Re: So what is too low?

[Guest guest]

Do you have thyroid test results to post? El

>

> For year, many many years, I've been going to the Dr. and advising that I just

can't get up and out of bed, have a hard time walking or even stading without

losing energy. I've requested Thyroid tests and it just confuses the Dr. she

says it says I am hyperthroid with all the symptoms of hypothyroid. I have

asked for other endocrinologic tests but for the lost part She just refills my

cholesterol medication and sends me home.

>

> Now as part of our fertility testing I got my Testosterone tested, something I

had asked about before but only the fertility doc ordered it for me.

>

> It just cam eback with this:

> Free Testosterone 44 / Reference levels 241 - 827

> FSH <0.7 / Reference levels 1.6 - 8.0

> LH <0.2 / Reference levels 1.5 - 9.3

>

> Knowing my doctor she will say I had the blood drawn in the afternoon and it

looks like they really should test in the AM as the result will be higher in the

morning. So how much more will be added by morning testing? Will that add 200

points to make me normal?

>

> Forgot to add I am 42 years old. And other than horrible cholesterol and now

Triglycerides as well I am in decent health. I just can't seem to get moving so

does this have anything to with energy or just ED? While I have zero sex drive

(my poor wife), I have no problem with my end of the bargain which makes no

sense?

>

[Guest guest]

Yes, I had my thyroid tested most recently and the TSH was 0.17. As I

understand it the cut off for " normal " is .30 Thanks

> >

> > For year, many many years, I've been going to the Dr. and advising that I

just can't get up and out of bed, have a hard time walking or even stading

without losing energy. I've requested Thyroid tests and it just confuses the

Dr. she says it says I am hyperthroid with all the symptoms of hypothyroid. I

have asked for other endocrinologic tests but for the lost part She just refills

my cholesterol medication and sends me home.

> >

> > Now as part of our fertility testing I got my Testosterone tested, something

I had asked about before but only the fertility doc ordered it for me.

> >

> > It just cam eback with this:

> > Free Testosterone 44 / Reference levels 241 - 827

> > FSH <0.7 / Reference levels 1.6 - 8.0

> > LH <0.2 / Reference levels 1.5 - 9.3

> >

> > Knowing my doctor she will say I had the blood drawn in the afternoon and it

looks like they really should test in the AM as the result will be higher in the

morning. So how much more will be added by morning testing? Will that add 200

points to make me normal?

> >

> > Forgot to add I am 42 years old. And other than horrible cholesterol and

now Triglycerides as well I am in decent health. I just can't seem to get

moving so does this have anything to with energy or just ED? While I have zero

sex drive (my poor wife), I have no problem with my end of the bargain which

makes no sense?

> >

>

[Guest guest]

You lost me!

How did the doctor make a diagnosis of hyperthyroid?

To start you have a very low TSH which would suggest that there is very

little demand, thus production of T4. Where is the hyper-levels coming

from?

Were T4 and T3 tests done, preferably free T4 and free T3?

Post what you got.

If these tests were not done, you need them done and/or another doctor.

Testosterone is likely too low even for the afternoon. What was total

number? You mention cholesterol meds.... what are you taking/how much

and what are the lipid numbers? You don't want to be driving

cholesterol too low when you have hormone issues to start.

Post everything you got with dates and someone can help sort this out...

> > >

> > > For year, many many years, I've been going to the Dr. and advising

that I just can't get up and out of bed, have a hard time walking or

even stading without losing energy. I've requested Thyroid tests and it

just confuses the Dr. she says it says I am hyperthroid with all the

symptoms of hypothyroid. I have asked for other endocrinologic tests

but for the lost part She just refills my cholesterol medication and

sends me home.

> > >

> > > Now as part of our fertility testing I got my Testosterone tested,

something I had asked about before but only the fertility doc ordered it

for me.

> > >

> > > It just cam eback with this:

> > > Free Testosterone 44 / Reference levels 241 - 827

> > > FSH <0.7 / Reference levels 1.6 - 8.0

> > > LH <0.2 / Reference levels 1.5 - 9.3

> > >

> > > Knowing my doctor she will say I had the blood drawn in the

afternoon and it looks like they really should test in the AM as the

result will be higher in the morning. So how much more will be added by

morning testing? Will that add 200 points to make me normal?

> > >

> > > Forgot to add I am 42 years old. And other than horrible

cholesterol and now Triglycerides as well I am in decent health. I just

can't seem to get moving so does this have anything to with energy or

just ED? While I have zero sex drive (my poor wife), I have no problem

with my end of the bargain which makes no sense?

