so should i bring in research to counter some of his points or explain? Should i act knowledgable or not?
I think I remember a single incident where a doctor was open to actually reading something brought in by a patient AND actually decided to use some of the information.
I recommend going in with your test results and a list of your symptoms printed out (with or without a timeline of when they started).
you should then listen to what the doctor says and see where he wants to go (or what he knows). then based on what you hear, you can ask leading questions…
“You recommend T-Cyp injections every two weeks. Are there any other options for more frequent injections? I have read from the drug company information that biweekly shots leads to wide swings in hormone levels (it’s on their insert), and I would prefer to avoid that if possible.” or simply ask what is the harm of more frequent injections, etc.
ask for trial doses. Say it may not be the final plan we stick with, but you would like to try X to see how you do.
ok so dont bring the research? should i ask for gel? weekly or eod injections? self injections?
and if the doc( actually a urologist) says no, what do you know about maximus hrt? i saw their site and i filled out info. is it legit? legal? thanks for all the help
do not jump into HRT until you have all of your other systems in balance. HRT is lifelong not just a quick fix. You may be able to find some other way of boosting your natural system first. Get the recommended blood tests and go from there.
i only see docs in person, and would avoid anything that seems too easy or expense (like anti-aging clinics).
what other tests would i need i think my doc pretty much covered everything in the first initial test. or am i missing something?
what are all of your symptoms?
there are tons of possible tests that could be helpful (per the blood test sticky or per my partial recommendations)
ok so i just found out my primary care doc is actually really proactive and thinks trt is a good option. But he has only worked with guys over 30, so he wants me to see an endo and go from there. score. any advice?
not score. deadend most likely. have you read about everyone else’s experience with endos? they are basically useless.
no. he said he wants me on trt, hes know about HcG, and i think AI. he said if endo doesnt cooperate or brushes me off he will do it himself. im gonna try to convince him to just do it without the endo cause he seems really knowledgable
That seems like a good plan. Good luck, sounds like you’ve found yourself a good doc!
i sure hope so
[quote]KSman wrote:
At your age, you have no business seeing a urologist. [/quote]
How so? I went to an endocrinologist at 22 who sent me to the urologist-andrologist I’ve been with for almost ten years.
So guys i need some help. My doc put me on clomid to raise my T, and it worked, got up to 850 after a month and a half. then he decided to take me off it causes its bad long term and see if T levels stayed highed. just got the test results back not good:
Test total: 237ng/dL Range: 350-890
Free Test:40.5 pg/mL Range: 47-244 %1.7
SHBG:40 nmol/L Range 13-71
DHEA sulfate:367 ug/nL Range 80-560
DHT 20 ng/dL Range 25-75
Estradiol <2 pg/mL Range: < or = 29
Im 6’2 183 pounds, male, workout Im only 20 and want to be able to have kids someday. what should i suggest to Doc? I have an appt tomorrow with him. He said he wants to try HcG for 2 months to see if that would fix my natural T. I read that it actually shuts you down if more than 3 weeks and doesnt raise natural T. What should i suggest? T shots a couple times a week, and HcG? Thanks for the help
The trail told you something very important: You are not primary hypogonadal…you actually were able to achieve very good levels, which indicates your testes are functional given the right stimulation…
Your initial LH/FSH were low which combined with your low T levels indicates that your pituitary is not producing enough LH/FSH for your testicles to respond optimally (secondary hypogonadism)…what is causing this? Did your doctor offer any suggestions as to what is cuasing it?
Have you had an MRI to rule out pituitary tumor?
I’m not aware of the long term side effects of SERMs, what did your doctor say were the bad side effects? You should do some researching online and determine if the side effects are something you are willing to live with…
Your doctor may have a good plan with HCG only medication, since that will essentially replace your LH/FSH as far as the testicles are concerned. Problem with hcg is leydig desensitization with too high a dose, and the “right” dose that does not cause desensitization may not be enough to stimulate your testes enough by itself…if it is great, if not you wil also need Testosterone.
