Saw Endo Today.....................

[Alpin]

Saw an Endo today. He had all my baseline T levels from being off testosterone replacement therapy (TRT) the last 16 months.
said my T.T. was "normal" when I was recommended T shots from the testosterone replacement therapy (TRT) doc at the clinic.(which was 512-594 ng/dl)
Told him that I had undiagnosed very severe sleep apnea and it was not found till on the TRT.

He said he goes no more than 160 mg/week in his practice but he does not prescribe ADEX.
He uses HCG.
He told if I want to stop the testosterone replacement therapy (TRT) I am on...go for another blood test 2 weeks after last shot so he can get a baseline T level again.
Then he said next day start clomid and stay on it for 3 months....then come off it and see how I am.
He said my BIO T was normal it was 7.1 nmol/L (range: 2.5-18.7 nmol/L)

I'm kind of reluctant to give up my TRT...started back up 3 weeks ago.
I have no clearance from my testosterone replacement therapy (TRT) doc to stop treatment and go on clomid. When I asked testosterone replacement therapy (TRT) doc many months ago on clomid...
said it doesn't work.

The level for Low T here here is below 219 ng/dl...he said I'm not below that but at the same time not everyone feels ok with the same T level.

He said he does not work with ADEX...but my T levels had to be enhanced while on it natty all these months. He also said he suspects it might have lowered my SHBG which put my BIO T in the mid range...

He's definitely not shooting for optimum here....
I have no interest going on clomid and then coming off and left as is....and in the end lose my testosterone replacement therapy (TRT) script whn I will ready need it.
Said he doesn't go more than 160 mg/week of T in his practice.

 

[Alpin]

T.T. : 265-291 ng/dl for 16 months while off TRT.
LH: 4IU/L..... FSH 2 IU/L
(All labs done with 0.25 mg ADEX E3D)

 

[Alpin]

said he was going to phone me about what dose clomid to take...he never gave me script while leaving his office.
He said it can cause hot flashes....
I'm not too thrilled on the idea.

 

[willnorthwest]

Why are you seeing both a testosterone replacement therapy (TRT) doc AND an endo for your testosterone replacement therapy (TRT)? I have tried using an endo in the past and he would not prescribe adex either. He said that adex is only prescribed for off-label use by "quack" anti-aging docs. Long story short, i fired his ass, and vowed to never see an endo again for testosterone replacement therapy (TRT). They can be some pompous pricks!!!!

 

[Alpin]

Why are you seeing both a testosterone replacement therapy (TRT) doc AND an endo for your testosterone replacement therapy (TRT)? I have tried using an endo in the past and he would not prescribe adex either. He said that adex is only prescribed for off-label use by "quack" anti-aging docs. Long story short, i fired his ass, and vowed to never see an endo again for testosterone replacement therapy (TRT). They can be some pompous pricks!!!!

That's what I want to know too....
My doc does not like the testosterone replacement therapy (TRT) doc I have so he sent me to the endo who said he uses the exact same things in his practice. Except Adex.
My G.P. doc assumed the worst of the testosterone replacement therapy (TRT) doc. He is naturally inclined to over ruling other authorities on their opinion.
Fact of the matter is Endo will give 3 months of clomid (dose is not decided yet to him)...and then he said go off it.
No doubt my T will come down to low levels. He said my Natty T is not really "low"...and some guys feel ok with it. My Natty T with Adex is 265 ng/dl.
Really ??? some guys???
I would have no problem with my T level if I was 90...

I'm not going to do it. Clomid will do nothing my testosterone replacement therapy (TRT) doc said. He doesn't even prescribe it.

 

[Alpin]

clomid is "off label" too...and he admitted it.

 

[Megatron28]

Why are you seeing both a testosterone replacement therapy (TRT) doc AND an endo for your testosterone replacement therapy (TRT)? I have tried using an endo in the past and he would not prescribe adex either. He said that adex is only prescribed for off-label use by "quack" anti-aging docs. Long story short, i fired his ass, and vowed to never see an endo again for testosterone replacement therapy (TRT). They can be some pompous pricks!!!!

My endo prescribes my adex. He said I was the first testosterone replacement therapy (TRT) patient and I think the first male he has ever prescribed it to. I made my case to him and he was very interested in what I had to say along with the labs I showed him. He said I could be his guinea pig.

There are some good docs out there and some bad ones. But part of it too is the role you play. You need to help lead doctors to the right answer.

By the way, my GP wanted nothing to do with adex. But he's the one who sent me to this endo. He wasn't shutting the door on it. He simply professed that it was outside his expertise. I can respect that. I've encouraged him to learn about estradiol management in a testosterone replacement therapy (TRT) protocol for the sake of his other patients.

