I was about 2 weeks out from my last O (4 times in 2 days before an MRI to purposely be as sick as possible before the scan). Since then I abstained but had mini-POIS recurring every day (buzzing, light head, red eyes, anxiety, confusion, joint pain, nausea) despite the usual supplement regimen. In any event, on Friday I had an O and felt moderately bad yesterday, but today feel quite good . Which got me to thinking whether any of you believe that in addition to abstaining as the primary POIS avoidance, that it is also important for POIS maintenance from a symptom perspective to periodically release. Insight or opinion appreciated!
Could be explained by the release of additional mast cell anti-inflammatory mediators (IL-10 for example). Also a mast cell can secrete mediators which inhibit its own cell in an autocrine manner, see autocrine triggers/blockers below (
Ref):
I can have these events myself sometimes. It makes sense. In most cases the left side of autocrine triggers is what may keep the POIS reaction ongoing, however in some rare occasions the right blue box may take the overhand. Which also means that mediators inside the orange oval may be potential markers for POIS. We already discussed some of them like CRH, IL-33, SP and to some extent TSLP.