Therapeutic
I am always honest with my doctor even if we don't see eye-to-eye (he has his protocol, but he is amazing and cooperative). I have sought out other specialists as well. My major challenge is my LDL cholesterol which I have heard from helpful and unhelpful sides of the spectrum - I am an academic so like to research this as well. This is a bit of a contestation as some people may be aware, but I am open to keep learning. I have tried to add in more carbs, but haven't had much success there yet - maybe later. I was on Promethazine, Mirtazapine, Zopiclone, Quetiapine and Escitalopram - now I am only on Escitalopram. Once my depression lifted, I was able to taper the short term ones quite quickly, then slowly the quetiapine (5 months), and then a year-long taper of Mirtazapine. Now, Im considering a further taper, but not there yet. I adjusted incredibly slowly. I am a father and a busy person and chose to have as little influences in my life at a time. My doctor has been impressed with my progress.
Integration
I started by taking a number of supplements, but now I just make sure to eat organ meats once a week - although I would consider supplements again if I knew their value, I haven't noticed any difference between taking them or not - perhaps creatine? Insulin, A1c and all metabolic panels are perfect. CPA inflammation near zero. Its just my LDL is now very high (HDL is strong, and tryglicerides in healthy range). My blood pressure has dropped significantly to really healthy levels too. I find it stressful to do bloods too often - its always the same story, even though blood counts are great except one. The "danger" of heart issues.
Nutritional
I have a strict whole foods animal based (fatty meats and organ meats) focus, although I enjoy salad, cucumber, celery, and fermented foods. Olive oil and cream help me to get my fat intake up. Since I am a runner, I find i function better with close to 2g protein per kg of weight, but still fit within the 70/25/5 range. I aim for less than 20g TOTAL carbs per day, but can go up to 40g if net stays low (i.e. avocado). Recently I have attempted to add in sardines too. I largely avoid nuts - too addictive! and only consume the healthiest of fats (no seed oils or processed stuff). Still trying to find creative ways to increase fat intake - possibly add coconut cream in soon. I used to do intermittent fasting everyday for 16 hours. But I found that after a while I operated better on not skipping breakfast. possibly because I run and have lost weight already? Yes i have done this 4 times now.
Ketosis
I did measure with SiBio in the beginning, but that added a stress to my day. I didn't have them that high (usually between 0.5 and 3 throughout the day). Now I just track what I eat and stick to it.
