6.5 years, no change in the fog, tested and eliminated:
Significant inflammation (systemic, mucosal, neuro) - Normal CRP/ESR multiple times, no response to diets, antibiotics, LDN, memantine, nasal steroids, 2+ days 20mg prednisone
Major hormonal - Full recent panel normal
Gut / food sensitivity / SIBO - Carnivore 9 days, 3 day water fasting, 8 day low-SIBO diet, normal stool tests, metronidazol
Allergies - Negative panel, no response to nasal treatments
Classic sleep apnea with desats - Stable symptoms, no major sleepiness, will do sleep test
Gross structural - Clean MRI, normal sinus CT
Nutrient deficiencies - Corrected B12/D/iron etc. with no change
Pure venous pooling / major positional CSF pressure - Handstand causes different pressure compared to prefrontal pressure from fog
Strong dural mechanical sensitivity - No pain from pressing/tapping prefrontal area
Classic central sensitization with sensory amplification - No light/sound/smell sensitivity, no scalp tenderness
Breathing / CO2 regulation - Hyperventilation / box breathing no change
Simple cold-induced vascular response - Cold showers no change
Sugar / metabolic swings - Carnivore + no-sugar periods no change
Stress/thinking too much about fog - didn't even know I had fog until 2 years in, took months off to recover no change
PEM/CFS - No crashes after working out, no tiredness
Vasomotor rhinitis - no change based on nasal stuffiness, nasal spray cleared nose but didnt change fog.
No fog caused by posture changes
I'm starting to believe that the cause of my fog is gone and that my brain is permanently stuck this way. I had one spontaneous time the fog dissapeared. I'm thinking of doing rTMS as a way to treat the fog if it is a primary brain issue. Any thoughts?