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Low E2 and 1/2 Life & Frequent Urination
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<blockquote data-quote="CoastWatcher" data-source="post: 138137" data-attributes="member: 2624"><p>If an algorithm existed that could be used to determine dosing levels, all of us - patients and doctors - would turn to it with confidence and eliminate much of the stress and frustration associated with the balancing of elements in the TRT follies. But the very best doctors practicing in this area, those who really know how the game is played, will frankly admit that they work with TRT patients to solve an unwieldy equation consisting of variables that refuse to be easily sorted out. </p><p></p><p>Start with patient's subjective response - what he says and how he describes his situation (always the most critical variable); combine it with the objective response - lab tests; assess the pharmacology involved - drugs/dose/frequency. It now becomes a judgment call reflecting clinical experience. </p><p></p><p>The overarching rule that my doctor follows is that time and patience are required. Four to six weeks, prerably six, before any change can be fairly evaluated as serum levels are in flux. One change at a time (in some cases, two, but never more than that). It can, indeed be maddening, days after day, to let time factor the adjustments made, but we've yet to find a better way.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 138137, member: 2624"] If an algorithm existed that could be used to determine dosing levels, all of us - patients and doctors - would turn to it with confidence and eliminate much of the stress and frustration associated with the balancing of elements in the TRT follies. But the very best doctors practicing in this area, those who really know how the game is played, will frankly admit that they work with TRT patients to solve an unwieldy equation consisting of variables that refuse to be easily sorted out. Start with patient's subjective response - what he says and how he describes his situation (always the most critical variable); combine it with the objective response - lab tests; assess the pharmacology involved - drugs/dose/frequency. It now becomes a judgment call reflecting clinical experience. The overarching rule that my doctor follows is that time and patience are required. Four to six weeks, prerably six, before any change can be fairly evaluated as serum levels are in flux. One change at a time (in some cases, two, but never more than that). It can, indeed be maddening, days after day, to let time factor the adjustments made, but we've yet to find a better way. [/QUOTE]
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Low E2 and 1/2 Life & Frequent Urination
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