My testosterone replacement therapy (TRT) journey has offcially started

Hey mate,

I too am located in Canberra and have low T and I am very curious as to who your doctor is. Finding it difficult to find an empathetic dr. I would PM you but I don't seem to have the account privileges.
 
Dude, can I please, please get the number for this guy? Please? I'm dying here, I have had low levels all throughout puberty and am 18 now and still no one will treat me. I am severely depressed and sexually unavailable and lack energy, etc. etc. I need to know that number, please?
 
MBB said:
I've been struggling to find a good doctor that would take low T seriously (in Australia they are few and far between) and through this forum I was chatting to another member who recommended a doctor, one who has helped a lot of guys in Australia. So I got in contact with the doctor, but the earliest appointment I could get into see him is January 17. I will also mention that he is interstate, making appointments that much more difficult. However, I was told to email through my latest blood work and a document about myself and the symptoms I was having. So I did just that; my full blood work and a 3 page PDF file. A week later I was told that the doctor wanted to do a phone consultation with me. So on Friday I had a phone consult with this doctor. He is amazing. Very knowledgeable and very pleasant to speak to. He went on to explain the stigma behind Testosterone and the general ignorant attitude toward it in the medical community. Despite the fact this was all stuff I already knew through my research, it was very comforting and reassuring to here it from him.
We spoke about how I've come up against a lot of doctors who tell me I'm in the 'normal' range and he went on to explain how inaccurate and irrelevant those ranges are. He did say however, that with a TT of 9.4 nmol/L (8-38 nmol/L) that would be normal were I 85 y.o. Here's the best bit, he wants to start me on treatment before my appointment in January. He gave me the options for TRT; gels, pellets, long-term injection, short-term injections, etc. I opted for short-term self injections and now am currently awaiting for the script to arrive in the post. He is also sending out another form for more blood tests to be done prior to seeing him in January, to see how the TRT is going. He said that ultimately, for my age he'd like to see me in the mid to high 30's on the reference range (8-38 nmol/L).
He also went on to discuss the possible side effects, such as the reduction on my natural test production and reduced testes size, but said if that becomes a problem there are things we can add (hinting at HCG). He also said that if my estrogen gets too high there is something we can do for that (hinting at an AI).
All in all, he is a very knowledgeable doctor and although I have been dealing with low T for a while I think it may have been worth the wait just to find this guy.
Now all I have to done is wait for the script to show up in the post...Longest. Wait. Ever.
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Hey, could I please get this guy's number? I am also suffering from low T. My latest tests were 14nm/L and I'm 19 (not delayed puberty, puberty started when I was 11). May I have his number or contact info, please? I am really losing hope in finding a Dr. Thank you.
 
Jackadee said:
Hey, could I please get this guy's number? I am also suffering from low T. My latest tests were 14nm/L and I'm 19 (not delayed puberty, puberty started when I was 11). May I have his number or contact info, please? I am really losing hope in finding a Dr. Thank you.
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Dude, I don't know you and the fact that the very first post you made on this site was asking who my doctor is does nothing for me wanting to help you. Not to mention in another post you said your levels were 17 nmol/L at 10am, come see me when your levels are consistently half that at 8am with a solid training and diet and no alcohol, sugary/processed foods and have tried zinc, etc.
17nmol/ @10am is NOT low T, no matter how much you want it to be. Your levels are fine, you need to consistently hit the gym (not walk) and get a good diet - those two alone will boost your T. You seem to think TRT is some magic bullet that'll cure all your ills, when in reality it will just replace your current endogenous T with exogenous T and make you reliant on the needle for the rest of your life. Don't be so keen to get on the needle when you don't need it because you'll just feel worse when this doesn't fix what you think is the issue.
As a side note, if you really tried you could find someone. I just found someone with a 30sec google search in Melbourne. But if you are hellbent on TRT why don't you use a little initiative and contact the local compounding pharmacies. That's all the help you'll get from me at the moment.
 
