Hack Stasis Survey

mattyb

Moderator
Messages
833
Hello everyone,

Lately there has been lots of productive discussion, but I believe we need to be more organized in order to further our understanding of the variety of disorders and symptoms that affect people here.

I have created a very basic anonymous survey that members here can take to outline their condition, the suspected causes of these conditions, their symptoms, the treatments they have tried out, the efficacy of these treatments and the significant results from any lab tests (blood, hair, urine, stool, and gases). This is by no means comprehensive or anything like that, but it may help us pin things down. I will post a spreadsheet so anyone can look at the survey results as responses start coming in, and I will update it regularly. I will also analyze the data myself to see if I can find any trends. I am thinking cluster analysis might be acceptable, but we will see.

Just keep in mind this is not an official study, and I can't legally guarantee your results are kept private (although I will try my best). By doing this survey, you are implicitly agreeing that you won't hold myself legally responsible for any actions that happen as a result of doing this survey.

This is a very basic survey, with many open fields, and as such requires participants to be consistent, brief, and direct with their entries. Some pointers:
- Keep all responses to two words or less, if possible, and in lower case.
- Use proper spelling and medical terminology when possible. This will save me a ton of effort if I don't have to go back and edit responses to make them consistent when doing statistical analyses. E.g. "low libido" instead of "no sex drive", "urticaria" instead of "hives", etc.
- Use full words, not abbreviations.
- Leave fields blank when necessary.
- If you don't know the answer to something (like if a symptom resolved itself spontaneously) just write "Unknown".
- When writing in disorders or symptoms, write in the disorders/symptoms from most to least severe/controlled/life-affecting.
- Include lab tests from when you were actually sick, not from when you were completely treated/healthy.
- Do not write values into the labs, as everyone lab uses different terms (e.g. mmol/L vs ng/dL). We will stick to basic things like "high progesterone", "low iron", "high cortisol".
- Only include lab values that are out of the norm or very borderline out of range (e.g. a sodium of 136 [RR: 135-145] would be borderline, and saying "low sodium" would be acceptable in that case). This will help simplify things significantly.

An example of what the survey should look like in full, using an imaginary case:

Gender: M

Duration of Significant Health Problems: 2 years

Primary Disorder: post-finasteride syndrome
Cause of Primary Disorder: finasteride
Duration of Primary Disorder: 2 years

Disorder 2: ulcerative collitis
Cause of Disorder 2: unknown
Duration of Disorder 2: 10 years

Symptom 1: low libido
Symptom 1 Resolved?: Partially
Symptom 1 Treatment: ru-486

Symptom 2: bowel movement urgency
Symptom 2 Resolved?: No
Symptom 2 Treatment:

Symptom 3: urticaria
Symptom 3 Resolved?: Yes
Symptom 3 Treatment: mattyb protocol

Blood 1: low sodium

Blood 2: high ferritin

Blood 3: high CO2

Blood 4: low iron

Hair 1: high calcium

Hair 2: high calcium:phosphorous

Hair 3: low potassium

Hair 4: high sodium:potassium

Hair 5: high lead

Urine 1: high succinate

Stool 1: high histamine

Blood gas 1: high carbon dioxide

Blood gas 2: low oxygen

Blood gas 3: high carboxyhemoglobin

Blood gas 4: low bicarbonate



The survey can be found here: https://goo.gl/forms/ihkchlTFwI0L6rgn2

Good luck and thanks!
 

Helen

Well-Known Member
Staff member
Messages
5,415
Matty, we need to create a required labs page. where we should outline what labs should be taken to even look at the person.

Then we can create a thread with all these labs, so we can compare and hold info.

the model for evaluation should be systematic. A model should be created this way, so we can see the whole metabolism all together. And then if we find a problem with a certain person , we can go deeper into his problem.
But if people just leave some tests or symptoms. Very hard to do the proper evaluation.
 

mattyb

Moderator
Messages
833
gbolduev post_id=6002 time=1512499247 user_id=90 said:
Matty, we need to create a required labs page. where we should outline what labs should be taken to even look at the person.

Then we can create a thread with all these labs, so we can compare and hold info.

Let's brainstorm here on required labs, then I will edit the intro post to include lab recommendations once we settle on some important ones. Then when people add to the survey they can include these tests, or we can update the survey to include them specifically. Some people will have definite limitations on what tests they have access to depending on their country and financial situation, so it's important we choose at least some tests that are ubiquitous and accessible.

