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Written by George N. Touliatos, MD MC
Feeling Tired and Sluggish? Could Be Low Testosterone
By George Touliatos, MD
Q: I’m feeling lethargic, tired, fatigued and sluggish. In one word, miserable. What could be the reason for this?A: This could be multifactorial. First, hypothyroidism. You clarify this by TSH ( >4.5) and elevated anti TPO, TG that imply inflammation known as Hashimoto’s thyroiditis. Also FT3, FT4 have to be low. Then we have anemia with low hemoglobin and low serum iron levels. Moreover, low folate, cobalamin can explain the lack of endurance and poor stamina. Furthermore, low calciferol can be the reason for inadequate performance in the gym. Levels of 1,25(OH) D3 should be >50. Then we have lack of sleep, something fundamental for recovery. This is diagnosed by elevated cortisol (a.m.). Low carbs and caloric deficit as well definitely make you feel weak during dieting. Another factor is overtraining when CK >1,000. This equals muscle catabolism and absence of recovery.
Finally, the most significant reason is low testosterone. Both TT, FT and elevated SHBG. Hypogonadism in men is the main reason for feeling drained and disabled, accompanied by low GH levels too. This is associated with insulin resistance that leads to cravings and lack of energy.
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George Touliatos, MD is an author, lecturer, champion competitive bodybuilder and expert in medical prevention regarding PED use in sports. Dr. Touliatos specializes in medical biopathology and is the medical associate of Orthobiotiki.gr and Medihall.gr, Age Management and Preventive Clinics in Athens, Greece. He is the author of four Greek books on bodybuilding, has extensively developed articles for www.anabolic.org and is the medical associate for the book “Anabolics, 11th Edition” (2017). Dr. Touliatos has been a columnist for the Greek editions of MuscleMag and Muscular Development magazines, and has participated in several seminars across Greece and Cyprus, making numerous TV and radio appearances, doing interviews in print and online. His personal website is ΓΙΩΡΓΟΣ ΤΟΥΛΙΑΤΟΣ.Η Σωματοδόμηση με το βλέμμα του Ιατρού
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Written by George N. Touliatos, MD
Feeling Tired and Sluggish? Could Be Low Testosterone
By George Touliatos, MD
Q: I’m feeling lethargic, tired, fatigued and sluggish. In one word, miserable. What could be the reason for this?
A: This could be multifactorial. First, hypothyroidism. You clarify this by TSH (>4.5) and elevated anti TPO, TG that imply inflammation known as Hashimoto’s thyroiditis. Also FT3, FT4 have to be low. Then we have anemia with low hemoglobin and low serum iron levels. Moreover, low folate, cobalamin can explain the lack of endurance and poor stamina. Furthermore, low calciferol can be the reason for inadequate performance in the gym. Levels of 1,25(OH) D3 should be >50. Then we have lack of sleep, something fundamental for recovery. This is diagnosed by elevated cortisol (a.m.). Low carbs and caloric deficit as well definitely make you feel weak during dieting. Another factor is overtraining when CK>1,000. This equals muscle catabolism and absence of recovery.
Finally, the most significant reason is low testosterone. Both TT, FT and elevated SHBG. Hypogonadism in men is the main reason for feeling drained and disabled, accompanied by low GH levels too. This is associated with insulin resistance that leads to cravings and lack of energy.
George Touliatos, MD is an author, lecturer, champion competitive bodybuilder and expert in medical prevention regarding PED use in sports. Dr. Touliatos specializes in medical biopathology and is the medical associate of Orthobiotiki.gr and Medihall.gr, Age Management and Preventive Clinics in Athens, Greece. He is the author of four Greek books on bodybuilding, has extensively developed articles for www.anabolic.org and is the medical associate for the book “Anabolics, 11th Edition” (2017). Dr. Touliatos has been a columnist for the Greek editions of MuscleMag and Muscular Development magazines, and has participated in several seminars across Greece and Cyprus, making numerous TV and radio appearances, doing interviews in print and online. His personal website is ΓΙΩΡΓΟΣ ΤΟΥΛΙΑΤΟΣ.Η Σωματοδόμηση με το βλέμμα του Ιατρού
DISCUSS ON OUR FORUMS
SUBSCRIBE TO MD TODAY
GET OFFICIAL MD STUFF
VISIT OUR STORE
ALSO, MAKE SURE TO FOLLOW US ON:
FACEBOOK
TWITTER
INSTAGRAM
YOUTUBE
Click here to view the article.
