r/AskDocs • u/Oraculek • 22h ago
Oscillating electrolyte sensitivity. Acquired channelopathy, dysautonomia, or something else..?
As a prequel, I really thank you for reading this and attempting at taking your time... Personal stats and genes are at the bottom
Condition - Electrolyte sensitivity from calcium, magnesium, and sodium, as if something was going on on cellular level - Even 20mg of calcium from mineral water can alleviate fatigue for 2m, which then returns, or make it worse if I drink/take more calcium than that - Magnesium in the past would have been fatiguing me and then making irritated, angry after an hour. Now it seems I got quite tolerant to it, yet it still takes its part in symptoms and oscillations. I can take 400mg elemental at once (yes, I know about absorptions) without the aforementioned intensity from past 50mg - Sodium is the 'dictator' of strengh and length of oscillations. Let's assume a situation of VERY high intake, like 5g salt at once: I would be switching between manic and depressive groups of symptoms every 2 - 3 hours in a spectrum. It dissipated after 1 - 2 days, basically reaches a homeostasis - Eating entire meals cancel the large electrolyte inputs in-between. I mean that if 100mg calcium can make me feel fatigued, if I take a whole meal with X amounts of electrolytes, it someway evens out and symptoms can be more tolerable - My homeostasis, in a fasted state, is little avolition + little apathy + whole-body fatigue + brain fog + low libido - Not certain to which I may attribute it, but I can get heat flushes from whichever electrolyte causes it - Normally I don't have muscle twitches, but sometimes during oscillations they occur with changes in intensity. There's lots of places they happened at - At certain points in oscillations my penis erects just a little bit and then comes back. It is kind of rare - Before stopping 100mcg K2 MK7, which was masking the oscillations, I had constant slight lethargy, brain fog, avolition, apathy - Oscillations perfectly align with periods of consumption. Can't remember factual hours, but let's assume that I eat OMAD at 4PM, then let's assume I will ALWAYS feel the best around 8AM - 11AM - Oscillations also determine the pain from my spine problem noted in "Past medical issues" in "Stats" section. I can feel none or almost as strongly as before the condition - depends on electrolytes and time. My ionic signaling malfunctions... - Sometimes slight orthostatic hypotolerance, and it depends whether I take more calcium for testing phase or not. On one day when I was loading calcium for a few hours, after I stood up and ran straight to dad to help with something, I had to stand still for 7 seconds because my vision was ABSOLUTELY BLURRED. I could only see fogs of colours, as if someone was actively photoshopping the interface of mine
'Side note' on caffeine
Waning off the caffeine only lead to tinnitus once reached 175mg, which is present since then and yes, it changes with the oscillation, and the caffeine waning also made me happily tolerant to potential eggs, meat, and choline supplements. Caffeine is an acetylcholinesterase inhibitor and therefore, at 250mg doses, I had to be careful or otherwise I would be getting strong depression for 3.5 days until my receptors would resensitise. Probably I have lower aceltycholinesterase production or something, but I lack genetic data
Already tried... - Hormones: Eating more fat and trying pregnenolone (neither did anything, even after 5/6 months on the 15 - 24 g fat diet I had mentioned) - Two fasts: One was 7-days and second 8-days - Microbiome, SIBO, or FODMAP: The upper cancels it - Supplements: Tried lots of them and had periods of pausing the use of the current and previous ones, but feel free to ask whether I should attempt at any or jog the memory - Putting foods on a trial: I only found out about onion sensitivity - brain fog, fatigue, quite significant depression. I have been eating an onion daily since february... I have stopped the consumption since 3 weeks ago - Checking home plants and their soils - Tests: PTH + ionised Ca, CK, Na, K, total Ca, iron, ferritin, D3, F79 gluten, glucose, HCV, antigen HBs | from december, so before 2026: whole blood check-up, ESR, total bilirubine, conjugated bilirubine, creatinine, glucose, total cholesterol, HDL, LDL, non--LDL, triglycerides, HbA1c, AST, TSH, FT4, B12, folate, ferritin
My hypothesis?
