I went to see my boss’s wife’s internist earlier in the week and my GP today. Both basically said something like, “Anything I say will be conjecture – the endocrinologist is really the one who is going to get this whole thing figured out.” So I continue to play the waiting game. The GP had run tests to see if I had Epstein-Barr activity, and to check my levels of iron, B12, and folic acid. I did not have active Epstein-Barr, and my levels of iron and B12 were fine. My folic acid was very high. She said, “Are you taking supplements? You might want to cut down.” I said I was, but that I didn’t think my supplement had folic acid listed on it. She said, “You really have a lot – it’s clear that your body’s good at absorbing it, because this is really high.” Then Michael asked, “What is folic acid in?” She replied, “Leafy green vegetables.” Well, that made us crack up. It turns out that my diet, which is extremely rich in leafy green vegetables, due to my love of arugula, spinach, and all sorts of greens, is more than sufficient in folic acid. I came home and looked it up, and it’s also abundant in dried beans and legumes. This may explain why I have so much of it. It has no known toxic level, so I’m not in any danger by continuing to eat lots of beans and greens.
The GP wants me to have a glucose tolerance test – that’s where they take your blood, give you a sugar drink, then take your blood once an hour for three hours. They do it when you’re fasting. As anyone who has had breakfast with me in the last ten years knows, I cannot have juice, syrup, or jam first thing in the morning, so I’m not anticipating this being any fun at all. I can already tell them what’s going to happen. I’m going to feel very, very bad.
In 1996, my nurse practitioner at Kaiser in Virginia suggested I could have this test if I Really Wanted To Know if I Had Hypoglycemia, and said that if I just wanted to continue to operate as if I had hypoglycemia, that was fine too. That was what I chose.
So the good news is that everything’s fine, except for whatever’s not fine, and we don’t know what that is. My GP said her guess, considering my difficulty sleeping, was cortisol issues, but she emphasized that that was purely a guess, and again, the endocrinologist was the one to sort it out.