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Author Topic: How do I ask GP for a referral - feel awful and SHBG result  (Read 1914 times)

Winter

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How do I ask GP for a referral - feel awful and SHBG result
« on: March 18, 2021, 09:37:23 AM »

I feel so lost.

I'm 47, have always been fairly fit and healthy, but I'm struggling to stay that way. I am permanently exhausted, and if i try and do one of the sports I did years ago - go out for a 30 minute cycle for instance, I am exhausted for weeks afterwards. I have low ferritin too, but in a fit of despair yesterday, I booked a telephone consultation with a doctor for tomorrow, and had a look online at past test results.

One was flagged in red, but they never talked to me about it - it was years ago. I had a SHBG of 17, and having read up - that doesn't look good, and I am living with awful symptoms - an incredibly hairy face - I have to pluck about 20 hairs out of my chin each day, and I'm hairy in other places too. My weight is fine, but I'm incredibly tired, very irritable, paranoid, mood swings, no enthusiasm etc. I just feel lost. I feel like a slave to my body. Oh, and the most odd symptom, if I eat sugar, I have the most bizarre test/feeling in my mouth the next morning. I just can't tolerate sugar at all. Not diabetic, and thyroid in past all normal.

Whatever it is, I've lived with for years, but now Peri is creeping up it's exacerbating the symptoms, i have night sweats and making mood issues more apparent.

I had a good read up on SHBG last night, and I feel I should see an endocrinologist. I feel totally out of balance. How do I go about this without being fobbed off with some blood tests and then left to live with it?

Please help xx
« Last Edit: March 18, 2021, 09:50:01 AM by Winter »
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CLKD

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #1 on: March 18, 2021, 11:22:01 AM »

Hi!  make a list of what you need to discuss at the phone appt..

You may need a full blood count: especially LowVitD levels and thyroid function.  'within normal limits' may not be normal for you so if you still feel tired, do ask for more testing.  Hopefully someone with more knowledge about thyroid will drop by here.

Keeping a mood/food/symptom diary may be useful to chart progress.

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RebJT

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #2 on: March 18, 2021, 11:39:16 AM »

Hello

Agree with CLKD, plus you need to fix that ferritin pronto!  I mean urgently!  I've just had an iron infusion and I'm a new woman, I had another thread here on this subject, but this is vital reading https://www.oatext.com/iron-deficiency-without-anemia-common-important-neglected.php

Low SHBG might indicate low thyroid, you need that tested (the full panel, not just TSH).  Personally I don't think an endocrinologist is going to help you, a gynae possibly.

But you need to put your hands on the steering wheel of your own care (I say that as a very serious endocrine patient of over ten years, doctors didn't really get me better, I did, by learning about my health and learning to advocate for myself).  It's frustrating but it means taking control of things yourself, and learning how to 'game the system' a bit.  It's annoying but it can be done.

Reb
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CLKD

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #3 on: March 18, 2021, 11:46:24 AM »

If necessary ask for a referral to a menopause clinic . 
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Winter

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #4 on: March 18, 2021, 01:40:26 PM »

Hello

Agree with CLKD, plus you need to fix that ferritin pronto!  I mean urgently!  I've just had an iron infusion and I'm a new woman, I had another thread here on this subject, but this is vital reading https://www.oatext.com/iron-deficiency-without-anemia-common-important-neglected.php

Low SHBG might indicate low thyroid, you need that tested (the full panel, not just TSH).  Personally I don't think an endocrinologist is going to help you, a gynae possibly.

But you need to put your hands on the steering wheel of your own care (I say that as a very serious endocrine patient of over ten years, doctors didn't really get me better, I did, by learning about my health and learning to advocate for myself).  It's frustrating but it means taking control of things yourself, and learning how to 'game the system' a bit.  It's annoying but it can be done.

Reb
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Thank you! Funnily enough, I've seen your posts on here when searching Ferritin and you seem to be my twin! I'm hugely fascinated that you feel so much better with iron infusion, I can't see my GP going for that at all. Interesting that you think more gynae that endo, I've seen many gynaes in the past for probs, and they never take tests of hormones. I guess because SHBG seems to be linked to thyriod and cortisol type stuff, I'd thought endo may be better.

