About Me

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I'm a mom, a wife, a best friend. Sick with CFIDS/ME/CFS and Fibromyalgia since 1975 as a result of a nasty flu while still in grad school, it wasn't until the late '80's that I received a diagnosis. Until that flu I'd never really been ill before. With each year I get progressively worse and add to the bucket load of symptoms I'm living with. I've been blessed with an incredible family and best friend who've stayed with me through my struggles as we continue to find a way out of this monstrous illness and its complications. We've tried seemingly every approach to find my way back to health. Often I think our best weapon in this undesirable and unasked-for adventure has been laughter.
Showing posts with label nutritional IV's. Show all posts
Showing posts with label nutritional IV's. Show all posts

Friday, August 9, 2013

Friday Tidbits: IV Nutritionals and Chelation


The good old James River, full of so many toxic heavy metals.

Do you remember when you were a kid and your parents told you that if you couldn't find something good to say about someone or something, you were to keep your mouth shut? (Hopefully, the parents said it nicer than that, but you know what I mean - or so I hope!) 

It was really good advice, especially when we don't have all the facts and are so tempted, at times, to say something just to say it. (Come on, admit that we're not all perfect angels all the time, no matter how much we try!)  Remember, too, when the media made fun of ME/CFS by calling it the "Yuppie Flu"?  Remember when comedian Al Franken spoke of CFIDS/ME/CFS in a demeaning and derogatory way?  Well, that was back in the 1980s and things haven't changed much, unfortunately.

Recently there's been a bit of hoopla about celebrities getting intravenous vitamin treatments as if they were doing so as a fad or for some trivial purpose.  But how quickly people are to judge!  The benefits of IV vitamin therapy have been known for decades and shouldn't be discussed in a negative manner by reporters who simply want ratings at the expense of people's health and lives.

Here are a few facts that should be considered:

  • There are many patients whose illnesses have resulted in their using up their body vitamin stores, leaving them with a vitamin deficit or deficiency.
  • Many people do not get adequate nutrition from the foods they eat and, when confronted with an acute injury or illness, need IV vitamins to help them heal.  A popular example of this is when the Emergency Room doctor orders a "banana bag" to be hung as part of the IV treatment for an ER patient. The multi-vitamins infused make the IV bag turn yellow. If you don't believe me, watch some old episodes of the TV show ER.  
  • As we age we tend to absorb less and less of the nutrients in the food we eat. This, in addition to the fact that many of our foods are not as nutritious as they used to be, may lead to someone becoming vitamin deficient. 
  • Ever heard of "leaky gut syndrome"?  (Of course you have!)  Perhaps we who have CFIDS/fibro are especially prone to becoming vitamin deficient and thus need to get our vitamins directly into the blood stream with an IV, as opposed to the good old fashioned way, by eating nutritious meals.
  • What is wrong with getting vitamins intravenously anyway?  The down side is minimal and the upside is enormous.  

I've written before that at one point in my life - back in 1997-98 - I went to a holistic clinic run by a doctor who'd been treating fibro and CFIDS for 50 years, referred to as "Adrenal Exhaustion" back in the day before we became plagued with the ever-so-popular name of "Chronic Fatigue Syndrome" - that's a bit of sarcasm, incidentally, the part about the popular name! (Clarified for novices to this blog!) 

I arrived at the clinic almost at death's door. (How I came about going to this clinic - quite by extraordinary circumstances - is described here.)  It was perhaps the worst period in my life, a life in which I was spiraling downward at an alarming rate, with new, major "things" going awry almost weekly.  Something had to be done if I were to continue living. 

After a few weeks of numerous therapies such rolfing, acupuncture, acupressure, applied kinesiology and other therapies which escape me at the moment, IV nutritionals were introduced once a week and then chelation therapy was later added.  These treatments really made me feel better than I had in 20 years, quite the achievement.  Even my sleep, my severe insomnia, was helped to a great extent.  My local GP was so impressed with my progress that he infamously said, "I don't care if they tell you to wear cow manure on your head.  It's working, so keep it up!"  Quite the statement!  

From one of the best therapists at the clinic, I was told many months into it all that "I never see someone so dead still alive," discussed here in "Perils of Exercise."  He'd spent years in a North Vietnamese POW camp, in a tiny cell where he could not extend his body all the way in order to sit nor lie down (described to me by his sister) so that really "impressed" me! The dude knew what he was talking about!  Now he knew death!

