Funny thing about makhluk Allah yang bernama manusia ni, mereka takpernah puas. :D Hehehe...
Jadi, aku tak surprise sangat bila sudah pun ditanya, Bila next baby? Bila nak tambah? Bila Fahim nak ada adik?
Sebab orang yang dah ada 4 orang anak pun di tanya Bila nak tambah no 5?
Bos aku yang dah berumur 48tahun, yang anak2 semua dah besar2, yang bongsu darjah 4 (10tahun) pun ditanya dengan makcik2 dia, Bila nak ada anak lelaki? (sebab anak dia semua perempuan)
Hehe.. Kelakar kan? So aku selalu tergelak je bile ditanya. Aku tak komplen atau stress, cuma aku rase kelakar :P
Mula-mula aku kena dengan ofismate yang satu floor dengan aku ni.
Masa tu Fahim baru 4bulan.
"Bila next?"
Aku cam, er? Next? ape yang next?
"Bila nak next babyyyy la"
"Aa? Eh anak saya baru je 4bulan. MAKAN pun belum. Dah tanya bila next, camne eh nak jawap?" Aku tanya balik kat dia.
"Haha, takde la kot la korang dah planning-planning" :D sambil sengeh yg buruk.
"Tak plan pun 4 tahun baru dapat kak oi."
"Eh jangan cakap...mane tau ko jadi macam Kak Ita, lepas satu, satu, satu" (Kak Ita 13 years TTC)
"Memang la takleh cakap tapi takreti la saye nak jawap soalan akak tu. Bila next? Bila Allah nak bagi saya terima la"
"So korang tak plan ape2 la eh?"
.............Aiya...kepoci nye.
"Doc suruh plan la jugak tapi 6months je"
"Ha so ko jawap je la lepas 6months kat soalan akak tadi..ape la ko" Terus blah.
EHHH!! Aku cam blur jap. Tibe2 aku yang salah sebab tak pandai jawap soalan dia. HAHAAHA!
Aku tak annoyed pun cuma aku asik tergelak :P
Then kat kampung mase ada kenduri kazen, semua dukung2 Fahim la kan. Pastu 2 3 orang makcik tiba2 pegang2 perut aku kunun nak test tengok kempis ke tak? Hahaha itu pun nak check. Kalau tak kempis, kena kutuk la sebab tak pandai jage pantang. Jadi aku yang kain labuh ni selalunye lipat2 je kain aku tu sebab malas alter. So diorang rasa mcm buncit skit sebab terpegang lipatan kain kat perut aku tu, terus tanya "EH DAH ADA LAGI KE?"
-__-
"Ni kain lipat la..maklum la pendek..kain semua labuh2"
"Oh, ingatkan ada lagi tadi. So bila nak tambah?"
"Tambah apa? Kain?"
"Tambah baby laa..isk die ni" (kadang-kadang aku memang sengaja buat lawak bodo untuk bagi orang nyampah nak tanya :P)
"Fahim baru 6 bulan laaaaa dah tanye2 nak tambah, nak dapat yang ini pun susahhh"
"Eh mane tahu..awak dah la dapat anak lambat..sebab tu kena try balik untuk dapat next"
Ohh macam tu ke?
I mean, seriously, macam tu ke? So our life ni is about mengumpul anak sebanyak mana yang mungkin ke cane eh. Maksud aku, yang satu amanah tuhan kasi ni, pun belum tentu dapat handle dengan perfect.
Ok think positive, anak ramai, ramai lah yang bacekan yassin bile aku mati.
Tapi people should stop think forward sangat kot kan. Benda ni habit manusia sebenarnya.
Kita obsess about "What's Next"
Lepas A, B, lepas C, D...
Kita apply macam tu dekat kehidupan. Itu yang manusia suka tanye benda yang next tu bila nak datang. Kadang-kadang benda yang "next" tu semuanya susah nak ditentukan oleh manusia jugak. Tapi sebab kita obsess, sebab tu la wujudnye perasaan sedih bile baru kawin tapi tak pregnant. Sebab kita obsess about What's Next.
Sebenarnya tak salah kalau fikir untuk rancang bilangan Anak. Sebab manusia memang kejenye merancang. Yang tentukan tu Allah. Ikutkan kehendak, kemahuan, perancangan aku, aku nak 2-3 anak je :P biasa la zaman skang semua orang jawap macam tu. Persoalannye mampukah? Dan layakkah?
