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Posts by mistynomad12

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Joseph Green12 said:Got my ANA results back and they were
So it’s just that low DAO and high homocysteine left, which probably points toward some metabolic thing, maybe involving MTHFR or histamine. But honestly, it doesn't seem like anything major either...
I'm just exhausted and I can't deal with all this researching anymore.
Started on Prozac, so I guess we'll see how it goes in a couple of months.

Hey, hang in there 👍.
I mean, it's pretty brave of you to admit it might actually be a mental health thing,
but you should definitely stick through the trial period. Though if you're looking for energy, I feel like
Wellbutrin would help way more since SSRIs usually kind of tank your energy and anxiety levels.
If you kept digging into all that medical stuff, I reckon you would've just wasted a ton of time and money.
dustymaker642 said:I don't really have the time to dig through this whole thread right now, so sorry if someone already said this, which they probably did, but I'll just respond to the first post.

If I were in your shoes, I’d run some basic tests just to be safe, but regardless of what comes back (and I'm pretty sure everything will look fine), I’d find a solid psychotherapist and start regular sessions.

If you decide to go the antidepressant or anti-anxiety route, just keep in mind those are basically just temporary band-aids, not a long-term fix. Antidepressants are supposed to help you pull yourself together enough to actually deal with whatever caused the mess in the first place, but people get convinced they're "cured" because the brain chemistry shifts, while the actual problems stay there or—even worse—just pile up. Then when they eventually come off them, they feel just as bad or even worse than before. Personally, I'm not really a fan of antidepressants unless things are absolutely dire. Sometimes they literally save lives, but honestly, they can screw things up too. Either way, antidepressants without therapy or a massive amount of willpower won't solve anything in the long run; if anything, they might make it harder.

Yeah, I totally agree. Even though they didn't work for me, I don't know if it's worth him dropping all that cash on expensive food intolerance tests or genetic testing. To me, that kind of stuff feels more like medical voodoo (though I guess SSRIs or benzos aren't exactly a perfect solution either 🙂). I'm just worried he's going to blow $2,000 and end up with nothing to show for it. For me, the SSRI withdrawal symptoms weren't even a thing. It was like I was taking a sugar pill. I can't speak for everyone, obviously. They just gave me major brain fog and made me feel numb while I was on them. Maybe that’s actually a good thing if someone is too anxious; maybe it helps quiet those "lost" thoughts.
driftingcanyon2 said:That burrito place you mentioned didn't really hit the mark, honestly, got way too many bad reviews:
https://www.google.com/search?client...59b3819cfa54,1,,,
🙄

Wtf, I thought he was some kind of shaman or something 🤣.
Is he actually a legit doctor or what?

I mean, I suggested checking your hormones because you were dealing with stuff pretty similar to what I went through
and that turned out to be the issue for me. Seems like things are looking alright for you so far.
You already did the MRI, and you've been getting your bloodwork checked, right?
I guess if anything was seriously wrong, it probably would have popped up on those labs,
so maybe that helps pinpoint where to look next.
I know everyone on this forum treats antidepressants like some kind of magic cure-all for everything.
Antidepressants didn't do a damn thing for me because my issue was actually hormonal, but I guess it depends on what your life is even looking like right now, OP.
I mean, we’re all pretty much a mess given how things are, but maybe the issue is just mental?
Personally, I’d pin my symptoms on hormones, but with your situation, it feels like getting a full investigation done could end up costing a fortune and taking forever. I don't know if you're even going to find answers in those niche rabbit holes like "candida" or whatever else people obsess over in those wellness circles, but from what you wrote, it seems like you've already done a ton of testing.
Joseph Green12 said:Testosterone, free T, and SHBG are all normal.
Testosterone is 20 nmol/L (which is about 577 in your units)
Free T is 0.4 nmol/L
My prolactin used to be high on tests a few years back, like above the limit, but if I actually had a prolactinoma, an MRI of my head would have caught it

Well, I guess it's not the hormones then.
I'm no doctor or anything, so I honestly don't know what else could be causing those symptoms.
So, did you get your hormones checked out yet?
Man, I went through the exact same thing you're dealing with right now.
Just zero energy, trash sleep, brain fog everywhere, and basically no libido at all.
They tried to push antidepressants on me too, just like they probably will you. Honestly, those things just turn your brain to mush, so I hopped off them after the trial period was over.
I finally got my labs done and saw that my levels were pretty low (even though they were technically still within the "normal" reference range).
My endocrinologist basically told me everything looked fine and just sent me on my way.
I wasn't buying it for a second, so I decided to take matters into my own hands and started my own treatment plan 😁.

