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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Now on TRT plus HCG to preserve fertility
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<blockquote data-quote="paco" data-source="post: 7008" data-attributes="member: 37"><p>Thanks for replying to this, Nelson. I'm doubtful that Dr. Lipshultz's office will facilitate blood work before I see him again. Each time I've seen them, I do the lab work after my consult with him at his office, so we haven't really used blood work to help decide next steps (at least not yet). And, I had suspected that they were not using a sensitive assay for estradiol as you suggested. </p><p></p><p>So, I'm thinking of getting some basic bloodwork such as total testosterone and free testosterone via Labcorp through Life Extension Foundation before changing anything. <strong>I am not sure whether it's worthwhile (or worth the money) to get the sensitive estradiol test at the same time, given that I'm currently on clomiphene and</strong> <strong>I keep hearing that can confuse interpretation of the results. Is that still believed to be true? </strong></p><p><strong></strong></p><p>I have not been very pleased with the responsiveness of his staff. They have a patient portal where you can supposedly communicate with them, but nobody looks at it or replies to even the simplest requests. Also, it can take days and a lot of pestering for his nurse to return calls (to her credit, she seems overwhelmed and overworked), even relatively urgent ones such as when you need a Rx refill or insurance has changed and you need to get a prior authorization for a new version of testosterone. I have eaten some extra costs because of these delays and felt like a bit of an annoyance when I was calling for several days at a time with no response. So, they generally seem inclined to only provide attention and care when you visit the office. All that said, Dr. Lipshultz gave me his card and assured me I could email him with basic questions and updates. I tried that today, emailing him my progress (or lack thereof) to date and my proposed changes so we'll see if I hear back soon.</p><p></p><p>Regarding Cialis, that's another variable that I may consider in the future, but i'd prefer to change as few things as possible at a time.</p></blockquote><p></p>
[QUOTE="paco, post: 7008, member: 37"] Thanks for replying to this, Nelson. I'm doubtful that Dr. Lipshultz's office will facilitate blood work before I see him again. Each time I've seen them, I do the lab work after my consult with him at his office, so we haven't really used blood work to help decide next steps (at least not yet). And, I had suspected that they were not using a sensitive assay for estradiol as you suggested. So, I'm thinking of getting some basic bloodwork such as total testosterone and free testosterone via Labcorp through Life Extension Foundation before changing anything. [B]I am not sure whether it's worthwhile (or worth the money) to get the sensitive estradiol test at the same time, given that I'm currently on clomiphene and[/B] [B]I keep hearing that can confuse interpretation of the results. Is that still believed to be true? [/B] I have not been very pleased with the responsiveness of his staff. They have a patient portal where you can supposedly communicate with them, but nobody looks at it or replies to even the simplest requests. Also, it can take days and a lot of pestering for his nurse to return calls (to her credit, she seems overwhelmed and overworked), even relatively urgent ones such as when you need a Rx refill or insurance has changed and you need to get a prior authorization for a new version of testosterone. I have eaten some extra costs because of these delays and felt like a bit of an annoyance when I was calling for several days at a time with no response. So, they generally seem inclined to only provide attention and care when you visit the office. All that said, Dr. Lipshultz gave me his card and assured me I could email him with basic questions and updates. I tried that today, emailing him my progress (or lack thereof) to date and my proposed changes so we'll see if I hear back soon. Regarding Cialis, that's another variable that I may consider in the future, but i'd prefer to change as few things as possible at a time. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Now on TRT plus HCG to preserve fertility
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