Sunday, April 28, 2013

My Endrocrine System from 2005-2010


2005
Medical

During the first part of 2005 I was in relatively good health
I am 5’8” and weighed about 135 lbs.  I was doing cardio five days a week with a trainer.  I did everything including walking, jogging, stairs, swimming, paddle tennis, racquetball and basketball.  I did an additional weight-training program with another trainer twice a week.  I felt good.  Some days I would do cardio with my trainer for an hours, do weight training for another hour and sometimes swim for another thirty to sixty minutes!  My nickname was Energizer Bunny.   I was always on the go.  I had sold my business and building and bought 120 apartments.  I was on the BOD of our HOA.  I was President of our family Foundation that has given out over 1000 performing and visual art scholarships over 15 years.  I was free-lance writing for two public relations firms.  And finally, I had started drawing again.  Life was good.  Especially, since I had found the man of my dreams, John, and we had a wonderful relationship.  We had met in August, 2000 through a mutual friend, Kristyn. 

2006
Medical
January-2006
I was very depressed. I could not understand why.  I was not on hormones.  I had been on them for about six months after my hysterectomy (in 2003) but did not like taking them.
Everything was great in my life.  I could not shake the depression.
I went to a psychologist and she referred me to a psychiatrist.  The psychiatrist after an hour said I was clinically depressed and gave me several boxes of pills. I believe they were anti-depressants.  I took them home and Googled the medication and made the decision to throw them out.  I didn’t like the side effects.  I would force myself to beat the depression.  Why not?  I would work through it.

February-April-2006
I noticed sudden weight gain (about 6 pounds) and my hair was falling out.  I went to a dermatologist who gave me propecia and promised great things.  Within a week I had white facial hair all over my face including my cheeks and chin.  I stopped the propecia and returned to the doctor.   He gave me cream for my face, which I used and it caused a serious facial rash.  I called the doctor and he told me that I could get my face waxed.  Lovely.  Can you imagine?  What a treat.  I didn’t return to the doctor.
Why didn’t he ask me for a blood test before treating me? 


May-2006
I continued gaining weight and decreased my calories to less then 900 calories per day.  I was still exercising but experienced ongoing tiredness.  I just couldn’t seem to “beat it”.  I was sleepy all the time (not simply tired).

John and I went to get a colonoscopy.  I was fine but he was diagnosed with Colon Cancer.   We had him in surgery within seven days after the diagnosis.

In June-2006
I stopped all exercise training because I was too tired.  I told John and my trainers I had been exercising forever and was simply going to take the summer off.  That should have been a big “red flag” for everyone.  I love to exercise or at least the feeling after I have worked out.
I could barely keep up with the basics and helping with John’s recovery.

July-2006
I went for a blood test.  I went to our Internist, Dr. Gregory Katz, a UCLA Alumni and liked him.  His nurse was a tough old bird and difficult but he was good.   John had his blood tested at the same time and got a return call in four days.  After six weeks of calling I finally got a phone call from Dr. Katz with no excuse for not returning my calls to tell me my thyroid was not working.  I asked him why he didn’t return my calls and he simply said he had gone on vacation and was busy.  So I spent six weeks without being treated because Dr. Katz didn’t think I was important enough?  I think he finally returned my call because I told the receptionist I was going to camp in their waiting room until I got my paper work.   Dr. Katz told me my thyroid level was a 14 on the scale 1-3.  He gave me about 50 mcg of Synthroid and patted me on the head.  I went down to his office and picked up my blood test results.
Is he an incompetent doctor?  No.  Does he have a nice bedside manner?  Yes, when he is not defending his nasty nurse.  Why didn’t he call me back?  We will never find out because I moved on. 

We now see Dr. Richard Kenney.  He is a good doctor.  But what is nice about Dr. Kenney is if you have a problem he will try and help you figure it out or refer you to someone who might…..that’s good.

Aside note…one of the symptoms of Thyroid disease (which about 20 million folks have) is depression.  Why doesn’t a psychiatrist when visiting a patient for the first time ask the patient to bring a blood test to show hormone and thyroid levels?  Would it be that they might not have as many patients?  I am outraged that a physical problem causes depression and a psychiatrist would not ask for blood work.  You have to be diligent.  You have to be your own medical advocate, researcher and helper.  I know it is hard.  Damn hard.  If you can’t do it then you must ask another. 

