Testosterone Replacement in Chronic Pain Patients

By Forest Tennant, MD, DrPH and Lisa Lichota, DO

Adequate testosterone serum levels are required in males and females not just for libido and sexual function but also for cellular growth, healing, maintenance of muscle mass and bone, and central nervous system maintenance of opioid receptors, blood- brain barrier, and dopamine-norepinephrine activity.

Testosterone deficiency in chronic pain patients has now been recognized by many observers.1-6 Due to its critical biologic functions in pain control, testosterone testing and replacement (TR) should now become a mandatory component in the treatment of chronic pain. This paper summarizes the physiologic actions of testosterone relative to pain management and lays out practical guidelines for testing and treatment that can easily be adapted to pain practice… (See link for article.  It is excellent and very needed information.  Please read about my personal experiences below.)



I’ve self injected testosterone for years and I’m a woman.  My husband also injects T.

Are we crazed body builders?  Hardly….

For me, it started as severe PMS that I had pretty much my entire adult life.  I had one good week out of the month and that’s an understatement.  Not only did I struggle with pain but I struggled mentally.  It was as if someone painted my world gray.  I also riveted on things that normally I should be able to drop.  Thankfully, I had a holistic doctor who specialized in pain management as well as breast cancer.  Little did I know – testosterone helps both.  He actually told me one day, “I have no studies to prove this, only 35 years of experience but if you give testosterone to women, their breast cancer dries up.”  After trying progesterone cream with little effect, he asked if I’d like to try T.  Within 20 minutes, I felt it.  I felt it mentally, as if I could see color for the first time in my life.  Physically I felt blood rushing into areas I thought were dead.  Yes, it helped sex drive, but it did so much more than that.

Recently, I lowered my dose as I appeared high on paper.  Within weeks I developed the old familiar ovarian pain and then lower back pain so severe I could hardly stand.  I called my hormone doctor to run it by him, wondering if the two could be related.  He said that yes, they could be related and to go back up on the dose I was previously.  I had a female physical to rule things out first.  I also shared my theory for the pain (lowering my T) with the physician’s assistant.  Our conversation was interesting.  She said I was blessed to have found doctors willing to treat me with testosterone as the results were clear. She also said I would not receive that type of help in her mainstream facility.  This isn’t the first conversation of this sort I’ve had with mainstream doctors who admit that their hands are completely tied to convention – in spite of results and science. I also tried to convince Physician’s For Women and the Wisconsin Fertility Clinic to adopt using various forms of testosterone for suffering women – to no avail.

Armed with the knowledge I was normal physically I went back to my regular dose.

Within ONE injection, both the ovarian and back pain were GONE.

I tell this story to demonstrate how hormones can help dramatically with pain.

My husband’s story is similar, albeit different. Before he was diagnosed with Lyme/MSIDS it was discovered that his testosterone level was nonexistent and he had severe joint pain.  He started injections as well but the pain, although diminished, was still there.  Eventually, he developed a whole battery of symptoms consistent with tick-borne illness and he was diagnosed with Lyme/MSIDS.  For him, T has helped his mood as well as pain.  At various times he’s gone off T for certain tests. Every single time, PAIN comes back with a vengeance and he becomes depressed.

So why do I bring this up?

I don’t think we are alone.  Due to environmental toxins and estrogens (xenoestrogens), many are estrogen dominant.  “The Textbook of Bio-Identical Hormones,” by Edward Lichten M.D. shows in detail how estrogen disorders are prevalent.  Did you know that testosterone is a treatment for diabetes in men?  I didn’t either until I read the book.  It does so many things.

According to this article,

Estrogen dominance has also been linked to allergies, autoimmune disorders, breast cancer, uterine cancer, infertility, ovarian cysts, and increased blood clotting, and is also associated with acceleration of the aging process.  Put simply, estrogen dominance is an elevated estradiol to progesterone radio.

But for me, the addition of progesterone wasn’t enough.

And to counter the argument that hormones aren’t “natural,” please understand hormones are made from cholesterol – all of which is within the body and is completely natural.  There are obviously synthetic forms of hormones used for specific purposes but bioidential hormones are as natural as you can get.  For a great read:  Essentially, we’ve been told cholesterol is the bad guy.  Nothing could be further from the truth.  We need cholesterol.  The article also points out that toxicity, mercury poisoning and fluoride toxicity all contribute to hormone disruption.  Mercury can interfere with the conversion of progesterone into cortisol.

Unfortunately, hormones, like cholesterol, have been mischaracterized by mainstream medicine and are currently classified as class 3 substances along with Vicodin and Ketamine.  A class 3 drug has, “accepted medical use in treatment in the United States. Abuse of the drug may lead to moderate or low physical dependence or high psychological dependence.”