Now, I actually feel like I'm back in my early 20s again.
If I had actually listened to that doctor, I’d probably be drugged up on antidepressants and all sorts of psychiatric meds that don't do squat for actual hormonal issues.

So, my advice? Get a full hormone panel done first.
Testosterone isn't just about physical stuff; it has a massive impact on your mental state.
It's tied directly to dopamine—which handles your motivation and energy—so you really need to check that.
If those numbers come back totally normal (like, if you've got at least 600 ng/dL testosterone and decent free levels), then it probably isn't a hormone issue.
Here's what you should look for in a hormone panel:
-testosterone
-free testosterone
-prolactin
-SHBG
-FSH/LH

If it turns out those aren't the problem, I honestly can't think of anything else off the top of my head.
Living with masked depression in Psychology & Therapy ·
velvetstag5 said:Have you thought about digging deeper to find and actually treat the root cause of your hormone deficiency? I wonder what

the internal medicine specialists and endocrinologists
are like here—do you think they actually offer any real solutions?

They do, but it’s always the same old stuff—just take some vitamins, drop the weight, stick to a sleep schedule, chill out more, get some sun, eat clean, and hit the weights as hard as you can... I honestly do all of that. And now, I just feel better. My brain feels sharper and my daily mental state is way more stable. For me, this whole lifestyle thing works better than any Pfizer ever could, which is crazy. I don't even crave stimulants anymore because, for the first time in years, my head is actually clear, making it easier to stay disciplined and keeps my mood up. I finally feel like I’m in the driver's seat. I still have a ton of work ahead of me, but unlike before, I actually have the stamina and energy to tackle whatever comes my way. I guess I'm just built that way. I never really liked anything that just numbs you out (like those Pfizer meds). My goal isn't to reach some perfect state of nirvana or whatever. Honestly, I need stress and challenges because they keep my mind occupied. That's why when I was on Pfizer, I knew something was just off.
Living with masked depression in Psychology & Therapy ·
velvetstag5 said:How are you dosing the therapy since you aren't under medical supervision, and how long do you plan to stay on it? Are you checking your levels with lab work, or just going by how you feel? It honestly sounds a little too simple to me. Are there side effects, and have you looked into why American doctors tend to avoid this approach compared to what's done elsewhere in the world?
That's a lot of questions!

And I'll take it for as long as I can. 😁 I monitor certain parameters that might get messed up (like lipids, hematocrit, and other stuff). Generally, you can feel the mental effects when hormones are out of whack (like high estrogen or being extra emotional 😁), but obviously, you can't just rely on vibes. It's not even slightly simple because if you don't know what you're doing (or if you're just following protocols written by the manufacturers of drugs covered by Medicare), you could end up feeling worse than when you started. I spent hours and hours watching videos and reading books. Generally, in the European Union, there isn't much history regarding hormone treatment. The United Kingdom is a bit ahead of the rest, but they aren't in the EU anymore 😁. In the US, it's kind of hit & miss. Since it's Hollywood there (where you think actors bulk up 50 pounds in three months just because they have trainers and chefs 🤣), bodybuilding... well, they've dealt with this and are way ahead of the European Union. Of course, TRT clinics started popping up like mushrooms after the recession, and you can make some serious money there. Just like with opiates, amphetamines, and all that crap, availability is way higher and the criteria are looser. There are way more specialists now because the population is aging and "baby boomers" don't want to walk around without energy or dealing with erectile dysfunction. Why do our doctors avoid it? Because they don't know any other way, and once you start, it’s supposed to be for life. It's much easier to just prescribe an SSRI because the profits are bigger and they make new ones every year. Testosterone was synthesized by a Nazi scientist and it's ultra cheap to produce. Even for bodybuilders using ten times the dose, testosterone is the smallest part of their cost. The problem is when you use high doses, you don't just need the test, you need like 100 other things to fight the side effects, not to mention the other stuff people mix in (like veterinary drugs for muscle building 🤣). Testosterone used to be used for depression before (which, in my experience, actually makes sense).

