May 29, 2025 Hypoglycemia, GI Distress, and ANS Imbalance Following Dietary Trigger or my Zepbound trying to kill me

 

🩺 Symptoms & Overall Day Summary



Today sucked. I didn’t feel well from the minute I woke up—actually, since 2:00 AM when the diarrhea started. It didn’t let up all day. I took three Imodium and still had loose stools, and my stomach was sour from morning to night. I didn’t take any of my supplements because I just felt like crap. Just trying to stay upright and hydrated was a task.

On top of the GI mess, I had two full-blown hypoglycemic episodes. The first was scary—I felt totally out of it, couldn’t focus, and couldn’t even understand what people were saying. My CGM showed I dropped to 63 mg/dL at 12:34 PM. Even after eating and sipping IQ Mix, my glucose barely climbed. It finally leveled off at 84 mg/dL by 6 PM.

What made this worse? Sulfur burps. Not just a few—they lasted all day and were gross. I normally only get them the day after my Zepbound injection, not six days later. So I don’t know if it was the medication, or the chicken lo mein I ate last night, but something set off a full-body revolt today. I'm honestly not sure which to blame. I’ve had chicken lo mein several times over these 144 weeks on Tirzepatide.  I’m not sure it was that.


💊 Medication & Nutrition

  • Tirzepatide dose: 12.5 mg (last injection 5/23)

  • Estimated level today: 7.84 mg (the amount still IN my body today)

  • Supplements: None taken due to GI upset

  • Electrolytes: 2 servings of IQ Mix

Food Intake:

  • Fairlife Elite shake

  • Chicken and white rice

  • Half a banana

  • Saltines

Macros:

  • Protein: 89g

  • Carbs: 176g

  • Fiber: 11g

  • Fat: 25g

  • Sugar: 89g


📊 Wellness Metrics

Stress:

  • 85% this morning, 80% by evening – still high

  • SNS/PSNS activity improved slightly (46/19), but still skewed toward fight-or-flight

Energy:

  • Started at 9%, climbed to 22% – still running on empty

  • Just enough to function, not enough to repair anything

Health:

  • 50% all day – vulnerable and not bouncing back

  • This held flat despite everything else being off

Focus:

  • 24% to 42% – better by numbers, but I felt mentally foggy and disconnected

Coherence:

  • 26% to 32% – still low

  • My systems weren’t syncing up. Nothing felt smooth or coordinated

HRV Score:

  • 1% to 15% – dangerously low

  • This explained the complete lack of resilience today


🛌 Sleep & Activity



Sleep (May 28–29):

  • 7h 11m asleep

  • 89% quality, including 2h 07m of deep sleep

  • It looked decent on paper, but didn’t feel like it helped much


Activity (Apple Watch):

  • Move: 358 cal

  • Exercise: 26 min

  • Stand: 12 hrs

  • I moved because I had to, not because I felt capable


Closing Thoughts

I don’t know if today was my body reacting to Zepbound or to bad Chinese food, but something knocked me out. My digestive system was in chaos, my glucose crashed twice, and I spent most of the day dragging myself around just trying to stay functional. This wasn’t a bounce-back day—it was a just-survive-it day.

If I feel even remotely like this tomorrow, I’ll need to reevaluate food triggers and consider enzymes again—even for meals that are usually safe. I’m not taking any chances.

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