Almost there. Well Kinda

[Cmoney]

Age 41 female 42 in April

5.7 3/4’s

SW: 238.8

CW:143

1st goal weight 138 (marking -100lbs)

Final Goal 125 lbs

This hurdle is 5 lbs should be done by next cycle.

Not certain I can push to 125 by my bday. As a new symptom popped up. Severe light headedness. Been a common thing on off throughout my life. I catch and bend over and it’s fine. But the Friday before valentines days for the first time in my life I passed out. Not those graceful kind. I was here one moment then woke on the floor not remembering how I got there. The I feel the pain. Dislocated my jaw, knocked my front teeth loose, busted my lip open, got a knot on my cheek bone, and chin, elbow and shoulder bruise, knee scraped and bruised. Very scared. But I figured dehydration, stacking gf triz/reta, not eating, high stress, no sleep etc. so I ate, refeed, drank a bunch of water with sodium coloride. Got some rest and it was ok. But jeez I can eat all the time, I can’t sleep all the time. And water I just feel unthristy. But I’m so close. I look skinny fat. Like a sack of bones. I bought 2 of my favorite protein powders, BCAA, creatine prework out and collagen. My thought is. Make it you my first gold and forcing protein the build muscle.. was looking in to Gear but I didn’t know where you can go and learn.. also my blood is good. No issues. I wish there was a local gym bro that would help me figure all that out. Open to advice. Will post pics in 5 more lbs! Maybe someone’s local and what’s to team up and knock it out. McKinney TX

 

[lessthanhalf]

Given you said you had a dislocated jaw, you did get checked out medically? And tell them what you are taking and what happened?

Everything about what you describe sounds like you are at high risk of fainting, but you do not usually get anterograde amnesia from a faint, the bit about not remembering how you got there is a bit out of place. The fall and injuries and not remembering sound more like they could be a seizure or concussion from a faint. Just speculating here without enough info.

Postural hypotension from massive weight loss is super common and you definitely have it, but if you have not already been checked out medically it might be a good idea, and it does sound like you need to ease off a bit and be careful of hydration and eating regularly and looking after yourself and maybe get electrolytes measured.

 

[miss-sanne]

As a GP hearing this, I get concerned.

Passing out without any warining signs is VERY concerning.

It may be all the thing you list, but it may be something else.

No warning signs means ruling out heart problems etc.

You should go see a doctor, it sounds like you are not well, skinny fat is not good. You need to give yourself the proper nutrition and exercise.

I believe, we also have to remember that we can't just contribute every symptom to glp-use (or the other peps).

I often read posts where I think, this may well not be glp related.

We can get ill.

Go see you doc. And let us know, how you are.

 

[Cmoney]

As a GP hearing this, I get concerned.

Passing out without any warining signs is VERY concerning.

It may be all the thing you list, but it may be something else.

No warning signs means ruling out heart problems etc.

You should go see a doctor, it sounds like you are not well, skinny fat is not good. You need to give yourself the proper nutrition and exercise.

I believe, we also have to remember that we can't just contribute every symptom to glp-use (or the other peps).

I often read posts where I think, this may well not be glp related.

We can get ill.

Go see you doc. And let us know, how you are.

Thank you for being concerned and not in a judgy way. I truly appreciate it. Honestly. So the day prior to my incident I forced my doc to run full panel. Let’s see if I can recall the names, and forgive me if I don’t call them by the correct name. CBC, BMP w/Diff, the tests that look at thyroid, hormones, A1C, T3/4 and Fettrin? <something similar to this. Everything came back within range aside from Potassium and Calcium slightly above normal. Full disclosure it really has been taking an act of god to drink water since maybe May last year.. progressively has gotten much worse.. my intentions are good. I have my Stanley filled with ice and my favorite sparkling water constantly. The follow through is tough. I just get distracted. I have played around with a few of the things I think it could be. First I thought is was dehydration. So I loaded water and sodium chloride for a few days and not much difference. Then, I skipped taking any glps for a week and a half because I was leaving for work trip and needed to be 100%. So I forced myself to eat breakfast, and lunch and dinner. And I didn’t have any issues. I lowered glps to 1/3 dose, kept eating and was fine. Again. Could it be a stack? Yes. But Reta helps me eat. As I’m sitting here the past few days have been moderately bad but I’ve not been eating adequately or drink fluids like I should. I think a few things have to happen, since blood is good. Blood sugar monitor. Water drinking reminder app. Eliminate the stack and just pick one.. and really dig deep on the force feeding. Now as far as the memory not coming immediately back. Nor remembering my fall. I don’t have a history or a family history of seizures. And I’m so mad my cameras didn’t catch it to be sure. None the less I’m in underwriting for a life insurance policy. Once issued I’ll deep in to much deeper. But which doctors do you think would be most helpful? Endocrinologist comes to mind. Maybe cardiologist too? I’m not dismissing anything because tbh I’m too busy to accidentally die right now. lol I know how weird that sounds but it very true. You would think my blood would’ve showed something, right? Ugh the battle for vanity.

