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    1. Hypothyroidism and me

      A little over a week ago, I got an official diagnosis of hypothyroidism from my GP. Fair warning, this post is going to be a little bit of a rambly discussion of my thoughts and feelings...

      A little over a week ago, I got an official diagnosis of hypothyroidism from my GP. Fair warning, this post is going to be a little bit of a rambly discussion of my thoughts and feelings surrounding my diagnosis and other circumstances surrounding it.

      I'm a US American, but I moved to Germany to do my master's degree in 2018 and have lived here ever since. I've struggled with depression and social anxiety since before I moved to Germany, but my symptoms got notably worse in 2020 (perhaps unsurprisingly). In late summer of 2020 my psychotherapist finally suggested I go on an SSRI, but she wanted me to get a blood test to rule out any physical causes. I went to my then-doctor and got such a blood test. Everything was within the normal range except for my TSH.

      For those unfamiliar, TSH is the hormone your pituitary gland sends to tell your thyroid to get a move on. It doesn't directly measure your thyroid function, but it's a pretty good indicator something's up, so doctors use it to screen for thyroid issues. High TSH is a sign of hypothyroidism, and low TSH is a sign of hyperthyroidism. Your average person with a healthy thyroid will probably have TSH between 1.0 and 2.0, but some variation exists. The normal range that doctors use here has 4.2 as its upper limit. In 2020, my TSH value was 4.8. My doctor then said that people with hypothyroidism have higher numbers than that, so I was fine. She wrote my a prescription for a low dose of an SSRI, which did help me to an extent.

      I've been fat for a long time, to different degrees. After I first moved to Germany in Fall of 2018, I quickly lost a lot of weight. There were likely a lot of factors -- I wasn't living at home where snacks were constantly stocked, I was buying food on a student's budget, I was eating out and ordering takeout less because of my social anxiety and shitty German skills, and I was walking a lot more. When I came back to the US for family vacation in 2019, I constantly got compliments about having lost weight, which felt weird. I was still overweight according to the BMI, but more of a classic midsize chubby at that time. But it wasn't to last, and I did start gaining the weight back. For a while it, I attributed this to my getting more takeout and walking less. But a year or two ago it felt like it stopped being directly attached to my activity or food consumption. I went on medication that suppressed my appetite as a side-effect, but I continued to gain weight. Since I was already fat and had been gaining weight for a while, I didn't mention anything to my doctors because I was already getting lectures about how I needed to lose weight and exercise more. I don't know for sure what I weigh right now because I've avoided weighing myself for months, because I'm scared I weigh over 100kg and I can't handle seeing that triple digit on a scale.

      I've tried and failed to become more active and start an exercise routine several times. I joined a sports course at university with some of my friends, but I quit after a couple sessions because I was hyperventilating before warm-up was over. I've tried to do some basic strength training, but I'd be sore for days after even incredibly beginner-level stuff. More recently, my wife and I tried to take regular walks through the nearby park during last spring and summer. But I'd tire out after an embarrassingly short distance, not even enough to get to where we see the ducks (the highlight of the park for me). As the weather got worse in winter I basically stopped leaving the apartment. It's a struggle to put my shoes on without an extra long shoehorn so I don't have to bend over, and anything that requires me to tie my shoelaces is basically off the table.

      I've been struggling with work for the past several months. I can't seem to focus on it, even if I take my ADHD medication. I look at the computer screen and I just can't mentally handle the work. Every day of work is exhausting, even though I work a pretty cushy job as a data scientist and I work from home. I do way less than 40 hours of actual work a week but I'm still too physically and mentally exhausted all the time to do anything but the most trivial household chores. I haven't cooked dinner for myself in months (thank God for my wife).

      I switched to a new GP at the beginning of 2024 bc I was having trouble getting timely appointments at my last one. We agree to do one big blood test covering everything, since I have a myriad of small complaints and it's been years since I've had one. That test comes back mostly normal, except my cholesterol is a little high and my TSH is a smidge above 5. My new GP then says we should do a follow-up blood test to look at other thyroid measurements (this would be directly measuring the hormones my thyroid produces) to see if I have hypothyroidism. I mention offhandedly the interaction I had with my old GP in 2020 and she says that's not how you're supposed to do that; high TSH means further testing even if it's not that high. A few weeks and another blood test later and I've now got a new diagnosis and a prescription for artificial thyroid hormone.

