Lab results HRT

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    Question Lab results HRT


    so i just got my labs back from yesterday and my
    Testosterone, Serum is 359 ng/dL
    with a reference range of 348-1197

    Does anyone think I have a chance at HRT. And why didn't the dr order free and shbg or ssbg?

    38 yr old male.

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    Quote Originally Posted by sh00t View Post
    so i just got my labs back from yesterday and my
    Testosterone, Serum is 359 ng/dL
    with a reference range of 348-1197

    Does anyone think I have a chance at HRT. And why didn't the dr order free and shbg or ssbg?

    38 yr old male.
    no opinion before you state your age. older than 30, you may have a bit of trouble convincing a gp you need trt until < 300.

    in before matrix says you have to figure out why t levels are low...
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    Quote Originally Posted by napalm View Post
    no opinion before you state your age.
    I'm 38...

    Daily I take 625 mg Tribulus Terrestris Extract (standardized to 20% total saponins 125 mg) in hopes of having a higher testosterone, and have been for the past 3 months... Jeez, I'd hate to stop taking it now, because what if it is working?

    Sucks
    Last edited by sh00t; 08-16-2012 at 09:41 AM. Reason: clarified the Tribulus extract statement
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    Quote Originally Posted by sh00t View Post
    so i just got my labs back from yesterday and my
    Testosterone, Serum is 359 ng/dL
    with a reference range of 348-1197

    Does anyone think I have a chance at HRT. And why didn't the dr order free and shbg or ssbg?

    38 yr old male.
    If you go to the same doctor that did this test NO. Obviously he doesnt know TRT very well
    If you go to another doc who will do free test and SHBG at least you might have a chance.
    THe question..is your test level low just that day for some strange reason or it's a pattern?....
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    Quote Originally Posted by sh00t
    I'm 38...

    Daily I take 625 mg Tribulus Terrestris Extract (standardized to 20% total saponins 125 mg) in hopes of having a higher testosterone, and have been for the past 3 months... Jeez, I'd hate to stop taking it now, because what if it is working?

    Sucks
    Trib doesn't increase test only libido enhancement. I would get a second opinion if I were you but as far as OTC test boosters go your beat bet is DAA.
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    Quote Originally Posted by vassille View Post
    If you go to the same doctor that did this test NO. Obviously he doesnt know TRT very well
    If you go to another doc who will do free test and SHBG at least you might have a chance.
    THe question..is your test level low just that day for some strange reason or it's a pattern?....
    man, you're right. that's sound logic, he doesn't know. At least I got all the routine chemistry, lipids and thyroid studies done. Just need to get the free, estrogen and all that jazz... gotta look up that info to see what labs i need and print them off so when i talk to a dr i can just show it to them.

    I did everything I was told, fast before the blood work and all that....
    I've been feeling crappy, and have thought about HRT before but I was in my early 30's and thought, no way, too young... but it's just gotten worse...i only desire sex like once every couple of weeks...lazy in the gym, not as competitive anymore...just don't feel like "me"

    Quote Originally Posted by Jim2542 View Post
    Trib doesn't increase test only libido enhancement. I would get a second opinion if I were you but as far as OTC test boosters go your beat bet is DAA.
    Damn, it sucks as a libido enhancer...................... ..............
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    Quote Originally Posted by sh00t View Post
    man, you're right. that's sound logic, he doesn't know. At least I got all the routine chemistry, lipids and thyroid studies done. Just need to get the free, estrogen and all that jazz... gotta look up that info to see what labs i need and print them off so when i talk to a dr i can just show it to them.

    I did everything I was told, fast before the blood work and all that....
    I've been feeling crappy, and have thought about HRT before but I was in my early 30's and thought, no way, too young... but it's just gotten worse...i only desire sex like once every couple of weeks...lazy in the gym, not as competitive anymore...just don't feel like "me"


    Damn, it sucks as a libido enhancer...................... ..............
    Seems like the classic low test. Def ask for the tests yourself and go from there. You def a good canditate for TRT.
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    Quote Originally Posted by sh00t
    so i just got my labs back from yesterday and my
    Testosterone, Serum is 359 ng/dL
    with a reference range of 348-1197

    Does anyone think I have a chance at HRT. And why didn't the dr order free and shbg or ssbg?

    38 yr old male.
    You need more blood work done before you consider trt. Lh, shbg, fsh, free t. And more.
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    Quote Originally Posted by sh00t View Post
    so i just got my labs back from yesterday and my
    Testosterone, Serum is 359 ng/dL
    with a reference range of 348-1197

    Does anyone think I have a chance at HRT. And why didn't the dr order free and shbg or ssbg?

    38 yr old male.
    Actually yes you do, but I would explore why your levels are low in the first place before jumping the gun and creating more of a metabolic mess or possible end up cover up some other imbalances which is potentially putting you at health risk. T goes down for a reason rarely as primary cause.
    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.
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    I am getting Lh, shbg, fsh, estradiol labs tomorrow. But he did tell me he is prescribing me some gel/lotion type stuff measured in "pumps"... so I was kinda surprised
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    Quote Originally Posted by sh00t View Post
    I am getting Lh, shbg, fsh, estradiol labs tomorrow. But he did tell me he is prescribing me some gel/lotion type stuff measured in "pumps"... so I was kinda surprised
    You may be masking something more sinister. Drs are treating too many symptoms not dealing with the causes which are resulting in problems down the road. These people usually end up on my door step 6 months to a year from now crying the blues when I told them so. Some people have to learn the hard way..
    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.
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    Help with understanding my results

    I am 43 years old and over the last two years I have noticed a severe decrease in my overall health and well being.

    My symptoms:
    Fatigue
    Memory Loss
    Muscle Loss
    Erectile Dysfunction
    Weight Gain
    Low Sex Drive
    Depression
    Hot Flashes
    Night Sweats
    Sleeping Problems
    Irritability
    Difficulty concentrating
    decreased sense of well-being
    and severe fatigue

    I See 70-80 year olds with more energy.

    My doctors tried fixing these problems with anti-depressants, viagra, mood stabalizers, vitamines and other meds. NOTHING worked. So After two years I decided to do some research online and discovered that some or all these symptoms could be due to low-T.

