Tag Archives: comments

Dael Challenges the Conventional Wisdom about Smoking and Weight Control


Dael is taking a lonely path as a confirmed smoker. So far the benefits seem to out weigh the risks, but we all know what the end of this road will look like. I am posting Dael’s comments to see if the community at metabolism.com can make a positive impact on Dael’s rebellious attitude.

Dael writes:

hey guys and gals just to let you know,

am down to 130lbs and feeling fit as a fiddle. have the 6 pack and abs i dreamed of and am fitter than i have ever been.. it really is odd cos i hate smoking but here i am having lost 42 lbs and loving every second of it apart from the smoking. what can i say – maybe rather die skinny and liking myself, than a fatty with some self righteous notion of how wonderful i am for not smoking… i hated myself with the extra weight, sorry but true…. i really can’t give a f***k for what anyone thinks on here but at least i can bear to look at myself in a mirror and like what i see, not loathe what i look like and try to bullshit myself into believing that i am sooooo happy cos i gave up the cigs….. but next is the NRT – lets see what happens there, and b4 anyone says it, yes i lost two of my best friends to cancer, of the spine and brain, but all i can say is like james dean , i’d rather live fast and furious, that be fat and dumb til 101, you can all choose, but in the end what do you all want?
i do not advocate smoking !!!

I know who i am

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Trying to Cope with Symptoms of Low Testosterone


One of our members notes loss of sex drive, strength, motivation. He is concerned that this could be due to low testosterone levels;

Here is his comment;

I’m 64 years old. Excellent health. 6 ft tall, 177 pounds, work out three times a week…….finding my self depressed, losing strength…..haven’t had any sexual desire in last 3 years……..I use the VA for all my health issues. My doctor said he tested my levels and they were normal, but he wouldn’t let see the results. Based on my info could someone tell me what my level should be at. Also, I noted someone said they got tested free…how is that ?? My only option without paying is to use the VA, and I’ve already noted that experience. Thank You.

My reply:

My first thought is to find out what the actual testosterone level is, as well as free testosterone. A doctor that refuses to share a patients lab results with them has lost credibility. Many “normal” results are subject to interpretation but the doctor may not want to be bothered explaining the finer points of diagnosis. This applies to many medical conditions but is particularly common when diagnosing low thyroid or gonadal (testicular) function. Additional testing may be necessary to make the diagnosis. If any of the pituitary hormones, prolactin, LH or FSH are abnormal then testosterone levels could be in the “normal” range and yet the patient can be suffering from significant disease. Finally, it is still possible that symptoms like those you describe are not related to testosterone deficiency and a search for other medical explanations seems appropriate.

As far as getting free testing for medical conditions I am not able to provide a clue. Perhaps one of our members knows of a way and I would welcome their comments.

Best of luck.

Dr. Gary Pepper, Editor-in-Chief, Metabolism.com
These comments are for informational purposes only and are not intended as medical advice or therapy.

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Thank You for Understanding; By Gary Pepper, M.D.


Debbi and Terri:

The Comments section at metabolism.com is a place where members have the opportunity to get their questions and opinions posted to the homepage for maximum visibility. Every day thousands of people have the opportunity to see what is on your mind. I try not to intervene too much in Comments so people feel free to say whatever…including what may seem negative about the website.
Everyday, Chris (our webmaster) and I review the Comments section several times. I try to find topics that have general interest which I then turn into a blog. I hope you have noticed that many member questions wind up in my main blog. It takes me a lot of time and effort to prepare a meaningful blog post. I also try to choose a wide variety of issues to cover the whole spectrum of metabolic issues, from the Armour Thyroid crisis, to diabetes care, to smoking cessation, weight loss, low testosterone, Vitamin D, estrogen replacement, osteoporosis, adrenal disease etc.
There is a serious shortage of Endocrinologists and the situation is going to get worse before it gets better. At metabolism.com I try to share my experience with as many people as I can even though I can’t get to every question. I regret if it appears I am ignoring anyone’s concerns.

Many of my opinions run counter to the medical establishment so I am not universally appreciated by my peers. But by countering some of the less insightful policies of the medical establishment I think I reach people who have been left feeling hopeless by their healthcare professionals. My next blog on the flaws in the latest Diabetes Treatment Guidelines recently released by my professional society, is probably going to make me even less popular at my next professional meeting.

Many thanks to you and other members of Metabolism.com for your support. And thank you for understanding the mission and limitations of Metabolism.com.

All the best,
Gary Pepper, M.D.

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