I've had COVID-19 three times so far, and everytime I get an increase in skipped heartbeats (PVC's + PAC's) for weeks / months after the initial infection. And everytime I caught it, the frequency of these increased. Last week I had days with 100+ per day. (I have been to the cardiologist before, they say the PVC's + PAC's are benign and there is no sign of structural heart disease. I did not go to the doc after my latest infection though)
I read that antihistamines could work and so I started taking ceterizine 10mg per day. A few days later I have almost 0 palpitations per day. Only a handful here and there. I couldn't believe it. I stopped taking the ceterizine and 3 days later they came back with a vengeance. I started taking it again and 2 days later they decreased again to almost 0.
I am knocking on the wood as I type this, but it seems like I've found some relief for now. I've also cut out some high histamine foods just to be sure. But does this meant that COVID-19 caused histamine intolerance for me? Or that it caused Mast Cell Activtion Syndrome?
Or does it just mean that COVID increased the amount of histamine / inflammation in my body and that the antihistamines bring it down? Or could the Ceterizine help my heart in any other way?
I am just trying to make sense of it all. What does this potentially say about my health and what is the best move forward? Follow a low histamine diet? Continue taking the antihistamines for a long time? Add anything else to the regime?
If you have any idea, please share. Thanks so much.

I was struggling with horrible IBS-D for months on end, and even had to quit going to school in person and started doing it totally cyber. It was seriously debilitating and had me calling out of work more than I should, which just gave me more passive aggression from my bosses over something I couldn't control. The last few days have been a lot better, and I've been having more solid bowel movements. At first, I thought more fiber was what I needed and so I was taking supplements and this caused me to have diarrhea every day. I even changed my diet multiple times over the course of months, nothing helped. Then I also tried peppermint oil capsules, which helped with a lot of the bloating and stomach pain, but definitely attributed to my nausea on an emptier stomach. Had my mom, who is a nurse, freaked out that I had an internal blockage that maybe was just causing a small amount of diarrhea to occur instead of a full, solid BM. So she had me chug a thing of mag citrate and do an enema, which I know cleared me out from top to bottom and this didn't seem to really do much either. I finally stopped taking my fiber supplements and I also stopped smoking weed, and my gut health is finally getting better. Smoking weed at first helped with a lot of the pain and mental anguish all of this has caused me, but ultimately I think it sped up my digestion and attributed to a lot of the diarrhea. The last few days I have had some bloating and nausea, but my BMs are nowhere near as bad. I recommend the app PCal if you're interested in tracking your BMs. I find that it is a pretty private app, even allows you to take pictures (sounds gross but honestly it does help tremendously to keep track of what affects my stomach and how it affects my BMs). This app helped me to narrow it down a lot also. Hoping to start my journey on making my IBS a lot more tolerable and less debilitating.

