Quote:
|
Originally Posted by chip douglas Dr. John told me that depression in and of itself increases pro inflammatory cytokines inhibiting both GH and Testosterone.
So this would mean Dysthymia can be a cause for low TT in the 400 range ?
Why then if depression can bring on low T, that we see so many men on TRT ?
My point among those men (if my above correlation is not wrong) with low T, part may originate from depression, while others from overt low T.
Marianco, would you be so kind as to shed some light on this, so I better understand which comes first ?
Thankfully |
It is not really useful to determine which came first. It is more useful to determine what is deficient or in excess to indicate what treatment would be best.
Depression can have multiple contributing factors. There may be a genetic tendency for having low serotonin levels, for example. There may be problems involving other neurotransmitters, hormones, and immune system cytokines such as dopamine, norepinephrine, GABA, glutamate, PEA, thyroid hormone, estrogens, testosterone, progesterone, DHEA, etc., etc. Only one of these contributing factors is testosterone. Depression can reduce
GH and testosterone production. However, depression is often the endpoint of multiple system problems occurring at the same time.
Testosterone decreases with age, generally past the age of 30 in men. Depression does not always occur. A low testosterone may not be due to depression so much as genetic fators and age and other hormone imbalances, etc.. Testosterone deficiency can thus be also a multiple system problem, aside from age-related decline.
In many patients, a multiple system treatment would best address their problems. It would be nice if adding testosterone will solve everything. But this obviously is not the case with many patients. They still have problems even with high testosterone levels.