by Biologist » Thu Oct 23, 2008 7:57 pm
Harley & Brooks & Others,
Here is a partial email exchange with my newer doctor (an enocrinologist-type doctor) after my reporting low energy after excercise (e.g., waking 3.5 miles) -- which is much better than where I was months ago where it was Very Low Energy All The Time (prior to TRT therpy which he provides). I use to have to take several naps per day:
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Email Text Section From Biologist:
...If you would like to tell the lab what tests to do, it might be a good idea to see where I'm at on various hormone levels. Let me know and I will go by and get blood drawn. I will do saliva testing on the same day so we can compare results. My stamina has been low after exercise, but actually I suspect statin damage problems. I want to make sure hormone levels are right before pursuing the issue though. So if you think thyroid testing would be a good idea, that would be fine to check too. I may see a heart specialist to rule that out and also check into sleep apnea possibilities. (Both are classic statin issues.) I have been suspicious for the last couple of years that I may have some stable mitochondrial-based heart insufficiency from the statins (and Doxycycline combination) and it is time to check into it a bit. D-Ribose, CoQ10, Acety-L-Carnitine and Magnesium seem to make things better and that may be a case of the treatment providing the diagnosis. That is a heart supporting supplement routine that I have used for some time that I read about in Dr. Stephen Sinatra's books on heart health.
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Email From Dr. [REDACTED]:
...We use a different pharmacy now, but will mail the new Rx's and orders for labs. The thyroid needs to be checked as well. Also, check your basal body temperature before getting out of bed for 5 mornings in a row and send me the data.
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Email from Biologist:
I have been covered up in work the past few weeks. I am now "worked out" as everything is finished as of today. Here are my temperature readings in the mornings where they were taken within about 5 to 10 minutes after getting up (wonder if I should have taken them while still in bed?). I used a digital thermometer which I have found to be accurate by comparison to other digitals that I have. I took about four readings each time and averaged them. The readings were always within a few tens of a degree from each other, or exactly the same each time:
Wednesday 96.8
Thursday 96.9
Friday 96.75
Saturday 97.0
Sunday 96.5
Monday 97.0
Tuesday 96.2
My temperature rarely equals 98.6 even in the day time. 97.5 may be about average.
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Email From Dr. [REDACTED]:
Keep the emails coming. I learn something from each. Regarding your thyroid, you are clinically HYPOTHYROID. If you cannot generate a 98.6 with an early AM reading, you are hypo, in spite of any bloodwork. When I start someone on bioidentical thyroid, we titrate the dose upwards until their AM temp is right at 98.6. I could always send you a script to start out low, and work you way up slowly. Just let me know.
Very inexpensive, no side effects if one starts with a reasonably low dose, and after 3 weeks, do the temp readings to determine if we need to adjust the dose. It does lower the TSH slightly, All bioidentical.
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Email from Biologist:
Sounds like a good bet to me. I would say use your best judgement on the dosage, and I am ready to start if you think that is a good idea. If you write the script, I'll come by and get it.
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Harley,
My guess is that you are hypothyroid. According to Dr. Barnes (**http://en.wikipedia.org/wiki/Broda_O._Barnes), who wrote the book I cite above, it is greatly underdiagnoised and the tests commonly used are unreliable (i.e., false negatives) -- you have to go by symptoms! You sure appear to me to have some of the major ones. The low temperature is close to being definitive. He says over 30% of the population is hypothyroid, and undiagnoised -- today's pharma-trained doctors say something like 1%.
Factoids:
* An elevated cholesterol level is one of the major signs of hypothyroidism. When treated, your numbers go down (and often so does your weight). Does this mean that when your doctor was first reviewing your numbers and then failed to stick a thermometer in your mouth, that he was negligent? It does to me.
* Thyroid medicine (the one that Brooks cites, for instance, which is the one I am using) appears to be out of patent protection (and therefore out of most doctors' formularies). It was developed in the late 1800s!
* Took my second pill today (first one yesterday). Armour Thyroid 30 mg. 90 pills for $13. Incredible.
Hey, Brian, I will put in another plug for "Our Daily Meds" by Melody Petersen. I am about half-way through that one too. Over the top insanity.
Biologist