August-2006 
I went to my first Endocrinologist, Dr. Saltman, in Fullerton.  He is older gentleman.  My Mom’s Neurosurgeon at USC, Dr. Martin Weiss referred me.  He and Dr. Saltman are old friends.

It was impossible to get into see a Newport endocrinologist without waiting two months.  Dr. Saltman got me within a day because of his friendship with Marty. Dr. Saltman ran extensive tests.

I told him I had gained 15 pounds, was sleeping all the time, hair falling out and so brittle I could break it off, dry itchy skin, diarrhea, my joints hurt every time I moved.  Especially my shoulders, I would nearly cry when I moved them and hot flashes.
I was depressed.  I would be burning up one minute and freezing cold the next minute.   The quality of my “physical” life was going down hill rapidly.

Dr. Saltman also did a sonogram.  The results were that my thyroid was asymmetrical.  But the extensive blood tests simply said that I needed Thyroid medicine.  Lots of people use it and live normal lives.  It seemed easy enough.  I should feel better soon, get back to exercising, lose weight and everything else would fall into place. 

He put me on 90 mcg Synthyroid.  Everyday, I felt worse.   My cholesterol that had always been low around 135 (like my blood pressure) was now over 300.  Impossible.

At this point I started taking John with me to all my doctors appointments.  I know it’s a luxury and many people can’t have their spouse or significant other take time to join them at a doctor’s appointment.  But my belief is ---how can’t you?  You need an advocate if you don’t feel well.  You need a second pair of ears.  You need to take notes, ask questions and make nice with the physicians.  They are not Gods.  They are people.  If you do your homework and ask questions and take notes they appreciate your due diligence.

November-2006
I waited two months and finally got in to see a Newport Beach Endocrinologist, Dr. Iyers.  (At this point I left Dr. Saltman in Fullerton.   He is a nice man and a good physician but Fullerton is about forty-five minutes to an hour from my home.  Isn’t there a competent Endocrinologist in Newport Beach?  We will see).

Dr. Kris Iyers was Chief of Staff at Hoag Hospital.  He is an arrogant man who thinks very highly of himself (in my opinion).
He is short and stocky and in his mid fifties.  He is very condescending, at least to me.

My neighbor goes to him and thinks he is great!  Of course, Beth is tall, blonde and looks like a playboy bunny in a good way.  He must think he died and gone to heaven whenever she walks in the door.   

He looked over the tests from Dr. Saltman and my new blood work he ordered (which he insisted I use the Hoag Hospital medical lab—it’s important to use a competent medical lab but to use a hospital medical lab is going to be 4 to 8 times more expensive and usually not covered by insurance unless you are a hospital patient.  I finally got the encourage and told Dr. Iyers that I could not afford the hospital lab fees and needed to use an outside lab like Westciff or Lab Corp.  My blood work went from $500 to $$75.00 and with the same results.)

Dr. Iyers lowered my Synthyroid to 75 mcg.  I told him that I had gained 17 pounds, was sleeping about 13-15 hours a day, my hair was falling out, that I had severe joint pain, no libido and I was depressed.  I felt the medication was not working at all.  Although, when I forgot to take the correct dosage one day I slept the entire day.  What was wrong with me?  My life was slipping away.
He patted me on the head and said, “don’t know what the problem is”.  Then he told me how hard he worked.  That he thought he would be retired at 55 years old but he has too many patients.  His self-involvement is incredible in my opinion.  He essentially spent 15 minutes telling me his problems.  He told me come back in six months.

 2007
April-2007
I went back to Dr. Iyers and told him that I was sleeping all the time, still gaining weight and I was scared. 

My joint pain was so bad I had a hard time moving.  I told him I was walking five miles a day and it was becoming more difficult.
He told me that there wasn’t anything he could do and that middle-aged women have some struggles to deal with.  I was depressed and again all the symptoms above persisted.  Dr. Iyers just left the room with my file and said, “see you in December”.

It was my belief that Endocrine doctors dealt with hormones and the endocrine system.  Please click on the web page below to find out.

About the Endocrine System and Endocrine Health.

But it turns out that most Endocrine doctors work mostly with diabetes, thyroid and some pituitary patients.

They don’t do anything “usually” with the female hormones such as progesterone, estrogen and testosterone.  They leave that to the OB-GYN docs.  What a riot.