Anyway, enough about the good stuff. What are the negatives?
When you use an external hormone source, your own production shuts down.
There are fertility drugs, but it's known that people can end up infertile after years of use. So, an ideal candidate should probably handle their family planning first. If you don't want kids, it acts as a contraceptive. 😁 Your red blood cell count rises, so you have to watch your hematocrit and donate blood periodically. Like anything else, if you abuse it, you can have consequences for your cardiovascular system, and who knows what else.

For me, it was an easy choice. Either lose the best years of my life feeling like I'm 80, with zero energy or drive because of medical dogma, or take matters into my own hands. I tried everything naturally, but nothing helped. Now I feel like a teenager again. If I had just bowed my head and let the system swallow me up, I'd probably be on all sorts of psychoactive substances right now.

When you actually have some energy and drive for life, I guess everything else just becomes easier to tackle. I don't even really crave recreational drugs anymore, I've started eating way better, I'm getting out more for some fresh air and sun, and I'm slowly cutting back on the smoking... It's like one thing just kind of pulls the others along, maybe.
Living with masked depression in Psychology & Therapy ·
Donna Sanchez5 said:Honestly? Because I'm terrified.
The idea of taking something scares me—mostly because of how wildly different people's experiences are. You hear about people for whom it was a lifesaver, and then you hear about those for whom it made everything significantly worse.
My whole life is built on science... hard, exact science. From my perspective, taking these drugs feels like playing Russian roulette. We are talking about medications where, even today, there isn't a crystal-clear definition of the exact mechanism by which they treat the illness. They work—somehow—but we don't know exactly *how* with 100% certainty. And God knows what else they are doing to the body.
A simple example—why do so many people gain weight? It's because the drugs directly block certain biological processes; the weight gain is just a consequence. I'm not worried about the scale personally, I'm just using it as a practical illustration.

And I'm even more hesitant about the possibility of masking an underlying physical ailment with antidepressants.

I have studied depression extensively. As of today, we still don't truly understand why it occurs...
Is it an autoimmune disorder of the brain?
Is it a metabolic disease?
Is it a genetic condition that flares up due to epigenetic triggers?
We don't know...
Just because a psychiatrist suggests something doesn't mean I take it as gospel. Look—there was a time when psychiatrists were actually recommending lobotomies to patients. That doesn't mean someone won't look back at today's treatments fifty years from now with a smirk. 🙂
I get that I might be overthinking it, but this isn't simple—and that's why I'm uncertain.

Man, whatever, it all comes down to the ratio of side effects versus benefits. An SSRI, like any drug, is probably going to mess with your brain chemistry (that's literally the point). You probably know that dopamine and serotonin have that inverse relationship. Dopamine drops, prolactin goes up, serotonin goes up. That's just one single shift from messing with one neurotransmitter. All of that triggers these massive cascade effects.

It's good that you realize these aren't just vitamins. Just because they're widely available doesn't mean they're harmless. SSRIs are most commonly prescribed alongside benzos, and if anyone jumps into that without doing their homework, they're in for a hell of a reality check when they try to get off them.😁
Living with masked depression in Psychology & Therapy ·
Donna Sanchez5 said:I'm not so sure—I've come across plenty of studies suggesting they actually do impact physical pain perception.

As for recreational drugs, I don't know—it seems to me that SSRIs are a much more serious matter than that.🙂

To be honest, I'm at a loss for what else to test for...
My primary care physician is completely useless—she can prescribe an antibiotic, and that’s about it.
I've had to pay out of pocket for most of my lab work.

I feel you. 🙂.
Even my own doctor was messing with me when I tried to get a referral for a specialist, I guess.
So I ended up footing the whole bill myself in the end. Everything from the bloodwork to those specialists... it was all on me.
Man, I guess even I'm playing doctor now. 😁.
I don't even know what you're trying to get at here, or like, what specific markers you were actually looking for when you had your blood drawn.
I mean, they probably have some kind of markers that could point to something if it's like an autoimmune thing, I guess.

