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Author Topic: Starting HRT program  (Read 25006 times)

Quincy

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Re: Starting HRT program
« Reply #15 on: May 03, 2012, 08:33:47 pm »
There's a huge block of men that are symptomless in the hypogonadal range.  That seems bizarre to you and me.  I don't know how they walk around with T of 300 and survive - I was just miserable myself and I know you were too.  But a big percentage of guys aren't.  Trust me - they'll take T readings all the time and tell a guy, "You're low in T" and the guy will say "I didn't know..."

But to that I can say, "You shouldn't ignore symptoms!"  Isn't that what medicine is all about?!?

And they should not ignore all the studies that show long term health issues with low testosterone.  At the very least, they should advise their patients of the potential risks if they're not going to treat them!

I think also you can get lulled into thinking what you are feeling is just getting older. It can be a vicious circle where you don't have any energy and you just keep pushing yourself regardless. In my case, I would have occasional days where I felt much better physically, but there just weren't that many. I was always trying to figure out what I did different on those rare days of feeling quite good. It never occurred to me it could be a chemical imbalance.

PeakT, you said you had low T for a number of years without knowing about it, didn't you? I assume you finally got on HRT, but I was curious if all the other lifestyle changes you've made allowed you to get off of HRT?

56yo, Pre  T level 239
Previous dosage 180mg T.cypionate weekly BW @ 1056 on 7th day of cycle
Previous dosage 100mg T.cypionate weekly BW @   414 on 7th day of cycle

Current dosage  140mg T.cypionate weekly

PeakT

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Re: Starting HRT program
« Reply #16 on: May 03, 2012, 09:17:10 pm »
There's a huge block of men that are symptomless in the hypogonadal range.  That seems bizarre to you and me.  I don't know how they walk around with T of 300 and survive - I was just miserable myself and I know you were too.  But a big percentage of guys aren't.  Trust me - they'll take T readings all the time and tell a guy, "You're low in T" and the guy will say "I didn't know..."

But to that I can say, "You shouldn't ignore symptoms!"  Isn't that what medicine is all about?!?

And they should not ignore all the studies that show long term health issues with low testosterone.  At the very least, they should advise their patients of the potential risks if they're not going to treat them!

I think also you can get lulled into thinking what you are feeling is just getting older. It can be a vicious circle where you don't have any energy and you just keep pushing yourself regardless. In my case, I would have occasional days where I felt much better physically, but there just weren't that many. I was always trying to figure out what I did different on those rare days of feeling quite good. It never occurred to me it could be a chemical imbalance.

PeakT, you said you had low T for a number of years without knowing about it, didn't you? I assume you finally got on HRT, but I was curious if all the other lifestyle changes you've made allowed you to get off of HRT?

Very well said.

You'll see I don't give many personal details.  Remember:  I'm the only one that is not anonymous on this board.
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.

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Re: Starting HRT program
« Reply #16 on: May 03, 2012, 09:17:10 pm »


FightLowT

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Re: Starting HRT program
« Reply #17 on: May 03, 2012, 10:05:04 pm »
There's a huge block of men that are symptomless in the hypogonadal range.  That seems bizarre to you and me.  I don't know how they walk around with T of 300 and survive - I was just miserable myself and I know you were too.  But a big percentage of guys aren't.  Trust me - they'll take T readings all the time and tell a guy, "You're low in T" and the guy will say "I didn't know..."

But to that I can say, "You shouldn't ignore symptoms!"  Isn't that what medicine is all about?!?

And they should not ignore all the studies that show long term health issues with low testosterone.  At the very least, they should advise their patients of the potential risks if they're not going to treat them!

I think also you can get lulled into thinking what you are feeling is just getting older. It can be a vicious circle where you don't have any energy and you just keep pushing yourself regardless. In my case, I would have occasional days where I felt much better physically, but there just weren't that many. I was always trying to figure out what I did different on those rare days of feeling quite good. It never occurred to me it could be a chemical imbalance.

PeakT, you said you had low T for a number of years without knowing about it, didn't you? I assume you finally got on HRT, but I was curious if all the other lifestyle changes you've made allowed you to get off of HRT?

Very well said.

You'll see I don't give many personal details.  Remember:  I'm the only one that is not anonymous on this board.