Ada orang rasa dapat 1 girl 1 boy dah cukup complete sebab dah sepasang.
Aku pulak fikir, if ever aku ada anak lagi, aku nak anak lelaki jugak. Sebab aku takot pikul tanggungjawap jaga anak perempuan. Serious takot.
Tapi kalau aku mampu, dan Allah beri, aku terima. Tak kisah berapa banyak tu semua keje Allah.
Jadi, bila nak tambah?
Ok gynae aku, Dr Fairuz ada cakap lepas aku bersalin haritu. Masa 1month checkup mother n baby, katenye "U plan 6months cukup kot. U nak dapat sorang pun lame kan, so just plan untuk give ur uterus a good rest, then boleh try for 2nd baby :)"
Aku yang baru je 1 bulan jadi mak ni mase tu terus kata "Er, dah kena plan for 2nd baby dah ke??"
"Tak, kalau oranglain yang senang conceive tu, I dah bole suggest untuk rancang anak, contraceptive method ke ape ke. Tapi since u nak conceive susah and u have bad experience on birth control pills, so takpayah la. guna kondom je 6months ni hehe"
Kondom? Ape tu? HAhAHA
Katenye umur makin lanjut, so taksalah kalau terus try again after 6months. Awal2 ni biar bonding dengan anak betul2..FOR US pulak, we dont mind at all cuma, kalau lah boleh, memang nak tunggu Fahim besar-dalam 2tahun ok kot.
Kitorang tak ikut pun cakap doc suruh pakai kondom sebab TAK PENAH GUNA hahahaha ye la TTC namenye pun before ni kan. Planning sendiri-sendiri lah..eh takkan nak gitau katsini lak :P
We are not yet ready for 2nd baby. Tapi soon, memang nak. Insyallah kalau Allah izinkan, kalau kami mampu, memang nak. Keinginan tu belum datang lagi.
Ada satu pun dah cukup seribu rahmat kan.
Ah, Allah tahu whenever we're ready, Insyallah Dia bagi :) Aku taknak cakap TAKNAK..aku cuma cakap if Allah bagi aku lebih dari 1 anak, aku cuma mohon semoga Allah beri aku satu kekuatan SUPER-MAK :D
Ada yang asik beranak tiap-tiap tahun. Pun kena kondem juga.
"Takde keje lain ke?"
Sorang kawan aku ni beranak tiap2 tahun, MIL tuduh "sengaja" nak mengandung banyak kali sebab nak kikis duit anak dia. HAH.
Macam tu pun ada.
Tapi ada confession yang aku nak buat.
Zaman aku stress TTC dulu, aku pun penah gak ckp dalam hati kat orang yang asik pregnant "Takde keje lain ke ko ni? Asik2 pregnant" -sumpah, hanya untuk pujuk diri sendri yang tak pregnant2. kahkahkah.
Jangan contohi saya.
Rezeki tak masuk kalau cakap macam tu.
:P
December 24, 2013
Are You Taking Metformin?
Here's something I need to share.
Ini complete COPY-PASTE dari newsletter yang aku dapat.
Since zaman skang ramai yang PCOS dan ramai yang doc prescribe with Metformin, here's what the doc will never tell you about Metformin.
- kalau rajin bace lah.
:)
Aku penah ambik metformin for straight 2 month and i hated the drug sebab side effect kat aku SANGAT TERUK - diarrhea SETIAP HARI, perut kembung berangin, lepas makan je mesti ceri-beri. And it doesnt improve my eggs or period. So, menyakitkan perot aku je ambik.
---
Hidden long-term side effect with metformin?
Are you taking metformin?
Metformin (Glucophage) is thought by many to be the most effective medication for treating PCOS.
The obvious benefit of metformin is that it can substantially reduce the severity of your symptoms. But do you ever think about the possible side effects?
You may be aware of discomfort in your GI tract, possibly including nausea or diarrhea. In this case, you doctor may have advised you to reduce the dose until the problems go away and then gradually increase the dose.
Let's say you're one of the "lucky ones" and can tolerate this drug. Is there anything else to be concerned about?
Well, there is a suspected long-term side effect that can remain hidden for a very long time.
It appears that people who take metformin for a lengthy period (years) and/or who are on a high dosage, may develop a vitamin B12 deficiency. The problem is that metformin interferes with your ability to absorb vitamin B 12 from your food.
