Endocrine Abstracts

36-year-old gentleman referred by his GP with poor libido and erectile dysfunction associated with hypogonadotrophic hypogonadism. 0900 h testosterone 0.3 nmol/l (10–35), LH <0.2 IU/l, FSH 0.1 IU/l, prolactin 71 mIU/l (50–500).Symptoms started at time of break up of his marriage in 2011. No other symptoms of hypogonadism or of pituitary disease. Previously fit and well. Teetotal. On no medication. Patient an avid fitness fanatic. He had nev...

Background: Metabolic surgery has been hailed as a potential new treatment (‘magic bullet’) for obese patients with type2 diabetes. Several studies have shown that metabolic surgery for morbid obese patients with type2 diabetes can lead to considerable weight loss and also has positive impact on the incidence of type2 diabetes, in some cases leading to elimination of the disease in up to 80% of patients. But metabolic surgery do not seem to induce similar ‘magic...

Background: Lithium remains a first-line treatment for bipolar affective disorder and acute maniac state despite the introduction of newer and effective treatment. Lithium therapy is associated with a variety of side effects. Although thyroid dysfunction is the most widely recognised endocrine side effect, hypercalcaemia and more rarely a biochemical picture resembling primary hyperparathyroidism or familial hypocalciuric hypercalcaemia may develop. Recognition of this less co...