Tag Archives: fibromyalgia

Sally Anne Wins Our Free Nutrition Consultation


Sally Anne’s submission was chosen by Beth Ellen DeLuglio as the winner of a free nutrition consultation. Beth and Sally have already been working together for the past week. We look forward to keeping members of metabolism.com posted on their progress.

We thank those of you who submitted your thoughts to this contest and hope that by keeping up with Sally’s comments, problems and progress that you can gain useful information to help you achieve your own goals. We also plan to rerun the contest in the near future so keep your eyes open for more information.

Sally’s winning comment is as follows:

The biggest obstacle to acheiving my weight loss is many-fold and complex as I believe it is for most. I believe my sleep apnea is the worst “culprit”. I also have Hashimoto’s thyroid disease and in 2006 I crash dieted and lost 82 lbs in 11 months only to suffer a rapid rebound weight gain of 40 pounds. For over two years, I have not been able to get this weight off. I was previously insulin resistant and had surgery on PCOS. The fibromyalgia affects working out. I feel that all of these issues feed off one another. It is crystal clear to me that feeling poorly every day from debilitating fatigue is the biggest obstacle to acheiving the weight loss I so desperately need. I really do need help. I want to live before I die.

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Low Testosterone May Signal Serious Medical Conditions


Dennis is a middle aged man with a testosterone of 70. He suffers with weakness, muscle aches, soreness of the breast, and carries a diagnosis of fibromyalgia. He inquires if treatment with testosterone will benefit him (see his inquiry in our Comments section).

While I cannot offer medical advice on this website I can make some general comments that may be helpful. In my medical practice I see many men of this age with low testosterone. Usually the testosterone levels are in the low 200’s or slightly less. Symptoms of moodiness, fatigue, weakness, low motivation, and loss of sexual interest and function are the most common complaints. Evaluation for causes of low testosterone usually reveals a failure of the pituitary gland to make enough gonadotropins, the hormones that cause the testicle to manufacture testosterone. In almost all these cases the pituitary gland appears otherwise normal. Many of these men are started on testosterone replacement and generally have a nice improvement in their complaints.

What concerns me about Dennis is that a level of testosterone of 70 is extremely low and can suggest more unusual causes of low testosterone. Tumors of the pituitary gland, injury to the testicle, or rare genetic defects (usually discovered in childhood), cause testosterone levels as low as this. Alcoholic liver cirrhosis may also have similar effects. The fact that his breast is tender is another clue that this is a severe form of testosterone deficiency. My advice to Dennis is to have his V.A. doctors perform a full endocrine evaluation to make sure nothing else is causing the low testosterone. Giving testosterone replacement may only cover up the symptoms of a more significant medical condition.

I hope that helps. Dennis…let us know how this turns out.

Gary Pepper, M.D.
Editor-in-Chief, metabolism.com
The disclaimer of metabolism.com applies to this and all of my posts.

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