What are you saying to your Doctors?

[Chrispots]

43 years old, is pretty good shape I'm 5'6, WAS 172 pounds. I've been on TRT since January 2012. 1 ml of 200mg test every 10 days as prescribed by my urologist. I had classic low-T symptoms. All other bloods are within range.

About 90 days into the TRT I started gaining massive amount of weight. I gained 18 pounds from April 1 to May 7th and added another 13 pounds to since then. I just had my body fat % checked and I'm still at 12.9%. The difference now is I weight 201!

I asked my Dr. to have my test/E2/LH/FSH levels checked. My estrogen levels are high - measured at 150 36 hours after injection and 84 on day 10 of my Dr. prescribed cycle. LH and FSH are <.01, test is within range 539 on day 10, 902 on day 1. Yes, I get emotional like a hormonal woman now too

I asked my PCP about looking at an aromotase inhibitor and he looked at me like I was speaking mandarin. He referred my to an endo who refused to even consider that option. I just went to another endo for a 2nd opinion and she re-ordered all my labs. She wouldn't discuss any treatment options until she had updated labs in front of her (my labs were older that 90 days old).

It would seem at an AI would be appropriate and possibly hcg too to keep my testicles from shrinking...thoughts? I'm not looking to bulk - I just want to have a little more hormonal balance here without feeling bloated and emotionl.

TIA

 

[ambulldog]

good god you need an ai man. they ez enough to get on your own. id also highly recommend injecting more often to help stabalize. i inj 2x weekly which works great for me. others do every 5,6,7 days. its all part of the game getting balanced. those #'s seem a little low. day after my 70mg inj my levels are 1200-1300. 200mg inj you should be closer to 1800 following day. but everyone metabolizes test differently.

do you know what your free t is?

 

[BJE]

My endo won't prescribe and AI, but another doctor I see did and my endo knows I use it. I use Arimidex at a very low dose only when I get symptoms of high E2. My endo says he wouldn't in a million years prescribe Arimidex but oh well, I have it and I use it when I need it.

 

[Sevens]

There are research companies that advertise here! Just sayin

 

[emantest]

My endo won't prescribe and AI, but another doctor I see did and my endo knows I use it. I use Arimidex at a very low dose only when I get symptoms of high E2. My endo says he wouldn't in a million years prescribe Arimidex but oh well, I have it and I use it when I need it.

I'm sure the endo you see is great at managing a person's diabetes but clueless on managing a man's hormone levels. My first internal medicine doctor laughed at me when I said refer me to an endo. I went and found a great hormone APN and she freely gives me what I want, as far as medications and lab work. My brother and I see her and have sent many male and females to her to be treated. I went and had my six month labs done and my test was 1250 and she was like, "cool". I love her.

 

[vassille]

I'm sure the endo you see is great at managing a person's diabetes but clueless on managing a man's hormone levels. My first internal medicine doctor laughed at me when I said refer me to an endo. I went and found a great hormone APN and she freely gives me what I want, as far as medications and lab work. My brother and I see her and have sent many male and females to her to be treated. I went and had my six month labs done and my test was 1250 and she was like, "cool". I love her.

What state is she in?lol

 

[BJE]

I'm sure the endo you see is great at managing a person's diabetes but clueless on managing a man's hormone levels. My first internal medicine doctor laughed at me when I said refer me to an endo. I went and found a great hormone APN and she freely gives me what I want, as far as medications and lab work. My brother and I see her and have sent many male and females to her to be treated. I went and had my six month labs done and my test was 1250 and she was like, "cool". I love her.

You're right he is a diabetes doctor. However I am going to give him information I have found that claims that every man with diabetes has low testosterone and that in many cases treating the low testosterone will cure the diabetes. Perhaps if he was more interested in treating low testosterone his diabetes patients would get well. I would like to find a male hormone specialist but in about six years of looking he is the best I've found so far. There seems to be a lot of doctors in my area that specialize in female hormones, but not male hormones. I went to about ten doctors before I found this one who would finally treat me.

 

[emantest]

You're right he is a diabetes doctor. However I am going to give him information I have found that claims that every man with diabetes has low testosterone and that in many cases treating the low testosterone will cure the diabetes. Perhaps if he was more interested in treating low testosterone his diabetes patients would get well. I would like to find a male hormone specialist but in about six years of looking he is the best I've found so far. There seems to be a lot of doctors in my area that specialize in female hormones, but not male hormones. I went to about ten doctors before I found this one who would finally treat me.

I'm grateful to have found this site and read the stickies. Once my first doc pulled some crazy ****, I immediately found a compounding pharmacy and asked the owner who is doing the most hormone replacement and I picked the top one. I've been rocking ever since.

 

[emantest]

What state is she in?lol

Little Rock, Arkansas

 

[lboston]

You're right he is a diabetes doctor. However I am going to give him information I have found that claims that every man with diabetes has low testosterone and that in many cases treating the low testosterone will cure the diabetes. Perhaps if he was more interested in treating low testosterone his diabetes patients would get well. I would like to find a male hormone specialist but in about six years of looking he is the best I've found so far. There seems to be a lot of doctors in my area that specialize in female hormones, but not male hormones. I went to about ten doctors before I found this one who would finally treat me.

It's so hard to find a good doc willing to work WITH you. Its unfortunate that many seem to dismiss knowledge the patient may have on an issue and feel the need to only look at the same treatment plan they use with every other guy with low T.

 

[kisaj]

As good as my doc is and I also went to 3 endos during my process, none of them would even think of considering an AI. I didn't really need one, but I inquired to find out in case I did.

I really wish someone would run before and after blood tests that are thinking of starting Erase with TRT. I use it for the two days following injection with great success. Also, it is very easy to get something like Arimidex with very minimal effort or searching online, if it is really needed.

Like mentioned, smaller doses with more frequency is going to work wonders for you. 200mg when I first started made me into a mad man. I was literally raging one minute and then on the verge of tears the next. This would take 2-3 days to pass. We quickly moved from that protocol. Now, with some experimentation and some advice from fellow users on here, I've gone from 125mg every 7 days to 100mg every 5. It was a great move, and very balanced. Funny what something as little as 25mg can do.

 

[BJE]

It's so hard to find a good doc willing to work WITH you. Its unfortunate that many seem to dismiss knowledge the patient may have on an issue and feel the need to only look at the same treatment plan they use with every other guy with low T.

I complain about my doctor (endo) but he is willing to work with me. He told me he will allow me to try whatever I want so long is it isn't dangerous or unethical. However that did not include an AI which I get from another doctor. I am thinking of switching my TRT care to my regular doctor who I think that now I am on TRT will also work with me, and he is more assessable the the endo.

 

[lboston]

I complain about my doctor (endo) but he is willing to work with me. He told me he will allow me to try whatever I want so long is it isn't dangerous or unethical. However that did not include an AI which I get from another doctor. I am thinking of switching my TRT care to my regular doctor who I think that now I am on TRT will also work with me, and he is more assessable the the endo.

I'm working with my regular doc as well. Great guy and allows self injects at home. However, not too up on checking estrodiol, prescribing AIs etc.Howver, I'm fine with that as I could always get it checked myself if I really wanted to.

 

[vassille]

Little Rock, Arkansas

Eh too far but it sound like you have a competent doctor.

 

[scw538]

I'm grateful to have found this site and read the stickies. Once my first doc pulled some crazy ****, I immediately found a compounding pharmacy and asked the owner who is doing the most hormone replacement and I picked the top one. I've been rocking ever since.

This ^^^^^^^