To understand why Medicine hates hormones:

In a nutshell Medicine (and pharmacists I might add) hates hormones due to a study called the Womens Health Initiative (WHI) trial which had numerous design flaws.  Researchers concluded things that weren’t verified in the data and over time many statements were retracted, but this little detail didn’t make the evening news, and medical professionals still tout the study as if it’s settled science – much like the Klempner study is used to keep Lyme/MSIDS patients from further treatment for continuing symptoms.  Also, they used Premarin, a synthetic hormone.  They never looked at bioidentical hormones.


Since the WHI, there  have been hundreds if not thousands of research articles identifying bio-identical hormones as safe and effective.  However, in the medical community, the thought is “If Premarin is bad, then you have to assume that bio-identical estrogen is bad also”.  The statement is logical, but unfortunately it has not been proven in the literature; in fact just the opposite.  Bio-identical hormones have been shown over and over to not have the same deleterious effects that there synthetic counterparts have, and yet, doctors continue to assume that bio-identicalls and synthetics are the same.

I will also add that another very real reason steroids are frowned upon is that they are cheap and natural and would solve so many problems that it would affect Big Pharma.

And just to play devil’s advocate, I’ll stick up for synthetics for just a moment.

I know of a patient who has severe endometriosis.  Her pain was of a magnitude that made life unbearable.  She tried everything mainstream medicine had to offer and actually had memory loss after one injection of Lupron. Under the supervision of a MD she is currently taking two synthetic steroids for severe endometriosis.  The results are clear – her pain is GONE.  She is enjoying a normal life. The use of these two hormones (nandrolone and stanozolol) lowers the sex hormone binding globulin (SHBG), which stops the bleeding, and the pain.  As I write this, 10 million women worldwide are suffering lives not worth living due to the pain of endometriosis.  It is the number one reason for infertility.  But, doctors are so afraid of hormones they would rather watch women suffer than learn for themselves the effectiveness of this simple treatment.  The other key ingredient that stops the androgenic effects (voice lowering and acne) is spironolactone.  To learn more about this cutting edge treatment:

So once again we see that for a certain subset of patients, a synthetic version may be more helpful and it’s, “the dose that makes the poison.”

Our family was forced to find these answers and testosterone has made all the difference in the world to our current health.
 I hope this helps someone out there.


Infectious disease doctors at one center in France looked at 355 patients who were referred for consultation for presumed Lyme disease. Only 48 of those patients were diagnosed with Lyme disease using the European Union Concerted Action on Lyme Borreliosis (EUCALB) criteria. Could Lyme disease have been dismissed in any of the remaining 86% (n=307) of individuals?

In their article “Functional signs in patients consulting for presumed Lyme borreliosis,” Voitey et al. found that in the 48 patients diagnosed with Lyme disease, the most common functional symptoms were arthralgia (23%), neuropathic pain (23%) and asthenia (17%). Asthenia is characterized by abnormal physical weakness or lack of energy. 

“Unlike published data, arthralgia and myalgia were more frequent in our study: 30% and 6% of cases respectively,” writes Voitey.

Another 8 patients were diagnosed with probable Lyme, writes Voitey.  Each of these cases reflects the complexity of the diagnostic process.

  • 5 patients with “meningoradiculitis (suggestive clinical signs and symptoms, positive serology but the lumbar puncture was not performed and regression of symptoms was observed after treatment)”
  • 1 patient with “myositis (persistent localized muscle pain with positive Lyme serology and cure after antibiotic therapy)”
  • 2 patients with “sensory polyneuropathy (axonal involvement assessed by electromyogram, positive Lyme serology, no CSF pleocytosis, but positive index for intrathecal synthesis in CSF).”

The infectious disease specialists concluded that the remaining 196 individuals suffered from another condition.

“A differential diagnosis was made at the end of the consultation for 196 (64%) patients, mainly rheumatologic diseases (25.5%), psychiatric disorders (25%), neurological disorders (11%), infectious diseases (9.6%), and dermatological disorders (9.6%),” writes Voitey.

Infectious disease doctors find 36% of patients referred for consultation did not have Lyme disease. Or did they? CLICK TO TWEETHowever, the authors were not able to make a diagnosis for the remaining 111 individuals.  “No diagnosis was found or suggested at the end of the infectious disease consultation for 36% of patients.”

Yet, these individuals (not diagnosed with Lyme disease) were more symptomatic than those who were diagnosed.  The non-Lyme group exhibited asthenia (59%), myalgia (32%) and general pain (31%).

The authors did not question the EUCALB Lyme disease criteria, which is dependent, in large part, on patients having positive serologic tests or spinal tap confirmation.

The criteria also does not include other manifestations of Lyme disease, such as neuropsychiatric Lyme and post-Lyme disease syndrome.

Nor did the authors question the reliability of their diagnosis of other conditions.

