[naslam1603]

 Thank you. Just to be sure, I just take only one the items.

Also, the GI Consultant has booked me in for an iron IV infusion this Friday. Is this OK?

[naslam1603]

I’ll continue to update in stages Daniel. 

On a separate note, I’ve been refluxing during the night alot. My throat is hurting and worried about stomach.

I don’t know if it’s the iberogast (contains alcohol), the Magnesium chloride with fulvic acid and scorbic acid which it contains or the food which was turnips,  pak choi, Courgettes, chicken thigh with  jasmine rice.  Could be do many factors.

[naslam1603]

Hi Daniel,

Sorry I’ve been incognito today.

Urine Test
Regarding the urine test, I’m not sure how they tested it after I provided the sample. I did notice, my urine is acidic which means by body is bound to be in acidiosis (is this such as word?).

I do have microscopic blood in my urine which has been there for many years and being monitored. It isn’t causing any issues that I notice. Having said this, I’m meeting the urologist tomorrow for a follow up appointment to discuss all this test and ultrasound scan.

Zinc
Sure, I’ll stop for now.

[naslam1603]

 Just seen the video.

I will retry iberogast. I stopped taking it a while back due to the strong taste. It was sent to me from Poland as it’s not available here. How do you recommend clients to take it? 

The link below is for a Swedish bitter. What do you think of this and should I follow the instructions on the bottle?

https://www.baldwins.co.uk/granary-herbs-swedish-bitters-liquid-alcohol-free

[naslam1603]

B. I’m trying to locate the course where the different supps are mentioned for the sluggish gall bladder 

[naslam1603]

Magnesium
RBC is on the low side. Yesterday  I started Liquid Magnesium Nano Minerals – Upgraded Formulas® following a HTMA test and I haven’t yet started but will do this as well Upgraded Charge Optimal Electrolyte Blend – Upgraded Formulas®

Oh, just realised. The Upgraded Magnesium supplement contains fulvic acid and sorbic acid.

Is there an alternative option?
[Naveed Aslam 19.9.22 HTMA Test Results.pdf]Zinc
I’ve been taking Zinc L Carnosine by Zinc Carnosine – Integrative Therapeutics | Amrita Nutrition. Is it best to stop it for now?

I understand there is a Zinc to Copper correlation, where too much Zinc can lower Copper. In my case, should I supplement Copper? If yes, any recommendations please?

Vitamin D
I take Vitamin D by Bio-ADEK-Mulsion®- Biotics Research | Amrita Nutrition. 

It also has Vitamins A and E. Should I just take vitamins D and K now? 

The reason for the low level could be two folds;
1.  I forget to take it on a regular basis 
2. Fat malabsorption due to the bile sluggishness

Serum Folate vs RBC Folate
Please can you recommend an alternative to this which I currently take;
B Complex Liquid | Metabolics

My GP will only prescribe Folic Acid which I understand is in synthetic form. So, this is no good.

Homocysteine
I’m happy this marker has come down. The hospital reading from blood withdrawal on 9th February was 6.6umol/l.

Low free T3
Firstly, may I ask if I have Graves or Hashimotos as this was also one of the reasons for doing a full thyroid panel.

What can I do to bring the low thyroid issue back to normal? To be honest, as there is so much going on, my priority is supporting the gut and await GI map result to see if H. Pylori is still there. It will be as I’ve been focussed on gut healing only.

Elevations in Bilirubin
My stool is light brown or pale and urine is almost clear. Yes, you’re right B has made a number of recommendations.

Do you think the bile issue could be the reason my Vitamin D reading is low?

Elevations in HDL
Both HDL and LDL are high. I’m not having any fatty foods. Could the elevated readings go back to the gall bladderbile issue?

Kidney function
Yes, at the time of the blood withdrawal and every blood withdrawal in February, I’ve been dehydrated. Drinking water is my downfall due to constantly feeling full.

Asking your doctor to measure proteins in the urine can help you to exclude that your kidney health is impaired.

I had an initial consultation last Monday with a urologist as I’ve been frequently going to the washroom over the past year or so.

He seems to think it could be due to my bloatingconstipation. I also did mention to him that I have histamine issues. He did say , it could also be due to this and MCAS. After my consultation, I had a urine and blood test for HBA1C and ultrasound scan. The radiographer said after the scan, nothing to worry about. I’m meeting the urologist on 6.3.23 to discuss all my tests.  Having said this, here are my urine and HBA1C test results.
[Naveed Aslam 27.2.23 Haemoglobin A1C.pdf][Naveed Aslam 27.2.23 Urine Analysis & Culture Test Results.pdf]
Elevated Histamine
Histamine increase is as a result of elevated Basophils and eosinophils. Interesting. I’ve stopped all high histamine foods.

Regarding high uric acid, fructosamine and Anion gap. I have sugar craving and resort to processed sugar foods due to the restrictive diet and feeling hungry as a result. Another reason is down what to eat which isn’t going to cause stomach pain.

