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Author Topic: Visit with Endocrinologist results in no action  (Read 2249 times)

JonnyV

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Visit with Endocrinologist results in no action
« on: June 20, 2016, 08:24:55 pm »
Hi guys,

Wanted to update you on what's going on with me. If you remember from my earlier post, I have had a few anxiety attacks and general anxiety and fatigue. Always been on the lower side of T but when I'm in the 400's I do OK. Went to my primary care and the results were as shown:

Total Testosterone: 337 ng/dL (range: 300-1080)
Estradiol: 30 pg/ml (range: 12-41)
Testosterone free: 79 pg/mL (range: 47-244)
Testosterone free %: 2.3% (range: 1.6-2.9)
SHBG: 19 nmol/L

Pretty much confirming my low T suspicion. My primary care then referred me to an endocrinologist. I went and saw him and he gave me the normal spiel, that my numbers are fine, that I was going to be infertile if I start now and likely dependent on TRT. I asked him about HCG and clomid retaining fertility and he said "I have not seen a randomized controlled trial that proves either of those will keep fertility" lol. He also said that I should see a naturopath or an anti-aging doctor if I wanted to go against the conventional ways.

He at least agreed to give me new blood tests and agreed to rerun total T because he said he suspected I took the test too late in the day and it "would be perfectly fine in the morning".

These were the numbers I got back:

Total Testosterone: 356 ng/dL (range: 241-827)
LH: 2.8 mcIntl_unit (range: 1.5-9.3)
TSH: 1.07 mcIntl_unit (range: 0.35-5.50)
Free T4: 1.12 ng/dL (range: 0.70-1.70)
TPO Ab: 34/unit/mL (range: 0-60)

So all of the thyroid stuff looks good, but that T and LH are both dismally small. The endo's nurse called me and said "everything looks normal". My symptoms are still there and I am worried about what I can do next.

Question - should I push for a full micronutrient blood panel? That might shed some light on what I am missing if it's a micronutrient problem. Tim Ferriss wrote extensively about this in The 4-Hour Body but shelling out a ton of money for these tests will be hard for me.

Any other tips guys?
My biology, up for the world to see - http://www.opensourcejonny.com

Boxcar

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Re: Visit with Endocrinologist results in no action
« Reply #1 on: June 20, 2016, 08:44:07 pm »
Finding a natural cause for low-T can take patience (and possibly money, as you suggest). But correcting nutritional issues definitely can help a lot. I had a very large increase in T, just from adding olive oil to my diet (I just sort of figured this out by accident).
Age: 35
178 lbs 5'8''

Current Treatment: 50 mg testosterone cypionate IM, twice a week
Low T Symptoms: Chronic pelvic pain, and other neuropathic pain.  Mild anxiety, low energy and low motivation
Meds: Amitriptyline (for pain, not depression), Clonidine (for sleep, not blood pressure)

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Re: Visit with Endocrinologist results in no action
« Reply #1 on: June 20, 2016, 08:44:07 pm »

golfboy307

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Re: Visit with Endocrinologist results in no action
« Reply #2 on: June 21, 2016, 09:21:11 am »
Jonny,

I forgot if you mentioned your age in a previous post, but you are obviously interested in fertility.  I would definitely hook up with an anti aging male doctor who specializes in HRT.  Defy Medical seems to be a great option, who also actively participate in this site.  I use a local doc affiliated with Body Logic and have been pleased with the results as well.  You need someone who understands not only the TRT option, but also Clomid and/or HCG. 

I was miserable in the 300-400 range (with low free T).  It has really helped.
Age 49, 5'10, 155 lbs
Cholesterol 167 (HDL 47, LDL 114, Trigs 78, LDL-P 1235 Borderline)
Fasting Glucose 90 (down from 97 pre TRT)
A1C:  5.2 (down from 5.7 per TRT)
Homocysteine:  12.4 > 11.0 > 10.2 using B vitamin therapy.  MTHFR positive 

BP  120/78 (using plant based diet and 10 mg Lisinopril ACE Inhibitor)  145/90 prior to meds.