    So I went to my doctor and suggested it may be low-t and I wanted to be tested to check. To my surprise it was like pulling teeth to get her to agree to the tests as she suggested strong doubts at my age of having low-t. Anyways, I got me way and the results are in. I picked up my results before my doctors appt next week but just dont understand them. There are 3 of them. My actual results and their reference is listed below:

    MY:
    Total Testosterone 200 ng/dL Reference is: 241-827 ng/dL
    Free Testosterone 41.0 pg/mL Reference is: 35.0-155.0 pg/mL
    and then there is another:
    Testosterone, Total LC/MS/MS: My level here is: 228 ng/dL Reference is: 250-1100 ng/dL

    Even after researching about these results, I'm still confused. So is these results good or bad? If they're not to good then could these levels cause my sypmtoms? Also, if levels here are not to good, will hormone replacement therapy be required to feel better?

    These results show two Total Testosterone readings. Why. Can anyone help with the answers?

    Thanks in advance
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    Quote Originally Posted by inventacom View Post
    Help with understanding my results

    I am 43 years old and over the last two years I have noticed a severe decrease in my overall health and well being.

    My symptoms:
    Fatigue
    Memory Loss
    Muscle Loss
    Erectile Dysfunction
    Weight Gain
    Low Sex Drive
    Depression
    Hot Flashes
    Night Sweats
    Sleeping Problems
    Irritability
    Difficulty concentrating
    decreased sense of well-being
    and severe fatigue

    I See 70-80 year olds with more energy.

    My doctors tried fixing these problems with anti-depressants, viagra, mood stabalizers, vitamines and other meds. NOTHING worked. So After two years I decided to do some research online and discovered that some or all these symptoms could be due to low-T.

    So I went to my doctor and suggested it may be low-t and I wanted to be tested to check. To my surprise it was like pulling teeth to get her to agree to the tests as she suggested strong doubts at my age of having low-t. Anyways, I got me way and the results are in. I picked up my results before my doctors appt next week but just dont understand them. There are 3 of them. My actual results and their reference is listed below:

    MY:
    Total Testosterone 200 ng/dL Reference is: 241-827 ng/dL
    Free Testosterone 41.0 pg/mL Reference is: 35.0-155.0 pg/mL
    and then there is another:
    Testosterone, Total LC/MS/MS: My level here is: 228 ng/dL Reference is: 250-1100 ng/dL

    Even after researching about these results, I'm still confused. So is these results good or bad? If they're not to good then could these levels cause my sypmtoms? Also, if levels here are not to good, will hormone replacement therapy be required to feel better?

    These results show two Total Testosterone readings. Why. Can anyone help with the answers?

    Thanks in advance
    Need to have questions before having answers. Low T then I would supplement TRT with a good Dr then look at other factors while that is being address.
    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.
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    Quote Originally Posted by inventacom View Post
    Help with understanding my results

    I am 43 years old and over the last two years I have noticed a severe decrease in my overall health and well being.

    My symptoms:
    Fatigue
    Memory Loss
    Muscle Loss
    Erectile Dysfunction
    Weight Gain
    Low Sex Drive
    Depression
    Hot Flashes
    Night Sweats
    Sleeping Problems
    Irritability
    Difficulty concentrating
    decreased sense of well-being
    and severe fatigue

    I See 70-80 year olds with more energy.

    My doctors tried fixing these problems with anti-depressants, viagra, mood stabalizers, vitamines and other meds. NOTHING worked. So After two years I decided to do some research online and discovered that some or all these symptoms could be due to low-T.

    So I went to my doctor and suggested it may be low-t and I wanted to be tested to check. To my surprise it was like pulling teeth to get her to agree to the tests as she suggested strong doubts at my age of having low-t. Anyways, I got me way and the results are in. I picked up my results before my doctors appt next week but just dont understand them. There are 3 of them. My actual results and their reference is listed below:

    MY:
    Total Testosterone 200 ng/dL Reference is: 241-827 ng/dL
    Free Testosterone 41.0 pg/mL Reference is: 35.0-155.0 pg/mL
    and then there is another:
    Testosterone, Total LC/MS/MS: My level here is: 228 ng/dL Reference is: 250-1100 ng/dL

    Even after researching about these results, I'm still confused. So is these results good or bad? If they're not to good then could these levels cause my sypmtoms? Also, if levels here are not to good, will hormone replacement therapy be required to feel better?

    These results show two Total Testosterone readings. Why. Can anyone help with the answers?

    Thanks in advance
    The test levels you have is about what a 6 yearl old girl would produce. Im not trying to be funny is the truth. Yes your testosterone should be around 600-900. So it's wayyy low and explains most of your symptoms. Question is why are you completely shut down??
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    Quote Originally Posted by vassille View Post
    The test levels you have is about what a 6 yearl old girl would produce. Im not trying to be funny is the truth. Yes your testosterone should be around 600-900. So it's wayyy low and explains most of your symptoms. Question is why are you completely shut down??
    Thank you for the input. Do you know why the free test would be in normal range of reference while the totals are low? I see my doc to go over these on the 17th. I just want to have as much knowledge as possible while talking to her about it. Might sound funny but i'm kinda glad to hear about the six year old girl level, I guess . Gives me a little hope that treating these results may give me hope to recovery, FINALLY!

    Why is it I read that the free test is most important tho? My results say free test is in normanl range which probably means I wont be treated if this is true. I feel so horrible. I read how getting the total test up helped others regain their helth and energy. I would love to have something to counter mmy doctor with in case she wants to tell me everything is ok do to the free test result. Any suggestions? Also, she is a D.O instead of MD. Will this make a difference? I feel I am going to get one shot at making my case with her. Getting her to just run the test was like pulling teeth. Again, thank you everyone.
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    Quote Originally Posted by inventacom View Post
    Thank you for the input. Do you know why the free test would be in normal range of reference while the totals are low? I see my doc to go over these on the 17th. I just want to have as much knowledge as possible while talking to her about it. Might sound funny but i'm kinda glad to hear about the six year old girl level, I guess . Gives me a little hope that treating these results may give me hope to recovery, FINALLY!

