May 25, 2010 13:53
After some experimenting, it seems that I can avoid most of the digestive issues with the MTX if I fast. Since I now dose for 48 hours, that's not so workable. Plus, fasting that long increases the fatigue, which makes sense. No fuel, no zoom.
Next week I'll have to see if I can modify the fast with some small meals at the 6-hour mark between doses, and maybe work up a diet that packs the most useful calories into the smallest space. I may just do things like Ensure and smoothies and not worry about trying to get solid food into me, as that seems to trigger the worst side effects.
methotrexate,
pa,
medical