Mast cell activation syndrome (MCAS) is the subject of heated debate. How are mast cell activation syndromes defined? Which diseases are included? What is the diagnosis and treatment of mast cell activation syndrome? Prof. Dr. Knut Brockow, Clinic and Polyclinic for Dermatology and Allergology at the Biederstein, Technical University of Munich answers these questions in an interview with MeinAllergiePortal.
Mast cell activation syndrome: The most important facts!
-The prototype of mast cell activation syndrome is recurrent anaphylaxis
-Other forms of idiopathic mast cell activation syndrome are being sought; however, there are mainly symptom descriptions where the diagnosis cannot be made
-Clinical suspicion of MCAS is based on recurring allergy-like symptoms on the skin, nose, respiratory tract, gastrointestinal tract and circulation
-The diagnosis of MCAS is made according to recognized international criteria based on three criteria
-MCAS is often suspected even when symptoms are inappropriate and the diagnosis is unclear; the suspicion is then not helpful for patients
-The same medications are used to treat MCAS as are used to treat allergies, in particular antihistamines and cromoglicic acid
Prof. Brockow, what kind of disease is MCAS?
Mast cell activation syndrome is not an established diagnosis, but rather a concept. Historically, this concept arose because an increasing number of patients came to the doctor's office with complaints that gave the impression of having been triggered by mast cells. These patients sometimes showed symptoms similar to those of allergic reactions, anaphylaxis or mastocytosis, but a clear diagnosis for these diseases could not be made. Nevertheless, it was suspected that there could at least be a connection with mast cell diseases. Unfortunately, the term MCAS created more uncertainty than understanding. This is because MCAS is now thrown around as a diagnosis for many patients with many symptoms and an unclear diagnosis. This is not helpful for patients and fuels short-term hope of diagnosis and cure, which cannot be fulfilled later.
Is MCAS an autoimmune disease?
No, in autoimmune diseases mast cells are not primarily involved and not as lead cells, but lymphocytes that attack the body's own structures, in some cases by forming antibodies.
Is there a connection between mast cell activation syndrome and autoimmune diseases?
No, there is no known connection between MCAS and autoimmune diseases. It has also been claimed by specific authors that other diseases, such as Ehlers-Danlos syndrome, postural orthostatic tachycardia syndrome (POTS) and myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) are related to mast cell activation syndrome. However, there are no good arguments for this. Unfortunately, such claims are easy to make and difficult to refute.
What is the cause of mast cell activation syndrome?
Mast cell activation syndrome is actually more of a symptom description than a diagnosis in its own right. Mast cell activation syndrome is fully applicable to recurrent anaphylaxis (severe allergic reactions in several organ systems such as the skin, respiratory tract, digestive tract and circulatory system), for example due to insect bites. All the criteria for mast cell activation syndrome are met here. Severe allergic reactions are the most common cause of MCAS. However, although the term MCAS is correct in this context, it does not provide any additional information, as patients with such events are better described as patients with a diagnosis of anaphylaxis or allergy, and the term MCAS is somewhat confusing.
Is mast cell activation syndrome genetic?
MCAS itself is not genetic, but patients with the genetic disease mastocytosis often suffer from anaphylaxis, particularly to insect venom, and therefore MCAS. In addition, it is currently being investigated whether people with genetically determined hereditary alpha-tryptasemia suffer more frequently from MCAS.
How did the term mast cell activation syndrome come about?
There were many patients without a clear diagnosis, some of whom predominantly showed the symptoms typical of mast cell diseases. Accordingly, the experts dealing with mast cell diseases saw the need to develop a concept that took into account the “undiagnosable” symptoms of the patients. In the course of this, the terms “mast cell activation” and “mast cell activation syndrome” were defined. In addition, an attempt was made to sort all mast cell diseases into a classification with regard to mast cell activation. However, the difficulty in classifying these complaints is that many of the complaints described by patients are subjective, relatively non-specific and can be both organic and psychosomatic.
How have you defined mast cell diseases and which diseases do they include?
Mast cell diseases are defined as recurring chronic symptoms that are compatible with mast cell activation.
Mast cell activation is classified on the basis of three criteria:
Recurrent typical clinical symptoms in at least two organ systems
An increase in mast cell mediators can be detected in the blood, most frequently by determining the serum tryptase level during an acute attack
Good response of symptoms to anti-mast cell mediator-directed therapy, especially H1 antihistamines
What types of mast cell disease are there?
The classification of mast cell diseases associated with mast cell activation syndromes defines three groups:
1. primary mast cell activation syndrome
Primary mast cell activation syndrome is explained by a clonal expansion of mutated overactive mast cells. It manifests as systemic or cutaneous mastocytosis. If these criteria are not completely fulfilled, but clonal mast cells have been detected, it is referred to as monoclonal mast cell activation syndrome.
2 Secondary mast cell activation syndrome
Secondary mast cell activation syndrome is present when clear triggers of mast cell activation are known. There are established terms for secondary mast cell activation syndrome that we are more familiar with, such as “anaphylaxis” to a known trigger. The classification in the second group of mast cell diseases is therefore merely a reclassification. Examples of mast cell activation are physical urticaria or cold urticaria. Allergies such as pollen allergies are also secondary mast cell activations, as hay fever also causes symptoms typical of mast cell diseases. In pollen allergies, mast cell mediators are found in the blood serum and drugs directed against mast cells have a good effect. If the symptoms recur in several organ systems, this is referred to as mast cell activation syndrome.
3. tertiary or idiopathic mast cell activation syndrome
Tertiary or idiopathic mast cell activation syndrome refers to mast cell diseases whose triggers are unknown. This group would include, for example, chronic spontaneous urticaria, which has additional symptoms in other organs. Here we know that mast cells are activated, but not by what. This group of idiopathic mast cell activation syndromes would also include patients with as yet undescribed clinical pictures who do not fulfill the diagnostic criteria of known mast cell diseases, e.g. allergy, anaphylaxis, but in whom the disease is triggered by mast cells. In these patients, however, the connection between the symptoms and the activities of the mast cells must be proven.
Does this mean that tertiary or idiopathic mast cell activation syndrome is a diagnosis of exclusion?
Idiopathic mast cell activation syndrome can be described as a diagnosis of exclusion insofar as the prerequisite for the diagnosis is that there is no other disease causing the symptoms. However, the symptoms described are often very, very unspecific and could also be caused by a variety of other diseases. However, there are the three criteria for mast cell activation syndrome already mentioned. If these are not all fulfilled, this diagnosis cannot be made.
How common is mast cell activation syndrome?
Anaphylaxis and severe recurrent allergies are not uncommon and represent the vast majority of appropriate cases for MCAS. In addition, mastocytosis patients often have multiple anaphylaxis and therefore also MCAS. However, our initial idea of finding a new disease, idiopathic mast cell activation syndrome, has not yet been confirmed. There are many patients with many symptoms for whom a clear organic diagnosis cannot yet be made. However, it is almost never possible to prove that a defect in the mast cells is primarily responsible for the symptoms. Many of these patients describe symptoms that could fit, and in some patients anti-allergic drugs also have a positive effect. But in only very few patients can an increase in mast cell mediators be detected during an acute attack. I now believe that somatic stress disorders could play a significant role in many of the patients examined.
Histamine intolerance is also a diagnosis of exclusion, is there a connection with mast cell activation syndrome?
Histamine intolerance can cause similar symptoms, but is not a mast cell disorder and has nothing to do with MCAS. When mast cells are activated, the messenger substance histamine is released, which in turn can cause symptoms. In histamine intolerance, the mast cell is not activated - it is not involved in any way. Rather, histamine intolerance describes patients with an increased sensitivity to histamine, which is supplied, for example, via the diet. This can lead to similar symptoms, but in contrast to mast cell activation syndrome, histamine intolerance has a clear trigger, histamine. As a result, the symptoms occur after eating histamine-rich foods, but disappear again if the patient follows a low-histamine diet. A test is also available to diagnose histamine intolerance.
So there are also patients with suspected mast cell activation syndrome who cannot be assigned to a classification group, even though they have corresponding symptoms?
There are many patients in whom no mast cell activation syndrome can be detected despite suspicion. They do not fit into one of the three groups. However, this also used to include monoclonal mast cell activation syndrome. These patients showed anaphylaxis and a KIT mutation, but not the full criteria for mastocytosis. In the meantime, a separate disease diagnosis has been created for these patients. The independent accepted disease of these patients therefore lies between mastocytosis and normal findings.
We thought that there might be other forms of idiopathic MCAS with clinical pictures that have not yet been described. However, this is not supported by the findings to date. There are patients who show symptoms but do not meet the necessary criteria for idiopathic mast cell activation syndrome. In these patients, the diagnosis remains unclear. In how many of these patients functional physical complaints play a role still needs to be investigated.
Are there risk factors that favor mast cell activation syndrome?
There are hardly any recognized studies on this. In a study conducted by Cem Akin in the USA, patients were examined who met the three criteria for idiopathic mast cell activation syndrome. They had the right symptoms, there was an increase in mediators and their symptoms improved with treatment. It was shown that many of these patients suffered from urticaria factitia, a scratch-induced urticaria, abdominal pain and flushing.
Recently, a genetic trait was discovered, hereditary alpha-tryptasemia with elevated basal serum tryptase levels. In patients with this trait and insect venom allergy, the severity of the allergic reaction appears to be increased. It is also discussed that the frequency of mast cell activation syndrome is increased in patients with this genetic trait. However, the published studies are not yet unanimous in this respect.
What symptoms can occur with MCAS?
The following symptoms could be signs of mast cell activation syndrome:
MCAS symptoms on the skin:
Appearance of sudden intense redness (flushing)
itching
wheal formation
Deep wheal formation (angioedema or Quincke's edema)
MCAS symptoms on the nose:
Nasal congestion
Nasal itching
MCAS symptoms in the airways:
Swelling of the upper airways
Wheezing
Shortness of breath
MCAS symptoms of the digestive tract:
Vomiting
abdominal pain
diarrhea
Systemic MCAS symptoms:
Syncope - where you suddenly lose consciousness, but only for a short time
Sudden drop in blood pressure
Allergic shock
These symptoms can occur together or individually. In principle, symptoms must occur in two or more organ systems for MCAS. These symptoms, together with the typical skin changes and anaphylaxis, are also typical of mastocytosis.
Are muscle pain and hair loss also symptoms of MCAS?
No, why would anyone think that these symptoms are primarily caused by a malfunction of mast cells? Mast cells are not important cells for muscle pain and hair loss.
How is MCAS diagnosed?
MCAS is a diagnosis of exclusion, i.e. there is no mast cell activation syndrome test. However, this does not mean that all other diseases must be ruled out before a diagnosis of MCAS can be made.
When testing directly for mast cell activation syndrome, three criteria would be examined, all of which must be met, not just two:
First, there must be a matching of symptoms to see if the above symptoms are leading, recurrent and occur in at least two organ systems.
Is there a substantial or complete improvement in the clinical symptoms when taking anti-allergic medication, antihistamines or cromoglicic acid? Then this criterion would apply.
The blood levels of tryptase in the serum can now be examined at two different points in time. This would check whether there is an increase in mast cell mediators or tryptase in the blood serum in a highly symptomatic phase or during a seizure compared to a time when there are no symptoms.
What does the tryptase level in the blood mean in the diagnosis of mast cell activation syndrome?
If the mast cell mediator tryptase rises by 20 percent of the basal value, i.e. the initial value, + 2 ng/ml during such an episode, the diagnosis of mast cell activation syndrome has been made without the need to rule out other diseases beforehand. However, taking blood samples to determine the tryptase levels is very time-consuming, because a blood sample should be taken in the normal state and then another blood sample should be taken during a seizure or a highly symptomatic episode. This means that the patient must see a doctor in good time for a blood test during the acute phase. If these tests are negative, mast cell activation syndrome cannot be confirmed.
Elevated tryptase levels also play a role in anaphylaxis, is there a connection with mast cell activation syndrome?
Anaphylaxis is an extremely strong mast cell activation, the “prototype” of mast cell activation, so to speak. The tryptase level rises, so that it is considered an indicator of anaphylaxis. Here too, the basal value is measured and compared with the value during an episode. The relevant factor is the resulting increase in the tryptase value. The therapy against mast cells is effective in this case. In this respect, anaphylaxis is the classic form of mast cell activation syndrome.
The tryptase value also plays a role in the diagnosis of mastocytosis, what are the correlations here?
Mastocytosis patients also have an elevated baseline tryptase level. This is therefore an indication of mastocytosis and an indication for a final diagnosis by means of a bone marrow biopsy. However, there is also a mastocytosis-independent correlation between tryptase and anaphylaxis. People who have a higher number of mast cells often develop more severe anaphylaxis than people with fewer mast cells. The tryptase basal value is therefore considered a kind of indicator for the total mast cells in the body. For example, insect venom anaphylactic patients with elevated basal mast cell tryptase levels in the blood are at increased risk of severe anaphylaxis.
What can be done against MCAS and which medications help?
The aim of treatment for mast cell activation syndrome is to slow down the effect of the overactivated mast cells and to calm the mast cells. In particular, the avoidance of allergic triggers is available for this purpose.
Histamine receptor blockers are tried as medication to block the effects of mast cell activation by histamine. Mast cell stabilizers or blockers of mast cell release, cromoglicic acid, can also calm the mast cells. Cromoglicic acid is also used in mastocytosis patients. It is important to know that the use of cromoglicic acid is not advisable if the attack has already run its course. On the other hand, many patients achieve a significant improvement in symptoms if cromoglicic acid is taken continuously as a preventive measure and in a sufficiently high dose. This has also been shown to be the case with antihistamines.
Another option would be leukotriene receptor antagonists and corticosteroids in the short term, but never over a longer period of time.
Unfortunately, many patients with previously unexplained complaints are given a suspected diagnosis of MCAS in the hope that this knowledge will lead to better treatment or perhaps a cure. However, apart from the drugs mentioned, which can also be used on a trial basis in cases of suspected MCAS, there are no other useful drugs available. In this respect, the suspicion of MCAS unfortunately does not offer patients any additional treatment options.
Are there foods that activate or deactivate mast cells?
No such foods are known in humans. Of course, it is possible to bombard mast cells in a test tube with high concentrations of food and measure whether the natural activation of mast cells is increased or reduced. However, such tests are generally not meaningful for humans when consumed.
Can naturopathy help with mast cell activation syndrome?
I don't know how it could help. Naturopathy is the attempt to achieve a positive effect through naturally occurring active substances. Is the avoidance of allergens in our natural environment already naturopathy?
Could certain vitamins, for example vitamin C, be beneficial for MCAS?
This is claimed by a few doctors without any convincing results. Vitamin C is also said to help against seasickness. After all, vitamin C, taken in normal amounts, is not harmful and is beneficial. Sometimes the conviction that a substance is good for you also helps. That's why the experiment doesn't bother me.
Is it possible to prevent mast cell activation syndrome?
Yes, by avoiding MCAS with a known trigger. This is the case with allergies. In the case of allergies and recurrent anaphylaxis as a form of MCAS, omalizumab, an antibody against immunoglobulin E, can also be used in individual patients.
Prof. Brockow, thank you very much for this interview!
https://www.mein-allergie-portal.com/mastozytose-mastzellaktivierungssyndrom-mcas/925-idiopathisches-mastzellenaktivierungssyndrom-ein-neues-krankheitsbild.html

Backstory: I (F28) have never been formally diagnosed with PCOS (my last doctor said my bloodwork was normal & I didn't have enough cysts to meet the Rotterdam criteria), but 5 years ago I was overweight and diagnosed pre-diabetic. I have a family history, which lead me to reach out to a nutritionist, and with her help, I lost 40 lbs., but some of the weight came back, so I had to make further changes to my diet. I'm currently keto and do intermittent fasting, which so far has helped me maintain my current weight and keep me from gaining 5 lbs overnight.
I also manage my PCOS with other lifestyle adjustments (I've exercised on and off over the years, working on making it into a daily routine) and a whole horde of supplements (vitamin D, vitamin B complex, vitamin C, probiotics, collagen, turmeric, zinc, etc.). I also have ADHD (inattentive type severe) for which I am on Vyvanse, which has also helped with my stress. Still working on sleep. I do get a period and it is much more manageable than it used to be (aside from the occasional cramp), I'm not on birth control anymore, and my acne is also much more manageable.
My current struggles are with hirsutism (I basically have a daily routine of plucking my chin hairs), hair thinning & dandruff, the PCOS belly which I now realize has been there my whole life (before my weight spiraled out of control I used to look fit and thin everywhere except for the belly), and blood sugar, which I have chalked up to insulin resistance and testosterone. For this I have been looking into berberine and inositol.
My question is, do you have any recommended brands, what has been your experience with it, does it help with the excess fat or hair thinning or other symptoms, or do you know if they interact with any other supplements and ADHD medication? Or can you recommend any other supplements that would help?