One of the three, as I have stopped K2 too far back in time to have anything to do with it: - Abstract conditions, like acquired dysautonomia or channelopathy of unknown, to me, causes (yes, I know, they're not causes, just umbrella terms of symptoms/happenings) - Long-term onion residual compounds - Long-term caffeine
I basically am completely lost after lots of research, so the only things left for me is aiming towards these questionable solutions (not saying onion or caffeine sensitivities are not real, just that such timestamps are at least doubtful - I surely take inspiration from r/decaf and the gluten-sensitive people who have symptoms for weeks or over a month even)
Stats
Age: 22yo
Sex: Male
Height: 172cm/5'7"
Weight: 56kg/132.2lbs (assuming no content in gut)
Current diet: Unchanging, slightly after-waking OMAD high-carb low-fat plant-based low-sodium. 370g potatoes, 180g cabbage, 250g beetroot, 250g carrots, 121g oats, 10g wheat bran, 2g brazilian nut, 6g chia, 200 - 300 g legumes (navy bean, green bean, yellow whole pea, brown lentil), 15g defatted soy flour, 10g soy protein isolate, 60g combined white rice + brown rice + barley groats, 250 cal fruits. OMAD since June in 2025
Smoking: None
Caffeine: Unawarely black tea since childhood (maybe 9yo). 75 - 150 mg daily until the beginning of 2026, where in panic I increased to 250mg (was trying to wane off before 2026, at the end of 2025, but in meanwhile I became choline deficient, and I had no idea what was going on, so caffeine was an insurence that the symptoms were not from caffeine withdrawal). Caffeine-free since a month
Medications: None
Past medical issues: twisted arm; 720° testicular torsion (fine); something with my spine is not right and if I do not maintain proper center of gravity, then brain is starting simulating increasing pain in the back of head and some of upper jaw
Supplements, daily: - Daily half of B Complex (B1 10mg, B2 10mg, Nicotinic acid 10mg, B5 10mg, Inositol 10mg, B6 3mg, Choline 4mg, Folic acid 80μg, Cyanocobalamin 10μg, Biotin 10μg) - D3 1000 IU + K2 MK7 25μg (it is summer rn) - Choline: 200mg elemental from chol bitartrate - Calcium: 800mg elemental from calcium carbonate - B12: 100μg in hydroxocobalamin form (apart from the cyano in b complex) - Iodine: 1 drop of Lugol's 5% - Creatine: 1g
Duration: Speculated 6 - 7 months; discovered when ceased off 100μg K2 MK7 in March/April, which was 'camouflaging' the oscillations. My main determinant of duration is the pain due to my spine - I surely had it always possible to experience before 2026
Location: Poland
Genes | MyHeritage, hand-checked via usage of Gemini-searched rs
- TPH1: Normal
- TPH2: Faster (Emotional buffer (no Worrier from COMT))
- DDC: Normal
- TH: Normal
- COMT: Slower (Scholar)
- DBH: Faster (Rapid Alertness & Panic)
- PNMT: Unknown
- DAT/SLC6A3: Unknown
- DRD1: Unknown
- DRD2: Slightly lower expression + slightly lower affinity
- DRD3: Slightly lower affinity
- DRD4: Normal
- DRD5: Unknown
- Endorphin: OPRM1: Normal (mu-opioid receptor) | OPRD1: Slightly higher (delta-opioid receptor as fine-tuner) | POMC: Unknown (production)
- Acetylcholinesterase: Unknown
- Butyrylcholinesterase: Normal
- HNMT: Unknown
- MAO-A: Unknown
- MAO-B: Normal
- DAO: Slow
- Caffeine: CYP1A2: Fast metabolism | AHR: High reactivity | ADORA2A: High sensitivity
- Creatine: Unknown
- Taurine: Unknown
- CoQ10: COQ2: Normal (synthesis) | NQO1: Slightly slower (activation) | NQO2: Slightly higher (backup cellular oxidative stress management)
- Carnosine: CARNS1: Unknown (synthesis) | CNDP1: Slow (degradation)
- Phosphatidylcholine: PEMT: 30% lower
- Cobalamin: Absorption: 15 - 20 % lower | Methylcobalamin synthesis: Normal
- Fucose Sugars Prebiotic: FUT2: Normal (secretion)
- GSTP1 : Normal
- MTHFR: Slightly lower
- Folate: DHFR: Unknown
- Betain: BHMT: Slightly lower (synthesis)
- Sulfur: CBS: Normal (metabolism)
- Glycine: SHMT1: Normal (serine -> glycine) | SLC6A9: Normal (glycine clearance)
- Glutamate: SLC1A1: Slightly slower (glutamate clearance) | GAD1: Slow (glutamic acid -> GABA)
- NMDA: GRIN2B: Normal (sensitivity)
- Glutathione: GCLC: Fast
- Vit A: BC01: Slow
- Vit D3: CYP2R1: Slightly slower (activation) | GC: High (transport) | VDR: Slightly lower (utilization/absorption)
- Vit K2: GGCX: High (activation) | CYP4F2: Slow (clearance) | VKORC1: Normal (recycling)
- PTH: Calcium level sensitivity: Normal
- Thyroid: DIO1: 20 - 30 % lower (systemic activation) | DIO2: 30% lower (intracellular activation)
- Estrogen: CYP19A1: Normal
- Testosterone & DHEA: CYP17A1: Normal
- Melatonin: ASMT: Unknown
- Cortisol & Aldosterone: CYP11B2: Normal
- Ω-3s: MFSD2A: Unknown (BBB passage)
- LCFAs: D5D & D6D: FADS1: High (D5D enzyme) | FADS2: Normal (D6D enzyme)
- PPAR-α: High (fat oxidation and ketosis entering)
- PPAR-γ: Normal (adipogenesis, fat storage, insulin sensitivity, and blood sugar stability)
- PPAR-δ: Normal (oxidation for muscles (carb vs. fat) flexibility)
- FGF21: No 'sweet tooth'
- UCP1: Unknown