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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
22 Years Old - Starting TRT - HELP ME NOT **** MY LIFE
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 51683" data-attributes="member: 12687"><p>I only know your screen name, so haven't had a chance to review your forwarded records yet. Will look forward to reviewing prior to our consult. If she mentioned "cannot exclude partial empty sella" I'm assuming she ordered a pituitary MRI?</p><p></p><p>The fact you've had many of these symptoms SINCE CHILDHOOD is actually more evidence that they are likely predominantly (root cause) thyroid/adrenal related and perhaps now exacerbated by Hypogonadism. Put another way, Hypogonadism does NOT OCCUR during childhood (in fact by definition CANNOT occur until after puberty at the earliest). However, hypothyroidism and adrenal issues can and do occur occasionally in children. </p><p></p><p>Indeed your predominant symptoms of "brain fog, fatigue, lethargy" since CHILDHOOD scream out hypothyroidism, NOT hypogonadism...I think you've sold yourself on the Hypogonadism diagnosis already when in fact you are likely one of the *lucky* ones that instead has an identifiable and CORRECTABLE root cause.</p><p></p><p>We will have A LOT to discuss when we finally get to have a consult. Until then, again I would avoid the temptation of potentially prematurely jumping onto TRT. If I find it is indeed clinically needed, I will have no problem recommending it for you.</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 51683, member: 12687"] I only know your screen name, so haven't had a chance to review your forwarded records yet. Will look forward to reviewing prior to our consult. If she mentioned "cannot exclude partial empty sella" I'm assuming she ordered a pituitary MRI? The fact you've had many of these symptoms SINCE CHILDHOOD is actually more evidence that they are likely predominantly (root cause) thyroid/adrenal related and perhaps now exacerbated by Hypogonadism. Put another way, Hypogonadism does NOT OCCUR during childhood (in fact by definition CANNOT occur until after puberty at the earliest). However, hypothyroidism and adrenal issues can and do occur occasionally in children. Indeed your predominant symptoms of "brain fog, fatigue, lethargy" since CHILDHOOD scream out hypothyroidism, NOT hypogonadism...I think you've sold yourself on the Hypogonadism diagnosis already when in fact you are likely one of the *lucky* ones that instead has an identifiable and CORRECTABLE root cause. We will have A LOT to discuss when we finally get to have a consult. Until then, again I would avoid the temptation of potentially prematurely jumping onto TRT. If I find it is indeed clinically needed, I will have no problem recommending it for you. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
22 Years Old - Starting TRT - HELP ME NOT **** MY LIFE
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