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Suggest Remedies For Under-active Thyroid, Low Testosterone And Vitamin D Deficiency
Question: Hello,
I've got a history I would like to run by an endocrinologist. I've had 4 blood tests for Sjogrens. One turned out positive (SSA 42). The rest have been negative. Over the past 3 years I have ran a low grade temp off and on -the past year it has been mostly on. My normal temp is 96.7-97.6. The past year it's been 99.0-99.5. I feel terrible. Both of my parotid glands in front of the ears are swollen. I am having a CT scan on those tomorrow. My eyes burn and water. I have a lot of joint pain determined to be palindromic rheumatism. I'm not dropping weight, nor have I been tested for diabetes. There was a slight growth of staph in the sinuses with the I.D. folks. I have sudden attacks of drenching sweats with minor exertion. Not at all at night though.'
I am a cancer survivor (male breast cancer on the right). I have a history of a lot of orthopedic and sinus surgeries. I feel tired (extremely) and run down, and have less and less energy as time goes on. This has been a slow insidious process, but I was a very active person before and would like to get a handle on whatever this is as it has interfered with my ability to exercise and I am starting to put on some weight. 5' 10" 215. heavy muscle. I have attacks of frequency and urgency with urination to the point that I do not make it to the bathroom sometimes without some substantial leakage. Family history of BPH. Family history of aneurysm. I also have pollen allergies year around and at 60 still get shots. I also have had low testosterone and osteopenia and get testosterone shots. 1 every 14 days. That's about it, I will answer any questions you may have about this but wanted to submit and see if you had any ideas. Thanks! Everett Baldwin
I've got a history I would like to run by an endocrinologist. I've had 4 blood tests for Sjogrens. One turned out positive (SSA 42). The rest have been negative. Over the past 3 years I have ran a low grade temp off and on -the past year it has been mostly on. My normal temp is 96.7-97.6. The past year it's been 99.0-99.5. I feel terrible. Both of my parotid glands in front of the ears are swollen. I am having a CT scan on those tomorrow. My eyes burn and water. I have a lot of joint pain determined to be palindromic rheumatism. I'm not dropping weight, nor have I been tested for diabetes. There was a slight growth of staph in the sinuses with the I.D. folks. I have sudden attacks of drenching sweats with minor exertion. Not at all at night though.'
I am a cancer survivor (male breast cancer on the right). I have a history of a lot of orthopedic and sinus surgeries. I feel tired (extremely) and run down, and have less and less energy as time goes on. This has been a slow insidious process, but I was a very active person before and would like to get a handle on whatever this is as it has interfered with my ability to exercise and I am starting to put on some weight. 5' 10" 215. heavy muscle. I have attacks of frequency and urgency with urination to the point that I do not make it to the bathroom sometimes without some substantial leakage. Family history of BPH. Family history of aneurysm. I also have pollen allergies year around and at 60 still get shots. I also have had low testosterone and osteopenia and get testosterone shots. 1 every 14 days. That's about it, I will answer any questions you may have about this but wanted to submit and see if you had any ideas. Thanks! Everett Baldwin
Brief Answer:
Hormone tests
Detailed Answer:
Sorry to learn about your bothersome symptoms.
There are a few hormone related reasons that can potentially cause symptoms you are reporting.
An under-active thyroid, inadequate dose of testosterone and vitamin D deficiency are a few examples. The following tests will assist in making this enquiry.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Total Testosterone midway between your 2 week cycle
PSA
Prolactin 12 hour Fasting Lipid profile
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Hormone tests
Detailed Answer:
Sorry to learn about your bothersome symptoms.
There are a few hormone related reasons that can potentially cause symptoms you are reporting.
An under-active thyroid, inadequate dose of testosterone and vitamin D deficiency are a few examples. The following tests will assist in making this enquiry.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Total Testosterone midway between your 2 week cycle
PSA
Prolactin 12 hour Fasting Lipid profile
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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