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I think its important to understand - this is only a hypothesis. There may be a link with vitamin K & varicoceles but specific studies would have to prove this. As for varicoceles in general - they are very common, and they do lower testosterone. Repairing them is proven to increase...

3 comments after quick look. 1. get Vitamin D checked. 2. I wish my HDL cholesterol was 56. - good job. 3. TSH at 2.57 is still high. What medication/dose are you on? Target should be 1.0, but I'm not sure the range above (0.27 -4.2) is standard. What lab did you use? Quest range =...

There may be an issue writing scrip for labs & meds in different state. I've heard some states require prescribing doctor to be in the state, while other states will allow it. Can anyone clarify this? Also - would blood work orders be similarly scrutinized for out-of-state doctor?

Also - it seems crazy for any doctor to start treatment without investigating cause of problem first. Did you have FSH & LH checked prior to starting TRT? Watch this for more info: https://www.youtube.com/watch?v=fUitMlwMlkw And as Alison Woodworth states at 1:00 minute mark- Many doctors...

Shan1784 - you do have the right to ask for another Endo or PCP. Don't simply sit back and allow an ignorant doctor to limit your choices. If your insurance will cover it - keep switching doctors until you find a good one. Also - just to clarify. Hashimoto's thyroiditis is a type of...

I'm confused. Why would Defy have an issue writing a scrip for bloodwork & meds if patients insurance would cover that? They would still make $$$ on consultation. Note I'm on medicaid (student making less than $15K/year). All labs & meds are covered by medicaid. I just pay for needles...

That is one hell of a "hypothesis". I've had left testicular vericocele since age 18. 90%+ of all vericoceles effect the LEFT testicle. Why? Simply look at the anatomy of the LEFT gonadal/testicular vein. It runs up from the testes to the left renal vein where it makes a sharp 90 degree...

Am I alone in thinking its odd to start a new regimen above 100mg per week? As either a single injection or two 50mg injections every 3.5 days? I would think the norm would be to start low, and adjust upward to an optimal level.

ARUP labs is telling me #3 above 0093247 is referenced as the equivalent of Lab Corps Estradiol Sensitive. They also confirmed Quest's Ultrasensitive Estradiol links to the same number.

Can someone clarify which test I should use? Doctor could not find "sensitive" version and asked me to specify which test. It looks like ARUP labs is their preferred provider. http://ltd.aruplab.com/ 1.2006160Free Estradiol by ED/LC-MS/MS Ordering Recommendation: Direct measure of free...

You might want to ask your doctor about getting tested for SIBO https://en.wikipedia.org/wiki/Small_intestinal_bacterial_overgrowth My friend was also taking T4 + T3, but struggling to reduce her TSH levels despite increasing doses of both. Her doctor finally guessed it was an absorption...

Your numbers look good. But what is your TSH? I looked at your previous posts where your TSH was 0.01 - please tell me that range is different than the normal range with taret level of 1.0 TSH. Anything under 0.5 = Graves disease / hyperthyroidism. Please clarify normal TSH range given on...

I was diagnosed with Hashimoto's thyroiditis in 2006. TSH was 3.8, I've been on 50mcg levothyroxine since then. At one point I was on higher dose, 75mcg, but my levels dropped to 0.5. Below 0.5 TSH = Grave's disease = hyperthyroid. Optimal level is 1.0, within range of 0.8 - 1.2 is well...

Make sure your Vitamin D is above 50 too. Normal range is 30-100, but research is now suggesting 60-80 is optimal. Recent studies show auto-immune link including Hashimoto's thyroiditis with low Vit D. 2011 study http://www.ncbi.nlm.nih.gov/pubmed/21751884 CONCLUSION: Vitamin D insufficiency...

Nelson - Thanks for the detailed response. And to answer your question. I noticed decrease in frequency of morning wood within a few days of going from 50mg/week up to 80mg/week. 80mg dose began on January 21st. I began titrating onto Namenda January 26th. Week 1: 5mg/day, Week 2 10mg/day...

Thanks ERO, so would you recommend I start HCG when I restart cypionate on April 13th, or wait and get baseline TRT set first. I'm planning on switching to E3.5D injections when I restart, but since I'm not 100% sure what dose will be optimal yet, would you advise getting cypionate dose locked...

Thanks Vince! I'm planning to go to the E3.5D routine when I go back on. Again, the Dr, (2nd year resident) was initially hesitant as clinical guidelines suggest every 2 week is norm, & 1/week is a possible alternative, but nothing about more frequent. My 915 level on day 4 peak scared him...

Nelson (or others), can you clarify questions I have regarding blood work? FYI, I'm in the process of applying to Physician Assistant graduate programs, so I'm fairly well educated in basic chemistry, physiology, etc. 1) Is SHBG approximation using Total & Free Testosterone adequate, or is it...

Thanks Nelson - so much to learn and so grateful for ExcelMale as an amazing resource. I will be purchasing your book soon.

Clomid acts at the hypothalamus: from Wikipedia: "Clomifene inhibits estrogen receptors in the hypothalamus, inhibiting negative feedback of estrogen on gonadotropin release, leading to up-regulation of the hypothalamic–pituitary–gonadal axis.[" I need to read a biochemistry chapter...

Interesting pharmacological effect. Do most estrogen blockers also act specifically at the level of the pituitary? I know testosterone is converted to estrogen, thus the common need for aromatase inhibitors, but didn't know blocking estrogen would cause testosterone to increase. If anyone can...

Sorry here is the link: https://www.youtube.com/watch?v=fUitMlwMlkw 3 Types of HYPOGONADISM (Low Testosterone) TRT | feat. Dr. Erica Zelfand

Check out this YouTube video on differentiating primary/secondary/tertiary hypogonadism. This guy "BigNoKnow" is basically documenting his last 4 years on TRT. Unfortunately when he was originally diagnosed they did not figure out if he was primary or secondary. His new doctor, Erica Zelfand...

I'd like to say that is medical malpractice - but unfortunately the TRT clinical guidelines give these doctors no clue of how to treat hypogonadism. My doctor is a Family Medicine - 2nd year resident. I'm his 1st ever TRT patient. He and I are learning together (mostly me teaching him), but...

It's good to hear you are taking Vitamin D & have your levels up to 48, but yes try to get those levels to 65 or higher if possible. I missed the fact that your doctor wanted to put you on Synthroid. That is standard protocol and should work. I'm guessing he will either start you on 25mcg or...

I'm new to forum, but seem to be seeing common mistakes. Patients/Doctors are treating symptom (low T) without first diagnosing the cause. You need to go off T completely and have all baselines tested to know if you are Primary or Secondary/Tertiary hypogonadal. Your LH & FSH will...