Quote:
Originally Posted by Mark in Idaho
I was seen by a HRT specialist. He is the one who tested me wrong. I am very familiar with HRT and suggest bio-identical HRT for those who need it. Testosterone is usually bio-identical but others are often analogues.
Many HRT specialists are also human performance specialists. They can get a bit off track with their protocols. We usually suggest finding a neuro-endocrinologist who understands concussions.
Here is an interesting article about the pros and cons and the controversy of HRT. Head Cases: Pituitary Incidents Arising from Traumatic Brain Injury - Endocrine News
One of the challenges with hormone issues is the proper tests can be very expensive and insurance balks at the bills. One can easily get billed $800 or more. The concept of 'not medically necessary' is the excuse because the FDA does not have an approved protocol.
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I think that this statement in your link sums it up nicely "There is no debate that TBI-related endocrine dysfunction is a widely missed diagnosis."
And indocrine disruption can cause some serious issues that are similar to PCS. For example low testosterone can cause fatigue, depression, ruminating thoughts, anxiety etc. Things my son had .
There are several articles and studies out there . One from 2006 shows that after 3 months 56% had hormone deficiencies and after 12 months it was 36%. Isn't that significant numbers ?
Its worth the money to get checked. Ive seen the results if this is your issue.
As I understand it someone can end up with a permanent or semi-permanent shutdown of the HPA axis (hypothalamus-pituitary-adrenal) from concussions. The HP part of the HPA are part of the brain region and is vulnerable to concussions with some experiencing a transient loss of hormones, some taking a year to four years to recovers and others never recover. The HPA can be restarted. It doesnt necessarily mean hormones for life.
Get your hormones checked and rule it out.