My HRT experience

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    Michael T's Avatar
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    My HRT experience


    I am new here and I would like to share my hrt experience thus
    far.

    2004 November For past 8 years have felt fatigued; no
    libido; bloodwork done for free
    T := 10.7 of [11.0 - 40.0]
    I went to a urologist to see if he would work
    with me on naturally boosting my T levels with
    herbs; tribulus; etc....... did not work much.

    2005 January Started Androgel at 5gm packet. T levels
    were:
    Total := 363 [280 - 800]
    Free := 12.8 [11.0 - 40.0]
    Estradiol := 16

    Still felt like crap and the doctor really did not
    know what he was doing. I was the one to ask
    him for the tests I wanted ordered.


    2005 March changed doctors to one who supposedly
    knew something about hrt, he was also a
    urologist . He increased my androgel to 10 gm.
    Labs ordered :
    Total := 423 [280 - 800]
    Free := 12.6 [11.0 - 40.]
    Estradiol := 33.7

    He changed my meds to trying testim which smelled
    like dead musks and he put me on Arimidex .25mg
    e3d. All the while I still had no libido, loss of strength
    and muscle mass, fatigued a lot and very discouraged.
    Doctor would not increase my meds or change them
    he said I should be fine at 423 T level.


    2005 June I decided that I would change docs for one more
    time. This time it was for the beter. This doc
    specializes in male hormone replacement and was only
    a 2 hour drive away. He took about 1 hour and 45
    minute consultation which he covered just about
    everything and started me on injections of 200mgs
    first shot, then 100mgs there after each week. He
    also spoke with me regarding my eating and nutrition
    which was not where it should have been.


    2005 August I was feeling much much better on the
    injections with my levels as follows:
    Total := 676 [280 - 800]
    Free := 201 [ 47 - 244]
    estradiol := 81

    My libido was still not 100% and my morning
    erections were non existant. So he put me on
    Arimidex .5mg EOD.


    2005 October I was feeling my best with levels as
    follows :
    Total := 707 [280 - 800]
    free := 200 [47 - 244]
    estradiol := 15

    He then gave me the option of adding hcg
    the 2 days prior to my next injection which
    I did. And my sense of well being came back.
    I found myself actually wanting to enjoy life.

    From October to about April I felt my best since about 10
    years ago. Sex was great with my wife and my libido
    was actually there. Morning wood was usually there also.
    My muscles and strength came back. I could now actually
    bench press 100 lbs, (for me this is an accomplishment).
    Also my blood pressure which was high 160/90 had fallen
    to 137/79 and stabilized there.

    2006 July routine bloodwork which revealed all lower
    levels.

    Total := 496 [280 - 800]
    Free := 146 [47 - 244]
    Estradiol := 5

    I have felt pretty crummy during the spring and
    summer. I attribute this to the low estrogen levels
    that I had from the Arimidex and the allergies that I
    have had to deal with. My physician told me to
    stop taking the Arimidex.

    Presently I have been off of Arimidex for about 3 weeks
    now and I can physically feel the effects of my estrodiol
    rising. Hot flashes, no libido, soft penis and some
    fatigue. My doctor said that I should have the 24 hour
    urinary analysis done to get a clear picture of what
    my estrogen situation is doing before any more estrogen
    blockers. I know he is right, I am just wondering if using
    something like dim or I 3 C is better for me to control
    estrogen or should I just request Arimidex again but
    at a lower dose? All in all I have learned how my
    body reacts on hrt, high estrogen and low estrogen and
    it is true that no two people are alike in their journey
    down this road.


    Michael

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    Thanks a whole lot Michael. How old are you?
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    I'm 45 years old currently. But in days past I have felt
    like 90.

    Michael
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    Quote Originally Posted by Michael T
    I'm 45 years old currently. But in days past I have felt
    like 90.

    Michael
    I hear ya.......
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    Quote Originally Posted by Michael T
    I am new here and I would like to share my hrt experience thus
    far.

    2004 November For past 8 years have felt fatigued; no
    libido; bloodwork done for free
    T := 10.7 of [11.0 - 40.0]
    I went to a urologist to see if he would work
    with me on naturally boosting my T levels with
    herbs; tribulus; etc....... did not work much.

    2005 January Started Androgel at 5gm packet. T levels
    were:
    Total := 363 [280 - 800]
    Free := 12.8 [11.0 - 40.0]
    Estradiol := 16

    Still felt like crap and the doctor really did not
    know what he was doing. I was the one to ask
    him for the tests I wanted ordered.


