Come on man, what good does this do? Do we need more pessimism in our lives? I am not an idiot, I've been suffering for the better part of 5 years, I know what my body is doing. I know that I haven't experienced some of these positive symptoms in YEARS, and you say it's placebo? Are we not on the same team here? FFS
I didn't know you have to take Zinc without food. I ate it with fatty foods two nights in a row, and believe that is why I am suffering. I took one zinc gummy here midday, and it has calmed the twitching down. I guess I need to learn a lot more about when to take various vitamins.
And as for the "the better test for b1 is transketolase in erythrozytes.", my doctor says she doesn't have that available. That seems weird?
Transketolase test for B1 is no longer available in the US, which is unfortunate.
I am glad to hear the zinc gummy calmed down the twitching.
Also, yesterday I read a study that related thiamine deficiency to liver failure. I hadn't known that.
Here's the study. It got me looking into ammonia issues, too.
I don't think one must be at the point of liver "failure" to be experiencing the symptoms on at least some level.
I do take thiamine, but I don't think I'm taking enough yet.
https://pubmed.ncbi.nlm.nih.gov/190...re,to increased brain ammonia concentrations.
Thiamine deficiency-related brain dysfunction in chronic liver failure
Chronic liver failure also leads to increased brain ammonia concentrations. Both ammonia and thiamine deficiency result in decreased activity of alpha-ketoglutarate dehydrogenase, a rate-limiting tricarboxylic acid cycle enzyme.
Loss of enzyme activity results in a mitochondrial oxidative deficit in brain and consequent increases in brain lactate, oxidative/nitrosative stress, cellular energy impairment and release of proinflammatory cytokines, all of which have been described in brain in end-stage chronic liver failure.
Synergistic effects of ammonia exposure and thiamine deficiency could explain the diencephalic and cerebellar symptomatology described in patients with "hepatic encephalopathy". Unsuspected brain lesions due to thiamine deficiency could explain the incomplete resolution of neuropsychiatric symptoms following the use of ammonia-lowering agents or liver transplantation in patients with end-stage chronic liver failure. These findings underscore the need for prompt, effective thiamine supplementation in all patients with chronic liver failure.