But getting back onto topic....

I must add that one can't go willynilly into the world of IV nutritionals - also known by some as a Myer's Cocktail. Or perhaps I should say it was a version of a Myer's cocktail - in my case - since it was tailored to what my particular deficiencies are/were and cutting back when I had reached the proper levels, not an easy thing to establish due to many factors, too much to go into at this point.

Vitamin levels were taken and revisited, relatively often.  Before chelation (nutritional IV with EDTA added to chelate out the heavy metals) I was tested to see if I did indeed also have heavy metal toxicity.  As an example, I was found to be off the charts in about 10 or more metals, including alumnium, arsenic, lead, mercury, antimony, bismuth, cobalt, copper, iron and so forth. 

I was found to be off the chart in all but one or two heavy metals, but especially completely, and insanely, off the chart in aluminum.  When my local GP saw the results he was shocked. He'd had a patient who had documented aluminum toxicity - from working in an aluminum plant. This man had around 4 stars on the chart. I had 30!  Yes, 30!  Hubs laughs and calls me the "walking toxic waste dump."  Funny chap that husband of mine!  Yes, he thinks he's so very amusing!  Please tell me, someone, why I married the fellow?  

And sorry, but another aside, though important.  As a child I used to visit my childhood BFF and we would swim and fish (and then eat the fish) from the James River, right next to Reynold's Aluminum plant, where we loved to watch the (VERY contaminated) waters coming out of huge drains (a la The Shawshank Redemption type), as seen in the above picture!

To give you a sort of example as to the necessity of having levels checked for vitamins and so forth, my rheumatologist/immunologist/pain specialist gave me a pretty good analogy: if you ask someone for directions to a particular location but the starting point isn't known, you are probably not going to get very far. The same is true for vitamins, supplements, hormones, etc. It's imperative that you know where you are starting from. That is, you should know your baseline level in order to know what dose (if any!) of any particular substance to take.  

It's also important to consult your physician about this!  In just the last few days I've come across two or three people who had bad reactions to magnesium.  But hey!  They didn't get tested to see if their levels were low. If you recall, I even wrote that you must get the RBC magnesium levels checked (here and here), not the way most doctors (who don't understand nutrition) test magnesium levels normally.

This may sound a bit harsh and perhaps too direct and maybe I could spend a bit of time trying to be a bit more diplomatic.  However, I'm feeling cruddy and just don't have too much diplomacy in me tonight.  But more importantly, I want people to understand that I'm not fooling around - and that seems to be achieved by being direct - since I've said often enough that levels should be checked.  As the cell phone company ad goes, "can you hear me now?" 

But getting back to the "making fun of IV vitamins."  People who don't understand how and why the intravenous delivery system of anything, including vitamins, works really should hold their tongues and try not to judge others.  Even if the celebrities are getting IV vitamins as a fad, it doesn't mean that IV vitamins don't have a place in the treatment of sick people.  

Some may say, "but it's so old fashioned to do nutritional IV's."  Well, that's like saying aspirin is old and so it doesn't work, or that putting a cast on a broken leg is old so let's do something else.  Worse, if one's IN PAIN and magnesium is shown to be low - as an example, mind you - you don't put that person on Cymbalta or narcotics. How crazy would that be?  The magnesium wouldn't suddenly get elevated with Cymbalta.  Your brain chemistry is being changed by meds like Cymbalta!  Mind you, pharma would like to convince you that the "pain meds" are better.  And the vitamin world at large is not exactly without faults either. They'd have you taking supplements, etc, out the wazoo and not mention testing levels.  I was shocked, dismayed and "devastated" when I discovered that the humdinger baby daddy of Kourtney Kardashian, Scott, is a spokesperson for GNC. Wow!  How did THAT become a good way to go? 

Finally, I'm not sure many doctors would argue that not establishing deficiencies is the right way to go.  

Those very individuals who insulted extremely ill people by trivializing their problems with the disparaging phrase, "Yuppie Flu," should have learned by their mistakes.  But that would have taken integrity and intelligence, two attributes sorely lacking in our ratings-based reporting.

As always, I hope everyone's doing their very best - only better!  Ciao and paka.



Note: the vitamin info here is pretty well-known and documented but I'll leave a couple of references just for the fun of it. Their bibliographies are a treasure trove of useful references. 

