where I fall? Yeah. Firmly in the B category. Even my HDL breakdown isn't where they'd like to see it. Sigh.
And on the joint pain - no indicators of rheumatoid arthritis, but she strongly suspects some sort of arthritic changes going on in my body and would like to do x-rays at some point to possibly even start me on therapy to strengthen muscles around the joints so I can stay pain free (ish) longer.
She thinks the crashes I've been having after running have to do with insulin issues. She gave me ideas for making that easier.
She heavily suggested fenofibrate. My cholesterol has been wacky since I've had it monitored from age 23. Triglycerides have been going on 2 years. Nothing I've done has put me firmly in the "good" category. She and I are afraid I'm heading down my familial path: heart attack for Dad at 48. Marathon running uncle with triglycerides in the 1000's. Grandfather with a heart attack. Grandma with 10 brothers and sisters and of the 11, only 2 lived past 65. Almost all died of massive heart attacks.. most of them after having multiple ones before and/or bypass surgery. Grandma herself started having them in her late 40's, and I think had 6 total? She died of one in our living room at age 60.
People have mocked me for worrying about this. "You're only 25! You're only 30! You're only 35!" "You're so active! You're thin! You eat so well!" Well you know what? Heart disease doesn't give a shit just like cancer and infertility don't give a shit. I've seen a deadly massive heart attack. It's not pretty. It's not a going gently into that good night. I don't want to experience a heart attack ever let alone a massive one. I want to be around for possible grandchildren. I want to get gray to match Hub (dig.. he's gray, I'm not. ;-)
I'm going on the fenofibrate and continuing to eat things like quinoa, bean sprouts, salmon and avocado regularly. I will redouble my efforts to exercise and build lean muscle. I haven't been the best about muscle building since my job has done a lot of it for me, but now I need to. I suspect my blog will continue to chronicle these efforts. It's been slowly changing since I've had E, but I think I need to make a more official change from infertility blog to lifestyle blog about someone dealing with the fallout of PCOS, thyroid disease, insulin resistance and heart issues. Please wish me lots of luck. And any of you taking fenofibrate or dealing with this same stuff, pipe up and let me know how it's going. We all know how much better not being the only one feels. I can't be the only 35 year old in this spot right?
The run-down:
She ran a lot of tests. The basic finding is that my lipid bloodwork heavily suggests metabolic syndrome, aka insulin resistance. Big surprise there. We all know that having PCOS is a very strong indicator that IR might be going on. The suggestion there is that my HDL should be higher than usually suggested and that my LDL lower. Of course this is never even close to being the case no matter what I do. They also found that my LDL size pattern itself is even crappy and indicative of a genetically passed on heart disease. The best pattern to have is A; the large buoyant, "fluffy" kind that doesn't gunk up your arteries as much. Next most desirable is a combo of A/B. Least desirable is mostly B; the small, dense kind that clogs you up. Can you guess where I fall? Yeah. Firmly in the B category. Even my HDL breakdown isn't where they'd like to see it. Sigh.
And on the joint pain - no indicators of rheumatoid arthritis, but she strongly suspects some sort of arthritic changes going on in my body and would like to do x-rays at some point to possibly even start me on therapy to strengthen muscles around the joints so I can stay pain free (ish) longer.
She thinks the crashes I've been having after running have to do with insulin issues. She gave me ideas for making that easier.
She heavily suggested fenofibrate. My cholesterol has been wacky since I've had it monitored from age 23. Triglycerides have been going on 2 years. Nothing I've done has put me firmly in the "good" category. She and I are afraid I'm heading down my familial path: heart attack for Dad at 48. Marathon running uncle with triglycerides in the 1000's. Grandfather with a heart attack. Grandma with 10 brothers and sisters and of the 11, only 2 lived past 65. Almost all died of massive heart attacks.. most of them after having multiple ones before and/or bypass surgery. Grandma herself started having them in her late 40's, and I think had 6 total? She died of one in our living room at age 60.
People have mocked me for worrying about this. "You're only 25! You're only 30! You're only 35!" "You're so active! You're thin! You eat so well!" Well you know what? Heart disease doesn't give a shit just like cancer and infertility don't give a shit. I've seen a deadly massive heart attack. It's not pretty. It's not a going gently into that good night. I don't want to experience a heart attack ever let alone a massive one. I want to be around for possible grandchildren. I want to get gray to match Hub (dig.. he's gray, I'm not. ;-)
I'm going on the fenofibrate and continuing to eat things like quinoa, bean sprouts, salmon and avocado regularly. I will redouble my efforts to exercise and build lean muscle. I haven't been the best about muscle building since my job has done a lot of it for me, but now I need to. I suspect my blog will continue to chronicle these efforts. It's been slowly changing since I've had E, but I think I need to make a more official change from infertility blog to lifestyle blog about someone dealing with the fallout of PCOS, thyroid disease, insulin resistance and heart issues. Please wish me lots of luck. And any of you taking fenofibrate or dealing with this same stuff, pipe up and let me know how it's going. We all know how much better not being the only one feels. I can't be the only 35 year old in this spot right?