Current protocol:  60 mg Test Cyp IM every 5 days. Adding 0.25 mg Anastrozole 1/wk. 
2/15/17 labs:  Total T (peak day): 1169 (250 - 1100 ng/dl).  Free T 198 pg/ML (46-225).  Sensitive E2: 40 High.  PSA 0.2  Hemocrit 44.2. SHBG: 32

Pre HRT numbers:
Total T  440 >> 375 >> 512 (Mar 16)
Free T  50 pg/ml (35 -155) LOW (Mar 16)
SHBG:  45 (HIGH Normal)  (10-50 nmol/L)
Estradiol (Ultrasensitive):  14 LOW (15 - 26 pg/ml)

Supplements:  Multivitamin, plus additional B12, B6, D, K2, Fish Oil, Magnesium, and Coq10

Evening stack:  2g Arginine, 100 mg Pycnogenol, 2.5G Kyolic garlic, 2g Vitamin C.  2 mg Cialis EOD

JonnyV

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Re: Visit with Endocrinologist results in no action
« Reply #3 on: June 21, 2016, 01:34:58 pm »
Finding a natural cause for low-T can take patience (and possibly money, as you suggest). But correcting nutritional issues definitely can help a lot. I had a very large increase in T, just from adding olive oil to my diet (I just sort of figured this out by accident).
Really? That is interesting...I wonder what you were deficient in. How big was the jump?
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JonnyV

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Re: Visit with Endocrinologist results in no action
« Reply #4 on: June 21, 2016, 01:37:16 pm »
Jonny,

I forgot if you mentioned your age in a previous post, but you are obviously interested in fertility.  I would definitely hook up with an anti aging male doctor who specializes in HRT.  Defy Medical seems to be a great option, who also actively participate in this site.  I use a local doc affiliated with Body Logic and have been pleased with the results as well.  You need someone who understands not only the TRT option, but also Clomid and/or HCG. 

I was miserable in the 300-400 range (with low free T).  It has really helped.
Hey bud, thanks for posting. I am 31. I would like to link up with Defy, but I am based in San Diego. Didn't seem like they had any facilities here, unless I am mistaken.

With the right protocol (cycling with hCG or Clomid), is it feasible to retain fertility? I am considering banking some sperm as well as an insurance policy.

Yes, between 300-400 has been hell for me. 455 I was actually ok, but still room for improvement.
My biology, up for the world to see - http://www.opensourcejonny.com

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Re: Visit with Endocrinologist results in no action
« Reply #4 on: June 21, 2016, 01:37:16 pm »

PLEASE SUPPORT THE SITE AND GIVE AN AMAZON REVIEW IF POSSIBLE:


Hoosier52

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Re: Visit with Endocrinologist results in no action
« Reply #5 on: June 21, 2016, 01:54:14 pm »
Jonny,

I forgot if you mentioned your age in a previous post, but you are obviously interested in fertility.  I would definitely hook up with an anti aging male doctor who specializes in HRT.  Defy Medical seems to be a great option, who also actively participate in this site.  I use a local doc affiliated with Body Logic and have been pleased with the results as well.  You need someone who understands not only the TRT option, but also Clomid and/or HCG. 

I was miserable in the 300-400 range (with low free T).  It has really helped.
Hey bud, thanks for posting. I am 31. I would like to link up with Defy, but I am based in San Diego. Didn't seem like they had any facilities here, unless I am mistaken.

With the right protocol (cycling with hCG or Clomid), is it feasible to retain fertility? I am considering banking some sperm as well as an insurance policy.

Yes, between 300-400 has been hell for me. 455 I was actually ok, but still room for improvement.

Defy is licensed in all 50 states. They can treat you where you are. I'm in the process of making them my HRT provider. Call them and ask. I think you'll be pleasantly surprised at what they can do for you.