Gaby, A.R. Alternative Med Review (2002) Vol. 7: 389-403 link
Massey, P.B. Alternative Therapy Health Med (2007) Vol.13: 32-34. link

Yes, yes, I realize the references are not MLA handbook approved but then I'm no longer the person who used to do that sort of thing! 



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Friday, August 3, 2012

Confession's Good For The Soul?




                 This child will hopefully never have a weight problem: he keeps farmer's hours!


I must confess.  Yesterday I "sinned" and I can't handle holding that secret.  It is making me go bonkers to have allowed anyone at all hear me declaring the definite steps I'll be taking in my conquering, to my best, my CFIDS/ME/fibro/migraines/sleep disorders, etc., to arrive at a bit of a true-blue "not looking too shabby for her age" for my upcoming birthday in October and me not doing it.  As I'm sure half the world knows by now (delusions of grandeur?), I went into a Herxheimer-like reaction after KL.  Things were catching up with me from the compartment syndrome surgeries, not to mention two years of living on the edge with my daughter's sudden illness which stopped our entire family's lives cold as we rallied and fought to keep her going.  And these are just the high points.


We're into year 3 of remodeling (walls going up or down, the house being totally reconfigured), though I see I won't be getting my dream kitchen, even modified, any time soon.  This is a huge set-back because I had remodeled it on paper where I could do a bit of bossing around as I lounged in a semi-family room (thus getting me out of bed!) looking out on a lovely garden (perhaps even going out for a bit now and then) and in the other direction, instructing whomever on cooking and baking.   To me, the kitchen is sacred because it's truly the heart of the home. (Cliché but true!)


But really and truly, I definitely do think that there's something new, majorly wrong with me, that which started affecting me back in November, which, in its own way, started me into a downward spiral.  I'm not being very helpful to my doctors as I don't know how to explain this new malignant feeling, whatever it may be, and really, where does one begin?  But blood work has been ordered as everyone scratches their heads and I can't be more useful in my description, seemingly having run out of all descriptions and besides, working hard on just hanging in there.  Think about it: good thing I was a English lit major - how else could I have supplied so many descriptions over the years?  Well, that mine gave out a while ago. Now the docs are on their own for the most part.


But going back to the confession.  Just as I was FINALLY almost off all sugar ("detoxing" was really and truly hard this time), I ate something I never eat anymore: potato chips!


Now the good news is that afterwards I slept - and well.  The bad news is I ate a huge bag of chips. And y'all just know it didn't stop there!  Ben and Jerry's followed with brownies.  Yuck!  


But I'm officially washing the slate clean and starting anew.  So here are the latest things I'm going to work on because we are talking about a beached whale here!  (Too ill to do much moving, BP perilously low, nothing helping pain, blacking out each time I get up, migraines galore, all senses heightened even more than the usual...you get my drift.)


- So, on the diet front, eating "my healthy way" is just not gelling as well as usual, though I will certainly keep on trying.  I have to.  I need to feel better.  Hubby better get into this but a problem is that just last week he made me a wonderful salmon dinner and I almost barfed.  (Uh...I guess anything that swims is out.)


- After yesterday's post about the hormones and sleep, I must come up with a better sleep plan.  I've been thinking of various ways to work on this (as if I haven't all these decades?) but I hope yesterday's post was a huge shot in the arm, or kick to my be-hind, whichever!  So pep talks to self will commence. ("Haranguing" may be the more accurate word.)


- I need to make up menus - something I've been meaning to do for I have no idea how many years.   This way, instead of going through the whole thing of, "what do you want to eat," and "well, what do you have?" going back and forth for (literally) a couple of hours, we can make a list for the week from the "Irene" menu.  And, strangely enough, food, for the first time ever (other than in November) holds no appeal to me.  I derive no satisfaction from it.  However, I'm still always hungry, something that should have ended a couple of days ago.


- must teach hubby portion control.  (Losing battle!)


- need to take those vitamins religiously (Post coming up soon, I swear!)


- drink more water, especially before a meal. (It's just water, self, and I don't need to climb Mt. Everest to get it, for heaven's sake!)


- a weekly IV nutritional, similar to a Myer's cocktail.


-be more precise and consistent as to the hour I get my HGH shot, etc.


