Re: Estradiol Issues and Continuing Treatment

[Guest guest]

Reactive hypoglycemia is from low thyroid, which causes low cortisol, which

causes high estrogen.

Exercise will lower cortisol, which causes high estrogen.

You might want to get your thyroid checked out.

http://tiredthyroid.com/

Barb

>

> Hello Everyone,

>

> Allow me to bring you up to date with my treatment. By now, the

endocrinologist has before him two samples, both measuring testosterone and

estradiol level. One sample shows the peak concentration of E and T, taken two

days after my last injection. The other registers their nadir, the low point, a

full week after injection. Once I know the exact values, I'll post them here.

>

> My next endocrinology appointment is at the end of this coming week. I will

start the Femara as soon as Friday. Phil believes that this particular

medication is too strong. I have no reason to doubt him. However, assuming I

do have a very elevated level of Estradiol, which lab results are likely to

confirm, is it possible that something this high octane is what I need?

>

> I have a few questions to ask. I'd like to know what I can expect from now

going forward.

>

> What do I need to look for in order to be able to judge Femara's effects on

me? How will I be able to know if that medication is working, or, if it isn't,

that it is not what I need? How long does it usually take for an Aromatase

inhibitor to work, roughly speaking?

>

> The decision to try Femara was based exclusively on out of pocket cost. Since

I had an issue with my insurance not covering AndroGel, I've been seeking to

find cost-effective options that insurance is unlikely to reject. Arimidex,

which was recommended to me here, is considerably more expensive than Femara.

Cost per dose is about five times as much, but this is because Arimidex has to

be taken every day as prescribed for me, whereas Femara is only taken once a

week.

>

> As I reflect back on it, I probably have had elevated levels of Estradiol for

a long time, likely years. Something that has been puzzling me recently is why

the insulin resistance issues, which resembling reactive hypoglycemia are so

much worse after I finish working out. My personal theory is that exercise

raises testosterone levels, but the extra testosterone then gets immediately

converted to estradiol, since the body considers it excess. Anyone with

thoughts about this theory is welcome to contribute. I may be entirely off the

mark here, but when you don't have answers, you tend to come up with them on

your own.

>

> Thanks again for all your help.

>

> .

>

[Guest guest]

Thanks, Barb.

I had a thyroid ultrasound performed recently. It indicated no node,

growths, or goiter, but did reveal that the thyroid was swollen and

enlarged. Autoimmune Thyroid Disease was diagnosed based on it.

Eventually, the endocrinologist wants to test for thyroid antibodies, to

best establish the exact type, but he wants to do one thing at a time.

We've discussed checking cortisol, but the endocrinologist hasn't scheduled

the test yet. I know that it will have to be done in the morning. Previous

levels, if they are helpful, indicated that my level was 5.1 ug/dL. Thanks

for pointing this out. It will be the next thing I discuss with him.

.

--

If ever I said, in grief or pride,

I tired of honest things, I lied:

[Guest guest]

,

Men on Arimidex don't take the 1 mgs pill everyday then cut the pills into 1/4

parts and take 1/4 of the pill every 2 to 3 days if here levels are less then 50

if over 50 pg/ml they take .5 mgs 1/2 a pill every 2 to 3 days. I feel as long

as you know what to look for on Femara you will be fine. Read this file I made

about not going to low on Arimidex it will work the same way on Femara. If

after you read this you need to know more just ask.

===================================================

How To Take Arimdex and not go down on your Estradiol to Low.

What I found is if you go to low taking arimidex, it's the length of time your

to low, if your too low say for 8 weeks it can take your body a longer time to

make more Estradiol. Bottom line is to know how not to go to low. Keep a log on

your dose and how you feel men going to low can't get it up taking Viagra. I

went to low when I first tried Arimidex and did not know about going to low or

how one feels to low, so I was low a good 8 weeks. I did not know I was low

until my next labs.

The best gage I have found to control your Estradiol levels is to gage your

night time and morning wood. At good levels or what I call the sweet spot you

get your night time and morning wood back so strong it will wake you up and you

can hang a coat on it.

Most men do good taking .25 mgs or 1/4 of a 1mg. pill, I use a pill cutter to

cut the small pill in half then I stand it on the cut end and use a single edge

razor to cut this in half. A good way to take arimidex is by how high your

levels are. I tested over 90 pg/ml so we tried doing .5 mgs every other day

after 8 weeks my next set of labs showed it did not move below 90, test said

>90. So we did .5 mgs. every day in about 2 weeks I got some strong night time

and morning wood back after not having them for many yrs.

