Do you notice any other health problems besides POIS? (Even with the great lab tests, of course)
Have you tried shaking up your gut around a bit (internet calls it cleanse or detox), for example by doing a 1-2 day fast with only water, coconut oil and minerals? (as an example).
Have you tried for a few days to not eat the eggs and try meat instead?
Or replace wheat grains with rice?
Remove casein/milk products for some time?
I have a tendency of having low blood pressure. I feel my blood pressure drops after an orgasm, which is responsible for my blackouts, headaches, and severe fatigue.
I can't really have meat. I am planning to go on a vegan diet but will continue to have wheat. If I see no improvement then also, I plan on cutting on wheat too. I haven't really tried fasting because I feel that taking more calories helps me reducing general weakness. Also coffee is the only thing which temporarily brings a little relief to me.
Hi Legendary Animal.
I read you have a tendency to hypotension. This is the first objective symptoms that I have found for my own POIS attacks, years ago ! And not many members report to have it. So I cannot tell you what to take, but I can share what works for me to normalize my blood pressure in POIS. It is very important for me, since low blood pressure is one of my worst POIS symptoms - it causes me extreme fatigue, dizziness, severe exercise intolerance, major difficulty to be able to work for 2 or 3 days ( that was a living nightmare !), heart palpitations, major irritability, and so on.
The first 2 things I have found, about 25 years ago, were green tea and magnesium.
Green tea is helping me raise my blood pressure (BP) for 4 to 6 hours. At first, I was drinking commercial iced tea. But for years now, I use Green Tea extract capsules, because I have now a very healthy diet, which also helps with POIS, so I do not drink sugary drinks anymore. The green tea capsules I take are very effective and high quality, with standardized EGCG and standardized polyphenols, which are the antioxidants in it ( I use the Jamieson ones - I have no commercial link with them - the one I use are these:
https://www.amazon.ca/Jamieson-Green-Tea-Phytosome-Complex/dp/B001Q8BBFS ) One green tea capsule every 6 hours or so is really helping me to raise my BP.
Than, the magnesium is also very helping. I take 50 to 100mg 3 times a day ( still in the jamieson brand - I like their preparation, it is a mix of several natural magnesium salts ). It helps raise my BP too, and helps with other POIS symptoms too. With years, I have found that all electrolytes are great to help raise my BP. . So I came to use table salt too, which is Sodium chloride. It is very effective to raise BP... I put 2,5 to 3 cc of salt ( 3 cc is the same as 3 ml) in a glass of water and drink it, and take my pressure 20 minutes after... it really helps ( About the salt quantity, here in Canada we use metric measures, and 2,5 to 3 cc, or ml, seems to be the same as 1/4 tbs, but different converters give different results....so I prefer to use ml and cc for accuracy ) . It is better for me to take less salt, and take more later if needed, than to take too much salt. But important to note, I have no kidneys issues, and no cardiac issues, and surely not high blood pressure problems, unless I would not take salted water like that, it would be contraindicated, and not safe.
Some potassium, some calcium helps too, but not as much as Sodium chloride and magnesium. However, when I do physical exercise and sport, I take all of them after, because like in POIS, i get low pressure after, especially when I had sweat a lot. I lookl like I lose much minerals through sweet ( mine has a very, very salty taste), so I must replenish my electrolytes after. I take potassium, sodium chloride, magnesium, and calcium, after sport, so I recover much more faster.
During a POIS attack, I aim to get a BP at or over 110/70. With time, I saw that even at 109/68, I do not feel well and have no energy. At 112/71, I am ok. It usually take 15 to 20 minutes to see the effect of what I have taken on my BP. I can take some more salty water and other electrolytes after that, if I did not reach my 110/70 mark.
Once my hypotension is under control, I would say that about 75% of my POIS is relieved... and I can live with the rest ( However, now, my pre-pack take care of 80% to 100% of my symptoms, like explained at
https://poiscenter.com/forums/index.php?topic=2090.msg16604#msg16604 )
For 5 years now,, I take my pre-pack before ejaculation, so I do not have hypotension problems anymore. Green tea, magnesium and potassium are still part of this pre-pack, and I suppose that other components of it, like 5-HTP, helps keep my BP normal, too.
Also, apart from that, I keep in check my B12 and my Iron intake, because a low hemoglobin facilitates hypotension.
See with a health professional if a similar strategy as mine would be safe and useful for yourself.