What to say to my endo?
- 10-10-2008, 08:47 PM
What to say to my endo?
I have low test and some symptoms that go along with it. I was taking bromocriptine, but I stopped. I didn't like it and my prolactin wasn't that high. I have been exercising, dieting and taking vitamins. I feel better now, but I know my test is still low. I want to try clomid and see if it can raise my natural production. What should I tell my endo about it if he disagrees? I also want to ask him for a complete blood test for reference later in life. Could someone suggest a complete list. I want to check as much as possible. I see him in a week.
- 10-11-2008, 11:06 AM
- 10-11-2008, 11:16 AM
If an over 50 guy went to an endo and presented that he just wanted to get back to 27 year old hormonol levels across the board, how would that Doctor likely respond? Any one with experience regarding that?
10-11-2008, 12:20 PM
10-11-2008, 02:24 PM
How do you know you have low test? Have you gotten a blood test?
10-11-2008, 07:09 PM
10-11-2008, 08:33 PM
10-11-2008, 08:37 PM
Okay so I am just gonna ask for a complete blood work panel for reference later in life can someone please help me with a good list. I know most of the hormones to test, but what about blood cell counts, vitamins, minerals, prostate. I want to be thorough with it.
I mean I feel much better now I just worry about the cause of the low test and the effects on my health later on in life. I also worry about fertility. I mean I still have some of the symptoms, but in general I feel a little better. I think I am also gonna ask for a referral to a Urologist I think I should start getting other opinnions. I hope though that since my endo gave me bromo with only a slightly elevated prolactin level, maybe he will be open to the clomid thing if not then next.
10-12-2008, 11:24 AM
If you had 3 blood tests with low testosterone, you should be getting TRT. If your endo isn't giving it to you, you need to switch doctors.
10-13-2008, 10:48 PM
10-14-2008, 10:39 AM
between blue lines.
The whole list cost about $3500
With proper ICD-9 codes (mine are on the bottom) and insurance, my out of pocket cost is $6.
That is under the old president, new prospective president is bend on "helping" me. I am afraid.
10-14-2008, 06:46 PM
to have a base for later in life, but my endo keeps telling me nothing
is wrong. I know he is lying, because he keeps ordering retests as if
my levels are going to magically improve. This next visit may be my last one.
10-14-2008, 08:41 PM
Yes they are normal according to medical standards for your age group. Docs are reluctant to jump on a test script, especially if they think you want it for bodybuilding. There is also the liability factor they keep in mind. The most he will probably prescribe is a test patch. There are other Docs that will prescribe other meds, you have to search them out and insurance is generally not accepted. Fortunately you have blood work that can be used if you see another Doc quickly. Insurance wont pay for you to blow up.
10-22-2008, 08:29 PM
10-29-2008, 10:54 PM
10-30-2008, 08:15 AM
10-30-2008, 08:35 PM
10-31-2008, 06:36 AM
11-04-2008, 01:57 AM
11-04-2008, 06:32 AM
11-04-2008, 11:26 AM
If you have insurance or are able to pay out of pocket,
one way may be to just ask doc for that particular script (my list). Do not try to argue that you want it because of your low test.
That throws doctor's mind into a loop.
Tell him that you just want overall good test for your records.
Take a second look at my list.
Recently I was able to shorten it, it should still give you the same output info, just the script looks less threatening to a doctor.
If you are able to pay $$, there are outfits that are arranging for blood tests without scripts.
IIRC, I list link to it on the post with a list.
LEF.org is good, but their E2 test sucks.
Well, that is only a one number, the rest should be ok.
So you may have more choices than you thought that you have.
One more, new rules were published sep-8/2008
see if that may help you.
11-05-2008, 12:33 AM
11-05-2008, 12:56 AM
Generally, endos will NOT prescribe clomid, hCG or arimidex to men to increase test. The standard of care is test gel or injections, primarily the former, thanks to big Pharma, though the new longer acting esters are being promoted now, as they are brand-name only, and thus more expensive. That's the system you are dealt. But there are ways around it -- treat yourself, which I don't recommend; or find a progressive doctor (i.e., antiaging or a osteopath).
As for the source of your problem, I don't think you will get a clear answer to that one without trying a restart. You can do a 24 hr urine catch for LH, and a pituitary MRI, but you still may not have the answers. Most MRIs come back negative. Mine did. But something was still broken, and the hCG experiment confirmed that.
You are on the borderline of being hypogonadal (the reference range for which is not age specific, according to the general guidelines: TT below 250; FT below 45. And I believe many on this board would consider you hypogonadal for your age. If you saw 10 typical endos, a few would consider you hypogonadal for your age, the others would tell you that you are suboptimal, and you just have to live with it. My endo would probably prescribe you Test gel; my GP (who specializes in exotic illness and has an antiaging valance to his practice) would recommend a clomid restart or hCG.
Hope that helps. And I would recommend ignoring people picking fights with you. Truth is, I was a little confused by your avatar initially, thinking that you looked pretty damn fit for someone with TT of 350. But then I noticed your weight. FWIW, you don't sound depressed to me; you just sound determined to correct your problem. It's nice to know that we've been graced with a forum member that can diagnosis psychiatric illness (i.e., the guy that called you depressed).
Hang in there, bro. You'll get there. And you have friends on the board that will try and help you.
11-05-2008, 01:58 AM
11-05-2008, 04:22 PM
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