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Does anyone have any information about the drug

Xopenex? I've been using Albuterol in a nebulizer for

quite some time, and my cardiologist recently told me

I should ask my pulmonary doctor about switching to

Xopenex. He said it's a new drug and much better than

Albuterol.

Barb E.

____________________________________________________

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Barb,

Know a few whom have gone to Xopenex. And had to quit

because of an increase in heart problems. Am

surprised your cardiologist said to ask ur pulmonary

doc.

Hope the following helps...

http://www.fda.gov/cder/consumerinfo/druginfo/xopenex.HTM

__________________________________

http://www.drugs.com/MTM/X/Xopenex.html

Xopenex

Generic Name: levalbuterol (leh val BYOO ter all)

Brand Names: Xopenex, Xopenex Concentrate

What is the most important information I should know

about levalbuterol inhalation?

• Do not use more of this medication, or use doses

more frequently, than directed by your doctor. Seek

medical attention if you notice that you require more

than your usual or more than the maximum amount of any

asthma medication in a 24-hour period. An increased

need for medication could be an early sign of a

serious asthma attack.

• It is very important that you use nebulized

levalbuterol properly, so that the medicine gets into

the lungs. Talk to your doctor about proper nebulizer

use. What is levalbuterol inhalation?

•Levalbuterol is a bronchodilator. It works by

relaxing muscles in the airways to improve breathing.

•Levalbuterol inhalation is used to treat reversible

obstructive airway conditions such as asthma,

bronchitis, and emphysema.

•Levalbuterol inhalation may also be used for

conditions other than those listed in this medication

guide. What should I discuss with my healthcare

provider before using levalbuterol inhalation?

•Before using levalbuterol inhalation, tell your

doctor if you have heart disease, an irregular

heartbeat, or high blood pressure; a seizure disorder;

· diabetes; or

· an overactive thyroid (hyperthyroidism).

• You may not be able to use levalbuterol inhalation

or you may require a dosage adjustment or special

monitoring during treatment if you have any of the

conditions listed above.

• Levalbuterol inhalation is in the FDA pregnancy

category C. This means that it is not known whether

levalbuterol inhalation will be harmful to an unborn

baby. Do not use this medication without first talking

to your doctor if you are pregnant.

• It is not known whether levalbuterol passes into

breast milk. Do not use levalbuterol inhalation

without first talking to your doctor if you are

breast-feeding a baby.

• Levalbuterol inhalation is not approved for use by

children younger than 6 years of age.

How should I use levalbuterol inhalation?

• Use levalbuterol inhalation exactly as directed by

your doctor. If you do not understand these

directions, ask your pharmacist, nurse, or doctor to

explain them to you.

• To use the solution for nebulization:

· Open one vial by tearing on the serrated edge

along the seam of the foil pouch. Remove one unit-dose

vial for immediate use. Keep the rest of the unused

unit-dose vial in the foil pouch to protect them from

light. Carefully twist open the top of one unit-dose

vial and squeeze the entire contents into the

nebulizer reservoir (drug chamber).

· Attach the nebulizer reservoir to the

mouthpiece or face mask. Then, attach the nebulizer to

the compressor. Sit upright, in a comfortable

position, and put the mouthpiece into your mouth or

put the face mask on, covering the nose and mouth.

Turn on the compressor. Breathe slowly, deeply, and

evenly until all of the medicine has been inhaled

(usually 5 to 15 minutes). The treatment is complete

when no more mist is formed by the nebulizer and the

drug chamber is empty.

· Clean the nebulizer after a treatment as

directed by the manufacturer.

• If you also use a steroid inhaler, use your

levalbuterol nebulization solution first to open up

your airways, then use the steroid inhaler as

directed.

• Do not mix other medicines for nebulization with a

dose of levalbuterol unless specifically directed to

do so by your doctor.

• It is very important that you use nebulized

levalbuterol properly, so that the medicine gets into

your lungs. Talk to your doctor about proper nebulizer

use.

• Do not use more of this medication, or use doses

more frequently, than directed by your doctor. Seek

medical attention if you notice that you require more

than your usual or more than the maximum amount of any

asthma medication in a 24-hour period. An increased

need for medication could be an early sign of a

serious asthma attack.

• Store levalbuterol in the protective foil pouch at

room temperature, protected from light and excessive

heat. Once the foil pouch is opened, the vials should

be used within two weeks. Once an individual vial is

removed from the foil pouch, if it is not to be used

immediately, it should be protected from light and

used within one week. Once an individual vial is

opened, it should be used immediately or discarded.

Discard the vial if the solution is not colorless.

