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      ExcelMale.com Quick Guide:

      Diagnosis and Management of Hypogonadism


      Symptoms and signs suggestive of testosterone deficiency in men:

      A. More specific symptoms and signs

      • Incomplete or delayed sexual development, eunuchoidism
      • Reduced sexual desire (libido) and activity
      • Decreased spontaneous erections during sleep
      • Breast discomfort, gynecomastia
      • Loss of body (axillary and pubic) hair, reduced shaving
      • Very small (especially <5 ml) or shrinking testes
      • Inability to father children, low or zero sperm count
      • Height loss, low trauma fracture, low bone mineral density
      • Hot flashes, sweats ...
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      Higher dose testosterone can decrease HDL.

      Click here for background information:
      Why does testosterone therapy decrease HDL cholesterol in some men?

      HDL (High Density Lipoprotein cholesterol) particles are sometimes referred to as "good cholesterol" because they can transport fat molecules out of artery walls, reduce macrophage accumulation, and thus help prevent or even regress atherosclerosis. ...
      Thank you very much for commenting guys.

      I'll try to fill in the blanks:

      Diabetes - I have been diabetic for approx 14 years. 2.5 years ago I fired most of my doctors and took control of my own health. My endo had me on 4 shots of insulin daily plus metformin. My A1C was 13. Today my A1C averages 6.7. Yes that is still high but much better than it was. My morning number is ALWAYS high. I believe I have dawn phenomenon but recently have discovered that high cortisol, which I have at night, will cause my sugar level to rise at night. I am therefore trying to concentrate on controlling that cortisol and hoping my numbers will come down further.

      My diet is mostly on point. My cholesterol, triglycerides and everything is great. My LDL only rose slightly in that latest labwork....so I eat protein, good carbs and fats (except a cheat day or 2 here and there). ...
      Recently I had a really bad cold with a severe cough. It was so bad my doc put me on a bunch of stuff to reduce inflammation in my Bronchial and some cough trigger pills. He also had me stop using Lisinopril. It's one side affect in a drip and cough. I didn't take Lisinopril for BP, I toke it for migraines. So once my cold died and my cough settled he put me on Losartan(ARB). It's very similar to Lisinopril but the process in which it relaxes the blood vessels is a little different. Well today I went in for my 2 month blood donation. Well my hemoglobin was 15. It hasn't been that low since pre-TRT. I read that ARB's do lower your Hema and Hemo so I was wondering if I should skip donating for a while and then test again? This would be fantastic if this drugs keeps my migraines at bay and also keeps my Hemo and Hema at a good level without donating. ...
      Article Preview SLEEP IS ANABOLIC

      Dr. Mauro Di Pasquale, M.D.

      There are a lot of factors that impact on body composition including the two that are uppermost in most of our minds, the right kind of training and nutrition.

      While training and nutrition are important, they’re not going to do much for your body composition if your body’s not in a position to make the best use of them. ...
      Article Preview Excerpt from the book: Testosterone: A Man’s Guide

      Most men find that their sexual desire increases after they start testosterone replacement. Sexual dreams and nighttime/morning erections may be more readily achievable, but in some cases, testosterone alone does not make erections strong or lasting enough for satisfactory intercourse. So, some men need some extra help to make sure that their improved sex drive matches an enhanced and hard erection. ...
      Article Preview Price: $195


      Tests included:

      Prolactin: High levels have been linked to ED and low libido.
      Total and Free Testosterone: Low levels have been linked to ED and low libido.
      Article Preview
      It is suggested that you talk to your physician about the need for proper blood tests before and during testosterone.

      To find out how long it takes testosterone replacement to potentially show benefits, read this article.

      For affordable blood tests in most cities in the U.S. (Prescription provided): DiscountedLabs.com

      We also ...
      Anabolic steroids and testosterone shut down the body's Hypothalamic-Pituitary-Testicular Axis (HPTA) while people use them and for a few weeks after cessation of these compounds. However, some men's testosterone production does not recover back to baseline values. These men have testosterone deficiency and often have symptoms of hypogonadism (erectile dysfunction, lack of energy, low mood, etc).

