Patients of Dr. Mariano
- 09-17-2009, 01:35 AM
Patients of Dr. Mariano
I am waiting for a bunch of labs to come back. I'm working with a doc to try and get insurance to cover treatment. Well it's been a long road and I'm suffering from depression, anxiety and all the other lovely symptoms of low t. However lately the depression and anxiety has gotten worse. The depression is not the "I hate my life type", but "I am sick of my health and this anxiety is becoming unbearable" type. I want t and hcg does he prescribe this? I tested low 3 times. Anyway since he specializes in psychiatry and endocrinology I figured he will probably be able to help me. Plus it is much more economical to see him instead of Crisler. I tried emailing him, but no reply yet. My doc would rather send me somewhere else. I may end up paying out of pocket. Does he treat online or over phone after initial visit?
- 09-17-2009, 04:16 AM
Try to mellow out. Having long term health issues is unpleasant, but most of our issues respond reasonably well to treatment. It can just take some time to get things sorted out.
Dr. M. will prescribe testosterone cypionate, HCG, or a combination thereof where applicable. At least he did for me.
You might want to re-check the economics of Dr. M. vs. Dr. C. Dr. M will run you at least $250 for each in-person visit or telephone appointment and probably $500 for the first long evaluation visit. He does not accept insurance, so this might be out-of-pocket for you. I think Dr. C is substantially cheaper for telephone appointments, but you would need to see him in person first, which probably involves flying somewhere for you. I've actually considered seeing Dr. C as a second opinion to Dr. M but have not yet done so.
E-mail with Dr. M is strictly limited to scheduling appointments. I would suggest calling, although you will almost never reach his admin in-person. I think Dr. M. is quite knowledgeable, but he could really stand to staff up in terms of office administration.
- 09-17-2009, 06:59 AM
People have said many good things about all three, but if its the psychological end of things then DR M would be the one. Some time balance hormones are not the only answer to the equation and need more intervention from another specialist. Dr O and I work to heal the person as a whole from inside out by balancing lifestyle, nutrition, and also now we are focusing heavy on the gut and detoxifcation which alot of dr's are missing this crucial point in todays society. We are always at semnars learning more and more about other areas which will affect the hormonal axis. BEst of luck in your search what ever route you may take all 3 are good.I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
09-17-2009, 07:09 AM
Why have you not addressed your sleep apnea yet which is probably the root cause of 90% of your issues?
09-17-2009, 09:50 AM
09-17-2009, 10:22 AM
In an old post, he was compalining of bad sleep apnea, so it only makes sense that a lot of his other issues (low test, etc) could be directly related to that (like we think mine are).
09-17-2009, 01:21 PM
09-17-2009, 01:49 PM
dr Mariano is not only an expert but willing to share details of his pov.
Plus, when he writes his opinion it is in unambiguous terms, for dummies (like me).
This is rare.
With all that said, I noted that dr Mariano would
#1---work on adrenals/thyroid first, providing that TotalTestosterone>600.
#2---His emphasis when fixing thyroid is to provide plenty of T4 and other support, I guess supplementing with Cytomel(T3) would be last on his list
#3---when reviewing testosterone levels he is going by TotalTestosterone and would rather spend time at finding a reasons of why in range TT is not translating into desirable BioAvailableTestosterone levels (BAT).
In my view it is a noble goal, not sure about success rate.
#4---He is psychiatrist first, each case is mental/physical, if he can't fix it, it is probably hopeless.
09-18-2009, 08:36 AM
So it's a good idea to start pumping yourself with tons of **** prior to fixing a MAJOR affliction which can affect all of your hormones, inuslin, etc?
I am eating what a Dr. tells me because what he says makes sense?
It makes sense for someone who is hypoxic during sleep(my oxygen went down to 60 by 1am) to start taking 50 pills a day, test (which I do currently take) HCG, Cortisol, Thyroid etc without 1st trying to address the underlying issue?
NOT addressing the issue and bandaiding the effects seems pretty stupid to me.
If curing the sleep apnea does not effect adrenals, test, thyroid etc, then it is time to start taking all that ****, but why start all that crap 1st?
What did it cost me to wait, 3-5 months out of a 65-85 year life span?
09-18-2009, 09:54 PM
09-18-2009, 10:03 PM
09-18-2009, 10:05 PM
09-18-2009, 10:09 PM
09-18-2009, 10:13 PM
09-22-2009, 04:09 PM
Yes to Dr. M he is the best of the best here is his info.
If you see him tell him pmgamer18 Phil said Hi.
Romeo Mariano, M.D. (831) 375-6655 395 Del Monte Ctr #305 Monterey, CA 93940 262 Eldorado Street #100 physician, psychiatrist,Behavioral Neuroendocrinology and Immunology (831) 626-9094 fax.
09-22-2009, 08:11 PM
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