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Author Topic: Why is the medical community so against the low testosterone issue?  (Read 7393 times)

fixme

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Hi,

The data on this site shows that young people (20's, early 30's) with 300-400 range testosterone is considered low and causing all sorts of health issues, why is the medical community so against it?  I have been having libido, fatigue, and ed issues for the last 5 years, starting from 26.  Every single doctor, until recently, has said it's all in my head.  I've been told that testosterone accounts for less than 5% of the ED issues in young people. 

However, I'm thinking that if this is so common and that the traditional medical community has it wrong, why has it taken so long to spread?  I don't know if my issues are due to testosterone, but does it really hurt me to try HRT for a few months to bring it from 300 to 800 and see if it cures me? I just don't get this.

PeakT

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Re: Why is the medical community so against the low testosterone issue?
« Reply #1 on: March 28, 2013, 04:51:58 am »
This is a big subject, but let me just give a few highlights:

--Part of it is a carrover from concerns about prostate cancer.  It is a fact that anti-androgens seem to help prostate cancer and some research indicates that existing prostate cancer is fueled by testosterone.  Right now almost of all those concerns have been allayed from a variety of studies.  Talk to your doctor, of courrse, about his understanding, but basically once a few big studies showed no increased prostate cancer risk for men on HRT, Big Pharma got involved and are now pushing Androgel and soon Testim.  Plus, many other products came out as well and HRT clinics and so on.  This is why things are changing now.  However, many doctors still have the concerns about prostate cancer on the back of their mind.  And who knows?  Maybe some subpopulations will be found to have issues in the future?  None of us has a crystal ball...

--An association with steroid use.  Guess who uses testosterone cypionate?  Many men on HRT.  Guess who else uses testosterone cypionate?  Steroid users.  Many doctors still associate HRT with steroids.  Basically, the docs feel like men are just trying to get testosterone to get a unneeded boost of confidence in the bedroom or even to build some muscle.  Of course, that's because it's not THEM with low testosterone.  If they were hypogonadal, they'd be crying like a schoolgirl and self-injection by sunup. 

--Incorrect protocols.  Some of the doctors have not had stellar success.  Why?  Because they prescribe Androgel and that has common absorbency issues.  Or because they gave injections every two weeks such that men have estrogen spikes and four days of low testosterone end of cycle.  These kind of mistakes can lead docs to believe that HRT is of debatable value.  I know that HRT clinics will tell you that they have a very high success rate because they 1) go for the 600-900 range and 2) manage estradiol.  NOTE:  Not all men will respond to testosterone treatment.  The reason, of course, is that they have other root causes, usually endothelial. 
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: Why is the medical community so against the low testosterone issue?
« Reply #1 on: March 28, 2013, 04:51:58 am »


JackAndy

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Re: Why is the medical community so against the low testosterone issue?
« Reply #2 on: March 28, 2013, 06:42:20 am »
It's a schedule III controlled substance under the Controlled Substances Act. That just puts a stigma on it because now it's in the category as Ketamine, zolazepam, opium, morphine and codeine. Politicians decided these categories and it was an international treaty. It was started by President Nixon in 1969.

So it's really just political and cultural and doesn't have a whole lot to do with science or medicine. A lot of decisions doctors make are like that but they have no choice. Obviously testosterone doesn't belong in these categories however because unlike opium, we are all born addicted to testosterone and we all need it to live.
Age:29
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150mg Test-E/week

PeakT

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Re: Why is the medical community so against the low testosterone issue?
« Reply #3 on: March 28, 2013, 01:53:52 pm »
It's a schedule III controlled substance under the Controlled Substances Act. That just puts a stigma on it because now it's in the category as Ketamine, zolazepam, opium, morphine and codeine. Politicians decided these categories and it was an international treaty. It was started by President Nixon in 1969.

So it's really just political and cultural and doesn't have a whole lot to do with science or medicine. A lot of decisions doctors make are like that but they have no choice. Obviously testosterone doesn't belong in these categories however because unlike opium, we are all born addicted to testosterone and we all need it to live.

I agree with you overall.  However, guys tend to abuse anything that boosts testosterone, muscle, erections, etc.  Not all, but many of us are like women with cosmetic surgery:  we don't know when to stop and will go until we are freakish.
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: Why is the medical community so against the low testosterone issue?
« Reply #3 on: March 28, 2013, 01:53:52 pm »


Ken

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Re: Why is the medical community so against the low testosterone issue?
« Reply #4 on: March 28, 2013, 09:38:54 pm »
Yep !  I see a lot of those "freakish" guys every time I go to the gym!  ;) ;D 8)
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fixme

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Re: Why is the medical community so against the low testosterone issue?
« Reply #5 on: March 28, 2013, 10:30:26 pm »
Thanks for the replies and this makes sense. It's sad that doctors don't pay more attention to this as a possible path.  I don't want to get roided out at the gym or anything like that. I just want a normal erection and libido.  I searched the site for data about this but couldn't find any.

