HRT

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grannykathy
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HRT

Post by grannykathy »

First off - this message doesn't require a quick reply at all - especially since this is the 4th of July. - just sharing my rambling thoughts.

In reading through some messages on the board today, I noticed Tex made this comment to bttory: "If you have had any hormonal changes lately (such as HRT), you might look closely at that, because MC is definitely affected by hormonal changes."

I think I mentioned earlier that I quit my HRT (Premarin) after 30 yrs on it, during the same time period that the diarrhea started which was diagnosed as MC. I can't help but wonder if it would do any harm to just go back on my Premarin. I know the damage is done and it won't cure me, but still, I might just be better off taking it than not. I quit because it is expensive but of course have spent far more on the Budesonide than I was spending on Premarin.

Hope everyone is having a Happy 4th of July.
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Post by Gabes-Apg »

My thoughts....
don't go back on HRT. It's not treating root cause of both hormone issues and MC.

If you keep reading posts and replies when we talk about hormone issues, a key reason for hormone issues is deficiency in key nutrients and imbalance in the body (thyroid etc) so why take a medication that albeit will reduce the symptoms but u,timately cause MORE deficiency with those key nutrients??

Taking a med to calm/mask symptoms is just delaying the issue, not resolving it.
And in some cases will make the core issues worse.
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Post by Gabes-Apg »

On the mental and emotional aspects of this journey... you have been given a gift of awareness, the chance to heal, resolve root cause of health issues, and the chance to optimise a good wellness in your life.

Try to calm the thought of wanting to 'fix' things. Embrace the attitude of I am going to enjoy this journey to wellness.
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Post by grannykathy »

Gabes-Apg
Thanks Gabes. That makes sense.

Meanwhile I see my Nephrologist tomorrow. I've recently learned I have stage 3 Kidney disease. So just to confuse matters I was reading up on Chronic Kidney disease a little while ago, after I made the post above and came across this:

https://medicalxpress.com/news/2015-11- ... dneys.html

I will ask her about the article tomorrow. She will most likely advise me the same as you did - to not go back on the Premarin. But it was an interesting article.
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Post by Gabes-Apg »

Kathy, when I was poorly with multiple issues, I too had serious kidney issues of unknown cause.

These issues resolved when I reduced inflammation in my body and fixed nutrient deficiencies.
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Post by grannykathy »

Thanks! That's good to know!
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Post by tex »

Kathy,

In view of that article, your doctor may advise you to go back on HRT. If you have compromised kidney function (decreased eGFR), be careful with magnesium supplements — that is to say, normal doses are OK, but don't take really large doses because your kidneys may have trouble regulating the amount of magnesium in your blood, which could cause heart issues. I'm speaking from experience, here.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by grannykathy »

tex
Thank you Tex! I actually just arrived home from Kidney Dr. appt. She did indeed advise me to go back on my HRT. Said estrogen is very important for so many systems and stopping after 30 yrs was a shock to my system. She says there is no reason not to take it if it is not causing any adverse effects. I was just about to get on here and tell Gabes that because she and I had chatted about it.

She failed to test me for magnesium last time so we did that today and also for I think potassium. I should have that first of the week. Meanwhile, I will ease up on the magnesium. I take Lisinopril for HBP. She is having my Primary care Dr. change that because it is pulling my kidney function down and adding to the dehydration. Otherwise my kidneys are scarred from all the NSAID use.

Its so frustrating. I was advised by a Ortho Doc to take the Aleve for arthritis in my back and my Primary Dr. put me on Lisinopril for hbp. A different gastro Dr. I had a few years ago recommended the Nexium for an ulcer and acid reflux. Now look at the mess I'm in! :sad:
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Post by tex »

Kathy,

I take lisinopril (for stroke prevention). I may be missing something, but I wonder if your doctor is somehow confused about how lisinopril actually affects kidney function or just being overly cautious about it. It's easy to misinterpret the effect because lisinopril often causes an increase in creatinine which of course means that eGFR (which is calculated from the creatinine level) will go down, suggesting a decrease in kidney function. But actually, kidney function is not decreased — it's improved. Lisinopril improves kidney health by protecting the glomeruli and it's been shown by research trials to be useful for improving kidney function.

https://www.ncbi.nlm.nih.gov/pubmed/2161083

IOW, If you're taking losinopril and your eGFR is below normal because your creatinine level is high, that may be a false indication. That's my current situation and I suppose it's why my doctor isn't concerned about my kidney function.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by grannykathy »

Gabes-Apg
Gabes just tagging you so you will see the above comment about My Kidney Drs advice concerning the Estrogen. I really do like her. She is very thorough. Takes plenty of time to answer question and explain everything. She didn't even need to read the article, she just very quickly advised me to go back on my Estrogen therapy for the sake of my kidneys as well as overall well-being. I really do feel like that's about the time I started to fall apart. Don't sleep well at night amongst so many other things. Part of the weight lose may even be due to stopping the Estrogen. I know getting back on it is certainly not going to cure the MC, but feel it will help in other areas.

Just to make things more interesting. When I stood up in the waiting room to go back to see the Dr. I fell. I think my foot was asleep or something. Didn't feel the floor when I put my foot down and turn my ankle over to the outside. REally hurt and now it is black and blue and swollen. She examined it and asked if I wanted to xray it but I said no. Of course it wasn't swollen or bruised yet at that point. I iced it and wrapped it when I got home.
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Post by grannykathy »

tex
Tex, thats interesting. I'm not sure she said the lisinopril was reducing my kidney function but was definitely saying it was adding to the dehydration. Would that make any sense. Of course I guess she is saying it affects kidney function because she thinks changing the lisinopril will improve my gfr#. So I don't know what to think.
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Post by tex »

Googling lisinopril and dehydration, I can't find any actual connection.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by grannykathy »

Well Rats. Finally found a Dr I like and now it seems she may not know what she's talking about. I've been burned by Dr's so many times. Very frustrating!
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Post by grannykathy »

tex
Tex just found this:
https://patient.info/medicine/lisinopri ... or-zestril

Scroll down to last side effect on list - kidney problems. It doesn't elaborate so don't know what it means exactly. I wonder though if my doc thinks I'm taking the version that has the diuretic in it. I use to a few yrs ago but not now.
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Post by tex »

Please don't be so fast to condemn her — she may be aware of issues that we don't know about. Or her own experience may have shown that her patients are generally better off without lisinopril.

Health issues are not always black and white — there are many gray aeas. Sometimes doctors are actually right. :lol: The tricky part is sorting it all out. IMO as long as a doctor doesn't commit any unpardonable sins (such as denying that MC can be controlled by diet), there's no good reason to dispute them.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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