On Thursday I had my doctor’s appointment. One, I needed to finally find a doctor here in Germany and two, I wanted to make sure there wasn’t anything else that might be the source of my symptoms. They did a variety of things, took blood and urine, EKG, lung function test, and a thyroid ultrasound.
I have to go back on Monday for the results of the lab work, but when I listed my symptoms and basic history during the visit the doctor immediately suggested that my problem very likely might be hypothyroidism due to iodine deficiency. He said that it was extremely common in this area (It is common in mountain areas or areas of frequent flooding. Iodine does not come from food, but from the soil the food in grown in. More here). Additionally, I specifically use kosher (or sea salt), which is non-iodized, in all my cooking.
When I got home and started reading up on what metabolic effects lack of iodine causes and the associated symptoms. Basically, it interferes with thyroid hormone production. Iodine is required for triiodothyronine (T3) and thyroxine (T4).
Symptoms include the same as many of the food sensitivities:
Fatigue, increased sensitivity to cold, constipation, dry skin, unexplained weight gain (or inability to lose weight), bloating, muscle weakness, depression, irritability, decreased libido, lack of focus.
I have many of the symptoms on that list. That list however is fairly vague and matches the symptom lists of a dozen (probably way more) other things as well. So, until I get actually results back from the Dr. on Monday I am continuing with the elimination diet.
But, I really, really hope that this is the issue. One, it is an easy fix. Buy iodized salt and perhaps take an iodine supplement for a while, done. Two, it would mean I wouldn’t have to cut anything out of my regular diet. YAY. That is perhaps the easiest solution I could have asked for.
Speaking of diet. We have been slacking a bit here towards the end of week two. Breakfasts have been made up on the fly in the mornings (not the best idea), and Friday was a total cheat day. There was a work brunch and a friend’s BBQ. I had already planning on having a few drinks, and allowing myself to not be extremely strict on food. I also didn’t want to eat tons of all of the groups I had been cutting out for the last week and a half. I felt like I did pretty well…food-wise. As I said, the major downfall was the drinks. Champagne at the brunch and then Wine, beer and whiskey at the BBQ/out on the town. So that was probably a crazy amount of sugar after abstaining from sugar for 10 days.
I was concerned about how I would feel the next day, but Saturday I woke up feeling just fine. I woke up ready to go. No fogginess or lethargy. (The boy on the other hand, well…he was less than eager to get out of bed. Pretty sure that was bottle related and not food.) I was ready to ride my bike down to the farmers market and pick up some fresh veggies for dinner and Sunday.
TWM for the last 4 days:
Day 9 – Tuesday
B – Green Grains w/leftover chicken breast
L – Leftovers: Turkey breast,roasted radishes, onions and carrots, kasha pilaf. Green salad.
D – Smoked salmon sushi bowls. Green salad with carrot ginger dressing
Day 10 – Wednesday
B – Millet topped with smoked salmon, cucumber, red cabbage and carrot ginger sauce
L – Paleo Shepherd’s pie with green salad
D – Buckwheat crepes with chicken and broccoli in basil-garlic cream sauce
Day 11 – Thursday
B – Green grains with leftover millet
L – Leftover chicken and broccoli buckwheat crepes
D – Chicken, cauliflower, green bean curry over brown rice.
Day 12 – Friday
B – Brown rice topped with sardines (other vegetables, I can’t remember)
L – Brunch – I took a version of the Green Grains with a bit more vinegar and oil as a cold salad. Cheats: milk in coffee, brownie, champagne, bite of apple pie.
D – BBQ @ friends. Grilled chicken and vegetables. Cheats: piece of bread, drinks, and a cookie.