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      Hey there everyone. I've been debating posting on here for some time, only silently reading, but I decided that my story may not only help someone else in the future who is in a similar situation, but it may also help to show a different side of story, particularly since I'm a physician.

      About me, before diagnosis:

      26, Latin, 6'0, 208 lbs. 3rd year Internal Medicine Resident. Married to another resident. Calm, mild mannered, ambitious but cautious, affable, and hard working. As a resident I can tell you it's quite funny, most of us never go to the doctor. We self diagnose and write each other scripts.

      I moved here from another country, and when I was younger I had an episode of balanitis. When I saw a pediatric urologist, he noted that I had unilateral cryptorchidism and asked about it. I had been seen by doctors in my country of origin before, but they just said to watch it. Now a pre-teen, the urologist was concerned about the potential for cancer and so I underwent both circumcision and unilateral orchiectomy.
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      Another study showing TRT reduces the risk of heart disease. Full text of the journal article is available.

      Atrial fibrillation (AF) is the most common cardiac dysrhythmia associated with significant morbidity and mortality. Several small studies have reported that low serum total testosterone (TT) levels were associated with a higher incidence of AF. Using data from the Veterans Administrations Corporate Data Warehouse, we identified a national cohort of 76 639 veterans with low TT levels and divided them into 3 groups. Group 1 had TRT resulting in normalization of TT levels (normalized TRT), group 2 had TRT without normalization of TT levels (nonnormalized TRT), and group 3 did not receive TRT (no TRT). .Group 1 (40 856 patients, median age 66 years) had significantly lower risk of AF than group 2 (23 939 patients, median age 65 years and group 3 (11 853 patients, median age 67 years). There was no statistical difference between groups 2 and 3 in incidence of AF.
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      Article Preview

      So after 6 months of adding FSH to my TRT protocol I got a sperm analysis done.
      A quick background. My fertility was normal before TRT and went to zero when I started TRT without HCG. Adding HCG 500 IU 2x a week my sperm analysis results were:

      sperm count 2.1mm (normal >=20mm)
      total sperm 7.2mm (normal >=40mm)

      Subfertile with not great chances of getting my wife pregnant. ...
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      Adolescents who created real-world diets attempting to avoid exposure to bisphenol A, or BPA, for 7 days experienced no change in urinary BPA levels and reported difficulty in avoiding the endocrine-disrupting chemical, according to findings published in BMJ Open.


      • “Based on our evidence, it is extremely difficult to reduce one’s own exposure to BPA by actively trying to avoid known sources,” Lorna Harries, PhD, associate professor in molecular genetics at the College of Life and Environmental Sciences at the University of Exeter, United Kingdom, told Endocrine Today. “Our study indicates that the control over exposure to BPA currently does not lie with the consumer. At present, the ubiquitous nature of BPA in our environment and inadequacies in current labeling practices mean that it is very difficult to identify BPA-free foods.”



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      Article Preview A total of 1,215 young Danish men aged 18-28 years were recruited between 2008 and 2012 when they attended a compulsory medical examination to determine their fitness for military service.
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      Article Preview It’s been 18 years since the FDA approved sildenafil to treat men suffering from erectile dysfunction (ED). Under the well-known brand name Viagra, this “little blue pill” has grown to hold almost half of sexual dysfunction market share.



      But, sildenafil wasn’t originally intended to help men with ED. Many have forgotten that before it was associated with a re-invigorated love life, sildenafil was a life-saving drug for people experiencing cardiovascular problems.

      Read more

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      Do images of a personalized future body shape help with weight loss? A randomized controlled study.

      Ossolinski G, et al. Trials. 2017.



      Abstract

      BACKGROUND: This randomized controlled study evaluated a computer-generated future self-image as a personalized, visual motivational tool for weight loss in adults.

      METHODS: One hundred and forty-five people (age 18-79 years) with a Body Mass Index (BMI) of at least 25 kg/m2 were randomized to receive a hard copy future self-image at recruitment (early image) or after 8 weeks (delayed image). Participants received general healthy lifestyle information at recruitment and were weighed at 4-weekly intervals for 24 weeks. The image was created using an iPad app called 'Future Me'. A second randomization at 16 weeks allocated either an additional future self-image or no additional image.
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      Article Preview This lecture will be held on February 22, 2018, in Houston and is free to the public but reservations are required due to limited space. The speakers will review current knowledge on testosterone replacement and other therapies that can help men age productively.

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      Article Preview Testosterone replacement therapy (TRT) is one of the most effective methods for treating hypogonadism, erectile and sexual dysfunction. Sadly, as with any treatment, a minority of men may experience hair loss.


      A small but concerning percentage of men (mostly under 45 years of age and with genetic predisposition to hair loss) undergoing TRT begin to notice that their scalp hair tends to thin drastically within 3 to 6 months of the hormone therapy. This isn't the case with all men, and it's still not quite clear WHY men undergoing TRT begin to lose their hair although some studies speculate that one of testosterone’s main metabolites, DHT, may exert negative effects on hair follicles. However, if you're unlucky enough to fall into the "going bald" category, you may be wondering what to do. After all, you can't stop the TRT, but you don't want to have to continue to lose your hair. It's like being caught between a rock and a hard place! What can you do?
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      Article Preview From Jay:

      Super stoked to be doing a Facebook Live Broadcast with Nelson Vergel on February 8th at 3PM PST in the Testosterone Men's Discussion Group!
      https://www.facebook.com/groups/testosteronereplacement/


      Estradiol in Men: Fake News and Realities


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      Article Preview The Effects of Injected Testosterone Dose and Age on the Conversion of Testosterone to Estradiol and Dihydrotestosterone in Young and Older Men




      "We found that during administration of graded doses of TE, the older men had higher total and free E2concentrations and higher total and free E2:T ratios ...
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      The Testosterone Trials are set of multi-institutional, double blind, placebo-controlled studies aimed primarily at determining the efficacy of testosterone replacement therapy (TRT) on sexual function, physical function, and vitality.

      • Seven hundred and ninety men over the age of 65 yr with symptoms of hypogonadism and a serum testosterone concentration of <275 ng/dl were randomized to receive either an initial dose of 5 g of 1% testosterone gel or placebo gel once a day.
      • Serum testosterone levels and improvement in symptoms were assessed at baseline and at 3 mo, 6 mo, 9 mo, and 12 mo.
      • Ninety-one percent of men maintained normalized testosterone levels throughout the duration of the study.
      • TRT improved sexual desire (DISF-M-II), frequency of sexual activity (Personality Diagnostic Questionnaire-4), and erectile function (International Index of Erectile Function).
      ...

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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!.


      Wishing you the greatest health,

      Nelson Vergel

      Founder