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  #81  
Old 12 September 2018, 08:55
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Thanks for the thread. I got my T levels tested for the first time at 41 and they were in the very low 400s. The doc said it was in range and normal. Every year it has been dropping by few points, 46yo now. My local health care provider has been recently bought out by a corporation and all the docs have left and it's now staffed by freshly graduated PAs that have to reference the books before doing anything. Local clinics are not very abundant, but I am close to two major MED centers. What would be the best option to hunting for a doc that will help. Should I be looking for an end at the MED centers?
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  #82  
Old 12 September 2018, 15:51
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Originally Posted by Cold1 View Post
Thanks for the thread. I got my T levels tested for the first time at 41 and they were in the very low 400s. The doc said it was in range and normal. Every year it has been dropping by few points, 46yo now. My local health care provider has been recently bought out by a corporation and all the docs have left and it's now staffed by freshly graduated PAs that have to reference the books before doing anything. Local clinics are not very abundant, but I am close to two major MED centers. What would be the best option to hunting for a doc that will help. Should I be looking for an end at the MED centers?

Polypro seems to be the the SME in this realm. I say that because I printed this thread out, whited-out any potential identifying information and brought it to the MD that is prescribing my TRT. He vetted/read it and acknowledged and agreed with what seemed to be about 90% of Ployís information. I say all of that because Poly has given advise in other threads about Testosterone. When I used the advanced search using keyword testosterone and his username 12 different threads came up. You may be able to look through those threads to help you find an awnser, while you await his response.

If I was in your shoes, I would use the google-machine and search for reviews of MDs that treat Low-T in your area. Vet the reviews, and run them through the base of knowledge Poly has provided in this and other threads and try to make an appointment with the MD you think will serve you best. I look at medical care as if I am my best advocate. I certainly am not qualified to understand all the inís and outís but, I can run other peopleís opinion of their MDís care through my knownledge base and determine where to go from there.

I went from the 180 range to the 800 range and I can not tell you how big of a difference that will make for you. Also keep in mind that it does not happen overnight, it takes a little while to see and understand the benefits. Iím lacking the HgC (HcG?) aspect and awaiting my MDís opinion on it. Thatís a huge component of TRT as I understand it. Good luck, brother. Thatís my simpleton 2 cents to your post/question.
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  #83  
Old 12 September 2018, 16:00
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Also, before starting TRT, I was a 237 pound, 5’11” 32 year-old male, that was lazy out of shape and miserable. Honestly, Didn’t think I could get out of my own way at times. After a year, I’m 192, going to the gym like a mad man, doing more pull-ups I’ve ever been able to do and I’ve never been in better shape. The 32-year-old 256 could beat the shit out of the 22 year-old 256. Again, just my experience only.
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Kiowas are small, carrying just two people; they fly so low the two flying soldiers are practically infantrymen.

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Last edited by 256; 12 September 2018 at 16:02. Reason: Grammar correction...I think..
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  #84  
Old 12 September 2018, 20:11
8654maine 8654maine is offline
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Originally Posted by Polypro View Post
HRT is for life - don't let anyone tell you otherwise. Your nuts don't magically return to pumping out 25 year old levels, when your 50.
This needs to be repeated and remembered!

I could care less what you folks do to your own bodies as long as you understand the consequences.

A couple of key points to remember.

(1) It's the symptoms, not the numbers (for the most part).
(2) You will be dependent on these meds for the long haul.
(3) As Poly states, you will need to be on multiple meds.
(4) Studies have mixed data.

You will be chemically castrated forever.

You'll be at the whim of Big Pharma, should they decide to treat androgen just like Epi or HIV meds.

I'm not an endocrinologist or Test specialist but I know my emergency medicine.

I have treated more than a few men who have blood clots and cardiac problems whose only risk factor was androgen replacement. I've had to console the family members of those I could not bring back.

These are not minor side effects.

I have recommended TRT to a few of my patients. Some I have not.

Just like diabetes or hypertension meds.

Caveat emptor and do your own research.
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  #85  
Old 12 September 2018, 21:37
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Just to be clear, I am not against HRT. I am for it.

