I'm the typist today as I didn't have a chance to get Linda into my system before heading out to the office this morning. She gave me some notes to pass on.
She has not noticed any significant changes in how she was feeling in Day 6. While day 5 was pretty good the depression was very bad throughout day 6. Also more tired and did not have a bowel movement that day. This is still a major concern. The nausea has still not returned.
She noticed in the morning of day 7 before having eaten anything that her joint and muscle pain was worse than it had been the previous few days. She did have a small BM in the morning of day 7, but they are still not "normal".
Peter's Comments Now:
Linda is in day 20 of her cycle. I remember that you had stated that some women have a cyclical metabolic type. Is this something that Linda should be considering at this time?
I know Linda tried a cup of black tea this morning, but I haven't spoken to her to get a report on the effect of this. She is getting a bit discouraged right now, but has followed the protecol to a "T" so far.
Re: Days 6 and 7 of Elimination Diet
Posted by Robert McFerran on January 28, 1999 at 17:23:58:
In Reply to: Days 6 and 7 of Elimination Diet posted by Peter Wray (for Linda) on January 28, 1999 at 11:56:50:
I don't see it too often but I have seen what Dr. Mansfield calls an 'echo response' which usually occurs on the 6th or 7th day. The person has gradual improvement only to wake on the 7th day to feel joint and muscle pain are back full force (depression too). Happily these pains will go away within 36 hours. Linda will feel better than ever. For now she should continue with only the safe foods.
I only see this phenomenon in about 1 out of 20 people. I was going to leave it out of the elimination diet of my book but now I'm going to add it. There is good probability that she will experience another downturn 7 days from today but it will be brief and less severe.
I have no idea why this happens but it does humble me when trying to understand the complex nature of our immune system. Anybody have any ideas?
Peter, you make a good point about the possibility of metabolic shifting. Does Linda usually notice an exacerbation of symptoms at any part of her cycle? How many days are in her cycle? She needs to continue with the same foods and we'll know in the next two days.
Folks have often asked me why I don't develop two elimination diets -- one for Agriculturists and one for Mixed and H-G's. Metabolic shifting would be a huge problem for those that used H-G version. They would suddenly feel very bad as they shifted to an Agriculturist metabolism and wouldn't know why.
No more black tea for now.