My girlfriend, Jayme had great success with Dr. Sun and referred her to me.  So I went to Dr. Sun.  John was with me.  My blood tests showed (according to Dr. Sun) I did not have any testosterone, estrogen or progesterone.

Dr. Sun walked into the room.  She is a small woman with a serious appearance.  I found her very difficult to follow as she reviewed my blood work.  Dr. Sun has a heavy accent.  Her sentences are choppy and hard to follow.   And she speaks in almost a whisper.   She sat across from John and me and drew pictures of my gut and intestines and explained how the general population of North America was eating and causing a great deal of harm to their bodies.

Dr. Sun convinced me (and I am embarrassed to say) to let her inject a hormone pellet in my butt.  She said she knew exactly what was wrong with me.  She said that my gut was all messed up from all the bad food I was eating. 

I explained to her that we eat very simply.  That we don’t eat red meat and only chicken and a little fish, that we eat mostly vegetables and fruits.  I told her that we seldom if ever eat fast food.  I explained we do not drink caffeine, eat deserts and/or processed food.   She didn’t seem to like my answer.  So she turned her head away from me and lectured John on the evils of red meat and processed food.   I told her three times we don’t eat like that but she wasn’t listening.

The pellet has testosterone and estrogen and progesterone.  The problem with the pellet is that the doctor must guess the correct amount you need for each hormone.  The pellet comes in three or five sizes.  So it’s the doctor’s judgment call.  If the doctor makes a bad guess and gives you too much the side effects are awful.  Personally, I think the pallets should be outlawed because it is simply a guessing game.  If the doctor gives you a pellet with too large a dose there is no way to get the pellet out.  Dah!  You (the patient) simply have to suffer the side effects until it wears off.  It could take up to six months. 

Dr. Sun also increased my Synthroid to 112mcg.  (Same blood test results as Dr. Iyers but she increased my thyroid medicine).
.
Within hours of getting the pellet I was shaking, weeping and nauseated.  I called Dr. Sun’s office and left a message.  She returned my call and told me to meditate.  That I was making myself upset and why did I want to do that?  That I should sit in a dark room and relax.  She said everything would be fine in a day or two.

By the next day my legs were so swollen I could barely walk.  Now I was really scared.  I layed in bed and called her offices.  The nurse said she was not in but would call me ASAP.  Six hours later I called the offices and asked when would I hear from the doctor.   “What was wrong?” the nurse asked.  I nearly exploded and said I was coming to the office immediately.  There was something definitely wrong with my legs.

Two hours later I finally saw Dr. Sun.   She looked at my legs, touched them, prodded them and gave me a prescription for diuretics.  She reviewed my blood work and said, “there is too much acid in my blood.”  When I looked at the test result it was high normal but still normal.  She said that it was too high and kept repeating herself.   
Again she told me to meditate, to stay calm, to feel good.
However, in the next ten days I gained ten pounds.   I now have gained 27 pounds since I first felt symptoms.

Our old trainer, Ryan, told John that if  I didn’t start really walking and exercising I could gain a lot of weight with too much testosterone.   John helped me walk 12 miles a day: 4 in the morning and 8 in the afternoon so I would not gain any more weight.  The rest of the time I slept.  I was barely fit company.   A month later my testosterone was up to 800 mg/dl.  Normal was 14-80 mg/dl.  She had “guessed” wrong and overdosed me with testosterone.  There was no way to remove the pellet.  She told me that it was only a matter of time before my testosterone levels were normal and I would feel great.  It took over six months.  There was one week that I actually felt good.  One week.  I felt strong and like my old self but Dr. Sun ruined nearly six months of my life.   When I complained of the weight gain she said, “don’t eat anything unless you are very very hungry.”  Then eat only a little and that’s all.

She charged me $500 for the pellet.

During my last visit to her office she decided that I probably had mercury poisoning.  I asked her how would I get that?  She asked where I lived.  She said it could be from the soil?  I asked her what she based that assumption on.  She said all soil was poisonous.  I am not kidding.  Seriously.  Then she inquired about my teeth.  I told her that I had all my silver fillings taken out ten years ago.  Well, she went wild with that information.  How many, where, etc. All information that I could not answer but she was convinced I had mercury poisoning.
She asked how often I ate tuna fish and I told her once a week if that and she jumped on that information as an explanation for my mercury poisoning.  She said most insurance companies paid for the blood tests but many don’t.  If not covered by insurance my out of pocket cost would be $500.00 plus.   She handed me a little box and told me that she would call me.  As I was trying to decide what to do her nurse looked at me, pointed to the box and shook her head “no.”  She looked over at Dr. Sun’s door and whispered, “don’t do it.”  I did not say anything.  I paid my office visit fee.
I left the box on the counter and said, “thank you to the nurse.”

