Anyone heard of this Endo?

tenntarheel

tenntarheel

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Dr. Pasqual Dauphin . He was suggested to me and specializes in MHRT . He competes in bodybuilding as well which is a definite plus, in my opinion. But he supposed to be one of the most renowned researchers in Andrology, so I thought maybe some of you guys had dealt with him or heard of him. Just wanted to check. I'm excited about him being close, as this is what I've been diligently searching for in this past couple months.
 
The Matrix

The Matrix

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Isn't this something else.just renamed ?
 
The Matrix

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No the approach...
 
tenntarheel

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His approach? I'm still not sure what you mean. Are you speaking in code or something?
 

Mikemas

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Dr. Dauphine

I have recently met with Dr. Dauphine in Nashville. He is very knowledgeable and is taking on my extremely complex case. I went to a fertility endo before this with a mix of HCG and clomid, seemed to get me on the right track but we had several disagreements about dosages, and I did deal with some estrogen issues that Matrix had warned me about (hence why I kept persisting as low as dosing as possible). I am dealing with low T in conjunction with low LH and FSH. Dr. Dauphine seems to be very big on getting proper bloodwork to determine root cause, and he does not seem to be a fan of clomid - he prefers tamoxifen, even for long term, for guys interested in keeping fertility. I get my labs done again later this week then we determine a course of action. I am going to ask him about toremiphene instead of tamox, but he seems to like the long term data on tamoxifen. I asked him about liver toxicity, etc. that I read about in bodybuilding forums, but he told me that long term studies going out on 5 years of usage seem to suggest that liver, lipids, etc. seem to be fine.
 
The Matrix

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I have recently met with Dr. Dauphine in Nashville. He is very knowledgeable and is taking on my extremely complex case. I went to a fertility endo before this with a mix of HCG and clomid, seemed to get me on the right track but we had several disagreements about dosages, and I did deal with some estrogen issues that Matrix had warned me about (hence why I kept persisting as low as dosing as possible). I am dealing with low T in conjunction with low LH and FSH. Dr. Dauphine seems to be very big on getting proper bloodwork to determine root cause, and he does not seem to be a fan of clomid - he prefers tamoxifen, even for long term, for guys interested in keeping fertility. I get my labs done again later this week then we determine a course of action. I am going to ask him about toremiphene instead of tamox, but he seems to like the long term data on tamoxifen. I asked him about liver toxicity, etc. that I read about in bodybuilding forums, but he told me that long term studies going out on 5 years of usage seem to suggest that liver, lipids, etc. seem to be fine.
Dr need to start looking at the person as whole not individual systems. Times have changes and so has the philosophy of the approach. You need to address the root cause of why the testosterone is low in the first place other wise you may just end up shooting your self in the foot later down the road as many are finding they have.
 

Mikemas

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Dr need to start looking at the person as whole not individual systems. Times have changes and so has the philosophy of the approach. You need to address the root cause of why the testosterone is low in the first place other wise you may just end up shooting your self in the foot later down the road as many are finding they have.
Besides my former primary care physician, I have seen at least two of every specialist, including urologist, endocrinologist, neurologist, psychiatrist, spinal specialist, infectious disease, and physical therapist. Thank God I have good insurance, because I have seen close to twenty doctors or specialists at this point. Not one of them has anything concrete - just speculations. Everything from stress to bulging disk to viral infection. But then another doctor will counter it. Not only that, I have almost become a poster child for medical checks as I have had two MRI's, two ultrasounds, and a pelvic CT scan which was totally unnecessary and pelted me with heavy radiation that will likely cause cancer later in life. But I guess I can't worry about that now. So you can see why I am frustrated. The one constant has been abysmally low Testosterone, LH and FSH values - and high cortisol, although that is now in normal range. I have had EVERY SINGLE other blood test you can imagine, multiple times - . Everything else has been in range besides Vitamin D and I have been taking supplements for months. One strange thing is that my blood pressure went from borderline high (like 125/90 ish) to 118/58, which is low normal. But again, no one is concerned about that, especially since I have been eating well and working out, and have dropped about 25 pounds. So now I am down to the testosterone issue. I have almost no libido, normal sperm count but most are not healthy, infrequent morning erections, my hair is thinning, etc. Trust me, if there were any other cause I could address, I would be attacking that hard core right now. If you have seen anything in your experience that suggests something to look into deeply, I would greatly appreciate it.
 
The Matrix

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Your case is a typical which tends to fall through the cracks of traditional approach one some time needs to.look out symptoms and.look at what is causing these issues. Typical approach and way.it falls..have to look through the forest to.see the trees
 

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