I kept doing this dose and in 8 weeks my next set of labs said <20 back in the

day labs were like this they did not have to good labs we have today they could

not read lower the 20. My Dr. told me this looks to low to stop taking the

Arimidex. The one thing I noticed was my wood stopped and stopping the Arimidex

my wood came back in about 7 weeks my next test at 8 weeks was 24 pg/ml. So we

went back on the Arimidex but the Dr. told me to take .5 mgs every 3 days I was

on this dose not a week and lost wood. This is when I figured out going to low

you lose wood. And the longer your too low the longer it takes to get levels

back up.

I stopped the arimidex right away and got my wood back in 4 days. I then after

playing with the dose for a time found the best dose is .25mgs every 2 to 3

days.

So lets say your labs are less the 50 pg/ml if your take .5 mgs you can go down

so dam fast your miss the sweet spot of your wood and go to low. It's best with

lower levels 50 and under to do less Arimidex .25mgs every 2 days if later your

lose wood when it comes back go to every 3 days.

I have found estradiol is the hardest hormone to control, it goes up or down

from month to month some times I need .25mgs every 2 days other times I need

..25mgs everyday most of the time I do well on every 3 days.

So between wood and labs I do great and so do most of the men I have told this

to. I keep a log on how much I am taking and how I feel. Doing this and reading

back in my log I was able to tell when I was going to high or to low my Dr. lets

me dose my arimidex by how I feel.

Over the yrs. I have posted this story until I am blue in the face.

Co-Moderator

Phil

> From: cabaretic <cabaretic@...>

> Subject: Estradiol Issues and Continuing Treatment

>

> Date: Saturday, February 26, 2011, 10:40 AM

> Hello Everyone,

>

> Allow me to bring you up to date with my treatment. 

> By now, the endocrinologist has before him two samples, both

> measuring testosterone and estradiol level.  One sample

> shows the peak concentration of E and T, taken two days

> after my last injection.  The other registers their

> nadir, the low point, a full week after injection. 

> Once I know the exact values, I'll post them here. 

>

> My next endocrinology appointment is at the end of this

> coming week.  I will start the Femara as soon as

> Friday.  Phil believes that this particular medication

> is too strong.  I have no reason to doubt him. 

> However, assuming I do have a very elevated level of

> Estradiol, which lab results are likely to confirm, is it

> possible that something this high octane is what I need?

>

> I have a few questions to ask.  I'd like to know what

> I can expect from now going forward.

>

> What do I need to look for in order to be able to judge

> Femara's effects on me?  How will I be able to know if

> that medication is working, or, if it isn't, that it is not

> what I need?  How long does it usually take for an

> Aromatase inhibitor to work, roughly speaking? 

>

> The decision to try Femara was based exclusively on out of

> pocket cost.  Since I had an issue with my insurance

> not covering AndroGel, I've been seeking to find

> cost-effective options that insurance is unlikely to

> reject.  Arimidex, which was recommended to me here, is

> considerably more expensive than Femara.  Cost per dose

> is about five times as much, but this is because Arimidex

> has to be taken every day as prescribed for me, whereas

> Femara is only taken once a week. 

>

> As I reflect back on it, I probably have had elevated

> levels of Estradiol for a long time, likely years. 

> Something that has been puzzling me recently is why the

> insulin resistance issues, which resembling reactive

> hypoglycemia are so much worse after I finish working

> out.  My personal theory is that exercise raises

> testosterone levels, but the extra testosterone then gets

> immediately converted to estradiol, since the body considers

> it excess.  Anyone with thoughts about this theory is

> welcome to contribute.  I may be entirely off the mark

> here, but when you don't have answers, you tend to come up

> with them on your own.

>

> Thanks again for all your help.

>

> .   

>

>

>

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

>

>

[Guest guest]

I just pray your not wasting your time and money seeing this Endo. My

thinking is you test antibodies in blood first and all the Thyroid hormones

first then do an thyroid ultrasound.

Your test for Cortisol at 5 is very low if it was a morning test. You can buy a

4x's / day Saliva test your self and do it. You can find the labs in this link.

http://www.stopthethyroidmadness.com/recommended-labwork/

My wife wasted 15 yrs of her life seeing Endo's one after the other never

feeling good on T4 only meds. It was when she seen a Dr. that uses Armour

Thyroid meds that she started feeling better.

