How to talk to my primary physician about getting blood work done?

Hi. I'm 39 years old. I've had a few seizures when I was 30. Since my first set of seizures I've noticed an increase in depression and anxiety. My libido has gone down tremendously as time goes by. My motivation is gone and I suffer from E.D. I was prescribed cialis but that only works for me about 40 percent of the time. I'm very uneducated on hrt but I believe it's worth a shot to get some blood work done to see. I had a seizure in April in which I broke my arm. Idk how and embarrassed to talk to my physician about this. I'm not sure but thinking the seizures may have done some kind of neurological damage to me and may be a cause of loss of sexual function. Any advice will be greatly appreciated. Thanks.
 
Before you talk with your PCP, I would suggest a 2 stage process first. First read everything about starting TRT, and when it is correct to start, and when it might be another issue. After you have a better than basic knowledge of TRT, then order online labs, (you will have learned what to order from learning the basics). With the labs completed, then you should use your new TRT knowledge and this forum's guys to determine where you are low (or high), and then what would be the next step. Bringing the complaints, and the labs to your MD, you can see where he thinks you should go next. If he is sending you 180 degrees from where you believed was the next step, you can either encourage a better direction, (with the MD assist) or find an MD who will go where you want. Your knowledge is the first step, if you don't understand the basics , well,you have read about guys here who get started on 200mg of T Cyp every 2 weeks, with no plan to test for E2. You want to understand why SQ is a safe choice, and IM is not mandatory, also why HCG and AI's may be important as part of your total HRT plan.
 
Before you talk with your PCP, I would suggest a 2 stage process first. First read everything about starting TRT, and when it is correct to start, and when it might be another issue. After you have a better than basic knowledge of TRT, then order online labs, (you will have learned what to order from learning the basics). With the labs completed, then you should use your new TRT knowledge and this forum's guys to determine where you are low (or high), and then what would be the next step. Bringing the complaints, and the labs to your MD, you can see where he thinks you should go next. If he is sending you 180 degrees from where you believed was the next step, you can either encourage a better direction, (with the MD assist) or find an MD who will go where you want. Your knowledge is the first step, if you don't understand the basics , well,you have read about guys here who get started on 200mg of T Cyp every 2 weeks, with no plan to test for E2. You want to understand why SQ is a safe choice, and IM is not mandatory, also why HCG and AI's may be important as part of your total HRT plan.

agree research research research
https://www.excelmale.com/forum/sho...e-and-During-Testosterone-Replacement-Therapy

you can also order your own labs depending on your location with discount labs
 
If you are having seizures, maybe you have greater problem then low T. You should be doing a ton of research first.
 
On a side note I REALLY don't recommend Lyrica I had a LOT of bad side effects including ED issues on it even with TRT
 

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HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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