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Elliot Ruff
Elliot Ruff,
Category: Endocrinology
Satisfied Customers: 2005
Experience:  GP at Whitstable Medical Practice
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In my life I've had serious doses of corticosteroid

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In my life I've had serious doses of corticosteroid treatments many times (oral + strong creams)
JA: Any recent weight loss/gain? Are you excessively thirsty?
Customer: no
JA: Thank you so much for your time. Finally, is there anything else in your medical history you think the Doctor should know?
Customer: I have used anabolic steroids and have tried using 25mcg of cytomel before a bodybuilding competition. I had a caloric deficit diet, and I got these sharp heart pains. Then I stopped everything, and I still experienced those pains when under eating or stressed. I notice to still get those pains if I get my metabolism up and am hungry, or if I crash my metabolism (EG days of no food after food poisoning). Could it be that corticosteroids messed up how my body handles electrolytes and now I get this pain and heart palpitations? No other cytomel user reports such effects after stopping t3.

Good afternoon, I am Dr Ruff. Thank you for contacting us today.

So, yes steroids will impact some electrolytes, but this would not cause chest pain.

I would however arrange a 12 lead ECG and some blood tests to investigate this further.

Customer: replied 17 days ago.
I've had ecg. Nothing followed that. And then got echo done, which I was told only about right ventricle hypertrophy (normal to an athlete, nothing unexpected). Blood results I had Renin tested at 54.54ng/L. And aldosterone 379.5ng/L. I had Acth test result at 4.05 along with 1st time test of aldosterone, which came back normal - 177.42ng/L (I believe I had a huge meal 8 hours before that test, whereas the abnormal one was after proper 12 hours fast and I was hungry)

Okay thanks, ***** ***** is a benign symptom most likely anxiety caused. You should however avoid any stimulants, mainly caffeine.

Elliot Ruff and other Endocrinology Specialists are ready to help you

A phone call has been requested, are you happy for me to call in 10 minutes?

Customer: replied 17 days ago.

Sorry for the delay, I am just trying to connect via the phone server, hopefully only a few minutes.