If you read the work of Mark Starr and Broda Barnes, you will realize that Congestive Heart Failure is one outcome of low thyroid hormone - hypothyroidism.
They used Thyroid Hormone to treat Congestive Heart Failure successfully.
Additionally, the presence of Low Free-3 reduces one's chance of survival from Congestive Heart Failure.
Adrenal fatigue will reduce tolerance of thyroid hormone since thyroid hormone increases the workload of the adrenal glands. A symptom of this is palpitations. If very slowly increased, and with adequate nutrition, thyroid hormone may improve adrenal fatigue. But not always.
Thus if adrenal fatigue is present, it should be addressed so that thyroid hormone can be increased to more optimal levels.
Testosterone, if used excessively, reduces ACTH production and also directly reduces adrenal activity. This can worsen adrenal fatigue. For some men, this is why testosterone replacement is intolerable. Rather than improve one's sense of well-being, it causes anxiety or irritability. Thus adrenal function has to be attended to during
TRT.
Exogenous testosterone (i.e.
TRT) will also reduce thyroid releasing hormone release from the testes - as part of suppressing endogenous testosterone production by reducing LH production. This can also lead to lower thyroid hormone production, worsening hypothyroidism. Thus one needs to pay attention to thyroid status during
TRT.
Testosterone, of course, may help in Congestive Heart Failure. For one, it improves circulation in the coronary arteries. But the potential adverse effects have to also be watched and addressed to keep it a successful component of treatment.
Thyroid hormone treatment requires attending to nutrition. There is a higher need for nutrients when one's metabolism is increased with higher thyroid hormone levels. Without adequate nutrition, thyroid hormone treatment potentially can lead to cardiac arrhythmias or even Congestive Heart Failure.
Growth Hormone reduces adrenal function by up to 30%. If adrenal fatigue is present, it is worsened by Growth Hormone. The potential negative effects of growth hormone on other hormones is an important reason to first optimize the other hormones before considering growth hormone treatment. And then with treatment, the other hormone systems also have to be monitored and addressed should negative effects of Growth Hormone occur - such as the increase in insulin resistance and potential worsening of diabetes.
IGF-1 is not only determine by Growth Hormone. When Thyroid, DHEA, and Testosterone, for example, are optimized, then IGF-1 may increase significantly whether or not Growth Hormone is used.