Hi all, I had my gallbladder out 10 months ago and Im still getting sick even though I'm doing what people recommend with diet and vitamins. I had to wait along time and gallbladder was inflamed and cancerous packed out. I feel better in loads of ways but I still get sick quite bad.
I had to have a valve put in as they couldn't stop the bleeding and I got infection as soon as I got out of surgery and had to go a&e for a week, it was really bad.
Ive got a bit better but I can get constipated and knocked sick and or I can sick up bile or acid and recover quite fast. Im dealing with the constipation with protein shakes, high fibre diet is bunging me up and some salads and fruit are not digesting or taking ages.
I can feel my liver gets like a shock and I feel something spraying into my belly with pain to lower abdomen were my hernia or cyst is and when it fills up it knocks me sick, can see my belly just bloat up and its like it builds up over a week or 2 and bam you wake up nausea and vomiting uellow crap. I also feel if I dont eat enough as I'm on a strict diet, I will sick yellow stuff up to. The other week I had what felt like a attack, I was constipated and straining to go and caused a cyst or hernia, I thought I recovered but woke up constipated and sick again, think its the Weetabix so I swapped to eggs and avocado for breakfast, thats helping alot.
Any recommendations for this as it is making my life miserable, anyway to stop this bile or acid building up?
Many thanks in advance and take care..

I've had a limited diet my whole life. Carbs, bread, pasta and pizza and cheese and dairy have been the majority of what I eat since I was little. I've never really been able to eat vegetables unless I force them down, they just taste disgusting. I'm also grossed out by most meats, the only ones I ate growing up were hot dogs and salami. I've never touched seafood and I'm not interested in any. Adding chicken to my diet in my late 20s was a HUGE win for me and opened up more options in restaurants etc. I used to be afraid of not finding anything to eat whenever going out. I like some fruits when they're available, like berries and apples. Anything in the melon family tastes weird and unappetizing to me. My parents say I used to eat more variety but started restricting more the older I got. Don't know what's up with that.
I need to make changes though. My doctor says I've crossed into obese BMI territory and I know it's terrible for me. I hate the way I look. My mother also had a heart attack due to arterial blockage earlier last year and I don't want the same thing to happen to me. But the vast majority of safe foods are high calorie high fat carby stuff. I know I need to eat vegetables but they're so disgusting and unappetizing. And I'm also short at 5'0 so my calories really need to be restricted in order to get to and stay at a healthier weight which fills me with despair. I don't want to be starving myself and forced to eat only vegetables the rest of my life and giving up the foods I actually do like in order to be a healthy weight.
Ranting over, now to the point. Does anyone have tips for making vegetables edible? I just hate that bitter sensation, I'm probably a supertaster and sensitive to bitter foods. Never liked coffee either. I need ways to hide the vegetable flavor so that I can eat them. I don't even know what to start with, maybe broccoli since it's so nutritious? What can I do to them that's still healthy but hides the flavor with something more tolerable? One thing that has worked for me lately is to mix cooked & shredded cauliflower into my rice when I make my homemade chicken tikka masala. The masala sauce is so flavorful it hides the taste of the cauliflower somewhat. Cauli is a more mild tasting vegetable I think so I don't know if this will work for other things. I'm looking for more ideas like that. I also have a dietician appointment in a couple of weeks to make a plan and get some more ideas. Hopefully they can help me. If you read this far thank you and best wishes to you all as well!

For the past 2 years I have had some form of pain in my joints. In the beginning it was just a nagging pain. Nothing too serious, but my mom still took me to the doctor. They said I don't have any inflammation so there was nothing wrong and sent me home.
I've tried to ignore the pain and tell me it's nothing but lately it's been getting worse. It's starting to effect my life and prevents me from keeping up with my friends and at work. I can't sleep at night because of the pain.
The pain is more like a strong ache. But it doesn't happen when I'm moving. It just happens at random, but when it does sometimes it knocks me off my feet or makes me drop what I'm holding. It feels like there's a restriction of blood flow even if my arm or leg is just there in a normal position. I've also started getting weird muscle twitches and pins and needles feelings all over my body.
I don't have insurance or the money to go to the doctor. I don't know what to do. I'm in the process of losing weight because I think that will help. I've tried moving more, moving less, taking supplements and medication, changing my diet, drinking more water, and whatever anyone suggests but the pain is only getting worse.
Do any of you having any suggestions that could help me? I just need some advice. I'm feeling a little lost.

I have an adult male False Map (who I thought was a Mississippi map for 10+ years until I learned what a False Map was!) I am planning to upgrade him to a 75g tank soon. When I do so, I also want to add cherry shrimp and nerite snails in as well, accepting the fact that they may or may not end up as a snack. When he was a juvenile, we tried guppies but he did not eat them and we let them breed and get out of control before we had to remove them. I think now that he is an adult he will be more prone to hunting.
What I'm wondering though is, if my turtle does eat them, how do I control and monitor his diet? I currently feed him Zoo Med maintenance pellets 3ish days a week, a small piece of fruit as a treat on the weekend, all you can eat greens, and some protein in the form of freeze dried shrimp every so often. I want to make sure that he isn't being overfed if he is eating shrimp and snails uncontrollably while also getting his regular diet. And I also want to ensure he isn't getting too much protein in his diet.
Is this a bad idea? Should I setup a separate tank for the snails and shrimp, and only add a few into his tank every so often for enrichment?
Thanks

This topic has been discussed in this reddit a couple of times in the past but honestly not very quantitively, and not including insects.
So, I wanted to give it a go and know your opinion. Now, there seems to be significant literature suggesting that most insects indeed do feel pain (https://www.sciencedirect.com/science/article/abs/pii/S0065280622000170) and this is the reason, to the best of my knowledge, why vegans do not eat honey. So, I don't see any reasons to not include them in the calculation. Only in the US, it is estimated that 3 quadrillion insects die or are harmed to pesticides alone (from a very animal friendly reference https://www.wildanimalinitiative.org/blog/humane-insecticides). The number is shockingly huge but reasonable. There are an estimated 10 quintillion insects on our planet. Proportionally, 180 quadrillion just on the US, making 3 quadrillion only around 1.6% of the entire US insect population. Considering that crop land covers 7% of total US land, the death estimate seems quite reasonable, or at least in a realistic order of magnitude. There are around 340M acres of crop land in the USA (https://farmdocdaily.illinois.edu/2021/06/estimating-total-crop-acres-in-the-us.html), meaning in average insecticides cause 10M insects death each year per acre. An acre for something like corn yields 12M calories (https://www.waldeneffect.org/blog/Calories\_per\_acre\_for\_various\_foods/). Let's assume you then plant something else and double the calories produced by the acre in a year to 25M (I could not find a figure for how many calories an acre of land produces in a year in the US, but this should be more or less in the right ball park). This means a sobering 2.50 calories per kill. I am not including harvester deaths of rodents and other animals, as well as poisoning of other animals like birds due to pesticides as they are likely not the same order of magnitude.
Now let’s move to wild fish, eg. salmon. In average a salmon yields 1000 calories (give or take). How many deaths does it take to fish a wild salmon? WWF estimates bycatch to be 40% of the fish fished (https://www.fishforward.eu/en/project/by-catch/#:\~:text=In%20total%2C%2038%20million%20tonnes,or%20disposed%20of%20on%20land.). Means in average roughly for every two fish, another fish dies. Let’s be conservative and say for every salmon another fish dies. This takes us at 500 calories per kill. That is 2 orders of magnitude less deaths compared to a plant like corn. Of course it is not always clear cut. Potatoes for instance don’t require much insecticide and can yield more calories per acre. If you compare them with eg. Shrimps, for which bycatch is also usually higher, they may end up on top. But in general, unless you find something particularly wrong that accounts for a couple of orders of magnitude, I don’t think there is any reason to think that eating wild fish, especially finned fish, produces more animal killing than plants.
Pre-replies to some usual points to save (us) some time:

1. Crop deaths are not morally the same because they are accidents: I find this a weak excuse in general but here it really doesn't apply. I am not talking about a harvester unintentionally killing animals. We are talking about bombing acres of land with poison specifically designed to kill animals (eg. Insecticides and rodenticides).
2. There is not enough wild fish for everyone to eat, so this is pointless: Here I am not suggesting vegans should just eat wild fish. First and foremost, even if there was enough wild fish, it would not be very healthy diet for your guts. But one could add some wild fish to his diet in a sustainable manner and decrease the total amount of animal deaths caused by mono crop agriculture. How much? Using (https://ourworldindata.org/fish-and-overfishing) as reference, we produced in 2018 110M tons of wild fish. Of this 79% is estimated sustainable, so we can say 89M tons of fish can be fished in a sustainable manner (meaning without ever run out of it). Divided by 8B people, this brings us to roughly 10 Kg per person (half current US average). This accounts to roughly 200g of fish a week. A significant change to a typical vegan diet, which reduces animal deaths and even provide a natural source of B12. If you are not a picky eater and you eat fish organs as well, you may not need B12 supplements at all.

