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Update: I ended up talking with the urologist and took the anastrozole for 5 days. I was completely miserable, joints a wreck, and forget about libido. I stopped taking it, ripped the doctor for being a complete moron, and started looking elsewhere. Took about 3 weeks for my joints to stop...

@johnt Thanks for the reply. The first couple books I read on the subject before I even found this site were Nelson & Jay's books from the searches I did on Amazon. After that, I read Thor Training and Master Your T by Christopher Walker and all the articles on Anabolicmen.com to try to...

Thank you Dr. Saya! He had my labs and read them to me. I also received these from him: ESTROGENS,SERUM FRACTIONATED 01/25/2017 08:20Description Result Flags RangeESTRADIOL,SERUM 22.0 N 10.0-42.0ESTRONE BY TANDEM MASS SPECTO 20.2 N 9.0-36.0TOTAL ESTROGENS(REF) 42.2 N 19.0-69.0 I still wasn't...

Update - Met with a TRT doc / urologist through my HMO. We reviewed my last labs which were just: TT - 363 FT - 6.24 E2 - 42 He said I'm not a candidate for TRT because my last labs for total t were 363, 392, 440. He prescribed 1MG Anastrozole/Day and recheck labs in 4 weeks follow-up in 6...

Thanks Vince! I am going to contact them to see about average costs so I can try to fit this into my budget. If my diagnosis is to start any type of recurring treatment, I need to be able to keep it going since I will be worse off than when I started if I have to stop! Again, I appreciate the...

My experience so far has been limited to doctors within my HMO. I pay upwards of $600/month for medical insurance for my kids and I, and with other costs, fitting in out of pocket (telemedicine) on top that is regular and recurring as a cost is extremely difficult. That said, I have had no...

Thanks Coastwatcher. My TT & FT are both on the low end, and LH/FSH being high, which I think means that I'm just not producing. My E2 isn't bad, but my FT/TT are low, so I still might need an AI if I do end up taking something to up the TT/FT. I understand that given my age, a HCG restart is...

Thanks Coastwatcher. This has been a real pain to deal with. I'm at this point not sure what to do. I was able to get some updated labs, and I would welcome anyone's opinion on the next steps given all discussion above on symptoms. Labs:

Update - Stopped using saw palmetto due to research provided by the team here. Now I have a persistent ache in the testicles worse on the right than the left. Sort of the same feeling as when they are struck by a graze and you get that sick feeling. Also have intermittent pain in the prostate...

I think what was more concerning was that I was told to take it by my physician without any discussion of sides. In talking to a doc here, he was asking about how I carry as much muscle mass as I do without supporting testosterone. My last dexascan had me at 210 lbs. lean mass and 68 lbs. fat...

Oh no! I have been on saw palmetto, which was a PCP recommendation for some of the same reasons in the thread you sent over. I think they believe that it would not cause lasting harm because the source is natural and not pharmaceutical! I am stopping taking that right now.

I am going to contact Defy and get an opinion. The comments and help from this site has been far and away more than I have received from all of the doctors I have already visited put together. I have one question though. Prior to getting new labs, should I start taking everything OTC that is...

My E2 has repeatedly tested in the high 40's & I've had gyno since puberty & my docs don't seem to think it's a big deal. Main reason why I looking at 5th & 6th opinions. Any idea if grape seed extract, stinging nettle, zinc or anything else OTC will help?

I researched my insurance company and HAP does cover testosterone replacement, which just confuses me as to why my levels need to be so low (<175) before they will consider treating. Is there something I am missing? It seems like from my multiple low T symptoms as well as my years of labs all...

LOL, it is ridiculous what the doctors here and insurance make you go through. My father is 74, and his T was taken multiple times, all under 100. Had every symptom, and we had to pay out of pocket for a month before the insurance would cover him. His quality of life has changed in such a...

For years I never took any real time off. About 10 years ago, I started programming deloads into the workouts to help me heal. That and the low load / high volume pump workouts where I never loaded up the muscles, but did enough to stretch and pump blood into the tissues combined with cardio...

So the high E2 & SHBG are likely just symptoms of LowT? I've been reluctant to take any further steps because my urologist thought that my T was good enough, but he was concerned about the E2, cortisol, and SHBG all being so high; potentially causing me to need AI, but not TRT. He wanted an...

Thanks, I will check out the Nitric Oxide Stack. I used to take L-Citrulline, but moved to just Beta Alanine for my intraworkout shake. I will look at benefits outside the gym. Lexapro was something I was on for the last 8 months or so. I am naturally a high anxiety, type A, go-go-go...

I do admit that I feel like I know more than the doctors I am talking to, or that they really don't care about helping me get better. Frustrating. Thanks again for helping with this!

I'm in Michigan, and I'm open to getting whatever this is fixed, but I don't want to just get TRT if it isn't what I need. I don't understand why the E2 & SHBG are so high when my test is low? Would more test just make the problem worse?

I am not sure why they would wait until my testosterone is under 175 before doing anything, or why none of my symptoms matter to anyone. It has to be $ based. I'm betting the insurance is doing it so that the doctors are not able to prescribe anything, which leaves me screwed until things get...

I had the hemocrit tested last year. It was in the normal range but at the high end: HCT 46.8 Range: 38.8-50.0 I've actually had a lot of bloodwork done. I had a DVT in my right leg in 2015. It was treated with IV Heparin & then Xarelto. I was tested for everything under the sun both while...

ALT/SGPT ALT 51 Range 10-63 AST/SGOT AST 19 Range 15-41 Lipid Panel C/H 4.0 Range 0.0-4.0CHOL 159 Range 130-200dHDL 40 Range 29-71LDLmt 110 Range 0-130TRIG 45 Range 35-190VLDL 9 Range 0-130

The thyroid values were only run once in the last 3 years. T3 Free FT3 3.0 Range 2.1-4.1 T4 Free FT4 1.02 Range 0.61-1.85 Thyroid Stimulating Hormone TSH 1.30 Range 0.34-3.00

I have to go collect the labs from the different doctors. They are supposed to be available online, but only pieces have been loaded in. I've called on the doctors and asked them to prepare them so I can pick them up. I completely agree with making my own archive. With sources like excelmale...

Lab Results have been hard to get because of no one wanting to discuss what to do about my symptoms. I have been told that unless my labs come back out of the range they have identified, they won't even do an investigation. The Endocrinologist won't even see me! What I was able to get below...

Thanks! I really hope to figure my own issues out, and use the things I have learned in the past 4 years or so on my journey to help others :)

Hi everyone. I've been doing plenty of reading, and I still can't find a similar case containing labs and symptoms like mine, so I thought since I am striking out with doctors here, I would get some 'net SME advice! Demographics: 39 years old 6'5" 270 lbs. Body fat 26.2% Powerbuilder -...

Hello everyone! Very glad I found this site. I have been searching through and reading all the different question / answer and help everyone has provided, and I am excited and optimistic that I might find a direction to go myself with the symptoms and concerns I have. I look forward to...