    2005 March changed doctors to one who supposedly
    knew something about hrt, he was also a
    urologist . He increased my androgel to 10 gm.
    Labs ordered :
    Total := 423 [280 - 800]
    Free := 12.6 [11.0 - 40.]
    Estradiol := 33.7

    He changed my meds to trying testim which smelled
    like dead musks and he put me on Arimidex .25mg
    e3d. All the while I still had no libido, loss of strength
    and muscle mass, fatigued a lot and very discouraged.
    Doctor would not increase my meds or change them
    he said I should be fine at 423 T level.


    2005 June I decided that I would change docs for one more
    time. This time it was for the beter. This doc
    specializes in male hormone replacement and was only
    a 2 hour drive away. He took about 1 hour and 45
    minute consultation which he covered just about
    everything and started me on injections of 200mgs
    first shot, then 100mgs there after each week. He
    also spoke with me regarding my eating and nutrition
    which was not where it should have been.


    2005 August I was feeling much much better on the
    injections with my levels as follows:
    Total := 676 [280 - 800]
    Free := 201 [ 47 - 244]
    estradiol := 81

    My libido was still not 100% and my morning
    erections were non existant. So he put me on
    Arimidex .5mg EOD.


    2005 October I was feeling my best with levels as
    follows :
    Total := 707 [280 - 800]
    free := 200 [47 - 244]
    estradiol := 15

    He then gave me the option of adding hcg
    the 2 days prior to my next injection which
    I did. And my sense of well being came back.
    I found myself actually wanting to enjoy life.

    From October to about April I felt my best since about 10
    years ago. Sex was great with my wife and my libido
    was actually there. Morning wood was usually there also.
    My muscles and strength came back. I could now actually
    bench press 100 lbs, (for me this is an accomplishment).
    Also my blood pressure which was high 160/90 had fallen
    to 137/79 and stabilized there.

    2006 July routine bloodwork which revealed all lower
    levels.

    Total := 496 [280 - 800]
    Free := 146 [47 - 244]
    Estradiol := 5

    I have felt pretty crummy during the spring and
    summer. I attribute this to the low estrogen levels
    that I had from the Arimidex and the allergies that I
    have had to deal with. My physician told me to
    stop taking the Arimidex.

    Presently I have been off of Arimidex for about 3 weeks
    now and I can physically feel the effects of my estrodiol
    rising. Hot flashes, no libido, soft penis and some
    fatigue. My doctor said that I should have the 24 hour
    urinary analysis done to get a clear picture of what
    my estrogen situation is doing before any more estrogen
    blockers. I know he is right, I am just wondering if using
    something like dim or I 3 C is better for me to control
    estrogen or should I just request Arimidex again but
    at a lower dose? All in all I have learned how my
    body reacts on hrt, high estrogen and low estrogen and
    it is true that no two people are alike in their journey
    down this road.


    Michael
    Sounds like your seeing Dr. John :-) or following his treatment look anyone on Arimidex need to keep an Eye on how he feels your E2 was down to low for to long now that it is coming beck up and your feeling like it's high go back on it. But do .25mgs every 3 days do this until your get some morning wood I use my wood as a gauge to not go to high or to low. I would do the .25 mgs every 3 days and if you get some good hard wood the kind that wakes you up your in the Zone as I call it. Keep taking the .25 mgs but if the wood stops I then check it to see if I can get it up if I can't I stop the Arimidex until it comes back the day it comes back I go back on it by do .25mgs every 5 days it is dam hard to stay in to Zone a lot of things we eat and do change Estradiol also keep getting it checked every 6 to 8 weeks it is hard to tell where your at and a test may show you going to high again.
    Being to low for a long time takes a long time to come back even on TRT.
    Phil
  6. New Member
    Michael T's Avatar
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    Well I finally got my lab results back from my 24 hour urinary test and I discussed them with my doc. He placed me back on arimidex at a longer interval, but he lowered my testosterone meds from 100mg per week to 80mg. He said the reason for doing this was because my free testosterone was above the high mark. On my prior labs done with blood samples they were never like that. I felt just fine at 100, now I am wondering if this urinary test is 100% accurate or what? I felt just fine 6 months ago. He said we will do labs again in another month. I am a little bewildered about all of this. What are your opinions about the urinary labs?

    Michael T,
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    I am not sure about studies done to prove the accuracy of the 24 hour urinary test, but I do believe their MUCH more reliable than blood tests in my opinion. Each time while doing blood tests my T levels came back mid-range when I had no libido, energy, facial hair, etc. I couldn't understand this. I just had the 24 hour urinary assay run and it revealed my T levels were indeed very low. I've also heard that urinary tests are the "gold standard" for many of the hormone profiles, although I could be mistaken on that. Sounds like u've got a good doctor as well, that's always the most important part of the equation. I see Dr. John and i'm here to say he's the best doctor i've EVER had.
  

  
 

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