Look, I’m just trying to tell you that maybe this isn't even a mental health thing, I guess.
What kind of symptoms are you actually getting? I guess it would probably feel similar, though an SSRI isn't going to hit you nearly as hard or fast as whatever stuff you'd end up taking at a party. 😁It’s just running away from your problems, I guess. For me, my symptoms were all about hormones, and honestly, throwing SSRIs or recreational stuff at them felt like the exact same thing. Like, sure, you're high and feeling good, but deep down you still know something isn't right.
That’s exactly why stuff like stimulants and opioids is such a total mess. You’re basically getting that hit of reward hormones without actually doing anything to earn it, I guess.

I guess everything going on right now has definitely hit us all pretty hard, so we’re all feeling way more down than usual, maybe.
Living with masked depression in Psychology & Therapy ·
I don't know if you're just dealing with a mental health thing, but I went through the exact same thing. For me, it turned out to be my hormones messing everything up. I went to my doctor and laid out all the symptoms—brain fog, zero energy, non-existent libido, blah blah blah. She just prescribed me an SSRI, which didn't do a damn thing. I eventually just accepted that I had no drive and felt fine just lying around all day. Later on, I finally saw an endocrinologist... and it was the same old story: "Take some vitamins, maybe exercise a bit more," blah blah. So, I started doing my own hormone therapy, and suddenly all those depressive symptoms just vanished. If the root cause isn't mental, then getting put on an SSRI doesn't mean much; it won't fix anything. Doctors love pushing antidepressants, but if it's not a mental issue, taking them is basically like using recreational drugs for nothing. I get that it's hard to admit to yourself that you have depression, but if you feel like it's something else, it might be worth looking into. Personally, I just "knew"—well, more like I could feel—that it wasn't purely psychological.
Looking for a specialist... in Health ·
Kate Williams68 said:just have your doctor write you a private prescription

That’s really the only tricky part, I guess. Like, you'd get your medicine in that other country, assuming you have a prescription stating it's just for personal use and all that. Maybe it's more of a legal thing, like how customs agents might look at it or whatever.
Looking for a specialist... in Health ·
Hey, I was wondering if anyone here has ever gone through a private doctor outside of the US? I might have to head to another country to get this medication since it isn't covered by Medicare. It's not technically on the controlled substance list, but you still need a prescription for it.
Schizophrenia - General Discussion in Psychology & Therapy ·
Antipsychotics are basically known for tanking your dopamine—that’s their main job, right?—and because of that, your prolactin levels end up spiking. Since dopamine and serotonin kind of have this inverse relationship (like how you lose your libido on SSRIs), I guess the same thing is happening with antipsychotics. That’s probably why such a huge chunk of people dealing with schizophrenia smoke; they're just trying to ease those symptoms caused by the dopamine crash. I honestly don't know if there's even an antipsychotic out there that targets dopamine without absolutely killing your sex drive too. The only thing I can really think of is maybe asking if you can drop your dose a little. Obviously, don't go changing anything on your own, but I'm not sure what else you could even do.

Regarding the high prolactin thing... that can actually be what causes low libido or sexual dysfunction in guys, especially if there's a pituitary tumor involved. Usually, doctors prescribe dopamine agonists as a medical fix to shrink the tumor. But given what you're going through, that would probably be a total disaster since dopamine is also what's responsible for managing those positive symptoms.
Looking for a specialist... in Health ·
Hey,
so my doctor gave me some advice and basically told me I need to track down a urologist-andrologist.
Is there anyone like that available in ST or maybe even just somewhere in the US? 😁 I mean, I'd honestly be down to drive all the way to Washington, D.C. if we actually have someone like that here.
Looking for a specialist... in Health ·
Hey,
I've been dealing with zero libido for like 5 years now and it's driving me crazy.
I saw some private endo guy in ST, but after they took my
blood, all he did was tell me to take a multivitamin🤦.
I really need a recommendation for a solid endocrinologist or urologist in ST
who actually cares about fixing how I feel instead of just looking at lab numbers😵.
Is there anyone decent in ST, or am I gonna have to make the trek up to Washington, D.C.?🙂
I've tried basically every diet, multivitamin, and test booster out there, but nothing changes.
I just need someone who’ll actually take this seriously and not just brush me off with
some cheap vitamins. I don't mind paying for a private specialist if I have to.