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Re: Sensitivy to Cold

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Hi Bill

a couple of questions have you had a Mri of your head done to rule

out issues with pituitary lesions etc. and have you had your

prolactin checked and if so post values and ranges.

Because high prolactin can cause this as prolactin can shut down TSH

production which can cause feelings of cold. (high E2 stimulates

prolactin release as well how is your E2)?

have you had adrenal hormones tested?

are they normal?

do you know if your anemic? have you had a complete blood count

done?

These are some of the areas I would be looking at to get tested if

not done already.

hope this helps

Manraj

In , williamb11 <no_reply@...> wrote:

>

> Friends,

>

> I was curious if anyone else with low T/hypogon. issues

experiences a

> sensitivity to the cold (I am always colder than others, shivering

at

> times, cold-to-touch nose, feet, penis, etc.)???

>

> I had expansive thryoid testing and it looks good - in mid to

upper

> ranges. I don't think I have a thyroid problem.

>

> Could this be a result of low LH or low T?? Anyone else very

> sensitive to the cold? It totally stinks...

>

> Blessings,

> Bill

>

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Bill,

I have this exact pain from brain or nerve injury consequent to phen/fen drugs

ten years ago. Are you taking or have you taken SSRI medications or ecstasy?

These medications tinker with blood flow, effected by seratonin. Blood flow is

the fuel that makes you warm. Other than that, diabetic neuropathy, autonomic

neuropathy, shy drager syndrome etc are other root causes. It surely sounds

like an autonomic nerve issue to me unless thyroid is way out of wack. Illness

will drive circulation deeper to preserve core temperature at the expense of

cold painful limbs.

williamb11 <no_reply > wrote:

Friends,

I was curious if anyone else with low T/hypogon. issues experiences a

sensitivity to the cold (I am always colder than others, shivering at

times, cold-to-touch nose, feet, penis, etc.)???

I had expansive thryoid testing and it looks good - in mid to upper

ranges. I don't think I have a thyroid problem.

Could this be a result of low LH or low T?? Anyone else very

sensitive to the cold? It totally stinks...

Blessings,

Bill

__________________________________________________

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Thanks, Manraj. I did have a pit. MRI and all came back clean, as

did prolactin, E2 and adrenals. I believe I had RBC run, but I will

check my lab notes - anemia is a good thing to check.

I don't have my labs with me, but will post when able. Thanks.

Blessings,

Bill

> >

> > Friends,

> >

> > I was curious if anyone else with low T/hypogon. issues

> experiences a

> > sensitivity to the cold (I am always colder than others,

shivering

> at

> > times, cold-to-touch nose, feet, penis, etc.)???

> >

> > I had expansive thryoid testing and it looks good - in mid to

> upper

> > ranges. I don't think I have a thyroid problem.

> >

> > Could this be a result of low LH or low T?? Anyone else very

> > sensitive to the cold? It totally stinks...

> >

> > Blessings,

> > Bill

> >

>

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Larry,

Thanks for your note.

Yes, to the SSRI question! SSRI's started when I was 24 and

continued until about 6 weeks ago at age 38. I went on SSRI to

fight energy issues caused from low T not knowing that was what it

was. Since starting treatment for low T, I have easily stopped any

SSRI. Maybe it is just withdrawal effects from stopping SSRI??

Do you think this sensitivity will go away as I get further from my

SSRI experience???? (Thyroid does check out as OK).

Thanks,

Bill

> Friends,

>

> I was curious if anyone else with low T/hypogon. issues

experiences a

> sensitivity to the cold (I am always colder than others, shivering

at

> times, cold-to-touch nose, feet, penis, etc.)???

>

> I had expansive thryoid testing and it looks good - in mid to

upper

> ranges. I don't think I have a thyroid problem.

>

> Could this be a result of low LH or low T?? Anyone else very

> sensitive to the cold? It totally stinks...

>

> Blessings,

> Bill

>

>

>

>

>

> __________________________________________________

>

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Bill post your tests Dr.'s say your in the normal range and you tell them how

your feel and they offer Prozac. I was told my thyroid was ok for yrs. I am

allways very hot yet my temps are low. Dr.'s need to use labs as a tool and

listen to us when we tell them how we feel. I was hot and sweating because my

thyroud is low and my cortisol is low so my body made a lot of Adrenaline

because of it. Here is a link on doing temps and charting them if you were to

take your Temp in the morning under your arm for 10 min's before getting out of

bed for the next 4 days and do a avg. if your below 97.8 your thyroid is low. I

print out this chart and keep track of my Temps doing this tells me how my

adrenals and thyroid are doing. I started this before treating my Adrenals and

Thyroid.

http://www.drrind.com/tempgraph.asp#directions

Phil

williamb11 <no_reply > wrote:

Friends,

I was curious if anyone else with low T/hypogon. issues experiences a

sensitivity to the cold (I am always colder than others, shivering at

times, cold-to-touch nose, feet, penis, etc.)???

I had expansive thryoid testing and it looks good - in mid to upper

ranges. I don't think I have a thyroid problem.

Could this be a result of low LH or low T?? Anyone else very

sensitive to the cold? It totally stinks...

Blessings,

Bill

__________________________________________________

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Bill,

For me, the painful cold sensations continue nearly ten years later as a

conseqence of the SSRI-like medication fenfluramine. I am very uncomfortable

below 70-75 degrees and it is very painful when it's lower than 50. The problem

continued evolving (worsening) for six months after I stopped fen/phen. Then it

slowly improved but it continues to totally disupt my life. I used to shiver

violently after getting out of the bath. That part of the problem improved

through time.

