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Very good points I hear you.  I guess it feels odd because it is not the norm.

Almost like I am doing something wrong by going around PCP?  Would my primary

care doctor need to be in on it then?  Will Dr work with me without

consultation with my PCP?

How many out there have used Dr. with success?  Can you share your

experiences and expenses?

You know I just started a new insurance plan that has a $1500 deduct.  Yep $1500

per year!  So I figure I will burn 500 really quickly on my specialist bills.

All this started with a vasectomy!  2 weeks later I could tell the hormone

balance was changing...I lived with this for 2 years until I recently complained

to my Doc and he had my T checked.  227 at age 40...then 97 on the third week,

what the heck...I was literally pacing around the house in the evenings thinking

what is wrong? am I severely depressed?  Back then after the V, my Urologist

said he could treat me but there was a risk of cancer, so I said no way at that

time.  So anyway, I'm not doing this for the muscle.

Thanks everyone

Signed, inspired

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Well, I don't think I would see your Urologist for TRT. :(

I don't know of any evidence to connect a vasectomy with declining testosterone.

You certainly have low T at 40, but I would look at other causes. Dr Crisler is

more then just a TRT doc, he will look at your complete hormone picture and

really determine what has gone wrong.

The concept of a PCP sounds nice and, in a way, having one doctor overseeing

(not particularly managing) all of your care makes sense. But personally, I

see the main concept of a PCP was a means for insurance companies to control

costs and make it more difficult for a patient to seek specialists.

If you are getting care without insurance constraints, then your PCP really

needs no knowledge of you seeking TRT care and only needs to know what scripts

you are on afterwards.... anything beyond that is up to you. AFAIK, Dr Crisler

is not intending to replace your primary (as opposed to PCP) physician. You

still need someone to manage transient issues - infections, viruses, sprains,

etc.

If you are saying that, the first $1500 of care each year is out of pocket, then

really a no-brainer - See Dr C.

You ask: " Will Dr work with me without consultation with my PCP? " Why

certainly. He will also work in a consulting relationship provided that your

present doc is willing.... a teaching moment to move TRT forward. I think I

would buy the direct ticket myself.

>

> Very good points I hear you.  I guess it feels odd because it is not the norm.

Almost like I am doing something wrong by going around PCP?  Would my primary

care doctor need to be in on it then?  Will Dr work with me without

consultation with my PCP?

>

> How many out there have used Dr. with success?  Can you share your

experiences and expenses?

>

> You know I just started a new insurance plan that has a $1500 deduct.  Yep

$1500 per year!  So I figure I will burn 500 really quickly on my specialist

bills.

>

> All this started with a vasectomy!  2 weeks later I could tell the hormone

balance was changing...I lived with this for 2 years until I recently complained

to my Doc and he had my T checked.  227 at age 40...then 97 on the third week,

what the heck...I was literally pacing around the house in the evenings thinking

what is wrong? am I severely depressed?  Back then after the V, my Urologist

said he could treat me but there was a risk of cancer, so I said no way at that

time.  So anyway, I'm not doing this for the muscle.

>

> Thanks everyone

>

>

> Signed, inspired

>

>

>

>

>

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Guest guest

I don't see Dr. but he is a web friend of mine and helping me on the forums

I feel he saved my life. You can read my story at this link and my Heart Bypass

sugary update at this link.

http://forums.realthyroidhelp.com/viewtopic.php?f=5 & t=9239

Dr. helped me to get my Dr. to let me try HCG doing this after being on TRT

23 yrs now on it 28 yrs we figured out I am not Primary meaning my testis don't

work but I am Secondary do to a head injury from an Auto Accident some 28 yrs a

go.

Going on HCG my Total T number doubled after my testis being shut down from TRT

for 23 yrs. They were the size of small grapes and adding HCG they started

working again and come back up to there normal size.

I could go on for Hrs. about all the good things Dr. has done for men just

on the forums.

I talk to men from all over the world and know of them flying into see him. He

will even work with your PCP Dr. over the phone to test and treat you. At his

web site he puts his treatment and labs out there free for you and your Dr. go

to www.allthingsmale.com and read TRT: A Recipe for Success and his HCG Update.

