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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
New member looking for answers in Hampton Roads, VA
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<blockquote data-quote="Vettester Chris" data-source="post: 10444" data-attributes="member: 696"><p>JQ, welcome to Excel! Glad you joined!! As you noted, there's a lot of information posted. That's a good thing, I might only address a few topics at a time, then post more later ...</p><p></p><p>I agree with Nelson, you should probably look at the injection route over any of the gels or creams.</p><p></p><p>Here's the thing, your first physician didn't do you any justice with jumping you on TRT, then doubling your dosage two weeks thereafter because you weren't seeing results. The general rule is to run baseline labs, then run follow up labs six (6) weeks thereafter. It takes a little time for the serum levels to get up and stabilize. That's also a good time to really see how other variables like E2, PSA, etc.</p><p></p><p>Your baseline gonadotropin profile (LH, FSH) is by no means suppressed, which would make one to lean to believe your diagnosis would have been 'Primary Hypogonadism'. HCG just mimics LH, so it's hard to imagine that HCG will have any real effect on your testes with endogenous production of testosterone. I could be wrong, but these are reasons why men should be working with physicians that specialize in this area of treatment. </p><p></p><p>I suspect you have some concerns that need addressed with the thyroid, and other related areas that will affect the thyroid. I wouldn't get too wrapped up the Wilson's temp syndrome stuff without covering all your bases. You need a variety of other labs .. TSH, Free T4, Free T3, Reverse T3, Antibody (TPO & TgAb) .. 4x Saliva Cortisol & DHEA panel w/circadian profile, iron serum, TIBC, ferritin, vitamin D, and magnesium. Will also be interested to see your your metabolic profile, plus of course the lipids & CBC's. </p><p></p><p>Not sure if your E2 is sensitive or ultra-sensitive, so don't get too fixated on AI's or other compounds until you get all the facts with your BW, and when you get the right physician-partner to see you through on all of this. The key is getting "everything" balanced. If your thyroid is under active, or if the transport agents like glucose are preventing T3 from effectively getting into the cells of the body, then TRT by itself isn't really going to be a game changer. Get the other variables dialed in at the same time, create a solid diet plan with physical activity, and then your body and mind will react accordingly.</p><p></p><p>Lastly, if there's one piece of advice that I can give it is READ UP on this stuff and get overly familiar with how it works. Nelson's book is readily available online. If you spent a day or two with that, and then spend a day or two going through a site like stopthethyroidmadness.com, you will be light years ahead of most. If you can get ALL your labs put together, I will gladly provide my thoughts, and I know many knowledgeable members here will do the same.</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 10444, member: 696"] JQ, welcome to Excel! Glad you joined!! As you noted, there's a lot of information posted. That's a good thing, I might only address a few topics at a time, then post more later ... I agree with Nelson, you should probably look at the injection route over any of the gels or creams. Here's the thing, your first physician didn't do you any justice with jumping you on TRT, then doubling your dosage two weeks thereafter because you weren't seeing results. The general rule is to run baseline labs, then run follow up labs six (6) weeks thereafter. It takes a little time for the serum levels to get up and stabilize. That's also a good time to really see how other variables like E2, PSA, etc. Your baseline gonadotropin profile (LH, FSH) is by no means suppressed, which would make one to lean to believe your diagnosis would have been 'Primary Hypogonadism'. HCG just mimics LH, so it's hard to imagine that HCG will have any real effect on your testes with endogenous production of testosterone. I could be wrong, but these are reasons why men should be working with physicians that specialize in this area of treatment. I suspect you have some concerns that need addressed with the thyroid, and other related areas that will affect the thyroid. I wouldn't get too wrapped up the Wilson's temp syndrome stuff without covering all your bases. You need a variety of other labs .. TSH, Free T4, Free T3, Reverse T3, Antibody (TPO & TgAb) .. 4x Saliva Cortisol & DHEA panel w/circadian profile, iron serum, TIBC, ferritin, vitamin D, and magnesium. Will also be interested to see your your metabolic profile, plus of course the lipids & CBC's. Not sure if your E2 is sensitive or ultra-sensitive, so don't get too fixated on AI's or other compounds until you get all the facts with your BW, and when you get the right physician-partner to see you through on all of this. The key is getting "everything" balanced. If your thyroid is under active, or if the transport agents like glucose are preventing T3 from effectively getting into the cells of the body, then TRT by itself isn't really going to be a game changer. Get the other variables dialed in at the same time, create a solid diet plan with physical activity, and then your body and mind will react accordingly. Lastly, if there's one piece of advice that I can give it is READ UP on this stuff and get overly familiar with how it works. Nelson's book is readily available online. If you spent a day or two with that, and then spend a day or two going through a site like stopthethyroidmadness.com, you will be light years ahead of most. If you can get ALL your labs put together, I will gladly provide my thoughts, and I know many knowledgeable members here will do the same. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
New member looking for answers in Hampton Roads, VA
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