I was struck by the line from yesterday's post where the researcher found that with not enough sleep, no matter how much a "subject" ate, they were never satisfied.  Bingo!   My life in just a few words!  And THIS is precisely why I think sleep and food and their relationship to each other absolutely need more research.


There's not much money for the Big Pharma's regarding CFIDS/ME/fibro.  But there is a HECK of a market out there for insomnia and pain. (Just watch the commercials during the network 6 PM news shows!)


We just need to figure out how to make Big Pharma's realize these things and see the market for profit for these illnesses.  I think then we'll start seeing a huge and quick amount of info coming forth that would help us tremendously in the CFIDS/ME/fibro, insomnia, migraine world, as well as many other diseases or disorders.


What do YOU think?  Any other ideas for helping us put on our most gracious faces?   Because yesterday was not one of my more gracious days and that shames me.


At any rate, hope all are feeling the best they can be, only better!  Here's to a terrific weekend, however and wherever you spend it, with some mighty good sleep!



Sunday, May 20, 2012

CFIDS sensitive skin: Some of us need to learn the hard way...

My mom is proof positive that eating healthy and exercise really helps you look great even when you're 70.  Here in Kiev in '93.

At times I marvel at my colossal stupidity.  I mean, I've had CFIDS/ME/fibromyalgia and all of the health issues that have resulted from this core illness for 37 years.  And yet, somehow, I'm still in denial and do incredibly dumb things.  


I KNOW I have sensitive skin.  I've even written in this very blog about some of the problems I've had because of this.  I take an anti-histamine every night in order to keep hives at bay.  For Pete's sake!  You'd think by now I'd be a bit more careful about what I put on my skin and what I eat and/or drink.  But I'm constantly doing stupid things. Well, I guess I needed to go too far in order to start back to where I would get some real help.


Yesterday, Saturday afternoon, was quiet around here.  Hubby was exhausted and was taking a long nap.  I'd gone to the dentist on Thursday, a hugely needed event, and had my teeth cleaned - YAY!  The plaque was driving me absolutely bonkers and I had two year's worth because of the whole thing going on with my daughter.  Now we're, of course, catching up with everything.  


BTW: I had some really good news that could be taken as a tip perhaps.  For the first time in my life, I had no cavities.  My dentist (of almost 30 years) was quite surprised and said so: with my dry mouth, it's always a given that there'll be major problems, at the very least, cavities.  Given how long it'd been since my teeth have had any professional attention whatsoever, this was nearly a miraculous happening.  But once the conversation turned to bad backs, I thought to mention that I was able to brush my teeth more frequently because we had remodeled our attic bathroom (the one we've been living in for a year because the "master" bedroom and bath are being remodeled - SCREAM!) and that we'd put in a tall vanity with the sink.  Rather than those low vanities where you have to bend down so far when you wash your face and do your morning or nightly routine, our new vanities are now the height of the ones in a normal kitchen.  What a difference.  Now I have much less back pain so my brain doesn't rebel as much when I try to go brush my teeth.


But on Saturday, I came down with hives and couldn't figure out what the heck was happening. 

We remembered that on Friday I was feeling so cruddy that I called hubby at work and said that I absolutely needed a hero, loaded down with tons of processed meat: salami and ham, especially.  I needed the salt big time.  And I told  him to add a pizza to the whole bit.  If I was going to be "bad" and eat those things that hurt my body (the carbs and combining carbs with proteins/fats, plus processed food in general), I was going to at least enjoy it.


On Saturday, having already messed up my good eating habits, and feeling worse, I added cookies and milk to the whole eating disaster, and asked hubby to defrost some of my piroshki while he was at it.  Piroshki are these wonderful baked rolls with a ground beef filling that also has my beloved dill in it, etc.  (Everything Russian has dill, or sour cream, or better yet, both!)


So hubby and I tried to figure out what in the world had caused these baby hives that were breaking out all over, section by section, like a general sending troops out to occupy new territory a bit at a time.

I remembered that after the dentist we had stopped at the pharmacy nearby.  I had needed some retail therapy. I've never been a believer in "retail therapy," but now that I am getting out even more rarely than before, I just needed to hit a store and look at those items I see on the Internet.  Wow.  The shampoos and products I see on "Project Runway" or even on the occasional commercials I don't manage to skip through - I never thought I'd get excited seeing them in real life!  What has my life come to?