If you want to talk to men that see him go to his forum and post.

http://www.musclechatroom.com/forum/forumdisplay.php?f=2

Co-Moderator

Phil

> From: Ray Sidebotham <funkids2@...>

> Subject: RE: Grand Rapids

>

> Date: Tuesday, March 2, 2010, 10:02 PM

> Very good points I hear you.  I

> guess it feels odd because it is not the norm. Almost like I

> am doing something wrong by going around PCP?  Would my

> primary care doctor need to be in on it then?  Will Dr

> work with me without consultation with my PCP?

>

> How many out there have used Dr. with success?  Can

> you share your experiences and expenses?

>

> You know I just started a new insurance plan that has a

> $1500 deduct.  Yep $1500 per year!  So I figure I will

> burn 500 really quickly on my specialist bills.

>

> All this started with a vasectomy!  2 weeks later I could

> tell the hormone balance was changing...I lived with this

> for 2 years until I recently complained to my Doc and he had

> my T checked.  227 at age 40...then 97 on the third week,

> what the heck...I was literally pacing around the house in

> the evenings thinking what is wrong? am I severely

> depressed?  Back then after the V, my Urologist said he

> could treat me but there was a risk of cancer, so I said no

> way at that time.  So anyway, I'm not doing this for the

> muscle.

>

> Thanks everyone

>

>

> Signed, inspired

>

>

>      

>

>

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Guest guest

One thing I forgot to say in my last post was I do know of a guy that had a

vasectomy and ended up with low T. He was told he needed TRT and was only in

his 30's. So he posted to the Uro. Dr. at WebMD that he had a vasectomy and

ended up with low Testosterone after it. He said his Uro. that did the

vasectomy told him there is no way the vasectomy would give a man low T.

The Dr. at WebMD told him it is passable that he has a low grade infection that

is very hard to find that some men can get for having a vasectomy and in time

this infection will lower ones Testosterone levels.

This was about 14 yrs ago and I can't remember the kind of Test he told him to

get but he had this infection and it took a special med to clear it up. Once he

got this fixed his T levels came back up.

Co-Moderator

Phil

> From: <kevinh@...>

> Subject: Re: Grand Rapids

>

> Date: Tuesday, March 2, 2010, 10:33 PM

> Well, I don't think I would see your

> Urologist for TRT. :( 

>

> I don't know of any evidence to connect a vasectomy with

> declining testosterone.  You certainly have low T at

> 40, but I would look at other causes.  Dr Crisler is

> more then just a TRT doc, he will look at your complete

> hormone picture and really determine what has gone wrong.

>

> The concept of a PCP sounds nice and, in a way, having one

> doctor overseeing (not  particularly managing) all of

> your care makes sense.  But personally, I see the main

> concept of a PCP was a means for insurance companies to

> control costs and make it more difficult for a patient to

> seek specialists.

>

> If you are getting care without insurance constraints, then

> your PCP really needs no knowledge of you seeking TRT care

> and only needs to know what scripts you are on

> afterwards.... anything beyond that is up to you. 

> AFAIK, Dr Crisler is not intending to replace your primary

> (as opposed to PCP) physician.  You still need someone

> to manage transient issues - infections, viruses, sprains,

> etc.

>

> If you are saying that, the first $1500 of care each year

> is out of pocket, then really a no-brainer - See Dr C.

>

> You ask: " Will Dr work with me without consultation

> with my PCP? "   Why certainly.  He will also work

> in a consulting relationship provided that your present doc

> is willing.... a teaching moment to move TRT forward. 

> I think I would buy the direct ticket

> myself.   

>

>

> >

> > Very good points I hear you.  I guess it feels odd

> because it is not the norm. Almost like I am doing something

> wrong by going around PCP?  Would my primary care doctor

> need to be in on it then?  Will Dr work with me

> without consultation with my PCP?

> >

> > How many out there have used Dr. with success? 

> Can you share your experiences and expenses?

