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Suggest treatment for arthritis, low-testosterone and underactive thyroid

Answered by
Dr.
Dr. Muhammad Ahmad

General & Family Physician

Practicing since :2012

Answered : 1308 Questions

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Posted on Mon, 27 Apr 2015 in Medicines and Side Effects
Question: Are there any dietary changes I can make or any specific supplements I can take to deal with a L5 disc issue? According to an MRI about two years ago I also have moderate arthritis with some small bone bur developments. Chiropractic adjustments help a lot, but I never know when some misstep, or movement is going to flare it up. I dread long (a few hours drive or flight) It should also be noted that I have been diagnosed with Low-T and an underactive thyroid. I'm 54, 5'10 and weigh 175. Until about 5 years ago I never in my life weighed in above 157 even if I tried.

I have tried the Testosterone Patch and gel. The gel smells badly and patch leaves itchy red marks that takes weeks to go away. I'm tempted to just try and get hold of anabolic steroids at a local gym. Tried thyroid medicine, but hated the side effects. Made me so twitchy I could hold a glass of water. that side effect never fully went away and it's been over a year.
doctor
Answered by Dr. Muhammad Ahmad 2 hours later
Brief Answer:
I would need some info

Detailed Answer:
Hi,

Welcome to Health Care Magic.

I am Dr.Muhammad Ahmad, I have read your question in detail, I understand your concern and will try to help you in the best possible way.

In order to help you better , I would like you to give me some more information,

I will here by ask you some relevant questions to fill up the information gap.

1) have you ever got your vitamine D and calcium done?

2) Uric acid done?

3) what do your latest thyroid test say?

4) Any history of trauma to neck?

5) What meds and diets are you taking?

6) taking consult with physiotherapy?


Waiting for your input

Regrds

Dr.Muhammad Ahmad.

M.B.B.S ( Licensed Family practitioner)

Resident M.D.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ahmad 1 hour later
Never had Vitamin D or Calcium done.

Never had uric acid done.

Have not had a recent thyroid test. Last done over a year ago.

No neck trauma. Just the L-5 disc slip and vertebrae turned out. Twice this year.

No meds. Just multivitamin and supplements I listed. My diet consists mainly of Asian foods. Mostly rice, vegetables, garlic, fermented soy products, eggs, kimchi. I prefer moderately spicy food. one or two slices of white bread a couple times a week. I eat very little meat. Some days none. Today I had 7 ounces of canned tuna in water. Cook only with extra virgin olive oil or organic virgin coconut oil. I have two cups of coffee in the morning then drink about two litres of hot green, jasmine, oolong or Pu'er tea throughout the day. I have at least one fruit of some kind each day.

Physical therapy is ineffective. Only Chiropractic treatments help. If I do not go at least once a week I have trouble with lower back pain.
doctor
Answered by Dr. Muhammad Ahmad 11 hours later
Brief Answer:
Here are my suggestions

Detailed Answer:
Hi,

Thanks for writing back,

I have read both your responces and detail and will try to adress your problems as well as i can.

I am sorry to know about your issues specially the pain which is creating difficulties for you.

It is important for you to take a well balanced diet along with supplements.

I am glad to know that you are eating real healthy , I would just like you to consider few changes and I will give you few suggestions.

1st I would suggest your to get a spinal surgery consult and discuss with your doctor about surgical options, these days surgery has real good results and is really safe, this is the only way you can get rid of these pain permanently.

Medicine and cryotherapy may help but it will be a temporary thing , as you already told pain comes back if there's a gap between therapy sessions.

Then we will come to thyroid,

You have hypothyroidism ,that is why you are getting weight gain and there must be other issues as well along with it like depression, anxiety ,constipation, lethargy etc.
I guess you gotta discuss this thing with your doctor you have to get it to normal to lead a normal life.


Here I would also like to mention that green tea and specially coffee are known to worsen twitches, i will suggest you to talk to your doctor about the side effect, medicine is very advanced these days, there would be many ways to control odd muscle twitches because of thyroxin , you gotta consider this seriously.


Then come to daily food,

You are taking almost perfect combination of food, I would just like you to add more proteins to it, this will keep your bones and body strengthened, take 4 boiled eggs whites a day and you can take half a chicken or some tuna daily , but keep taking protein on daily basis , protein food, if not having fatty content DO NOT cause weight gain , plus your weight gain is 90% a result of your hypoactive thyroid.

Then I will suggest you to add a calcium vitamin D supplement ,,, you can take 1200mg of calcium and 1200IU of vitamin D daily without any expected side effects.

This will strengthen your bones and will strengthen your heart and is expected to reduce muscle twitches.

There are so many muscle relaxants available these days which relax muscles and reduce muscle twitching you can discuss that with your doctor.

When your are XXXXXXX on a plane or travelling , ask your doctor to suggest some belt or cast to immobilize your spine so that it doesn't get hurt.

I would not suggest you to take anabolics they have so many side effects , you can use natural products like Gensing etc which are known to boost testosterone.

Here I would like to mention one thing that weight training automatically triggers testosterone secretion but you have to take care of your injured parts while weight training.

Only do those exercises which are safe you just can't go blind lifting like any other dude in the gym

I hope my suggestions would have given you a few new options .


if your have more queries feel free to ask, otherwise close the discussion and rate it. Wish you the best of health.



Regards,

Dr.Muhammad Ahmad.

M.B.B.S.

Resident M.D.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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