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New Member - Looking for TRT Docs in Ontario, Canada
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<blockquote data-quote="madman" data-source="post: 78166" data-attributes="member: 13851"><p>Welcome AR! Would be nice to know your free t/shbg/DHT/estradiol numbers also but unfortunately, most GPS just test for total, and regarding estradiol as Coast has stated in many posts to members that in Canada they only use the standard assay and not the sensitive assay that is done in the US which is more accurate than the standard. Your total t numbers are very similar to mine as I tested at 11.3 nmol/L range 8.4-28.8 and also at 11.7 nmol/L both done at Lifelabs and my Free T was 225 pmol/L range 196-630 pmol/L. My GP tried to tell me I was still in range even though I stressed to him my symptoms mainly loss of libido/low energy/irritable, angry, depressed/poor recovery from workouts but he insisted I was ok whereas I knew my levels were low normal and effecting my overall health/wellbeing. Luckily my gp was retiring and the lady whom took over his practice had also looked over my labs and felt I was still ok but I explained to her the symptoms I was still experiencing and had asked her for a referral to a well-known urologist as not only does he treat patients for sexual related issues but is known for combining trt with pde-5 inhibitors (if needed) in patients that do not respond well to pde-5s alone as many of the negative responders usually suffer from low testosterone. She faxed my lab work to his office and within 2 months I had my appointment with him. It was surreal to say the least as I sat across from him in my chair and he said I see you have come to see me regarding your testosterone levels and you have been suffering from lack of libido and low energy among other things and as I was somewhat nervous trying to explain my situation and the symptoms I was experiencing for so long ( like in my mind I was trying to convince him thinking he would not treat me LOL) he said your total t is low for your age and your free t is also rather low we can start you right away on a 6 month trial of testosterone and he said your options are patches/gels or creams/injections and right away I said I would prefer injections and he said would you prefer to do your injections at home as I have my patients do sub-q once weekly so I will set you up with an injection clinic. He basically said he does not treat the numbers but the patients symptoms and prefers to have most of his patients in the high 20 nmol/L range but everyone is different where they feel best. I was in total shock that someone finally understood how I was feeling and did not hesitate to treat me. I started my trt at the end of December 2016 and it was rough in the beginning for the first 6 weeks as your testosterone levels take time to stabilize and after 8 weeks I needed a dosage increase and slight protocol change to improve my symptoms. I am now 7 months in and feel amazing! Wish I would have looked into finding treatment years ago. Unless your numbers fall under 8 nmol/L most doctors will not treat you especially in Canada as it is difficult to get treatment. Your levels as mine fall in what most doctors in the know regarding trt refer to as the GREY ZONE 8-12 nmol/L (LOW/NORMAL)which usually merit a 6 month trial if the patient is experiencing low t symptoms. My doctor is old school in some of his ways but is very knowledgeable and experienced regarding testosterone treatment. I would strongly suggest you ask your GP for a referral to him as you would like a second opinion. He will definitely treat you with those numbers and especially that you are suffering from low t symptoms. He is recognized as one of the leading figures in Canada regarding his field of work and was most likely one of the first to pioneer sub-q trt injection use in patients!</p><p><a href="http://www.stacommunications.com/journals/diagnosis/2005/February/PDF/075.pdf" target="_blank">http://www.stacommunications.com/journals/diagnosis/2005/February/PDF/075.pdf</a></p><p><a href="http://www.canjurol.com/html/free-articles/V19I5S1F-04-DrGreenspan.pdf" target="_blank">http://www.canjurol.com/html/free-articles/V19I5S1F-04-DrGreenspan.pdf</a></p><p><a href="https://www.theglobeandmail.com/life/urologist-took-questions/article1053309/?page=all" target="_blank">Urologist took questions</a></p><p><a href="https://www.thespec.com/living-story/2129385-there-are-many-ways-to-beat-ed/" target="_blank">https://www.thespec.com/living-story/2129385-there-are-many-ways-to-beat-ed/</a></p></blockquote><p></p>
[QUOTE="madman, post: 78166, member: 13851"] Welcome AR! Would be nice to know your free t/shbg/DHT/estradiol numbers also but unfortunately, most GPS just test for total, and regarding estradiol as Coast has stated in many posts to members that in Canada they only use the standard assay and not the sensitive assay that is done in the US which is more accurate than the standard. Your total t numbers are very similar to mine as I tested at 11.3 nmol/L range 8.4-28.8 and also at 11.7 nmol/L both done at Lifelabs and my Free T was 225 pmol/L range 196-630 pmol/L. My GP tried to tell me I was still in range even though I stressed to him my symptoms mainly loss of libido/low energy/irritable, angry, depressed/poor recovery from workouts but he insisted I was ok whereas I knew my levels were low normal and effecting my overall health/wellbeing. Luckily my gp was retiring and the lady whom took over his practice had also looked over my labs and felt I was still ok but I explained to her the symptoms I was still experiencing and had asked her for a referral to a well-known urologist as not only does he treat patients for sexual related issues but is known for combining trt with pde-5 inhibitors (if needed) in patients that do not respond well to pde-5s alone as many of the negative responders usually suffer from low testosterone. She faxed my lab work to his office and within 2 months I had my appointment with him. It was surreal to say the least as I sat across from him in my chair and he said I see you have come to see me regarding your testosterone levels and you have been suffering from lack of libido and low energy among other things and as I was somewhat nervous trying to explain my situation and the symptoms I was experiencing for so long ( like in my mind I was trying to convince him thinking he would not treat me LOL) he said your total t is low for your age and your free t is also rather low we can start you right away on a 6 month trial of testosterone and he said your options are patches/gels or creams/injections and right away I said I would prefer injections and he said would you prefer to do your injections at home as I have my patients do sub-q once weekly so I will set you up with an injection clinic. He basically said he does not treat the numbers but the patients symptoms and prefers to have most of his patients in the high 20 nmol/L range but everyone is different where they feel best. I was in total shock that someone finally understood how I was feeling and did not hesitate to treat me. I started my trt at the end of December 2016 and it was rough in the beginning for the first 6 weeks as your testosterone levels take time to stabilize and after 8 weeks I needed a dosage increase and slight protocol change to improve my symptoms. I am now 7 months in and feel amazing! Wish I would have looked into finding treatment years ago. Unless your numbers fall under 8 nmol/L most doctors will not treat you especially in Canada as it is difficult to get treatment. Your levels as mine fall in what most doctors in the know regarding trt refer to as the GREY ZONE 8-12 nmol/L (LOW/NORMAL)which usually merit a 6 month trial if the patient is experiencing low t symptoms. My doctor is old school in some of his ways but is very knowledgeable and experienced regarding testosterone treatment. I would strongly suggest you ask your GP for a referral to him as you would like a second opinion. He will definitely treat you with those numbers and especially that you are suffering from low t symptoms. He is recognized as one of the leading figures in Canada regarding his field of work and was most likely one of the first to pioneer sub-q trt injection use in patients! [URL]http://www.stacommunications.com/journals/diagnosis/2005/February/PDF/075.pdf[/URL] [URL]http://www.canjurol.com/html/free-articles/V19I5S1F-04-DrGreenspan.pdf[/URL] [URL="https://www.theglobeandmail.com/life/urologist-took-questions/article1053309/?page=all"]Urologist took questions[/URL] [URL]https://www.thespec.com/living-story/2129385-there-are-many-ways-to-beat-ed/[/URL] [/QUOTE]
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New Member - Looking for TRT Docs in Ontario, Canada
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