 

[Megatron28]

That's what I want to know too....
My doc does not like the testosterone replacement therapy (TRT) doc I have so he sent me to the endo who said he uses the exact same things in his practice. Except Adex.
My G.P. doc assumed the worst of the testosterone replacement therapy (TRT) doc. He is naturally inclined to over ruling other authorities on their opinion.
Fact of the matter is Endo will give 3 months of clomid (dose is not decided yet to him)...and then he said go off it.
No doubt my T will come down to low levels. He said my Natty T is not really "low"...and some guys feel ok with it. My Natty T with Adex is 265 ng/dl.
Really ??? some guys???
I would have no problem with my T level if I was 90...

I'm not going to do it. Clomid will do nothing my testosterone replacement therapy (TRT) doc said. He doesn't even prescribe it.

He is trying to get you to do the restart that you contemplated forever but decided against.

 

[halfwit]

Hmmmmmmmmmm, months of using Adex; which lowers SHBG - causing an increase in bioavailable test? NOOOOOOO WAAAY.

Sorry for the bit of sarcasm, but you truly do find some pretty amazing doctors dude. Look on the bright side: My doctor is afraid of prescribing off-label stuff too, so I have to acquire my AI's elsewhere.

 

[Alpin]

Hmmmmmmmmmm, months of using Adex; which lowers SHBG - causing an increase in bioavailable test? NOOOOOOO WAAAY.

Sorry for the bit of sarcasm, but you truly do find some pretty amazing doctors dude. Look on the bright side: My doctor is afraid of prescribing off-label stuff too, so I have to acquire my AI's elsewhere.

Well.....
He said that my BIO T level I had in July this year was "Normal".
So if the ADEX did not keep it elevated some how....
Guess what???
With that BIO T level....He told me he does not consider me hypogonadal. Even though T.T. is playing between 265-291 ng/dl.
He says some guys feel fine on it and for others it is not enough T.
He also said he did not see the case for testosterone replacement therapy (TRT) when my levels were 512-594 ng/dl.
Told him about the sleep apnea and he concurred it was probably a major factor in my symptoms at the time.
I told you guys in my previous restart threads that when an Endo would see my BIO T level he would say it is normal.
He also said the 265-291 ng/dl is normal T too. That lab that did my blood work has Hypogonadism marked for T.T. levels below 219 ng/dl.
It doesn't bother me one bit...I only went to him for an opinion and cause that family doc I went to said testosterone replacement therapy (TRT) guys are "users"(too put it nicely)
This Endo told me he uses the exact same stuff in his practice except ADEX. Go figure eh??

 

[Alpin]

He is trying to get you to do the restart that you contemplated forever but decided against.

TRT doc said clomid will do nothing. ADEX increased my pituitary hormones for all that time off testosterone replacement therapy (TRT) with no increase in T.T.
I'm not sure if a restart with clomid taken EOD is considered a restart...
The guys doing the restarts are running it every day for 6 weeks and then off.

 

[Megatron28]

Well.....
He said that my BIO T level I had in July this year was "Normal".
So if the ADEX did not keep it elevated some how....
Guess what???
With that BIO T level....He told me he does not consider me hypogonadal. Even though T.T. is playing between 265-291 ng/dl.
He says some guys feel fine on it and for others it is not enough T.
He also said he did not see the case for testosterone replacement therapy (TRT) when my levels were 512-594 ng/dl.
Told him about the sleep apnea and he concurred it was probably a major factor in my symptoms at the time.
I told you guys in my previous restart threads that when an Endo would see my BIO T level he would say it is normal.
He also said the 265-291 ng/dl is normal T too. That lab that did my blood work has Hypogonadism marked for T.T. levels below 219 ng/dl.
It doesn't bother me one bit...I only went to him for an opinion and cause that family doc I went to said testosterone replacement therapy (TRT) guys are "users"(too put it nicely)
This Endo told me he uses the exact same stuff in his practice except ADEX. Go figure eh??

Sounds like you are fit as an ox!

 

[Alpin]

Sounds like you are fit as an ox!

that's what he said basically...
He was leaning toward psychologically believing that my levels were ok and hinting at maybe I'm looking at lab work too much and concerned with numbers.
He says: "what do you feel"?
"and is it better now with the Testosterone"?
Fact of the matter is both this guy and that G.P. have not felt low T....
so they naturally are defensive. Let them go down to 265 ng/dl T.T.
let's see how long they like it when they start seeing themselves gain weight with same diet.

 

[Alpin]

Sounds like you are fit as an ox!

You concur ?
Isn't this great news????
Now I don't need any T supplementation anymore.
I have the green light from an Endo saying I'm "normal"
Wonder how much I will improve in the gym now???
Can't wait to start this venture with "normal" Natural T.

 

[Alpin]

Told the doc how much weight I gained off TRT...and all around the mid section. I never reached a weight that high before.
He says it was "from something else"....
he has a Phd in Metabolism and endocrinology and he did not say Low T puts on fat.
He is also an expert on diabetes according to his clinic...
hmmm????
Maybe they let the Low T go by so you can develop diabetes later on ????
Just a hunch.
One way or the other that clinic will get you....lol