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And that's why you two (Dr Saya and Nelson) are best in the game! :)

Same. I've had high hematocrit (53) but very low platelets (thrombocytes) at around 162.

Yeah, if platelets are normal.

Yeah, platelets are included in complete blood count.

Yeah, Rouzier stances always seemed like a non-sense to me. And now Crisler supports him. I think we definitely need more data before accepting such silly conclusions .

Ok,I read Dr Crisler's post on facebook yesterday, that says: "I wish you had all seen the incredible 90 minute lecture my old pal Dr Neal Rouzier just gave at AMMG. There is absolutely no reason to perform therapeutic phlebotomies in men on TRT whose H/H rises above 18/55, as long as platelets...

You're azoospermic dude,stop the TRT completely and add hCG (possibly hMG) if you want any chance of having a child.

Terrible advice. Did you even read his question? His sperm count is ZERO. Why risk it? Every fertility specialist would stop the TRT for a while since then chances of conceiving are best. He can easily come back to TRT later.

I found the thread: https://www.excelmale.com/forum/showthread.php?8275-Coming-off-TRT-Defy-HPTA-Reset-Protocol&p=50479#post50479 Read Dr Saya's post there. And good luck,I'm also coming off,so we're in the same boat.

Who cares? You're trying to regain fertility and you're worried about muscle loss? Jesus. Stop TRT and do strong restart with hCG and clomid. Find protocol from Dr Saya,it's somewhere on forum.

That's all he checked,what I posted already,his endo didn't ask for anything else (bad endo IMO). His symptoms are just as mine before I started TRT. Low energy,depression for no reason,poor sleep,etc But I'm self administrating,which I can't advice to him.

Well,problem is,even his basic english sucks,so I'm asking for him. Especially medical terms correlated with TRT. He wouldn't understand anything lol

I don't know,I'm wrong about that probably. His endo is just not competent IMO and I don't know what to really tell him about that.

We don't have sensitive test available here,only standard. I doubt he has low E2 with such high PRL,but it could be possible. Did you solve E2 problems with TRT?

I agree with you,that was my explanation to him also. He sent me these results: Total testosterone 400ng/dl [300-900] He checked that first and went to endo. Endo said that's normal (is it?),and only after saying he feel the symptoms of low T,endo checked few other hormones: TSH: 3...

Well,he asked me for advice,I don't know what to tell him. To lower prolactin first or to consider TRT..

That was my first tought too. But he's not really hypogonadal,it's low normal level? I don't have his lab numers,but he said that everything was in range except high prolactin and slightly elevated cortisol.

Guys,I'm asking for a friend,posted on FB group too. He's 23 and has low normal T (400ng/dl). Blood work showed high morning prolactin (700 on range 88-330). AFAIK,high prolactin can cause low T by downregulating LH/FSH in the pituitary gland so testies don't get signal to produce. But his...

You're right. Few people gave me same advice. I will add hCG and check sperm count with every blood work. Thank you for advice,I appreciate that.

Sure,I was fertile . Checked with SA (I was at 150m with >20m being fertile)

Yeah I would restart with hCG (clomid if needed) every 6 months or so. I'm just curious is that a better strategy for preserving fertility then non-stop test+hCG use?

Since we don't know much about long term hCG use (10 years and longer),how would 23 year old go with hCG to preserve fertility? Would taking a break with TRT every once in a while ( don't tell me I will feel like shit,I know that) be helpful in long term preservation? Or I'm doomed to 500IU EOD...

Yes,that's exactly what I thought. Thanks for chiming in Doc! :)

Actually,i think I missread. For hemoglobin,170 g/L should be like 17 L/L,if I want to compare it to HCT,right? In that case,HCT is indeed more then 3x of hemoglobin. Any input highly appreciated.

Hm,I swear I searched but didn't find that thread. Dr Saya says if HCT is more then 3x of hemoglobin,it's dehydration. Well,my hemoglobin is high normal range,so I guess it's not dehydration then...

Young guy here (23),been on 125mg weekly for 6 weeks now. My labs came,and this is what bothers me: Hematocrit: 0.53 L/L [0.42-0.53] Hemoglobin 170 g/L [132-175] Now i know this is too high and requires donation,but the thing is I didn't drink any water 12 hours prior to blood work,so I was...