I do not think your body is going to suddenly “wake up” and start producing adequate abouts of LH/FSH after you discontinue hcg in two months…but if you want to avoid TRT and try this as a last ditch effort, then I think that’s probably ok…
99% certain that the Estradiol test was the wrong test (looks like maybe an ultra sensitive test). You are not a <2 Estradiol. you need the Estradiol Sensitive from Quest #4021.
SHBG of 40 indicates that your true Estradiol is more than likely sky high.
he should have checked LH and FSH along with TSH and Cortisol.
did you taper off of Clomid or just stop cold turkey? stopping cold turkey is known to induce hypogonadism as your system detects the increased estrogen (that was being masked by the Clomid) and then shuts your system down again.
HCG or external T will probably shut down your natural production. HCG will stimulate your testicles to produce their own Testosterone and can work, but most find that it does not create enough T.
how much does he want you to take? more than 500mg EOD may cause leydig cell desensitization.
the clomid did show you that your testicles do work if you could only get your pituitary to send out the right signals.
what are all of your current symptoms?
[quote]VTBalla34 wrote:
The trail told you something very important: You are not primary hypogonadal…you actually were able to achieve very good levels, which indicates your testes are functional given the right stimulation…
Your initial LH/FSH were low which combined with your low T levels indicates that your pituitary is not producing enough LH/FSH for your testicles to respond optimally (secondary hypogonadism)…what is causing this? Did your doctor offer any suggestions as to what is cuasing it?
Have you had an MRI to rule out pituitary tumor?
I’m not aware of the long term side effects of SERMs, what did your doctor say were the bad side effects? You should do some researching online and determine if the side effects are something you are willing to live with…
Your doctor may have a good plan with HCG only medication, since that will essentially replace your LH/FSH as far as the testicles are concerned. Problem with hcg is leydig desensitization with too high a dose, and the “right” dose that does not cause desensitization may not be enough to stimulate your testes enough by itself…if it is great, if not you wil also need Testosterone.
I do not think your body is going to suddenly “wake up” and start producing adequate abouts of LH/FSH after you discontinue hcg in two months…but if you want to avoid TRT and try this as a last ditch effort, then I think that’s probably ok…[/quote]
ya your right. no he didnt, i see him tomorrow, i havent had a pituitary mri, clomid is toxic long term that i know you cant take it long term, ya i was worried about desenitization, ya i dont think it will start up randomly either
[quote]PureChance wrote:
99% certain that the Estradiol test was the wrong test (looks like maybe an ultra sensitive test). You are not a <2 Estradiol. you need the Estradiol Sensitive from Quest #4021.
SHBG of 40 indicates that your true Estradiol is more than likely sky high.
he should have checked LH and FSH along with TSH and Cortisol.
did you taper off of Clomid or just stop cold turkey? stopping cold turkey is known to induce hypogonadism as your system detects the increased estrogen (that was being masked by the Clomid) and then shuts your system down again.
i just stopped when i ran out, no taper
HCG or external production. HCG will stimte your testicles to produce their own Testosterone and can work, but most find that it does not create enough T.
ya thats whazt i read
how much does he want you to take? more than 500mg EOD may cause leydig cel
im worriut that too
the clomid did show you that your testicles do work if you could only get your pituitary to send ouat are all r current symptoms?[/quote]
ya it was ultrasensitive test
he checked those the first 3 times and they were all fine
i just stopped when i ran out, no taperout
ya thats whazt i read
im worried about that too
i have initially readings of LH and FSH listed in first post, how do those look/
i have had them all initially it was horrible, real low libido, couldnt gain strength or muslce, always tired, not social, no morning wood, more emotional crying and shit, low confidence,fat gain etc… now low libido, tired, not much muscle gain, low confidence, fat gain
should i push for trt and HcG or what? thanks guys
ultrasensitive tests are useless for the exact reason - they provide results with no connection to reality.
and rather then repeat information that has already been provided, I am going to request that you please re-read through your thread here and see the advice that you have been skipping over including the suggestions for additional tests, the requests that you track and report your waking body temps, etc. etc.
thanks.
so a pituitary mri and waking body temps? thats its? then what? thanks
“It makes me wonder where your cortisol, D25-OH, ferritin, B12 levels are at.”
You’ve ignored this like 5 times.