I am sorry you are feeling so debilitated.
Both Hepatitis C and Interferon treatment can trigger Autoimmune Diseases/Disorders. You may have an Autoimmune Disease/Disorder. My suggestion would be to see a competent Rheumatologist at a university medical center. A competent Rheumatologist will run the appropriate tests to determine if you have an Autoimmune Disease/Disorder and, if you do, will start appropriate treatment.
Best of luck.
Did you have a complete physical to find out why you have fatigue. There are many medical reason you could be experiencing brain fog and fatigue.
Something wrong with your thyroid, your kidneys, spleen, lungs to name a few. It's my understanding that you still have Hepatitis C. That alone can cause numerous medical problems. I think this would be a very good time to
schedule a complete work up to find out exactly why your so fatigued and
experiencing brain fog. Set up an appointment and get to the bottom of your health issues.
Let us know what happens
I have seen military doctors at Walter Reed in Md to private doctors in several different states I have lived in since being medically retired
I have had every test imaginable ---- I have blood tests of all sorts all the time
Even my liver levels are in normal range (even though I still have a viral load)
They keep saying they can't do anything until they cure the Hep C to eliminate that
My ammonia levels fluctuate (depending on diet and activity) One doc was shocked at how high it was ---- 6 months later another wasn't worried about it
I guess that's why doctors have "practices" because they don't have to be right because they are just practicing
The combo therapy did something to my system and it never reverted back to what it used to be. In my immune system (as Pooh suggested) or in my brain or a combination of the 2
I just am trying to find a correlation as to why I felt norm, on something I shouldn't be using and why it made me feel that way. I have done that 3 times since November with the same results on feeling normal --- I used it when there were things I wanted to get done like painting a room, which on a normal day I might get 90 minutes of work done before I would feel like I was going to pass out (Tried to explain this to a doctor that suggested I go to a gym on how that was not going to happen)
Feeling like I have the flu (minus cough and sneezing) every day is really old when all I want to do is have the energy to do normal things, go to sleep and wake up feeling refreshed
Rick, You have Hepatitis C. Your liver level can be in normal range and you can have advanced liver damage. Your last Hepatitis C treatment was 9 years ago and you believe it was the interferon that has caused you problems for all these years. Again, you have Hepatitis C that wasn't cured some 9 years ago. This could and might be the root of your fatigue. It sounds like doctors have suggested it maybe your problem by saying the Hepatitis C needs to be taken care of first. Have you tried looking at non-interferon clinic trials or even the current treatments with interferon that have a very high success rate? I know it must be very frustrating to deal with all the extra manifestations of Hepatitis C. But you do need to seriously start looking at treatment options and a plan to cure yourself of hepatitis C. There's so many advancement and many more in the near future.
I see that you still have Hepatitis C. My previous response was given when I thought you had attained SVR (cure) with treatment and yet still have fatigue and joint aches and brain fog.
Since you still have Hepatitis C, then that would be the first thing I would tackle if I was you. Hepatitis C can cause all of the symptoms that you have described. Hepatitis C does not just attack the liver. It also attacks other organs and causes multiple extrahepatic manifestations of Hepatitis C. Your symptoms may all be due to Hepatitis C. So that is the first thing I would look into, new treatments for hepatitis C and getting rid of Hepatitis C.
Here is a link that discusses some of the extrahepatic manifestations of Hepatitis C:
http://www.hcvadvocate.org/hepatitis/factsheets_pdf/Extrahepatic.pdf
If I were you I would find a good Hepatologist and look into treating as soon as you can find a treatment that you and the Hepatologist feel is right for you. It is possible that after you eradicate the virus, you will feel much better. I know I did. I felt so much better in so many ways after I was cured and all of my fatigue disappeared.
Best of luck.
Thank you all for all the replies
Prior to treatment I was asymptomatic for 12 years with my liver barely in stage 1 cirrhosis
It is now almost stage 2 but hasn't changed in 5 years since last biopsy
All of the problems started with the treatment
I have friends that have had it longer than me and they still lead healthy happy lives and have never done the combo treatment. They monitor their livers with their doctors.
It is the fatigue that is what is killing me. I can deal with all the rest of the aches and pains.
The current Hep C specialist in Charleston says I need to wait a few more years for new treatment to mature. I am not sure if I can do it again. I live alone and have no support system since I rarely go out and haven't developed any new friendships since this fatigue took over my life.
I guess what scares me also is that what if it isn't the Hep C ? Hopefully one day I will attain SVR
Where do they look then and if so why aren't those avenues being explored now?
