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Bruce Wilson
Here's another one for all the men out there (whether you're one of the king's or just a commoner).
Mood Swings in Men
“Mood swings in men are primarily a symptom of andropause, a hormone imbalance in men that usually occurs between the ages of 40 and 60,” explains Richard Giannotto, MD, a metabolic wellness physician in McLean, Va. This “irritable male syndrome,” as it’s often referred to, is the result of low levels of testosterone (low T) and high levels of the stress hormone cortisol, Giannotto says. “Resulting behaviors include anger, sarcasm, frustration, sadness, depression, being withdrawn, hostile, and/or anxious, and dissatisfaction,” adds Giannotto. Low energy can also be a problem with low T, as well as low desire.
Low testosterone in men can also mimic symptoms of low T and menopause in women. “I have some patients with low T who describe hot flashes, night sweats, and changing sleep patterns, which then result in sleep deprivation and more irritability,” says Damon Raskin, MD, a physician practicing internal medicine in Pacific Palisades, Calif.
No matter what the specific symptoms, Dr. Raskin says low testosterone in men is under-diagnosed. In fact, an estimated 13 million American men suffer from low testosterone, and 90 percent go untreated. “I see it all the time -- men come in and tell me they’re depressed, and they haven’t considered that their depression may be a symptom of low testosterone,” he says. “And in some cases, doctors themselves don’t consider low testosterone, and they treat the depression itself. But some studies show that up to one third of men who walk into primary care offices may have low testosterone, especially men over 40.”
... if you think you have symptoms of low T, see your doctor. “A lot of men, just by being men, don’t go to the doctor for anything,” Raskin says. “But in order to know for sure he has low testosterone, a man must be screened at the doctor’s office.” Raskin adds that the best time of the day for testosterone screening is in the morning. “You don’t have to have a fasting blood test, but a morning blood test will be a better test. In addition, be screened for possible secondary causes of low T or depression, including a pituitary tumor or other hormonal imbalances.”
This isssue can be confused with, exacerbated by, and potentially even caused by thyroid disease. The best course, if you're concerned, is to get tested as Dr. Raskin states. It is fairly straightforwardly treated once it is discovered.
The process is pernicious and like Dr. Raskin also states "... doctors themselves don't consider" it.
Can even affect firemen.
Firefighter Fitness: Low T and Cortisol: The Silent Killer
06/25/2013
By John Hofman
Firefighters are often under a lot of stress, both physically and mentally. Stressful environments can increase inflammation in the body naturally, but it can also affect a firefighter's hormonal response. The hormone testosterone is associated with body fat and muscle mass in men and has beneficial effects with regards to the cardiovascular system. Any type of deficiency will lead to increased body fat, less muscle, and increased chance of disease. One study performed in the United Kingdom showed that men with heart disease die sooner if their testosterone levels are low. Another study found that low testosterone in men could increase the risk of developing ...
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