Vitamin B12 is absolutely essential for your health:
- Carbohydrate and fat metabolism
- Healthy nervous system development and function
- Cell formation and longevity
- Proper circulation
- Adrenal hormone production
- Feelings of well-being and mood regulation
- Healthy immune system function
- Mental clarity and memory function
- Support of female reproductive health
- Physical, emotional and mental energy.
As you can see, vitamin B12 is really important!
But here's the tricky part. There is no obvious sign or symptom to warn you that you don't have enough vitamin B12. You can have insufficient vitamin B12 for years before any symptoms show up.
Some possible early signs could be fatigue or lack of energy, impaired memory, mood problems, or subtle disturbances in your nervous system, such as numbness or tingling. By the time these signs become evident, a vitamin B12 deficiency could be well advanced. If the B12 deficiency is severe enough, there could be irreversible nerve damage.
The University of Calgary (Canada) recently conducted a study of people with diabetes. They found that the individuals who had had the clearest signs of vitamin B12 deficiency also had the most peripheral neuropathy (nerve damage) and had been taking metformin for longer than six months. They said the patient's B12-related "abnormalities were correlated strongly with cumulative metformin exposure".
So here's a question. Did the doctor who prescribed the metformin counsel you about avoiding a possible vitamin B12 deficiency? Or maybe you were told you have nothing to worry about?
Without some laboratory data, it's anyone's guess as to whether you now have a vitamin B12 deficiency as a result of metformin, a vegetarian diet or some other cause. But it appears that vitamin B12 loss is cumulative; the deficiency just keeps building up until it is corrected.
You could get a blood test to check your level of B12. But this test may show an artificially low level because metformin is thought to cause movement of B12 from the blood into the liver and muscle. So this test may be inconclusive.
If the blood level of B12 is on the low side, two additional blood tests would be informative: homocysteine and methylmalonic acid. These substances are increased when there is insufficient B12 in your body.
Other than lab testing, is there anything you can do? Here are some tips:
- Improve the quality of your diet so that you can reduce your dosage of metformin.
- If you have a serious B12 deficiency, consider B12 injections to rebuild your B12 levels faster.
- Consider taking NAC and berberine as alternatives to metformin. Neither of these causes a B12 deficiency and several studies of women with PCOS have indicated they are as effective as metformin.
- Take calcium. Calcium appears to help absorption of vitamin B12 if you're taking metformin. However, calcium should be taken with magnesium and other minerals, as in amulti-vitamin/mineral formula.
- Take B-complex vitamins to reduce homocysteine levels if they are high. Excessive homocysteine is associated with cardiovascular disease and brain shrinkage and injury.
- If a vegetarian and taking metformin, get tested for possible vitamin B12 deficiency.
- The d-pinitol formula may be helpful for reducing insulin resistance so that you won't have to rely entirely on metformin.
Ini complete COPY-PASTE dari newsletter yang aku dapat.
Since zaman skang ramai yang PCOS dan ramai yang doc prescribe with Metformin, here's what the doc will never tell you about Metformin.
- kalau rajin bace lah.
:)
Aku penah ambik metformin for straight 2 month and i hated the drug sebab side effect kat aku SANGAT TERUK - diarrhea SETIAP HARI, perut kembung berangin, lepas makan je mesti ceri-beri. And it doesnt improve my eggs or period. So, menyakitkan perot aku je ambik.
---
Hidden long-term side effect with metformin?
Are you taking metformin?
Metformin (Glucophage) is thought by many to be the most effective medication for treating PCOS.
The obvious benefit of metformin is that it can substantially reduce the severity of your symptoms. But do you ever think about the possible side effects?
You may be aware of discomfort in your GI tract, possibly including nausea or diarrhea. In this case, you doctor may have advised you to reduce the dose until the problems go away and then gradually increase the dose.
Let's say you're one of the "lucky ones" and can tolerate this drug. Is there anything else to be concerned about?
Well, there is a suspected long-term side effect that can remain hidden for a very long time.
It appears that people who take metformin for a lengthy period (years) and/or who are on a high dosage, may develop a vitamin B12 deficiency. The problem is that metformin interferes with your ability to absorb vitamin B 12 from your food.
Vitamin B12 is absolutely essential for your health:
- Carbohydrate and fat metabolism
- Healthy nervous system development and function
- Cell formation and longevity
- Proper circulation
- Adrenal hormone production
- Feelings of well-being and mood regulation
- Healthy immune system function
- Mental clarity and memory function
- Support of female reproductive health
- Physical, emotional and mental energy.
