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Originally Posted by zadok No doctors can get my FT to raise above v.v low levels. My TT can be very high, but FT will not go up. (SHBG is vv low as well) Actually the higher TT goes, the lower FT goes. I had E2, Estrone and Estriol tested and they are all low normal. I am so frustrated, I have been like this for 1.5 years, no sign of getting better. |
When bioavailable
testosterone levels and total
testosterone levels and estrogen levels are good but sexual dysfunction/depression/anxiety/frustration/etc. persists, then the most important step I've found is to check for adrenal fatigue.
When many of my patients describe feeling "frustrated", "desperate", "crabby", "grouchy", "moody", "snappy", "touchy" - when they are irritable, have frequent mood swings, have frequent panic - I look for adrenal fatigue.
Whenever a patient repeatedly calls me in a crisis, I look for adrenal fatigue.
The inability to maintain a stable temper or mood often indicates that one's ability to adapt to stress is overwhelmed or impaired.
The adrenal glands - which are specialized components of the peripheral nervous system like the hypothalamus is a specialized component of the central nervous system - are one of the main components of our body which allows us to adapt to stress.
When the adrenal glands are well-functioning, but stress is very high, the excessively high cortisol levels produced can cause depression, mood instability, and psychosis. The high cortisol levels can cause insulin resistance, which then lower testosterone production and cause sexual dysfunction.
When the adrenal glands are worn down by chronic stress, the low cortisol levels produced (as well as low levels of the about 150 different neurotransmitters and hormones produced), lead to mood instability, depression, anxiety, low testosterone production - and sexual dysfunction.