      It turns out that pretty much everything I've been struggling with for years now? May be because of my underactive thyroid. Your thyroid is apparently pretty damn important and it not working right (in either direction) can result in a truly dizzying amount of things going wrong. Depression, brain fog, fatigue, and weight gain are all pretty classic symptoms, but apparently it can also cause problems with your lungs or even contribute to carpal tunnel syndrome. Everyone with a properly-functioning thyroid, take a moment to thank that lil butterfly-shaped guy in your neck.

      I'm so glad to have something that's basically a "feel better" pill now. But I'm left with a sense of deep frustration that I've had so many problems that even I dismissed to myself because I assumed they were just cause I was a stupid out-of-shape Fatty. It turns out it's actually not normal for someone in their mid-20s at my age to struggle to put on their own shoes without assistance, even when they're obese. Being unable to take a short walk without needing to sit down because I'm exhausted and out of breath isn't just because I'm fat and out of shape. I've had no shortage of symptoms heavily impacting my life, but most of them I hadn't even bothered to mention to my doctor because I assumed they were just Me Being Fat and that all I'd get was (yet another) lecture.

      This is, of course, coupled with a lot of anger at my old doctor for not even running any follow-up tests. I've only been on levothyroxine for about a week and I already feel like I have a little more energy. I could have been spared years of suffering if that doctor had only done what she was supposed to. Fuck that.

      But at the same time, I feel such relief. This all wasn't just me being a bad and lazy person. There was actually something wrong. And, even better, hypothyroidism is pretty easy to treat. I just wish I hadn't gone through over three years of unnecessary suffering when I could have gotten this treatment then.

      20 votes
    2. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      10 votes
    3. Anyone else who don't care much for their past?

      I'm 46 years of age. My childhood and youth and post-youth life wasn't traumatic or anything. I had an okay life. I guess I might even have had a good life. But for some reason, reminiscing about...

      I'm 46 years of age. My childhood and youth and post-youth life wasn't traumatic or anything. I had an okay life. I guess I might even have had a good life. But for some reason, reminiscing about it just doesn't feel pleasant. Some folks find talking about their past highly enjoyable. So why don't I like it? Is this normal?

      23 votes
    4. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      9 votes
    5. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      11 votes
    6. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      14 votes
    7. Fitness educational resources?

      As a result of my improving health, I am looking to finally start working on exercise. I have been through a class on exercise before but I was in very poor shape and wasn't really able to do much...

      As a result of my improving health, I am looking to finally start working on exercise. I have been through a class on exercise before but I was in very poor shape and wasn't really able to do much at the time so most of the practical stuff I had learned has escaped me, and now I only know enough to hurt me, it seems. I want to do some resistance exercises and even purchased a dumbell but I'm hesitant to do much with it because I'm worried about accidentally hurting myself.

      There are tons of resources on the web, but there is so much that it's actually a problem. I don't know how to evaluate their quality, and far too often do I see bad health advice on the internet so it's hard to trust any of them.

      With that being said, can anyone recommend me some trustworthy resources for physical fitness information? I'm looking for information on resistance training exercises particularly, but I'd like any information you'd like to share about fitness in general.

      15 votes
    8. Feeling lost with mental health treatment

      At 22 years old, after months long assessments, I have been diagnosed with severe ADHD, depression and moderate anxiety. Here is a quick timeline of my experience: May - August : I started CBT...

      At 22 years old, after months long assessments, I have been diagnosed with severe ADHD, depression and moderate anxiety. Here is a quick timeline of my experience:

      • May - August :
        • I started CBT therapy and Sertraline 50mg
        • Gradually I was upped to the a dose of 75mg.
        • In this whole period I did not experience any improvements or side effects, except a loss of appetite in the first few days.
      • September:
        • I started taking Methylphenidate 18mg and went back to just 50mg of Sertraline.
        • From the first day I had felt a sentiment of calmness and control. But it slowly faded away and I still felt I could not concentrate on things or act productive.
        • I also stopped going to therapy as I saw that CBT was not effective for me.
      • October - November:
        • This was a completely different month. I wasn't fully in control of my attention span but it was much better than I've ever been. What was more shocking was how internally I felt at peace and something that I'd describe now as euphoric (as I assume this was just a side effect of the medication). U
        • Until mid november I was actually going around telling people I think I might not be depressed anymore, as I had felt for the first time in a way that I haven't felt since early childhood. I was able to accomplish incredible feats related to discipline and I saw my academic results improving greatly. Unfortunately this sentiment slowly faded away and I was back to my old self by the end of November.
      • December - Now I was upped to 36mg of Methylphenidate and I noticed a much better control of my attention but unfortunately I have not felt that feeling of relief again. And as it seems the effectiveness of the dose diminished from the first few days to now.
        Since December I've had numerous breakdowns, feeling completely exhausted and burnt out. I suffered from classic problems of procrastination starting to work on difficult projects only a couple of days before the deadline and it was all crashing down. I submitted multiple disgustingly low quality pieces of work because I just did not work in time enough but the few days I did work I did incredible amounts of effort and I do feel like the pills helped me stay focused. After this deadline period though I was just met with my normal depression symptoms where I had a long streak of days that I could not even get out of bed or brush my teeth.

      I don't know what more to do. I always knew I was broken and needed help. And for all my life I thought that seeing a psychiatrist is a last resort in case "I can't fix myself" on my own. Now it's been almost a whole year and I am in a critical time period where I need to excel and put in the work but I find myself succumbing to my symptoms while jumping up and down with the doses of some pills that barely seem to have an effect.

      I didn't have many people around me from the start, and many of them would not understand my condition at all (nobody from my family does). But now it seems that even the few that were empathetic I have unfortunately tired out. I've heard my fair share of bad remarks that have gradually demoralised me (ADHD is not real. I'm just lazy. I just like to complain. etc) and due to the fact that I also have codependency problems this has greatly hurt me and made me feel like I am completely alone and nobody cares for my troubles or has my wellbeing in their best interest. Right now I just wish I'd know what to do. I wish there was some clear step by step goal oriented way to "happiness" or at least normality. I don't even know what more to tell my psychiatrist other than how I don't feel well, which is what I've been telling him since the start.

      If you've been through a similar journey, I'd love to hear your experience and any advice you wish you had received earlier.

      33 votes
    9. I donated platelets for the first time!

      Follow up to this post I did my first ever platelet donation! This one was a bit more intimidating than the blood donation. For platelets, the donation takes around two hours not counting the...

      Follow up to this post


      I did my first ever platelet donation!

      This one was a bit more intimidating than the blood donation. For platelets, the donation takes around two hours not counting the onboarding time. Additionally, during the donation, you can’t move either of your arms, as you have needles in both. The blood draws from one arm, goes into a centrifuge where they separate out the platelets, and then your blood gets returned to you in your other arm.

      I was a little worried about how it was going to go leading up to the appointment, but I’m very happy to report that everything went fine! All of the needles went in easily and it was a nearly painless process. After that it was actually kind of boring! They had a screen with Netflix on it, so I watched three episodes of a TV show.

      My least favorite part of the whole thing was not being able to scratch an itch when one arose, which is not so much a complaint as it is an endorsement. If the worst I can say is that I couldn’t scratch my nose once or twice during a multi-hour process involving multiple needles and my blood leaving and re-entering my body, then I’d say it went really well!

      The staff kept checking in to see if I needed a blanket because most people feel cold when donating platelets, but, weirdly, I actually liked the chilled sensation I got? It wasn’t like a regular “cold” feeling; I found it genuinely pleasant.

      Also, the whole experience was an interesting experiment in forced attention. I couldn’t check my phone, so I just watched a show, uninterrupted. I can’t remember the last time I did that? I got home and tried to continue watching it and, sure enough, now that my arms were free I was looking at my email and checking messages and the news instead of paying attention to what I had on. The whole donation session had a genuinely nice, calm, almost meditative quality to it. It was a nice way to start out a Saturday.

      You can donate platelets separately from blood, and platelets have a much lower “donation cooldown” (you can donate them every seven days). I don’t think I’ll be keeping to that rapid of a turnaround, but I’m going to start doing it once a month. One thing I learned from this is that, unlike blood which can be stored for up to a year (edit: turns out it’s only 42 days), platelets have to be used within five days, so they’re pretty much constantly in demand because they can’t be stockpiled.

      Anyway, I just wanted to share my little mini-milestone with everyone here. The novelty of being able to donate as a gay guy still hasn’t worn off for me. I love the idea of being able to do it regularly and support people over time!

      39 votes
    10. Fitness Weekly Discussion

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started...

      What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

      7 votes