Hey all, first time posting here... I am looking into HRT and after reading for 3 days though Id ask the experts. Note, I am also a type 1 diabetic on an insulin pump ad I'm 38 yo.
Previous tests from 2005 Labcorp:
Free T Direct - 11.0 pg/ml (8.7-25.1)
DHEA - 327ng/dl (146-850)
I have new tests coming for below:
Free T
Total T
IGF-1
He wouldnt do an E2 test, said it wasn;t medically necessary, He's internal medicine not an endo.
Are these numbers low? Will taking dhea bring up my T levels or help at all? Im sick of just eeking by in life, diabetes is hard enough.
Thanks in advance for any advice/direction.
Hard to find a dr who knows about this stuff on my pacificare hmo insurance plan.
In the grand scheme of things, the tests that are coming will help you very little.
No mater how you slice it, with out good blood test and possibly other tests, nobody can help you, including self help.
Since you are diabetic, you must be dealing with endo.
Some of them know TRT, if not, but willing, they are equipped to help you.
This board is run by DO, Dr John,
if you can see him, that is your best bet.
That may be a problem if you must rely on your insurance.
The other possibility would be to get willing doctor to consult with Dr John.
Another possibility is to get a list of Osteopahs in your area,
they are more likely to help you. Get the list from here:
American Osteopathic Association
Still another, get a list of thyroid top doctors:
Thyroid Disease Information Source -- Bestselling Books, News, Information on Living Well With Hypothyroidism, Autoimmune Disease, Thyroid Diet, Home Page of Mary Shomon
thyroid frequently need attention.
If you go a self help route, like I did so far (or was forced to do), you still need to get a (friendly) doctor who will write necessary scripts, or at least some of them.
Since you have mention insurance, one important item on any script (for which you hope to get reimbursed) is ICD-9 code.
Insurance=clerks, clerks deal with requirements. If the paper is correctly written= better chance at reimbursement.
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I will post now two list of tests, initial testing (long), periodic testing (short), and list of my ICD-9 codes. You have to add to those lists the diabetic stuff.
Good luck.
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Complete metabolic Panel
Hepatic Function Panel
Lipid Panel
CBC
Total Estrogens
estrone
Estradiol, sensitive
Progesterone
Pregnenolone
Total Testosterone
Free Testosterone (calculated)
Bio-available Testosterone (calculated)
Albumin
sex hormone–binding globulin (SHBG), serum
DHT (dihydrotestosterone)
Hematocrit
prolactin, serum
FSH (3rd Generation)
LH
Thyroid Stimulating Hormone (TSH)
Free (T3) triiodothyroxine
Free T4
Total T4
Total T3
DHEA Sulfate
Cortisol, AM/PM
SOMATOMEDIN C (IGF-1)
IGF-BP3
C-reactive protein (high-sensitivity)
Fibrinogen
Hemoglobin A1C
Lp(a) lipoprotein
Bilirubin
AST (SGOT)
ALT(SGPT)
VLDL
Homocysteine
Insulin, fasting
Glucose, plasma
Magnesium
Vitamin D, 1, 25-Dihydroxy
Folate
Vitamin A
Ferritin
B12, selenium, zinc, copper
Free PSA
FreePSA/Total PSA
aldosterone
Estradiol, Bioavailable
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Total Estrogens
estrone, serum
Estradiol, sensitive
Progesterone
Pregnenolone
Total Testosterone
Free Testosterone
Bioavailabe Testosterone
DHT
prolactin, serum
SHBG
Albumin
TSH
Free (T3)
Total T3
Free T4
DHEA Sulfate
Cortisol AM/PM
Hematocrit
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ICD9Data.com - Free 2007 ICD-9-CM Medical Coding Database
257.2 Other testicular hypofunction
2007 ICD-9-CM Diagnosis 257.2 - Other Testicular Hypofunction
272.4 Other and unspecified hyperlipidemia
2007 ICD-9-CM Diagnosis 272.* - Disorders of lipoid metabolism
601.9 Prostatitis unspecified
2007 ICD-9-CM Diagnosis 601.* - Inflammatory diseases of prostate
780.4 Dizziness and giddiness
2007 ICD-9-CM Diagnosis 780.4 - Dizziness And Giddiness
780.79 Other malaise and fatigue
2007 ICD-9-CM Diagnosis 780.79 - Other Malaise And Fatigue
788.41 Urinary frequency
2007 ICD-9-CM Diagnosis 788.41 - Urinary Frequency
MESO-Rx - View Single Post - Adrenal fatigue, does it really exist?
255 Disorders of adrenal glands
For coding adrenal fatigue, I just use the code for Other Specified Disorders of the Adrenal Glands - which I call Adrenal Fatigue
255.8 Other specified disorders of adrenal glands
2007 ICD-9-CM Diagnosis 255.8 - Other Specified Disorders Of Adrenal Glands
http://anabolicminds.com/forum/male-anti-aging/56511-hgh-insurance-coverage.html#post685212
Dr. John 12-17-2006, 06:25 AM
ICD-9 253.3 Adult Onset Growth Hormone Deficiency
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