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<blockquote data-quote="efete1" data-source="post: 88614" data-attributes="member: 17047"><p>Thanks for sending! Again great job on the consistency!</p><p>I would add more healthy fats, those are vital for many functions, cognition, hormones, and much more. Think avocados, almonds, quality olive and coconut oil etc.</p><p>The nipple pain you felt is a type of gyno but not the kind that most people think of- this type is usually remedied surgically. AI may help short term but the long term effects of AI's are very detrimental (bone loss, loss of cardiovascular protection, less libido etc). </p><p>If your prolactin level stays high your doc may need to get an MRI to rule out a prolactin secreting mass. Have you ever sustained any head trauma?</p><p></p><p>Your cholesterol isn't too bad. Some studies show that older men actually have increased mortality with levels that are too low. The more important thing is the level of inflammation in your body and the cholesterol sub types (advanced testing such as the NMR Lipid panel etc). You can check all this with such tests as the Lp PLA-2, apo A and apo B, Lp(a), hs-CRP, and oxidized LDL, LDL P (particle number), and small LDL number. </p><p></p><p>The Niacin may be good to add to bump the HDL if that is a concern. Enduracin is an inexpensive OTC version. week 1 take 500mg once a day, week 2 take twice a day, week 3 take 2 in am and 1 in pm - can increase / titrate as needed - you may need less, or more. Take with food (and with fish oil to avoid any flushing. may need to add aspirin as well to avoid the flush).</p><p><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Dr. Eric</p></blockquote><p></p>
[QUOTE="efete1, post: 88614, member: 17047"] Thanks for sending! Again great job on the consistency! I would add more healthy fats, those are vital for many functions, cognition, hormones, and much more. Think avocados, almonds, quality olive and coconut oil etc. The nipple pain you felt is a type of gyno but not the kind that most people think of- this type is usually remedied surgically. AI may help short term but the long term effects of AI's are very detrimental (bone loss, loss of cardiovascular protection, less libido etc). If your prolactin level stays high your doc may need to get an MRI to rule out a prolactin secreting mass. Have you ever sustained any head trauma? Your cholesterol isn't too bad. Some studies show that older men actually have increased mortality with levels that are too low. The more important thing is the level of inflammation in your body and the cholesterol sub types (advanced testing such as the NMR Lipid panel etc). You can check all this with such tests as the Lp PLA-2, apo A and apo B, Lp(a), hs-CRP, and oxidized LDL, LDL P (particle number), and small LDL number. The Niacin may be good to add to bump the HDL if that is a concern. Enduracin is an inexpensive OTC version. week 1 take 500mg once a day, week 2 take twice a day, week 3 take 2 in am and 1 in pm - can increase / titrate as needed - you may need less, or more. Take with food (and with fish oil to avoid any flushing. may need to add aspirin as well to avoid the flush). :) Dr. Eric [/QUOTE]
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