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Hi there. Thank you for your question. I will be helping you out with your queries
Can you please let me know what kind of hormones have you been tested for?
Have you been tested for cortisol levels?
Do you have any other medical problems?
Are you on any medications for anything?
Please let me know.
Also can you please let me know if you have had your vitamin D levels done.
Vitamin D 83nmol/LT4 12.9mmolLH 2.0IU/LTestosterone 14.5Sanacthen test OK.
Over winter I have symptoms of hypothyroidism, which during spring and summer improve
T4 goes from 11.9 to 14.5 from winter to summer
How is your TSH like?
Testosterone again is low, 13.4 in winter and rises to 15.5 is summer
TSH is 2.45-2.55 average (has been 5.2 when I felt really really bad)
serum calcium is low reference 2.1mmol/L
How is your libido and sex function?
winter I have 0 libido and ED
summer I have urge for sex about 1 every 4-6 weeks.
Had sex last october and only just had sex last week.
What was normal range for testosterone in the lab report with you?
I have poor erection quality
Umm.. let me look...
testosterone 8.6 to 29
blood pressure is 120/60 with wide pulse pressure
Cials, Viagra etc do nothing. Head ache is massive. tried 1,2 and then 3 tablets. Nothing.
Tried MUSE as well. Nothing.
You mentioned headache, since how long are you having this headache?
Also for how long are you having these other symptoms?
All other symptoms of lethargy, tiredness, pain in muscles and loss of drive has been getting worse over the last 8 years.
headaches are getting worse over the past month or so.
Have you had any scans of your head like an MRI scan
My CK levels are 188 (tested twice, about 1 month apart)
No. Only DEXA scan of bones. -2.5 -> -2.9 spinal.Nothing on my head.
Endo initially thought of a pituitary problem, but cannot do anything as my hormone results are always low normal, never below.
Have you had parathyroid hormone levels done?
Yes. 4.1pmol/L (Range 1.1 to 4.2)
How is your urea and creatinine like?
in the normal range?
What is the normal range of vitamin D of your lab report.
Urea 6.2 (2.5 -> 7.8)
Creatinine 92 (65 -> 105)
So normal range
Vit D range.... just says >50
Your calcium is low and phosphate is high.
I'm concerned I have low serum calcium (have had high phosphates, but have cut out a of of dairy)
The vitamin D is also high and so is your parathyroid hormone i.e. in the upper limit of normal.
I think that you are having vitamin D resistance in your body.
The phosphate is now in OK range but Bicarbonate is always low
Even with a high vitamin D level your calcium is low and most of your phosphate readings have been above the normal level.
phosphate has been high 2.19 but is now down to 1.09
This was 1 year apart
My LDL and HDL are both just about range
I also have just above range iron.
I also think that a diagnosis of renal tubular acidosis shouldbe considered.
This diagnosis is usually made by a nephrologist.
This condition can cause calcium problems, osteoporosis along with acidosis and usually a low potassium.
My potassium has always been unable to be measured? (always says storage changes)!Should I request a referral from my GP?
You should request a referral.
OK. Thank youI have had a trial of T4, T3 and Testosterone but nothing seems to alter my general state. I have an initial benefit but then it goes.
Thanks for your help. I will contact my GP.Will the acidosis have an effect on erectile dysfunction. or cause a general non-function of hormones.
Last question. Honest.
Acidosis can cause
Acidosis can cause wide ranging effects.
Got it right this time :)
So yes its possible.
OK so a nephrologist specialist.Is this as part of a renal department?
There are two kinds of renal doctors.
Nephrologists who do the medical part of kidney.
Urologists who do the surgical part.
At your age the osteoporosis that you are having is just not normal.
You need to be investigated further surely.
OK. Thanks. I will discuss with my GP and request a referral.Thank you again.Good bye.
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