Mr.L

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Re: Visit with Endocrinologist results in no action
« Reply #6 on: June 21, 2016, 01:56:03 pm »
Jonny,

I forgot if you mentioned your age in a previous post, but you are obviously interested in fertility.  I would definitely hook up with an anti aging male doctor who specializes in HRT.  Defy Medical seems to be a great option, who also actively participate in this site.  I use a local doc affiliated with Body Logic and have been pleased with the results as well.  You need someone who understands not only the TRT option, but also Clomid and/or HCG. 

I was miserable in the 300-400 range (with low free T).  It has really helped.
Hey bud, thanks for posting. I am 31. I would like to link up with Defy, but I am based in San Diego. Didn't seem like they had any facilities here, unless I am mistaken.

With the right protocol (cycling with hCG or Clomid), is it feasible to retain fertility? I am considering banking some sperm as well as an insurance policy.

Yes, between 300-400 has been hell for me. 455 I was actually ok, but still room for improvement.

I am in the land of OZ and I use Defy. You can to; just give them a call.

golfboy307

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Re: Visit with Endocrinologist results in no action
« Reply #7 on: June 21, 2016, 02:17:53 pm »
Yes, at 31 with T numbers that low you are probably pretty miserable.  The thought with Clomid is that it boosts your own body's T production without shutting down your testicles, hence preserving sperm production.  HCG is used primarily when on TRT to help with the same thing.  I will defer to the experts on how effective these methods are for that.  But anecdotally guys on this site have reported several pregnancies...

As the other guys said, Defy does everything remotely, and very well as reported many times.
Age 49, 5'10, 155 lbs
Cholesterol 167 (HDL 47, LDL 114, Trigs 78, LDL-P 1235 Borderline)
Fasting Glucose 90 (down from 97 pre TRT)
A1C:  5.2 (down from 5.7 per TRT)
Homocysteine:  12.4 > 11.0 > 10.2 using B vitamin therapy.  MTHFR positive 

BP  120/78 (using plant based diet and 10 mg Lisinopril ACE Inhibitor)  145/90 prior to meds.

Current protocol:  60 mg Test Cyp IM every 5 days. Adding 0.25 mg Anastrozole 1/wk. 
2/15/17 labs:  Total T (peak day): 1169 (250 - 1100 ng/dl).  Free T 198 pg/ML (46-225).  Sensitive E2: 40 High.  PSA 0.2  Hemocrit 44.2. SHBG: 32

Pre HRT numbers:
Total T  440 >> 375 >> 512 (Mar 16)
Free T  50 pg/ml (35 -155) LOW (Mar 16)
SHBG:  45 (HIGH Normal)  (10-50 nmol/L)
Estradiol (Ultrasensitive):  14 LOW (15 - 26 pg/ml)

Supplements:  Multivitamin, plus additional B12, B6, D, K2, Fish Oil, Magnesium, and Coq10

Evening stack:  2g Arginine, 100 mg Pycnogenol, 2.5G Kyolic garlic, 2g Vitamin C.  2 mg Cialis EOD

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Re: Visit with Endocrinologist results in no action
« Reply #7 on: June 21, 2016, 02:17:53 pm »


JonnyV

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Re: Visit with Endocrinologist results in no action
« Reply #8 on: June 21, 2016, 04:48:23 pm »
Defy is licensed in all 50 states. They can treat you where you are. I'm in the process of making them my HRT provider. Call them and ask. I think you'll be pleasantly surprised at what they can do for you.

I see, so they would work remotely with me? I am not opposed to that, but working with someone in person is better to me.
My biology, up for the world to see - http://www.opensourcejonny.com

JonnyV

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Re: Visit with Endocrinologist results in no action
« Reply #9 on: June 21, 2016, 04:49:10 pm »
I am in the land of OZ and I use Defy. You can to; just give them a call.

Thanks bud.