What happens if I miss a dose?

• Use the missed dose as soon as you remember.

However, if it is almost time for the next regularly

scheduled dose, skip the missed dose and use the next

one as directed. Do not use a double dose of this

medication.

What happens if I overdose?

• Seek emergency medical attention.

• Symptoms of a levalbuterol overdose include angina

or chest pain, irregular heartbeats or a fluttering

heart, seizures, tremor, nervousness, weakness,

headache, dry mouth, dizziness, sleeplessness, nausea,

and vomiting.

What should I avoid while using levalbuterol

inhalation?

• Avoid situations that may make your condition worse

such as exercising in cold, dry air; smoking;

breathing in dust; and exposure to allergens such as

pet fur.

What are the possible side effects of levalbuterol

inhalation?

• Stop using levalbuterol inhalation and seek

emergency medical attention if you experience any of

the following serious side effects:

· an allergic reaction (difficulty breathing;

closing of your throat; swelling of your lips, tongue,

or face; or hives);

· worsening of respiratory symptoms (shortness of

breath, wheezing); or

· chest pain or irregular heartbeats.

• Other, less serious side effects may be more likely

to occur. Continue to use levalbuterol inhalation and

talk to your doctor if you experience

· dizziness;

· tremor or nervousness;

· anxiety;

· headache;

· cough or runny nose;

· upset stomach; or

· leg cramps.

• Side effects other than those listed here may also

occur. Talk to your doctor about any side effect that

seems unusual or that is especially bothersome.

What other drugs will affect levalbuterol inhalation?

• Before using levalbuterol inhalation, tell your

doctor if you are taking any of the following

medicines:

· a beta-blocker such as atenolol

(Tenormin),acebutolol (Sectral), bisoprolol (Zebeta),

carteolol (Cartrol), carvedilol (Coreg), labetalol

(Normodyne, Trandate), metoprolol (Lopressor, Toprol

XL), nadolol (Corgard), propranolol (Inderal), and

others;

· a tricyclic antidepressant such as

amitriptyline (Elavil), amoxapine (Asendin), doxepin

(Sinequan), imipramine (Tofranil), nortriptyline

(Pamelor), and others;

· a monoamine oxidase inhibitor (MAOI) such as

isocarboxazid (Marplan), phenelzine (Nardil), or

tranylcypromine (Parnate);

· a diuretic (water pill) such as

hydrochlorothiazide (HCTZ, HydroDiuril, Microzide,

others), chlorothiazide (Diuril), chlorthalidone

(Hygroton, Thalitone), furosemide (Lasix), bumetanide

(Bumex), ethacrynic acid (Edecrin), torsemide

(Demadex), and others;

· digoxin (Lanoxin);

· another inhaled bronchodilator; or

· caffeine, diet pills, or decongestants.

• You may not be able to use levalbuterol inhalation,

or you may require a dosage adjustment or special

monitoring during treatment if you are taking any of

the medicines listed above.

• Drugs other than those listed here may also

interact with levalbuterol inhalation or affect your

condition. Talk to your doctor and pharmacist before

taking any prescription or over-the-counter medicines,

including herbal products.

Where can I get more information?

• Your pharmacist has additional information about

levalbuterol inhalation written for health

professionals that you may read.

• Remember, keep this and all other medicines out of

the reach of children, never share your medicines with

others, and use this medication only for the

indication prescribed.

• Every effort has been made to ensure that the

information provided by Cerner Multum, Inc. ('Multum')

is accurate, up-to-date, and complete, but no

guarantee is made to that effect. Drug information

contained herein may be time sensitive. Multum

information has been compiled for use by healthcare

practitioners and consumers in the United States and

therefore Multum does not warrant that uses outside of

the United States are appropriate, unless specifically

indicated otherwise. Multum's drug information does

not endorse drugs, diagnose patients or recommend

therapy. Multum's drug information is an informational

resource designed to assist licensed healthcare

practitioners in caring for their patients and/ or to

serve consumers viewing this service as a supplement

to, and not a substitute for, the expertise, skill,

knowledge and judgment of healthcare practitioners.

The absence of a warning for a given drug or drug

combination in no way should be construed to indicate

that the drug or drug combination is safe, effective

or appropriate for any given patient. Multum does not

assume any responsibility for any aspect of healthcare

administered with the aid of information Multum

provides. The information contained herein is not

intended to cover all possible uses, directions,

precautions, warnings, drug interactions, allergic

reactions, or adverse effects. If you have questions

about the drugs you are taking, check with your

doctor, nurse or pharmacist.