Supplements
1.  Zinc L Carnosine
2. DGL
3. Slippery elm powder
4. Marshmallow root powder
5. Bio-ADEK-Mulsion®- Biotics Research | Amrita Nutrition
6. Life & Soul Pure Omega-3 150ml: The Natural Dispensary
7. IgG Select – 75g – Moss Nutrition | Amrita Nutrition. Stopped taking it due to not feeling good. Maybe due to weak stomach.
8. GI Relief – 180 Capsules – Thorne | Amrita Nutrition. Stopped taking it due to not feeling good. Maybe due to weak stomach.
9. Mastic Gum 120’s: The Natural Dispensary. Stopped taking it due to not feeling good. Maybe due to weak stomach.
10. l-Glutamine Powder – 227g – Pure Encapsulations | Amrita Nutrition 
11. Vitamin C – Any recommendation which is easy on the stomach in liquid form.
12. Low Calcium – Any thoughts on this and other minerals which are low. Do you think I would need a multivitamin supplement?

Medicine
1.  Famotidine
2. Prucalopride
3. Sucralafate
4. Nortriptyline
5. Cetirizine 

Sleep
Sleep around midnight despite finished eating around 7.00pm. It’s due to heavy feeling in the stomach,  heartburn and reflux. If I eat, I get hunger pains and acidity during the night.

Diet
Meals are the same on a daily basis

Breakfast turn Lunch
Millet flakes or Quinoa porridge in coconut milk.

Evening meal
Any combination of the following vegetables – courgettes and pak choi are base, but the I switch between carrots or turnips. Meat wise, chicken or fish with white jasmine rice. If I don’t have rice, I’m in pain when the food enters the stomach. Maybe the rice is soft.

[IMG-6064.jpg]
[IMG-6086 (1).jpg]
4.3.23
Evening  meal with jasmine rice. Just finished eating. Very full and uncomfortable. Heart burn and reflux after an hour.
[6728452C-6F25-4FB6-BC0F-0F102BC45D23.jpeg][EB62C3A7-C26A-4400-ACA1-99B3FED3A2C6.jpeg]

[naslam1603]

Hi B. & Daniel,

Does Circle not automatically save? Reason for asking, I lost my previous response as I accidentally clicked away to a different part of the screen and noticed the entire response which I had typed before wasn’t there when I came back to it. I had to retype again. Oh well, c’est la vie.

[naslam1603]

 thanks B. This is the one Dr. Erdman recommends. It’s quite strong and with pepsin. 

https://www.amritanutrition.co.uk/products/betaine-hcl-pepsin-250-vcapsules

[naslam1603]

 Thank you B. Yes, clear. There are so many permutations to the situation I’m in now.

[naslam1603]

 Thank you for letting me know that October 2022 is no longer a result I can rely on. I have repeated the GI MAP. Awaiting results. 

I haven’t addressed the H. Pylori as I’ve been trying to heal the stomach for sometime. Unfortunately, I still have the gastritis as seen in the histology report from 22.2.23 scope. 

Should I wait for the GI MAP result? If it’s positive for H. Pylori, should I leave the HCL challenge. What should I do? Treat H. Pylori first and then the stomach as it doesn’t appear to be working by healing the stomach first.

Your feedback is I can do the challenge but on the other hand address the H.  Pylori and Gastritis dirst. I just don’t want to risk myself anymore. Confused. 

[naslam1603]

 Good morning. So, is it ok to try the challenge despite having Gastirits and H. Pylori present in GI MAP from October 2022 result.  

The strange thing is there is no H. Pylori whenever a biopsy is taken from the stomach during the endoscopy.

Attached is the meal I had yesterday late afternoon. I couldn’t eat for the rest of the day. See attached pic.[ECA3BD1E-1D21-4B89-B7B2-BF55A69F3464.jpeg]This meal was:
1.  x1 courgette 
2. x1 pak choi 
3. x1 medium size seabass pan fried
4. Everything was made using  coconut  oil

[naslam1603]

[5ad5e1b7-190f-4938-935a-181ad8d198fb.jpeg]
[1554063c-e1d0-4782-88b0-bf7a28efb58a.jpeg]
[3f94c438-3c3b-4f87-9618-0431e39142bf.jpeg]

[naslam1603]

B., is this colostrum? I stopped taking it as I am now finding it difficult to fit it in with other supplements and always feeling full. Maybe full scoop is too much. Is this dairy free? Can bovine cause histamine intolerance. I think I am reacting.

[naslam1603]

Hi, B. and Daniel,

Following my video call with Dr. Erdman, he sent across the attached e-mail and his interpretation of the above chart. Unfortunately, the result isn’t conclusive and secondly wants me to try Betaine HCL with Pepsin. I’m a bit hesitant due to the results in my recent histology report and GI map. What are your thoughts please on trying Betaine HCL only.
I do find food sitting in my stomach like a brick. It’s painful and the heartburn is quite severe.[Naveed Aslam 1.3.23 Heidelberg Test Findings By Dr. Michael Erdman.pdf]
[heidelberg reading.pdf]

[naslam1603]

Hi Daniel, The GI consultant is going to arrange IV iron fusion. One treatment as a day case to start with and then I guess the team who’ll do this will decide afterwards if I need further IV.

He’ also written to my GP to have vitamin B12 injection.