Does anyone know...

[Obsdian]

So, for about two weeks I've had a symptom that could fit with multiple explanations. Hot flashes.

My first guess would be my hrt needs changing... But I ALWAYS get stiff joints before hot flashes start and my joints are normal.

Maybe a hypo thing.

Maybe related to my post viral dysregulation of the autonomic nervous system.

I tried to Google if this could also be a side effect of reducing bisoprolol but can't find an answer. About three weeks ago my dose was reduced from 5 over the day to 3.75. (I'm insisting on no further increaees for now as it's not doing what they hoped).

Any thoughts?

[TiggerMe Ambassador]

Could it be an adrenaline rush?

[Obsdian in reply to TiggerMe]

I hadn't thought of that.

[TiggerMe Ambassador in reply to Obsdian]

Would tie in with this bit... Maybe related to my post viral dysregulation of the autonomic nervous system.

[TiggerMe Ambassador in reply to TiggerMe]

Do you have a reasonable salt and vit C intake?

[Obsdian in reply to TiggerMe]

I don't know how to measure my salt but I assume so.

I thought one of my supplements had vit C in it but looked just now and ot doesn't. Diet-wise I tend to eat oranges and tomatoes.

[TiggerMe Ambassador in reply to Obsdian]

Check back on your blood test results I expect you've had a serum sodium result?... adrenals run on salt and vit c, trouble is we have been in an age where salt is seen as a villain and some don't get enough

[Obsdian in reply to TiggerMe]

You're right, have had about every test and found that too. Looks fairly middle of the range to me.

140 mmol/L

Range:133 - 146 mmol/L

Date:16 Jul 2024

[TiggerMe Ambassador in reply to Obsdian]

It's one of those that is better mid range or slightly above I seem to remember SlowDragon recommending

[thyr01d in reply to TiggerMe]

Thanks as so often TiggerMe for your helpful and informative posts. I think this might be my problem, I have rushes of heat, like the poster not quite the same as menopausal flushes, these last longer and are not so extreme and I have recently started wanting to add salt to almost everything I eat and longing for salted crisps. Also stopped taking Vit C some months ago. I would be interested to know more please if you don't mind expanding? Thanks

[TiggerMe Ambassador in reply to thyr01d]

I think this is a pretty good article 🤗... ibrainandbody.com/the-stres...

[Obsdian in reply to TiggerMe]

Interesting.

I had reasonable t4 to t3 conversion before, but now it's going the wrong way. One of several reasons my GP is referring me to the endocrinologist again (was rejected the first time when the only reason was hashimoto's).

I also struggling with some things in their list, caffeine, sugar, artificial sugars.

[thyr01d in reply to Obsdian]

Thank you Obsdian for letting me 'borrow' your post. Good luck with finding your resolution.

[Obsdian in reply to thyr01d]

I don't mind at all. Lots of us have similar issues and maybe can add good follow on questions.

[thyr01d in reply to TiggerMe]

Thank you TiggerMe, I will have a look later, heading towards a collapse on the sofa now ..

[Flamingo60]

Assume you have ruled out menopause and HRT needing a tweak? That would be the obvious thing to consider given the symptoms.

[Obsdian in reply to Flamingo60]

That's my first thought but... I used to go up and down like a roller coaster and hot flashes was the last symptom to return not the first. Normally I get very stiff ankles and knees in the morning (they're fine) and the start getting muscle aches. So has me feeling uncertain.

[FoggyThinker]

I don't know, but I get the same problem so sympathise! Mine started when NDT was increased too quickly and my adrenals couldn't keep up; I'm trying to sort the adrenals and hope that will resolve it. There's a theory that adrenals when working correctly pick up production of sex hormones; also as Tigger says, running on adrenaline instead of cortisol is quite "hot".

Basically I don't really know either but sending sympathy and i'll watch the thread with interest.

[Obsdian in reply to FoggyThinker]

I'm just nervous to trial more estrogen after finally being so stable. So much is going on I don't want to imbalance anything else if it's not the problem.

Fed up with being complicated.

[Billycasper in reply to Obsdian]

I’m not sure how you take your oestrogen but I found I was having surges and heat when I woke through the night and first thing in the morning. When I had a blood test I found out I wasn’t absorbing properly through the Everol patches I was using. I changed to Estrodot and had another blood test 2 months later which showed my oestrogen had doubled. I’m post menopause and 62 years old. The change improved sleep and stopped the surges.

[Obsdian in reply to Billycasper]

I take it as gel as I am allergic to adhesive on plasters and such.

Your comment makes me wonder something now. I apply my gel in the evening and I get more of my hot flashes towards the afternoon and evening now that I think about it. Maybe I am slightly running out by the time a new application is due.... Unless there is some other cause.

[Billycasper in reply to Obsdian]

Might be worth a change just to see if that is the cause. I know it’s all very complicated though especially having a thyroid problem too.

[Obsdian in reply to Billycasper]

Yes, maybe I need to get over worrying about upsetting things and see.

[serenfach]

Another thing to think about - are you eating something you dont normally eat? A hot flash can be the first indication of food allergy.

[Obsdian in reply to serenfach]

Hmmm... Not sure. Have had some alpro soya puddings over the last few weeks.