Seeking help with weight loss and hirsutism

I very much appreciate any assistance that can be provided in directing me toward remedies.

1. Mental State of the patient – Stressed, easily frustrated, thoughtful, does not say no often, eager to please, absorbed in work, when motivated – works tirelessly until finished, sometimes depressed – normally the week before period, loud but self-conscious
2. Physical Ailments – cauda equina syndrome (permanent nerve damage from waist down from L4/L5 disc herniation 95%, laminectomy/discectomy 3 years ago, intermittent nerve pain in legs, numbness, weakness), PCOS, excessive dark, beardlike hair on face (hirsutism – this is something I REALLY hope for help with), weight gain due to now sedentary life since surgery (abdomen, thighs, buttock, breasts), sweats very easily/heat intolerance with limited activity, or extreme mental focus (even before gaining weight), lack of appetite (I may eat 700-900 cals a day on a good day, have tried diets, nutritionist, dr’s, endocrinologists etc., even when forcing myself to eat 1200 cals a day low carb/high protein, I gain weight…juice fast, mostly vegetable juice, gained 6 pounds in 10 days. Have only lost with 2 hour workouts/4 days a week and 1200 cal high protein/low carb diet. (Back problems and nerve damage limit that option)
3. The likely cause for above problems – Hormonal/Lyme Disease – chronic…started at age 14, recurred and treated for 1 year with antibiotics, switched to Stephen H. Buhner protocol and treated herbally for another year, as of last year I am no longer CDC positive so I am assuming it is dormant again. No accidents or incidents to contribute to the Cauda Equina Syndrome.
4. The modalities like whether the patient feels well or worse in hot weather, cold weather etc., he is relieved by / worsened by hot applications, cold applications etc. Nerve issues are intermittent, when I have good rest, it’s normally better than when I don’t. Any swelling in the body causes onset of numbness, weakness or neuropathy. Heat makes sweating worse, cold makes Sacral Arthritis/Nerve involvement worse. Swelling and pain in back responds better to cold than hot.

Patient ID:
Sex: Female
Age: 36

1. Describe your main suffering? My main interests for treating are weight loss and hirsutism
2. What other physical sufferings do you have in your body? All of the listed above questions
3. What mental sufferings / feelings do you have associated with your physical sufferings? I do get down on myself about my legs and mobility issues. Also, am very hard on myself about the weight gain after working extremely hard to get to a healthy weight and physically strong.
4. What exactly do you feel when you are at your worst? Like giving up and doing nothing, not wanting to burden friends and family, loss of interest in dating because I do not want anyone to ever feel “trapped”. Lonely.
5. When did it all start? Can you connect it to any past event or disease? The discovery that my Lyme was highly active August of 2012 started all of the major issues except for PCOS which was found when I was 22.
6. Which time of the day you are worst? There isn’t a time of day that affects me other than having a hard time waking up in the morning and feeling unrested.
7. What are the things which aggravate your suffering and which are those which ameliorate the same? Heat, repetitive movements that involve the SI joints, and sometimes weather for my back issues.
Nothing really aggravates the fact that I’ve gained weight, it’s just there and isn’t going away no matter what I try diet wise. Have symptoms of Thyroid and Adrenal issues, but labs come back normal.
8. Do your think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)? Mood changes and depression definitely are related to menses.
9. When do you feel better, during hot weather or cold weather, humid or dry weather? I feel best in 65-80 Degree weather with a humid breeze.
10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
Typically, I am mild, agreeable, funny, motivated, and stubborn, but I have moments of frustration, anger, fear, being easily offended, interrupting. Typically on high pain days.
- How do you feel before or during a thunderstorm? Fine, mentally, sometimes have increased pain, numbness and weakness physically
- Do you like being consoled during your tough times? Yes
- Are you sensitive to external stimuli like smell, noise, light etc? Not that I have noticed
- Do you have any typical habit or gesture like nail biting, causeless weeping, talking to one self etc? I bite and pull at my cuticles, I fidget, crack knuckles, talk to my dogs (?)
- How do you feel about your friends, family, your children and especially your husband / wife? I am grateful for them most of the time. At times I feel as though I wished someone could understand what I am going through and may grow resentful in moments.
11. What are your fears and do you dream of any situation repeatedly? Being alone, being back in a wheelchair, never being out of pain.
12. What do you crave for in food items and what are your aversions? I crave Ice cream, sometimes salty things like chips, but if I am going to look for something to satisfy a craving, it’s typically ice cream or pudding.
13. How is your thirst: Less, Normal or Excessive? Normal
14. How if your hunger: Less, Normal or Excessive? Less, I force myself to eat more than once a day
15. Is there any kind of food which your body can’t stand? Very spicy or oily/greasy foods
16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs? Sweat is more, normally starts with my head and face and moves down to trunk.
17. How is your bowel movement and stool type? Normally once a day or once every other day, I do not urinate often at all, maybe 2-3 times a day, stool type…I think is normal?
18. How well do you sleep? Do you have a particular posture of sleeping? I do not sleep very well most nights, I can’t turn my thoughts off. I sleep on my stomach or my side with a U shaped pillow to support my back and try to keep me on my side and one of the arms of the pillow between my legs to reduce stress on my SI joints. If I am on my stomach, I always have one leg up.
19. Do you think you are able to satisfy your sexual desires in general? Yes
20. How do you think you are different from others, if at all? Dealing with a constant state of pain makes me prioritize what I want and need to do differently, I think.
21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication? I take Cymbalta 60mg 1x daily for neuropathy, I also take Adderall 25mg 1x daily for brain fog, lack of focus, interrupting, etc.
22. What major diseases are running in your family? Diabetes, Heart issues, cholesterol and BP mostly. My BP is typically low or normal.
23. Describe, how do you look like? Describe your overall appearance – 5’1, large chest, wide hips, thick legs, somewhat broad shoulders, lower abdomen is larger than upper abdomen
24. (ONLY FOR FEMALES)
Please answer the following questions:
(Please give details of your past menstruation if you have attained menopause.)
- Are the periods early, regular or late in general? How long do they last? Late, normally. They last about 4 days
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods? Depression for a day or two about the week before onset, major cramps the day before or day of onset.
- Is the flow scanty, normal or excessive? Normal/excessive
- Is the blood thick bright red or pale watery? Bright red/thick
- Do you notice any clots in the flow? yes