    Why is it I read that the free test is most important tho? My results say free test is in normanl range which probably means I wont be treated if this is true. I feel so horrible. I read how getting the total test up helped others regain their helth and energy. I would love to have something to counter mmy doctor with in case she wants to tell me everything is ok do to the free test result. Any suggestions? Also, she is a D.O instead of MD. Will this make a difference? I feel I am going to get one shot at making my case with her. Getting her to just run the test was like pulling teeth. Again, thank you everyone.
    You welcome!
    Free test although within so called range is low too. normally free test should be more on the high end of the range. One possible answer is that you dont have a lot of SHBG to bind to the testosterone which may explain even on a tesosterone level of 200 to still have some free test. With that being said total test should not be 200 regardless.
    I would say that there are 3 areas of reserach for you to look into:
    1. One is the pituitary/hypothalmus. Is it working or not. Is estrogen is within range and the other hormons LH,FSH.
    2. Gonads. Are they working
    3. Is this a case of nutrition, or other ailments puting stress on your adrenals.
    Have to check all these out and get a picture of what is going on.
    I noticed you are going to a woman, nothing against however it seems they have better understanding with women;s bodies than men. Give it a shot and see. A D.O is suppose to have some holistic approach and perhaps look at the entire picture but I guess you will see when you get there.
    If she isnt willing to run the necessary tests you might want to go to an ENDO doctor and pref younger male with an open mind. Old school Docs are out of the loop with TRT now days for the most part.
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    Quote Originally Posted by vassille View Post
    You welcome!
    Free test although within so called range is low too. normally free test should be more on the high end of the range. One possible answer is that you dont have a lot of SHBG to bind to the testosterone which may explain even on a tesosterone level of 200 to still have some free test. With that being said total test should not be 200 regardless.
    I would say that there are 3 areas of reserach for you to look into:
    1. One is the pituitary/hypothalmus. Is it working or not. Is estrogen is within range and the other hormons LH,FSH.
    2. Gonads. Are they working
    3. Is this a case of nutrition, or other ailments puting stress on your adrenals.
    Have to check all these out and get a picture of what is going on.
    I noticed you are going to a woman, nothing against however it seems they have better understanding with women;s bodies than men. Give it a shot and see. A D.O is suppose to have some holistic approach and perhaps look at the entire picture but I guess you will see when you get there.
    If she isnt willing to run the necessary tests you might want to go to an ENDO doctor and pref younger male with an open mind. Old school Docs are out of the loop with TRT now days for the most part.
    Wow! thanks for the great info. I certainly appreciate it a great deal. So even though the free test is within the norm level, it supossed to be at high norm part of it? Maybe with my doc having the numbers now, she wont be so difficult to deal with moving forward. IDK. If she's any good, I guess she will want to run the other tests to get to the root of the problem. Fingers crossed. If she is unwilling, what's your thoughts on a uroligist? I was considering seeing one as they claim to work with ED. Should that correct if the testosterone is corrected or is it seperate?

    Doesn't most endo docs care only about the free test? I live in a small town where my options for doctor selections are few. I read most everywhere that increasing the total test greatly increases most of my issues to be no longer exsistant. I am excited beyond belief that there may be hope for me after all. . A little more about me is, I was in a motor vehicle accident in 1993 that shattered the femure and pretty much broke everything else from the hip down to my toes. It's been fixed and corrected although i have constant pain on a daily basis and take percocet 3-4 times daily. And when I was in my very early 20's, I had a vesectomy performed and 10 years later had a vesectomy reversal which was successful. I got my wife pregnant 1 year afterwards and had our 3rd child.

    Do you think any of these other things would cause the issues and low test results? The doctor i currently have has only been my doctor for two weeks and i think i failed to remember and report the vesectomy and reversal i had done. I am taking notes so your answers are not in vein. Trying to be as prepared as possible so I know where to push my doctor towards for optimal results.

    Again, thank you so much for your replys
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    Quote Originally Posted by inventacom View Post
    Wow! thanks for the great info. I certainly appreciate it a great deal. So even though the free test is within the norm level, it supossed to be at high norm part of it? Maybe with my doc having the numbers now, she wont be so difficult to deal with moving forward. IDK. If she's any good, I guess she will want to run the other tests to get to the root of the problem. Fingers crossed. If she is unwilling, what's your thoughts on a uroligist? I was considering seeing one as they claim to work with ED. Should that correct if the testosterone is corrected or is it seperate?

    Doesn't most endo docs care only about the free test? I live in a small town where my options for doctor selections are few. I read most everywhere that increasing the total test greatly increases most of my issues to be no longer exsistant. I am excited beyond belief that there may be hope for me after all. . A little more about me is, I was in a motor vehicle accident in 1993 that shattered the femure and pretty much broke everything else from the hip down to my toes. It's been fixed and corrected although i have constant pain on a daily basis and take percocet 3-4 times daily. And when I was in my very early 20's, I had a vesectomy performed and 10 years later had a vesectomy reversal which was successful. I got my wife pregnant 1 year afterwards and had our 3rd child.

    Do you think any of these other things would cause the issues and low test results? The doctor i currently have has only been my doctor for two weeks and i think i failed to remember and report the vesectomy and reversal i had done. I am taking notes so your answers are not in vein. Trying to be as prepared as possible so I know where to push my doctor towards for optimal results.

    Again, thank you so much for your replys
    Pain killers lower testosterone over prolong peroid of time they suppress the LH
    There is no doubt under this earth you should not be approved for TRT.
    Optimal naturally are 400-800 when on TRT your goal is 600-800 TT at the trough provided e2, shbg, thyroid, and adrenals are in check.
    Dr needs to properly evaluate these which most have little clue how to do. You also need to be looked for vitamin D levels which can help with pain as it is crucial to raise serotonin helping with pain.
    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.
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    Quote Originally Posted by The Matrix View Post
    Pain killers lower testosterone over prolong peroid of time they suppress the LH
    There is no doubt under this earth you should not be approved for TRT.
    Optimal naturally are 400-800 when on TRT your goal is 600-800 TT at the trough provided e2, shbg, thyroid, and adrenals are in check.
    Dr needs to properly evaluate these which most have little clue how to do. You also need to be looked for vitamin D levels which can help with pain as it is crucial to raise serotonin helping with pain.
    Wow! Thanks. This is awesome information and I will use it all come vist time. Thanks again. You're awesome
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    UPDATE!!

    Got a call from my doctor's office this after and told me Someone canceled and I could fill their spot. This was wonderful news at the time. Finally, I was going to get treated for all my issues and start my path to feeling good again. I was so excited. I took the notes I collected from here, other internet resources and everything I knew about my results and drove my happy butt right on down to the doctors office.

