His recommended iodine replacement protocol comes to mind.
Itās so difficult to try to be healthyā¦ I might scrap it and go eat McDonaldās.
Oh they are not? Do you even know his history?
Seriously this is getting ridiculous, patient takes dopamine agonist, his T levels climb, and youāre ready to put him on T for life lol PRL levels are SKY HIGH but you blame mediocre T levels? WOW
Have fun guys, after reflection, I have realized you are all correct, and I have overstepped my bounds and not made any good points or substantiated my argument.
Good day.
Correct, I will not tolerate nitpicking menial matters.
LOL. I hadnt had McDonalds in over 20 years and my, then 10 year old, son wanted McDs for his birthday since he had never had it so we agreed and got it for the family. He didnt like it. They all liked the fries and one of them like the nuggets. I ate 3 Filet of Fishes and decided that was all the McDs I needed for the rest of my life.
Thats the problem !!!
Hypo is not diagnosed just with labs. In fact, a doctor does not even need labs to diagnose.
What would a doctor use to diagnose without labs?
Hahahaha - this is tremendous!
Agreed. Had fries about 15 years ago and nothing from McDs since.
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They read bird entrails. If no birds are available tarot cards are the next best thing
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oh fuck I laughed way too hard at this
How many case examples would you like me to post? They are everywhere.
As I told you our medical director is a ER doc. He sees it too, and with the rise in AAS usage your first line of defense is seeing it more often.
In fact our doctor tried to help a guy, he wouldnāt listen. The guy was huge. Like 10% BF
Have you ever seen the autposy results of someone with that kind of history? I have, not pretty.
I am not trying to scare anyone, if you donāt believe that is totally fine.
Iām curious. What if someone is at 20 free t and complaining of low symptoms? What if this person then increases their dose to 30 and they tell you they feel fantastic and are so happy they are finally feeling better? Are you going to tell them they need to lower it back down to 20 because you have seen thousands of labs? Or this person is now on a steroid cycle?
Iām am curious as to how many men are in this predicament and because their doc thinks anything beyond 2019 lab standards is super high.
What if someone started ten years ago when the high end was 27 ft. They come see you, and with 1500/27 you think they are above range: yet they show you lab work from ten years ago showIng in range.
This is the thing about labs . BS.
Why did they need T to begin with?
I tried to tell him multiple times, they mocked me. I was trying to get their attention.
What is up your ass today?
This is absolute crud of a comment you donāt even know how the receptors work to make such a comment. These people who run AAS are running 15 different steroids along with testostorone. Test is not their problem.
Just goes to show you that you are totally out there in nowhere land with your logic.
You make it sound like aas use is guys who take 1000mg of Test a week. Or that receptors are desensitized. What kind of an expert are you that has never heard of Doctor Rouzier? Just goes to show how much research you have done.
Men can maintain 1500 / 35 free t year round for decades without any sensitization issues. Studies show this and I posted a video in a post i created where this was explained in detail.
@nhwatts also mentions how his endo is ok with the levels.
This is a waste of time. Tell us who you are where you work and your credentials. Not that youāve seen 10k labs.
I am not going to go back and explain something that I have explained thoroughly.
I have NEVER seen anyone be able to stay on 45 in their trough for years that did not screw up BUN, Creatinine, EGFR, Cholesterol, HCT, HA1c and CRP.
They all climb (EGFR goes down). So when you tell me your patients all have good labs with these enormous free T numbers I DONāT BELIEVE YOU. Because I have seen it a million times.
Also, you are not equating the fact that 450 free T is this guys TROUGH. We have no problems with guys that have 180 free t, and we can assume, on a 7 day schedule that his FT got up to 360.
All of this has to be taken into to account. But if that is your trough, unless your injecting every day, youāre taking way too much.
To prove my point I am willing to put up 0.1 BTC for a bet.
I bet that if @NH_Watts stops drinking, stops oral sups, and cuts his dosage in half his HCT climbs higher than it has ever been, and he will feel even better.
I will provide the testing.
This is very interesting. Based on the ranges on their website, Iām just slightly above the top at 231 vs 224ā¦ But based on their old ranges Iām being compared too Iām way above.
Maybe Iāll try LabCorp next time.
Thanks again, appreciate the look.
Low t symptoms. The other thing about ranges is the fact that a man with total t or free t within range is told they are not having low t symptoms. It must be something else. Yet we all know most need trt when they fall close to the bottom range. Especially below 50.
Yea I know. Thats why history is so important.
You donāt use lab work to diagnose hypogonadism, you use lab work to confirm a suspicion of hypogonadism.