Dr. M, how are you?? I have been reading carefully Dr. Goldsteins books and have been understanding more and more about the problems i face. Unfortunately my problems are too complicated and have been more complexed over time.
Nevertheless the most damaging problems have risen after i received this dreadful mixture of hydrocortisone + cipro to treat a suspected (but not existant) prostatitis.

Well since then my head is not working properly anymore and i cant work or do something stressful either mentally or somatically.

I suffered from mild chronic fatigue syndrome for many yearst, but could lift weights and play basketball then came finasteride use, low libido issues and soon adrenal fatigue (or HPA dysfunction) despite being bedridden for 8 months, still never had any real problems with headaches of any type.
I never even ingested a headache pill in my lifetime till the day i received CIPRO + HYDROCORTISONE. So after 2 months of Hydrocortisone and 3 weeks of cipro together i was left with increased pressure in skull, a murmur in my left carotid and some weird vasoconstrictive sounds that emmit from the inside of my head, i can hear them when i stick my fingers and plug my ears and also the sound of blood pumping through my ears corresponding to the heart rate (i guess this is a clear sign of intracranial pressure). I suspected at that time that i became hypothyroid and so i did as tests revealed, but i guess the low thyroid effects in my brain were much lower than in serum and this situation left me with permanent problems. I remember i also couldnt sweat for like 3-4 months after cipro+hydrocortisone.

Last but not least i had terrible nausea and pressure headache like someone was driving a nail in my head for a year. Then and now again for the second time came this feeling of inability to concentrate and understand spatially the surroundings and have this sensation of my brain being like a sponge that expands inside my skull when under stress. Its so really amazing.

I dont know what this mixture did to me, but i perceive several signals as being extravagant and completely increased in proportions to reality. The worst is the fact that some mysterious conditions (probably diet or smoking some times more than i should) cause this spatial dissorientation or most precisely this inability to concentrate in the 3dimensional environment and the brain pressuring feeling. I guess i suffer from some kind of information overload, i cannot process so much info from the environment. When i am confined in my room i dont have these terrible problems. As soon as i get out and start driving it becomes terrible and even worse when i get tired after an hour or two

I am not sure whether it is low CRF, low TRH activity.
I have read that TRH is a key element in helping with brain fog.

I also want to try testosterone because finasteride did a major damage to my HPG system and i still cant recover.

Can you comment on TRH/TRF use, and how it could or not help my brain fog/low cerebral metabolism or and related spatial concentration problems?? Or what else could possibly help ?? direct T3 supplementation maybe??