Yes, at 31 with T numbers that low you are probably pretty miserable.  The thought with Clomid is that it boosts your own body's T production without shutting down your testicles, hence preserving sperm production.  HCG is used primarily when on TRT to help with the same thing.  I will defer to the experts on how effective these methods are for that.  But anecdotally guys on this site have reported several pregnancies...

As the other guys said, Defy does everything remotely, and very well as reported many times.

Gotcha, I will give them a call soon. Thanks guy.
My biology, up for the world to see - http://www.opensourcejonny.com

PeakT

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Re: Visit with Endocrinologist results in no action
« Reply #10 on: June 21, 2016, 11:19:01 pm »
Defy is licensed in all 50 states. They can treat you where you are. I'm in the process of making them my HRT provider. Call them and ask. I think you'll be pleasantly surprised at what they can do for you.

I see, so they would work remotely with me? I am not opposed to that, but working with someone in person is better to me.

Yes, they order your labs, you get them pulled, have a call with Dr. Saya or Crisler and then your meds are shipped to if appropriate.  Dr. Saya is running my TRT now and Dr. Crisler is legendary - just do a search and you'll see his name all over.  (He still runs All Things Male.)

Please note that that they are currently a site sponsor, Johnny. 
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

JonnyV

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Re: Visit with Endocrinologist results in no action
« Reply #11 on: June 22, 2016, 10:36:06 pm »
Yes, they order your labs, you get them pulled, have a call with Dr. Saya or Crisler and then your meds are shipped to if appropriate.  Dr. Saya is running my TRT now and Dr. Crisler is legendary - just do a search and you'll see his name all over.  (He still runs All Things Male.)

Please note that that they are currently a site sponsor, Johnny.
Thanks for the info Peak. I am going to try some micronutrient interventions for a couple of weeks before I go the TRT route, but if I do it will be with them.
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PeakT

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Re: Visit with Endocrinologist results in no action
« Reply #12 on: June 23, 2016, 04:00:49 am »
Thanks for the info Peak. I am going to try some micronutrient interventions for a couple of weeks before I go the TRT route, but if I do it will be with them.

As I mentioned, I will probably have a few ideas/comments for you as well.

Let us know how it goes.
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements. Yes, low T and E.D. are usually medical conditions.  There are potential risk with HRT:  http://www.peaktestosterone.com/testosterone_risks.aspx.
My Health History: http://www.peaktestosterone.com/My_Health_Story.aspx.
And check out my new Peak Testosterone Program on the right side of my home page: http://www.peaktestosterone.com.

cujet

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Re: Visit with Endocrinologist results in no action
« Reply #13 on: June 23, 2016, 06:01:55 am »
What's your weight? Being overweight, even just a little is never good for T levels.
53 years old
Autoimmune Hashimoto's, near zero natural T production
Cause: severe mononucleosis in my early 30's
Weight 200
Height 5' 10"
Very active, daily workouts and some cardio.
0.75g compounded 10% T cream, rotated daily to shaved armpits, shaved shoulders, remainder on scrotum
169Mg WPthyroid (same as old Armour formulation)
Perfect bloodwork labs (Mar 2017) , my T=702, TSH 0.5, other thyroid levels normal.


Daily workouts with weights, low-glycemic diet, high in clean protein, very low carb (salad/fish/low fat meats, uncooked veggies, nothing else, ever) Carbs/starch can cause me to have intestinal problems, so I avoid them.

JonnyV

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Re: Visit with Endocrinologist results in no action
« Reply #14 on: June 23, 2016, 02:59:09 pm »
As I mentioned, I will probably have a few ideas/comments for you as well.

Let us know how it goes.

Thanks bud! I am currently taking Vitamin A, D, K2, selenium, and Krill oil. Thinking about taking Zinc. Would love to hear your thoughts.

My doctor is giving me pushback on doing a micronutrient panel....grrrr :(
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Re: Visit with Endocrinologist results in no action
« Reply #14 on: June 23, 2016, 02:59:09 pm »