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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
ED ongoing issues
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<blockquote data-quote="backdr10" data-source="post: 155405" data-attributes="member: 23430"><p>First time posting on here for me and I have say , as a physician , I am very impressed by the wealth of knowledge you guys provide to members. I have dealt with my own unbelievable illness as a physician and allow me to say that doctors do not get treated better than anyone else and at times much worse. As for TRTinNY’s issues , has any doctor asked why your insulin growth factor is elevated. Have you had a pituitary mri looking for empty sella syndrome or other pituitary issues? You have not had prolactin levels, c peptide, serum insulin, serum insulin binding protein 3 levels done? No growth hormone stim evaluation . If metabolic syndrome / obesity is an issue then we would expect insulin and Leptin resistance . Insulin directly affects cardiovascular health ,bp, and blood flow . Perhaps you are having issues due to contractility of the vessel wall of the penile artery along with issues secondary to hypogonadism. I am not sure if you had stated what your actual dx was, but the insulin growth factor elevation should be examined. As far as the DHEA , I seldom see satisfactory results in men. Females tend to do much better with quality third party tested pharmaceutical grade DHEA. I utilize a great deal of integrative medicine and believe that men tend to aromatize the majority of DHEA (at least the amount that actually gets absorbed and not degraded the minute it hits the digestive tract). The igf1 level needs to be investigated along with DHEA/ cortisol ratio and possiblyACTH. Polymorphism in the aromatase genes in some men will definitely cause issues as I have personally experienced and it can take a very long time to dial in the correct doses of hormone. In no way am I giving advice on what to do, but perhaps you should speak with your physician about further pituitary work up . This is just my thoughts and in no way medical advice - I leave that to your treating physician.</p></blockquote><p></p>
[QUOTE="backdr10, post: 155405, member: 23430"] First time posting on here for me and I have say , as a physician , I am very impressed by the wealth of knowledge you guys provide to members. I have dealt with my own unbelievable illness as a physician and allow me to say that doctors do not get treated better than anyone else and at times much worse. As for TRTinNY’s issues , has any doctor asked why your insulin growth factor is elevated. Have you had a pituitary mri looking for empty sella syndrome or other pituitary issues? You have not had prolactin levels, c peptide, serum insulin, serum insulin binding protein 3 levels done? No growth hormone stim evaluation . If metabolic syndrome / obesity is an issue then we would expect insulin and Leptin resistance . Insulin directly affects cardiovascular health ,bp, and blood flow . Perhaps you are having issues due to contractility of the vessel wall of the penile artery along with issues secondary to hypogonadism. I am not sure if you had stated what your actual dx was, but the insulin growth factor elevation should be examined. As far as the DHEA , I seldom see satisfactory results in men. Females tend to do much better with quality third party tested pharmaceutical grade DHEA. I utilize a great deal of integrative medicine and believe that men tend to aromatize the majority of DHEA (at least the amount that actually gets absorbed and not degraded the minute it hits the digestive tract). The igf1 level needs to be investigated along with DHEA/ cortisol ratio and possiblyACTH. Polymorphism in the aromatase genes in some men will definitely cause issues as I have personally experienced and it can take a very long time to dial in the correct doses of hormone. In no way am I giving advice on what to do, but perhaps you should speak with your physician about further pituitary work up . This is just my thoughts and in no way medical advice - I leave that to your treating physician. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
ED ongoing issues
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