I had labs done and the potassium is barely above the minimum level, so it is safe for me to supplement it! But the surgeon checked my Anion Gap and said it didn't look like I was in ketosis. I was feeling bad that day so I'm not surprised, but I couldn't figure out how I'd ended up out of ketosis since my log said I was at 37 grams of carbs. Well under the 50 carb limit. I thought maybe my body just needs to be lower?? He suggested I might be getting hidden carbs in something like shakes or vitamins. And OMG it was the vitamins!! They have us doing the stupid chewables for the first few months and those things are loaded with carbs! I think they are all up like 15-20 carbs per day! I had just started taking them at 4 weeks out... So yeah, vitamins sabotaged me! I'm switching to the pill form early. I'm sorry but I prefer to eat my carbs rather than get them in vile tasting chewable vitamins... And if I can take my meds in pill form I don't see why I can't take my vitamins in pill form too!
He also suggested I check my ketones with a urine strip in the morning to make sure I'm in ketosis even though they aren't the most accurate. So I have been and everything looks fine. I've also had my carbs well below 30 which is bloody hard, but the scale moved so that must have been what triggered my stall.
In other news, I got so irritated with the Ortho surgeon's office jerking me around that I scheduled an appointment with another doctor in a different practice for a second opinion. And boy did he have an opinion!! He thinks my rotator cuff tear is maybe 50%, but is more concerned that my joint looks unstable (the other doctor thought this was just my position during the MRI but this guy says it's quite dramatic on the MRI images and I do have hyper mobile joints). It is not completely out of the joint to the point of dislocation, but enough out of alignment to be causing pain. He also thinks I have a SLAP tear, which is a tear in the labrum of the shoulder socket, and that my bicep is pulling on it and needs to be detached and anchored elsewhere.
He did a much more extensive exam that actually elicited the exact pain I feel. He wants an MRI with contrast this time to try and confirm the diagnosis but they can't get me in until January 3rd. He said the other doctor has a good reputation so he doesn't doubt his assessment, he just thinks there is more going on in my shoulder than just the rotator cuff tear and if we don't get a clear picture of it all we risk repairing something that doesn't actually stop the pain, and I'll end up needing a second surgery, which I do NOT want to do!! Measure twice, cut once...
I could handle the vinegar and oil at week 3