Dr. Sun should not be in practice.  She may help some folks short term but she is a dangerous person disguised as a doctor.  



August 2008
I went to a new Endocrinologist, Dr. Amy Teresi in Newport Beach.   She lowered my synthroid to 60 mcg.  I could barely function.  I gained more weight.  I went to her three times.
Each time she kept me waiting over three hours.  The third time I called the office to make sure she was running on time.  They moved my appointment from 11:00 a.m. to 2:30 p.m. (my previous appointments had been at 2:30 p.m.).  They assured me she would be on time.  I called at 2:00 p.m. and they moved me to 3:00 p.m.
I arrived at 2:45 p.m. and was told to have a seat.  At 5:00 p.m. I was taken into a patient room.  At 5:15 p.m. I left.  I did not find out my lab results.  I was billed for the lab and office visit. I called several times (10 times) to get the lab work.  I only got voice messages. I never received a call back.  I paid...I didn’t have the energy to fight the incompetence.

August-2008
I went to a rheumatologist, Dr. Burt Rahavi in Newport Beach.  My joints hurt so bad I had to stop my evening walks.  He tested me for fibromyalgia.  I think you need 17 points for fibromyalgia. I only had 14.  He told me that I didn’t have fibromyalgia.  I left his office in tears.  A real jerk.  He asked John to leave the patient’s office.  Then he leaned forward and asked me what was really going on with me?  I left his office in tears and never went back.

 
November 2008
I went to a new ob-gyn, Dr. Amy Vanblaricom, in Newport (my regular doc was in La Jolla and on vacation).   The ob-gyn said that all my hormones were in the low range and she could give me hormones but I didn’t want any more.  I told her I didn’t have any libido so she gave me the name of a doctor that specializes in sexual dysfunction.  I threw that name away.   Still recovering from Dr. Sun’s experience… I wasn’t going in that direction.  She told me to go to the Women’s Health Center at Hoag Hospital. 

At this point I got the flu and was sick for the next five months.
I could not get better.



January 2009
I changed my primary care doctor.  Dr. Kenny.  He helped me get rid of the congestion and cough.   I told him about my desire to feel better.  He went over all my symptoms.  He said he would try to help.  He knows John and I told him that this wonderful man wants to marry me and I can barely move and had no libdo.  He called me back later and prescribed cream testosterone.  A huge bottle.  It must have been 16oz.  He told me to go to another ob-gyn.

John and I had decided to try Nutra System.  I could barely wear size 10 pants and was scared.  We went on Nutra System and I gained 6 pounds.  So I stopped the Nutra System program.

March 2009
I went to a Woman’s Doctor, Kelly McCann.  She is an internist that specialized in woman’s health problems.  She was recommended because she uses both eastern and western medical philosophies.   I told her all my symptoms.  She took a battery of tests. 
She said I needed hormones and wanted to give me a test for my Adrenal Glands that cost $500.00 because my insurance would not cover it.  I asked her what if my Adrenals were not working?  What would that mean?  Did that explain why I could not stay awake?   She said she was not sure it was I could not stay awake.  But she believed it could contribute to my weight gain.  She said she would prescribe supplements if my adrenals were not functioning properly.  There was nothing really to be done.  I asked her why she thought my Adrenals were not working and she said no reasons but it would be eliminating them as a problem.

She told me that I would feel better if I went on a hormone protocol. 
She said it was likely that I would gain about twenty pounds (initially) but I would feel better and eventually have the energy to exercise the weight gain off.  The program she advised me to go on was the Wiley Hormone Protocol Replacement Therapy.  I emphasized that I had been on hormones twice before with terrible side effects.
She told me to think about it.  That was her recommendation and the Adrenal gland test.  I did not go back to her.



March 2009
I called up the Women’s Center and made an appointment to see a registered dietician.  She told me to keep a three-week record of what I did everyday including diet and exercise.   By this time I was sticking to a 900-calorie diet.  I could not lose weight but was not gaining weight.  I weighed around 165.  I had started walking and swimming daily.
We got Wii Fit and I was working out with that.  But I did not have the energy to do anything else.  Working on my illustrations and books was nearly impossible.  I did everything I could but nothing worked.

