Thyroid Problem, Weight Gain, Mood Changes, Taking Cytomel, Levoxyl And Androgel. Symptoms Due To Medication?
Thanks for the query.
According to your history it seems that you are taking many hormonal substitutes to improve your condition.
Firstly, I would like to highlight that Androgel is a testosterone and is known to cause depressed mood, weight gain, puffy painful breast tissue. It is helpful as a treatment for osteoporosis which is evident by your values.
If the T-score becomes less in value it suggests improvement, do get this clear. The more high negative value of T-score the worse the bone condition is.
Essentially excess thyroid hormones can cause osteoporosis and not Hypothyroidism. So over medication with Cytomel and Levoxyl can cause osteoporosis as well. Do get the levels of Free T3 and Free T4 along with TSH to understand if over medication is the cause.
The change in appetite, sex drive can be attributed to Androgel as well. Usually normal Testosterone is above 350ng/mL. In your case it is about 300. Testosterone level can decrease in andropause which may be in your condition. Testosterone supplements are necessary but do get the Testosterone values to see that you are not under or over medicating yourself.
Since you have BPH, it may get aggravated and also you may be at risk for prostrate cancer because high testosterone is implicated in causing this. Do get Serum PSA levels tested as well as Digital Rectal Examination of your Prostrate regularly by a Surgeon or Urologist to detect any changes in prostrate. You may need different medication for prostrate problem.
Prozac will help in andropause or conditions of hypogonadism. Your Doctor has mentioned rightly in this regard. Do have faith in this treatment. It will take about 3 weeks to start showing improvement in mood and overall well being.
You could also be having high cholesterol and blood lipids since you are on Testosterone, so do get your serum lipids and cholesterol estimated, also blood sugar to rule out Diabetes which can also cause weakness, weight gain, increased appetite.
Avoid oily, fatty, junk food, colas at all costs. Eat plenty of fresh fruits and XXXXXXX leafy vegetables. Drink plenty of water. Exercise daily by brisk walking for 40 minutes. This releases endorphins which are natural chemicals to improve mood. Also do Yoga to help in stress relief.
I hope I have answered your query. I will be available to answer your follow up queries.
Regards,
Thanks for writing again.
The symptoms you mentioned can go in favour of both depresion and possible testicular damage. Since you have cleared that your Testosterone hormone is fluctuating like this it could mean possible testicular pathology but nothing is convincing unless you get a proper hormone panel including LH, Testosterone, Dihydrotestosterone values as well. Since your PSA is also fluctuating, it could be because of either the pills or reflecting the testosterone imbalance. Get the tests done and then you may take appropriate steps in managing this problem after discussing with your Doctor.
You need to get a complete thyroid panel including Free T3, Free T4 and TSH to understand where dose modification needs to be made. In most cases, only Levothyroxine is given to patients. So better to avoid unnecessary supplementation if not required.
Ativan is needed for immediate anxiety relief. Prozac is an anti-depressant which will take a few weeks to show effect. It is less useful for preventing or aborting an acute anxiety attack. Dose modification can be made after discussion with your Doctor.
I hope, I have answered your query.
Wishing you good health.
Regards.