I am thinking:

Blood
Electrolytes (sodium, potassium, chloride, CO2, anion gap)
CBC
Iron Panel (ferritin, TIBC, iron, transferrin satu)
Thyroid panel (TSH, T3, T4)
Diabetic axis (glucose, HbA1c, insulin)
Steroid Hormones (progesterone, estradiol, testosterone, DHT, SHBG, DHEA)
Morning fasted Cortisol
Blood Urea Nitrogen
Creatinine
Ceruloplasmin
Other minerals?? (don't know how useful things like serum copper, magnesium, etc. actually are).

Hair
TE or ARL labs seem sufficient?

Urine
Creatinine
Urea
Succinate
Magnesium (helps to figure out if there is mag wasting or deficiency)
24-hour cortisol

Blood Gases
Concurrent ABG + VBG (hard to get)
Stewart Acid-Base (hard to get)
Standard ABG (more realistic to get)

Stool
Honestly not sure on this one
 

mattyb

Moderator
Messages
833
So only two people have filled this out lol. Would be great if more people could take 5-10 minutes to fill it out.
 

Orion

Well-Known Member
Messages
879
When I have a hair test and blood work from from Jan 2018 I will contribute.
 

Flynn

Well-Known Member
Messages
207
This is a great idea. I think we need to collate all the info on symptoms, treatments etc. Would be very useful.
 

wobble

Member
Messages
18
Let's brainstorm here on required labs, then I will edit the intro post to include lab recommendations once we settle on some important ones. Then when people add to the survey they can include these tests, or we can update the survey to include them specifically. Some people will have definite limitations on what tests they have access to depending on their country and financial situation, so it's important we choose at least some tests that are ubiquitous and accessible.

I am thinking:

Blood
Electrolytes (sodium, potassium, chloride, CO2, anion gap)
CBC
Iron Panel (ferritin, TIBC, iron, transferrin satu)
Thyroid panel (TSH, T3, T4)
Diabetic axis (glucose, HbA1c, insulin)
Steroid Hormones (progesterone, estradiol, testosterone, DHT, SHBG, DHEA)
Morning fasted Cortisol
Blood Urea Nitrogen
Creatinine
Ceruloplasmin
Other minerals?? (don't know how useful things like serum copper, magnesium, etc. actually are).

------------------------

Urine
Creatinine
Urea
Succinate
Magnesium (helps to figure out if there is mag wasting or deficiency)
24-hour cortisol


Does anyone else from the UK have any recommendations for a good test that hits a lot of these? I've previously bought a thyroid check from bluehorizonmedicals.co.uk but the other tests they have don't seem to do most of what Mattyb's listed, on top of being astronomically expensive!!!

@mattyb which of the blood tests would you consider absolutely essential (assuming a hair test is already being done)?

Thanks!
 

wobble

Member
Messages
18
Sorry, just to clarify... what might be the essential test(s) for someone trying to get to the bottom of inflammatory conditions/cfs as opposed to pfs?

Thanks.
 

mattyb

Moderator
Messages
833
If you suspect CFS, get blood gases. That is the most useful.

Try and get electrolytes, CBC, thyroid, glucose, insulin, HbA1c, and iron as well if you can- these are standard tests that you should be able to get through NHS.
 

wobble

Member
Messages
18
If you suspect CFS, get blood gases. That is the most useful.

Try and get electrolytes, CBC, thyroid, glucose, insulin, HbA1c, and iron as well if you can- these are standard tests that you should be able to get through NHS.


Thank you for your response Matty, much appreciated..

After having a search for the blood gases test, it doesn't look like the private testing companies do it which is a shame. My GP was not remotely interested the last time I tried to get tests without a diagnosis (after first discovering Peat), although the test appears to be described as taking blood from the artery - which I'm pretty sure would make me throw up, so maybe it's for the best!! :/

Endurance Check Elite | Medichecks.com - this seems to hit quite a few of the tests you mentioned so I'm hoping that in conjunction with http://hairmineralanalysis.co.uk/shop/hair-bulb-test/ hopefully something useful will come up!

If I could just pick your brains for one last recommendation though with regards to the electrolytes test..

Electrolytes Urine Test | Medichecks.com
Electrolytes Blood Test | Medichecks.com

Do you think the blood or urine would be best to get? I was going to go with the blood because it includes bicarbonate, and I remember the overproduction of CO2 seems to feature largely in your/gbold's divergance from Peat.. But would the lack of potassium in the test make it of less use to the urine test?

Thanks!
 

mattyb

Moderator
Messages
833
Blood is best to get. It's ridiculous that they don't test potassium. Don't know why they wouldn't - they even mention it on the write-up in that page that it's typically taken. But otherwise, that endurance check and electrolytes seem like good tests.
 

bruschi11

Administrator
Staff member
Messages
2,991
When I have a hair test and blood work from from Jan 2018 I will contribute.

I will be doing same. Hair test coming up within the month.