The fact sheet adds a ton of new possibilities although luckily I have none and according to the doctors I am healthy as a horse aside form my fatigue
I thank you all again for your replies and support
For what it's worth.....I too had more fatigue before treatment than after. Also, after treatment your doctors will be able to rule out Hepatitis C and focus on possible other causes. Interferon Free Treatment for 1a's is in clinical trials as we speak. Your are at a stage where you can wait for better treatment if you choose to do so. Do you take some for depression? Having hepatitis C can make you very depressed mentally and physically. If your not taking anything maybe you should. Give yourself some relief and hope that
the best is yet to come.
Best to you
I had zero fatigue before I started treatment ( actually more energy than I could use ---- If I didn't wear myself out I could get 4 hours sleep and keep going)
Have tried 6 different medications for depression and they all made me feel worse ---- like suicidal worse. Last Psych doctor realized its the fatigue causing my depression --- I have nothing that depresses me other than fatigue ----- If I had the energy to just have a normal day life would be peachy. I feel like I am a walking / talking coma patient. The mind wants to do things and the body is saying another.
Interesting Info
http://livlong.ca/349/rebalancing-nerotransmitters-the-dangers-of-head-meds
Why I strongly feel that the TX through something out of whack in my system (not just because of this). There seems to be so many variables with people that have achieved SVR yet still have debilitating problems ---- Folks that didn't and have the problems. I realize that still having Hep C can cause some of this, but it should have been a more gradual onset other than an overnight occurrence. Continuing the treatment probably made it worse
I'm really sorry you feel that way. I know I can't stand to feel like that. It must be hard to deal with for all this time. Hoping you will find the answer soon.
Best to you
If I can find an answer maybe I can help someone else too
That is why I joined the forums ---- to search for answers and hopefully help someone else
Check out LDN (low dose naltrexone) therapy. Some kind person on MedHelp turned me on to it. It's been helpful.
Rheumatologists often give you drugs that suppress your immune system. Perhaps not good for a person with Hep C. otter watcher has a good idea - watch gluten and eat an anti-inflammatory diet.
some people often suggest that Hep C causes auto-immune disorders. perhaps it does. When such disorders hit you close on the tail of treatment, reason suggests it's the drugs.
Before you decide to treat again, check out AALSD Liver Meeting abstracts on Hep C from 2012 and 2013 meetings. Cutting edge, real life, clinical research that is worth reading. Research presented at 2012 meeting suggests that treating and failing makes you about six times as likely to develop cirrhosis as one who never treated.
Clarification - six times as likely in a relatively short follow-up period in which the study was conducted. There was some wide degree of variance in the probability, also, but odds were significantly higher.
One of my friends was the Viet Nam Vets Hep C top folks and he told me I would have died of old age before the Hep C did it
Lots of information on the website you suggested --- going to take a lot of time to read through
I just feel like the treatment changed pathways in my body from side effects that never reverted back to the way they were prior to treatment ---- almost like road work where they divert traffic and when the work was finished the original road never opened back up
I have been to dieticians and try and keep a low protein diet because of ammonia levels in my blood
I am going to try and bunch of different things that have been used by others including : LDN (low dose naltrexone) therapy / ALA / B12 and a whole host of other stuff I have read about because I realize that things that I have tried I shouldn't be doing. It was just the change that happened although temporary which is what sparked my curiosity into finding other ways to achieve the same results ----- the WOW I feel normal and want to do this today ---- don't want to be high or goofed up --- just want to feel normal
Thank you all for all the inputs
You keep a low protein diet because of ammonia levels? Do you have cirrohosis?
Mid stage 2
Went from none prior to TX to mid stage 2 last biopsy 3 years ago
I don't drink anymore either
They had me on lactulose at one point ------ Some doctors were worried ---- others weren't --- which makes me crazy
Don't let anyone tell you that you feel bad because of Hep C. I was a high-functioning 47 year old before I took the treatment. Now 13 years later, I am 60, feel like 80. I did take Provigil for a while. It worked and woke me up to feeling "normal." However, I did have a severe crash so there definitely was payback.
I'm on this forum to hopefully find someone who is studying this phenomon, so we can get some answers.
Just went to GNC for 90.00$ worth of vitamins
ALA / B12 / B Complex / D / Melatonin and a couple others that are supposed to help
After 5 days nothing noticeable -----
Taking 3 gm Melatonin makes me foggy the next day
Even tried taking at 7PM going to bed at 11 same result May try 1 1/2 mg see if that helps ----- does help me sleep at night -- maybe less will wear off faster
Provigil ----- I have an appointment with a CFS specialist next week, I will have to ask ---- what is the crash and when ? Seems like so many folks that don't need it take it according to as search I just did
I honestly doubt anyone is studying what has happened to people like us ----- there are a LOT of us but we seem to be pushed off as an anomaly --- All the people that reach SVR and have no side effects are what they are concerned about ------ Looking into folks like us and what happened cost money. You and I were in same age time frame it seems ( you did yours a few years before me at same age I started it).