    Doctor came in and first thing she said was I definatly had low-t and would be a perfect canidate for Testosterone Therapy. Except one thing! She said my cholesterol was high so testosterone therapy was out of the question. My jaw droped and started feeling sick to my stomach. I was in total disbelief. It has rained on my parade. She told me that she was giving me a script for the cholesterol and said she will see me in six months. I asked her about "what I was supossed to do now? I feel like crap and you know all my symptoms. You mean to tell me dispite my syptoms and how I am feeling, you're going to make me wait six more months? Six more months of living like i'm dead?" She answered with a simple, "YUP! we have to give the cholesterol meds time to work and if it doesn't we will try another type of cholesterol med." Which means even longer than six months.

    Is this true anyone? You can't start TRT if your cholesterol is a little high? I mean mine wasn't off the charts. just 121 points above normal high.

    I can't believe my luck. Sooo depressed now. Thanks everyone for your replies
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    Quote Originally Posted by inventacom View Post
    UPDATE!!

    Got a call from my doctor's office this after and told me Someone canceled and I could fill their spot. This was wonderful news at the time. Finally, I was going to get treated for all my issues and start my path to feeling good again. I was so excited. I took the notes I collected from here, other internet resources and everything I knew about my results and drove my happy butt right on down to the doctors office.

    Doctor came in and first thing she said was I definatly had low-t and would be a perfect canidate for Testosterone Therapy. Except one thing! She said my cholesterol was high so testosterone therapy was out of the question. My jaw droped and started feeling sick to my stomach. I was in total disbelief. It has rained on my parade. She told me that she was giving me a script for the cholesterol and said she will see me in six months. I asked her about "what I was supossed to do now? I feel like crap and you know all my symptoms. You mean to tell me dispite my syptoms and how I am feeling, you're going to make me wait six more months? Six more months of living like i'm dead?" She answered with a simple, "YUP! we have to give the cholesterol meds time to work and if it doesn't we will try another type of cholesterol med." Which means even longer than six months.

    Is this true anyone? You can't start TRT if your cholesterol is a little high? I mean mine wasn't off the charts. just 121 points above normal high.

    I can't believe my luck. Sooo depressed now. Thanks everyone for your replies
    Your Dr is a pure moron and potentially putting you at risk for mitochondrial and musclular disease with statin drugs.
    Run as far and fast as you can before they do personal damage which is unrepairable.

    HELLO MCFLY --- TESTOSTERONE LOWERS CHOLESTEROL BY RESOLVING INSULIN RESISTANCE AND BURNING IT OFF SINCE TESTOSTERONE IS THERMOGENIC !!!

    CORRECTING THYROID LOWERS CHOLESTEROL

    DUHHH

    PM where you are located so I can hook you up with one of the Dr's I know...
    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.
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    Quote Originally Posted by The Matrix View Post
    Your Dr is a pure moron and potentially putting you at risk for mitochondrial and musclular disease with statin drugs.
    Run as far and fast as you can before they do personal damage which is unrepairable.

    HELLO MCFLY --- TESTOSTERONE LOWERS CHOLESTEROL BY RESOLVING INSULIN RESISTANCE AND BURNING IT OFF SINCE TESTOSTERONE IS THERMOGENIC !!!

    CORRECTING THYROID LOWERS CHOLESTEROL

    DUHHH

    PM where you are located so I can hook you up with one of the Dr's I know...
    I thought I read that the test helped with lower cholesterol so you are right my friend. I just feel so horrible and when she told me six more months, I thought i was going to just die in her office. I live in South Boston, Virginia. I guess it worries me most because i live in such a small town that drs are few and It seems that only the ones that can't get hired anywhere else comes here. Thank you so much for your time.

    Any good drs that do the TRT in Durham, NC? it's an hour and half drive but I will so travel there to get better. I will never go back to the dr I have here. For her to be a DO. she didnt give a crap about me as a whole person and how I feel. Her arragance gave me nightmares.
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    With the new meds and dumping 50-75 pounds you will see a bump in T. Get a new doc ASAP.
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    Quote Originally Posted by TRTDetroit View Post
    With the new meds and dumping 50-75 pounds you will see a bump in T. Get a new doc ASAP.
    I am definatly finding a new dr. no doubt about it. And yes I could stand to lose that much weight. I used to be very fit and visited the gym 4-5 times a week. But these days I don't have the strength or energy to even get out of bed most of the time. I watch my caloric intake but continue to add belly fat. Can't seem to burn calories at all. No matter what I try. Anyone know of any Drs. in Durham, NC or lynchburg, VA? I live in VA and those two are large citys that I am willing to travel to. I went by and got all my lab work reports so I can take to another dr. Hopfully it will save alot of running and time. I noticed other labs the dr didn't mention when i picked up the hard copys. Thyroid, prostate and pituitary was in good shape as well as other blood work. So the main issues are the cholesterol and low-T. I also have high blood pressure. I was given Lipitor 20mg and Diovan 160mg for blood pressure and cholesterol. But now I'm nervous about the Lipitor because of the statement by the Matrix here on the board "potentially putting you at risk for mitochondrial and musclular disease with statin drugs". Should I start taking these drugs or wait until I find a dr. to fix the low-T? I researched what Matrix said and he was right about statins. With this knowledge I'm not sure what to do. On one hand I know I need them for those two issues and on the other hand, If the TRT will fix it then I'd rather let the TRT do it. After seeing my insane dr. I know she doesn't care about the whole picture and my well being as a whole. Fixing only individual promblems and leaving the rest of me out to continue suffering.

    I don't trust her anymore. She told me for my depression and fatigue, I should consult my phychiatrist for depression meds to be changed. I started seeing a phychiatrist when I started going downhill a couple years ago. I have been on many different anti-depressants. They just don't work. For the ED, I was told that maybe I wasn't interested in my partner sexually. HUH? really! Funny, I have zero sexual desires for anyone, watching porn does nothing for me. I just don't have the desire. I never even think about sex. I love my wife. We get along great. Up till a couple years ago, I thought about sex everyday. Many times a day. Now I have no thoughts ever.

    To conclude, it seems to my dr. that none of my problems and issues could be low-t related. UHG!