As you can see, vitamin B12 is really important!
But here's the tricky part. There is no obvious sign or symptom to warn you that you don't have enough vitamin B12. You can have insufficient vitamin B12 for years before any symptoms show up.
Some possible early signs could be fatigue or lack of energy, impaired memory, mood problems, or subtle disturbances in your nervous system, such as numbness or tingling. By the time these signs become evident, a vitamin B12 deficiency could be well advanced. If the B12 deficiency is severe enough, there could be irreversible nerve damage.
The University of Calgary (Canada) recently conducted a study of people with diabetes. They found that the individuals who had had the clearest signs of vitamin B12 deficiency also had the most peripheral neuropathy (nerve damage) and had been taking metformin for longer than six months. They said the patient's B12-related "abnormalities were correlated strongly with cumulative metformin exposure".
So here's a question. Did the doctor who prescribed the metformin counsel you about avoiding a possible vitamin B12 deficiency? Or maybe you were told you have nothing to worry about?
Without some laboratory data, it's anyone's guess as to whether you now have a vitamin B12 deficiency as a result of metformin, a vegetarian diet or some other cause. But it appears that vitamin B12 loss is cumulative; the deficiency just keeps building up until it is corrected.
You could get a blood test to check your level of B12. But this test may show an artificially low level because metformin is thought to cause movement of B12 from the blood into the liver and muscle. So this test may be inconclusive.
If the blood level of B12 is on the low side, two additional blood tests would be informative: homocysteine and methylmalonic acid. These substances are increased when there is insufficient B12 in your body.
Other than lab testing, is there anything you can do? Here are some tips:
- Improve the quality of your diet so that you can reduce your dosage of metformin.
- If you have a serious B12 deficiency, consider B12 injections to rebuild your B12 levels faster.
- Consider taking NAC and berberine as alternatives to metformin. Neither of these causes a B12 deficiency and several studies of women with PCOS have indicated they are as effective as metformin.
- Take calcium. Calcium appears to help absorption of vitamin B12 if you're taking metformin. However, calcium should be taken with magnesium and other minerals, as in amulti-vitamin/mineral formula.
- Take B-complex vitamins to reduce homocysteine levels if they are high. Excessive homocysteine is associated with cardiovascular disease and brain shrinkage and injury.
- If a vegetarian and taking metformin, get tested for possible vitamin B12 deficiency.
- The d-pinitol formula may be helpful for reducing insulin resistance so that you won't have to rely entirely on metformin.
December 17, 2013
Big Breakfast for PCOS Women
On my previous entry aku ada janji yang aku akan share something about Big Breakfast & PCOS kan.
A new study found that Big Breakfast can actually boost the fertility of PCOS Women.
Ada satu newsletter aku dapat dari entah mana aku pun dah tak ingat, dulu aku banyak subscribe newsletter regarding TTC ni, and sampai ke hari ni pun aku masih tak unsubsribe lagi kot-kot la ada benda baru yang boleh share kat blog. So benda ni aku baru dapat 2 3 hari lepas and kajian ni pun diorang BARU buat. Sebab semua article yang aku dah search, semuanya tahun ni, 2013. (Eh baru perasan, kita dah nak 2014 ye)
So what about Big Breakfast ni? Ops sorry, bukan Big Breakfast McD tu ye. McD is a NO-NO if you are TTC. Kalau teringin sekali-sekala, sila detox.
Ok here's some printscreen yang korang boleh baca. Nak baca penuh, boleh click link bawah gambar.
Also read Big Breakfast Diet Could "BOOST" Fertility for PCOS Women
Petikan from the link:
In the study, 60 women with polycystic ovarian syndrome and a normal body mass index (BMI) were assigned randomly to one of two groups:
So WHEN we eat juga memainkan peranan. Maybe when the doctor ask u to reduce weight, kita start skipping breakfast, or makan ciput-ciput je. Tapi sebenarnya kajian mengatakan kalau kita makan Heavy Breakfast, (tinggi kalori) dan diikuti dengan smaller meal sampai malam, badan kita akan lebih cepat reduce PCOS symptoms and decrease insulin resistant.
But i dont mean heavy breakfast as in U CAN EAT ANYTHING ok. hahaha..
