Relationship between testosterone levels, insulin sensitivity, and mitochondrial function in men.
Pitteloud N, Mootha VK, Dwyer AA, Hardin M, Lee H, Eriksson KF, Tripathy D, Yialamas M, Groop L, Elahi D, Hayes FJ.
Source
Reproductive Endocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
These data indicate that low serum testosterone levels are associated with an adverse metabolic profile and suggest a novel unifying mechanism for the previously independent observations that low testosterone levels and impaired mitochondrial function promote insulin resistance in men.
I'm not trying to dismiss the whole endocrinologist thing but there are many variables that can cause low testosterone including depression and bad eating / exercise habits. If it were me, I would go ahead and go to the gym and work out a different part of the body everyday. Then afterwards I would plan on improving my diet by eating a good amount of protein, carbs, vegies, and fats. It sounds more like a lifestyle issue to me, do you get out and stay active much? Not so much intense jogging but a good sprint and maybe a little yard work and sunshine might turn your life around. I believe the body has its own ability to self regulate and achieve optimal homeostasis but when you begin to lack essential nutrients, activity, and so forth, certain organ systems begin to deteriorate. When this happens, modern medicine is quick to throw in the latest pharmaceutical concoction to treat the symptom but not the cause.
But to answer your question yes. Definitely. Low testosterone can cause that but I would elimate all the lifesytle factors and maybe let the endocrinologist do another blood lab before someone starts to prescribe medications to bandaid the underlying issue.
I totally appreciate this. The lifestyle issues make perfect since, but I do exercise and go to the gym as often as possible. I also run and bike quite often. I don't eat 100% healthy but I'm working on changing that. Sometimes I wonder if low testosterone is a result of some type of vitamin deficiency, but when I take multivitamins I get all sweaty and overly stressed out (feels like vitamins give me more energy to fuel my fight or flight response). Sometimes when I get a phone call from someone I dread talking to my heart will start pounding out of my chest even though I'm not really worried about it. And then the symptoms of low testosterone get dramatically worse after getting stressed over something small that I shouldn't even have a response to. I have tried CBT with my therapist and everything but it seems to be physical rather than psychological.
I've considered almost everything and can't seem to pinpoint what it is, because my lifestyle is as good as I can make it and most people think I have a good lifestyle considering how bad I feel all the time for whatever unknown reason(s). Could it simply be a vitamin or mineral deficiency? Or have I developed an overactive stress response that simply won't go away or I would have to permanently take beta-blockers to counteract? (I have Meteprolol but haven't even taken it once.) Could it all be caused by depression, or could the low testosterone have caused the depression? I just don't know what else to do in order to identify the true culprit. My doc said it was most likely due to low T because terrible fatigue, both mental and physical, occurred first then depression/anxiety set in later.
Hopefully the endocrinologist knows what he is doing when I see him the 18th of July. Would you advise taking a multivitamin while I wait? I have NOW Food's ADAM.
Thanks for the sources and response by the way