Lee you got to give us some details about your experiences with this. ;) It's starting to become something like the history of Tom Hanks's character in Saving Private Ryan. All the guys in his company were trying to figure out who he was back home and it was a big secret he harmlessly indulged in. Understanding and comradery is abundant here ,but at times I wish there was a bit more inspiration for all of us here to use and benefit from. Hell I'll even start a thread that suggests each member donate $5.00 to your paypal account for some insight as to whether your life has dramatically improved wirth treatment or for a brief synopsis of what you endured and what effect it had on your life...And by the way I don't believe Lee Myer is your real name , it's a pseudonym isn't it? See..I knew I was right..That helps doesn't it?.. :)

PeakT

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Re: Starting HRT program
« Reply #18 on: May 04, 2012, 12:35:33 am »
Well, let me think about it. 

If it wasn't for my kids I wouldn't hesitate.  But I don't really want them going to school some day and having someone say, "Isn't your dad Captain Erection?" 
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: Starting HRT program
« Reply #18 on: May 04, 2012, 12:35:33 am »


FightLowT

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Re: Starting HRT program
« Reply #19 on: May 04, 2012, 01:01:48 am »
Well, let me think about it. 

If it wasn't for my kids I wouldn't hesitate.  But I don't really want them going to school some day and having someone say, "Isn't your dad Captain Erection?"

Aww Lee that is simple to rectify. Just tell your kids to respond with "actually it's General erection and he just got promoted to five stars"...They can tell the other kids to ask their mother if dad is having any problems and maybe you could help him as well..Ok yeah that second part is a bit much...Sometimes I go too far. I'm the first to admit it though.. ;)

NoMojo

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Re: Starting HRT program
« Reply #20 on: May 04, 2012, 01:58:05 am »
i was pretty shocked when he did my bone density last month...."osteopenia in the spinal column" it read. I'm not in my 20's but I'm not old either! work out hard, exercize, eat right, etc, and here i am with essentially pre-osteoporosis. Yikes.

Just another reminder of the insidious things low T (my counts in lower 200s) can do.

He made sure to tell me to immediately start on at least 500 milligrams of calcium a day.

Really anticipating my T level and estrogen/estrodiol results next week after 5 months on Clomid.

That would be scary. Hopefully you can reverse it now that you are aware of it. After i found out about the low scores i  started back with my calcium and magnesium Vitamins, also started back on Vitamin D drops. Good luck with your next set of blood tests!

NoMojo

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Re: Starting HRT program
« Reply #21 on: May 04, 2012, 03:14:56 am »

Estradiol is low.


That's concerning.  You want to get on top of that. 

For example:

https://www.peaktestosterone.com/forum/index.php?topic=107.30

Going to bring that up with the Endo. Hopefully he can get me a bone density check to see how much damage has been done.

Your Free T isn't very high so this makes sense that your estrogen is a bit low because there isn't adequate free T to effectively aromatize into E2 and DHT. Estrogen is much more important than many doctors give it credit for in men. In fact Dr. Eugene Shippen considers estrogen in men to be of the utmost importance. When I first had my Free T taken a year ago it was around 11 and it was taken 8:30AM. A little higher than yours but not much. I then had estradiol checked about 3 weeks later and it was also on the low side at 17 pg/ml. I equate this again to just having sub-optimal Free T.

BTW don't let that endo tell you that you are normal. They often like to do that because they don't know what they are doing and are afraid to admit it (after all they are specialists..lol). Most bad doctors are not able to swallow their pride and tell you they don't know what they are doing and instead just blow you off. Hey if you were that full of shit wouldnt you? Good doctors on the other hand are more likely to try and refer you to someone who is supposed to know what they are doing and are not afraid or ashamed to say they don't know or are willing to learn.  If the endo tries to tell you that then you tell the little "over-schooled and under-educated qwak" that you want your damn $50 co-pay back. It's been my experience along with many others here that endo's know about as much regrading HRT and the importance of male vitality for quality of life as much as Richard Simmons knows what a woman's lower anatomy looks like.

Qwaks beware!!!
FightLowT is coming to get ya!!!

Thanks for the info. I have read these types of stories, about Endo's, in several threads. I brought that up with my doctor. I asked hows the Endo. Am i going to get comments like, your in the normal range, there's no problem here. The doc said," Oh no, hes very good. Hypogonadism is more in the spotlight now, so they are taking it more seriously". Which made me feel better. But we will see once I get there. I agree, its hit and miss with doctors. I changed doctors 3 times before i found this one.

