I’m posting this for a good friend of mine who had been struggling with his hormone health for years. He’s in a bad way and I’m trying to help as best I can becuase his doctors seem to be doing a very poor job. (Harley Steet doc)
He seems to have both low testosterone issues and also thyroid.
He suffers from extreme fatigue and has to take naps every afternoon and has very bad brain fog and struggles to get anything done. He has gained weight too.
Here are his details…
Weight: 100kg (22lbs)
Body is on the “solid” side, reasonably muscular even though i dont work out.
Carry fat around my middle, it has increased significantly in last couple of years but i put that down to too much wine/beer.
Had glandular fever in my teens. Always been relatively low on energy and had long standing problems with concentration/brain fog. Would say i always had a relatively low sex drive. Have suffered several episodes of high anxiety which resulted in anti-depressants. In recent years had a tendancy to mild depression as well. Diagnosed with CFS and get exhausted by 2 hours of mental exertion (working, concentrating, talking with people). Mental fatigue is worse than actual physical fatigue, can still ski for a few hours a day. Often feel very light-headed and can become irritable easily.
Diagnosed by an endo with -
Borderline secondary hypothyroidism
Post viral fatigue syndrome (Epstein Barr virus)
Multi nodular thyroid goitre (no suspicious features)
Short synacthen test suggested abnormal adrenal function but a test of Hydrocortisone didnt make me feel any different.
Meds he’s taking -
Take nebido every 10/11 weeks - normal does of 1000mg/4ml
150mcg Thyroxine (also been suggested to try T3)
Started testo gel approx Mar 2015 and switched to Nebido in May 2015
Started Thyroxine Jul 2015 on around 50mcg and built up to current does of 150mcg
Dabbled with 5 mcg of T3 twice a day but didnt notice anything
Bloods (see image attached)
* I have asked him to start taking his oral body temperature when waking up in the morning and mid afternoon to get an idea of how his overall thyroid is functioning. So far his temps are low pointing to thyroid issues. (36.2-36.5 morning and 36.2-36.6 afternoon)
Would very much appreciate any advice. And especially if he would be better off trying T3 only or combo of T4 and T3.