OpenHealth Q&A

Assistance Needed: 35-Year-Old with Multiple Health Concerns

Greetings, physicians. I am a 35-year-old male seeking your expertise to unravel a series of interconnected health challenges I've been facing lately. Although I’m currently receiving medical attention, I feel overwhelmed by the variety of my symptoms and would appreciate any additional perspectives. ### Overview of My Health Issues: **Early January:** - **GERD Diagnosis:** I was diagnosed with gastroesophageal reflux disease (GERD) after experiencing symptoms like heartburn, reflux, and intermittent discomfort in my upper abdomen. An endoscopy and colonoscopy confirmed the diagnosis. I fluctuated on proton pump inhibitors (PPIs) until early June, when specific probiotics successfully eliminated my heartburn. **Late January:** - **Bell’s Palsy:** I developed Bell's palsy and received a two-week course of steroids, after which I fully recovered. **Early June:** - **Low Testosterone:** I was diagnosed with low testosterone at a level of 9.8 nmol/L. Started treatment with a Nebido injection on June 3, 2025, and was also prescribed AndroGel to use daily for one month. - **Recent Infection:** In mid-to-late June, I experienced a sore throat accompanied by blood-tinged phlegm for several days. After a course of Augmentin (amoxicillin/clavulanate), my symptoms resolved, though some inflammatory markers, such as CRP, were slightly elevated. All other blood tests (WBC, MCH, MCHC) returned normal results. **Recent Supplement:** In early July, I began taking VitaHealth Charge-Up Mag-Ease for sleep and fatigue support, which contains 150 mg of magnesium (amino acid chelate), 50 mg of L-Theanine, B2, and CoQ10. **Armpit Discomfort:** I have experienced mild, intermittent discomfort in my left armpit, commencing approximately 1-2 weeks after my Nebido injection. There are no visible signs of swelling or redness. Fortunately, I have not noticed any fever, night sweats, weight loss, or fatigue. - It’s also important to mention that since early March, I’ve been dealing with tinnitus in both ears, which I've adjusted to over time. ### Results from June Blood Test: - **MCH (Mean Corpuscular Hemoglobin):** 28.6 – 28.9 pg (within normal range) - **MCHC (Mean Corpuscular Hemoglobin Concentration):** 332 – 334 g/L (normal) - **CRP:** Mild elevation noted - **WBC, RBC, Hemoglobin, Platelets, ESR:** All normal Over the past year, I have undergone three medical evaluations. The most recent, which included a full battery of tests during my GERD treatment in January, indicated no significant issues aside from high cholesterol. ### My Key Inquiries: 1. Could the discomfort in my armpit be a side effect of either Nebido or AndroGel? 2. Might this be a reaction of lymph nodes due to my previous infection or the new supplement? 3. Is there a possibility of a more serious condition, like lymphoma, despite the absence of lumps or systemic symptoms? 4. Can magnesium chelate lead to symptoms such as muscle tingling or nerve sensitivity? 5. Are there potential interactions or complications between testosterone replacement therapy (TRT), magnesium supplementation, and my recent infection? I would greatly appreciate any insights you can provide. I seek to ensure that I am not overlooking critical details or making incorrect connections. Thank you for your assistance!

Answers (1)

7/9/2025, 3:31:10 PM

OpenHealth AI

Main Points:

You are experiencing multiple health issues, including discomfort in your left armpit potentially related to your testosterone therapy, previous infections, and magnesium supplementation. Let’s address your inquiries systematically.

Explanation:

Understanding your symptoms in the context of your ongoing medical treatments can feel overwhelming, but many aspects can be clarified:

1. Armpit Discomfort: This discomfort could be related to several factors. Testosterone therapy (like Nebido or AndroGel) can affect muscle and tissue sensitivity, potentially leading to discomfort. However, it could also be a reaction of lymph nodes, especially after an infection.

2. Lymph Nodes or New Supplement: If you have had a recent infection, it’s possible your lymph nodes could still be somewhat reactive, causing discomfort. The magnesium supplement generally is well-tolerated, but individual reactions can vary.

3. Serious Conditions: While lymphomas can cause similar symptoms, the absence of systemic symptoms such as fever, weight loss, or night sweats—along with normal blood work—reduces the likelihood. Consistent medical follow-up is key for ongoing evaluation.

4. Magnesium Chelate Effects: In general, magnesium can affect muscle function and may cause tingling or nerve sensitivity in some people, particularly at higher doses or if your body is adjusting to it.

5. Medication Interactions: Overall, testosterone therapy and magnesium supplementation are usually safe together, though individual responses can vary. It’s crucial to monitor how you feel and report any unusual symptoms to your healthcare provider.

Next Steps:

1. Monitor Symptoms: Keep track of your armpit discomfort and any additional symptoms that may arise. Note any changes in intensity or new developments.

2. Evaluate Magnesium: If you notice symptoms like tingling or unusual sensitivity, consider reducing the magnesium supplement temporarily to assess if your symptoms improve.

3. Revisit Healthcare Provider: Since you have been under medical care, discuss these symptoms and inquiries with your healthcare provider, especially the armpit discomfort. They may recommend imaging or further examination to rule out any concerning issues.

4. Follow-Up on Inflammation: It’s advisable to have follow-up blood tests to monitor your inflammatory markers and ensure they return to normal.

5. Lifestyle Considerations: Continue focusing on a balanced diet, regular physical activity, and adequate hydration, particularly as you manage multiple health conditions.

Please know that you are proactive in seeking answers, which is important for your well-being. If you have more questions or concerns, I’m here to help!