My experience, and my insanely itchy nipples beg to differ. We aren’t on high enough clomid / nolva doses to block ALL the receptors. Your doctor sounds like he has been reading some bro-science on the roids boards.
Anxiety is a side effect of low T. There are a lot of guys with low T that come on here, then lose thier shit after reading about the possible side effects of SERMS. You will feel much better after your levels rise again.
I would bet money your e2/estradiol is high right now (at least relative to the low T). I feel like that too when my estrogen gets too high. If I hear a sad song or watch a depressing commercial etc my eyes will start watering. Starting on nolvadex is potentially a good option before jumping right to TRT, an ai and hcg.
Thanks Hostile for your reply. Shouldnt the Nolvadex make my e2 very high? Doc was saying it doesnt matter as its purpose is to block e2 receptors.
To be sure, it would be great if you could get an e2 test done. Your e2 could be fine (20-30), but with your TT being at 203, this makes you estrogen dominant and you would more than likely feel great with higher TT ->FT with that same e2 (if this assumption is correct).
At the end of the day, nolva will raise your e2 because it stimulates the release of LH and FSH which stimulate your bodies production of T which will naturally aromatize to E… Your Dr is right about Nolva being superior to Clomid.
I would voice your concerns about wanting your e2 tested before nolva and monitored after starting nolva.
I would then talk about what his plan B would be should you feel worse and see how he feels about TRT, hCG to protect your testes and an AI if your e2 needs to be managed.
Hostile, I was last tested three weeks ago and my E2 was 36… thoughts?
Scared to take this first Nolvadex pill now.
I would call your Dr and voice your concerns about wanting your e2 monitored after starting nolva.
I would then talk about what his plan B would be should you feel worse and see how he feels about TRT, hCG to protect your testes and an AI if your e2 needs to be managed.
My E2 was 35 and I felt terrible.
Yea, I feel pretty horrible. What I don’t understand is why my E2 is so high and I’m on no protocol. No TRT or anything. I read “estrogen dominant” doesn’t really exist.
Sad thing is all these docs see my number of 35 and think i’m under the 52 range so it’s “normal”.
Last thing I want to do is take nolva, jack my e2 out of control and be WORSE off than I was before.
If you’re not comfortable in what your Dr wants you to do, voice your concerns to him. If you’re not satisfied with his response then start looking for a new Dr. There’s no other option.
Option 1: Do what your Dr tells you without question
Option 2: Question your Dr and tell him your concerns and see if he has any other ideas. If not, see option 3.
Option 3: Find another Dr.
Also my theory on high e2 levels in our “natural states” is due to phytoestrogens/xenoestrogens in our environment, i.e. our food, products we use, containers, beverages etc. A higher body fat can also contribute to high estrogen and liver problems can as well.
I have an excellent relationship with my PCP. He’s young and smart, but he was very hesitant to help with TRT. He wanted to prescribe a gel and that was all. So, I found another doc to manage my TRT and still use my PCP for all my other needs. No harm, no foul. He wasn’t comfortable with an AI or hcg so I took matters into my own hands because it’s my life and health.
Only issue Hostile is there is no other good trt docs here. This guy seems to know his stuff has had tons of blind studies and teaches at the College here for Urology.
I will call tomorrow and ask if he will monitor E2 while on Nolva. Last thing i need is to go from 35 e2 to 65. Prolly off myself
Have you done what I suggested above? What country/state/city (if you live in the us) are you in?
Local pharmacy will not give out docs who prescribe this.
I live in Albany NY
Small world. I grew up in Syracuse and went to University of Buffalo. How many pharmacies did you call? I’ve called before and indicated I was trying to find a Dr to treat my hypogonadism and was trying to expedite the process, so needed to know Dr’s in the area who prescribed testosterone and possibly arimidex.
Did you try calling compounding pharmacies? Those pharmacies are typically a little more modern and willing to assist. Those are the pharmacies where most get their hcg from.
Compounding Pharmacies close to you:
http://www.fallonpharmacy.com/c1/hormone-replacement-therapy-men-c24.html
Standard Pharmacies to Call:
Type in pharmacies albany, NY
I’m no stranger to Albany. I don’t miss those winters.
Something like this, IMHO, is best done in person, with donuts and a smile.
Definitely don’t go to a chain, find a small independent pharmacy owned by an old guy. Emphasize that you don’t want any customer information, you just want someone to treat you.
Found this online too:
http://evergreenlifecenter.com/testosterone_therapy.php
Crazy man, yea Syracuse isn’t super far. Weather certainly sucks here 5 months of the year. I will keep trying pharmacies. Problem with Fallon (one you linked) takes no insurance. Thank you for your continued help.
I will keep looking, as far as Evergreen I was told those clinics are money farms that don’t help patients? Thoughts?
In other news I just heard from the Endocrinologist, I took a blood glucose test two weeks back to measure growth hormone levels (I have slightly elevated IGF-1 level) to see if I had that rare disease I spoke about. Turns out the results were OK and I do not have it. She wants to do a MRI on my pituitary gland just to make sure nothing else is wrong with it. She keeps telling my my free T is fine and these low T symptoms I have aren’t a big deal. She says total T isn’t how you feel. I keep trying to tell her otherwise.
I messaged the Urologist about having my E2 levels checked every two weeks on Tamoxifen (Nolva). Still haven’t started it yet,.
Anyone else notice Lyme Disease symptoms and Low T are oddly similar? I’ve been bitten by a few tics in the past and tested for lyme but always negative. Maybe I need to look at that avenue as well.
Most compounding pharmacies don’t accept insurance. You use them as a tool to ID a Dr that can help you, not necessarily to be a customer. That being said 90% of guys pay out of pocket for their hcg. Insurance usually only covers if its being prescribed for infertility.
My hcg costs about $34 for 5,000iu’s. Very cheap. Also get mt T cyp and anastrozole from the same compound pharmacy. The drugs are all inexpensive.
Money farms? Probably.
Don’t help patients? Seems unlikely that people would pay cash (doubt they take insurance) for shitty service. My doc is a “conceierge doctor” who only accepts cash, and I get great service. In fact, I’m glad to pay.
I messaged the Urologist about having my E2 levels checked every two weeks on Tamoxifen (Nolva)
That is overkill and completely unneeded. Get tested a month in, unless your symptoms are unbearable, then adjust AI accordingly.