    Anyways, I hope everyone else has better luck than me. Seems that I will be this way for awhile longer. I just don't know how to find a dr. that will for sure help me with the test levels. I found drs that claim to do TRT but just because they do it in their practice doesn't mean they will do it for me. Some companys online say they do TRT for six months and will gaurantee an optimal health level of replacement therapys but they want around $3,000 and don't except any type of insurance. You send them your lab work and physical info and they send you all the medication you will need for your therapy like: hgh1 dot com. Any suggestions? I know I need a new dr. what do i look for?
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    Quote Originally Posted by inventacom View Post
    I am definatly finding a new dr. no doubt about it. And yes I could stand to lose that much weight. I used to be very fit and visited the gym 4-5 times a week. But these days I don't have the strength or energy to even get out of bed most of the time. I watch my caloric intake but continue to add belly fat. Can't seem to burn calories at all. No matter what I try. Anyone know of any Drs. in Durham, NC or lynchburg, VA? I live in VA and those two are large citys that I am willing to travel to. I went by and got all my lab work reports so I can take to another dr. Hopfully it will save alot of running and time. I noticed other labs the dr didn't mention when i picked up the hard copys. Thyroid, prostate and pituitary was in good shape as well as other blood work. So the main issues are the cholesterol and low-T. I also have high blood pressure. I was given Lipitor 20mg and Diovan 160mg for blood pressure and cholesterol. But now I'm nervous about the Lipitor because of the statement by the Matrix here on the board "potentially putting you at risk for mitochondrial and musclular disease with statin drugs". Should I start taking these drugs or wait until I find a dr. to fix the low-T? I researched what Matrix said and he was right about statins. With this knowledge I'm not sure what to do. On one hand I know I need them for those two issues and on the other hand, If the TRT will fix it then I'd rather let the TRT do it. After seeing my insane dr. I know she doesn't care about the whole picture and my well being as a whole. Fixing only individual promblems and leaving the rest of me out to continue suffering.

    I don't trust her anymore. She told me for my depression and fatigue, I should consult my phychiatrist for depression meds to be changed. I started seeing a phychiatrist when I started going downhill a couple years ago. I have been on many different anti-depressants. They just don't work. For the ED, I was told that maybe I wasn't interested in my partner sexually. HUH? really! Funny, I have zero sexual desires for anyone, watching porn does nothing for me. I just don't have the desire. I never even think about sex. I love my wife. We get along great. Up till a couple years ago, I thought about sex everyday. Many times a day. Now I have no thoughts ever.

    To conclude, it seems to my dr. that none of my problems and issues could be low-t related. UHG!

    Anyways, I hope everyone else has better luck than me. Seems that I will be this way for awhile longer. I just don't know how to find a dr. that will for sure help me with the test levels. I found drs that claim to do TRT but just because they do it in their practice doesn't mean they will do it for me. Some companys online say they do TRT for six months and will gaurantee an optimal health level of replacement therapys but they want around $3,000 and don't except any type of insurance. You send them your lab work and physical info and they send you all the medication you will need for your therapy like: hgh1 dot com. Any suggestions? I know I need a new dr. what do i look for?
    Great speaking with you !! Check out the H2 group to get a good dr in your area then we will go from there.
    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.
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    I have a woman for my GP and a woman for my endo. Both were on top of the whole low t thing. I agree with the age thing, finding a Dr. that is open minded, and younger will help much more. The one thing that I dont get is on the blood test results, the low range bottom is 241 however my doc says 300 is the low end. Having a great Endo will be your best friend in the end. Good luck
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    Quote Originally Posted by inventacom View Post
    I am definatly finding a new dr. no doubt about it. And yes I could stand to lose that much weight. I used to be very fit and visited the gym 4-5 times a week. But these days I don't have the strength or energy to even get out of bed most of the time. I watch my caloric intake but continue to add belly fat. Can't seem to burn calories at all. No matter what I try. Anyone know of any Drs. in Durham, NC or lynchburg, VA? I live in VA and those two are large citys that I am willing to travel to. I went by and got all my lab work reports so I can take to another dr. Hopfully it will save alot of running and time. I noticed other labs the dr didn't mention when i picked up the hard copys. Thyroid, prostate and pituitary was in good shape as well as other blood work. So the main issues are the cholesterol and low-T. I also have high blood pressure. I was given Lipitor 20mg and Diovan 160mg for blood pressure and cholesterol. But now I'm nervous about the Lipitor because of the statement by the Matrix here on the board "potentially putting you at risk for mitochondrial and musclular disease with statin drugs". Should I start taking these drugs or wait until I find a dr. to fix the low-T? I researched what Matrix said and he was right about statins. With this knowledge I'm not sure what to do. On one hand I know I need them for those two issues and on the other hand, If the TRT will fix it then I'd rather let the TRT do it. After seeing my insane dr. I know she doesn't care about the whole picture and my well being as a whole. Fixing only individual promblems and leaving the rest of me out to continue suffering.

    I don't trust her anymore. She told me for my depression and fatigue, I should consult my phychiatrist for depression meds to be changed. I started seeing a phychiatrist when I started going downhill a couple years ago. I have been on many different anti-depressants. They just don't work. For the ED, I was told that maybe I wasn't interested in my partner sexually. HUH? really! Funny, I have zero sexual desires for anyone, watching porn does nothing for me. I just don't have the desire. I never even think about sex. I love my wife. We get along great. Up till a couple years ago, I thought about sex everyday. Many times a day. Now I have no thoughts ever.

    To conclude, it seems to my dr. that none of my problems and issues could be low-t related. UHG!