So, as hubby had laid snoring next to me, I'd picked up the bag of what I'd bought two days earlier.  Yes, by the time I got home I was in no shape to even look at what I'd bought, much less appreciate it.  Friday, the day after the dentist's appointment I was in more pain than I've had in a long time, weaker than I've been in a long time.  


Post-exertional malaise anyone?  


As I wondered about the adventures at the dentist, I  remembered a nurse who was a patient at the holistic clinic I went to weekly for an entire year, back in 1997, something I'll get into at some point, I promise.  I'd see Betty there every once in a while when I'd get my weekly chelation or a "nutritional IV," a variation of a "Meyer's cocktail" (one of many therapies I underwent in that clinic each week) and wondered why she was there.  She didn't appear to be sick.  Yes, she was "elderly," but that certainly didn't "mesh" with what we had going on at the clinic.


I got to know Betty and she was fascinating.  She loved talking to me because she'd gone to nursing school in my home town - back in the early 1940's - and would love to hear if certain stores were still in business, what had happened to this place and that.  I loved listening to her because she'd been a nurse during WWll and I was absolutely stunned by the one time she did open up about what she'd seen when she worked at Dachau for just a few days or a week, after the war once the concentration camp was liberated.    


So, Betty was truly one of a kind.  I wondered, why was she there, hooked up to an IV?


Well, Betty was also very spry for her age, very energetic, looked at least 10-15 years younger than her real age. But she had always taken good care of her health, even when we Americans were not doing so.  Like my mom, she exercised every morning as soon as she woke up and took walks, even when people would stop and ask if she (or my mom) needed a ride.  No one walked when I was growing up.


And Betty felt that going to the dentist was an assault on the body, thus the "nutritional."  Wow.  I was really impressed. 


You see, though she never practiced in the US, my mom became a dentist after the war.  When she was in her DP camp (Displaced Persons camp) near Munich, the DP's, along with various international organizations and the Marshall Plan, started schools and my mom was able to continue the education that was stopped because of WWll when Ukraine was invaded by the Germans.  In her camp, where she lived for five years, she was able to get a wonderful education, including dental school.


Mom was always taught that dental work IS an assault on the body and that they should recommend that patients take it easy after any dental work.  In fact, they were also taught that during the woman's "time of the month," she shouldn't have any dental work done, it was just a bit too much.  


I know this sounds very old-fashioned and I know that it even sounds anti-feminist.  But the times I had dental work done on me at "that time of the month," when my mom wasn't aware of the "scheduling," I always came down with a cold or was generally run down.  One day, I famously barfed and passed out in calculus class, two days after the procedure.  Talk about embarrassment?!  And my mom was furious with me when she had to leave work and drive me home, asking me, hadn't she taught me better?


So, yesterday, visions of Betty bounced in my head as I tried to talk myself out of this awfulness I was going through.  No meds were helping, no mind games were doing any good.  And I tried not to think about the couple of dental projects I was scheduled for in the next couple of months.


Lying there, bored to death, I'd opened up the bags from the pharmacy I'd dumped by my bed and started looking at the "treasures" I'd brought home.  "Treasures," I might add, that hubby had warned me about, unfortunately.


I'd already tried the cotton pads.  Hubby had asked me if I REALLY wanted to buy them, since I usually curse the ones he gets me at the drugstore and I try to go with the Shu Uemura (which are almost impossible to find) or my second choice, Sephora's.  Annoying hubby was so right: when I took my makeup off that evening, it took seven of the new cotton pads to wash off the makeup with the micellar water I used, whereas you only need two pads from Sephora, and to add insult to injury, my face reacted to the very rough cotton, becoming very red and irritated. Those pads are definitely going back to the drugstore.


Also, lying in bed, I'd picked up a certain "correcting powder" that I'd seen someone on the Internet recommend, someone I like to follow on YouTube and whose recommendations which I've tried I've had great luck with.  I brushed a bit on my hand, the one with the huge scar, and wanted to see if I could see any change.  The powder in the compact was not bound together very well and it flew everywhere as I picked it up onto the brush.  As I tried to tap off off the excess, it was still flying all over, as well as when I brushed it onto my hand.  Nope, no difference.  I put it further up my arm, past my watch.  No difference, with powder still flying all over, cough, cough.  I was surprised hubby was still snoring away and that the flying powder hadn't woken him.


