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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Should We Be Managing Estradiol and Hematocrit in Men on Testosterone Replacement?
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<blockquote data-quote="J. Keith Nichols MD" data-source="post: 71333" data-attributes="member: 15691"><p>Firtsly, those are not hyperthyroid symptoms. Secondly, you concerns are not borne out in the medical literature. I still refer you to Dr Kelly's articles. Until you are of the understanding that exogenous HDT is not the same as endogenous hyperthyroidism and does not have the same morbidities and mortalities then we are just spinning our wheels here. When the medical community is using thyroid dosages for other disorder 5-10x the amount we are utilizing then I have to wonder why you are seeing all of the adverse effects you report that most others are not? Can you please provide evidence increased Cadiac load with thyroid and Hct causing harm in any study to date or is that just "your opinion". </p><p> </p><p>Since T increases DHT and we know T does not cause prostate cancer can you tell me why i should be concerned for my prostate? In all the men on testosterone withou measuring DHT levels there is no increase in prostate cancer. The </p><p>PCPT (prostate cancer prevention trial) raises a new debate on finasteride. </p><p></p><p>If i am having symptoms of E2 excess and I know I am only going to take a AI until sympoms resolve can you tell me why I need to know a level. Since I am taking the AI for symptoms are you saying that I should measure a number and then reduce E2 to another number? If so, what are those numbers? Once again, it appears you are more caught up in following numbers that don't change treatment. I'm not sure what you mean by being aggressive or conservative. If I am going to take anastrazole 2x per week until symptoms resolve why would I need to know a number? </p><p></p><p>I'm not treating 20 year olds we discuss fertility and testicular atrophy with all patients they are not interested in hcg as one of patients said "my wife has never told me the next day, honey your testicles were so good last night". They are more concerned about a strong firm consistent erection day to day. I honestly feel you are over complicating the process leading men to chase numbers and become number focused instead of just trusting the process and feeling better. I think you are correct though I have a select population of patients that trust in what we are doing and That's why they do so well.</p></blockquote><p></p>
[QUOTE="J. Keith Nichols MD, post: 71333, member: 15691"] Firtsly, those are not hyperthyroid symptoms. Secondly, you concerns are not borne out in the medical literature. I still refer you to Dr Kelly's articles. Until you are of the understanding that exogenous HDT is not the same as endogenous hyperthyroidism and does not have the same morbidities and mortalities then we are just spinning our wheels here. When the medical community is using thyroid dosages for other disorder 5-10x the amount we are utilizing then I have to wonder why you are seeing all of the adverse effects you report that most others are not? Can you please provide evidence increased Cadiac load with thyroid and Hct causing harm in any study to date or is that just "your opinion". Since T increases DHT and we know T does not cause prostate cancer can you tell me why i should be concerned for my prostate? In all the men on testosterone withou measuring DHT levels there is no increase in prostate cancer. The PCPT (prostate cancer prevention trial) raises a new debate on finasteride. If i am having symptoms of E2 excess and I know I am only going to take a AI until sympoms resolve can you tell me why I need to know a level. Since I am taking the AI for symptoms are you saying that I should measure a number and then reduce E2 to another number? If so, what are those numbers? Once again, it appears you are more caught up in following numbers that don't change treatment. I'm not sure what you mean by being aggressive or conservative. If I am going to take anastrazole 2x per week until symptoms resolve why would I need to know a number? I'm not treating 20 year olds we discuss fertility and testicular atrophy with all patients they are not interested in hcg as one of patients said "my wife has never told me the next day, honey your testicles were so good last night". They are more concerned about a strong firm consistent erection day to day. I honestly feel you are over complicating the process leading men to chase numbers and become number focused instead of just trusting the process and feeling better. I think you are correct though I have a select population of patients that trust in what we are doing and That's why they do so well. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Should We Be Managing Estradiol and Hematocrit in Men on Testosterone Replacement?
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