MBB said:
Dude, I don't know you and the fact that the very first post you made on this site was asking who my doctor is does nothing for me wanting to help you. Not to mention in another post you said your levels were 17 nmol/L at 10am, come see me when your levels are consistently half that at 8am with a solid training and diet and no alcohol, sugary/processed foods and have tried zinc, etc.
17nmol/ @10am is NOT low T, no matter how much you want it to be. Your levels are fine, you need to consistently hit the gym (not walk) and get a good diet - those two alone will boost your T. You seem to think TRT is some magic bullet that'll cure all your ills, when in reality it will just replace your current endogenous T with exogenous T and make you reliant on the needle for the rest of your life. Don't be so keen to get on the needle when you don't need it because you'll just feel worse when this doesn't fix what you think is the issue.
As a side note, if you really tried you could find someone. I just found someone with a 30sec google search in Melbourne. But if you are hellbent on TRT why don't you use a little initiative and contact the local compounding pharmacies. That's all the help you'll get from me at the moment.
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First of all, my diet is in check, my training is in check. I'm coached by a top level powerlifter for god's sake. I can post my entire training session if you wish, see how yours stacks up? Sorry if I seem a little cranky, but it seems as if you're judging me quite harshly. That 17 was taken after a full week's rest, 7.5 was my level are a regular week. My T is low for my age, it most certainly is. I have found a Dr, but I don't have much info on him. I was just asking for a hand up and let the Dr make a diagnosis? Why can't you just let me try, and if he says the same thing, I will gladly shut my mouth and you will be right. Again, I'm sorry for the angry tone, but that 17 is a damn peak in untrue circumstances, and is not representative of my everyday levels. I am not worried about being dependant on the needle, because I need it. I suffer from every single symptom, every single one, and have so before I even had my T checked. The worst of all is that I am severely depressed. All I was asking, pleading for is some help, and if you couldn't do that, you should have at least treated me with some respect and not assumed the worst of me.

I have been googling... all day, for days. I am dyslexic and it takes time. I guess I will eventually find your Dr, but again, I was just asking for you to please, please help me find my way.

Anyway, thanks for the reply. I will eventually find a good Dr. Take care.
 
Jackadee said:
First of all, my diet is in check, my training is in check. I'm coached by a top level powerlifter for god's sake. I can post my entire training session if you wish, see how yours stacks up? Sorry if I seem a little cranky, but it seems as if you're judging me quite harshly. That 17 was taken after a full week's rest, 7.5 was my level are a regular week. My T is low for my age, it most certainly is. I have found a Dr, but I don't have much info on him. I was just asking for a hand up and let the Dr make a diagnosis? Why can't you just let me try, and if he says the same thing, I will gladly shut my mouth and you will be right. Again, I'm sorry for the angry tone, but that 17 is a damn peak in untrue circumstances, and is not representative of my everyday levels. I am not worried about being dependant on the needle, because I need it. I suffer from every single symptom, every single one, and have so before I even had my T checked. The worst of all is that I am severely depressed. All I was asking, pleading for is some help, and if you couldn't do that, you should have at least treated me with some respect and not assumed the worst of me.

I have been googling... all day, for days. I am dyslexic and it takes time. I guess I will eventually find your Dr, but again, I was just asking for you to please, please help me find my way.

Anyway, thanks for the reply. I will eventually find a good Dr. Take care.
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Firstly, the attitude will get you no where and does nothing to make me want to help you.
The fact of the matter is you've not been around (the forum) long enough for me to feel comfortable sharing my doc with you. I previously said 'that's all the help you'll get from me at the moment', there have been other people join the forum just to ask for a doctor and then leave when they get no response. One thing you'll learn about this forum is that it's a community, so stick around, read, learn, make contributory posts, get to know people, then asking for favours like doctors details wont be a problem - because like I said I don't know you other than an alias on a forum and have nothing to really guage the kind of person you are except that you've 100% convinced yourself that you have low T (you might, you might not).
As an aside, 17nmol/L after a weeks rest, means that your body does produce enough T. If you were in fact suffering from Low T then your levels would remain a consistent 7.5nmol/L even after a weeks rest.
My advice, get some fresh blood work done before 9am in the morning. Make sure you get following Hormone profile (this will include E2, SHBG, LH, FSH), Prolactin, Androgen studies, Lipids, Serum Chemistry, FBC, Thyroid. Once you have these results (these are all the Aussie names for the tests by the way) then start a new thread on the forum and list all the results there. Then some of the more experienced TRT gurus like Megatron will be able to give you some solid advice.
 