NoMojo

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Re: Starting HRT program
« Reply #22 on: May 04, 2012, 03:22:24 am »
Well, let me think about it. 

If it wasn't for my kids I wouldn't hesitate.  But I don't really want them going to school some day and having someone say, "Isn't your dad Captain Erection?"

Totally understandable. I'm just glad your here to give helpful advice. Thanks!
Would also like to thank everyone for the support so far.

PeakT

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Re: Starting HRT program
« Reply #23 on: May 04, 2012, 03:43:18 am »

Aww Lee that is simple to rectify. Just tell your kids to respond with "actually it's General erection and he just got promoted to five stars"...They can tell the other kids to ask their mother if dad is having any problems and maybe you could help him as well..Ok yeah that second part is a bit much...Sometimes I go too far. I'm the first to admit it though.. ;)

Okay, remind me not to hire you as my press secretary. :) 

I don't think you remember what it's like.  There's no reasoning on the playground.  It's Lord of the Flies out there...
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.

NoMojo

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Re: Starting HRT program
« Reply #24 on: May 06, 2012, 04:23:51 pm »
New blood work results(taken at 9:00am):

Cortisol AM                       9.4        6.2-19.4
DHEA-S                            188.1    160-449
FSH                                  1.9        1.5-12.4
LH                                    1.7        1.7-8.6
Testosterone Total          318       348-1197
Testosterone Free Direct 5.3        8.7-25.1
« Last Edit: May 06, 2012, 04:27:35 pm by NoMojo »

PeakT

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Re: Starting HRT program
« Reply #25 on: May 06, 2012, 11:01:45 pm »
New blood work results(taken at 9:00am):

Cortisol AM                       9.4        6.2-19.4
DHEA-S                            188.1    160-449
FSH                                  1.9        1.5-12.4
LH                                    1.7        1.7-8.6
Testosterone Total          318       348-1197
Testosterone Free Direct 5.3        8.7-25.1

Ouch!  That free is low. 
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.

NoMojo

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Re: Starting HRT program
« Reply #26 on: May 07, 2012, 12:01:59 am »
Yeah, LH is low too. So i'm assuming the reason for my low T is because my pituitary/ hypothalamus is not sending the proper signal to create enough T. Wish my referral  to the endo would get here.

PeakT

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Re: Starting HRT program
« Reply #27 on: May 07, 2012, 01:49:32 pm »
Yeah, LH is low too. So i'm assuming the reason for my low T is because my pituitary/ hypothalamus is not sending the proper signal to create enough T. Wish my referral  to the endo would get here.

Sounds like it...I know it's hard to wait when you feel terrible - been there...
« Last Edit: May 07, 2012, 01:52:55 pm 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.

NoMojo

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Re: Starting HRT program
« Reply #28 on: July 19, 2012, 03:00:58 am »
Update:

Went to the Endo and he had me get an MRI just to make sure nothing is going on up there. The MRI came back clean. So now he put me on Clomid. He says he is trying to trick my pituitary into thinking i don't have enough estrogen, so it will tell my testicles to produce more testosterone .  I've been on it for 2 weeks and felt no difference. Today i went in for another set of blood work. So now i'm waiting for the results. This is taking forever :(


PeakT

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Re: Starting HRT program
« Reply #29 on: July 19, 2012, 03:53:30 am »
Update:

Went to the Endo and he had me get an MRI just to make sure nothing is going on up there. The MRI came back clean. So now he put me on Clomid. He says he is trying to trick my pituitary into thinking i don't have enough estrogen, so it will tell my testicles to produce more testosterone .  I've been on it for 2 weeks and felt no difference. Today i went in for another set of blood work. So now i'm waiting for the results. This is taking forever :(

Two weeks is much too early.  Your testosterone is probably significantly significantly but it is very common for it to take months before you can feel the difference.  So be patient.

Also, remember that Clomid affects everyone differently.  Unfortunately, it can feel a little "estrogenic" in some men.  They get a boost in T but little or nothing in the libido category for example.  But give it time and see how you feel.

Also, make sure you are doing everything you can in terms of lifestyle to get at every root cause:  exercise, whole foods clean diet, sleep, stress reduction, reducing immoderate drinking, eliminating recreational drugs, etc.  Get everything working for you that you can (if you're not already)...
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: Starting HRT program
« Reply #29 on: July 19, 2012, 03:53:30 am »