--- Barbara <floridabound03200@...> wrote:

> Does anyone have any information about the drug

> Xopenex? I've been using Albuterol in a nebulizer

> for

> quite some time, and my cardiologist recently told

> me

> I should ask my pulmonary doctor about switching to

> Xopenex. He said it's a new drug and much better

> than Albuterol.

> Barb E.

____________________________________________________

Sports

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http://football.fantasysports.

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Guest guest

A.G. ann

Thank you ever so much for all the info. It was

extremely helpful. After reading it, I'm starting to

wonder why my doctor would suggest it, since I already

have heart problems. Think I'll stick with the

Albuterol.

Barb E.

--- " A.G. ann " <ag4977@...> wrote:

> Barb,

>

> Know a few whom have gone to Xopenex. And had to

> quit

> because of an increase in heart problems. Am

> surprised your cardiologist said to ask ur pulmonary

> doc.

>

> Hope the following helps...

>

>

>

http://www.fda.gov/cder/consumerinfo/druginfo/xopenex.HTM

> __________________________________

> http://www.drugs.com/MTM/X/Xopenex.html

> Xopenex

>

> Generic Name: levalbuterol (leh val BYOO ter all)

> Brand Names: Xopenex, Xopenex Concentrate

>

>

> What is the most important information I should know

> about levalbuterol inhalation?

> • Do not use more of this medication, or use doses

> more frequently, than directed by your doctor. Seek

> medical attention if you notice that you require

> more

> than your usual or more than the maximum amount of

> any

> asthma medication in a 24-hour period. An increased

> need for medication could be an early sign of a

> serious asthma attack.

> • It is very important that you use nebulized

> levalbuterol properly, so that the medicine gets

> into

> the lungs. Talk to your doctor about proper

> nebulizer

> use. What is levalbuterol inhalation?

> •Levalbuterol is a bronchodilator. It works by

> relaxing muscles in the airways to improve

> breathing.

> •Levalbuterol inhalation is used to treat reversible

> obstructive airway conditions such as asthma,

> bronchitis, and emphysema.

> •Levalbuterol inhalation may also be used for

> conditions other than those listed in this

> medication

> guide. What should I discuss with my healthcare

> provider before using levalbuterol inhalation?

> •Before using levalbuterol inhalation, tell your

> doctor if you have heart disease, an irregular

> heartbeat, or high blood pressure; a seizure

> disorder;

>

> · diabetes; or

> · an overactive thyroid (hyperthyroidism).

> • You may not be able to use levalbuterol

> inhalation

> or you may require a dosage adjustment or special

> monitoring during treatment if you have any of the

> conditions listed above.

> • Levalbuterol inhalation is in the FDA pregnancy

> category C. This means that it is not known whether

> levalbuterol inhalation will be harmful to an unborn

> baby. Do not use this medication without first

> talking

> to your doctor if you are pregnant.

> • It is not known whether levalbuterol passes into

> breast milk. Do not use levalbuterol inhalation

> without first talking to your doctor if you are

> breast-feeding a baby.

> • Levalbuterol inhalation is not approved for use

> by

> children younger than 6 years of age.

>

>

> How should I use levalbuterol inhalation?

> • Use levalbuterol inhalation exactly as directed

> by

> your doctor. If you do not understand these

> directions, ask your pharmacist, nurse, or doctor to

> explain them to you.

> • To use the solution for nebulization:

> · Open one vial by tearing on the serrated edge

> along the seam of the foil pouch. Remove one

> unit-dose

> vial for immediate use. Keep the rest of the unused

> unit-dose vial in the foil pouch to protect them

> from

> light. Carefully twist open the top of one unit-dose

> vial and squeeze the entire contents into the

> nebulizer reservoir (drug chamber).

> · Attach the nebulizer reservoir to the

> mouthpiece or face mask. Then, attach the nebulizer

> to

> the compressor. Sit upright, in a comfortable

> position, and put the mouthpiece into your mouth or

> put the face mask on, covering the nose and mouth.

> Turn on the compressor. Breathe slowly, deeply, and

> evenly until all of the medicine has been inhaled

> (usually 5 to 15 minutes). The treatment is complete

> when no more mist is formed by the nebulizer and the

> drug chamber is empty.

> · Clean the nebulizer after a treatment as

> directed by the manufacturer.

> • If you also use a steroid inhaler, use your

> levalbuterol nebulization solution first to open up

> your airways, then use the steroid inhaler as

> directed.

> • Do not mix other medicines for nebulization with

> a

> dose of levalbuterol unless specifically directed to

> do so by your doctor.

> • It is very important that you use nebulized

> levalbuterol properly, so that the medicine gets

> into

> your lungs. Talk to your doctor about proper

> nebulizer

> use.

