If I decide my PCP doesn't know what he's doing when my results come back, which type of specialist should I go to see? Some on the forum are suggesting a urologist if testicular production of testosterone is the problem and others suggest an endocrinologist if the problem is related to the pituitary function. Seems my current doctor isn't differentiating between which is causing the low t since he has only drawn total t and now testing my free t for his diagnosis. I'm a little confused. Don't I really need LH and FSH tests and later on estradiol to really zone-in on what's really going on here? Thank you.
Ask Anything You Want about TRT Thread........
- Thread starter THE-DET-OAK
- Start date
Megatron28
Moderator
Have you read that sticky thread I recommended to you in Post #659? It covers this.
Megatron28
Moderator
read my signature. Go to private MD. You will get the results back in 24-48 hours.
or tell your doc to run the labs. Don't suggest or ask. Tell him.
Alpin
New member
What does it matter in the long run?
Yes its good to know the LH/FSH. But it is what it is.
It can't be fixed. Clomid could raise them both and give you some more T but odds are it won't be a long term solution.
TRT is.
Megatron28
Moderator
Switch to injections. They are more effective. That was meant to educate you, not entertain you though.
So how long would you say is a reasonable time to give the gel a try? My doc wants to try Testim for 60 days as a trial run before discussing other options.
Megatron28
Moderator
I personally would not use gels when better options are available. I would tell my doc that I am not willing to take the risk of transfer to kids and women in my life when a better and cheaper option like injections exists. I don't think gels are worth the risk. Throw in the fact that they are less effective and I don't know why anyone but the most needle-phobic person would choose gels.
Just got my blood work back:
Total T 144
Free T 3.7
Lh 1.0
FSH 3.0
Everything else was in normal range except my ldl is a little high at 103
I'm going to the urologist on Monday anyway about a vasectomy consult so I'll show him the test and see if he'll work with me. I also found another low t clinic that is a little cheaper than the first, only 200 a month no setup fee. Planning to check them out if I don't find what I'm looking for from the urologist.
Any input here is greatly appreciated.
THE-DET-OAK
IncreasedMyT @ ULV
anything under 300 ng/dl is serious hypogonadism guys. Get help, its worth it.
cybrsage
New member
My T level was 153 and it is night and day between then and now (high 700s). You will be a new man...but it takes time for the effects to show. I expected instant results, but most of the changes are slow to appear.
My doctor has recommended that I start TRT with 500IUs of hCG 3x/week in addition to 100mg of test cyp/week.
He's got quite a bit of experience prescribing TRT and says that he's had success with high doses of hCG, but it seems that the general consensus here is that doses shouldn't exceed 1000IUs/week (?).
Is 500IUs 3x/week too much? I haven't seen too many instances of such high doses being used outside of mono therapy.
He's got quite a bit of experience prescribing TRT and says that he's had success with high doses of hCG, but it seems that the general consensus here is that doses shouldn't exceed 1000IUs/week (?).
Is 500IUs 3x/week too much? I haven't seen too many instances of such high doses being used outside of mono therapy.
Megatron28
Moderator
What is his rationale for that hCG protocol?
I'm really not sure, he didn't go into that much detail about why he likes the higher doses of hCG.
Should I assume that I'll likely have E2 issues at that dose? I've also read that too much hCG can eventually render it ineffective, any truth to that?
EDIT: He has no issues prescribing Anastrazole but doesn't want me to use it unless I have to.
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Megatron28
Moderator
I think you should be asking him those questions. And don't assume you will have an E2 problem. Check it by getting blood work.
I will definitely ask him about it.
Is there a sticky here that gives examples of startup protocols or something like that? I know that there isn't a "one size fits all" treatment, but it would be helpful for us newcomers for comparison purposes.
I see that people have many different preferences when it comes to hCG protocols. Are there any that you've used and had good success with? What would be a more reasonable dose for me to take?
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