After an eight month blog hiatus I thought that any hope of actually finishing this project rested in trying to garner some kind of momentum that only the commencement of a fresh year can hopefully provide. There also remain a handful of weekly subscribers which despite some that are clearly “registration-bots’ appear to quietly ignite an inner dialogue and subtle conflict that I’m hoping some pen to paper might resolve.
Upon reflection, in trying to understand why my fervent writing pace came to a grinding halt last April I concluded that although self-pity was never my intention, in those early spring days COVID began to leave an indelible mark on the world and alongside it arose a personal uneasiness to continue given the turbulent state of affairs. With that being said, the long stretch of time did allow for some positive changes as well as a deeper understanding on how various bodily systems were impacted while barrelling down a mountain so long ago including hormone deregulation which is the subject of todays post. As usual please note, I’m NOT a medical Doctor and any reader who is considering trying this approach please seek the advice of a medical professional.
Until recently, my very basic understanding of hormones was mostly centred around Testosterone levels and by relation could also be an indicator of your libido. I like many (I think) would experience some hit and misses over the years which I never really thought much of…. As it turns out hormones can often be a hugely important but often overlooked piece of the puzzle when it comes to brain injury symptoms. The brain affects hormone production, and hormones affect the body and the brain. And yes, while hormone deregulation can wreak havoc on your bedroom energy it can also have a dramatic impact on your overall energy, ability to concentrate, brain fog, anxiety, depression and memory problems… This was all news to me.
The trick to this step is three fold;
1. Find the right Doctor! Through the Joe Roggan podcast I stumbled across Dr Mark Gordon who is based in LA and has made massive inroads in the mild Traumatic Brain Injury rehab space over the last decade with a focus on military vets. While I didn’t get the opportunity to work with Dr Gordon because of the pandemic he did recommend a doctor in Toronto named Dr Sheri Caplan. She has been wonderful.
2. Maybe redundant re: point #1 but your GP will most certainly miss this so it's really important to find a good functional medicine doc or Endocrinologist who has some experience in treating hormone deficiencies caused by TBI.
I must admit, it did strike me as being somewhat odd that nowhere in the institutional concussion rehab protocols here in Canada (namely the Ontario Neurotrauma Foundation’s 3rd edition of the guidelines for concussion/mTBI and persistent symptoms for adults) is there any reference or information on hormone deficiencies playing a role in the recovery.. While it's not the first modality that I’ve come across as being strangely absent from the protocols given the growing evidence of literature to support its efficacy coupled with a far wider level of implementation in the US I hope we don’t miss this in the 4th edition. That all being said, while I know nothing on the subject I can envision the difficulty of pulling together a clinical trial that meets the standard given the complexity of the endocrine system and the individual nature of the prescriptions. I digress.
3.Patience. This process can take some time and be prepared for a little bit of trial and error as it requires some finessing from your Doctor. From my experience some deficiencies were obvious but others not as much and required different tests to explore further.
Happy New Year!
And please don’t hesitate to reach out with any questions.