went to endocrinologist today. She said we need to order the tests for you:
- testosterone serum
- complete metabolic panel
when I said I believe that estradiol is the reason for my anxiety attacks/palpitations/panics, she said maybe. And she is not completely discarding the possibility of using Arimidex as a part of treatment. She is not doing Testopel, clomid, or HCG. Only things she is prescribing are gels, patches, and injections.
She also suggested that my occasional sleep apnea might by contributing to low T. I asked her - I am 40, and my T is supposed to be ~500-600. It was 120-146. Do you REALLY believe that sleep apnea put me down 4-folds? This was a big red flag for me.
Another red flag is that "she will not put people on TRT if they are at 350". To me it sounds that she is one of the doctors who operates based on ranges, not symptoms.
Another red flag is - she starts people at 200 mg/ 2weeks. Which to me sounds like a bad way to administer T. Once or twice a week smaller dose seems to be a way to go.
So I have mixed feelings about continuing with her. On one hand, she seems to be willing to do comprehensive hormonal analysis (which is what I expected from the first visit). She is not opposed to use Arimidex, if needed. Which, again, does not mean she will not back out of it if it is "in the range".
On the downside - when I said a 40 yo male like me should have T~600, she said - where do you get this number? I was lost. If we do not agree on basic things then things are not going well.
Another minus - sleep apnea as a cause of low T. Wow, no kidding? Another minus - no HCG.
So what do you guys think? Should I look for a TRT clinic, which believes that estradoil may be an issue?? And which also is not opposed to HCG?
I was thinking in fact about scheduling a visit with Dr. Crisler.
Any input will be much appreciated.