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My apologies! It is Thomas Lynch, as you noted.

Dr. James Lynch, St. James Hospital, Dublin. A urologist open to treating hypogonadism.

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“On an E2 note my estradiol sensitive is 22 and my estrone is 81 (range 15-65) anyone know why they wouldn't agree?” Two different hormonal measurements...no reason they should agree. Why was estrone measured??

She can review your past medical records and see what your hormone status was when therapy began. Asking you to induce hypogonadism - for months - is an indication she doesn’t know how to play this game. Libido can be an elusive variable. A good doctor would have told you that and then started...

Second time in the last few weeks that the “NAC lowers ferritin” notion has flashed by me. Anecdotal response: for three years I have taken it and my ferritin levels haven’t moved.

It will. And if you are, indeed, dealing with a lab error, you won’t know what your actual levels are. Retest: maintain status quo and repeat the test(s). You’ll be looking at an apple and an orange. But it’s done now.

In addition to these questions, which are on point, I would be curious as to who the “guy on YouTube” is and what his background might be.

All since the start of your TRT protocol? In and of itself, that is unlikely to be gyno. Not an impossibility, but unlikely. As is explained here, the diagnosis is a multifaceted and complex issue. How to Avoid Getting Gynecomastia

You have clinically confirmed gyno, hard, pellet-like growth in the breasts? Or are you experiencing nipple sensitivity/itching and/or excess fat in and around the nipples?

Gene, to name one obvious example, has used it for years. How could improving nitric oxide levels, one of the stack’s primary benefits, cause problems?

Venous Leakage: The Cause of Your ED?

“How can anyone tell the difference between low t and venous leak?” That’s what blood tests are for. A positive diagnosis for one does not rule out the concomitant presence of the other morbidity. A urologist can sort it out.

This thread is closed.

We hope you’ll be an active member.

I’m working with a pelvic physiotherapist to retrain my bladder and the muscles supporting its function. I’m 61, moderate BPH, but this is a more focused intervention. With patience, it works.

Where do you live? Are you in Ontario?

The protocol is a reasonable one, a very reasonable one, with which to initiate initiate treatment with. With the *possible* exceptions of the anastrozole, and a potentially high hcg dose. Because...your estradiol range suggests you may have tested with the standard lab-work up; if so, it’s the...

My urologist, who does not manage my testosterone protocol (but supports it fully), told me that every one of his TRT patients sees a reduction in semen; there is a post from Dr. Saya in which he makes similar observations.

Six weeks. No changes. Then you test. Not happy with those results? Make one - and only one - change. Wait six weeks. Test again. It can be a tedious, no, it is a tedious, process, but it is a way to shine light on what is going on.

Be very wary of what “everyone is stating” when it comes to the TRT follies. Daily injections have been a spectacular success for me, while topical testosterone failed (miserably) in every mode of application - gel or cream. Having said that, I do believe topical testosterone is a rational...

How old are you? BPH is a fact of life almost every man faces as he ages.

How do you feel on these respective protocols?

Am I correct that you live in Europe? You have no SHBG results, none, to report? When you write that you tested on day seven, you mean you drew your blood just prior to an injection (your weekly dose of 125mg)? It’s not really reasonable to read backward and hope to extrapolate an SHBG...

@Vince - Inhad no trouble with access. Have contacted Nelson.

Are you on a TRT protocol? If so, what are details, and where did your SHBG sit prior to the initiation of therapy?

Welcome to Excelmale...please accept my apologies for allowing your post to slip out of sight. Can you tell us how things have unfolded since you joined us?

Welcome to Excelmale. I’m sorry your initial lost was overlooked; I shifted it to the peptide folder and hope it will spark discussion. Are their specific research chemicals you are focusing on?

An observation based on the reference range quoted: your doctor ordered the incorrect estradiol test. In the future, you’ll want to verify that the sensitive (LC, MS/MS) test is run.

Welcome to Excelmale. Like so many other members, you’ve found that VA care - at least in this field - is shameful. Your initialmprotocl was as outdated as it comes, and doomed to fail. Absent your SHBG levels, it’s really hard to offer a thought on your current protocol, but you noted that you...

You tested your estradiol with the incorrect test - men should only measure e2 with the sensitive, LC, MS/MS, test. Why did you pull estrone, LH, and FSH. Estrone doesn’t guide you or your doctor in any practical way, and LH and FSH are always suppressed when taking exogenous testosterone...