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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Worried about Nebido and gyno
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<blockquote data-quote="DragonBits" data-source="post: 125067" data-attributes="member: 18023"><p>The high levels of prolactin can cause breast tenderness and enlargement.</p><p></p><p>Do you know what is causing the high prolactin levels? Is your near zero T a permanent condition? Even if you can't order the sensitive E2 test, the regular E2 should give you information, do you know why your doctor didn't want to order it? Is is likely your E2 is also very low?</p><p></p><p>Hypothyroidism can cause high levels of prolactin. Treating that may help. </p><p></p><p>I am fine with Nebido, I prefer it to the shorter acting esters, it's less likely to cause excess E2 or HCT. You get a big increase for ~2 weeks, then a gradual fall off. with shorter esters like Ethanate, Sustanon or cypionate you get constant spikes every time you inject. And Nebido takes a lot longer to reach steady state. Granted, with shorter esters you can inject less more frequently yielding smaller spikes. But since it's difficult to get Nebido in the USA, and aveed is really expensive without insurance, most go with testos cream or cypionate. I am fine with either, it's just more difficult to get "dial in" with cypionate and the cream / gel not everyone does well on those. The plus side with cypionate you can change your protocol quickly, even more quickly with cream/gel, while with Nebido you are pretty much locked into a level for 10 weeks. You could raise TT with another injection or even a cream/gel/cypionate sooner, but you can't lower your TT.</p><p></p><p>I kind of think you will feel good for 2 weeks, but the levels will fall to maybe 400-700 ng/dl, but no one can say for sure. I know on Nebido my levels bottom out at 650-700 NG/DL after 10 weeks on my second injection. </p><p></p><p>Do you know your thyroid panel numbers? T3, T4, FT3, FT4, RT3, etc?</p><p></p><p>Your hormones are obviously all out of whack, DHEA, IGF-1 are also likely impacted. Not sure what other test your doctor ordered and if you have any ability to self-pay and order tests on your own. I am sure you must have had a complete blood count (CBC) and other tests, maybe you can post those tests? Even glucose / insulin are something I would check.</p><p></p><p>IMO this is where a good doctor is really important.</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="DragonBits, post: 125067, member: 18023"] The high levels of prolactin can cause breast tenderness and enlargement. Do you know what is causing the high prolactin levels? Is your near zero T a permanent condition? Even if you can't order the sensitive E2 test, the regular E2 should give you information, do you know why your doctor didn't want to order it? Is is likely your E2 is also very low? Hypothyroidism can cause high levels of prolactin. Treating that may help. I am fine with Nebido, I prefer it to the shorter acting esters, it's less likely to cause excess E2 or HCT. You get a big increase for ~2 weeks, then a gradual fall off. with shorter esters like Ethanate, Sustanon or cypionate you get constant spikes every time you inject. And Nebido takes a lot longer to reach steady state. Granted, with shorter esters you can inject less more frequently yielding smaller spikes. But since it's difficult to get Nebido in the USA, and aveed is really expensive without insurance, most go with testos cream or cypionate. I am fine with either, it's just more difficult to get "dial in" with cypionate and the cream / gel not everyone does well on those. The plus side with cypionate you can change your protocol quickly, even more quickly with cream/gel, while with Nebido you are pretty much locked into a level for 10 weeks. You could raise TT with another injection or even a cream/gel/cypionate sooner, but you can't lower your TT. I kind of think you will feel good for 2 weeks, but the levels will fall to maybe 400-700 ng/dl, but no one can say for sure. I know on Nebido my levels bottom out at 650-700 NG/DL after 10 weeks on my second injection. Do you know your thyroid panel numbers? T3, T4, FT3, FT4, RT3, etc? Your hormones are obviously all out of whack, DHEA, IGF-1 are also likely impacted. Not sure what other test your doctor ordered and if you have any ability to self-pay and order tests on your own. I am sure you must have had a complete blood count (CBC) and other tests, maybe you can post those tests? Even glucose / insulin are something I would check. IMO this is where a good doctor is really important. Good luck. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Worried about Nebido and gyno
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