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Messages - WorldlyPatriot

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Victor:  That 131 is VERY low.  It is going to be very hard for anything to work for you with testosterone that low. 
This is not good news, for me, either.

On May 10, 2012, my total testosterone was 99.  I have most of the typical symptoms, and many are severe.

I sent an e-mail to Dr. E. Barry Gordon, MD, because he has an excellent website, and he encourages questions from readers.  He's NOT my treating physician.  I told him of my serum total testosterone level of 99, and my treatment, and this is how he replied:

"I treat nearly 2,000 men in my clinics.  It's rare for anyone to present with a total testosterone level of less than 150.  I'm not optimistic about your current treatment regimen (testosterone cypionate, 200mg, every two weeks).  About 80% of my patients require 400mg.  Some require 600mg, and a small percentage need only 300mg.  Very few get by with 200mg."

I shared Dr. Gordon's e-mail and conclusions with my treating physician.  I politely, in writing, requested a dosage increase to 400mg.

My treating physician's response:

"It appears you also have a high level of a female hormone.  I would like to call-in a prescription for you to attempt to reduce the level of the female hormone.  Let's see if that works.  If not, we may have to increase your dosage of testosterone cypionate."

I accepted the physician's response. 

Unfortunately, the doctor failed to follow through on his promise.  He never called in a prescription.  That was 12 days ago, and I'm scheduled for my next injection in two days.

How do you think I should handle this situation? 

It's important to note that I paid an exorbitant amount for six months of injections and blood work.  I was forced to pay, in advance.  Yes, I was ignorant, but I was also desperate because I felt SO BAD!  I will share that information (cost) if anyone wants to know it, and if it doesn't violate any forum rules.  How do I know the cost is exorbitant?  Dr. Gordon told me he pays about $20.00 for an injection (his cost from supplier), and he charges a reduced-cost office visit (which many insurance companies pay for). 

Please note that Dr. Gordon was NOT trying to lure me to his clinic.  I live over 1,000 miles from his closest office, and he knows it.

1.  Do you think that low testosterone caused your depression or the other way around?
Since this is my first post, I'd like to say that I will eventually get around to introducing myself.  I started TRT on May 10, and I may have something to contribute to the forum, and you can help me (I hope!)

To answer the question, I can't say, for sure.  I hate to admit it, but I have taken antidepressants, extensively, for many years.  Nothing has helped, so far.  My TRT, to date, has done nothing for my depression, irritability, lack of libido, and unusual weakness.  But, it's early.  I've had six injections in 12 weeks (200mg testosterone cypionate).
2.  Do you think that any meds you were taking for depression created any kind of sexual dysfunctions?
Absolutely!  The main sexual side effect, for me, was difficulty in reaching orgasm, or delayed orgasm.  For guys with premature ejaculation problems, I've read that some have been treated with an antidepressant.
3.  Any tips for guys going through the same thing?  Did anything make a big difference?  (For some of you it may be testosterone!)
The jury is still out.  I'm waiting for my latest blood test (total testosterone and free testosterone).  Unfortunately, after six injections, the only thing I've noticed is a return of early-morning erections, which were absent for a long time.

In summary, I will write more, later, on my experience with TRT.


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