Megatron28 said:
For me it (oily skin) seems to be caused by high estradiol. Definitely not high TT.
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So, can I use oily skin as an indication that my estradiol is high? I ask this because I only get an estradiol level checked from blood work only rarely - about twice a year.
 
Virginian said:
So, can I use oily skin as an indication that my estradiol is high? I ask this because I only get an estradiol level checked from blood work only rarely - about twice a year.
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Not by itself, but it could be used as a sign to get your estradiol checked. If you are not changing your protocol though your estradiol should be ok if you had it dialed in before. If you are still dialing in your protocol you should be checking Estradiol quite often.

Everyone is different, but for me I tend to get acne, oily skin and fatigue when my E2 is high. When my E2 is low I tend to get fatigue and joint pain. But let me say, I cannot tell you how many times I have thought my E2 was low only to find out it was really high or vice a versa. The only true way to know is the check it.
 
MBB said:
Firstly, the attitude will get you no where and does nothing to make me want to help you.
The fact of the matter is you've not been around (the forum) long enough for me to feel comfortable sharing my doc with you. I previously said 'that's all the help you'll get from me at the moment', there have been other people join the forum just to ask for a doctor and then leave when they get no response. One thing you'll learn about this forum is that it's a community, so stick around, read, learn, make contributory posts, get to know people, then asking for favours like doctors details wont be a problem - because like I said I don't know you other than an alias on a forum and have nothing to really guage the kind of person you are except that you've 100% convinced yourself that you have low T (you might, you might not).
As an aside, 17nmol/L after a weeks rest, means that your body does produce enough T. If you were in fact suffering from Low T then your levels would remain a consistent 7.5nmol/L even after a weeks rest.
My advice, get some fresh blood work done before 9am in the morning. Make sure you get following Hormone profile (this will include E2, SHBG, LH, FSH), Prolactin, Androgen studies, Lipids, Serum Chemistry, FBC, Thyroid. Once you have these results (these are all the Aussie names for the tests by the way) then start a new thread on the forum and list all the results there. Then some of the more experienced TRT gurus like Megatron will be able to give you some solid advice.
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I realise that, and I apologise in that exact paragraph for the attitude. I just didn't like a guy with double my levels on TRT telling me my non-practical peak of 17 was good enough, and withholding info that could change my life. Again, I apologise, but please understand respect is a two way street.

Okay... I don't fully understand that, but I can try to. I do not plan on ever leaving this forum, if you look at some of my recent posts they're nothing to do with me, I'm just trying to gain some info and learn. How about just helping someone who needs it, and let a Dr do his job? Like, seriously, it just seems like a power trip. I have 100% convinced because the results say that I do, haha. There's no ifs and buts about it.

17 is enough T? Taken in non-practical circumstances that are not practical in an everyday world? To maintain a 14-17 level, I would have to do nothing... my entire life... all for the levels of a 60 year old man. Woudl you ever go to a Dr and ask to try and get your peaks down to 17, and troughs of 7.5? It would suck right? I don't think it's fair for you to say my levels are fine when yours are double that. That's actually pretty good advice! I have done all those tests though, speaking to Megatron about them. Everything is normal. No sleep apnea ether, Pituitary works great as well.

Thank you for your time, again I was just asking for hand up. Sorry if you read an angry tone in this reply - it is not intended by me.
 
Jackadee said:
I realise that, and I apologise in that exact paragraph for the attitude. I just didn't like a guy with double my levels on TRT telling me my non-practical peak of 17 was good enough, and withholding info that could change my life. Again, I apologise, but please understand respect is a two way street.

Okay... I don't fully understand that, but I can try to. I do not plan on ever leaving this forum, if you look at some of my recent posts they're nothing to do with me, I'm just trying to gain some info and learn. How about just helping someone who needs it, and let a Dr do his job? Like, seriously, it just seems like a power trip. I have 100% convinced because the results say that I do, haha. There's no ifs and buts about it.