At the Hoag Woman’s Center the Dietitian was shocked at my metabolism test results.  The results said that I could eat 900 calories a day if I did 9-½ hrs. of cardio a week. 

She sent me to her Endocrinologist, Dr. Chang.  He is Lake Forest (South Orange County). 

I went to Dr. Chang and he switched me from Synthroid 75 mcg to
Levoxyl 75 mcg.  I told him I was gaining weight, was tired all the time, sometimes I could not stay awake during the day, my hair was falling out, my quality of life was falling rapidly to zero.
For the next two months he took tests and patted me on the head.
I stopped eating almost completely and lost three pounds.
He was very excited.  I told him I had stopped eating.  But he didn’t listen.  He wanted me to start Hormone Replacement Therapy.  I told him the two previous times I had started replacement therapy I had gain nearly ten pounds in a few days.
No worry, he said.  Just go to the OBY-GYN.

I went to OBG-GYN, Dr. Marsha Granese and I told her what was going on.  She never spoke to Dr. Chang but tried.   She put me on the lowest dosage of Premarin.  I was on it for six days and gained ten pounds.  I know this is hard to believe. I find it hard to believe it myself. I called her office and she told me to stop the Premarin immediately.  I never changed my exercise or eating.  I went into her office and she asked me why I gained so much weight.   She said she didn’t understand the weight gain.  She could not help me.
I left her office pretty discouraged.

I went back to Dr. Chang and he was furious with my weight gain.
Accused me of eating chips and cookies.  I simply left his office in disdain.

I got on the Internet and studied for hours.  I started with the thyroid because I knew that was a problem.   I then went to the pituitary because it told the thyroid what to do.  Perhaps there was a problem with my pituitary?  Also, my Mom had died from complications of a pituitary tumor.  I read about Human Growth Hormone and how the Pituitary makes it.  That we need to grow and as we get older we need less.  Perhaps I had Pituitary deficiency? 
(My friend, Sara told me her sister was on HGH)
I called Dr. Chang’s office and asked if I could get a pituitary deficiency test.  They called back and said to come in the next day.
They never told me the protocol for the test.  I read about it on line.
You need to be fasting and have done no exercise.  Try to be as calm as possible up until the time of the test.  I had the test done.
The following week, Dr. Chang burst into his office and said exclaimed, “who ordered this test?”  I said, “you did.”  It showed my HGH level was 51 (normal 88-300---real normal for my age is 125).  He ordered more blood tests.  I asked if he was retaking the HGH test and he said, why?  I said I had eaten and walked four miles in the morning.  He said, so?  I told him there was a protocol for HGH testing.  He ordered it anyway.  I was upset.  He seemed more concerned about proving me wrong then what the test result said.  The following week, John went with me to the appointment.
My HGH test was 90.  Dr Change informed me that I was barely over normal and way below the “real normal” of 125 for my age. 
I thought we would all be happy.  Yeah, we found out the problem.
But it was not a happy meeting.  Dr. Chang said I needed an MRI immediately to see if I had a tumor.   No one had a test result like mine without a tumor or sever trauma to the pituitary.   Dr. Chang said I would need to get insurance approval for an in-depth HGH test. The test could be very far away (I said, well, not Michigan?).  There was a lot of work to do.  The test takes four hours.  On and on he went.  I asked how many adult HGH deficiency cases he had?  He never answered the question.  Said he had been in practice for 15 years, blah, blah, blah.  I left his office with my head down.  His nurse was very nice. I called her later and told her not to bother with calling my insurance and ordering the test.  I did not believe Dr. Chang was the doctor for me.  That was the only time I had ever done that.  I just couldn’t take his accusations and negative comments.  It became too much.  John agreed.

I went to have an MRI and fortunately, I did not have a tumor.
I remember my Mom’s tumor discovery.  They said it probably had started growing in her mid to late fifties.  It was not discovered until she was 73 years old.  An ophthalmologist suspected her tumor.  He was right.  An MRI showed the tumor starting to block her vision.  She had many symptoms that everyone had said were due to menopause and old age.  Weight gain, tired, itchy and dry skin, itchy and redness around the bridge of her nose, tremors, milk from breasts, balance problems, compromised eyes sight, memory loss, inability to give simple directions and more.  She suffered for nearly two decades before she was diagnosed.

