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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