> > >

> >

>

[Guest guest]

Yes, Hyperthyroid was the diagnosis, though I have been telling them for three

years that something has to be wrong, and not too much thyroid. I certainly am

not losing weight, it is coming on fast and furious. Added 40 pounds in three

years. At 210 now and would love to do something about it but just can't even

think about starting a program when walking is a chore.

I have thyroid tests that generally have come back between 0.23 and 0.17. Most

of the time it stays around 0.17. And while that is really low, the doc did not

want to do anything because this is hyperthroid. The reason is TSH stimulates

the throid and if the TSH is really low it is assumed that the actual throid is

above normal because your stimulating hormone shuts off. It is an inverse

relationship. But because I would insist that my symptoms were the opposite of

this test, cold, lythargic, gaining weight, sleepy, tired, the doc said there

was no reason to do anything since I clearly had plenty of Thyroid.

I went to a walk in clinic a couple of months ago and she ordered a T3 and T4

test but I don't know what those results are. I do know that I have been on

Vytorin for close to 5 years and other statins for many years before that. My

total cholesterol is now 178 which I understand is good. But this doc was

concerned because my trglycerides were 490.

So as it stands I have low TSH, but the last I knew my thyroid itself was

actually ok. Why I am here now is this crazy test result on Testosterone (44),

and other associated scores FSH and LH. The only other unusual numbers I have

are that I seem to be constantly anemic. The doc notes " that is odd for a male "

and then just lets it go.

As an aside my clinic is actually Mayo in ville but my Doctor is not the

type of Doc you expect for a " Mayo " type clinic. I believe she may have a lot

to learn so maybe I just need to find another doctor if this is as complex as it

sounds. I am betting she will not want anything to do with this.

> > > >

> > > > For year, many many years, I've been going to the Dr. and advising

> that I just can't get up and out of bed, have a hard time walking or

> even stading without losing energy. I've requested Thyroid tests and it

> just confuses the Dr. she says it says I am hyperthroid with all the

> symptoms of hypothyroid. I have asked for other endocrinologic tests

> but for the lost part She just refills my cholesterol medication and

> sends me home.

> > > >

> > > > Now as part of our fertility testing I got my Testosterone tested,

> something I had asked about before but only the fertility doc ordered it

> for me.

> > > >

> > > > It just cam eback with this:

> > > > Free Testosterone 44 / Reference levels 241 - 827

> > > > FSH <0.7 / Reference levels 1.6 - 8.0

> > > > LH <0.2 / Reference levels 1.5 - 9.3

> > > >

> > > > Knowing my doctor she will say I had the blood drawn in the

> afternoon and it looks like they really should test in the AM as the

> result will be higher in the morning. So how much more will be added by

> morning testing? Will that add 200 points to make me normal?

> > > >

> > > > Forgot to add I am 42 years old. And other than horrible

> cholesterol and now Triglycerides as well I am in decent health. I just

> can't seem to get moving so does this have anything to with energy or

> just ED? While I have zero sex drive (my poor wife), I have no problem

> with my end of the bargain which makes no sense?

> > > >

> > >

> >

>

[Guest guest]

You are not getting anywhere just looking at TSH. Do yourself a great service

and find a good doctor. I suggest you see Dr Crisler in MI or his friend Dr

Dash in Holywood, Fl. I know Hollywood is at the opposite end of your state,

but Dr Dash comes recommended - one of the best. You will waste time and money

to find someone else with these qualifications, so make the trip:

http://www.drdach.com/

http://www.allthingsmale.com/

Just incredible!!! " the doc said there was no reason to do anything since I

clearly had plenty of Thyroid " And this quack can tell all this by a TSH test.

Run, don't walk away from there... quick!

> > > > >

> > > > > For year, many many years, I've been going to the Dr. and advising

> > that I just can't get up and out of bed, have a hard time walking or

> > even stading without losing energy. I've requested Thyroid tests and it

> > just confuses the Dr. she says it says I am hyperthroid with all the

> > symptoms of hypothyroid. I have asked for other endocrinologic tests

> > but for the lost part She just refills my cholesterol medication and

> > sends me home.

> > > > >

> > > > > Now as part of our fertility testing I got my Testosterone tested,

> > something I had asked about before but only the fertility doc ordered it

> > for me.

