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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
hCG mono at 7 months | | Thyroid eval?
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<blockquote data-quote="Re-Ride" data-source="post: 29647" data-attributes="member: 8395"><p>My primary had me consult an "eminent and highly regarded" endo in SF re the DHEA and thyroid tests. The endo began the consult by asking me why I was there. Aside from what was stated in the referral I indicated an interest in seeing how he might manage my endocrine care. </p><p></p><p> He responded: "Pt do not choose me I choose my pt's" I was informed how well off financially he had become, what a nice home he has and that he had come out of retirement "out of boredom not need".</p><p></p><p>Here are his conclusions/recommendations:</p><p></p><p>-DHEA is normal</p><p></p><p>-Thyroid normal</p><p></p><p>-serum T is "too high, exposing me to almost certain heart attack, blood clots and prostrate cancer and should be 300 - 400"</p><p></p><p>- hematocrit is dangerously high. It was well under 47 (40-52%)</p><p></p><p>- no evidence of high cortisol, all these tests have been a waste of money</p><p></p><p>- hCG is an FSH analog ( not a leutinizing hormone hormone )</p><p></p><p>[" I do not prescribe hCG. I treat major league players. I keep my prescribing history clean."]</p><p></p><p>[" hCG does not raise testosterone levels" ]</p><p></p><p>[" I will be recommending that you be removed from hCG therapy"]</p><p></p><p>["hCG does not shut down the HP axis"]</p><p></p><p>Uh doc, was it the Lovaza or the sardines that raised my T from 300 to 700 last April? </p><p></p><p> Perhaps the Eyecaps caused my T to suddenly drop to 114 last month when hCG was withdrawn while something I ate caused its return to 725 two weeks later? Merely coincidental to hCG? </p><p></p><p>I don't understand why you want to put me back on Androgel after failure. What about the bone loss, severe fatigue, mind fog, gyno, loss of muscle I've suffered in the past? What is a proper serum goal for estradiol?</p><p></p><p>["None of that is related to Androgel. I've treated at least a thousand men for TRT and never once tested for estradiol. You can have injections once a month or every two weeks but I'm not going to allow a T level anywhere near the 700 range"]</p><p></p><p>Can I have a small amount of hCG in conjunction with exogenous testosterone to preserve my testicular function?</p><p></p><p>["Absolutely not! There is no legitimate use of hCG in treating hypogonadism if you even have it which I doubt" "hCG is also far too costly to prescribe" ( but his fees are reasonable ) ] </p><p></p><p>[" I do not practice cosmetic medicine. Even if hCG could restore testicular mass while receiving T therapy that is not a legitimate medical use"]</p><p></p><p>How unfortunate that privacy issues prevented me from snapping photos of his sickly patients in the waiting room... </p><p>Yes, you too can look and feel like death warmed over for the low low price of $400 per visit. </p><p></p><p>It is high time that men unite under a national advocasy to demand sound medical treatment not charlentenism. Health insurance reform in the absence health care reform will never work.</p></blockquote><p></p>
[QUOTE="Re-Ride, post: 29647, member: 8395"] My primary had me consult an "eminent and highly regarded" endo in SF re the DHEA and thyroid tests. The endo began the consult by asking me why I was there. Aside from what was stated in the referral I indicated an interest in seeing how he might manage my endocrine care. He responded: "Pt do not choose me I choose my pt's" I was informed how well off financially he had become, what a nice home he has and that he had come out of retirement "out of boredom not need". Here are his conclusions/recommendations: -DHEA is normal -Thyroid normal -serum T is "too high, exposing me to almost certain heart attack, blood clots and prostrate cancer and should be 300 - 400" - hematocrit is dangerously high. It was well under 47 (40-52%) - no evidence of high cortisol, all these tests have been a waste of money - hCG is an FSH analog ( not a leutinizing hormone hormone ) [" I do not prescribe hCG. I treat major league players. I keep my prescribing history clean."] [" hCG does not raise testosterone levels" ] [" I will be recommending that you be removed from hCG therapy"] ["hCG does not shut down the HP axis"] Uh doc, was it the Lovaza or the sardines that raised my T from 300 to 700 last April? Perhaps the Eyecaps caused my T to suddenly drop to 114 last month when hCG was withdrawn while something I ate caused its return to 725 two weeks later? Merely coincidental to hCG? I don't understand why you want to put me back on Androgel after failure. What about the bone loss, severe fatigue, mind fog, gyno, loss of muscle I've suffered in the past? What is a proper serum goal for estradiol? ["None of that is related to Androgel. I've treated at least a thousand men for TRT and never once tested for estradiol. You can have injections once a month or every two weeks but I'm not going to allow a T level anywhere near the 700 range"] Can I have a small amount of hCG in conjunction with exogenous testosterone to preserve my testicular function? ["Absolutely not! There is no legitimate use of hCG in treating hypogonadism if you even have it which I doubt" "hCG is also far too costly to prescribe" ( but his fees are reasonable ) ] [" I do not practice cosmetic medicine. Even if hCG could restore testicular mass while receiving T therapy that is not a legitimate medical use"] How unfortunate that privacy issues prevented me from snapping photos of his sickly patients in the waiting room... Yes, you too can look and feel like death warmed over for the low low price of $400 per visit. It is high time that men unite under a national advocasy to demand sound medical treatment not charlentenism. Health insurance reform in the absence health care reform will never work. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
hCG mono at 7 months | | Thyroid eval?
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