      Some young men (under 35 years of age) are seeking help after they become hypogonadal after anabolic steroid use. The best post cycle protocol for these patients to normalize HPTA function has not been established but usually include HCG, clomiphene (Clomid), Tamoxifen, etc

      This study found that:

      1- Men under 50 were more likely to have used anabolic steroids
      2- More educated men used anabolic steroids more than less educated men (more disposable income and more research online may be good explanations)
      3- Men with fewer children used anabolic steroids in the past more than those with more children (younger age, more disposable income and time to exercise are good explanations)

      J Urol. 2013 Dec;190(6):2200-5.
      Priapism is a medical condition in which the erect penis does not return to its flaccid state, despite the absence of both physical and psychological stimulation, within four hours. Improper dosing of Trimix can cause priapism. Phenylephrine injections can be an antidote to an erection that would not come down after 4 hours. Prolonged erections can cause fibrosis and long term erectile dysfunction.

      For treatment of ischaemic priapism: Phenylephrine is currently the drug of choice due to its high selectivity for the alpha-1-adrenergic receptor, without concomitant beta-mediated inotropic and chronotropic cardiac effects.

      Phenylephrine use has potential cardiovascular side-effects and it is recommended that blood pressure and pulse are monitored every 15 minutes for an hour after the injection. This is particularly important in older men with existing cardiovascular diseases. ...
      Thought I would make a post on this as I just had it done.
      I have a bit more information in a few other post leading up to this treatment.
      1. Had an issue develop about 2weeks ago.
      2. Pain building up in lower back right side.
      3. Resolved itself.
      4. Happened again 2 days later.
      5. Said to myself "WE need to go see our URO".
      6. Saw URO next day.
      7. URO said get thee to a CT scan.
      8. Next day had CT scan and went back to URO after the scan and waited for the results.
      9. Results came back and URO said I had an 11 mm stone starting to block flow. Get thee to this DR. NOW!!!!
      10. Went to other UROs office and was schedule for a stint to be put in between the kidney and bladder the next day.
      11. Next day stint was put in (1 March).
      12. I am on blood thinners so had to get them to clear my system and LITHOTRIPSKY was schedule for yesterday (7 March). ...
      "BayCare Health System and Publix Super Markets are pairing up in the fast-changing area of telemedicine. Their product: convenience, as in going to the doctor while you shop for groceries.

      What started as an experiment late last year at a handful of Publix stores will be expanding to nearly two dozen more locations in the coming months. At BayCare’s new "Walk-In Care" kiosks near the Publix pharmacy, customers can talk remotely to a physician to address simple medical problems like a sore throat or head cold without the usual logistical complexities.

      "Getting in to see the doctor isn’t easy. It takes days or weeks to make an appointment sometimes, and then it can take hours of waiting in the office. This is much easier," said Publix spokesman Brian West. "We believe this is a game changer. It will have a major impact on the overall cost of health care too." ...

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    • You have probably reached our site in your search for health and potency. Are you wondering who to trust with men’s health information in an online world full of scammers and deception? Well, you are in the right place!

      Welcome to ExcelMale.com, one of the largest and best moderated men’s health forums on the Internet focused on increasing health, potency and productivity in men. With over 13,000 members (as of April 2016) that include educated men, physicians, pharmacists, dietitians, exercise trainers, nutritional supplement experts, and other professionals in the field, ExcelMale is fast becoming a leader in the field. Our forum topics range from testosterone replacement therapy, Trimix injections use for ED, HCG use for better fertility and libido, estradiol management, thyroid function optimization, peptide information, exercise routines, best supplements for men, high protein diets, testosterone side effect management and much more. We also provide men’s health information via Interviews with experts, Videos, and webinars. Last but not least, our members share their reviews of hormone replacement clinics and doctors, compounding pharmacies, pharmaceutical products, supplements, and much more. Our great moderators review every post daily to detect spammers or abuse, so ExcelMale is a safe environment for all men. And since every man wants to help important women in their lives, we do not neglect female health information as we include a folder called “ExcelFemale” to post the latest on HRT in women.

      Search our content by typing your question here.

      Register here to join our community! Don’t be shy, ask questions by posting in any forum folder. We can help each other to regain our best selves!.

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