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    sr727
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    Thank you Dr. Mariano for the reply.

    @DrMariano 2904 wrote:

    You have identified three problems:
    1. Can you provide more information about what IBS issues you have? Irritable bowel syndrome, for example, includes those people who have diarrhea and those who have constipation.

    Not diarrhea but loose stool, usually very yellow in color (not pale, yellow). Every few days loose enough to be called diarrhea. Often I fell awful until after I have a movement then much better. I often feel the stool is toxic.

    @DrMariano 2904 wrote:

    2. It was unclear. What is getting worse when you exercise, have sex, eat Activia yogurt, whey protein, use some antibiotics and when you expose yourself to the sun?

    The REM sleep priapism is worse. The length of time of the erection, the intensity.

    @DrMariano 2904 wrote:

    3. Why are morning erections a bad thing? For example, are they waking you up? Are they extremely painful?

    These aren’t the normal morning erections. The first time it happened it was VERY upsetting. I started getting them very sporatically. One every week or two then it started to be every night. The frequency seemed to increase after I did a herbal parasite cleanse.

    @DrMariano 2904 wrote:

    There may be pathogenic bacterial and yeast infections in the gut – which can cause significant inflammatory and stress signaling – which can lead to fatigue and other problems.

    This is my number one theory at the moment. At times I’ve taken activated charcoal and felt much better

    @DrMariano 2904 wrote:

    Generally, if one has one autoimmune disease, one can have multiple others. An assessment for this possibility is needed should this be found.

    I was reading about the Antinuclear Antibody test. Is that recommended here?

    @DrMariano 2904 wrote:

    If there is a lot of pro-inflammatory signaling in the body contributing to adrenal dysregulation, then increasing thyroid hormone can be problematic. Care needs to be taken when increasing thyroid signaling since this can also increase immune cell activity including pro-inflammatory signaling. Generally, when cortisol levels are low, one has to be careful when adding thyroid hormone. Treating the causes of adrenal dysregulation first may be necessary otherwise a person can worsen in condition, e.g. with anxiety, loss of energy, palpitations, etc.

    Can you recommend any tests that would help determine the cause of adrenal dysregulation?

    @DrMariano 2904 wrote:

    If a person doesn’t determine what actually is wrong, then treatment tends to be trial and error and flying blind.

    Thus is my last 7 years.

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