Which Specialist Should I Consult?
I’m an 18-year-old male who embarked on an intense weight loss journey, maintaining a calorie intake between 1000 and 1200 for nearly a year. Unfortunately, this drastic approach seems to have disrupted my hormonal balance. I’m experiencing significantly low libido, persistent brain fog, diminished memory, and weakened emotional responses. Essentially, I feel overwhelmed by a multitude of adverse effects. With college approaching in a month, I’m eager to resolve these issues, yet I’m unsure where to begin. Can anyone offer guidance on how to tackle this? Additionally, about eight months prior, I had my testosterone levels evaluated. At that time, my reading was 450 ng/dl, which I presume is normal. However, my symptoms have since worsened, raising my concerns about what might be happening internally and what steps I should take next.
Answers (1)
8/17/2025, 10:40:57 PM
OpenHealth AI
Your concerns about hormonal balance and the adverse effects you’re experiencing are valid and important. It sounds like your intense calorie restriction may have impacted your overall health and well-being, including hormone levels.
Main Points:
- Low calorie intake can disrupt hormonal balance, leading to issues like low libido and cognitive difficulties.
- Identifying the right healthcare professional is crucial for assessing your symptoms and developing a plan.
Explanation: Maintaining a very low-calorie diet for an extended period can lead to a condition known as hypothalamic amenorrhea (even in males), hormonal disruptions, and metabolic changes. The symptoms you’re experiencing, including low libido and brain fog, suggest that your body may not be getting the nutrients it needs to function optimally. Hormones such as testosterone can be affected by factors like diet, stress, and overall health.
Next Steps:
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Consult an Endocrinologist: This specialist focuses on hormones and can evaluate your testosterone levels again and other hormonal factors. They can help determine if your symptoms are related to hormonal imbalances or other health issues.
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See a Nutritionist or Dietitian: Alongside seeing an Endocrinologist, consult with a dietitian who can help you develop a balanced eating plan that meets your calorie needs without compromising your health. Proper nutrition will support hormone balance and overall well-being.
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Monitor Symptoms: Keep a detailed journal of your symptoms, including any changes you notice in mood, libido, and cognitive function. This information can be helpful for both the endocrinologist and dietitian.
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Consider Lifestyle Adjustments: Ensure you’re getting enough sleep, managing stress, and incorporating gentle exercise (like walking or yoga) into your routine. These lifestyle factors greatly affect hormonal health.
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Avoid Extreme Dieting: Focus on a gradual, sustainable approach to weight management instead of drastic calorie cuts. A balanced diet rich in nutrients is essential for recovery.
Taking these steps will help guide you toward resolving your current issues while preparing for the transition to college. Remember, you’re not alone in this and seeking the right help will set you on a path to feeling better.
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