Note: It may take some time to reply, but I will reply :)

Warning: if you’re a new parent, and easily upset by posts regarding difficulties with older babies, please stop reading. Your mental health matters and I don’t wish to discourage anyone with this post. Just seeking some needed support.
So, my LO is almost 6.5 months now. I adore him. But he has been HARD. Pretty colicky to begin with, very gassy, issues with food sensitivities we’re still sorting out. Won’t take a pacifier or a bottle. Hated his car seat until 3 months. Baby wearing is a no go. He does like the stroller and will tolerate his bouncer for awhile.
I had a couple complications during pregnancy, a very fast birth resulting in bruising, a cephalohematoma (has healed), and jaundice. Things started to improve around 10-12 weeks. We had a really good stretch for awhile between 5-6 months, some really good days with little fussing. Sleep was still awful, but has improved. But lately, since he turned 6 months, things seem to be much harder again. He’s fussy like 50% of each wake window. He’s so frustrated about not being able to crawl yet (he’s close), and just had his first tooth pop through so I know that’s part of it.
I’ve been feeling so discouraged lately, particularly because I haven’t been enjoying all my time with him which makes me feel guilty. I’ve been trying to figure out why I’ve had this pit in my stomach and it occurred to me this morning, the difference is hope… when things were so tough in the early days, I’d read so much about how things would get better, usually by 6 months. Gas, sleep, fussing, everything, always by 6 months. Well, we’re there, and it has only gotten worse again. I have two other kids, so I know eventually it does get much better, but holy cow, the whining and fussing are so frustrating some days. I feel like I’m just constantly juggling him from area to area, activity to activity, none of which last very long. I’m just feeling so drained. I know I should be grateful for so many things. He’s here, he’s safe, he’s absolutely adorable, he has some wonderful times of smiles and giggles. He goes to other people without screaming, he’s rolling all over the house and exploring, he’s overall healthy and strong. But I don’t know, as soon as he starts fussing, I get so stressed. I think hitting 6 months, a time I had unintentionally built up in my head as being such a turning point, and having things get worse rather than better has been really harmful.
As far as any physical issues, we see a holistic nurse practitioner and we have seen a regular pediatrician. We do gas drops and probiotics daily. We see a pediatric chiropractor. We’ve met with a lactation consultant as well. I’ve cut all major allergens from my diet, along with other items I’ve discovered are bothersome. I have been responding to his needs, we co sleep at night and naps are all contact naps still.
Maybe it’s just me. Maybe he isn’t as high needs as I think, maybe it’s just my anxiety and sleep deprivation. Can anyone relate or offer some hope? Thanks in advance!

Yesterday I went to urgent care because of stabbing/excruciating pain in the left side of my back, about where my left kidney, kind of right below my ribcage. This was a kind of pain I have never felt before, literally rolling on the floor in pain. It got significantly worse within an hour which is why i went in so quickly. I was also severely nauseous and threw up a little before i left. It was slowly lessening in pain while i was at the dr's, when i got there they said they didn't have an ultrasound to check for a kidney stone but they'd do a urinalysis to see if i had a uti ect.
The results came back and everything else was normal but I had 3+ ketones in my urine. Because of this they tested my glucose which was 85 and i hadn't eaten in 8ish hours (ate at 9am, test was at 5ish). The 85 result seemed to rule out diabetes because they didn't mention it again.
Their next step was to refer me to a different urgent care so they could give me an ultrasound. by this point the pain had become pretty minor and since that was really all i came there for I told them I was going to go home and wait to see if the pain came back, and if it did i'd go in. Well the pain never returned even close to the level it was before so I didn't go back.
I was trying to do some research on the ketone thing because while i used to do the keto diet a few years ago i don't really know what's normal or not. Anyways my confusion is that I couldn't really find any kind of explanation for why there would be that many ketones in my blood? like none of them made sense or like checked out with my symptoms if that makes sense. I am not pregnant, i have not drank alcohol in weeks, diabetes does run in my family but i think its type 2 which I thought was almost entirely environmental based and I eat well. My main issue is that a lot of the symptoms of most of the things overlap with the potential symptoms of a medication i started about 2-3 weeks ago. For example: extreme thirst, numbness/tingling/staticky feeling in my arms or face (not actually sure if this is an adderall thing it just started about a week ago), dry mouth, dizziness/lightheaded, nausea, weight loss. I'm on adderall for context. So I am experiencing all of those things but also it could be explained by the med.
I also went through the foods i've eaten the last few days to see if maybe i accidentally put myself into ketosis by my diet but i eat wayyy more than the 20-50 range that would put me in ketosis. Like the tortillas i've been using are 40 alone lol. I also bought those little ketosis test strips because i wanted to see if it was a fluke or something or would just go away on its own but i've tested twice since and both times the results are relatively the same and the number converts to about what the urinalysis reported (between 2.7 and 3.5ish but it's a color scale so not super accurate).
So I guess my question is should I be concerned? I'm also feeling pretty "weak" like you know the feeling when lifting your arms feels like so much work. But also i'm getting nervous that it's all in my head if that makes sense. I am not feeling the pain in my kidney area anymore but the ketone thing is kind of throwing me for a loop, i just kind of assumed I had a kidney stone so this came from left field a little bit. I'm debating if I should go to the dr today because I don't know if this is just a thing that can "happen" and it's fine. Also what are some things it could be? I just can't seem to find a reasoning that makes sense other than diabetes and that was seemingly ruled out.

I've got COVID-19 three times so far, and everytime I get an increase in skipped heartbeats (PVC's + PAC's) for weeks / months after the initial infection. And everytime I caught it, the frequency of these increased. Last week I had days with 100+ per day.
I read that antihistamines could work and so I started taking ceterizine 10mg per day. A few days later I have almost 0 palpitations per day. Only a handful here and there. I couldn't believe it. I stopped taking the ceterizine and 3 days later they came back with a vengeance. I started taking it again and 2 days later they decreased again to almost 0.
I am knocking on the wood as I type this, but it seems like I've found some relief for now. I've also cut out some high histamine foods to be sure. But does this meant that COVID-19 caused histamine intolerance for me? Or that it caused Mast Cell Activtion Syndrome?
Or does it just mean that COVID increased the amount of histamine / inflammation in my body and that the antihistamines bring it down?
I am just trying to make sense of it all. What does this potentially say about my health and what is the best move forward? Follow a low histamine diet? Continue taking the antihistamines for a long time? Add anything else to the regime?
If you have any idea, please share. Thanks so much.

Yesterday I went to urgent care because of stabbing/excruciating pain in the left side of my back, about where my left kidney, kind of right below my ribcage. This was a kind of pain I have never felt before, literally rolling on the floor in pain. It got significantly worse within an hour which is why i went in so quickly. I was also severely nauseous and threw up a little before i left. It was slowly lessening in pain while i was at the dr's, when i got there they said they didn't have an ultrasound to check for a kidney stone but they'd do a urinalysis to see if i had a uti ect.
The results came back and everything else was normal but I had 3+ ketones in my urine. Because of this they tested my glucose which was 85 and i hadn't eaten in 8ish hours (ate at 9am, test was at 5ish). The 85 result seemed to rule out diabetes because they didn't mention it again.
Their next step was to refer me to a different urgent care so they could give me an ultrasound. by this point the pain had become pretty minor and since that was really all i came there for I told them I was going to go home and wait to see if the pain came back, and if it did i'd go in. Well the pain never returned even close to the level it was before so I didn't go back.
I was trying to do some research on the ketone thing because while i used to do the keto diet a few years ago i don't really know what's normal or not. Anyways my confusion is that I couldn't really find any kind of explanation for why there would be that many ketones in my blood? like none of them made sense or like checked out with my symptoms if that makes sense. I am not pregnant, i have not drank alcohol in weeks, diabetes does run in my family but i think its type 2 which I thought was almost entirely environmental based and I eat well. My main issue is that a lot of the symptoms of most of the things overlap with the potential symptoms of a medication i started about 2-3 weeks ago. For example: extreme thirst, numbness/tingling/staticky feeling in my arms or face (not actually sure if this is an adderall thing it just started about a week ago), dry mouth, dizziness/lightheaded, nausea, weight loss. I'm on adderall for context. So I am experiencing all of those things but also it could be explained by the med.
I also went through the foods i've eaten the last few days to see if maybe i accidentally put myself into ketosis by my diet but i eat wayyy more than the 20-50 range that would put me in ketosis. Like the tortillas i've been using are 40 alone lol. I also bought those little ketosis test strips because i wanted to see if it was a fluke or something or would just go away on its own but i've tested twice since and both times the results are relatively the same and the number converts to about what the urinalysis reported (between 2.7 and 3.5ish but it's a color scale so not super accurate).
So I guess my question is should I be concerned? I'm also feeling pretty "weak" like you know the feeling when lifting your arms feels like so much work. But also i'm getting nervous that it's all in my head if that makes sense. I am not feeling the pain in my kidney area anymore but the ketone thing is kind of throwing me for a loop, i just kind of assumed I had a kidney stone so this came from left field a little bit. I'm debating if I should go to the dr today because I don't know if this is just a thing that can "happen" and it's fine. Also what are some things it could be? I just can't seem to find a reasoning that makes sense other than diabetes and that was seemingly ruled out.

