sorry, bumping this if anyone hasany input
Adrenal fatigue is characterized by inability to sustain cortisol levels. So that does not fit.
Urination: How old are you? We do not have any basic info as per the advice for new guys sticky.
- old guy, PSA up, BPH, bladder not emptying, no change in thirst
- prostatitis, bladder infection - similar to above
- diabetic, not managed, do not see any fasting glucose lab data, you would be thirsty
What are your afternoon temperatures. TSH is up and AM temp was low, you have no identifiable iodine intake but are empowered to state that you do not think that you are deficient.
[quote]KSman wrote:
Adrenal fatigue is characterized by inability to sustain cortisol levels. So that does not fit.
Urination: How old are you? We do not have any basic info as per the advice for new guys sticky.
- old guy, PSA up, BPH, bladder not emptying, no change in thirst
- prostatitis, bladder infection - similar to above
- diabetic, not managed, do not see any fasting glucose lab data, you would be thirsty
What are your afternoon temperatures. TSH is up and AM temp was low, you have no identifiable iodine intake but are empowered to state that you do not think that you are deficient.
[/quote]
-I apologise, the reason i thought i was not defecient was based on my doctor and endos advice/diagnosis, that TSH was a bit high in compensation for the low testosterone, which they consider the primary problem.
-after googling it, i found that by law in australia most breads (similar products) are required to have iodised salt used. Which is also what both my endo and doctor told me as well.
-I did however go buy an iodine product after reading your thyroid sticky as i realise body temp is on the lower end. The only product available has 60 tablets at 300ug of iodine each. I have 2 bottles of which i will have 30 tablets a day for next few days.(It is a fairly expensive product unfortunatley).
-Will record afternnon temps for the next few days and update. And just in case im going to get a new oral thermometer, my sisters readings were also very low, and she doesn;t seem to have any symptoms of being hypo
-I am seeing endo on thursday to get back blood karotyping results and to go over pituitary/testicular scan, will also talk to her about diabetes and glucose testing.
Again, your time and help is much appreciated
Regards tj
Morning temp is still on the lower side, but afternoon temp jumped to 98.9.Going to go buy one more bottle of iodine then will just supplement as per instructed
Endo has diagnosed me as idiopathic secondary. (RESULTS SUMMARY halway up this page)
I also asked my ended about low DHEA-S she said its fine as within range? Similarly i asked again about my high FSH indicating primary, to which she said FSH and LH would be hugely increased not just at the high end of the range if it was primary.
There is nothing else she wants to test/look at, so wants to start TRT
Options between doctor and endo are;
-Reandron/Nebido (injections every 10-14 weeks)
-test enanthate, (Primoteston by Bayer) 2x week or every 5 days, plus HCG and/or AI as required
-Testogel 5g
-going to try again to get a serm or hcg trial, but both endo and doc already declined
Doing my research but currently leaning towards the test enanthate and then getting as close to Ksmans protocol as the doctor will allow?
-Iodine. Body temp increased with last bottle, found something a bit stronger.
Got hold of 2 bottles of iodine drops each containing 127mg total. Contains 1327 drops at 287ug per drop. So taking around 30mg to start with and will ramp to 50mg if no side effects. Will monitor body temps morning and afternoon next few days and will go get some more bottles if there is improvement
Questions
Am seeing the doctor monday to start treatment, but i want to make sure all issues have been adressed, so my questions;
-If thyroid responds to iodine is that any reason not to start TRT? (can hypotythroid suppress test levels that much)
-Is my low DHEA-s something i need to look into?
-I am getting morning wood fairly often and almost always getting nocturnal errections, ED is not a problem but libido is. Is this indicative of anything?
- Main question, is there any reason not to start medication come next week?
Any input help is much appreciate guys
Many things can effect libido other than T, including thyroid.
Your DHEA status needs to be in the context of your age.
********** Please respond fully and with detail to my 02/02 ***********
Do you eat a lot of bread?
You and sister eat the same foods? Iodine intake would be similar. She may need iodine as well.
High FSH: If you start TRT and FSH does not -->zero, could be FSH secreting adenoma, quite uncommon.