> • Do not use more of this medication, or use doses

> more frequently, than directed by your doctor. Seek

> medical attention if you notice that you require

> more

> than your usual or more than the maximum amount of

> any

> asthma medication in a 24-hour period. An increased

> need for medication could be an early sign of a

> serious asthma attack.

> • Store levalbuterol in the protective foil pouch

> at

> room temperature, protected from light and excessive

> heat. Once the foil pouch is opened, the vials

> should

> be used within two weeks. Once an individual vial is

> removed from the foil pouch, if it is not to be used

> immediately, it should be protected from light and

> used within one week. Once an individual vial is

> opened, it should be used immediately or discarded.

> Discard the vial if the solution is not colorless.

>

>

> What happens if I miss a dose?

> • Use the missed dose as soon as you remember.

> However, if it is almost time for the next regularly

> scheduled dose, skip the missed dose and use the

> next

> one as directed. Do not use a double dose of this

> medication.

>

>

> What happens if I overdose?

> • Seek emergency medical attention.

> • Symptoms of a levalbuterol overdose include

> angina

> or chest pain, irregular heartbeats or a fluttering

> heart, seizures, tremor, nervousness, weakness,

> headache, dry mouth, dizziness, sleeplessness,

> nausea,

> and vomiting.

>

>

> What should I avoid while using levalbuterol

> inhalation?

> • Avoid situations that may make your condition

> worse

> such as exercising in cold, dry air; smoking;

> breathing in dust; and exposure to allergens such as

> pet fur.

>

>

> What are the possible side effects of levalbuterol

> inhalation?

> • Stop using levalbuterol inhalation and seek

> emergency medical attention if you experience any of

> the following serious side effects:

> · an allergic reaction (difficulty breathing;

> closing of your throat; swelling of your lips,

> tongue,

> or face; or hives);

> · worsening of respiratory symptoms (shortness

> of

> breath, wheezing); or

> · chest pain or irregular heartbeats.

> • Other, less serious side effects may be more

> likely

> to occur. Continue to use levalbuterol inhalation

> and

> talk to your doctor if you experience

> · dizziness;

> · tremor or nervousness;

> · anxiety;

> · headache;

> · cough or runny nose;

> · upset stomach; or

> · leg cramps.

> • Side effects other than those listed here may

> also

> occur. Talk to your doctor about any side effect

> that

> seems unusual or that is especially bothersome.

>

>

>

=== message truncated ===

__________________________________________________

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Barb E.

Am glad the info was helpful. I was quite perplexed

when you said ur Dr suggested it. Is awful we have to

check on meds ourselves. I know most Drs educated on

different drugs anymore. Guess they are too busy

spending their kickbacks from Drug Companies. I

myself had had so many bad reactions from various

drugs. One of my biggest pet peeve is seeing them

advertising drugs on T.V.

--- Barbara <floridabound03200@...> wrote:

> A.G. ann

> Thank you ever so much for all the info. It was

> extremely helpful. After reading it, I'm starting to

> wonder why my doctor would suggest it, since I

> already

> have heart problems. Think I'll stick with the

> Albuterol.

> Barb E.

>

____________________________________________________

Sports

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http://football.fantasysports.

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  • 4 years later...
Guest guest

Prior to me being diagnosed with low testosterone, I too had difficulty getting

an erection, I was putting on body fat around the middle, losing muscle

tone, and mood swings like a women going thorugh menopause. It was my wife who

suggested that I might going through  " male " menopause. Unbeknowns to me, she

quietly spoke to my doctor prior to my annual physical so when I went and

began to talk about my sezual problem the doctor alread had

an endrocrinologist for me to see.

That was 3 years ago. With the replacement therapy my testosterone numbers

are no longer down around 200 but have increased so I again sussessfully get an

erection, have lost part of the built up body fat, my muscle tone has returned

and my mood swings are gone.

However, there is a down side to replacement therapy. The prostate could

enlarge. In my case my PSA numbers are continually monitored. But as my wife

said,  we are dealing with a quality of life issue that affects nut just me

but her as well.

Old Guy

________________________________

From: Nita <nitads@...>

Sent: Thu, March 4, 2010 10:05:22 PM

Subject: Question, please answer

 

Dear all,

My husband is 37 years old. we have two children. we know that he suffered

hypogonadism since about one year ago, after he took some lab test due to sleep

difficulties and seksual disfunction.

his testosterone level is about 200.

we had tried tostrex gel but we thought there were no better change.

he still has difficulties to sleep.so we stop it.

i feel there are changes in him now, his skin is smoother, and he has hair loss.

i am worried about him. its hard to ask him to go to the doctor.

please answer my question:

1. is it posible that my husband in a 'danger'? (or something like that?)