    Anyways, I hope everyone else has better luck than me. Seems that I will be this way for awhile longer. I just don't know how to find a dr. that will for sure help me with the test levels. I found drs that claim to do TRT but just because they do it in their practice doesn't mean they will do it for me. Some companys online say they do TRT for six months and will gaurantee an optimal health level of replacement therapys but they want around $3,000 and don't except any type of insurance. You send them your lab work and physical info and they send you all the medication you will need for your therapy like: hgh1 dot com. Any suggestions? I know I need a new dr. what do i look for?
    Hang in there and keep looking for the right doctor. Matrix i right on the cholesterol. Pls dont take lipitor it's a dangerous drug. Cholesterol if you worried about it and want to get to the bottom if it do a VAP test. VAP test will actuall count the small density cholesterol molecules (LDL) which may be a problem geting stuck in your arteries IF you have inflamation. Other wise high HDL or big molecules LDL are fine they are there to clean your blood! ALso triglycerides which is fat in the blood is caused by high intake of carbohydrates and especially fructose. If that's high cut out the sugar and excessive fruit intake and most grains and such and eat more fat and protein instead.
    I had a feeling your doc was up to no good most of them are like that, very missinformed!
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    Quote Originally Posted by vassille View Post
    do a VAP test. VAP test will actuall count the small density cholesterol molecules (LDL) which may be a problem geting stuck in your arteries IF you have inflamation. Other wise high HDL or big molecules LDL are fine they are there to clean your blood! ALso triglycerides which is fat in the blood.
    Thank you for the great info. I contacted Atherotech Diagnostics lab to get the VAP done. My triglycerides was high 425. HDL was normal range and LDL 245.

    UPDATE on new dr. After lots of searching around, I was able to schedule an appointment with a Uroligist in Lynchburg, VA. I read the doctor profile online and it read he treats ED and low-T. My appointment as a new patient is 1 month. I see him Oct. 12th. I'm going to take him all the research I found. Hoping that if he knows that I know alot about my symptoms, he wont think he's getting away with not treating me. That's all I know to do. Are there any other test anyone recommends I should have done before my 1 month visit? The more I do now, the less he will have to do and can accelerate my treatment. Nothings worse than to drive two hours to a dr appt and they say "We need to run this other lab work. So we will draw blood and see you in six months." Any other test that can be done like the VAP before I see him?

    I can't believe a person has to go through so much time and money to find a doctor to fix what's broken. Drs are like police officers. It's all about quota. Cops need to issue a certain number of tickets per month, I know, I was a deputy sheriff for 5 years and drs need to see a certain number of patients per month. Sooo wrong. You shcedule a doctor into your day, you wait for ever to be seen and once you're called into a room, it takes only a couple of minutes to see you and get you out of there. What a business. I'd love to make $300 bux every 15 min or so to tell someone they are fine or to write a perscription for those on med management. Diagnostics take to long and lowers the quota so they don't like to diagnose and treat. Sorry to vent.

    This community of people have been uplifting for me with all the great knowledge I have recieved. Thank you everyone. If it weren't for you guys, I probably would have just excepted my insane drs orders and continued to live with all that I suffer from. You guys are awesome!
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    Good luck, my triglycerides were over 900 for a long time, went to cardo doc he put me on trilipix and they are down to 130 in a year. Good luck with your new doctor, breaking a new one in is the hardest thing.
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    Quote Originally Posted by jdphx View Post
    Good luck, my triglycerides were over 900 for a long time, went to cardo doc he put me on trilipix and they are down to 130 in a year. Good luck with your new doctor, breaking a new one in is the hardest thing.
    Wow! 130 is awesome. I took Trilipix for a year and never got under 400. I stopped taking it because of that. I did go down alot from 1100 but not close to 130. Congrats. I'm glad it was the right drug for you. I took trilipix, changed diet completly and still never went under 400. Along with trilipix I took 1,000 mg of Niaspan per day. The 400 was better than the 1100 but not low enough so I just consider it didnt work.

    I know I have to do something to lower everything but I just want to finally get a treatment that will work for me. Good luck and thank you for reply
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    <-----pre HRT cholesterol was 270. 6 months later it's 192...yay me

    good luck w the new doc...
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    Quote Originally Posted by inventacom View Post
    Thank you for the great info. I contacted Atherotech Diagnostics lab to get the VAP done. My triglycerides was high 425. HDL was normal range and LDL 245.

    UPDATE on new dr. After lots of searching around, I was able to schedule an appointment with a Uroligist in Lynchburg, VA. I read the doctor profile online and it read he treats ED and low-T. My appointment as a new patient is 1 month. I see him Oct. 12th. I'm going to take him all the research I found. Hoping that if he knows that I know alot about my symptoms, he wont think he's getting away with not treating me. That's all I know to do. Are there any other test anyone recommends I should have done before my 1 month visit? The more I do now, the less he will have to do and can accelerate my treatment. Nothings worse than to drive two hours to a dr appt and they say "We need to run this other lab work. So we will draw blood and see you in six months." Any other test that can be done like the VAP before I see him?

    I can't believe a person has to go through so much time and money to find a doctor to fix what's broken. Drs are like police officers. It's all about quota. Cops need to issue a certain number of tickets per month, I know, I was a deputy sheriff for 5 years and drs need to see a certain number of patients per month. Sooo wrong. You shcedule a doctor into your day, you wait for ever to be seen and once you're called into a room, it takes only a couple of minutes to see you and get you out of there. What a business. I'd love to make $300 bux every 15 min or so to tell someone they are fine or to write a perscription for those on med management. Diagnostics take to long and lowers the quota so they don't like to diagnose and treat. Sorry to vent.

    This community of people have been uplifting for me with all the great knowledge I have recieved. Thank you everyone. If it weren't for you guys, I probably would have just excepted my insane drs orders and continued to live with all that I suffer from. You guys are awesome!
    Triglycerides in the blood get there via the liver. Carbs are the culprit in most cases plus genetics too BUT in general carbs in the form of sugars get broken down by the liver and if not burned then in an atempt for out bodies to get rid of high blood sugar it dispearses it towards fat cells and blood. One thing to check in your case is Type 2 diabetes and insulin resistance. HRT should help with this problem but goin on a low carb diet is equally important.
    Did you ever have your blood sugar checked and insulin response?
    How is your daily diet?
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    Quote Originally Posted by vassille View Post
    Triglycerides in the blood get there via the liver. Carbs are the culprit in most cases plus genetics too BUT in general carbs in the form of sugars get broken down by the liver and if not burned then in an atempt for out bodies to get rid of high blood sugar it dispearses it towards fat cells and blood. One thing to check in your case is Type 2 diabetes and insulin resistance. HRT should help with this problem but goin on a low carb diet is equally important.
    Did you ever have your blood sugar checked and insulin response?
    How is your daily diet?
    Yes I had sugar checked at same time as my last labs. Glucose came in at 105 while fasting. Prior tests within the last two years shows glucose between 99 and 105. Most of the time it's 99. Other blood issue that no doctor seems to care about is the monocytes. Mine in the last two years has been in the range of 10 & 15. I think that's low and from what I gather, it has something to do with auto immune. IDK how it plays a role if any to low-T.