> > > > >

> > > > > It just cam eback with this:

> > > > > Free Testosterone 44 / Reference levels 241 - 827

> > > > > FSH <0.7 / Reference levels 1.6 - 8.0

> > > > > LH <0.2 / Reference levels 1.5 - 9.3

> > > > >

> > > > > Knowing my doctor she will say I had the blood drawn in the

> > afternoon and it looks like they really should test in the AM as the

> > result will be higher in the morning. So how much more will be added by

> > morning testing? Will that add 200 points to make me normal?

> > > > >

> > > > > Forgot to add I am 42 years old. And other than horrible

> > cholesterol and now Triglycerides as well I am in decent health. I just

> > can't seem to get moving so does this have anything to with energy or

> > just ED? While I have zero sex drive (my poor wife), I have no problem

> > with my end of the bargain which makes no sense?

> > > > >

> > > >

> > >

> >

>

[Guest guest]

http://www.musclechatroom.com/forum/showthread.php?t=13711 & highlight=vytorin

[Guest guest]

Thanks for all the input. I think the very low TSH (which I knew about for a

long time) and now the unexpected testostorone level of 44 which is like 15% of

the lowest level in the range and low FSH and low LH leads me to think I need to

see an endorenologist. I will call today and update as soon as I know

something. One other thing_ while I've been fighting the fatigue for some time

I did have an auto accident three months ago and hit my head but not bad enough

to do damage I don't think. Guessing it is just a long term issue.

> > > > > >

> > > > > > For year, many many years, I've been

> > going to the Dr. and advising

> > > that I just can't get up and out of bed, have a hard

> > time walking or

> > > even stading without losing energy.  I've

> > requested Thyroid tests and it

> > > just confuses the Dr.  she says it says I am

> > hyperthroid with all the

> > > symptoms of hypothyroid.  I have asked for other

> > endocrinologic tests

> > > but for the lost part She just refills my cholesterol

> > medication and

> > > sends me home.

> > > > > >

> > > > > > Now as part of our fertility testing I

> > got my Testosterone tested,

> > > something I had asked about before but only the

> > fertility doc ordered it

> > > for me.

> > > > > >

> > > > > > It just cam eback with this:

> > > > > > Free Testosterone  44 / Reference

> > levels 241 - 827

> > > > > > FSH         

> >     <0.7 / Reference levels 1.6 - 8.0

> > > > > > LH         

> >      <0.2 / Reference levels 1.5 -

> > 9.3

> > > > > >

> > > > > > Knowing my doctor she will say I had

> > the blood drawn in the

> > > afternoon and it looks like they really should test in

> > the AM as the

> > > result will be higher in the morning. So how much more

> > will be added by

> > > morning testing?  Will that add 200 points to

> > make me normal?

> > > > > >

> > > > > > Forgot to add I am 42 years old. 

> > And other than horrible

> > > cholesterol and now Triglycerides as well I am in

> > decent health.  I just

> > > can't seem to get moving so does this have anything to

> > with energy or

> > > just ED?  While I have zero sex drive (my poor

> > wife), I have no problem

> > > with my end of the bargain which makes no sense?

> > > > > >

> > > > >

> > > >

> > >

> >

> >

> >

> >

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

> >

> >

[Guest guest]

I can count on one finger the number of Endocrinologists that have been favored

in this forum and ATM. Most of these docs don't seem to be able to treat

anything beyond diabetes.... there is always an exception... generally

Osteopaths have better " grades " with the TRT and thyroid population.

Reconsider Dr Dash if you can get to his office. Sorting out good docs from the

phone-book will take time and your health will continue to suffer.

I don't recall seeing that you are on thyroid meds already.... please clarify

that. If you are not on meds you need to have your pituitary closely checked

out as Phil says.

>

> Thanks for all the input. I think the very low TSH (which I knew about for a

long time) and now the unexpected testostorone level of 44 which is like 15% of

the lowest level in the range and low FSH and low LH leads me to think I need to

see an endorenologist. I will call today and update as soon as I know

something. One other thing_ while I've been fighting the fatigue for some time

I did have an auto accident three months ago and hit my head but not bad enough

to do damage I don't think. Guessing it is just a long term issue.

>

[Guest guest]

No that's correct I am not on any throid or any other related meds. I am on two

daily meds. One is my cholesterol med which is Vytorin it has worked great as

my cholesterol drops off a cliff while I am on it, but my triglycerides are

pretty bad. The second is Topamax for migraines which I can't imagine have an

impact.