“No systematic multidisciplinary meeting was held, and patients were referred to a specialist based on the initial clinical presentation and on the infectious disease specialist’s advice,” writes Voitey.

  1. Voitey M, Bouiller K, Chirouze C, Fournier D, Bozon F, Klopfenstein T. Functional signs in patients consulting for presumed Lyme borreliosis. Med Mal Infect. 2019 Nov 10.
  2. Stanek G, Fingerle V, Hunfeld K-P, Jaulhac B, Kaiser R, Krause A, et al. Lyme borreliosis: clinical case definitions for diagnosis and management in Europe. Clin Microbiol Infect 2011;17:69–79.


 Approx. 9 Min.

Caught on Camera: W.H.O Scientists Question Safety of Vaccines

The whole theory of the viral fragments in vaccines is debunked here and the authorities admit that adjuvants are required to make the vaccines work.

Aluminum is one common adjuvant.


New research conducted by IPAK shows that children on the CDC pediatric vaccine schedule may be spending over 70% of their days in aluminum toxicity in the first seven months of life. This level of chronic exposure is far higher than that experienced by infants whose parents choose to follow the Vaccine Friendly Plan. The study, building on prior research, was published following blinded peer review in the Journal of Trace Elements in Medicine and Biology.

In depositions in a trial in Tennessee, scientists from the Kennedy Krieger Institute at Johns Hopkins University make it clear that children really should be screened before their first vaccination. If screening for individual susceptibility were done, many vulnerable children would be spared from being harmed by vaccines.”




“The CDC is Actually a Vaccine Company,” Robert F. Kennedy Jr.

Attorney Robert F. Kennedy Jr. of Children’s Health Defense joins to discuss the much-touted HPV vaccine, which new evidence shows may be ineffective and why it has done tremendous harm. He also explains how legal loopholes exempt vaccine makers from rigorous testing. He goes on to discuss the revolving door between Big Pharma and the bodies that are supposed to oversee it and curtail its abuses. He argues that regulatory capture has turned the Centers for Disease Control and Prevention (CDC) into “a vaccine company.”

For more:





How to Protect Yourself and Your Family From Infections

  1. Stay home when possible, avoid planes, buses, trains, queues, busy areas.
  2. No visitors, avoid close contact with symptomatic people or potential carriers, don’t share cups.
  3. No handshakes, kisses, hugs. Don’t kiss babies. All outside surfaces, money.
  4. Gloves and meticulous hand hygiene, don’t touch eyes, nose mouth.
  5. Wash hands, warm water and soap or hand sanitizers.
  6. Catch it – bin it – kill it.
  7. Coughs and sneezes spread diseases.
  8. Faecal contamination, meticulous hand and surface hygiene.
  9. Wear a quality medical mask or n95.
  10. Wrap around glasses.
  11. Avoid hospitals, limited visiting.
  12. Good nutrition, vitamin D.
  13. Keep warm, sleep, family life.
  14. Thoroughly cook meat and eggs.
  15. Avoid public spaces and wear a mask at home if you start to feel ill with fever.



Great simple, logical, and straightforward suggestions.  I’d ditch the hand sanitizer, however:


The burgeoning literature on human health effects associated with TCS (triclosan) exposure, such as reproductive problems, was also summarized.


These findings strongly suggest there are adverse health effects in mice with long-term TCS exposure, especially on enhancing liver fibrogenesis and tumorigenesis, and the relevance of TCS liver toxicity to humans should be evaluated.

Also, hand sanitizers are 60% alcohol – which not only is very drying but is also a no-no for anyone on disulfiram. I found this out the hard way in the hospital:



Florida, Special Interests, and Parental Rights

Last week in Florida, 6-year-old Nadia King was taken from her public school by police and committed to a mental health facility, all before her mother was contacted or notified.

Fortunately, change is coming to Florida—but it looks like it can’t get there soon enough.

Another Victim of the Baker Act

Under a 50-year-old Florida law called the “Baker Act,” a mental health professional can place a child in a mental health facility for testing via involuntary commitment without parental consent if the mental health professional deems the child to be a threat to the safety of themselves or others.

“The law was meant to allow intervention in cases of imminent danger, said Mark Cavitt, the director of Pediatric Psychiatry at Johns Hopkins All Children’s Hospital in St. Petersburg,” according to an article in The Washington Post. Instead, Baker Act is used too often “because of inadequate training or resources for mental health inside the school system.”

According to a report from the Tampa Bay Times last year, roughly 7,500 Baker Act incidents have occurred since 2012—roughly 1,000 per year. That’s more cases than just those involving “imminent harm.”

Nadia did throw a temper tantrum at school. Though she was perfectly calm, even “pleasant” by the time officers picked her up, faculty reported that she had been throwing items around the room. It is possible someone was going to get hurt.

