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For The Last Few Days I Have Been Experiencing Relatively
Question: For the last few days i have been experiencing relatively severe disorentation, detachment and some episodes of confusion. Everything feels strange and i feel strange. I keep getting episodes of dizziness. I've also had some viplent thoughts and mental images that pop into my head.
Assuming this was my hypothyroidism i went to the ER this evening. They done an ECG, bloods and confirmed everything was normal. They said my symptoms was almost certainly because of long term usage of underground laboratory testosterone. I explained to them that i was only injecting 140mg per week, which was far from a "steroid" dosage of testosterone, and rather was just a replacement dosage.
They then stated that it could be any number of factors including the testosterone. Or an impurity in the testosterone with it being unregulated and from an underground laboratory.
My blood results from previous tests showed my testosterone was right at the top of the normal range. On the 140mg dosage per week. Which in my opinion makes it near impossible for this to be causing any kind of mental health reaction as its all in the normal range. Yet the hospital doctors still insist, you're injecting anabolic steroids so its likely to be causing your symptoms.
I also have been using lots of nicotine lozenges recently. Which i forgotten to mention at the hospital. I've been taking 35-40 of the 2mg lozenges each day. When the label strates the maximum usage is 1 lozenge per hour or 24 in a day. I realize that this equates to A LOT of nicotine.
Could the overdosing of the nicotine lozenges possibly be causing these symptoms?
Can you suggest anything else that could be causing these symptoms?
Just trying to gain some advice on what could be causing all this. Because i really don't believe it to be the steroids. Because 140mg of testosterone per week as said is really just a medical replacement dosage.
Best regards
Assuming this was my hypothyroidism i went to the ER this evening. They done an ECG, bloods and confirmed everything was normal. They said my symptoms was almost certainly because of long term usage of underground laboratory testosterone. I explained to them that i was only injecting 140mg per week, which was far from a "steroid" dosage of testosterone, and rather was just a replacement dosage.
They then stated that it could be any number of factors including the testosterone. Or an impurity in the testosterone with it being unregulated and from an underground laboratory.
My blood results from previous tests showed my testosterone was right at the top of the normal range. On the 140mg dosage per week. Which in my opinion makes it near impossible for this to be causing any kind of mental health reaction as its all in the normal range. Yet the hospital doctors still insist, you're injecting anabolic steroids so its likely to be causing your symptoms.
I also have been using lots of nicotine lozenges recently. Which i forgotten to mention at the hospital. I've been taking 35-40 of the 2mg lozenges each day. When the label strates the maximum usage is 1 lozenge per hour or 24 in a day. I realize that this equates to A LOT of nicotine.
Could the overdosing of the nicotine lozenges possibly be causing these symptoms?
Can you suggest anything else that could be causing these symptoms?
Just trying to gain some advice on what could be causing all this. Because i really don't believe it to be the steroids. Because 140mg of testosterone per week as said is really just a medical replacement dosage.
Best regards
Brief Answer:
Nicotine can be the cause- further advises below
Detailed Answer:
Hello and welcome to Ask a Doctor service,
I carefully read your query and understand your concern.
You are using a very high dose of nicotine and this may cause adverse effects similar to yours in some cases.
You will need to cut down to a normal dose as you already mentioned. Brain fog may happen as a sign of toxicity from nicotine so you need to urgently stop it or at least cut down to normal therapeutic doses. You may experience some withdrawal symptoms after reducing the dose of nicotine.
If the brain fog continues in a week of stopping nicotine we need to consider testosterone as the cause of the symptoms, the reason for this is that, unfortunately, drugs may sometimes cause side effects even in therapeutic doses.
It is good you have already ruled out the thyroid as a possible cause as thyroid may as well cause similar symptoms if it is not functioning properly.
Try to avoid smoking, alcohol and other chemicals that may cause brain fog illicit drug use) and make sure the room you stay is well aerated.
I hope this answers your query and is helpful to you. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Nicotine can be the cause- further advises below
Detailed Answer:
Hello and welcome to Ask a Doctor service,
I carefully read your query and understand your concern.
You are using a very high dose of nicotine and this may cause adverse effects similar to yours in some cases.
You will need to cut down to a normal dose as you already mentioned. Brain fog may happen as a sign of toxicity from nicotine so you need to urgently stop it or at least cut down to normal therapeutic doses. You may experience some withdrawal symptoms after reducing the dose of nicotine.
If the brain fog continues in a week of stopping nicotine we need to consider testosterone as the cause of the symptoms, the reason for this is that, unfortunately, drugs may sometimes cause side effects even in therapeutic doses.
It is good you have already ruled out the thyroid as a possible cause as thyroid may as well cause similar symptoms if it is not functioning properly.
Try to avoid smoking, alcohol and other chemicals that may cause brain fog illicit drug use) and make sure the room you stay is well aerated.
I hope this answers your query and is helpful to you. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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