Most men don't have balls anyways.

And most folks want to take the easy way. They would find that losing weight, exercising, moderating diet works wonders for their symptoms.

And their erection.

Just understand the consequences and have it monitored.
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  #86  
Old 12 September 2018, 21:59
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If this hasn't been posted yet...
Attached Files
File Type: pdf SOCOM test.pdf (281.9 KB, 71 views)
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  #87  
Old 14 September 2018, 06:58
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Finally got my 12 week supply. 200MG Cypionate x 12 vials. I'll inject 1/2 a vial now and the other 1/2 in 3.5 days. Is it better to inject at night before bed or in the AM?
Wow, they did twelve, 200mg/ml vials???? Tell your Doc that you can get three, 5ml vials and be within the law at that dosage

And, have you previously been at that dose? That's HIGH if you are just starting out. Please tell me that you also have Anastrozole (Arimidex)? If your nipples start lighting up on fire, make sure you can get an Aromatase Inhibitor fast. What about HCG?

When is your next scheduled blood draw to check all levels at that dosage? Make sure they are pulling Estrodiol using LC/MS/MS (The "Sensitive" Test).

The way it usually goes, is:

Blood draw to check Total and Free Testosterone, Estrodiol, Sex Hormone Binding Globulin (SHBG) and DHEA-S. Then start HRT with 100-125mg Testosterone Cypionate per week, along with ~1mg Anastrozole to control Estrogen. 25mg Sub-lingual DHEA morning and night, and 10units HCG every morning. Wait ~2 weeks (longer if you are just starting HRT, as your testes won't just shut off immediately and you read high in the beginning due to the injections + your natural production) and do another blood draw to check levels - adjust from there, based on Testosterone at the top of the physiological range (and really, it's the FREE T you really want to look at) with Estrogen in the 30's.

Anyway, to answer your question, I inject Mon AM and Thurs PM for a twice a week protocol.
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  #88  
Old 14 September 2018, 07:15
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Originally Posted by Cold1 View Post
Thanks for the thread. I got my T levels tested for the first time at 41 and they were in the very low 400s. The doc said it was in range and normal. Every year it has been dropping by few points, 46yo now. My local health care provider has been recently bought out by a corporation and all the docs have left and it's now staffed by freshly graduated PAs that have to reference the books before doing anything. Local clinics are not very abundant, but I am close to two major MED centers. What would be the best option to hunting for a doc that will help. Should I be looking for an end at the MED centers?
If you want to try and get insurance to cover it - your stuck playing "local doc roulette".

If you don't mind paying out of pocket, I'll pimp my guy:

https://www.drjohncrisler.com/index.html

Starting out is where the major cost is, but once you get dialed in, I pay about $250 every 4 months for the Test and HCG from Empower Pharmacy. I get a local Kroger Rx for Anastrozole ($6 using the GoodRx program, which is free) with a 1 year refill, and I get OTC sub-lingual DHEA and oral 100mg Pregnenolone online, from the Life Extension Foundation. Twice a year followups with John are $75, and Blood Work using Discounted Labs 'TRT Follow Up Panel' are $180.
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  #89  
Old 14 September 2018, 07:27
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Originally Posted by 256 View Post
Polypro seems to be the the SME in this realm.
Thanks, but like I said, I just relay what Dr. Crisler tells me
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  #90  
Old 14 September 2018, 07:30
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Thanks, but like I said, I just relay what Dr. Crisler tells me
Yeah, well you just rattle this stuff off like youíve been developing it through years of research lol
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  #91  
Old 14 September 2018, 09:15
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Yeah, well you just rattle this stuff off like youíve been developing it through years of research lol
I actually have done the research too, and having been "on" for 2 years, kinda hard to forget what you do yourself But I never type anything that hasn't come from Dr. J and worked on my N=1 ass
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  #92  
Old 14 September 2018, 13:58
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Originally Posted by Polypro View Post
I actually have done the research too, and having been "on" for 2 years, kinda hard to forget what you do yourself But I never type anything that hasn't come from Dr. J and worked on my N=1 ass
I never heard the word ďgearĒ used the way itís used in our circumstance..thanks for the tips
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Kiowas are small, carrying just two people; they fly so low the two flying soldiers are practically infantrymen.