2. if he doesn't take ART, what is the worst that can happen to him? because he

often refuse to take any medication

3. we haven't had sexual intercourse for about two year?

is it always like that for hypogonadism? or maybe he doesn't want to?

thank you for your attention

i really appreciate your answer.

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Guest guest

Hi there Nita and welcome to the group

I hope I can give you some reassurance. I am reletively new here and by no

means as expert in this as people like Phil, but I will try to help. Here are

the answers you seek - all from my own point of view with reasons why:

1. is it posible that my husband in a 'danger'? (or something like that?)

No, not really. Yes, there is always a chance he is in danger, just as he could

be from taking (or not taking) any medication. However, you must remember that

TRT patients are very closely monitored. He will by no means by given

medication and then left to his own devices. At the very least he will be given

a blood test several times per year and most likely at least two physical

examinations. Furthermore, your husband is only 37 and problems are even more

unlikely in a man so young (prostate trouble etc).

2. if he doesn't take ART, what is the worst that can happen to him? because he

often refuse to take any medication

That really does depend - it is very hard to answer. There are quite a few

conditions he could be at risk of and you can find a much more comprehensive

list of these if you talk to the other, more knowledgeable guys here. However,

my way of thinking is that it all depends on what you are susceptible to. For

example, on both my mother and father's side of the family there is a massive

tendency towards weak joints. Both my parents and their parents have had joint

problems, most leading to complete replacements. At the age of 38 I began to

get serious hip and knee pain whenever I worked out, especially on stuff like

the treadmill. Now, since taking TRT, this has stopped and my joints in general

feel much stronger. If I had not taken it, I think I would most definitely have

suffered trouble in that way at some point. Clearly, that is what I am

susceptible to and TRT does help to re-minaralise bones, hence this is how it

has helped me.

3. we haven't had sexual intercourse for about two year? is it always like that

for hypogonadism? or maybe he doesn't want to?

That is perfectly normal, so please do not be concerned there. Also, it may

take some time yet. I hope these words reassure you, but here is my own

example:

I suffer from a prolactinoma and the symptoms are quite typical - low

testosterone, feeling cold and tired, loss of body hair, complete loss of libido

and sexual interest, erectile dysfunction and headaches, especially in the

morning and of course, elevated prolactin levels. I moved to a new house almost

four years ago. At some point I changed my job role with the company I work for

and began working shifts. I also had no proper heating in the house or a proper

kitchen. As you may expect, a house with no heating is cold. Working shifts

makes you feel tired, right? It is common not to always be interested in sex,

especially if you are tired. So, one day I sat at home with my " significant

other " (not so significant now) who said, " are you always going to sit dressed

for outdoors in your coat, or do you plan on taking it off at some stage? " I

answered that I was just cold at the moment and the response I received was

" what, for the last three years? " I thought about that one long and hard and as

it turned out, I guess I had not taken that coat off indoors for the last three

years. We started talking (well, shouting - we usually did) and it seemed that

sex followed in the same way, too (zero for the last three years). But I had

been tired from work, hadn't I? What, for three years? My memory had become so

fogged and forgetful I could not remember much beyond a couple of weeks back,

but come to think of it - I could not remember having sex since I moved there.

With treatment - which for me has been kinda complex, this has all reversed and

I am happy now.

If I still have your attention, one last thing I will tell you is that this is

not a " one size fits all " game. My treatment is a bit like the other guys here,

but I am on some meds that nobody else here has ever mentioned. Every single

person is different and the doses we take of what we are on vary dramatically.

Your husband is very new to this and it may take some months before he can say

" this is it - I am on the right mixture. " Please stick with it and tell him

from me that the outcome is well, well worth it.

Be cool and take care

ade

>

> Dear all,

> My husband is 37 years old. we have two children. we know that he suffered

hypogonadism since about one year ago, after he took some lab test due to sleep

difficulties and seksual disfunction.

> his testosterone level is about 200.

> we had tried tostrex gel but we thought there were no better change.

> he still has difficulties to sleep.so we stop it.

> i feel there are changes in him now, his skin is smoother, and he has hair

loss.

> i am worried about him. its hard to ask him to go to the doctor.

> please answer my question:

> 1. is it posible that my husband in a 'danger'? (or something like that?)

> 2. if he doesn't take ART, what is the worst that can happen to him? because

he often refuse to take any medication

> 3. we haven't had sexual intercourse for about two year?

