Re: 38y/o - Fatigue, ED, depression - Test Results , History and advice on treat

[Guest guest]

I have a good solution for you.

I have been on hormone pellet therapy since 1992 and receive 20 - 75 mg pellets

every 4 months. I travel from Durham, NC to Augusta every 4 months for more

pellets from Dr. Natrajan of Augusta. This is an hour drive from you.

His web site is:

http://Natrajan.on-theweb.com

The 20 pellets are inserted under the skin using a trocar in the office.

The advantage of pellets is a constant rate of T 24/7 while the pellets

dissolve. This constant rate seems to eliminate problems for almost everyone of

T being converted to E2.

The cost for a man after you get into the replacement mode it is about

$450/visit, $112/mo for the therapy. As I am over 65, Medicare picks up most of

the cost in GA. This is not the case in the rest of the US.

\

I'm still in good health and work part time at Lowe's.

ernestnolan

>

> So, I got my extended test results back and want some input on treatment

directions.

>

> Male

> 38 y/o

> 180lbs

> 5'11 "

> work out, lift weights 3-6 time per week

>

> Been suffering from low energy, fatigue, depression, anxiety and ED for about

9 years.

>

> Have had T-levels check before and I was always told it was normal, but the

range was always around 200-400. I think 9 year ago it was 380 about six it was

400?... past few years it has been in the 200 range. I rarely awake with morning

wood.

>

> Worked with my GP family Dr. and Tried androgel over the years ranging from 5

to 10mg daily. most recently the doctor prescribe 7.5 and I upped it to 10...

the test results came in at 410 total, he did not get a full panel. The first

few weeks, I could feel a definite enrgy spurt and ED got better. However after

just a few weeks, the ED, and lack energy came back, my balls started to shrink.

I suspected higher E2... so I got off everything for 4 weeks and asked doctor

for extended bloodwork to get a good baseline. Here is what I have

>

> Testosterone Total - 316 ng/dl range 400-1080

> Testosterone Free - 84 pg/ml range 47-244

> Testosterone Bio - 219 ng/dl range 131-682

> Testosterone %FR 2.7 range 1.6-2.9

> Sex Hormone Bind GLO - 15nmol/L range 11-80

>

> Estradiol E2 - 24 pg/mL range 5-66

> Prolactin 15.1ng/mL range 3.7-18.0

>

> Thyroid Profile

> T4, Free - 1.10ng/dL range 0.74-1.83

> TSH - 1.960 uIU/mL range 0.46-4.70

>

> DHEA,Serum - 7.3 ng/dL range 1.9-7.6

> Insulin Like Growth - 171 rnage 77-323

>

> Based off the above numbers, and prior experience and reaction. I was thinking

of asking the dr for 250mg injection weekly and 1/4mg Arimidex weekly. My Dr.

has indicated he would prefer to refer me to an endo as he is reaching the

boundaries of his knowledge or willingness to help. He also indicated the Endo's

here in Columbia, SC will most likely say I am within range and shun me... The

Endo can't fit me in until June!!! but was gonna float the above regimen by my

GP Dr. and see if he is willing. Also, I am very much a gym RAT, although I have

not the muscle mass and a mid-section belly I cannot get rid of. I recently got

a contact to do a cycle of 500mg Test and 300Deca for 8 weeks, followed by

clomid for 3 weeks. Given my current hormonal state, I dont wanna screw things

up permanently, but I am tired or being tired and think for the first time in my

life, I am on to something as far as getting my life back to normal... I would

like input from the experience posters here on whether I am on the right track

and what direction I should take? Float regimen by GP Dr., wait for Endo, or do

AAS Cyscle???

>

> regards,

> Jay

>