 

[miss-sanne]

I don't know a lot about the US, but in Denmark we go to GP first, and then GP refer to specialists if needed.

If you can't eat, PLZ go down in dose or pause.

We are not supposed to 'force feed', this is not the meaning of glp's, we need to eat balanced meals at maybe 3 hour intervals. Main meals x 3, and some snacks.

Just be below TDEE, this is possible.

I would do a week where I ate more than intended for weight loss.

Mechanical eating is your friend.

An endocrinologist can't help you, if you underreat, what are they supposed to do ?

But if I was your GP, I would do at least an ECG and talk more about what happened etc, and of course clinical examination. To determine what next.

No the blood tests wouldn't necessarily show anything, they sound fine.

Get better ! And eat !

 

[deluge]

Literally happened to me today as well. Son, the recent med school grad, said:

"Orthostatic Hypotension caused by Hypovolemia". Lotsa fancy words to say "drink more water". For me, anyway. (Your Medical May Vary, see rules and restrictions, Terms and Conditions apply).

For me it wasn't blood sugar. Had sushi for lunch 2 hours earlier.

Below is a test on orthostatic vitals he ran using my BP monitor. Left was sitting. Right was within a minute upon standing, after sitting for 5 min's. Stunning!

So I'm drinking a glass of water or 2 right now...

 

[ambot88]

This is very interesting, I'm sorry you fainted and hope you get it all figured out soon but I'd never heard of the feeling faint from not drinking. I've never passed out but I have felt faint upon standing quite often and this could very well apply to me. Interesting. I shall observe these symptoms more carefully.

 

[wulf00777]

This is a good reminder to mind your ps & qs (protein and water and electrolytes.). Please skip a week if you need to and don't sacrifice your health over a couple of pounds. Take care

 

[lessthanhalf]

It sounds like some of those issues are at least partly addressed but, yeah you do need to get checked out properly, and the US equivalent of a GP is where you start. Excluding more serious possible causes is something that does need to happen.

Given you do have postural hypotension based on your description, it is probably reasonable to buy a blood pressure measuring device, they are quite cheap on amazon and accurate enough. It is easy enough to do a few blood pressure readings sitting down and a few more standing up and write them all down. It will give you a bit of an idea of what your bp is doing and it will be useful to the doctor when you get checked out. And do it a few times on different days to get an idea of variation and a good average. You probably need to know your blood pressure is not high, before considering doing anything to fix the postural hypotension.

Normally people get electrolytes from their food, often with added salt. If you are not eating consistently enough, obviously lowering the dose of GLP or stopping for a bit is a good idea. But if your blood pressure is low , and it is taking a while to get back into eating better, salt tablets might be a reasonable short term help. Definitely sodium chloride, if your potassium levels are highish. Given that be very careful of/avoid any electrolyte solutions that contain potassium. Or just add extra salt to your food, but you might need a few grams a day to make any difference, and use the blood pressure machine to test to see if it reduces the drop in blood pressure on standing, or just symptoms. Do not do this if your blood pressure is above 120/80. Ideally the medical checkout would be happening before considering this. The other thing that can help is compression stockings. More salt will most likely make you want to drink more. You need to drink more but water on its own will not necessarily help, if there is not enough salt to keep the water inside you just pee it back out.

I had high blood pressure before losing weight and now it is lowish , and especially while losing weight but it is still there now, nearly 3 years later, my vision tends to go a bit grey when I stand up so I need to be a bit careful about how quickly I stand up and make sure I can react if it happens to prevent fainting. The only research that exists on this issue is from after weight loss surgery where nearly 50% of people have long term postural hypotension after massive weight loss, and nearly 50 kilos definitely qualifies as that. What happens is all the veins in your legs and gut used to have fat pushing on them creating pressure pushing the blood back towards the heart, and that pressure is now not there, so when you stand up blood flow back to the heart is lower and your bp drops until your system readjusts.

 

[Cmoney]

Literally happened to me today as well. Son, the recent med school grad, said:

"Orthostatic Hypotension caused by Hypovolemia". Lotsa fancy words to say "drink more water". For me, anyway. (Your Medical May Vary, see rules and restrictions, Terms and Conditions apply).

For me it wasn't blood sugar. Had sushi for lunch 2 hours earlier.

Below is a test on orthostatic vitals he ran using my BP monitor. Left was sitting. Right was within a minute upon standing, after sitting for 5 min's. Stunning!

So I'm drinking a glass of water or 2 right now...

Yea I bought a BP and BS tester, that’s all good. So it’s def water. Ugh water and sodium tablets until I build my blood back up.