My cute dog (American Cocker Spaniel) will pass soon. He already had a bad start when he was still with his mom (inexperienced breeder). He spend the first few weeks in the hospital. Some of his brothers and sisters didn’t make it, but he did. When we had our first check up the vet told us that his lungs are not in a very good shape. The rest of his body was fine with the exception of his teeth which were close together and had some plague already.
During the years we encountered some problems. After weeks of searching what is happening we found he has an severe longterm allergy for beef. We eliminated everything which contains beef, they are everywhere even in Salmon Biscuits… after the elimination it went ok and we even got a second dog.
Everything was going well. He had some problems with teeth (bad shape, due to bad start and medicine there) and his temper like food protection or barking at cars / bikes, but it was fine and he got a good checkup every year including titer tests which were always ok. His health started to decline in the summer of 2023. He started limping on his front feed and was eating worse. We also noticed 2-3 weird spots on his skin which seems like hotspots. The vet told he was a bit heavy, he had a stiff neck and his intestines were a bit puzzled. A few sessions of acupuncture, good washing and balanced diet could help him, and it did help him for a few weeks.
In the winter his health suddenly declined and the weird spots on his skin increased and expanded over his entire body with crusts. He was losing a lot of hair. After a few vet visits, some medicine and some tests we discovered that he was highly allergy for almost everything you could imagine. This was a big message for me and my wife as it would mean we should change in the house a lot while we also have a other dog who lived the same life in perfect health. We switched to special hypoallergenic dog food of Hills so he does not react on that food and keep the other dog on his current food. We had to lock both pets apart and clean up where the other pet and also where we ate so he can’t get any other food in his stomach.
This worked for a few weeks. He remained happy when someone is home, we went to the forest or beach regularly and if I leave the house I always wants to be back as soon as possible to see my family again. I mainly work from home, so the two pets are always around and I have a deep emotional connection with them.
Unfortunately, the spots came back rapidly and he was shaking a lot. His teeth’s were also declining rapidly and his movement worsened that he could jump on the couch anymore and the stairs are done step for each step. We shifted from dexamethasone to Prednisone to see any difference, but recently we came to the conclusion that this and other treatments are not giving the results we and the vet wants. I was still looking for possible solutions, but my wife (had dogs in the past) and vet intervened that he is sick and everything we are doing could at the best only suppress symptoms, we were not making him better. EDIT: The vet said we were doing everything right on food, health etc. But basically his immune system is failing and not doing what it is supposed to do.
This week we decided to put him down. He will get his final rest next Saturday, on his fifth birthday. I’m devastated and keep crying that it is going to happen. Never had a pet during my youth and I’m just worried about the gap of the unconditional love he will leave. I’m also worried about my second dog who never has been alone and plays a lot with him and what this change will do with him.
While I’m writing this, my dog is sitting next to me and shaking. I find it very difficult he is passing at such a young age and weird thoughts are going through my mind if i could have prevented this, do things differently or anything to expand his time here with us. No matter what, I love him and keep carrying the awesome memories and the times he dragged me and my wife through really hard times in my heart. I saw this community and all the kind messages and advices, i thought i would give it a go also with my story and I’m open for advices on how to deal with the pain and some possible ideas to keep him close with me even if he is not there anymore.

Just warning folks that IVIM does not appeal denials they jsut refer you to their compounded program. This is for second round appeals where the insurance is asking for chart information about diet and exercise. Unfortunately the insurance didn't mention that requirement when I started my journey. I have been tracking everything though. So maKe sure to ask them to document your notes on exercise and diet regimen in your visits to avoid this issue.

Parenting is a journey full of emotions and responsibility, and if you are a parent to a newly born child, who is preparing to learn how things in the world work, it becomes a huge responsibility to make them aware of all the things. Here is where the responsibility of preschool comes in. Preschools, also known as play schools, simply mean training toddlers with basic things, before getting admitted into formal schools, which means preparing the toddlers for the future through exploring and discovering new things with them. Here we will know the basic meaning of preschool and will go further to learn more about the best play schools in India.

What is a Play School?

In this modern world, where in most houses, both of the parents are working for a better future for their children, often they miss teaching basic things to their children. That’s where the role of preschool becomes important. A playschool or preschool helps in the holistic development of your child by teaching them basic moral education, enhancing creativity among themselves, and infusing a lifetime of curiosity, creativity and self-discovery within themselves.
At Makoons Preschool, we focus on creating a journey on which they can learn something and be creative enough to create new ideas, discoveries, and more. We don’t burden them with loads of homework; but we make them identify their real selves through different types of activities.

Benefits of a Play School for Your Children

The benefits of a play school for your toddler are beyond your imagination. The first and foremost benefit that we all see is that, through play schools, your child will learn how to freely communicate about his or her feelings, will understand your feelings as well, and will learn to express themselves in the best possible way. On the other hand, through preschool, we can easily train your child for formal schooling, which is difficult to do from home, if both of the parents are working. Also, at Makoons Preschool, your child will get the opportunity to meet and learn with different toddlers of similar age with whom they will communicate and socialize, making their path easier for further schooling.

Points to Consider When Choosing the Best Play Schools in India

The most challenging thing a parent has to do is select the best premium preschool in India that provides your children with the best instruction and skills while also providing you with the best amenities.
The following are some considerations to make when choosing the best preschool in Thane: Protection: We understand the difficulties that arise when you can’t always be there for your small child while they are in a strange place. At Makoons Preschool, we provide all of our parents with CCTV access so they may watch their child every day and feel comfortable in their child’s safety.
Infrastructure: Parents should view and evaluate the facilities before bringing their child to an institution. A preschool with a variety of services can help your child develop into a creative and enthusiastic young person. Acknowledge educators: Before enrolling your children in the preschool, you must ascertain the qualifications and experience of the teachers.

Why Should You Choose Makoons for Your Child?

Makoons Preschool, being one of the premium preschool in India, is regarded as the best preschool in Thane due to its facilities. Here are some of the points listed that make Makoons Preschool one of the best play schools in India:
Food menu: We know how important nutrition is for growing children. That’s why at Makoons Preschool, the best preschool in Thane, you will get a nutritious food menu specially prepared for the proper diet and nutrition of your toddlers. Regular physical checkups: Makoons Preschool, one of the premium pre school in India, places a high priority on your toddlers’ health. We do regular checkups on your kids because we care about their health. CCTV access: In our opinion, parents should be able to observe their children at all times and be informed about their current circumstances. Consequently, Makoons Preschool, one of the best play schools in India, provides you with CCTV access so you can keep an eye on your toddler’s health. One of the unique qualities that make our preschool different from others amd the best preschool in Thane is this. Outside games: We are aware of the importance of outside play and education for your children. At Makoons Preschool, your child will gain more clarity and become more intellectual, through our outdoor games and activities.

Conclusion

It may be challenging to choose among the best and premium preschool in India, but Makoons Preschool makes you feel more at ease and hopeful about the future of your toddler. The best preschool in Thane, Makoons Preschool, does not overburden its pupils with knowledge since it recognises the importance of proper nutrition and health. We are among the best play school in India because of our stimulating games and activities that encourage your child’s creativity and intellectual growth. What are you waiting for then? It’s time to introduce Makoons Preschool to your youngster and encourage creativity!

Sleepless nights, tossing and turning, waking up groggy—sound familiar? If you're struggling with sleep, you're not alone. In today's fast-paced world, quality rest can feel like a luxury. But what if I told you there's a solution at your fingertips? Enter online sleep consulting—a revolutionary approach to tackling sleep troubles from the comfort of your own home.

Introduction to Sleep Troubles

Understanding the Importance of Quality Sleep
Sleep isn't just about closing your eyes and resting; it's a vital process that rejuvenates both your body and mind. From boosting immunity to enhancing cognitive function, the benefits of a good night's sleep are endless.
Common Sleep Issues Faced Today
However, with the rise of screens, stress, and busy schedules, achieving that elusive eight hours can seem impossible. Insomnia, sleep apnea, restless leg syndrome—these are just a few of the sleep disorders plaguing millions worldwide.

The Rise of Online Sleep Consulting

Explaining the Concept of Online Sleep Consulting
So, what exactly is online sleep consulting? Think of it as having a personal sleep coach available at the click of a button. Through virtual consultations, sleep experts assess your sleep habits, identify underlying issues, and design personalized plans to help you reclaim your ZZZs.
Benefits of Seeking Help Online
The beauty of online consulting lies in its accessibility. No need to commute to appointments or rearrange your schedule; you can access professional guidance from anywhere with an internet connection. Plus, with a growing number of certified sleep consultants offering their services online, finding the right fit has never been easier.