    For the last 9 months I have been on a non fat, gluten free and low calorie diet of 800-1100 calories a day. I have a home gym where i sometimes work the bench with weights. The gym doesn't happen everyday as I never have energy and always feel sever weakness.

    I was put on this lifestyle diet after discovering the high acid in my stomach caused me to get Barrett's esophagus. Diagnosed in Feb 2012.

    The one thing I haven't been doing is the low carb diet. I have never been told too. I will now. Thanks for the reply and the info
    I was put on this lifestyle diet after discovering the high acid in my stomach caused me to get Baretts esophagus. Diagnosed in Feb 2012.

    The one thing I haven't been doing is the low carb diet. I have never been told too. I will now. Thanks for the reply and the info
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    Quote Originally Posted by inventacom View Post
    Yes I had sugar checked at same time as my last labs. Glucose came in at 105 while fasting. Prior tests within the last two years shows glucose between 99 and 105. Most of the time it's 99. Other blood issue that no doctor seems to care about is the monocytes. Mine in the last two years has been in the range of 10 & 15. I think that's low and from what I gather, it has something to do with auto immune. IDK how it plays a role if any to low-T.

    For the last 9 months I have been on a non fat, gluten free and low calorie diet of 800-1100 calories a day. I have a home gym where i sometimes work the bench with weights. The gym doesn't happen everyday as I never have energy and always feel sever weakness.

    I was put on this lifestyle diet after discovering the high acid in my stomach caused me to get Barrett's esophagus. Diagnosed in Feb 2012.

    The one thing I haven't been doing is the low carb diet. I have never been told too. I will now. Thanks for the reply and the info
    I was put on this lifestyle diet after discovering the high acid in my stomach caused me to get Baretts esophagus. Diagnosed in Feb 2012.

    The one thing I haven't been doing is the low carb diet. I have never been told too. I will now. Thanks for the reply and the info
    my blood glucose came back at 105 as well, fasting since 12 hours previous (other than an egg protein in water shake earlier in the morning)...and I am a low carber, and hadn't had any significant carbs for probably more like 24 hours. They flagged it at the lab, but the doctor didn't say a thing to me "everything looks good". also they flagged the 290 test, but he felt clinically i looked "fine" so he did not bother to tell me about that either. Luckily I am informed and asked for the test results so i saw all this crap and forced them to address it via TRT. but I didn't follow up on the high glucose....it worries me since I am a low carber and was fasted, that doesn't sound good. Keep us updated though, I'm curious as to what you find out. Once i get this TRT sorted out, i figure to get glucose checked along with hormones next blood work and I'll bring it up then I suppose.....
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    Quote Originally Posted by WARBIRDWS6 View Post
    my blood glucose came back at 105 as well, fasting since 12 hours previous (other than an egg protein in water shake earlier in the morning)...and I am a low carber, and hadn't had any significant carbs for probably more like 24 hours. They flagged it at the lab, but the doctor didn't say a thing to me "everything looks good". also they flagged the 290 test, but he felt clinically i looked "fine" so he did not bother to tell me about that either. Luckily I am informed and asked for the test results so i saw all this crap and forced them to address it via TRT. but I didn't follow up on the high glucose....it worries me since I am a low carber and was fasted, that doesn't sound good. Keep us updated though, I'm curious as to what you find out. Once i get this TRT sorted out, i figure to get glucose checked along with hormones next blood work and I'll bring it up then I suppose.....
    Hey! we must be seeing the same doctor. IMO what is the purpose of making us spend hundreds of dollars on blood work if the doctor isn't going to act on the results? This angers me. In the same lab results, I showed high cholesterol, high glucose, very low monocytes, low testosterone and other lab flagged results and all I got was Lipitor. I am angry at the medical world. If you're going to force lab expense on us, then friggin treat us when the results aren't normal. I don't get it. My doctor wants me to see other doctors to address my issues. HUH? you ran the tests searching for certain problems. You are a family dr. Fix it. Why send me to see a shrink and other drs? Whatever. I knew at the end of my visit with the dr that I was getting a new dr. I have an appointment with a new dr and will update after my visit. Thanks for the reply and wish you the best and hope you act quickly if your dr doesn't want to treat your flagged findings. Goodluck
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    Quote Originally Posted by napalm View Post
    <-----pre HRT cholesterol was 270. 6 months later it's 192...yay me

    good luck w the new doc...
    Congrats. And thank you
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    Quote Originally Posted by inventacom View Post
    Hey! we must be seeing the same doctor. IMO what is the purpose of making us spend hundreds of dollars on blood work if the doctor isn't going to act on the results? This angers me. In the same lab results, I showed high cholesterol, high glucose, very low monocytes, low testosterone and other lab flagged results and all I got was Lipitor. I am angry at the medical world. If you're going to force lab expense on us, then friggin treat us when the results aren't normal. I don't get it. My doctor wants me to see other doctors to address my issues. HUH? you ran the tests searching for certain problems. You are a family dr. Fix it. Why send me to see a shrink and other drs? Whatever. I knew at the end of my visit with the dr that I was getting a new dr. I have an appointment with a new dr and will update after my visit. Thanks for the reply and wish you the best and hope you act quickly if your dr doesn't want to treat your flagged findings. Goodluck
    my doctors office never wants to refer me to a specialist (other than my cardiologist which I had BEFORE getting on with them)....I asked for an endo referral since they did not address the low T....they say no, we'll take care of it here, then they tell me I'm not a candidate for injections....I get androgel, OK I can go with that and see where it takes me, might work well for me. The problem is that I need to bring it up, That is not the way it should be, they should be proactive and suggest additional testing or what Rx might fix the issue. If they asked me questions, and found out I am a low carber, that glucose # would be somewhat alarming. They just figure I ate some carbs before I came in I suppose? same thing with the low T, they never asked me about my symptoms....just took a look at me and thought this guy looks fine. Its just all half-assed. How they can just not ask questions, and just ignore the #'s, is beyond me. I feel for the people that never request the results and just take the doctors word for it. I guess I just need to keep on them by looking at my results and bringing the problems to their attention...so long as they address it, and properly, I can live with that. But I shouldn't have to do that.....
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    I agree. Maybe we're not seeing the same doctor after all. At least your dr started you on something for low-t. Mine told me mine was low at 200 and I was a good canidate for TRT but told me cholesterol was a bit high and only gave me Lipitor. She knows all my syptoms. I feel like the walking dead most times. She knows this. Just don't give a crap. Angers me greatly. Then told me she will see me in six months. REALLY! I now have to go 6 more months feeling this way? Her answer was simply "YUP!"
    She wont see me in 6 months. Maybe some would say "Well its been two years already feeling like crap. What's 6 more months?" Well for me, the way I feel, 6 months seems like a painful sentence. You are right though. Stay on the dr. You are ultimatly the boss. The main person in charge of your health and well being. They work for you. They are not GOD. Don't let them act like they are. They will kill you with that mentality. They don't care. Your just another number for their daily patient count quota. A paycheck. And because you are a benefactor to their salary, be pro-active and get results. Ask all your questions. They either react to benefit or not. The only stupid questions that exsist are the one's not asked. You are in charge!

