PSA before anything else...
My old man is 70yo and his health has been deteriorating rapidly for the past 5 years. Compared to other men his age there is a clear indication that he need to look into many things health related if at least, only to rule out potential problems. He has no real knowledge of potential possibilities and just goes by what his doctors tell him, which has been less than desirable and results in the usual prescription of drugs that only ease symptoms of HBP, Cholesterol, Eye Condition, and Depression, many of which just causing more problems.
I am trying to help him get tested for a potential need for TRT or something else that may be wrong in that area. He lives out of state so I will just send him information that he can use in his next doctors visit. I have noticed that many of his symptoms could actually be caused by really low levels of hormones, even for his age, and he might benefit from TRT or can at least rule out a need for it, so that we can check other things. He just has no motivation what so ever and his mood is low most of the time. I know he is 70yo, but others his age are night and day compared to him in terms of health and vitality.
All that said, I was wondering if anyone could give advice on what he should ask for. For example, maybe there is a standard test out there that will do the job, or should he have specific hormones tested i.e. test, SHBG, LH, estrogens (e1,e2,e3), prolactin, DHEA, etc.
Or, maybe it is just as simple as asking the doctor for a "Full male sex hormone panel, to look for need for TRT" type of deal? I want to make sure, because he does have a doctor that can order the test and he has insurance to cover the test, but again, he has no knowledge of these things, and may not communicate his points/reasons well and/or the doctor may be incompetent and not understand what he really needs to check.
Any help would be greatly appreciated. Thank you in advance!
PSA before anything else...
Thanks napalm. I'll definitely make sure he gets the PSA done prior to any supplementation.
On another note, in a previous thread of mine, you and I got off on the wrong foot. No hard feelings at all. Your message of "man up" is understood. So for whatever it's worth, sorry for lashing out at you.
May want to check free PSA while he is at it. Plus if he is on TRT these type of cases need no more then 60-70 mgs a week to get the benefits not 200 mgs a week like antiaging prescribe. He truly needs to be under a well trained hormone specialist who is open minded, but looking out for the well being of his patients.
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.
My urologist would not prescribe the test until he did a prostate biopsy. Not fun, but not that bad. However, it is much better than PSA in determining cancers of the prostate. Also, at 70, the chances of him having some form of prostate cancer is pretty much 80%. The other point is at his age, even if he has cancer he will pass from something else. It will be a really maybe a hard slog to get TRT for a guy in his 70's because of some issues that go along with TRT and other possible medical conditions he may have, hidden or not. I am not saying you should not try, but keep in mind genetics often determine how quickly someone ages. At the very least, you can get him really checked out and see if his energy levels and other issues have a less exotic cause. Many older folks have terrible diets. That is a good place to start.