Meet Your Online Sleep Consultant

Qualifications and Expertise
But who are these sleep consultants, and what qualifies them to guide your slumber? Rest assured, they're not just self-proclaimed "sleep gurus." Many hold advanced degrees in fields like psychology, sleep medicine, or counseling, and undergo rigorous training to become certified sleep coaches.
How They Can Help You
From analyzing your sleep patterns to providing practical strategies, online sleep consultants are your partners in the quest for better sleep. Whether you're struggling with erratic sleep schedules or battling chronic insomnia, they're equipped with the knowledge and tools to address your unique needs.

Understanding Your Sleep Patterns

Importance of Understanding Sleep Cycles
One key aspect of online sleep consulting is gaining insight into your sleep architecture. By deciphering your sleep stages and rhythms, consultants can pinpoint areas for improvement and tailor interventions accordingly.
Tools and Techniques Used by Consultants
So, how do they do it? Through a combination of sleep diaries, questionnaires, and cutting-edge technology, consultants gather data on your sleep habits and preferences. Armed with this information, they devise customized strategies to optimize your sleep quality.

Customized Sleep Plans

Tailoring Strategies to Your Unique Needs
There's no one-size-fits-all solution when it comes to sleep. That's why online Sleep consultant online take a personalized approach to crafting your sleep plan. Whether you're a night owl or an early bird, they'll work with your natural rhythms to develop strategies that stick.
Personalized Recommendations for Better Sleep
From setting a consistent bedtime to creating a calming pre-sleep routine, your sleep plan will be tailored to address your specific challenges and goals. Whether you're aiming for more restful nights or seeking relief from sleep disorders, your consultant will be by your side every step of the way.

Addressing Sleep Disorders

Identifying and Managing Sleep Disorders
For those battling more serious sleep issues like insomnia or sleep apnea, online consulting offers a lifeline. Consultants are trained to recognize the signs of sleep disorders and can provide guidance on managing symptoms, accessing treatment, and improving overall sleep hygiene.
Strategies for Coping with Insomnia, Sleep Apnea, etc.
Whether it's cognitive-behavioral therapy for insomnia (CBT-I) or lifestyle modifications for sleep apnea, consultants are well-versed in evidence-based interventions to tackle a range of sleep disorders. With their support, you can take proactive steps towards better sleep and better health.

Creating a Sleep-Friendly Environment

Tips for Optimizing Your Bedroom for Sleep
Your bedroom should be a sanctuary for sleep, free from distractions and conducive to relaxation. From blackout curtains to white noise machines, consultants can offer recommendations for creating a sleep-friendly environment that promotes restorative rest.
Using Technology to Enhance Sleep Quality
In the digital age, technology isn't just part of the problem—it can also be part of the solution. Consultants can introduce you to apps, wearables, and other gadgets designed to track your sleep, monitor your progress, and even lull you to sleep with soothing sounds or guided meditations.

Developing Healthy Sleep Habits

Importance of Consistent Bedtime Routine
Just like Pavlov's dogs salivated at the sound of a bell, your body responds to cues that it's time to sleep. Establishing a consistent bedtime routine signals to your brain that it's time to wind down, making it easier to fall asleep and stay asleep throughout the night.
Tips for Relaxation and Stress Reduction Before Bed
In today's hyper-connected world, unwinding before bed can be easier said than done. That's where relaxation techniques like deep breathing, meditation, or gentle stretching come in handy. By calming your mind and body, you can ease into sleep more effortlessly.

Diet and Exercise for Better Sleep

Impact of Diet and Exercise on Sleep Quality
You are what you eat—and how you move. Diet and exercise play a crucial role in regulating your sleep-wake cycle and promoting restful slumber. From limiting caffeine and heavy meals before bed to incorporating regular physical activity into your routine, small changes can yield big improvements in your sleep quality.
Recommendations for Improving Sleep Through Lifestyle Changes
Consultants don't just focus on what happens between the sheets—they're interested in your entire lifestyle. By addressing factors like diet, exercise, stress, and screen time, they can help you create habits that support healthy sleep and overall well-being.

Tracking Progress and Adjustments

Using Apps and Devices to Monitor Sleep Patterns
In the age of smartphones and smartwatches, tracking your sleep has never been easier. Consultants may recommend apps or wearable devices that monitor your sleep patterns, providing valuable insights into your nightly habits and trends.
How Consultants Modify Plans Based on Progress
But it's not just about collecting data—it's about using it to drive meaningful change. Consultants will regularly review your progress and adjust your sleep plan as needed, ensuring that you stay on track towards your sleep goals.

Benefits of Online vs. In-Person Consulting

Convenience and Accessibility of Online Services
Gone are the days of waiting weeks for an appointment or trekking across town to see a specialist. With online consulting, help is just a click away. Whether you're a busy parent, a frequent traveler, or simply prefer the comfort of your own home, online services offer unparalleled convenience and flexibility.
Effectiveness Compared to Traditional Methods
But don't let the lack of face-to-face interaction fool you—online consulting is just as effective as in-person sessions, if not more so. Research has shown that virtual interventions can produce significant improvements in sleep quality, making them a viable alternative for those unable to access traditional services.

Success Stories: Real-Life Examples

Testimonials from Clients Who Improved Their Sleep
Still skeptical? Hear it straight from the source. Countless individuals have transformed their sleep and their lives with the help of online sleep consulting. From chronic insomniacs to weary shift workers, the proof is in the pudding—better sleep is within reach.
Case Studies Highlighting Positive Outcomes
Take, for example, Sarah, a busy executive struggling to juggle work, family, and sleep. After just a few weeks of working with an online sleep consultant, she's sleeping soundly through the night, waking up refreshed, and tackling her days with newfound energy and focus.

Cost and Accessibility

Affordability of Online Sleep Consulting
You might be wondering, "How much does it cost?" Surprisingly, online sleep consulting is more affordable than you might think. With a range of pricing options to fit every budget, there's no reason to put a price on your health and well-being.
Availability of Services Worldwide
And the best part? Online sleep consulting isn't limited by geography. Whether you're in New York or New Zealand, you can access top-tier sleep expertise without ever leaving your home. The world is your oyster—and a good night's sleep is just a click away.

Getting Started: Tips for Finding the Right Consultant

Factors to Consider When Choosing an Online Sleep Consultant
Ready to take the plunge? Before diving in, consider factors like credentials, experience, and specialization. Look for consultants who are certified by reputable organizations and have a track record of success in addressing your specific sleep concerns.
Questions to Ask Before Committing
Still unsure? Don't hesitate to ask questions. A good consultant will be happy to provide information about their approach, methodology, and success rate. After all, your sleep is too important to leave to chance.

Conclusion

Sleep shouldn't be a luxury reserved for the lucky few—it's a fundamental human need that impacts every aspect of our lives. With the rise of online sleep consulting, help is more accessible than ever before. Whether you're struggling with insomnia, sleep apnea, or simply can't seem to switch off at night, there's a solution out there waiting for you. So why wait? Take the first step towards better sleep today and revolutionize your sleep routine for good.

FAQs (Frequently Asked Questions)

1. Is online sleep consulting covered by insurance?

• While coverage varies depending on your provider and policy, some insurance plans may reimburse for online sleep consulting services. It's worth checking with your insurer to see what's covered.

1. How long does it take to see results from online sleep consulting?

• Results can vary depending on individual circumstances, but many clients report improvements in sleep quality within a few weeks of starting their consultation.

1. Can online sleep consulting help with children's sleep issues?

• Absolutely! Many consultants specialize in pediatric sleep and can provide guidance on establishing healthy sleep habits for children of all ages.

1. Are online sleep consultants qualified to diagnose sleep disorders?

• While consultants can identify common signs of sleep disorders, they are not licensed medical professionals and cannot provide formal diagnoses. If you suspect you have a sleep disorder, it's important to consult with a physician or sleep specialist for proper evaluation and treatment.

1. What if I'm not tech-savvy? Can I still benefit from online sleep consulting?

• Absolutely! Most consultants offer user-friendly platforms and provide support every step of the way. Whether you're a digital native or a technophobe, you'll find online sleep consulting easy to navigate and rewarding in its results.

Inside
Sleepless nights, tossing and turning, waking up groggy—sound familiar? If you're struggling with sleep, you're not alone. In today's fast-paced world, quality rest can feel like a luxury. But what if I told you there's a solution at your fingertips? Enter online sleep consulting—a revolutionary approach to tackling sleep troubles from the comfort of your own home.

Introduction to Sleep Troubles

Understanding the Importance of Quality Sleep
Sleep isn't just about closing your eyes and resting; it's a vital process that rejuvenates both your body and mind. From boosting immunity to enhancing cognitive function, the benefits of a good night's sleep are endless.
Common Sleep Issues Faced Today
However, with the rise of screens, stress, and busy schedules, achieving that elusive eight hours can seem impossible. Insomnia, sleep apnea, restless leg syndrome—these are just a few of the sleep disorders plaguing millions worldwide.

The Rise of Online Sleep Consulting

Explaining the Concept of Online Sleep Consulting
So, what exactly is online sleep consulting? Think of it as having a personal sleep coach available at the click of a button. Through virtual consultations, sleep experts assess your sleep habits, identify underlying issues, and design personalized plans to help you reclaim your ZZZs.
Benefits of Seeking Help Online
The beauty of online consulting lies in its accessibility. No need to commute to appointments or rearrange your schedule; you can access professional guidance from anywhere with an internet connection. Plus, with a growing number of certified sleep consultants offering their services online, finding the right fit has never been easier.