I went to UCI, Dr. Choi, an endocrinologist.  He is an older gentleman.   An old high school friend recommended me.  Her first choice was on vacation so I went to Dr. Choi.  John came along.  We took all my paperwork and tests. I asked if he had anyone on HGH.  He said yes.  But I am not sure about that.
He said he could give me the test right there. I felt lucky.  Someone knew what I was talking about.  UCI was in our backyard. 
His staff was very friendly and got insurance approval quickly.  I had the four-hour IGF-1 test.  I quickly realized that this staff and doctor had never given an IGf-1 test together.  They were relying on the pediatrics doctor upstairs to give the proper instructions.
I was very concerned that the test was done correctly.  Remember I was supposed to stay calm?  The test cost $4000.  Insurance paid 60%.  Fortunately, I had two insurances.

A week later, Dr. Choi said that the IGF-1 was inconclusive.
He said that since I had a 100 (88-300) I would need to take another four-hour test, the insulin tolerance test.  I said that it was my understanding that normal for my age was 125 and that the test clearly showed that I was deficient.  He said insurance would never cover my HGH medicine with out another test.  He said he would have to get insurance approval and assured us that it would be given.  But he also had to get the nurses approval because they would need to have a Defibrillator nearby in case I had a rare but possible bad reaction to the test.  Both John and I felt he was simply playing “the mad scientist” that wanted another test.  I went home and read about the insulin tolerance test and cringed.  I have since talked to folks that had it and said it was the worst test in the world.  Doctors have told me that they don’t believe the test is in given any more.

Now what to do?
I sent my tests over to my Mom’s surgeon.  He offered to show it to an endocrinologist at USC, Dr. Peter Singer.  This did not excite me because I had read what Dr. Singer said about hypothyroidism in the newspaper comparing it to the same symptoms of falling in love.  What a crazy analogy.  I also, remember my Mom’s visit with Dr. Singer when she went to visit him.  He spent nearly all of his time talking with my Dad.   Later, he advised me to go to an endocrinologist at Cedars Sinai, Beverly Hills, Dr. Vivien Bonert.
Mom had seen her and liked her.  She had suggested Mom should try HGH in 1996.  That would have been considered a new protocol.  My Dad said absolutely not.  (They also said - Dr. Shlomo Melmed - that my Mom’s tumor re-growth after her initial surgery was elective surgery and not necessary---very bad advice).  I called Dr. Bonert’s office. She was on vacation.  They wanted me to fax all my information.  I was going to do it but I guess I just ran out of energy.  I sat and cried for a long, long time.

August 2009
I had started reading about HGH deficient patients (only 6,000 diagnosed a year in the U.S.
I read about who was using HGH.  Turns out mostly HIV Positive and Aids patients are using it along with professional athletes and movie stars.  Anti-aging doctors are very popular in southern California.  They seem to know a lot about HGH, too.   The problem is that insurance won’t pay for it.  The costs are prohibitive.

A friend told me about a doctor, Alex Martin.  He is an “anti-aging” doctor.  He told me some things no one else told me.
He said that my cells were withering and unable to accept hormone treatment and/or food because of my lack of HGH.   That is why I was gaining so much weight.   He wanted to put me on regime of HGH and Vitamin B.  But he did not take insurance.  He did not really work with patients that were HGH deficient.  Mostly with wealthy/celebrity types that wanted to feel a little better, little more energetic and avoid getting old too quickly.   I could not afford his pricey $3800 a month treatment.

My dentist suggested I talk to Dr. Martin Hertz.
Dr. Hertz is a psychiatrist/endocrinologist.  My dentist assured me Dr. Hertz was a good choice because he was on HGH and very familiar with problems of the pituitary and thyroid.  I met with Dr. Hertz once.  He drew a lot of pictures and took a lot of notes.
He suggested that I might need to take a variation of synthroid quantities.  He had me cutting synthroid tablets into quarters and eighths.  He was fixated on me taking too little or too much.  I spoke to him on the phone.  He kept delaying giving me a prescription for HGH.  It was weird.  Like he kept changing the medications and the amounts.  I couldn’t keep up.  He didn’t take insurance and when I filed on my own it was denied.  I gave up and moved on. 