I really need someone medical to listen and understand, I've felt like this for too long.
« Last Edit: March 18, 2021, 01:46:15 PM by Winter »
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Winter

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #5 on: March 18, 2021, 01:43:10 PM »

If necessary ask for a referral to a menopause clinic .

Thank you, I've seen two menopause specialists, no testing of thyroid etc with either, they both tried different forms of HRT, and I had extreme reactions to both - my feel is that if my SHBG is off, then maybe my body reacts strangely to a rush of hormones. I need someone who understands low SHBG and the dire effects that's having on my life, as well as low ferritin, to try and make a plan of action.
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CLKD

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #6 on: March 18, 2021, 02:03:00 PM »

there is a facility to send a personal e-mail to Dr Currie on here ........... would that be an option after your phone call with the GP?
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Winter

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #7 on: March 18, 2021, 02:28:30 PM »

there is a facility to send a personal e-mail to Dr Currie on here ........... would that be an option after your phone call with the GP?

Yes, that might be a good idea - SHe is the Doctor that runs this website? Thank you. I'm feeling so desperate, I need someone to understand and not dismiss it as something to live with x
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CLKD

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #8 on: March 18, 2021, 02:54:30 PM »

Details should be above somewhere.  After your discussion 2morrow, mayB compose an e-mail?
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Julia45

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #9 on: March 18, 2021, 03:47:56 PM »

Wow....I’m dealing with exhaustion, constant lightheaded feeling, sinus pressure, low ferritin and high testosterone and feel lost.
I’m on HRT and was told to take 200mg of progesterone for 3 months to try and stop period. I’ve been on it for 5 weeks and feel like a zombie so stopped.

 I’ll have a good night’s sleep and wake feeling tired with head pressure. This is not me at all! Thinking of stopping HRT to see if that’s the problem? I’m on iron tablets.

Julia
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RebJT

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Re: How do I ask GP for a referral - feel awful and SHBG result
« Reply #10 on: March 19, 2021, 12:42:02 PM »

Hiya

Sorry it's taken me a few days to come back to you.  Definitely sort out your iron, your GP won't help you, so I'd take that matter into your own hands.  I do my own blood tests privately and I had a private iron infusion in London, I also have learnt all I can and make sure I take the right kind of supplements that don't wreck my gut in the right amounts.

In your shoes I'd perhaps research who it is you want to see, and then strategise how to get there - you need to be under someone's wing. My life has been in the hands of endos for the last ten years, I can tell you honestly most of them are monsters, it's a barbaric discipline and I doubt you'd get any help.  There are some good ones but very hard to find. You need a full thyroid panel TSH, FT3 and FT4, and your antibodies testing, as that is probably the cause of your low SHBG.  I have high SHBG but I'm TSH suppressed following thyroid cancer and take suppressive doses of T3 (ie my TSH is so low the machine can't read it, as it's meant to be to stop the cancer coming back).  I have given up with GPs and mainstream endos, I buy my own drugs from the States and I treat myself, and I pop in with a Harley St private endo if I need something, I go to one annual NHS apt for my cancer monitoring and tell them as little as humanly possible.  I also see a private gynae (Nick Panay's clinic) as the NHS is never coming near my hormones ever again!! 

This all makes me sound rich, I'm not, I'd rather go without other things and be in charge of my health, I'm sick of being neglected, patronised, talked over, talked down to, not listened to, and written off as neurotic.  I know this is an unpopular opinion but I think the NHS is a dreadful, bloated, inefficient, utterly rubbish service, it's third world, I honestly don't understand why we are so grateful for such terrible care, I'd happily burn the whole lot down tomorrow! Other European countries have much better systems.  Anyway, I'm ranting.  The short version: take control.  Start researching, work out where you need to get to, and how you are going to get there.  Sometimes one private consult, and one letter back to the GP is enough to kick some arse, but kick arse you are going to have to do I reckon!  Even one assertive (but never angry, that won't help) 'I'm a busy woman with a career, a home, and a life to lead, it's unacceptable that no action is being taken to help me with these debilitating symptoms etc' can galvanise a recalcitrant GP. 

However, I think you'd have a massive improvement in symptoms if you sorted out your iron.  It's extremely poorly understood in primary care (I assume because most people suffering iron deficiency are women, and nobody really gives a damn about us).

Apologies if I sound cynical, that's because I am! Haha.

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