I am just getting more and more discouraged with my "Quality of Life"
I am trying to hang in there in hopes that the new treatments (which I am terrified of doing again) might cure the Hep C and then maybe these problems will all magically disappear
I feel for you, hopefully you have someone in your life that understands and cares about you. I will keep posting anything I find that helps
Hey Rick
I do think it is better to try one thing at a time instead of heaping a bunch of things on top of each other. Just a suggestion AND experience! It was suggested I take a mess of supplements and I also had no positive effect. BUT when I stopped them all I felt a lot better! That is when I remembered that these things all had to be processed thru my liver.
Actually a big study about vitamins/supplements came out a month or so - it said they were useless unless you were deficient! Sooooo eat healthy and...
You are right about the Melatonin. People take way too much! I forget the proper dose and where you might be able to find it but you might do a search on sleep disorders on this sight and see if someone has the proper dose here. It might be wise to start as low as 0.5mg for a few days and if that doesn't help get you to sleep then add half a mg and try that for a week. These things can take some time also.
I don't know what the difference between Provigil and Vyvanse is. I do have a sample box of Provigil so know that I was on that and can't remember why we went with Vyv???
I do know that with Vyvanse I don't have any crash at all. I am very lucky, maybe. I do know that stress spikes the fatigue and even with the Vyvanse I get messed up and need to rest and am able to nap when I need to. It isn't like speed or amphetamine for me. I started on 20mg - kind of a baby dose - and after a few months am on 30mg. When I first started Vyv and was on it for a number of years I did need to increase it to the max of 70mg but again had a good 6 to 7 hours of activity to get things done, nap when I needed and then have my usual late night life - like now...
hope some of that is useful...
I am going to ask the CFS doc about Provigil and Vyvanse
took .75 mg melatonin and feel groggy again this morning ---- am sleeping, but once again are the side effects worth it
I agree with you and I guess I was impatient for any type of relief so I started all the vitamins at once
The ALA is supposed to help with fatigue
B12 is essential for proper brain and nerve function Vitamin B12 is stored in the liver, and proper liver function is essential for proper vitamin D metabolism.( I took D already) (they told me I needed B Complex to go with the B12--- sales pitch maybe ---- I can tell the B Complex is not being fully absorbed so it seems useless at this point)
L-Carnitine ---- supposed to turn fatty acids into energy
I eat healthy --- I just have no appetite --- my desire to cook (worked as a chef for awhile) evaporated along with a lot of other things along the way, I eat because I have to
Thanks again for the input
Well first off getting some repairative sleep is very important and second it may take some time for your body to adjust to melatonin and the groggy feeling may wear off... but you do have chronic fatigue!
As you already understand your condition was caused by some very serious poisons and you are attempting to adjust it using a much more gentle supplement. When you try these things - even LDN or some other meds one does have to take into account the possible side effects over - what I know I would describe for myself as an unbearable quality of life.
It is really crazy to read what you are going thru as it was the same for me! I just loved to cook and eat then when I had my really bad period I too had zero appetite. It took a couple of hours to get thru a small plate of carefully arranged nutrient and delicious items. I am so glad those days have disappeared and hopefully you will find some answers too!
Great thread, I am now 20 weeks poet g3a, 48 weeks interferon-alfa2 (180mg) and ribav. 800 mg daily. Sides got um!
yes I used to love cooking too but now don't have much appetite nor the energy to prepare food so have trouble keeping my weight up. I do take a multivitamin/mineral as I know I have a limited diet.
Cooking is one of those things that takes passion to do and a sense of what things taste like
I feel like the life / zest / mojo / drive (whatever you want to call it) was sucked out of me in almost every area of my life because of the fatigue
Well first off getting some repairative sleep is very important --- so true Frank
When you dread going to bed because you know the next morning you are going to feel like you haven't slept is horrible
Something has helped ---- I am still exhausted but am a bit more clear headed (cutting pain meds down to almost none may be it even though I hurt like hell) Going to keep on vitamin supplements and see if there is any change.
Looking to going to CFS specialist in KCHS ------ 11 AM appointment with a 2 hour drive === I have NO idea how I am going to make it there next week. Hoping they have some insight that will help and will gladly pass along
Would love to help others that share same boat as me
I knew as soon as I didn't improve post treatment that the drugs had damaged me.It took 5 years to finally get a diagnosis of Post Interferon syndrome.I know exactly how you feel.However you do still have hep c and as the liver is the body's engine this may well be contributory to you feeling fatigued.Energy borrowed has to be paid back so you probably found that you had a few days completely whacked out post your experiments,it may well have been delayed so you didn't associate the two.If you have liver damage and hcv you really shouldn't make it work any harder than it already is so I'd leave out the chemicals-tempting as it may be to have a 'normal' day! I found cutting gluten/chemicals has helped and pacing myself very strictly can leave some spare energy now and then-it's life Jim but not as we knew it!