Co-Moderator

Phil

> From: Camp <cabaretic@...>

> Subject: Re: Re: Estradiol Issues and Continuing Treatment

>

> Cc: " Barb " <baba@...>

> Date: Saturday, February 26, 2011, 12:18 PM

> Thanks, Barb.

>

> I had a thyroid ultrasound performed recently.  It

> indicated no node,

> growths, or goiter, but did reveal that the thyroid was

> swollen and

> enlarged.  Autoimmune Thyroid Disease was diagnosed

> based on it.

> Eventually, the endocrinologist wants to test for thyroid

> antibodies, to

> best establish the exact type, but he wants to do one thing

> at a time.

>

> We've discussed checking cortisol, but the endocrinologist

> hasn't scheduled

> the test yet.  I know that it will have to be done in

> the morning.  Previous

> levels, if they are helpful, indicated that my level was

> 5.1 ug/dL.  Thanks

> for pointing this out.  It will be the next thing I

> discuss with him.

>

> .

>

>

> --

>

> If ever I said, in grief or pride,

> I tired of honest things, I lied:

>

>

>

[Guest guest]

Nice website Barb! What are your thoughts on pre-meno woman beginning to have

really bad cognition and memory problems? Hashi on 3gr ERFA, bhrt

estrogen/progesterone...scaring her to death, she is a teacher. EL

> >

> > Hello Everyone,

> >

> > Allow me to bring you up to date with my treatment. By now, the

endocrinologist has before him two samples, both measuring testosterone and

estradiol level. One sample shows the peak concentration of E and T, taken two

days after my last injection. The other registers their nadir, the low point, a

full week after injection. Once I know the exact values, I'll post them here.

> >

> > My next endocrinology appointment is at the end of this coming week. I will

start the Femara as soon as Friday. Phil believes that this particular

medication is too strong. I have no reason to doubt him. However, assuming I

do have a very elevated level of Estradiol, which lab results are likely to

confirm, is it possible that something this high octane is what I need?

> >

> > I have a few questions to ask. I'd like to know what I can expect from now

going forward.

> >

> > What do I need to look for in order to be able to judge Femara's effects on

me? How will I be able to know if that medication is working, or, if it isn't,

that it is not what I need? How long does it usually take for an Aromatase

inhibitor to work, roughly speaking?

> >

> > The decision to try Femara was based exclusively on out of pocket cost.

Since I had an issue with my insurance not covering AndroGel, I've been seeking

to find cost-effective options that insurance is unlikely to reject. Arimidex,

which was recommended to me here, is considerably more expensive than Femara.

Cost per dose is about five times as much, but this is because Arimidex has to

be taken every day as prescribed for me, whereas Femara is only taken once a

week.

> >

> > As I reflect back on it, I probably have had elevated levels of Estradiol

for a long time, likely years. Something that has been puzzling me recently is

why the insulin resistance issues, which resembling reactive hypoglycemia are so

much worse after I finish working out. My personal theory is that exercise

raises testosterone levels, but the extra testosterone then gets immediately

converted to estradiol, since the body considers it excess. Anyone with

thoughts about this theory is welcome to contribute. I may be entirely off the

mark here, but when you don't have answers, you tend to come up with them on

your own.

> >

> > Thanks again for all your help.

> >

> > .

> >

>

[Guest guest]

, seeing an endo can be a risk; most don't understand or treat thyroid

correctly. These are the blood tests you need, at a minimum, before any meds are

undertaken.. to test thyroid and HASHI:

TSH, Free T3, Free T4, TPOAb, TGAb, TRAb (aka TBII), TSI --there is no need to

wait and *see* --you don't have to suffer on his timeline..wonder what he is

waiting to see, did he say?

Best test for cortisol is the 24 hour saliva test available thru

www.canaryclub.org and you don't need a doc for that--if you want AM cortisol

drawn, must be done between 7a and 8 am otherwise not reliable and then you

don't know what the cortisol rhythm is the rest of the day...what were the lab's

values for the test you had done below and the time of day it was performed? EL

>

> Thanks, Barb.

>

> I had a thyroid ultrasound performed recently. It indicated no node,

> growths, or goiter, but did reveal that the thyroid was swollen and

> enlarged. Autoimmune Thyroid Disease was diagnosed based on it.

> Eventually, the endocrinologist wants to test for thyroid antibodies, to

> best establish the exact type, but he wants to do one thing at a time.

>

> We've discussed checking cortisol, but the endocrinologist hasn't scheduled

> the test yet. I know that it will have to be done in the morning. Previous

> levels, if they are helpful, indicated that my level was 5.1 ug/dL. Thanks

> for pointing this out. It will be the next thing I discuss with him.

