In a perfect world I would have the money to go see Matrix and his chosen doctors. This is not a perfect world and I am broke, and thus limited to in network insurance covered practitioners only. All praise HMO bull****.
anyway on to the important stuff...
~20 yrs bilateral varicocele, grade 2 and grade 3.
~1 yr ago reduced sex drive, low mental energy and finally taking note that body composition does not change with diet and exercise, despite years in the gym and trying various dietary regimens.
total testosterone 318 total e2 19 before varicolcelectomy , post surgery tt 309, e2 10 , both tests on the 249-836 scale ng/dL
surgery was in april. june did 3 weeks of clomid, waited 2 weeks, tested at 523 tt e2 30 (actually felt pretty good for about 2-3 weeks here). all three tests i had bottom 20% fsh and lh.
went in for annual physical this week, mental fatigue as bad as ever, lifts at the gym going backwards, low sex drive, and short term memory as bad as when i smoked weed 20 years ago. the doctor was not willing to test anything beyond total testosterone, he felt that e2 is not important, nor was fsh and lh....but total test comes back at 303 ng/dL on the 348-1197 scale.
So I am stuck in network with Kelsey Seybold in Houston. I have a choice of the once a week endocrinologist at the clinic, or I can go to the urologist who did my surgery.
The urologist is a great guy, I trust him and he is more than willing to listen to me and discuss what I bring...as long as I bring my references. He wants the study name and so on so he can go read it if he wants. He has already said he would be willing to do TRT, but my biggest concern is he admits he does not follow a lot of current research on TRT since he doesn't specialize in it. With him I would think that I have a good chance of working together to find the right solution.
My other option is the endocrinologist who is at the clinic once a week. He actually has stuff published, [h=1]The Relationships Between Testosterone, Body Composition, and Insulin Resistance [/h]Its a study of a woman though with a lot of issues.
Everything I have read shows him being a diabetes/metabolism specialist, he has 20 years or so since graduation. I know nothing about the guy at all, and I am leery if he would work with me or just tell me how it will be.
What would you guys do?
anyway on to the important stuff...
~20 yrs bilateral varicocele, grade 2 and grade 3.
~1 yr ago reduced sex drive, low mental energy and finally taking note that body composition does not change with diet and exercise, despite years in the gym and trying various dietary regimens.
total testosterone 318 total e2 19 before varicolcelectomy , post surgery tt 309, e2 10 , both tests on the 249-836 scale ng/dL
surgery was in april. june did 3 weeks of clomid, waited 2 weeks, tested at 523 tt e2 30 (actually felt pretty good for about 2-3 weeks here). all three tests i had bottom 20% fsh and lh.
went in for annual physical this week, mental fatigue as bad as ever, lifts at the gym going backwards, low sex drive, and short term memory as bad as when i smoked weed 20 years ago. the doctor was not willing to test anything beyond total testosterone, he felt that e2 is not important, nor was fsh and lh....but total test comes back at 303 ng/dL on the 348-1197 scale.
So I am stuck in network with Kelsey Seybold in Houston. I have a choice of the once a week endocrinologist at the clinic, or I can go to the urologist who did my surgery.
The urologist is a great guy, I trust him and he is more than willing to listen to me and discuss what I bring...as long as I bring my references. He wants the study name and so on so he can go read it if he wants. He has already said he would be willing to do TRT, but my biggest concern is he admits he does not follow a lot of current research on TRT since he doesn't specialize in it. With him I would think that I have a good chance of working together to find the right solution.
My other option is the endocrinologist who is at the clinic once a week. He actually has stuff published, [h=1]The Relationships Between Testosterone, Body Composition, and Insulin Resistance [/h]Its a study of a woman though with a lot of issues.
Everything I have read shows him being a diabetes/metabolism specialist, he has 20 years or so since graduation. I know nothing about the guy at all, and I am leery if he would work with me or just tell me how it will be.
What would you guys do?