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Ask The Urologist Anything (Dr Michael Rotman)
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<blockquote data-quote="jsr0367" data-source="post: 77440" data-attributes="member: 12839"><p><strong>Dr. Rotman</strong></p><p></p><p>Dr. Rotman, </p><p></p><p>It is with great appreciation that you are on this online community. It is challenging to get answers to my questions when I see my Uro. Your presence is of great benefit to us!</p><p></p><p>I have been on TRT for 2 years and my dose has been increased because of fatigue. He bumped me from 150mg (.75mls) to 180mg (.9mls). All are injected with a 22ga needle in the quad muscle.</p><p></p><p>My PSA has always been in the 3 range for years even before TRT. Since being on TRT it visits 4 and goes back down.</p><p></p><p>A week ago my PSA jumped to 5.83 from 3.60. My Estradiol (not sensitive) went from 16 to 29 in the same time frame.</p><p></p><p>My uro stopped TRT and prescribed Bactrim DS (generic version) twice a day.</p><p></p><p>I had the test on Saturday and wife and I had no kids Thur and Friday and had fun twice each day. Plus I am a cyclist and ride 20 miles a day. I normally abstain from both before a test. Couple questions if you could be so kind:</p><p></p><p></p><ul> <li data-xf-list-type="ul"><strong>Do you think my two days of fun messed up my test?</strong></li> <li data-xf-list-type="ul"><strong>And, I am a bodybuilding and use preworkout supplements that have caffeine. How critical is caffeine to PSA. I usually take 300-400 mg a day between PWO and tea.</strong></li> </ul><p></p><p>My uro is planning on visiting biopsy after the antibiotic. BTW - I am 50, eat very clean and lean. No processed junk. No added sugars. </p><p></p><p>Thank you again!!</p></blockquote><p></p>
[QUOTE="jsr0367, post: 77440, member: 12839"] [b]Dr. Rotman[/b] Dr. Rotman, It is with great appreciation that you are on this online community. It is challenging to get answers to my questions when I see my Uro. Your presence is of great benefit to us! I have been on TRT for 2 years and my dose has been increased because of fatigue. He bumped me from 150mg (.75mls) to 180mg (.9mls). All are injected with a 22ga needle in the quad muscle. My PSA has always been in the 3 range for years even before TRT. Since being on TRT it visits 4 and goes back down. A week ago my PSA jumped to 5.83 from 3.60. My Estradiol (not sensitive) went from 16 to 29 in the same time frame. My uro stopped TRT and prescribed Bactrim DS (generic version) twice a day. I had the test on Saturday and wife and I had no kids Thur and Friday and had fun twice each day. Plus I am a cyclist and ride 20 miles a day. I normally abstain from both before a test. Couple questions if you could be so kind: [LIST] [*][B]Do you think my two days of fun messed up my test?[/B] [*][B]And, I am a bodybuilding and use preworkout supplements that have caffeine. How critical is caffeine to PSA. I usually take 300-400 mg a day between PWO and tea.[/B] [/LIST] My uro is planning on visiting biopsy after the antibiotic. BTW - I am 50, eat very clean and lean. No processed junk. No added sugars. Thank you again!! [/QUOTE]
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Ask The Urologist Anything (Dr Michael Rotman)
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