    I had to force my doctor to do my testosterone test because ultimatly, It's my life and well being. It's my lab expense. So what's the problem? I am taking a pro-active move to get to the bottom of my high glucose. You should too. I wish you the best and I would'nt quit the the glucose thing until you have a solid answer and resolution. There is a reason for it. Demand they find it. Mine maybe as result of carbs. I never placed that as a consideration untill I read it here. Either way, I will get to the bottom of it all. My first step was to get rid of my doctor aka (GOD) . I learned alot here and in other places. I'm tired of it and WILL get resolution. Eventually. lol. Seems that most drs are the same so that's the hurdle. Good luck my friend and please update when you can.
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    Quote Originally Posted by inventacom View Post
    I agree. Maybe we're not seeing the same doctor after all. At least your dr started you on something for low-t. Mine told me mine was low at 200 and I was a good canidate for TRT but told me cholesterol was a bit high and only gave me Lipitor. She knows all my syptoms. I feel like the walking dead most times. She knows this. Just don't give a crap. Angers me greatly. Then told me she will see me in six months. REALLY! I now have to go 6 more months feeling this way? Her answer was simply "YUP!"
    She wont see me in 6 months. Maybe some would say "Well its been two years already feeling like crap. What's 6 more months?" Well for me, the way I feel, 6 months seems like a painful sentence. You are right though. Stay on the dr. You are ultimatly the boss. The main person in charge of your health and well being. They work for you. They are not GOD. Don't let them act like they are. They will kill you with that mentality. They don't care. Your just another number for their daily patient count quota. A paycheck. And because you are a benefactor to their salary, be pro-active and get results. Ask all your questions. They either react to benefit or not. The only stupid questions that exsist are the one's not asked. You are in charge!

    I had to force my doctor to do my testosterone test because ultimatly, It's my life and well being. It's my lab expense. So what's the problem? I am taking a pro-active move to get to the bottom of my high glucose. You should too. I wish you the best and I would'nt quit the the glucose thing until you have a solid answer and resolution. There is a reason for it. Demand they find it. Mine maybe as result of carbs. I never placed that as a consideration untill I read it here. Either way, I will get to the bottom of it all. My first step was to get rid of my doctor aka (GOD) . I learned alot here and in other places. I'm tired of it and WILL get resolution. Eventually. lol. Seems that most drs are the same so that's the hurdle. Good luck my friend and please update when you can.
    Oh man....I was pissed when I picked up my androgel and it was 2.5g So i made a call to the doctors assistant who phones in all the scripts....and she explained it was for assessing tolerance, and that she'd bump me in a month. I was like "I gotta wait an ENTIRE MONTH!?" lol...if I had to wait 6 months just to get ANYTHING? I'd flip out. You should 100% see an endo, demand a referral....or just never go there again, and get a new doctor which I believe you are in the process of doing. That is REALLY bad, I feel like a complainer now haha. You are correct though, we must remain vigilant with these doctors, and keep ourselves informed. This way we can demand the proper treatment, and if they don't capitulate? we fire them! doctors are a dime a dozen....although certain insurance only allows specific doctors and specialists in order to get your visit paid for. But there are enough on the list to hire and fire a few before you find the right one. I really believe my doctors office doesn't do referrals since they "want the extra business"....which is fine, because it forces them to handle the situation if they are taking on responsibility for the specialists. well good luck to you as well, keep us updated (esp me with the glucose issue)....I intend to get this glucose issue sorted out soon, just want to get going on the TRT and get a hormone panel, and then when I go in for that I'll talk to the doc about my diet and how it should not affect my glucose like that. could be some sort of diabetic issue for christ sakes!
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    Quote Originally Posted by WARBIRDWS6 View Post
    Oh man....I was pissed when I picked up my androgel and it was 2.5g So i made a call to the doctors assistant who phones in all the scripts....and she explained it was for assessing tolerance, and that she'd bump me in a month. I was like "I gotta wait an ENTIRE MONTH!?" lol...if I had to wait 6 months just to get ANYTHING? I'd flip out. You should 100% see an endo, demand a referral....or just never go there again, and get a new doctor which I believe you are in the process of doing. That is REALLY bad, I feel like a complainer now haha. You are correct though, we must remain vigilant with these doctors, and keep ourselves informed. This way we can demand the proper treatment, and if they don't capitulate? we fire them! doctors are a dime a dozen....although certain insurance only allows specific doctors and specialists in order to get your visit paid for. But there are enough on the list to hire and fire a few before you find the right one. I really believe my doctors office doesn't do referrals since they "want the extra business"....which is fine, because it forces them to handle the situation if they are taking on responsibility for the specialists. well good luck to you as well, keep us updated (esp me with the glucose issue)....I intend to get this glucose issue sorted out soon, just want to get going on the TRT and get a hormone panel, and then when I go in for that I'll talk to the doc about my diet and how it should not affect my glucose like that. could be some sort of diabetic issue for christ sakes!
    to my understanding, low-t also effects glucose. treatment for low-t should help lower glucose numbers. As well as cholesterol and many other things. my glucose levels have only been this way for couple years. around the time i began to shut down. may i ask what your test level was?
  

  
 

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