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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
What questions to ask to a new testosterone doctor
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<blockquote data-quote="Roguejim" data-source="post: 105303" data-attributes="member: 18173"><p>Okay, I was able to email the FNP today a question that Nelson mentions in the Sticky on how to speak to a physician the first time. Here is the question followed by the FNP's reply. His remarks are largely over my head, so I'd appreciate any comments. Is he totally off base? Is he worth meeting with? Thanks.</p><p></p><p>Question: Do you use HCG and estradiol/hematocrit management?</p><p></p><p>Response: <p style="text-align: left"><span style="color: #212121">I test and manage estradiol and hematocrit during TRT. Testosterone increases IGF which can also increase erythropoietin which can increase your blood count causingsecondary polycythemia. Also TRT can increase estradiol levels. The combo can put individuals at increased risk for blood clots and stroke. HCG is very expensive and not on most insurance formularies. It also requires a prior authorization. I don’t typicallyrx it. Clomiphene is a less expensive way to get FSH increase to act upon your Leydig cells to produce more natural testosterone. Basically does the same thing. HCG benefit to cost ratio is poor.</span></p></blockquote><p></p>
[QUOTE="Roguejim, post: 105303, member: 18173"] Okay, I was able to email the FNP today a question that Nelson mentions in the Sticky on how to speak to a physician the first time. Here is the question followed by the FNP's reply. His remarks are largely over my head, so I'd appreciate any comments. Is he totally off base? Is he worth meeting with? Thanks. Question: Do you use HCG and estradiol/hematocrit management? Response: [LEFT][COLOR=#212121][FONT=Calibri]I test and manage estradiol and hematocrit during TRT. Testosterone increases IGF which can also increase erythropoietin which can increase your blood count causingsecondary polycythemia. Also TRT can increase estradiol levels. The combo can put individuals at increased risk for blood clots and stroke. HCG is very expensive and not on most insurance formularies. It also requires a prior authorization. I don’t typicallyrx it. Clomiphene is a less expensive way to get FSH increase to act upon your Leydig cells to produce more natural testosterone. Basically does the same thing. HCG benefit to cost ratio is poor.[/FONT][/COLOR][/LEFT] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
What questions to ask to a new testosterone doctor
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