> is it always like that for hypogonadism? or maybe he doesn't want to?

> thank you for your attention

> i really appreciate your answer.

>

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Guest guest

I'm still very new to TRT. Correct me if I'm wrong, prostate problems usually

only occur if a mans E2 is not controlled. From what I've read, this is why so

many older menhave problems with their prostates. Being on TRT and controlling

E2 the risk of prostate problems is low. Again, please correct me if I'm wrong.

>

> Prior to me being diagnosed with low testosterone, I too had difficulty

getting an erection, I was putting on body fat around the middle, losing muscle

tone, and mood swings like a women going thorugh menopause. It was my wife who

suggested that I might going through  " male " menopause. Unbeknowns to me, she

quietly spoke to my doctor prior to my annual physical so when I went and

began to talk about my sezual problem the doctor alread had

an endrocrinologist for me to see.

>

> That was 3 years ago. With the replacement therapy my testosterone numbers

are no longer down around 200 but have increased so I again sussessfully get an

erection, have lost part of the built up body fat, my muscle tone has returned

and my mood swings are gone.

>

> However, there is a down side to replacement therapy. The prostate could

enlarge. In my case my PSA numbers are continually monitored. But as my wife

said,  we are dealing with a quality of life issue that affects nut just me

but her as well.

>

> Old Guy

>

>

>

>

> ________________________________

> From: Nita <nitads@...>

>

> Sent: Thu, March 4, 2010 10:05:22 PM

> Subject: Question, please answer

>

>  

> Dear all,

> My husband is 37 years old. we have two children. we know that he suffered

hypogonadism since about one year ago, after he took some lab test due to sleep

difficulties and seksual disfunction.

> his testosterone level is about 200.

> we had tried tostrex gel but we thought there were no better change.

> he still has difficulties to sleep.so we stop it.

> i feel there are changes in him now, his skin is smoother, and he has hair

loss.

> i am worried about him. its hard to ask him to go to the doctor.

> please answer my question:

> 1. is it posible that my husband in a 'danger'? (or something like that?)

> 2. if he doesn't take ART, what is the worst that can happen to him? because

he often refuse to take any medication

> 3. we haven't had sexual intercourse for about two year?

> is it always like that for hypogonadism? or maybe he doesn't want to?

> thank you for your attention

> i really appreciate your answer.

>

>

>

>

>

>

>

>

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Nita, I can tell you in my case, pursuing TRT is the best thing for me. Before

starting, I was miserable and was having profound changes in my body. Since

starting TRT (especially injecting T) I see myself working towards renewed

health that will last me the rest of my life.

I don't know what will happen to me in the future, I believe I have a much

better chance with the current path I'm on.

Your husband should pursue this. He'll be glad he did. The start may be a little

bumpy until the right protocol is found for your husbands particular case. No

two men are the same.

>

> Dear all,

> My husband is 37 years old. we have two children. we know that he suffered

hypogonadism since about one year ago, after he took some lab test due to sleep

difficulties and seksual disfunction.

> his testosterone level is about 200.

> we had tried tostrex gel but we thought there were no better change.

> he still has difficulties to sleep.so we stop it.

> i feel there are changes in him now, his skin is smoother, and he has hair

loss.

> i am worried about him. its hard to ask him to go to the doctor.

> please answer my question:

> 1. is it posible that my husband in a 'danger'? (or something like that?)

> 2. if he doesn't take ART, what is the worst that can happen to him? because

he often refuse to take any medication

> 3. we haven't had sexual intercourse for about two year?

> is it always like that for hypogonadism? or maybe he doesn't want to?

> thank you for your attention

> i really appreciate your answer.

>

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Jim in my case I had BPH bad I would get one bladder infection from slow voiding

after the other. I even had Prostate sugary I call it a Rem Job to help me

void. My Dr. had me on Hytrin to help with the voiding this caused me to lose

some of my hair over time. I had some bad ED problems and when I could

masturbate I could not reach an orgasm.

This went on for about 10 just about 7 yrs after starting on TRT. When I first

read about high levels of Estradiol at a bodybuilding web site and the problem

the men had with this from doing Steroids it hit me. I had this tested and was

so dam high I was over the top of the range. I had to go to war with my Dr. to

get him to give me Arimidex and when I went on it .5 mgs every other day nothing

showed up coming down after 8 weeks I was do dam high my levels did not come

down into the range.

So we did the .5 mgs of Arimidex everyday in about 2 weeks I got some night time

and morning wood and my ED and Orgasm problems were gone. In about 5 months I

had a follow up appointment with my Uro. He did as he all ways did checked my

Prostate.