I have discussed these symptoms with another patient who had the same

consequence to fen/phen diet pills and he did improve over a period of around

two years to where the pain didn't disrupt his life. His neuropathy, like mine,

also progressed after he stopped the medication and it later his went into

remission. For both of us, symptoms began with cold feet. Then the neuropathy

assended until it involved the entire body. Both of us have fibromyalgia

(chronic widespread muscle pain) as a consequence. Fibromyalgia is thought to

be a form of central nervous system nerve problem, so overlapping symptoms would

be consistent. I don't know if this went away for him since I have not been in

contact with him in years. There is no proof the fenflurmaine caused this

problem for either of us, so it is speculation on my part. I know a third

patient with similar consequence but I lost touch with her. She was not

talkative so I know little about how her illness progressed.

Fenfluramine causes seratonin release as well as blocking the reuptake. It

was described in some medical journals as causing brain damage in primates. It

was thought that the releasing mechanism of fenflurmamine and MDMA (ecstacy)

which is quite similar, are responsible for brain injury. You probably have

seen TV documentaries talking about ecstasy making " holes in the brain " . I

have never seen similar reports for the SSRI family. Some psychiatrists, such

as Breggin, have stated that SSRI's are neurotoxic but I have never read

of proof.

I wouldn't want to dismiss your problem as having SSRI's as the cause. I

think this deserves a proper work-up. Autonomic and sensory neuropathy should

be kept in mind. Tests for this type of neuropathy include thermography, tilt

table testing, heart rate variablity, sweat test etc. These are all pretty

specialized evaluations that are conducted by a subset of neurologists. A nerve

conduction velocity (NCV), which is pretty painful, is of no value evaluating

fine fiber nerves. That test looks for demylination of motor nerves. Mylinated

nerves are not involved in cold sensation or blood flow regulation, so if a NCV

test is recommended to you , ask questions. Neuropathies have many possible

causes, such as diabetes, thyroid, alcohol excess, and autoimmune illness attack

of fine fiber nerves for example. Neuropathies can improve when the cause is

eliminated. Correcting the cause is somewhat urgent as prompt correction

relates to better outcome.

Do you get any change in skin color in reaction to cold exposure. For

instance, do your hands react with color change and severe pain to holding some

ice? There is a condition called Raynauds with this symptom. Raynauds is

worsened by SSRI's and tricyclic antidepressants. It is managed with blood

pressure medications of the calcium channel blocker or alpha blocker family.

Procardia XL or Cardura are two examples.

If you were on SSRI's for all these years, you should have been tapered off,

not stopped abruptly. Since this is only six weeks later, you may want to

continue the SSRI and slowly taper the dose, perhaps across as long as six

months to a year.

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  • 2 weeks later...

Phil,

Here are the results - all look pretty good, indicating low T as

still the main issue!

Cortisol: 11.9 (9am) - with 1 hour ACTH Stim - 38.0

T3: 146 (70-170)

T4: 7.8 (5-11)

TSH: 3.56 (0.5-5)

Free T4: 1.2 (0.8-1.8)

Test: 393

SHBG: 23

> Friends,

>

> I was curious if anyone else with low T/hypogon. issues experiences

a

> sensitivity to the cold (I am always colder than others, shivering

at

> times, cold-to-touch nose, feet, penis, etc.)???

>

> I had expansive thryoid testing and it looks good - in mid to upper

> ranges. I don't think I have a thyroid problem.

>

> Could this be a result of low LH or low T?? Anyone else very

> sensitive to the cold? It totally stinks...

>

> Blessings,

> Bill

>

>

>

>

>

> __________________________________________________

>

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Now with your Cortisol test being 12 Dr. Jefferies feels this is on the low side

he likes to see it 15 to over 25. I would do a slaiva test to see how it looks

morning, noon, dinner and bedtime. You can get this test

http://www.stopthethyroidmadness.com/recommended-labwork/

through this link at

http://www.canaryclub.org/component/option,com_frontpage/Itemid,1/

No Free T3 test hard to tell what is going on I went through this with my Dr.

after his reading STTM web site he does Free T4 and Free T3 with TSH.

Did the Dr. test your ACTH levels before the stem. test I don't see it. Not

very good at reading this so here is a good link about the ACTH Stem. test and

reading it.

http://www.stopthethyroidmadness.com/community/viewtopic.php?t=288

Your test 393 is low yet your SHBG is dam good. I don't remember are you on

TRT is so what.

Phil

williamb11 <no_reply > wrote:

Phil,

Here are the results - all look pretty good, indicating low T as

still the main issue!

Cortisol: 11.9 (9am) - with 1 hour ACTH Stim - 38.0

T3: 146 (70-170)

T4: 7.8 (5-11)

TSH: 3.56 (0.5-5)

Free T4: 1.2 (0.8-1.8)

Test: 393

SHBG: 23

> Friends,

>

> I was curious if anyone else with low T/hypogon. issues experiences

a

> sensitivity to the cold (I am always colder than others, shivering

at

> times, cold-to-touch nose, feet, penis, etc.)???

>

> I had expansive thryoid testing and it looks good - in mid to upper

> ranges. I don't think I have a thyroid problem.

>

> Could this be a result of low LH or low T?? Anyone else very

> sensitive to the cold? It totally stinks...

>

> Blessings,

> Bill

>

>

>

>

>

> __________________________________________________

>

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