How many people have their ED/libido fixed by going from 300 T levels to normal range (600-700)?

I am almost certain that my problems are not physical/arterial because I've had two doppler ultrasounds and other tests.  I probably have some performance anxiety at this point, but I don't think it should be causing full blown ED at this point as I've worked with therapists for over a year. I have also done kegels and have not watched porn in 1.5 years and rarely masturbate.  This T thing is really my last hope, otherwise I'm stumped.

JackAndy

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Re: Why is the medical community so against the low testosterone issue?
« Reply #6 on: March 29, 2013, 01:21:07 am »
I agree with you overall.  However, guys tend to abuse anything that boosts testosterone, muscle, erections, etc.  Not all, but many of us are like women with cosmetic surgery:  we don't know when to stop and will go until we are freakish.

Good point. That might be more of a cultural thing because steroids are completely legal here in Japan as well as most of Asia. Sometimes the steroids abuse happens, like with the Japanese WFC team and some sumo wrestlers but in general most guys aren't even interested in working out much less being extremely muscular. There must be something telling American guys that they need to be alpha males or they aren't ok, like they have to be the biggest and strongest guy and this represents their masculinity or defines it.
Age:29
5'11" 190 lbs
150mg Test-E/week

Sam

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Re: Why is the medical community so against the low testosterone issue?
« Reply #7 on: March 29, 2013, 03:51:36 am »

I agree with you overall.  However, guys tend to abuse anything that boosts testosterone, muscle, erections, etc.  Not all, but many of us are like women with cosmetic surgery:  we don't know when to stop and will go until we are freakish.


I'll second this on Hydrocortisone and T3 use.  In my research on these as part of my efforts to heal my adrenals and Thyroid, I stumbled across a couple steroid boards where guys were using Hydrocortisone for extra energy in the gym and T3 at very high levels basically discussing how to max it out without destroying their thyroids.  About the only thing I got from it is that the 5mcg my doctor prescribed was quite low.

PeakT

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Re: Why is the medical community so against the low testosterone issue?
« Reply #8 on: March 29, 2013, 04:06:04 am »
Thanks for the replies and this makes sense. It's sad that doctors don't pay more attention to this as a possible path.  I don't want to get roided out at the gym or anything like that. I just want a normal erection and libido.  I searched the site for data about this but couldn't find any.

How many people have their ED/libido fixed by going from 300 T levels to normal range (600-700)?

I am almost certain that my problems are not physical/arterial because I've had two doppler ultrasounds and other tests.  I probably have some performance anxiety at this point, but I don't think it should be causing full blown ED at this point as I've worked with therapists for over a year. I have also done kegels and have not watched porn in 1.5 years and rarely masturbate.  This T thing is really my last hope, otherwise I'm stumped.

Venous leakage is miserable.  Are you sure you've been getting regular erections?  If you haven't, then this could be an underlying issue.

Lots of guys get "fixed" by going from 300 to, say, 700.  But sometimes you have to also attack the venous leakage and/or endothelial issues.  The former can usually be solved by testosterone and regular erections - Kegels are great too usually - and the latter by those all-important lifestyle changes.

Hit this from multiple directions...
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

fixme

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Re: Why is the medical community so against the low testosterone issue?
« Reply #9 on: March 29, 2013, 04:12:20 am »
I am pretty sure that I get nightime erections every night and a few mornings. It goes away right when I get up though.  I tried kegels for a long time with no results.  I've use cialis and it helps a little but not much. In terms of lifestyle changes, I started meditating and reduced drinking.

PeakT

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Re: Why is the medical community so against the low testosterone issue?
« Reply #10 on: March 29, 2013, 04:23:02 am »
I am pretty sure that I get nightime erections every night and a few mornings. It goes away right when I get up though.  I tried kegels for a long time with no results.  I've use cialis and it helps a little but not much. In terms of lifestyle changes, I started meditating and reduced drinking.

Well, low testosterone and apnea would do it of course. 
« Last Edit: March 29, 2013, 04:26:17 am by PeakT »
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
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.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: Why is the medical community so against the low testosterone issue?
« Reply #10 on: March 29, 2013, 04:23:02 am »