He told me it went down what did I do that fixed this I told him and he looked

at me like I was nuts. And went on about man don't have problems with there

Estradiol levels and even if they did it would not enlarge a mans Prostate. I

never went back.

I also was seeing a Therapist for Panic Attacks had them for yrs. Getting my

Estradiol levels down this stopped to and when I told the Therapist about it she

said not possible so never went back to her.

Even today when my Estradiol levels go to high I will have Panic feels even an

attack.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: Re: Question, please answer

>

> Date: Friday, March 5, 2010, 6:38 AM

> I'm still very new to TRT. Correct me

> if I'm wrong, prostate problems usually only occur if a mans

> E2 is not controlled. From what I've read, this is why so

> many older menhave problems with their prostates. Being on

> TRT and controlling E2 the risk of prostate problems is low.

> Again, please correct me if I'm wrong.

>

>

> >

> > Prior to me being diagnosed with low testosterone, I

> too had difficulty getting an erection, I was putting on

> body fat around the middle, losing muscle tone, and mood

> swings like a women going thorugh menopause. It was my wife

> who suggested that I might going through  " male "

> menopause. Unbeknowns to me, she quietly spoke to my doctor

> prior to my annual physical so when I went and began

> to talk about my sezual problem the doctor alread

> had an endrocrinologist for me to see.

> >

> > That was 3 years ago. With the replacement

> therapy my testosterone numbers are no longer down around

> 200 but have increased so I again sussessfully get an

> erection, have lost part of the built up body fat, my muscle

> tone has returned and my mood swings are gone.

> >

> > However, there is a down side to replacement

> therapy. The prostate could enlarge. In my case my

> PSA numbers are continually monitored. But as my wife

> said,  we are dealing with a quality of life issue

> that affects nut just me but her as well.

> >

> > Old Guy

> >

> >

> >

> >

> > ________________________________

> > From: Nita <nitads@...>

> >

> > Sent: Thu, March 4, 2010 10:05:22 PM

> > Subject: Question, please answer

> >

> >  

> > Dear all,

> > My husband is 37 years old. we have two children. we

> know that he suffered hypogonadism since about one year ago,

> after he took some lab test due to sleep difficulties and

> seksual disfunction.

> > his testosterone level is about 200.

> > we had tried tostrex gel but we thought there were no

> better change.

> > he still has difficulties to sleep.so we stop it.

> > i feel there are changes in him now, his skin is

> smoother, and he has hair loss.

> > i am worried about him. its hard to ask him to go to

> the doctor.

> > please answer my question:

> > 1. is it posible that my husband in a 'danger'? (or

> something like that?)

> > 2. if he doesn't take ART, what is the worst that can

> happen to him? because he often refuse to take any

> medication

> > 3. we haven't had sexual intercourse for about two

> year?

> > is it always like that for hypogonadism? or maybe he

> doesn't want to?

> > thank you for your attention

> > i really appreciate your answer.

> >

> >

> >

> >

> >

> >       

> >

> >

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Yes because I am over 40 and on TRT I get a PSA test every 6 months my last one

was last one 16 weeks ago was .8 and my Estradiol was 19 pg/ml.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: Re: Question, please answer

>

> Date: Friday, March 5, 2010, 10:34 AM

> Since you have your E2 basically

> under control, have you had the PSA blood test lately? It's

> unbelievable how in the dark doctors are now days about so

> many things. Good doctors are far and few between.

>

> When I had my cancer, I was very niave about doctors. I

> never really needed doctors so I didn't know how to handle

> them and trusted them. I could have faired much better if I

> had a better uro then. The follow up after surgery was

> almost nonexistent. The tip off should have been when he

> told me he had only seen one other guy with testicular

> cancer before me.

>

>

> > > >

> > > > Prior to me being diagnosed with low

> testosterone, I

> > > too had difficulty getting an erection, I was

> putting on

> > > body fat around the middle, losing muscle

> tone, and mood

> > > swings like a women going thorugh menopause. It

> was my wife

> > > who suggested that I might going

> through  " male "

> > > menopause. Unbeknowns to me, she quietly spoke to

> my doctor

> > > prior to my annual physical so when I went

> and began

> > > to talk about my sezual problem the

> doctor alread

> > > had an endrocrinologist for me to see.

> > > >

> > > > That was 3 years ago. With the

> replacement

> > > therapy my testosterone numbers are no longer

> down around

> > > 200 but have increased so I again sussessfully

> get an

> > > erection, have lost part of the built up body

> fat, my muscle

> > > tone has returned and my mood swings are gone.

