Comment by aszantu | Hacker News Reader

Comment by aszantu | Hacker News Reader

maybe weird... I'm suffering from migraine sometimes, my face starts feeling cold, including teeth and hard palate. So I measured and it was 33 c°, told a few doctors and got no response, still looking for a cause/solution. I'm also a depression sufferer, and the days after seem to be more anxious. Tried to go to the sauna with the symtoms, but couldn't handle more than 20 minutes last time. Felt better right after, but got more cold afterwards. Could be perimenopausal (40, female).

I've been tracking food for a while (elimination diet works for my depression), and the days leading up to the attack, I had some mixed foods, tsatziki and some curry sauce where the sauce tasted weird. AND I ate kinda low fat the last few days. Also no doctor could tell me how that is connected, they just try to put me on statins. Probably lean mass hyper responder, no proof though.

Within the keto community low body temperature was mentioned a few times, some of them take crazy amounts of iodine. Not sure I want to do that.

been collecting for a while https://github.com/cutestuff/FoodDepressionConundrum/blob/ma...

My wife has gone through perimenopause for a while now (ages really, probably O(15 years)), and the number of potential symptoms connected to it are immense, while the awareness from medical providers is pretty minimal. Mental issues, Food/blood sugar stuff, the well known hot flashes, cold flashes, the works.

What's worked for her is HRT, and more recently, intermittent fasting. (food between noon and 8pm only, but whatever in that time) It's really worth getting hormone levels checked and adjusted.

do you, by any chance, know about how to get the needed hormones from food? Two weeks ago I found offal in a japanese store. Wondering if it would do something, to eat pork uterus or so... I know it's not everyone's choice, but I can't stop thinking about it

No, go to a doctor.

if they'd be of any help... last gynecologist said, that hormones aren't a problem as long as I have my period. That's it, am I supposed to stop searching?

You may need to find a menopause specialist, as many medical practitioners don't really pay attention to it, even if it is within or adjacent to their speciality.

got an appointment next month, thanks!

I am not a doctor but i think 33 degrees celcius means you need to go to the ER.. or that your measurent device is off. I cannot see doctors letting you leave the hospital like that

The OP wrote

> my face starts feeling cold, including teeth and hard palate. So I measured and it was 33 c°, told a few doctors and got no response

I read that as they measured the temperature of their face. Then, 33°C isn’t outside normal range.

https://en.wikipedia.org/wiki/Skin_temperature: “Normal human skin temperature on the trunk of the body varies between 33.5 and 36.9 °C (92.3 and 98.4 °F), though the skin's temperature is lower over protruding parts, like the nose, and higher over muscles and active organs.”

That page also says “Recording skin temperature presents extensive difficulties”, so that 33°C may not be very accurate.

Ah youre right i missed that detail

The commonality between manic depression and ADHD is low serotonin up take. The primary role of serotonin is mood regulation, but the consequences of poor mood regulation are complex even if the problem is simple. Converse that against dopamine deficiency which is a complex problem with limited consequences that plagues ADHD but not so much manic depression.

Low serotonin can result in metabolic inefficiencies which means poor body temperature and/or weight gain/loss out of norm even with a perfect diet. Over correcting with too much serotonin results in different mood irregularities like nightmares and anxiety and more.

The primary limitation with these problems, aside from metabolic issues, are poor decision skills that in isolation are either prematurely considered or too emotionally weighted.

40 year old female with depression and hypothermia screams Hashimoto's disease to me. Have you had your TSH checked?

it's within the ranges, nothing wrong with tyroid - even took a little iodine on the side to test if it does something - there is this test where you put iodine on your skin, and if it gets absorbed within 10 minutes, you're low on iodine - I'm not,

all the bloodwork looks normal except for cholesterol (cuz high fat low carb) - see cholesterol code for that

Don't get just TSH checked, get a full thyroid panel. You can have normal TSH but still be low on free T3 and feel bad as a result.

Thyroids can intermittently fail, or have one of the glands fail and the other make up for it (for a while). TSH isn't quite sufficient to catch everything, and one test alone won't necessarily catch everything.

If 33C is your core temp that's way low. You should escalate that beyond just telling doctors, it may be a serious blood pressure issue (or your thermometer might be off!).

it's only the case when I have migraines, 33 is between the upper lip and gums, below the tongue it's higher more like 36. But thanks a lot, will go to the hospital next time I've got cold face+migraine!

Ah ok, I thought that was your core temp, that would be seriously worrisome if not already an acute crisis, I've never heard of it going that low. Surface temperature is next to impossible to measure accurately, it is super fluid so most likely that is an anomalous reading then. The only temperature of your body that really matters is core temp, skin temp is all over the place, from 33 on the low end to 37 on the high end depending on how much bloodflow you've got and what the ambient is (because you'll always measure partly your body, partly the air around it).

> Today I'm signed up to become a specialist for allergies and food intolerance, in the hopes to find something that works

not a doctor and this isnt medical advice. It may be low stomach acid if you struggle with digestion? Non-scientific but try an at home burp test for 3-5 mornings. i know someone with chronic low acid for years that went unnoticed, and doctors didnt spot it after trying PPIs, etc. Odds are low, but might be worth looking into

Perhaps you have Beriberi and the extra thiamine from keto foods like the meat is helping?

looking into it, thanks for the pointer!

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