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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Trans scrotal testosterone cream application is a game changer
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<blockquote data-quote="Fortunate" data-source="post: 254983" data-attributes="member: 42264"><p>[USER=42893]@RobRoy[/USER], if you are still around, I have questions: </p><p></p><p>TLDR: If I were a patient of yours and told you most forms of TRT cause me headaches and sometimes migraines, how would you advise me? For further color, I hope you are willing to read below.</p><p></p><p>I have zero interest in DHT and/or estrogen management debates. This thread was contentious. I am asking you to briefly put that behind us for a moment. I literally am looking for answers. I will begin with stating that I fully realize hormones are not the cause of all health and psychological problems, neither are they the solution. I also understand that a successful TRT treatment plan takes patience. </p><p></p><p>That said, one side effect that, for me, is not negotiable is headache. I have suffered from migraines my whole life - both with and without aura. I have a big family history of migraines. I have addressed all modifiable lifestyle factors: consistent sleep; zero alcohol, very clean diet (minimally processed foods, low-ish carb, moderate protein and fat); very consistent exercise; minimal body fat; meditation to reduce stress, etc. You get the point. I have also tried a number of preventative therapies (botox, beta blockers, gabapentin, various gepants) and am now on candesartan and Qulipta for prevention. I have taken charge of my life and am currently much better than I was 10 years ago.</p><p></p><p>When I started TRT years ago, I was addressing a number of typical low T symptoms. I was hopeful that TRT might also have a positive influence on my headaches. Unfortunately, TRT is currently one of the few things in my life that trigger headaches. I believe that there are a number of mechanisms that lead to headache - ie, many roads that lead to a final common pathway. Many forms of TRT have been headache triggers, and I have systematically tried to troubleshoot how and why I get headaches from various forms of TRT. I won't bore you with details.</p><p></p><p>My prior migraine suffering was immense - something I don't wish on anyone. I have a wife, three kids and a demanding job. I don't have a lot of leeway to feel shitty. I have consistently found over the course of many years that most injection protocols lead to headache for me - even with patience and time. Creams are less likely to cause me headaches, but over time, I start to feel bad on creams, too. Based on observation and correlation with labs, I truly believe that I feel crappy when my estradiol drifts up above a certain limit. I can go days with a low grade headache refractory to NSAID's. I have also noticed that taking a very low dose AI (0.125mg of anastrazole) can pull me out of the multi-day headache funk.</p><p></p><p>I reiterate: I have no interest in DHT, estrogen or AI debates. I am willing to ride out certain side effects, but headache is a non-starter for me. So, if I am a patient of yours, how would you advise me? I am happy to provide more details, but don't want to bore everyone here to death. My recent post about DHT and the potential impact on the adrenergic nervous system was not meant to fan prior flames. I had prolonged tachycardia and sharply elevated blood pressure just prior to developing a migraine. I am 100% certain it was due to the cream protocol I was on, and I am merely looking for answers.</p><p></p><p>Appreciate your thoughts.</p></blockquote><p></p>
[QUOTE="Fortunate, post: 254983, member: 42264"] [USER=42893]@RobRoy[/USER], if you are still around, I have questions: TLDR: If I were a patient of yours and told you most forms of TRT cause me headaches and sometimes migraines, how would you advise me? For further color, I hope you are willing to read below. I have zero interest in DHT and/or estrogen management debates. This thread was contentious. I am asking you to briefly put that behind us for a moment. I literally am looking for answers. I will begin with stating that I fully realize hormones are not the cause of all health and psychological problems, neither are they the solution. I also understand that a successful TRT treatment plan takes patience. That said, one side effect that, for me, is not negotiable is headache. I have suffered from migraines my whole life - both with and without aura. I have a big family history of migraines. I have addressed all modifiable lifestyle factors: consistent sleep; zero alcohol, very clean diet (minimally processed foods, low-ish carb, moderate protein and fat); very consistent exercise; minimal body fat; meditation to reduce stress, etc. You get the point. I have also tried a number of preventative therapies (botox, beta blockers, gabapentin, various gepants) and am now on candesartan and Qulipta for prevention. I have taken charge of my life and am currently much better than I was 10 years ago. When I started TRT years ago, I was addressing a number of typical low T symptoms. I was hopeful that TRT might also have a positive influence on my headaches. Unfortunately, TRT is currently one of the few things in my life that trigger headaches. I believe that there are a number of mechanisms that lead to headache - ie, many roads that lead to a final common pathway. Many forms of TRT have been headache triggers, and I have systematically tried to troubleshoot how and why I get headaches from various forms of TRT. I won't bore you with details. My prior migraine suffering was immense - something I don't wish on anyone. I have a wife, three kids and a demanding job. I don't have a lot of leeway to feel shitty. I have consistently found over the course of many years that most injection protocols lead to headache for me - even with patience and time. Creams are less likely to cause me headaches, but over time, I start to feel bad on creams, too. Based on observation and correlation with labs, I truly believe that I feel crappy when my estradiol drifts up above a certain limit. I can go days with a low grade headache refractory to NSAID's. I have also noticed that taking a very low dose AI (0.125mg of anastrazole) can pull me out of the multi-day headache funk. I reiterate: I have no interest in DHT, estrogen or AI debates. I am willing to ride out certain side effects, but headache is a non-starter for me. So, if I am a patient of yours, how would you advise me? I am happy to provide more details, but don't want to bore everyone here to death. My recent post about DHT and the potential impact on the adrenergic nervous system was not meant to fan prior flames. I had prolonged tachycardia and sharply elevated blood pressure just prior to developing a migraine. I am 100% certain it was due to the cream protocol I was on, and I am merely looking for answers. Appreciate your thoughts. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Trans scrotal testosterone cream application is a game changer
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