But is it really the kind of mental breakdown demanding involuntary commitment to an institution? Or could it be “merely a negative reaction to stress,” as Enrico Gnaulati suggests in Back to Normal: Why Ordinary Childhood Behavior Is Mistaken for ADHD, Bipolar Disorder, and Autism Spectrum Disorder?

Gnaulti points out that schools today confront children with academic and social expectations beyond the children’s levels of development, while simultaneously taking away “the means to cope with that stress—animated, kinetic, imaginative play.”

Perhaps most shocking of all is that, despite the school’s claims that they made efforts to “de-escalate” the crisis before Nadia was hauled off, apparently none of those de-escalation efforts included contacting the girl’s mother.

By the time Martina Falk learned her daughter was having a tantrum, Nadia was already on her way to the mental health facility.

Fortunately, however, the days of schools, doctors, counselors, and others intruding into the private lives of families may be coming to an end in the Sunshine State.

Parents’ Bill of Rights to the Rescue?

While by no means a response to the Baker Act, Senate Bill 1634 and House Bill 1059, companion bills proposing the Parents’ Bill of Rights, would strengthen the role of parents like Martina in the lives of their children. By clearly outlining various rights parents have in raising their children, the law would keep the child’s caregivers from being cut out of these vital child-healthcare decisions.

This concept should already be a no-brainer. The US Supreme Court in 1979’s Parham v. J.R. made clear that, because children are not able to make wise and informed decisions for their own health care or mental health much of the time, “parents can and must make those decisions.”

Parents. Not teachers, or administrators, or even a third-party psychiatric evaluator.

Sure, there are times emergency intervention is necessary, such as when a teen is suicidal (or even homicidal). But such interventions should be saved for times that actually are emergencies.

Thankfully, the Parents’ Bill of Rights has been having a better month than Martina and her daughter have.

Already passed by the House Education and Health and Human Services Committees, H.B. 1059 passed the House Judiciary Committee on Tuesday, February 18—its final house committee vote. Its next stop is the full House.

Its counterpart, S.B. 1634, has already passed the Senate Judiciary Committee and Senate Education Committee and awaits a hearing and vote in the Senate Rules Committee. Only then can it be voted up or down in the full Senate.

Should each bill pass its respective house, the crossover is mainly procedural. We even have early indications that the governor is aware of the bill and ready to sign it into law.


If passed, the Parents’ Bill of Rights will not suddenly halt all the abuses of the 50-year-old Baker Act. But it will raise the status of parents in the eyes of courts, schools, and administrations throughout Florida—and that itself should help to reduce abuses like the one Nadia and her mother suffered last week.

In fact, families like theirs are the reason we fight to preserve parental rights in every state, and why we are so excited to see these gains in Florida!



I post information about The Parental Rights Amendment because children with Lyme/MSIDS often struggle with cognitive and psychological issues. This is true for Autistic and PANS/PANDAS patients as well.  This sets them up for problems at school.  Often, these children are undiagnosed or misdiagnosed.  For some, their main or only symptom is psychological.

While I appreciate the challenge this child and others like her present to teachers and staff in public school, the parent is still responsible for the child and what happens to her.  Since more and more children are affected by mental health issues it seems prudent for the school systems to adapt accordingly.

For more on the Parental Rights Amendment:






The following story happened right in Milwaukee and is why I post information about The Parental Rights Amendment. Since 2012, the new “pediatric child abuse” subspecialty adopted by the American Medical Association confers unmerited authority that is destroying innocent families in too many unquestioning courts.

Read the story for yourself.

The Parental Rights Amendment will protect innocent families like Doctors Cox and Dobrozsi by ending the licensing of this harmful subspecialty. American families deserve better of their medical professionals, and we deserve better of our courts, as well.

Families contending with Lyme/MSIDS are particularly vulnerable to being labeled and punished. Parents of infected children are labeled with Munchausen syndrome by proxy (MSP), which is a psychological disorder marked by attention-seeking behavior by a caregiver through those who are in their care. They’ve also been accused of child abuse:

A proposed Parental Rights Amendment to the U.S. Constitution (PRA) would provide that “the liberty of parents to direct the upbringing, education, and care of their children is a fundamental right.” By setting a firm constitutional standard to protect these rights, the amendment would provide clear direction for courts, doctors, child welfare workers, and other government officials. Racial bias would diminish as fewer cases are left to the discretion of a judge or other state agent.  Another provision of the proposed Amendment would protect the rights of persons with disabilities.  The proposal states, “The parental rights guaranteed by this article shall not be denied or abridged on account of disability.”

Support the work of the Parental Rights Foundation with your generous donation here.Together we can bring change to the laws and policies that are harming so many families, and restore respect for the natural, traditional role of parents as their child’s first and best line of defense.