I just had my second follow up with my endocrinologist. I am in a "managed heath care system" so I do not expect a lot nor do I get much. Overall though I am not unhappy with my endo, as he is covering the basics and I feel well.
I am prescribed 200mg every 2 weeks, though I inject 100mg once a week.
my bloodwork was done the morning of my injection, so i was one week out from my last injection.
total test: 491 348-1197
free test: 15.3 8.7-25.1
rbc count: 5.13 4.14-5.8
hemoglobin: 16.6 12.6-17.7
hematocrit: 47.7% 37.5-51
he also took psa: 0.5 0.0-4.0
i feel pretty good overall, my sex drive is not through the roof, but i want to have sex at least 2-3 times a week, though my wife wants it maybe once a month. i feel confident in myself, and feel mentally sharp most days, i sleep well, though sometimes the last night or two before a shot my sleep is not so good. i feel great in the gym, and am gaining back strength pretty easily.
from time to time my nipples are pretty sensitive though, so i added .5mg of exemestane a day after my injection, when money is a bit less scarce i will go get my own bloodwork for estradiol. initially i did 1mg split up in two doses during the week, but my joints got achy fast, and the half dose seems so far to keep the sensitivity/pain away, without aggravating my shoulders and hips.
i asked my doc when to be concerned about nipple pain, and he said if hard lumps form and the pain remains for more than a few days. he said at that point he would order bloodwork and go from there, but unless there were symptoms he wasn't really willing to prescribe medication, he wanted to keep it as simple as possible. he indicated that he didnt like to rely on multiple meds due to more complexity, which is fine by me.
He feels I am stable now and I only have to come in once every 6 months now!