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Temporal arteritis, also known as giant cell arteritis, is an inflammatory condition that affects medium and large arteries, particularly those in the temples and head. It is caused by immune system dysfunction that triggers inflammation in the arterial walls, leading to vessel narrowing and potential vision loss. The Sedimentation Rate Modified Westergren test is the most important test for temporal arteritis because it detects elevated inflammation markers in the blood.
Temporal arteritis is caused by immune system dysfunction where the body's defense mechanisms mistakenly attack the lining of arteries, particularly those in the head and temples. This autoimmune response triggers inflammation that causes the arterial walls to swell and thicken, reducing blood flow. While the exact trigger remains unknown, genetic factors and environmental influences likely play a role in activating this abnormal immune response in people over 50.
The Sedimentation Rate Modified Westergren test is the most important blood test for temporal arteritis because it measures how quickly red blood cells settle in a test tube, which directly reflects inflammation levels in your body. In temporal arteritis, the ESR is typically markedly elevated, often above 50 mm/hr and sometimes exceeding 100 mm/hr. While this test does not diagnose temporal arteritis by itself, an elevated ESR combined with symptoms like temple headaches and vision changes strongly supports the diagnosis and helps your doctor monitor how well treatment is working.
You should get tested if you are over 50 and experience new, persistent headaches in your temples, sudden vision problems or double vision, scalp tenderness when brushing your hair, or jaw pain when chewing. You should also seek testing immediately if you have unexplained fever, fatigue, and weight loss combined with any head or vision symptoms, as temporal arteritis can cause permanent vision loss if untreated. Early testing is critical because prompt treatment with steroids can prevent serious complications.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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