 Another friend told me about an allergist/immunologist.  Dr. Paul Cimoch in Fountain Valley.  I went to see him.  He agreed I needed HGH.  He wanted to get more information and more blood tests.  He said I was T3 resistance and was Vitamin D deficient.
I had other vitamin deviancies that needed to be addressed.  Okay.
He put me on natural T3 like Armor but not Armor.  In two days I was flat on my face sleeping 24/7. I could barely move.  Dr. Cimoch tried putting me on all Armor and the same thing happened.   I went back on Levoxyl 75mcg.  Dr. Cimoch said he would apply to insurance to get me the HGH.  Then he told me to take as much Levoxyl as I needed to keep me awake.  He said it would only be short term.  He also said that I needed to be conscious of rapidly heart beating and other important side effects.   I found I could stay awake with 225 mcg dosage of Levoxyl.  But my entire body ached.  I pushed through four-mile walks daily.

It took Dr. Cimoch over two months to turn in the paper work for HGH insurance. I don’t know why except his office looks like a paper mill. John finally got him to get the paper work in.  At the time I had two insurances, Blue Shield and Anthem.  Both insurances agreed according to my tests I needed HGH but Blue Shield needed an endocrinologist to prescribe it.  Anthem wanted me to try Humantrope and/or Nutropin first.  Both were made with preservatives and cheaper. 
(As of January 2010 I dropped my Blue Shield insurance. It was up to $1400 a month with a $2500 deductible.  I had the insurance for thirty years.  In the past three years it doubled in costs.  As a single woman I have always paid more then my friends with kids.  John needed insurance and we could get it through a California Corp but I needed to get it with him.  So for a year I paid for both and finally in January I dropped Blue Shield.  My Anthem Blue Shield is more reasonable at $550 a month but with less benefits.)

December 2009
While waiting for insurance approval I decided to buy HGH off contract.  At Costco, Genotropin cost $800.00 for 28 days.
I was told it would take 3-6 months to start working.  By the second week I felt like my old self. I jumped out of bed in the morning and was dancing.  But by the fourth week I was back to sort of my old self.   Meaning, I didn’t have the great energy level of the second week.  I was able to decrease my Levoxyl dosage to 125 mcg.  But I had plateaued.  I was just getting by. 

February, 2010
Dr. Cimoch sent me over to a doctor, Endocrinologist,
Joseph Baloga.  He is around forty with orange spiked hair.  He’s a vegetarian, which I liked.  He is in Laguna Niguel, south Orange County. 
I had been buying HGH off contract for three months.
He said I needed to get on Humatrope because insurance would cover it.  It took several weeks to get approved and get the nurse out to teach me to use the pen.  I took it for four days and broke out in hives from head to toe.  Now I am waiting for Nutropin to be approved by insurance. 
Dr. Baloga tried to put me on a dosage of of 60 mg of Armor and 60 Levoxyl and I was dead on my face.  Then I tried 30 Armor and 90 Levoxyl and was sleeping away my life.  I went back to 200 mg Levoxyl, which is barely keeping me up.

Unlike most, I think, I have a severe reaction to medications.
If I don’t take my thyroid meds I feel it immediately. I have some friends that if they don’t take their thyroid medications they don’t notice it.  I seem to be different than most.

Because I was very allergic to Humatrope I went off of it went back to Genotropin.  On Friday I realized I only had one injection left.  Costco could not get any in until Monday.  So I skipped Friday and Saturday nights.  I have been in a foggy sleepy daze most of the weekend.   No Doze, Monster drinks, anything I can get my hands on to help me stay awake.

I decided this morning I could not spend the entire weekend sleeping so I used my last injection of HGH this earlier today.
It has helped although I am still sleepy.

Last month Dr. Baloga did a blood test that showed I had no levels of Cortisol.  He did a more in-depth test that showed I had barely normal levels of Cortisol.  What is wrong with this problem?

Thursday, I took a four-hour glucosamine test.  I don’t think there is a problem there but he wanted to eliminate the problem.

I go to see him on Tuesday.



I think I have been able to hold my weight  at this level because I refuse to stop exercising.  Nearly every doctor has told me to either stop exercising or lower it to minimum amount.   I also, have kept my calorie intact low to mostly below 900-1000.

I am tired Kent....this was a personal account to an old college friend.
I am sure this is going to be too difficult to figure out from there….
I about at my wits end….
I feel like my life is slipping out of my hands (if that is not being overly dramatic).
I am not drawing or writing much.  The reunion has given me something to do to pass the time until I can get my energy back.

I will be so indebted to you, Kent, if you can figure this out.
A miracle in my life.


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