About 15 minutes later the area I'd bushed with the correcting powder on my hand started burning.  Stupid me, I tried to rub it off.  Of course that's just rubbing whatever was irritating my hand further into the skin.  Finally, I realized I needed to wash it off.


Finally! I fell asleep before I could do more (inadvertent) damage to myself.  But then I kept waking up, scratching. Each time I woke up scratching in yet another place but made myself fall back asleep - I really needed sleep, the bane of my existence.  After about the fifth time I realized that the scratching wasn't going to get any better, only worse.  My neck was affected, the shin of my left leg, and on and on and on it went.  


Hubby gave me Tylenol PM because it has Benadryl in it.  I knew that wasn't going to cut it so I reminded him of my nightly anti-histamine.  I took that and after about an hour the hives started to die down. We started reviewing everything I'd done, trying to figure out what could have caused the hives.  How in the world did whatever it was get into my system - what had caused the hives?


Later last night, very late, I happened upon a blog and the woman was someone I think someone here wrote about earlier, when talking about a muscle biopsy.  I read a few posts, enjoying the blog tremendously and even left a (long, of course!) comment.  I was convinced it was the milk I'd had that caused the hives.


But today, in the light of day, having analyzed everything, I am convinced it is the cheap pharmacy makeup.  My daughter stopped by as I got ready to take a long bath with a soothing milk product (ironically), and also gave me "a look" and said she was sure it was the makeup.  After all, I do get lactose intolerant if I've gone a long time without any milk, but it's never made me break out in hives.  Cheap makeup?  Yes, it's given me hives and other trouble in the past.


So, a little mystery solved.  And I feel stupid.  I already know I cannot handle silicone, or at least a product that has a lot of silicone in it, especially if it's in a cheap product.  And I also know that I can't handle a lot of the ingredients in the less expensive makeup and skincare products.  When I buy La Mer or Chanel, there is a reason. 


And yet, I worry so much about appearing like a spoiled diva that I end up sabotaging myself.  It's about time that I take a reality check and realize that the there is a reason I come back to the higher-end luxury products and they aren't because I'm trying to be a spoiled brat. 


But Betty and the IV nutritionals...why did I bring all of that up?  


Last night hubby and I realized that things have really gone too far.  I'm still recovering from everything my body went through with all those weeks and weeks of staying by my daughter's bedside at the "major medical center." I've not recovered well from the whole hospitalization and surgery thing I had going on back in November/December. I've not recovered from our visit to get my hair done, which was over a month ago.  I've not recovered from the GP's "normal" visit, nor the subsequent visit when I had to get my toe lanced because of the infection that wouldn't go away.  And now my body is trying to recover from the dentist and my stupid application of a cosmetic full of ingredients that don't agree with it.


We had to bring in the big guns.  It was time.


My GP and I have a great relationship.  I've been going to him for at least fifteen years and he remembers how well I did with all the treatments I underwent at the holistic clinic.  His philosophy and I quote: "I don't care if they put cow sh*t on your head.  Whatever they're doing, it's working.  Keep it up." 


One of the things that helped so much were the nutritional IV's.  In fact, there have been athletes in the past who have had CFIDS/ME and been able to play but do nothing else between games.  They've had their doctors on the sidelines pumping simple saline solution during the games.  But when the games were not in play, these athletes have gotten versions of "Myer's Cocktails."  Basically, your physician figures out which vitamins and minerals you are deficient in and puts those nutrients into a saline solution and it usually takes about two hours for the IV to get through your system.


So, last night, we resolved that my "eating right" was no longer enough.  I'd tried for a few months, I'd incorporated vitamins into my routine and I was doing much better on the migraine front but the rest of me...well, not so good. In fact, in some ways, I was doing worse, having become extremely accident-prone, a completely new development.


So, I had a health professional administer a nutritional last night.  We sat in my bedroom and watched a movie ("One For the Money" with Katherine Heigl and Sherri Shephard from Janet Evanovich's series, cute!!!) and by the end of the movie the IV was finished.


Today, I'm still feeling pretty bad, but I can tell that the nutritional has helped and am going to try to get a couple of nutritionals a week for a while, though I have no idea how long that will be. 


However long it is, it is well worth it and I highly recommend investigating this approach if you are in a state where nothing is helping.  


And I recommend that you stay away from some of the cheaper cosmetics too.  


Boy, this illness sucks and costs a bloody fortune! 


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