Meet Your Online Sleep Consultant

Qualifications and Expertise
But who are these sleep consultants, and what qualifies them to guide your slumber? Rest assured, they're not just self-proclaimed "sleep gurus." Many hold advanced degrees in fields like psychology, sleep medicine, or counseling, and undergo rigorous training to become certified sleep coaches.
How They Can Help You
From analyzing your sleep patterns to providing practical strategies, online sleep consultants are your partners in the quest for better sleep. Whether you're struggling with erratic sleep schedules or battling chronic insomnia, they're equipped with the knowledge and tools to address your unique needs.

Understanding Your Sleep Patterns

Importance of Understanding Sleep Cycles
One key aspect of online sleep consulting is gaining insight into your sleep architecture. By deciphering your sleep stages and rhythms, consultants can pinpoint areas for improvement and tailor interventions accordingly.
Tools and Techniques Used by Consultants
So, how do they do it? Through a combination of sleep diaries, questionnaires, and cutting-edge technology, consultants gather data on your sleep habits and preferences. Armed with this information, they devise customized strategies to optimize your sleep quality.

Customized Sleep Plans

Tailoring Strategies to Your Unique Needs
There's no one-size-fits-all solution when it comes to sleep. That's why online Sleep consultant online take a personalized approach to crafting your sleep plan. Whether you're a night owl or an early bird, they'll work with your natural rhythms to develop strategies that stick.
Personalized Recommendations for Better Sleep
From setting a consistent bedtime to creating a calming pre-sleep routine, your sleep plan will be tailored to address your specific challenges and goals. Whether you're aiming for more restful nights or seeking relief from sleep disorders, your consultant will be by your side every step of the way.

Addressing Sleep Disorders

Identifying and Managing Sleep Disorders
For those battling more serious sleep issues like insomnia or sleep apnea, online consulting offers a lifeline. Consultants are trained to recognize the signs of sleep disorders and can provide guidance on managing symptoms, accessing treatment, and improving overall sleep hygiene.
Strategies for Coping with Insomnia, Sleep Apnea, etc.
Whether it's cognitive-behavioral therapy for insomnia (CBT-I) or lifestyle modifications for sleep apnea, consultants are well-versed in evidence-based interventions to tackle a range of sleep disorders. With their support, you can take proactive steps towards better sleep and better health.

Creating a Sleep-Friendly Environment

Tips for Optimizing Your Bedroom for Sleep
Your bedroom should be a sanctuary for sleep, free from distractions and conducive to relaxation. From blackout curtains to white noise machines, consultants can offer recommendations for creating a sleep-friendly environment that promotes restorative rest.
Using Technology to Enhance Sleep Quality
In the digital age, technology isn't just part of the problem—it can also be part of the solution. Consultants can introduce you to apps, wearables, and other gadgets designed to track your sleep, monitor your progress, and even lull you to sleep with soothing sounds or guided meditations.

Developing Healthy Sleep Habits

Importance of Consistent Bedtime Routine
Just like Pavlov's dogs salivated at the sound of a bell, your body responds to cues that it's time to sleep. Establishing a consistent bedtime routine signals to your brain that it's time to wind down, making it easier to fall asleep and stay asleep throughout the night.
Tips for Relaxation and Stress Reduction Before Bed
In today's hyper-connected world, unwinding before bed can be easier said than done. That's where relaxation techniques like deep breathing, meditation, or gentle stretching come in handy. By calming your mind and body, you can ease into sleep more effortlessly.

Diet and Exercise for Better Sleep

Impact of Diet and Exercise on Sleep Quality
You are what you eat—and how you move. Diet and exercise play a crucial role in regulating your sleep-wake cycle and promoting restful slumber. From limiting caffeine and heavy meals before bed to incorporating regular physical activity into your routine, small changes can yield big improvements in your sleep quality.
Recommendations for Improving Sleep Through Lifestyle Changes
Consultants don't just focus on what happens between the sheets—they're interested in your entire lifestyle. By addressing factors like diet, exercise, stress, and screen time, they can help you create habits that support healthy sleep and overall well-being.

Tracking Progress and Adjustments

Using Apps and Devices to Monitor Sleep Patterns
In the age of smartphones and smartwatches, tracking your sleep has never been easier. Consultants may recommend apps or wearable devices that monitor your sleep patterns, providing valuable insights into your nightly habits and trends.
How Consultants Modify Plans Based on Progress
But it's not just about collecting data—it's about using it to drive meaningful change. Consultants will regularly review your progress and adjust your sleep plan as needed, ensuring that you stay on track towards your sleep goals.

Benefits of Online vs. In-Person Consulting

Convenience and Accessibility of Online Services
Gone are the days of waiting weeks for an appointment or trekking across town to see a specialist. With online consulting, help is just a click away. Whether you're a busy parent, a frequent traveler, or simply prefer the comfort of your own home, online services offer unparalleled convenience and flexibility.
Effectiveness Compared to Traditional Methods
But don't let the lack of face-to-face interaction fool you—online consulting is just as effective as in-person sessions, if not more so. Research has shown that virtual interventions can produce significant improvements in sleep quality, making them a viable alternative for those unable to access traditional services.

Success Stories: Real-Life Examples

Testimonials from Clients Who Improved Their Sleep
Still skeptical? Hear it straight from the source. Countless individuals have transformed their sleep and their lives with the help of online sleep consulting. From chronic insomniacs to weary shift workers, the proof is in the pudding—better sleep is within reach.
Case Studies Highlighting Positive Outcomes
Take, for example, Sarah, a busy executive struggling to juggle work, family, and sleep. After just a few weeks of working with an online sleep consultant, she's sleeping soundly through the night, waking up refreshed, and tackling her days with newfound energy and focus.

Cost and Accessibility

Affordability of Online Sleep Consulting
You might be wondering, "How much does it cost?" Surprisingly, online sleep consulting is more affordable than you might think. With a range of pricing options to fit every budget, there's no reason to put a price on your health and well-being.
Availability of Services Worldwide
And the best part? Online sleep consulting isn't limited by geography. Whether you're in New York or New Zealand, you can access top-tier sleep expertise without ever leaving your home. The world is your oyster—and a good night's sleep is just a click away.

Getting Started: Tips for Finding the Right Consultant

Factors to Consider When Choosing an Online Sleep Consultant
Ready to take the plunge? Before diving in, consider factors like credentials, experience, and specialization. Look for consultants who are certified by reputable organizations and have a track record of success in addressing your specific sleep concerns.
Questions to Ask Before Committing
Still unsure? Don't hesitate to ask questions. A good consultant will be happy to provide information about their approach, methodology, and success rate. After all, your sleep is too important to leave to chance.

Conclusion

Sleep shouldn't be a luxury reserved for the lucky few—it's a fundamental human need that impacts every aspect of our lives. With the rise of online sleep consulting, help is more accessible than ever before. Whether you're struggling with insomnia, sleep apnea, or simply can't seem to switch off at night, there's a solution out there waiting for you. So why wait? Take the first step towards better sleep today and revolutionize your sleep routine for good.

FAQs (Frequently Asked Questions)

1. Is online sleep consulting covered by insurance?

• While coverage varies depending on your provider and policy, some insurance plans may reimburse for online sleep consulting services. It's worth checking with your insurer to see what's covered.

1. How long does it take to see results from online sleep consulting?

• Results can vary depending on individual circumstances, but many clients report improvements in sleep quality within a few weeks of starting their consultation.

1. Can online sleep consulting help with children's sleep issues?

• Absolutely! Many consultants specialize in pediatric sleep and can provide guidance on establishing healthy sleep habits for children of all ages.

1. Are online sleep consultants qualified to diagnose sleep disorders?

• While consultants can identify common signs of sleep disorders, they are not licensed medical professionals and cannot provide formal diagnoses. If you suspect you have a sleep disorder, it's important to consult with a physician or sleep specialist for proper evaluation and treatment.

1. What if I'm not tech-savvy? Can I still benefit from online sleep consulting?

• Absolutely! Most consultants offer user-friendly platforms and provide support every step of the way. Whether you're a digital native or a technophobe, you'll find online sleep consulting easy to navigate and rewarding in its results.

