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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
38yr old newly on T-Gel and not happy.
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<blockquote data-quote="CoastWatcher" data-source="post: 68758" data-attributes="member: 2624"><p>Welcome to Excelmale. You are another in a long line of men who failed to respond to topical testosterone delivery. It's a perfectly rational first step in treating hypogonadism, and you are certainly hypogonadal, but in a solid minority of men it simply fails to achieve the desired blood levels. Your dose could be higher, it might be worth trying an increased dose, but I'd urge you to consider shifting to injections.</p><p></p><p>As for your blood work, this is all that was run? You are missing some key values. PSA, estradiol/sensitive (LC, MS/MS), CBC, CMP, LH (which will now be inaccurate due to suppression of your natural axis), t3, t4, rt3, thyroid antibodies, DHT, DHEA. An effort was made to test appropriately, but with so many missing labs it would seem your doctor is relatively inexperienced in regard to male androgen therapy. </p><p></p><p>What what was said about fertility? Was there any discussion of HCG, to preserve your testicular vitality? It's a basic element of a good protocol. </p><p></p><p>I fear that you're unlikely to achieve your goals working with your current physician. She ordered an incomplete workup, she is satisfied that you're "in range," and confuses that with "normal," and has managed to further suppress your endogenous production of testosterone on a protocol that leaves you feeling flat. </p><p></p><p>You need a new doctor. If local, quality care can't be found we can offer you referrals to nationally regarded physicians. You deserve better care than you're receiving.</p><p></p><p>One last note, when posting lab values down the road, please include reference ranges.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 68758, member: 2624"] Welcome to Excelmale. You are another in a long line of men who failed to respond to topical testosterone delivery. It's a perfectly rational first step in treating hypogonadism, and you are certainly hypogonadal, but in a solid minority of men it simply fails to achieve the desired blood levels. Your dose could be higher, it might be worth trying an increased dose, but I'd urge you to consider shifting to injections. As for your blood work, this is all that was run? You are missing some key values. PSA, estradiol/sensitive (LC, MS/MS), CBC, CMP, LH (which will now be inaccurate due to suppression of your natural axis), t3, t4, rt3, thyroid antibodies, DHT, DHEA. An effort was made to test appropriately, but with so many missing labs it would seem your doctor is relatively inexperienced in regard to male androgen therapy. What what was said about fertility? Was there any discussion of HCG, to preserve your testicular vitality? It's a basic element of a good protocol. I fear that you're unlikely to achieve your goals working with your current physician. She ordered an incomplete workup, she is satisfied that you're "in range," and confuses that with "normal," and has managed to further suppress your endogenous production of testosterone on a protocol that leaves you feeling flat. You need a new doctor. If local, quality care can't be found we can offer you referrals to nationally regarded physicians. You deserve better care than you're receiving. One last note, when posting lab values down the road, please include reference ranges. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
38yr old newly on T-Gel and not happy.
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