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Lose the urologist & only stick with your PCP if he/she is willing to learn. The current clinical guidelines are terrible and following those protocols have been proven to cause wide fluctuations in Testosterone levels. Injection schedules of every 3.5 days reduces these wide fluctuations...

Request the "other bloodwork" results from those doctors. You should also bring copies with you for all future doctors visits related to these issues. Yes, left sided varicocele is very common (present in 15% of teenage males, and that % increases with age groups.) but that doesn't mean its not...

I experienced the same day 5, 6, 7 drop when I was on weekly, and upping my dose helped temporarily - but morning wood went from 3-4 days per week to 1 day per week with higher doses. E3.5D makes total sense when you understand the science. Cypionate peaks at 48-72 hours and its half-life is...

I think most TRT/HCG users would recommend switching to E3.5D schedule for both injections. Check out this link started by Dr. Saya - pay attention to his replies, as he guides a couple people with their specific situations and discusses why he doses certain patients higher or lower based on...

NSM - focus on what you are learning, and the positive changes (gym, personal trainer, better nutrition, less alcohol). You are doing awesome - and don't be surprised that you are inspiring someone just reading your posts to start making similar changes in their own lives. We are all a...

NSM - Keep taking the 2000iu Vitamin D. I'm guessing you may need a higher dose, but the April 25th blood test will tell you more. Try to get 20 minutes of sun when possible in addition to your current supplementation. Here is some additional info that you should also keep in mind...

Chris - Only 50mcg??? Are you confusing the typical Synthroid/levothyroxine dose based in mcg (micrograms) with that of a typical NDT (dessicated thyroid), which is measured in mg (milligrams)? I don't have a great source for this, but this is the conversion I found online: 1 grain (60 mg) of...

Chris his latest blood work was from 3/1/16, and he was put on 50mcg Synthroid after that. As of post #14 on this thread (4/8/16) he states he has been taking it for 3 weeks. So at this point he has taken it for a total of 4 weeks. NSM - here is a good (long) explanation of why its preferred...

The doctor or sonographer would perform the ultrasound - similar to when a doctor looks at a fetus in belly of a pregnant woman. Its the same hand held devise, but instead they place it over the veins above the testicles (upper scrotum). The ultrasound can view the movement of fluid (blood)...

If money is not an option - then Defy is a no brainer. But what if his insurance and costs are limitations?

Thanks Chris. Good info - and proves the point that full Thyroid panel is needed to get complete picture. NSM - get the blood work done (for now I guess stay on the Synthroid). And once you have those results - share them with Dr. Saya and/or other doctors to get a couple opinions. Keep us...

Any Free testosterone level at time of 363 total testosterone test? Or LH / FSH levels with that one? Minox regimen? Are you still taking that? It could explain hair loss. https://en.wikipedia.org/wiki/Minoxidil#Side_effects

Any Free testosterone level at time of 363 total testosterone test?

Interesting - true "sub-clinical" in your Dad's case. Most people have much higher levels before hair loss occurs (typically seen in women).

I can't disagree with seeing Dr. Saya, as he is a great doctor. But - I hate the implication that a TSH of 2.7 is high, and you need a specialist to figure this out. I think any good doctor (primary or endocrine) would not put you on Synthroid with TSH of 2.7, and anti-TPO of 8 (<34). Also -...

E3.5D works well for most. The only reason to do more frequent injections is if estrogen or negative symptoms occur. I think most guys on here would suggest staying with E3.5D unless you have negative effects. Its good to know you have options other than AI (aromatase inhibitor), etc. if...

FSH is elevated. Pituitary is signaling your testis to make more sperm. LH is mid range. Pituitary is signaling testis to make more testosterone. This is good - since your TT is slightly low - your body is responding appropriately and signaling your gonads to produce more. This likely rules...

What time of day was this blood work done? And were you fasting? Here is full list of blood work you should have completed if you want to get better picture of thyroid & testosterone. Also check vitamin D and request all of the thyroid tests I listed above...

His TSH is 2.6. What was your Dad's levels when his hair loss was occurring? I'm guessing 4x higher. I don't disagree a more complete blood work with full thyroid panel (TSH, Free T3, Free T4, Reverse T3, Anti-TPO), would be helpful, but with TSH at 2.6 its not likely the issue. And I agree...

Free Testosterone is a much better indicator, and that is high. Your symptoms (loss of facial, body & pubic hair), are not normal for guys with levels 1/2 of your current levels. So at your levels - something else is going on. If your minerals are off - or DHEA-S is low, due to excessive...

Regarding phlebotomy frequency: https://www.excelmale.com/forum/showthread.php?4006-Phlebotomy-Frequency&highlight=phlebotomy & https://www.excelmale.com/forum/showthread.php?4798-Warning-about-frequent-blood-donations-used-to-decrease-hematocrit&highlight=iron+nelson So your testosterone...

How old are you? When did these symptoms begin? Any other symptoms? Weight gain/loss? Don't be so hard on the doctor. He is right, your blood work is fine. And TRT is not his specialty (endocrinology = hormones). I honestly have no idea what could be causing the hair loss - but is sounds...

Groz, out of curiosity what will your injection schedule be? Weekly? 0.6mL? Is this 2mg/mL = 120mg? You may want to lower the dose, or split it into 2 doses. If it is an allergic reaction you might want to take Claritin (laritidine), or if its really bad use Benadryl, but that will make you...

FYI, DHEA is the supplement many people take. DHEA-S is the test, (S = sulfate). Just so you order that correctly when you have it checked. I asked about the body fat, to get an understanding of the physical improvements and gains in strength you have experienced since going from low T levels...

OK, be sure not to take Synthroid the morning of exam. Really you should probably not take any medications/vitamins that morning. Its fine to take them immediately after the blood draw. Did you ever figure out what your Vitamin D dose was on the Vitamin Shoppe bottle? Be sure to have that...

FSH & LH - "Corrected by HCG?" - Technically no. They will remain close to zero while taking exogenous testosterone. But HCG mimics there action, thus causing the testes to still function and prevent atrophy. Hematocrit 48 - "donation?" No probably not required until in the 52+ range...

Only way to know how potent it still is would be to compare levels before using it, to levels after using it. Same as with any medicine after expiration date - it probably is not 100% potent, but to guess whether it is 90% or 30% is just that, a guess.

Did you have full pre-TRT blood work completed before starting TRT? If so do you have primary or secondary hypogonadism? What was LH & FSH at time of 273-320 testosterone levels? If not - start over - Check Vitamin D levels. Do a full thyroid panel (TSH, Free T4, Free T3 & reverse T3). Full...

Don't use anything until you get baseline blood work. You'll just create more unanswered questions. FSH & LH will drop the second you start using T. Stop guessing and do this correctly.

Have you had any blood work done? If not, stop guessing and figure it out. Everyone is unique. Some have primary hypogonadism, some have secondary. Some have thyroid issues. Your FSH & LH levels will tell you if you are primary or secondary, that is assuming your Total & Free Testosterone...

http://www.nbcnews.com/health/health-news/aspirin-guidelines-some-should-take-it-prevent-heart-attack-n554671 Mixed message: "Adults aged 50 to 59 who have at least a 10 percent risk of having a heart attack or stroke in the next decade can benefit the most from taking 81 milligrams of aspirin...