> > > >

> > > > However, there is a down side to

> replacement

> > > therapy. The prostate could enlarge. In my

> case my

> > > PSA numbers are continually monitored. But

> as my wife

> > > said,  we are dealing with a quality of

> life issue

> > > that affects nut just me but her as well.

> > > >

> > > > Old Guy

> > > >

> > > >

> > > >

> > > >

> > > > ________________________________

> > > > From: Nita <nitads@>

> > > >

> > > > Sent: Thu, March 4, 2010 10:05:22 PM

> > > > Subject: Question, please

> answer

> > > >

> > > >  

> > > > Dear all,

> > > > My husband is 37 years old. we have two

> children. we

> > > know that he suffered hypogonadism since about

> one year ago,

> > > after he took some lab test due to sleep

> difficulties and

> > > seksual disfunction.

> > > > his testosterone level is about 200.

> > > > we had tried tostrex gel but we thought

> there were no

> > > better change.

> > > > he still has difficulties to sleep.so we

> stop it.

> > > > i feel there are changes in him now, his

> skin is

> > > smoother, and he has hair loss.

> > > > i am worried about him. its hard to ask him

> to go to

> > > the doctor.

> > > > please answer my question:

> > > > 1. is it posible that my husband in a

> 'danger'? (or

> > > something like that?)

> > > > 2. if he doesn't take ART, what is the worst

> that can

> > > happen to him? because he often refuse to take

> any

> > > medication

> > > > 3. we haven't had sexual intercourse for

> about two

> > > year?

> > > > is it always like that for hypogonadism? or

> maybe he

> > > doesn't want to?

> > > > thank you for your attention

> > > > i really appreciate your answer.

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >       

> > > >

> > > > [Non-text portions of this message have been

> removed]

> > > >

> > >

> > >

> > >

> > >

> > > ------------------------------------

> > >

> > >

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I am 35, and just started testosterone 6 weeks ago.

My wife is very open and honest with me, the low test has been getting worse for

the last 3 years or so, brought on by a lot of stuff. I wanted my life back, in

a way I almost didn't notice it was gone. One of the effects of low test is

lower motivation and harder time remembering things. This makes it easy to

rationalize the complete loss of libido and dismal time at work.

Not having sex for 2 years is an excellent point to bring up to your husband,

and its part of the agreement that you have established as a husband and wife.

When my wife pointed out that we hadn't had penatrative sex for 2 months, even

taking levitra, I realized something was wrong.

The shots are going to be the best for him, it may remind him what it feels like

to be a man. I almost pass out when I have to go in for blood work, and yet

self injecting with 23 gauge needles is easy and doesn't hurt(testosterone

increases pain tolerance too)

I can promise you, no man likes having no libido and a dick that doesn't work.

Its a low grade hell to have my wife hint at sex and not have the interest, even

though I should.

Tell him its ok to take steroids....

I had to let go of the idea that I was never going to do them. Here I am,

feeling better than I have in years, having really hard workouts in the gym, and

then being able to recover and not feel sore, or get injured. This is the good

life.

I also have my high blood pressure and diabetes under control simply by taking

testosterone and having the estradiol controled.

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Bill

What was your testosterone reading before TRT? and what is your therapy regime -

any hCG or arimidex?

I guess you may be primary if low T as such a young age?

Chris

>

> I am 35, and just started testosterone 6 weeks ago.

>

> My wife is very open and honest with me, the low test has been getting worse

for the last 3 years or so, brought on by a lot of stuff. I wanted my life

back, in a way I almost didn't notice it was gone. One of the effects of low

test is lower motivation and harder time remembering things. This makes it easy

to rationalize the complete loss of libido and dismal time at work.

>

> Not having sex for 2 years is an excellent point to bring up to your husband,

and its part of the agreement that you have established as a husband and wife.

When my wife pointed out that we hadn't had penatrative sex for 2 months, even

taking levitra, I realized something was wrong.

>

> The shots are going to be the best for him, it may remind him what it feels

like to be a man. I almost pass out when I have to go in for blood work, and

yet self injecting with 23 gauge needles is easy and doesn't hurt(testosterone

increases pain tolerance too)

>

> I can promise you, no man likes having no libido and a dick that doesn't work.

Its a low grade hell to have my wife hint at sex and not have the interest, even

though I should.

>

> Tell him its ok to take steroids....

>

> I had to let go of the idea that I was never going to do them. Here I am,

feeling better than I have in years, having really hard workouts in the gym, and

then being able to recover and not feel sore, or get injured. This is the good

life.

>

> I also have my high blood pressure and diabetes under control simply by taking

testosterone and having the estradiol controled.

>

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