I just called my local Mayo (the FLorida Mayo is far different than Minn though)

and advised I need to see the endo based on these Testosterone numbers of 44 and

of course I was told that I need to see my regular doc first and if approved (I

am sure after she orders more blood worjk thrhough their labs) then they may do

the consult.

I will give this a try and see how it works. All things considered you all make

a strong case for going to Michigan. Seems strange to go all that way but hey

if there is a doc anywhere that fix me and get me going again I'll but a plane

ticket.

> >

> > Thanks for all the input. I think the very low TSH (which I knew about for

a long time) and now the unexpected testostorone level of 44 which is like 15%

of the lowest level in the range and low FSH and low LH leads me to think I need

to see an endorenologist. I will call today and update as soon as I know

something. One other thing_ while I've been fighting the fatigue for some time

I did have an auto accident three months ago and hit my head but not bad enough

to do damage I don't think. Guessing it is just a long term issue.

> >

>

[Guest guest]

A low carb diet as well as high dose niacin will do more for triglycerides then

a statin. You may want to rethink statin use especially if you have not had a

heart attack or blockage.

Don't overlook that Dr Dash is in Florida (near Maimi). Dr would have no

qualms about someone seeing him... just in case you can't make it to MI.

> > >

> > > Thanks for all the input. I think the very low TSH (which I knew about

for a long time) and now the unexpected testostorone level of 44 which is like

15% of the lowest level in the range and low FSH and low LH leads me to think I

need to see an endorenologist. I will call today and update as soon as I know

something. One other thing_ while I've been fighting the fatigue for some time

I did have an auto accident three months ago and hit my head but not bad enough

to do damage I don't think. Guessing it is just a long term issue.

> > >

> >

>

[Guest guest]

You may want to investigate the potential affect of Topamax on thyroid function

or conversely, the affect of low thyroid on migraines.

A quick Google search of Topamax and thyroid gives me cause to wonder but I did

not spend enough time to find anything beyond speculation.... you might want to

dig more.

>

> No that's correct I am not on any throid or any other related meds. I am on

two daily meds. One is my cholesterol med which is Vytorin it has worked great

as my cholesterol drops off a cliff while I am on it, but my triglycerides are

pretty bad. The second is Topamax for migraines which I can't imagine have an

impact.

>

>

[Guest guest]

There are many natural ways that I use to alleveiate migraines. One of them is

to increase b-2 up to 400 mgs a day with 200-400 mgs extra magnesium is one of

the recommendations i make. Hormonal fluctuation such as high estrogen

inrelationship to testosterone and fluctuation in blood sugar with insulin can

also be responsible for migraines. This is why it is crucial to look at

nutrients the buliding bloock of enzymatic reaction as well as proper hormonal

balnace inorder to get the total pics. some time the simpliest thing can

correct a whole host of problems. Dr's just have to take the time to look for

it. Thyroid, insulin, adrenals, tesoterone are all heaviliy linked one affecting

the whole casacade.

> > > >

> > > > Thanks for all the input. I think the very low TSH (which I knew about

for a long time) and now the unexpected testostorone level of 44 which is like

15% of the lowest level in the range and low FSH and low LH leads me to think I

need to see an endorenologist. I will call today and update as soon as I know

something. One other thing_ while I've been fighting the fatigue for some time

I did have an auto accident three months ago and hit my head but not bad enough

to do damage I don't think. Guessing it is just a long term issue.

> > > >

> > >

> >

>

[Guest guest]

Heading it to the Doc for the first time with results in hand tomorrow. She is

the one that has fought me on thyroid issues for three years. I found my tests,

we have done them annually, it was a TSH of 0.23, then 0.27 and earlier this

year it was 0.17 so it seems pretty consistently low but as I noted she insists

this means hyper not hypo thyroid as the TSH drops when you get too much tyroid

in your blood. I was even on Provigil because I couldn't stay awake but finally

gave up on that and just drink 20+ cups of joe a day. Now I have my ultra low

Testo results (44) and low FSH and low LH coupled with very high trglycerides

(400+) she simply has to do something. Is there anything I should ask for test

wise? By all accounts I have a pituitary issue (I found an old brain scan from

2001 that said I had " empty cella syndrome " ? So should I just ask for a

referral or suggest any particular test? SOunds like I need thyroid tests t4

and t3 but are there any other testosterone tests i should ask for since I have

is the total number? I assume a free number will be basically unmeasurable.