Adenoma will need to be tracked. Growth can causes further endocrine disruption and can also physically press on optic nerves. You can also test IGF-1 at some point to see if the adenoma is GH secreting.
The effect of low T from hypothyroidism and recover when treated is usually seen with clinical hypo, not sub-clinical.
TRT shutdown of your testes can be expected to lower pregnenolone and DHEA.
What is your total cholesterol, low cholesterol can undermine all of your steroid hormones.
DHEA is a controlled substance there. One the shelf with vitamins here. So that is difficult.
I would like you to be able to note how you perceive any improvements with iodine and improved body temperatures before the confounding effect of introducing TRT introduction.
- I am 24, so DHEA-S 4.6 (4.3-12.2)is low
Sorry not sure what you mean by ********** Please respond fully and with detail to my 02/02 *********** i assumed it is your post from 02/03
ksman posted 02/02
-Urination: How old are you? We do not have any basic info as per the advice for new guys sticky.
- old guy, PSA up, BPH, bladder not emptying, no change in thirst
- prostatitis, bladder infection - similar to above
- diabetic, not managed, do not see any fasting glucose lab data, you would be thirsty
-My basic info is on first page, but reading up on it none of the above seem likely. I am not suffering extreme thirst or extreme frequent urination, Rather i tend to eat 70%of my daily intake late afternoon/evening which could account for the more frequent urination at night (2-3times). Bladder always seems to empty.
Iodine/ Bread intake
-I was eating probably a slice a day. My sister is pretty similiar bread wise but eats a lot junk. I realise again that i am more than likely defecient in iodine, apologies again for disregarding
Morning temp avg. 36.2 / 97.16
Afternoon temp avg. 36.7/ 98.06
However the one day where i high dosed the iodine, i had a following afternoon temp of 98.9
-Adenoma is going to be tracked. MRI again in 8-12months, endo did mention it could be GH secreting
-Cholestral levels are
Chol 4.4 (<5.5)
Trig 0.6 (<2)
HDL-C 1.9 (>0.9)
LDL-C 2.2 (<3.4)
May have been a bit low due to coming off low fat/carb diet
i will keep updating with body temp. and percieved improvements of iodine
Temp this morning
So if body temp rises, would i just get a follow up blood test to check test levels, and tsh etc. And then go from there regarding TRT
Also endo mentioned that testicular volume was low despite high fertility etc. indicating that testosterone has been low for a while. Gonna really push to get HCG trial on monday,
Testicular volume is determined by LH, T levels would be a secondary result. The association is valid.
If you get positive responses to iodine, you should not do thyroid labs for a while as there can be transient effects that you would want to avoid. Your thyroid labs were normal before and will be after. Low body temperatures are a sign of a degree of functional hypothyroidism. IR can fix this some times. But not that temperatures can also, in general, be lower when fT3 is blocked by rT3.
Body temp is slowly rising, consisitently over 97.5 every morning, arfo temps are still a bit inconsistant though.
Had my first shot of primotestin 250mg (test e). One more shot in 2weeks then bw to see what test, E2 etc. are doing.
However thinking about splitting it to 125mg weekly on the downlo. Just seems like everyone does better on more frequent shots, so i’d rather just start that straight away. And from what i’ve been reading it seems that high doses of T at less frequent intervals results in a greater aromatization of T into estradiol, something i certainly want to avoid?
And yes i did print out and show the doc Ksmans protocol but at the moment its a no go. Can’t really afford to keep looking for doctors and this guy is at least somewhat aware in comparison to the prevoius 3 docs
What about HRT Doctors I don’t Know ?
Hi all
New to the site and keen to know who the best HRT Drs are here in Perth. Been on treatment for 3 yrs now, but no bloods done for 2 yrs. My Doc was just deregistered, not thorough at all. Feel better but not great.
Zaf
Could anyone possibly point me in the right direction for a good TRT Dr? I was seeing Ismail, he’s just been deregistered. I know of Zentner but he only prescribes Androforte. Anyone that works with injectables and is thorough with bloodwork would be awesome.
Thanks all
I work with Dr Zentner. He prescribes Primoteston Depot.