This is the first of what will become a series of blogs about how taking testosterone hormone therapy interacts with my ME. In this first blog, I cover things I’ve done before I have my first injection, as well as touching on some of the reasoning behind this series.
Firstly, I changed doctors at the GIC. I’ve written previously about the reaction of the first doctor I saw there to my disability. I eventually finished writing my complaint letter, and the clinic was pretty speedy at moving me to see someone else – my second appointment with a (different) doctor was only four days later than it was previously meant to be.
My appointment went better than I hoped. I had expected my new doctor to be passively better about my ME, i.e. not making an issue of it. As it turned out, he’d actively made an effort to find existing literature/case studies about people with ME taking testosterone :D.
He could not find any such literature. This experience matched up with my research (although I suspect he looked in more places than me, as I didn’t search any scholarly/medical archives). Hearing this made me surer of my wish to write this series of blogs, so there will be something out there for anyone else in a similar situation. Maybe there’ll be a formal research write-up too, but it’s early days yet – something for us to consider.
I know other people who take T who have found that it makes them feel more energetic, and they recover from exercise quicker. This is potentially a positive, if I end up being able to do more. I need to be careful though, in case it’s just that I feel more wired, despite having the same (lack of) energy as I have now, pre-T. If that is the case, and I overstep my capabilities, then I risk making myself more ill.
Another effect, and one we’re preparing for in advance, is muscle growth. Again, this may look like a positive, but may, as my muscles are developing, result in even more muscle pain. Hooray!
So, the person I see at the local ME service suggested that I start on a proper pain-management regime, such that I’ve built up therapeutic dosages of various drugs in advance of starting T. In order to have enough weeks to build these up, I had a week with health related appointments 4 days in a row.
Amitryptaline seems to be the go-to drug for ME pain. It also helps with getting better quality sleep. This does mean, though, that I’ve been trying to come off the drug I was previously using to get me to sleep, which has resulted in some pretty frustrating sleepless early hours. No more sugar cravings though. And given that T can also increase appetite, that’s probably a doubly-good thing.
So, even in advance of my first injection, T has triggered changes. And I am now the proud owner of a large 4-pods-per-day pill box.