>

> .

>

>

> --

>

> If ever I said, in grief or pride,

> I tired of honest things, I lied:

>

>

>

[Guest guest]

I will propose these thyroid tests to him. The endocrinologist seems to be

well-qualified, but extremely overbooked. He is, however, willing to listen

during an appointment.

To clarify a bit, my PCP is based in a clinic, and then they refer out from

there. I am officially disabled, which means that I do have health insurance,

but my primary insurance is Medicare. Medicaid picks up whatever Medicare

doesn't cover because my income is so low. My prescription drug plan is

Medicare Part D. This means that, even in a big city, I have to take what I can

get unless I want out-of-pocket costs I can't cover.

The endocrinologist didn't say what he was waiting for, in particular, but this

is just the way he does things. To answer your question, the cortisol level was

taken either in late morning or early afternoon. So I recognize the results are

probably not helpful. The endocrinologist did propose a morning cortisol level,

but hasn't placed a particularly high priority on it.

This process has been frustrating, especially for someone who is naturally

impatient to see results.

Thanks,

.

[Guest guest]

Understood , but your primary doctor can order these tests. Provide him a

copy of the scan; any doc can order the bloodwork and hand you the results..this

group can assist you with interpretation of the tests..EL

>

> I will propose these thyroid tests to him. The endocrinologist seems to be

well-qualified, but extremely overbooked. He is, however, willing to listen

during an appointment.

>

> To clarify a bit, my PCP is based in a clinic, and then they refer out from

there. I am officially disabled, which means that I do have health insurance,

but my primary insurance is Medicare. Medicaid picks up whatever Medicare

doesn't cover because my income is so low. My prescription drug plan is

Medicare Part D. This means that, even in a big city, I have to take what I can

get unless I want out-of-pocket costs I can't cover.

>

> The endocrinologist didn't say what he was waiting for, in particular, but

this is just the way he does things. To answer your question, the cortisol

level was taken either in late morning or early afternoon. So I recognize the

results are probably not helpful. The endocrinologist did propose a morning

cortisol level, but hasn't placed a particularly high priority on it.

>

> This process has been frustrating, especially for someone who is naturally

impatient to see results.

>

> Thanks,

>

> .

>

[Guest guest]

A woman's brain needs estrogen and T3/T4, a man's needs testosterone and T3/T4.

Hard to tell anything without labs.

> > >

> > > Hello Everyone,

> > >

> > > Allow me to bring you up to date with my treatment. By now, the

endocrinologist has before him two samples, both measuring testosterone and

estradiol level. One sample shows the peak concentration of E and T, taken two

days after my last injection. The other registers their nadir, the low point, a

full week after injection. Once I know the exact values, I'll post them here.

> > >

> > > My next endocrinology appointment is at the end of this coming week. I

will start the Femara as soon as Friday. Phil believes that this particular

medication is too strong. I have no reason to doubt him. However, assuming I

do have a very elevated level of Estradiol, which lab results are likely to

confirm, is it possible that something this high octane is what I need?

> > >

> > > I have a few questions to ask. I'd like to know what I can expect from

now going forward.

> > >

> > > What do I need to look for in order to be able to judge Femara's effects

on me? How will I be able to know if that medication is working, or, if it

isn't, that it is not what I need? How long does it usually take for an

Aromatase inhibitor to work, roughly speaking?

> > >

> > > The decision to try Femara was based exclusively on out of pocket cost.

Since I had an issue with my insurance not covering AndroGel, I've been seeking

to find cost-effective options that insurance is unlikely to reject. Arimidex,

which was recommended to me here, is considerably more expensive than Femara.

Cost per dose is about five times as much, but this is because Arimidex has to

be taken every day as prescribed for me, whereas Femara is only taken once a

week.

> > >

> > > As I reflect back on it, I probably have had elevated levels of Estradiol

for a long time, likely years. Something that has been puzzling me recently is

why the insulin resistance issues, which resembling reactive hypoglycemia are so

much worse after I finish working out. My personal theory is that exercise

raises testosterone levels, but the extra testosterone then gets immediately

converted to estradiol, since the body considers it excess. Anyone with

thoughts about this theory is welcome to contribute. I may be entirely off the

mark here, but when you don't have answers, you tend to come up with them on

your own.

> > >

> > > Thanks again for all your help.

> > >

> > > .

