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Update: Finally got my test results back so Defy let me get on the schedule with Dr Saya. Unfortunately he's booked until after 5 weeks. In the meantime, my Total T continues to drop to 510 4 weeks ago and is now at 350 (baseline pre-pellet was 420 then went to 1300 with pellets, then dropped...

Dr Rotman, What's your view and experience with testicular pain/discomfort being related to TRT? Ive been on TRT pellets for 5 months and about 2 months ago having some pain and discomfort on and off. In describing the situation, many online folks think it must be atrophy and I should take HCG...

Dr Rotman, What's your view and experience with testicular pain/discomfort being related to TRT? Ive been on TRT pellets for 5 months and about 2 months ago having some pain and discomfort on and off. In describing the situation, many online folks think it must be atrophy and I should take HCG...

@Vince - thanks; yes thats my goal restart. @CoastWatcher - Still working on first appt. Have intake form, looking for physician to sign, been traveling. Dr Saya will/would be for the long term, trying to manage through until 1st appt. @HarryCat - Thanks for sharing! Curious what did you do...

Updating folks. It's now 5 months since the original pellet insertion (from local chicago suburb doc) which took my Total from 420 to 1300 then slowly back down -- now Total at 510, free at 86, Est at 14, and LH at <0.2 (same reference ranges as above). Is it a good time to start Clomid or do I...

I have started to engage Defy, and yes have heard great things, but they first need a physical / general wellness exam done by a doctor who will sign Defy's papererwork. My primary care physician doesn't think I need to adjust my T levels to be optimal as he thinks I'm fine at 400 (51 yrs old)...

Hello healthy friends!! I'll be visiting San Francisco (downtown) once per month for the next 3 months; wondering if anyone has a suggestion of a super great world renowned hormone optimization expert I should consider establishing a relationship with while I'm out there in person. Thanks, -H

@CoastWatcher, @Sean Mosher, @Vince thanks so much, I've begun the process of looking into all 3 recommendations.

Appreciate any good referrals for Chicago area? Who are the top 3 Doctors? Primebody says they have a Chicago location but no contact info on their website, only a form. Sent them my info two days ago, no reply, not a great initial impression. -H

Thanks Dr Saya, will do that. On a potentially related topic to my situation, one of my testicles has been hurting (dull pain) off and on for about 14 days. I did get an ultrasound but only a cyst on the opposite testicle was found and the size was stated as "normal". The Urologist says the pain...

@johndoesmith - you had asked if I have other lab results to post them here. I'll try uploading these screenshots and see if this works. This is meant to be a summary of the more pertinent tests but I have more tests as well, just need to figure out the best way to get them up here. The "100...

Thanks Dr Saya, that makes sense. How can I ensure the consult would be with you? The email response I had referred to (from one of your staff) said an ..."evaluation would be with one of our doctors or physician assistants". Thanks, -H

I don't disagree that doctors can give advice that is not optimal, which is why I'm on this board to see if I can move toward gaining any more clarity in the various words of advice I've received from traditional doctors and from "TRT doctors". From folks reading this, who do you think are the...

Thanks for those links and the post by Nelson. Interesting thing is the Clomid / Cabergoline doctor is a Urologist from a Top 10 Urology department as ranked by US New & World Report's latest hospital and specialty rankings. Not defending or promoting the use of either, just mentioning. Again...

Thanks johndoesmith, yes the pellet doctor said there is an AI in the pellets which is why the E2 may be low. I'm moving away from the pellet doctor. Yes, he did measure my LH prior to the pellets, it was 3.6 (1.2-8.6 range). Would you consider that low or normal? The Caber and Clomid has been...

Thanks CoastWatcher. Pellet Dr only says 3 - 6 months, it's been 3.5 now. He says I'll feel it when they wear off, which is a different duration for everyone, and at that point I should come in again. Because of this and because he overshot our target, I changed doctors to the current one...

Hello, Had pellets inserted 3.5 months ago, T level started at 390 (range 250-1100) and Free at 52 (range 35-155) then went up to total 1300 1 month after insertion. 2 weeks ago total was at 1100 with free at 240 (estradiol 25 (range 23.8 - 52.2); 1 week ago total at 880, free 146. Switched...