17 is enough T? Taken in non-practical circumstances that are not practical in an everyday world? To maintain a 14-17 level, I would have to do nothing... my entire life... all for the levels of a 60 year old man. Woudl you ever go to a Dr and ask to try and get your peaks down to 17, and troughs of 7.5? It would suck right? I don't think it's fair for you to say my levels are fine when yours are double that. That's actually pretty good advice! I have done all those tests though, speaking to Megatron about them. Everything is normal. No sleep apnea ether, Pituitary works great as well.

Thank you for your time, again I was just asking for hand up. Sorry if you read an angry tone in this reply - it is not intended by me.
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Jack,

There is often personal information shared in these forums and it is sometimes self-incriminating. That is fine when we all have anonymity. However, if you were to knowingly start going to MBB's doctor there is a risk that you could share information with that doctor about MBB. While you do not know MBB's name, it may be possible for said doctor to figure out which patient of his you are talking about. Maybe you wouldn't share any information, but what guarantee does MBB have from some stranger on the internet.

Please respect that this forum works best when we are all anonymous. It allows us to be open and honest. I am asking you to stop pressuring MBB or any other members of this forum to share personal information that may allow one to determine his identity.
 
Megatron28 said:
Jack,

There is often personal information shared in these forums and it is sometimes self-incriminating. That is fine when we all have anonymity. However, if you were to knowingly start going to MBB's doctor there is a risk that you could share information with that doctor about MBB. While you do not know MBB's name, it may be possible for said doctor to figure out which patient of his you are talking about. Maybe you wouldn't share any information, but what guarantee does MBB have from some stranger on the internet.

Please respect that this forum works best when we are all anonymous. It allows us to be open and honest. I am asking you to stop pressuring MBB or any other members of this forum to share personal information that may allow one to determine his identity.
Click to expand...

That's actually a really good way of putting things because I didn't put those dots together. I am sorry, I did not realise that but I maintain that MBB should have confronted me with this conclusion before assuming things of me. In any case, thank you both, I realise now the situation in its entirety :) for the record, that is not the sought of person I am, my pleads were genuine. Thank you!
 
Megatron28 said:
Not by itself, but it could be used as a sign to get your estradiol checked. If you are not changing your protocol though your estradiol should be ok if you had it dialed in before. If you are still dialing in your protocol you should be checking Estradiol quite often.
Click to expand...

I started TRT 11 months ago (age 71), and I am still not completely dialed in. I started at 400 mg every 2 weeks. I am now doing twice a week injections of 40 mg each. Even that seems a little high. TT at trough is about 800 (top of range 1100) and free T is about 200 (top of range 135). I could probably lower the dose a bit, but I really like the effects of my current dose.

I only have one measurement of estradiol - 32 (top of range 30). I don't have any early readings because my doctor didn't think it necessary, but finally agreed to measure it because I requested it. Second measurement should become available next week.

I tried arimidex, 0.25 mg twice a week for short durations, but can't say that I noticed any effect. This is a long way of saying I am still getting dialed in. I guess I still need more blood measurements.
 
Virginian said:
I started TRT 11 months ago (age 71), and I am still not completely dialed in. I started at 400 mg every 2 weeks. I am now doing twice a week injections of 40 mg each. Even that seems a little high. TT at trough is about 800 (top of range 1100) and free T is about 200 (top of range 135). I could probably lower the dose a bit, but I really like the effects of my current dose.

I only have one measurement of estradiol - 32 (top of range 30). I don't have any early readings because my doctor didn't think it necessary, but finally agreed to measure it because I requested it. Second measurement should become available next week.

I tried arimidex, 0.25 mg twice a week for short durations, but can't say that I noticed any effect. This is a long way of saying I am still getting dialed in. I guess I still need more blood measurements.
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It took me a year to get dialed in. It can be a slow process. Hopefully at your current 80mg/week you won't need an AI. I think your chances of that are pretty good. Let us know how your results turn out when you get them.
 
I stopped Adex for 10 days since last HCG dose. Was using zinc ED to try and control estradiol... As days went on I would feel loss if balance, a bit more acne, vicious mood and ready to argue, fatigue, very alert like feeling (not full out anxiety). My TT is not even mid range...
Got labs coming this week to see.
Took my adex yestersay feel better today.
 
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