> >

> > You know I just started a new insurance plan that has

> a $1500 deduct.  Yep $1500 per year!  So I figure I will

> burn 500 really quickly on my specialist bills.

> >

> > All this started with a vasectomy!  2 weeks later I

> could tell the hormone balance was changing...I lived with

> this for 2 years until I recently complained to my Doc and

> he had my T checked.  227 at age 40...then 97 on the third

> week, what the heck...I was literally pacing around the

> house in the evenings thinking what is wrong? am I severely

> depressed?  Back then after the V, my Urologist said he

> could treat me but there was a risk of cancer, so I said no

> way at that time.  So anyway, I'm not doing this for the

> muscle.

> >

> > Thanks everyone

> >

> >

> > Signed, inspired

> >

> >

> >       

> >

> >

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Guest guest

That's exactly what I ended up doing and he's been a hello f a lot more

supportive and willing to listen to me than my endo ever has. He admitted to me

that he was not up on aromatase inhibitors, but agreed to prescribe arimidex

after I told him what I had learned in this group. Endo's response has always

been, " Well, you can't believe everything you see on the Internet. " Uro,on the

other hand, came to our next appt after I told him about this, with printouts,

notes from his recent research, AND a script for arimidex.

I'm just saying that these days it can be a crap shoot as to whether a given

endo or uro is going to be useful for guys on TRT.

________________________________

From: <kevinh@...>

Sent: Tue, March 2, 2010 9:33:42 PM

Subject: Re: Grand Rapids

Well, I don't think I would see your Urologist for TRT. :(

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Well he is a keeper I am so dam happy your getting some help. Next get him to

give you Novarel HCG adding this will keep your testis working the best they can

and all your LH and FSH cells in your body an brain.

Go to Dr. 's site and print out his TRT: A Recipe for Success and the HCG

Update it might help you both.

www.allthingsmale.com

Co-Moderator

Phil

> From: Kyrios Ouranos <okyrios@...>

> Subject: Re: Re: Grand Rapids

>

> Date: Saturday, March 6, 2010, 3:16 PM

> That's exactly what I ended up doing

> and he's been a hello f a lot more supportive and willing to

> listen to me than my endo ever has. He admitted to me that

> he was not up on aromatase inhibitors, but agreed to

> prescribe arimidex after I told him what I had learned in

> this group. Endo's response has always been, " Well, you

> can't believe everything you see on the Internet. " Uro,on

> the other hand, came to our next appt after I told him about

> this, with printouts, notes from his recent research, AND a

> script for arimidex.

>

> I'm just saying that these days it can be a crap shoot as

> to whether a given endo or uro is going to be useful for

> guys on TRT.

>

>

>

> ________________________________

> From: <kevinh@...>

>

> Sent: Tue, March 2, 2010 9:33:42 PM

> Subject: Re: Grand Rapids

>

>  

> Well, I don't think I would see your Urologist for TRT. :(

>

>

>

>

>

>      

>

>

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Guest guest

To be clear, I was not denouncing all Urologists.... just the one who treated

Ray. Ray had written at the top of this thread: " Back then after the V, my

Urologist said he could treat me but there was a risk of cancer, so I said no

way at that time. "

I think it is positive that some guys can find a good specialist that is open

minded and willing to move male HRT forward.

>

> That's exactly what I ended up doing and he's been a hello f a lot more

supportive and willing to listen to me than my endo ever has. He admitted to me

that he was not up on aromatase inhibitors, but agreed to prescribe arimidex

after I told him what I had learned in this group. Endo's response has always

been, " Well, you can't believe everything you see on the Internet. " Uro,on the

other hand, came to our next appt after I told him about this, with printouts,

notes from his recent research, AND a script for arimidex.

>

> I'm just saying that these days it can be a crap shoot as to whether a given

endo or uro is going to be useful for guys on TRT.

>

>

>

> ________________________________

> From: <kevinh@...>

>

> Sent: Tue, March 2, 2010 9:33:42 PM

> Subject: Re: Grand Rapids

>

>

> Well, I don't think I would see your Urologist for TRT. :(

>

>

>

>

>

>

>

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