- Excerpt from Gates of Fire, Michael Yon
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  #93  
Old 16 September 2018, 06:43
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God forgive me because I am a pervert, but every time I got back to "the world" I wanted to drill (multiple times) every hot chick I saw.
I am at the point in my life, I still want to, but once is about all that I can handle! Father time has taken it's toll, not PTSD.
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What's an 11? A 10 that swallows.
y

Got on to forward some of this info to a Vet buddy of mine and somehow missed these, well played, well played indeed..
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  #94  
Old 16 September 2018, 06:58
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That's great. I'm hoping I can connect with Poly's guy before too long.
Not sure what your status with the VA is and certainly not asking, but they treated mine originality.
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Kiowas are small, carrying just two people; they fly so low the two flying soldiers are practically infantrymen.

- Excerpt from Gates of Fire, Michael Yon
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  #95  
Old 24 September 2018, 12:51
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Can I get a list of lab work that needs to be done?

Thanks.
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  #96  
Old 24 September 2018, 12:58
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Can I get a list of lab work that needs to be done?

Thanks.
Talk to your primary Cary Dr. an tell them what you would like checked an request all the Blood work that is required.

DON"T Take No for an answer!
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  #97  
Old 24 September 2018, 17:15
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Originally Posted by Expatmedic View Post
Can I get a list of lab work that needs to be done?

Thanks.
Technically, the bare minimum would be:

Total Testosterone
Free Testosterone
Estrodiol (E2) *using* the LC/MS/MS (Liquid Chromatography Tandem Mass Spec) "Sensitive" Test.
Sex Hormone Binding Globulin (SHBG)

This would be in addition to a CBC (for RBC/Hemoglobin/Hematocrit) and a CMP.

I'd do a DHEA-S pull at least once a year.

If you are older/never had one, I'd get a PSA (Prostate Specific Antigen) done (no sex/masturbation for a few days leading up the the blood draw - it will skew the results)

If you're going through a "regular" doc, they may pull Thyroid, but unless you have clinical hypothyroid symptoms, I wouldn't pay for that myself, personally.
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  #98  
Old 26 September 2018, 02:03
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I checked my medical record and in 2009 my Testosterone was 300. I have Kaiser and the are calling normal greater than 220.

Getting labs drawn Saturday.
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  #99  
Old 26 September 2018, 08:49
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Originally Posted by Expatmedic View Post
I checked my medical record and in 2009 my Testosterone was 300. I have Kaiser and the are calling normal greater than 220.

Getting labs drawn Saturday.
They are morons. Current Labcorp "normal" range is 264-916ng/dl, so I'd like to see the justification for their "220"??? Yeah, that's "normal" - for an 80 year old, are you 80? Even then, when I'm 80, I'll still be as high as legally allowed. I *guarantee* you are way lower than that 9 year old 300 reading. Good luck - you can always go 'out of pocket'.
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  #100  
Old 26 September 2018, 09:34
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Wow, they did twelve, 200mg/ml vials????

And, have you previously been at that dose? That's HIGH if you are just starting out. Please tell me that you also have Anastrozole (Arimidex)? If your nipples start lighting up on fire, make sure you can get an Aromatase Inhibitor fast. What about HCG?

Last year I was on 200MG vials, once per week. But now I take 1/2 vial (100MG) Monday, the other half Thurs. My needle at the moment is holding 1/2 ML because I took the first 1/2 ML Monday.

My next blood work is Nov. 6 but I might have to move it back 2 weeks because the pharmacist/doctor communication delayed my prescription 2 weeks.


Quote:
Originally Posted by Polypro View Post
Please tell me that you also have Anastrozole (Arimidex)? If your nipples start lighting up on fire, make sure you can get an Aromatase Inhibitor fast. What about HCG?

I will ask on my next appointment.
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