Feeling Tired and Sluggish? Could Be Low Testosterone
By George Touliatos, MD
Q: I’m feeling lethargic, tired, fatigued and sluggish. In one word, miserable. What could be the reason for this?A: This could be multifactorial. First, hypothyroidism. You clarify this by TSH ( >4.5) and elevated anti TPO, TG that imply inflammation known as Hashimoto’s thyroiditis. Also FT3, FT4 have to be low. Then we have anemia with low hemoglobin and low serum iron levels. Moreover, low folate, cobalamin can explain the lack of endurance and poor stamina. Furthermore, low calciferol can be the reason for inadequate performance in the gym. Levels of 1,25(OH) D3 should be >50. Then we have lack of sleep, something fundamental for recovery. This is diagnosed by elevated cortisol (a.m.). Low carbs and caloric deficit as well definitely make you feel weak during dieting. Another factor is overtraining when CK >1,000. This equals muscle catabolism and absence of recovery.
Finally, the most significant reason is low testosterone. Both TT, FT and elevated SHBG. Hypogonadism in men is the main reason for feeling drained and disabled, accompanied by low GH levels too. This is associated with insulin resistance that leads to cravings and lack of energy.
[embedded content]
George Touliatos, MD is an author, lecturer, champion competitive bodybuilder and expert in medical prevention regarding PED use in sports. Dr. Touliatos specializes in medical biopathology and is the medical associate of Orthobiotiki.gr and Medihall.gr, Age Management and Preventive Clinics in Athens, Greece. He is the author of four Greek books on bodybuilding, has extensively developed articles for www.anabolic.org and is the medical associate for the book “Anabolics, 11th Edition” (2017). Dr. Touliatos has been a columnist for the Greek editions of MuscleMag and Muscular Development magazines, and has participated in several seminars across Greece and Cyprus, making numerous TV and radio appearances, doing interviews in print and online. His personal website is ΓΙΩΡΓΟΣ ΤΟΥΛΙΑΤΟΣ.Η Σωματοδόμηση με το βλέμμα του Ιατρού
DISCUSS ON OUR FORUMSSUBSCRIBE TO MD TODAYGET OFFICIAL MD STUFFVISIT OUR STORE
ALSO, MAKE SURE TO FOLLOW US ON:
FACEBOOKTWITTERINSTAGRAM YOUTUBE
Written by George N. Touliatos, MD
Feeling Tired and Sluggish? Could Be Low Testosterone
By George Touliatos, MD
Q: I’m feeling lethargic, tired, fatigued and sluggish. In one word, miserable. What could be the reason for this?
A: This could be multifactorial. First, hypothyroidism. You clarify this by TSH (>4.5) and elevated anti TPO, TG that imply inflammation known as Hashimoto’s thyroiditis. Also FT3, FT4 have to be low. Then we have anemia with low hemoglobin and low serum iron levels. Moreover, low folate, cobalamin can explain the lack of endurance and poor stamina. Furthermore, low calciferol can be the reason for inadequate performance in the gym. Levels of 1,25(OH) D3 should be >50. Then we have lack of sleep, something fundamental for recovery. This is diagnosed by elevated cortisol (a.m.). Low carbs and caloric deficit as well definitely make you feel weak during dieting. Another factor is overtraining when CK>1,000. This equals muscle catabolism and absence of recovery.
Finally, the most significant reason is low testosterone. Both TT, FT and elevated SHBG. Hypogonadism in men is the main reason for feeling drained and disabled, accompanied by low GH levels too. This is associated with insulin resistance that leads to cravings and lack of energy.
George Touliatos, MD is an author, lecturer, champion competitive bodybuilder and expert in medical prevention regarding PED use in sports. Dr. Touliatos specializes in medical biopathology and is the medical associate of Orthobiotiki.gr and Medihall.gr, Age Management and Preventive Clinics in Athens, Greece. He is the author of four Greek books on bodybuilding, has extensively developed articles for www.anabolic.org and is the medical associate for the book “Anabolics, 11th Edition” (2017). Dr. Touliatos has been a columnist for the Greek editions of MuscleMag and Muscular Development magazines, and has participated in several seminars across Greece and Cyprus, making numerous TV and radio appearances, doing interviews in print and online. His personal website is ΓΙΩΡΓΟΣ ΤΟΥΛΙΑΤΟΣ.Η Σωματοδόμηση με το βλέμμα του Ιατρού
DISCUSS ON OUR FORUMS
SUBSCRIBE TO MD TODAY
GET OFFICIAL MD STUFF
VISIT OUR STORE
ALSO, MAKE SURE TO FOLLOW US ON:
YOUTUBE
Click here to view the article.
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