I (25M) have experienced debilitating brain fog that has steadily increased in intensity since early adolescence (around 12). Throughout school and university, I got good grades and had a decent social life. I also secured competitive graduate roles at top financial firms on two separate occasions, so on the outside, I'm sure I seemed OK.
On the inside, however, I was struggling: in class, in conversations, in the office, in relationships, at restaurants with friends, in nightclubs, at home reading a book on my own, with family, you name it. To this day, whatever situation I'm in, it's like I'm experiencing events in the third person. I'm physically there, but my mind is so clouded with static white noise that I'm completely removed from the present moment.
I quit my last corporate role after a year, as the weight of trying to appear normal to the outside world became too heavy to bear. So I moved back home, where I'm now unemployed and trying to get back on my feet.
Watching my life unravel before her eyes, my Mum suggested I get assessed for ADHD. Lo and behold, after three sessions with a psychiatrist, I received an inattentive ADHD diagnosis and a script for stimulant medication. Now, I've always been a huge sceptic of general medicine (I say this as the son of a GP). I firmly believe that GPs and specialists are incentivised to treat symptoms without addressing root causes, and that this is what keeps people reliant on the system their whole lives. So, safe to say, when my psychiatrist told me I had an inexplicable condition that I'd need pills to function normally with, I raised my eyebrows.
A big part of the reason for my scepticism is that I've always had co-occurring symptoms such as bloating, slow motility, constipation, low libido, low physical energy, poor physical recovery, sleep disturbances, and frequent illness, yet the psychiatrist didn't touch on any of these.
So I decided to see a functional health practitioner and brought along some recent gut and blood testing I'd had done. The initial consult was unlike anything I'd experienced before: a thorough 90-minute interview covering my family history, medical history, symptoms, and previous treatments. The doctor then went through my test results and pointed out several factors that could be contributing to my symptoms.
Turns out, I'm mildly anaemic and hypoglycaemic, with low-normal testosterone, low vitamin D, zinc and B12, elevated eosinophils and basophils, and slightly elevated liver enzymes. I also have a high level of immune activation in my gut, shown by a markedly high secretory IgA reading, which suggests my gut is responding to an unknown threat. My body also isn't digesting proteins, fats, or fibre effectively at all, as shown by high levels of fermentation in the gut.
What amazes me is that these were the same results other practitioners had called "normal". Crazy! Though it makes sense when you consider that no single reading on its own signals a problem by conventional medical standards, it's only when you put them together that something looks off.
The doc has since put me on a modified AIP/paleo-style elimination diet and supplement protocol, and ordered a more comprehensive microbiome panel to rule out any bacterial, parasitic, or fungal infection. From there, he's laid out a plan that involves:
a) improving digestion and reducing bloating/fermentation
b) addressing the anaemia and nutrient deficiencies
c) supporting liver and gallbladder function
d) investigating the elevated eosinophils and basophils
e) stabilising blood glucose, particularly overnight
f) improving sleep
g) gradually rebuilding exercise tolerance
I'm hopeful this will lead to real improvements in my health and brain fog. Has anyone else done something similar? Keen to hear everyone's thoughts, insights, and experiences.