I just commented this on a post but wanted to see others experiences/ thoughts on this viewpoint- I will give my back story for context
I have been suffering with gastritis for 4 months (also have GERD and have had these symptoms for roughly the same amount of time in Jan last year) GI initially thought I had eosinophilic oesophagitis which was not confirmed by scope. Through trial and error I discovered that gluten triggered my symptoms and stopped eating it for 8 months which resolved my symptoms by around may last year, roughly 3 months into diet. During that time I ate healthy, home cooked everything, ate a wide variety of foods, spices, vegetables + meats and dairy. I mainly restricted processed foods, alcohol, chilli and acidic tomato. (I could eat everything and drink alcohol once healed)
Fast forward to Jan this year, symptoms make a comeback with a literal vengeance but I am GF so no idea what is causing it. Got an endoscopy and confirmed moderate linear gastritis with erosions + mild oesophagitis (non-allergy related and no signs of coeliac but I was gluten free @ the time of scope)
This led me to try to do things differently than last year because I assumed gluten was not the sole cause of this problem and wanted to rid of it forever, plus I had a diagnosis. So this sub reddit (bless it’s fkn soul) was my source for healing and I began the bland diet, cutting out literally everything except for rice, chicken/ organic gf chicken sausages, eggs and salmon (as I went on I included oats and home made almond butte a variety of herbal teas)
I followed an extremely strict supplement regimen without ppi (they caused a nervous breakdown when I tried them the year prior) I used MSM, collostrum, collagen, gelatin, Manuka honey (actually a god send and strongly recommend) and as I went I added coconut kefir, cabbage juice twice a day and aloe Vera juice twice a day.
I literally did not step out of line with this diet for 3 whole months. Not one mouthful, whiff or taste of a food outside of that and diligently took my supplements every day. I saw considerable improvement after the first month and then into the second month I stalled.
This is where it is interesting because I booked a Europe trip in October before relapsing, and I was without exaggerating, absolutely terrified of going over there with this illness. The thought of not being able to control my food/ bring my juicer for the cabbage or find dairy free kefir actually made me feel sick. And I think many of you can relate to that.
Anyway fast forward to 2 weeks before the trip, I’m about 75% better and have good days and bad days, I think it is important to note that the bad days caused significant distress and fear that I was regressing after getting better for the first month. It’s also important to note that I have not 100% confirmed my root cause at this point.
Because my GI told me I am not coeliac and gluten is likely fine, I started incorporating some sourdough toast/ fermented wheat products. Initially I responded absolutely fine to these. Once I decided I needed to break the diet in preparation for my trip I actually ate a donut and had minimal reaction.
About 9 days before the trip I started getting SEVERE lower belly cramping after every meal I consumed. At times I considered going to to the ER, even while I sat a final exam (RIP). At first I thought it was the folinic acid supplement I had incorporated (research on this shows it reverses damage in atrophic gastritis patients over 6 months of use so I thought it would be helpful) and I stopped it immediately but symptoms worsened. I came to the conclusion after the final exam fiasco (had 2 pieces of almond butter sourdough) that I am probably coeliac/ wheat allergy and the scope did not show damage because I had already been GF for 8 months (need to eat a gluten filled diet for 6 weeks for coeliac testing to be conclusive)
So I went back to my GF diet and the symptoms persisted and got worse. During this time my gastritis was also flaring up I think because of the distress from the pain and at this time I incorporated a half dose/ day of esomsprazole (the weakest PPI on the market, honestly for more mental reassurance than anything). And I know this is long as hell but stay with me, the details matter,
I decided I’m just going to have to cop the awful health and go on the trip (I genuinely considered cancelling and staying home because it was so fucked) but I just took a massive gamble and went. I just happened to speak to a naturopath @ work that day who suggested taking digestive enzymes for the trip to aid with the tummy ache (and for those fresh in the gastritis journey I would strongly recommend these, have had a huge impact for me)
This was 4 days ago, I’ve been in Paris for 4 days and it is absolutely impossible to get food that will fit these dietary requirements. I cannot get cabbage juice or straight aloe Vera water, I can’t find an organic butcher and I honestly thought it would be more miserable to subscribe to my frankly militant routine with my eating.
And therein lies the miracle- I chose to accept my health as it was, and accept the situation for the potentially shit reality that it may have been, and I just started eating food and breaking my diet. I started with plain rice and kebab meat with garlic sauce (extremely bold I know) and had some light symptoms that went away very quickly. It is essential to note that I was really scared to eat this meal but knew I needed to do it.
The following day I felt empowered and decided to try some restaurant food that was heavily seasoned, and I had a glass of wine. When I tell you I literally could not believe that I didn’t drop dead from the relapse I thought that would cause, I realised that for me (and potentially some of you long term sufferers) that the anxiety of coming out from under the safety blanket of the bland diet and extreme restriction was keeping me sick. Each day I have felt more emboldened and less scared and therefore have eaten further into my list of fear foods. This includes Mexican food (spicy + citrus) a matcha latte and an enjoyable amount of alcohol.
I genuinely cannot believe that this is how it’s going and it made me wonder what part the psychological damage this condition does to us, has on the maintenance of the illness or worsening of symptoms that cannot be explained by diet/ lifestyle changes.
I absolutely want to acknowledge the real suffering that this condition cause, I have experienced it and we can all agree it’s fucked, but I would be remiss to ignore that it seems my actual (seeming) recovery from this illness was made complete by letting go of the fea anxiety and accepting whatever outcome I got. I genuinely think that the crippling mental health aspect could be responsible for ongoing, indefinite suffering that I see on this sub. Because obviously the bland diet/ supplements and (potentially) confirming root cause had huge impact on my physiological healing and it could not have been achieved without that work,
BUT, I could never seem to shake it fully. It’s like the fear of the illness keeps it going/ stagnated at like 75% or regressing.
I am interested to know everyone’s thoughts. This will obviously not be a method for those early in healing, but may give hope to those long term sufferers
TLDR: I am able to eat all of my trigger foods after deciding to let go of the mental safety net that is bland diet/ gastritis recovery protocol, which leads me to question if psychological distress associated w/ gastritis is keeping us sick

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I'll do my best to keep this short and punchy but I want to give my full backstory for clarity.
~5 years ago I lost 124 lbs (before and afters in my post history). I did it with diet alone. I used a cocktail of high protein (1g/lb of ideal bodyweight) low carb, daily time restricted eating, prolonged fasts, and keto cycling. I've since maintained my loss and now weigh 123-125. I continue to eat very low carb but have added back some vegetables, fruits, and nuts. But 95% of my diet is animal protein and I like to keto cycle about half the month.
3 years ago I was diagnosed with rosacea. About a year ago I developed arthritis. I've just begun to experiment with my macros and keeping a detailed spreadsheet. The reason being is that I keep noticing that when I'm very low carb or have slipped into ketosis that my rosacea flares are much worse and my hands are much more swollen. At first I thought it had to be a coincidence and that it was due to a specific food(s), but no.
For the last 2 weeks I've eaten a higher fat, higher carb, lower protein diet and am obviously out of ketosis. My first meal would be something like cheese, salami, nuts, clean crackers (I make them myself), and fruit. Next would be a protein with a high fat pan sauce and some potato. Last meal would be a salad with some vegetables, crumbled cheese, and a bit of leftover cold protein. Total protein around 80g, carbs around 70-80g, fat around 100g+. The result is that both my hands and face have been doing great. Very little swelling in my hands when I wake up (when it's usually the worst) and even in the hot weather my face hasn't flushed constantly and has been really comfortable.
Yesterday I went back to my normal macros/meals. I had salmon for breakfast, a flank steak and raspberries for lunch, and a ribeye and broccolini for dinner. Total protein 138g, carbs 22g, fat 65g. I woke up with terribly swollen hands and despite being in a nice cool room all day my face is flushed and painful.
These meals are just examples. I cannot seem to isolate a particular food that is bothering me. Ironically, back when I was morbidly obese I never seemed to have food intolerances.
I just don't understand any of this. For 6 years the LCHP/keto way of eating has been my lifeline. It saved me. I cannot get my head around how it could possibly be making my conditions worse.
Does anyone have any insight into how being in ketosis/LCHP could worsen my diseases?
Thank you to anyone who read all this.

I'll do my best to keep this short and punchy but I want to give my full backstory for clarity.
~5 years ago I lost 124 lbs (before and afters in my post history). I did it with diet alone. I used a cocktail of high protein (1g/lb of ideal bodyweight) low carb, daily time restricted eating, prolonged fasts, and keto cycling. I've since maintained my loss and now weigh 123-125. I continue to eat very low carb but have added back some vegetables, fruits, and nuts. But 95% of my diet is animal protein and I like to keto cycle about half the month.
3 years ago I was diagnosed with rosacea. About a year ago I developed arthritis. I've just begun to experiment with my macros and keeping a detailed spreadsheet. The reason being is that I keep noticing that when I'm very low carb or have slipped into ketosis that my rosacea flares are much worse and my hands are much more swollen. At first I thought it had to be a coincidence and that it was due to a specific food(s), but no.
For the last 2 weeks I've eaten a higher fat, higher carb, lower protein diet and am obviously out of ketosis. My first meal would be something like cheese, salami, nuts, clean crackers (I make them myself), and fruit. Next would be a protein with a high fat pan sauce and some potato. Last meal would be a salad with some vegetables, crumbled cheese, and a bit of leftover cold protein. Total protein around 80g, carbs around 70-80g, fat around 100g+. The result is that both my hands and face have been doing great. Very little swelling in my hands when I wake up (when it's usually the worst) and even in the hot weather my face hasn't flushed constantly and has been really comfortable.
These meals are just examples. I cannot seem to isolate a particular food that is bothering me. Ironically, back when I was morbidly obese I never seemed to have food intolerances.
Yesterday I went back to my normal macros/meals. I had salmon for breakfast, a flank steak and raspberries for lunch, and a ribeye and broccolini for dinner. Total protein 138g, carbs 22g, fat 65g. I woke up with terribly swollen hands and despite being in a nice cool room all day my face is flushed and painful.
These meals are just examples. I cannot seem to isolate a particular food that is bothering me and back when I was morbidly obese I never seemed to have food intolerances.
I just don't understand any of this. For 6 years the LCHP/keto way of eating has been my lifeline. It saved me. I cannot get my head around how it could possibly be making my conditions worse, and for that matter how I ended up with two auto-immune conditions at all when I thought I was finally in peak health.
Does anyone have any insight into how being in ketosis/LCHP could worsen my diseases?
Thank you to anyone who read all this.