Of course la kena EAT HEALTHY, tapi BANYAK di waktu pagi.
Malam-malam takyah mentekedarah..heh....
Usaha tangga kejayaan uolls.
A new study found that Big Breakfast can actually boost the fertility of PCOS Women.
Ada satu newsletter aku dapat dari entah mana aku pun dah tak ingat, dulu aku banyak subscribe newsletter regarding TTC ni, and sampai ke hari ni pun aku masih tak unsubsribe lagi kot-kot la ada benda baru yang boleh share kat blog. So benda ni aku baru dapat 2 3 hari lepas and kajian ni pun diorang BARU buat. Sebab semua article yang aku dah search, semuanya tahun ni, 2013. (Eh baru perasan, kita dah nak 2014 ye)
So what about Big Breakfast ni? Ops sorry, bukan Big Breakfast McD tu ye. McD is a NO-NO if you are TTC. Kalau teringin sekali-sekala, sila detox.
Ok here's some printscreen yang korang boleh baca. Nak baca penuh, boleh click link bawah gambar.
![]() |
| Click to view larger, Read more HERE |
In the study, 60 women with polycystic ovarian syndrome and a normal body mass index (BMI) were assigned randomly to one of two groups:
- Big breakfast group - consumed a 980 calorie breakfast, 640 calorie lunch and a 190 calorie dinner
- Big dinner group - consumed a 190 calorie breakfast, 640 calorie lunch and a 980 calorie dinner.
Both groups consumed a total of 1,800 calories each day and were tested after 90 days for insulin, glucose and testosterone levels. Ovulation and menstruation information was also analyzed.
Results showed that though neither group experienced a change in BMI, the big dinner group still had high levels of insulin and testosterone.
By contrast, the big breakfast group showed 56% less insulin resistance, as well as a 50% fall in testosterone levels.
Additionally, the reduction of insulin and testosterone levels in the big breakfast group led to a 50% rise in ovulation rate.
----
And here's some info from the newsletter I got in my inbox:
The women eating a small breakfast and large dinner showed virtually no improvement by the end of the study. But the large breakfast/small dinner group had significant, even spectacular, improvements in their hormones and other measurements. The blood sugar was down, insulin improved, testosterone greatly decreased, and sex hormone binding globulin increased (which helps to manage hormones). Importantly, only women in the BF (breakfast diet) group ovulated twice during the study.
Timing of food intake may be important because of its effect on your circadian (day-night) rhythm. For example, when mice are exposed to light at night (like we humans are), they eat more food in the evening and become heavier. When they are not exposed to artificial light at night, they shift their eating to an earlier time and avoid becoming heavier.
In summary, we can use diet to control PCOS in three essential ways:
1) WHEN we eat (emphasis on breakfast vs. dinner).
2) HOW MUCH we eat (total calories, and caloric density of foods).
3) WHAT we eat (composition of the diet).
These are the three basics of dietary control over PCOS. Master these basics and you'll find your PCOS problems melting away. This is not theory. This is based on numerous medical studies of women with PCOS.
------Timing of food intake may be important because of its effect on your circadian (day-night) rhythm. For example, when mice are exposed to light at night (like we humans are), they eat more food in the evening and become heavier. When they are not exposed to artificial light at night, they shift their eating to an earlier time and avoid becoming heavier.
In summary, we can use diet to control PCOS in three essential ways:
1) WHEN we eat (emphasis on breakfast vs. dinner).
2) HOW MUCH we eat (total calories, and caloric density of foods).
3) WHAT we eat (composition of the diet).
These are the three basics of dietary control over PCOS. Master these basics and you'll find your PCOS problems melting away. This is not theory. This is based on numerous medical studies of women with PCOS.
So WHEN we eat juga memainkan peranan. Maybe when the doctor ask u to reduce weight, kita start skipping breakfast, or makan ciput-ciput je. Tapi sebenarnya kajian mengatakan kalau kita makan Heavy Breakfast, (tinggi kalori) dan diikuti dengan smaller meal sampai malam, badan kita akan lebih cepat reduce PCOS symptoms and decrease insulin resistant.
But i dont mean heavy breakfast as in U CAN EAT ANYTHING ok. hahaha..
Of course la kena EAT HEALTHY, tapi BANYAK di waktu pagi.
Malam-malam takyah mentekedarah..heh....
Usaha tangga kejayaan uolls.
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