> > >

> >

>

[Guest guest]

Thanks Barb, see has upped the E after her labs and noticed some difference in

the positive...EL

> > > >

> > > > Hello Everyone,

> > > >

> > > > Allow me to bring you up to date with my treatment. By now, the

endocrinologist has before him two samples, both measuring testosterone and

estradiol level. One sample shows the peak concentration of E and T, taken two

days after my last injection. The other registers their nadir, the low point, a

full week after injection. Once I know the exact values, I'll post them here.

> > > >

> > > > My next endocrinology appointment is at the end of this coming week. I

will start the Femara as soon as Friday. Phil believes that this particular

medication is too strong. I have no reason to doubt him. However, assuming I

do have a very elevated level of Estradiol, which lab results are likely to

confirm, is it possible that something this high octane is what I need?

> > > >

> > > > I have a few questions to ask. I'd like to know what I can expect from

now going forward.

> > > >

> > > > What do I need to look for in order to be able to judge Femara's effects

on me? How will I be able to know if that medication is working, or, if it

isn't, that it is not what I need? How long does it usually take for an

Aromatase inhibitor to work, roughly speaking?

> > > >

> > > > The decision to try Femara was based exclusively on out of pocket cost.

Since I had an issue with my insurance not covering AndroGel, I've been seeking

to find cost-effective options that insurance is unlikely to reject. Arimidex,

which was recommended to me here, is considerably more expensive than Femara.

Cost per dose is about five times as much, but this is because Arimidex has to

be taken every day as prescribed for me, whereas Femara is only taken once a

week.

> > > >

> > > > As I reflect back on it, I probably have had elevated levels of

Estradiol for a long time, likely years. Something that has been puzzling me

recently is why the insulin resistance issues, which resembling reactive

hypoglycemia are so much worse after I finish working out. My personal theory

is that exercise raises testosterone levels, but the extra testosterone then

gets immediately converted to estradiol, since the body considers it excess.

Anyone with thoughts about this theory is welcome to contribute. I may be

entirely off the mark here, but when you don't have answers, you tend to come up

with them on your own.

> > > >

> > > > Thanks again for all your help.

> > > >

> > > > .

> > > >

> > >

> >

>

[Guest guest]

> > From: cabaretic <cabaretic@...>

> > Subject: Estradiol Issues and Continuing Treatment

> >

> > Date: Saturday, February 26, 2011, 10:40 AM

> > Hello Everyone,

> >

> > Allow me to bring you up to date with my treatment. 

> > By now, the endocrinologist has before him two samples, both

> > measuring testosterone and estradiol level.  One sample

> > shows the peak concentration of E and T, taken two days

> > after my last injection.  The other registers their

> > nadir, the low point, a full week after injection. 

> > Once I know the exact values, I'll post them here. 

> >

> > My next endocrinology appointment is at the end of this

> > coming week.  I will start the Femara as soon as

> > Friday.  Phil believes that this particular medication

> > is too strong.  I have no reason to doubt him. 

> > However, assuming I do have a very elevated level of

> > Estradiol, which lab results are likely to confirm, is it

> > possible that something this high octane is what I need?

> >

> > I have a few questions to ask.  I'd like to know what

> > I can expect from now going forward.

> >

> > What do I need to look for in order to be able to judge

> > Femara's effects on me?  How will I be able to know if

> > that medication is working, or, if it isn't, that it is not

> > what I need?  How long does it usually take for an

> > Aromatase inhibitor to work, roughly speaking? 

> >

> > The decision to try Femara was based exclusively on out of

> > pocket cost.  Since I had an issue with my insurance

> > not covering AndroGel, I've been seeking to find

> > cost-effective options that insurance is unlikely to

> > reject.  Arimidex, which was recommended to me here, is

> > considerably more expensive than Femara.  Cost per dose

> > is about five times as much, but this is because Arimidex

> > has to be taken every day as prescribed for me, whereas

> > Femara is only taken once a week. 

> >

> > As I reflect back on it, I probably have had elevated

> > levels of Estradiol for a long time, likely years. 

> > Something that has been puzzling me recently is why the

> > insulin resistance issues, which resembling reactive

> > hypoglycemia are so much worse after I finish working

> > out.  My personal theory is that exercise raises

> > testosterone levels, but the extra testosterone then gets

> > immediately converted to estradiol, since the body considers

> > it excess.  Anyone with thoughts about this theory is

> > welcome to contribute.  I may be entirely off the mark

> > here, but when you don't have answers, you tend to come up

> > with them on your own.

> >

> > Thanks again for all your help.

> >

> > .   

> >

> >

> >

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

> >

> >