Help figuring out the next direction...

kelly8

Senior Member
Messages
191
Hi everyone,
It has been a really long time since I have posted here. I'm hoping to get some input based on what I've been going through and what the next step should be as my dr is trying to figure it out with me and I feel we need all the guidance we can get.

My ME started after an illness I couldn't fight off 12 years ago. I distinctly remember a day when I couldn't take my ice skates off (I was an athlete and a figure skating coach). Prior to this I had been biking 7 miles a day and teaching and working a part time job. I had been coughing for so long that I got a hernia from coughing. About two years prior I had lived in an apartment that had a serious mold issue.

I have been through a gammet of treatments. The one that helped most was the oral hydrocortisone. Suddenly I could work and be a human again. But I have been on this medication for a long time and I don't want to need a medication to function. Plus I've had a ton of autoimmune issues requiring steroids and I'm trying to limit the amount I'm on. I've been taking binders for a year for mold and I'm taking a lot of supportive supplements (nac, glutathione, gaba, tumeric, thymulus, ect). I've also been taking naltrexone since February.

My newest primary care Dr started me on IVIG therapy with gammaguard. He had noticed that one of my immune markers was consistently low. I usually get sick about 4xs a year and can't kick it. I also get skin infections, especially my nails for some reason. The IVIG boosted my energy a lot, after being home for a couple of days afterwards to recover. I was able to half my oral hydrocortisone so that was exciting. My energy in general has gotten better with each baby step I've taken. I usually take a couple steps forward then a couple steps back.

Now comes the not so good news. My new dr did a neuroquant scan. I have a lot of areas that seem to be damaged. He said it looked like PTSD and issues with my limbic system. My parahypocampus is almost non-existent. There is damage to multiple parts of my brain. I was having a lot of memory issues and I might now know why. I'm worried because my Dr basically said he had never seen a scan like this and he needed to think about what to do.

He's been thinking about it for a while (my appt was a month ago). I read about limbic system training but I don't have the money to invest right now. I've been meditating and doing yoga each day and trying to be as positive as possible but I'm not sure what my next step is and I'm out of ideas this time.

I just don't want to end up in therapy again because that was a horrible waste of my life. All they wanted to do was put me on meds and kept telling me that I was never going to get better from the fatigue and I just needed to accept that. If I had accepted that I never would have gotten to where I am now.

So does anyone have any ideas on helping recover a damaged brain? I'm willing to try anything within reason.

Thank you for listening!
 

Pyrrhus

Senior Member
Messages
4,172
Location
U.S., Earth
The one that helped most was the oral hydrocortisone. Suddenly I could work and be a human again. But I have been on this medication for a long time and I don't want to need a medication to function. Plus I've had a ton of autoimmune issues requiring steroids and I'm trying to limit the amount I'm on. I

Just curious- how long have you been on hydrocortisone?

The IVIG boosted my energy a lot, after being home for a couple of days afterwards to recover

That's great that the IVIG seems to be helping you!

Are you still taking NAC? If so, how are you doing on it? Did your new doctor talk about B vitamins? (especially B6, folate, B12)

It can certainly be scary to see lesions on your brain MRI. But you're not the only one!

Best wishes.
 

kelly8

Senior Member
Messages
191
It's probably been about 3 years on the hydrocortisone. I have a really hard time figuring out times/dates. So everything has been an approximate for me. The nac I'm still taking and have been since 2017 when I first started seeing my specialist. It was hard to determine what was helping at first and now I don't want to mess with it and try to get off of it since I'm feeling ok. I'm terrified of going back because it was so awful. Neither my specialist or my new primary have talked about b vitamins. Are these linked to brain health and recovery? I always thought they were more for energy...
 

Pyrrhus

Senior Member
Messages
4,172
Location
U.S., Earth
It's probably been about 3 years on the hydrocortisone

That's very interesting. If you feel like sharing your experience, there is a thread collecting patients' stories about corticosteroids like hydrocortisone:
https://forums.phoenixrising.me/thr...hort-term-but-may-not-in-the-long-term.80492/

The nac I'm still taking

That's great. NAC is a good supplement if you can tolerate it. Are you taking 1000mg or less than that?

Neither my specialist or my new primary have talked about b vitamins. Are these linked to brain health and recovery? I always thought they were more for energy...

Yes, they can be for energy, specifically for the mitochondria, but the brain and heart are the most energy-intensive organs in the body, so B vitamins can be helpful for heart and brain health too. B12 especially is important for re-growing nerve cells.

Here are some papers describing the capacity for B12 (also known as cobalamin, hydroxocobalamin, or methylcobalamin) to promote the regrowth of nerve cells:
https://www.flintrehab.com/brain-injury-and-vitamin-b12/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491933/#idm140652579294768title
https://pubmed.ncbi.nlm.nih.gov/8021696/

But for vitamin B12 to work correctly, it also needs folate(B9) and B6.

This paper suggests that folate (also known as B9 or MTHF or methylfolate) may be low in ME patients, although the paper refers to folate as "folic acid":
https://pubmed.ncbi.nlm.nih.gov/8255470/

And this paper suggests that vitamin B6 (also known as pyridoxal-5-phosphate or P5P) might be low in ME patients, although the paper refers to B6 as "pyridoxine":
https://pubmed.ncbi.nlm.nih.gov/10450194/

Hope this helps.
 

kelly8

Senior Member
Messages
191
Hi,
I responded in the hydrocortisone thread. Hopefully my info will be useful. I'm on 1200mg of NAC daily. I take it in two doses.

After reading your post about the b vitamins I went back and looked at my intake. I'm getting 75mcg of b12. I'm getting 1001mcg of folate (b9) and 4 mcg of b6.

I'll have to spend some time reading these articles and see what might be a good solution. I've got some lions mane which is supposed to help with nerve regrowth and I'm trying to figure out how I could incorporate that into my daily rotation. I've been out of work since covid hit so it has been challenging trying to add new stuff. I may not be able to afford it.. We will see. At least my energy is back. I'm afraid it might go away again. Deathly afraid...
 
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