Any thoughts are appreciated.

> > > > >

> > > > > For year, many many years, I've been going

> > to the Dr. and advising

> > that I just can't get up and out of bed, have a hard time

> > walking or

> > even stading without losing energy.  I've requested

> > Thyroid tests and it

> > just confuses the Dr.  she says it says I am

> > hyperthroid with all the

> > symptoms of hypothyroid.  I have asked for other

> > endocrinologic tests

> > but for the lost part She just refills my cholesterol

> > medication and

> > sends me home.

> > > > >

> > > > > Now as part of our fertility testing I got

> > my Testosterone tested,

> > something I had asked about before but only the fertility

> > doc ordered it

> > for me.

> > > > >

> > > > > It just cam eback with this:

> > > > > Free Testosterone  44 / Reference

> > levels 241 - 827

> > > > > FSH           

> >   <0.7 / Reference levels 1.6 - 8.0

> > > > > LH           

> >    <0.2 / Reference levels 1.5 - 9.3

> > > > >

> > > > > Knowing my doctor she will say I had the

> > blood drawn in the

> > afternoon and it looks like they really should test in the

> > AM as the

> > result will be higher in the morning. So how much more will

> > be added by

> > morning testing?  Will that add 200 points to make me

> > normal?

> > > > >

> > > > > Forgot to add I am 42 years old.  And

> > other than horrible

> > cholesterol and now Triglycerides as well I am in decent

> > health.  I just

> > can't seem to get moving so does this have anything to with

> > energy or

> > just ED?  While I have zero sex drive (my poor wife),

> > I have no problem

> > with my end of the bargain which makes no sense?

> > > > >

> > > >

> > >

> >

> >

> >

> >

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

> >

> >

[Guest guest]

Well no real shock here. I went in to see the Doc, took my results with the low

Testosterone, FSH and LH rsults. She asked me what my concerns were. I told

here I have been coming in for three years about my thyroid and it has tested

low but she has told me just to " keep any eye on it " . I have been on Provigil

for close to five years for excessive daytime sleepiness but finally gave up on

that because I just didn't feel it worked and now I have these results that show

I have extraordinailly low testosorone results so that is why I am there. She

resonded with...well really the only reason to treat testosterone is for ED and

since I've nver complained about that there really is no reason to worry, some

people just have low numbers (I knew it). I said these numbers are clearly

lower than anything I can find as I have read about this, and she responded that

" The Mayo Clinic uses different reference numbers so these numbers are useless " .

I asked her to just run them again using Mayo's testing, but she refused. She

finally said that she would do the referral to an endo and those guys are really

good. She further pointed out that you have to test other things to see if it

primary or secondary and I showed her how the results indicate secondary, she

she said that she was not sure about that, it takes an endo to interpret the

numbers. So I got my referral. The stupid thing was she would not order the

Testosterone, Thyroid or any other tests as she said only an endo should order

hormone tests....so I guess I am making minor headway.

> > > > > > >

> > > > > > > For year, many many years, I've

> > been going

> > > > to the Dr. and advising

> > > > that I just can't get up and out of bed, have a

> > hard time

> > > > walking or

> > > > even stading without losing energy.  I've

> > requested

> > > > Thyroid tests and it

> > > > just confuses the Dr.  she says it says I am

> > > > hyperthroid with all the

> > > > symptoms of hypothyroid.  I have asked for

> > other

> > > > endocrinologic tests

> > > > but for the lost part She just refills my

> > cholesterol

> > > > medication and

> > > > sends me home.

> > > > > > >

> > > > > > > Now as part of our fertility

> > testing I got

> > > > my Testosterone tested,

> > > > something I had asked about before but only the

> > fertility

> > > > doc ordered it

> > > > for me.

> > > > > > >

> > > > > > > It just cam eback with this:

> > > > > > > Free Testosterone  44 /

> > Reference

> > > > levels 241 - 827

> > > > > > > FSH           

> > > >   <0.7 / Reference levels 1.6 - 8.0

> > > > > > > LH           

> > > >    <0.2 / Reference levels 1.5 - 9.3

> > > > > > >

> > > > > > > Knowing my doctor she will say I

> > had the

> > > > blood drawn in the

> > > > afternoon and it looks like they really should

> > test in the

> > > > AM as the

> > > > result will be higher in the morning. So how much

> > more will

> > > > be added by

> > > > morning testing?  Will that add 200 points to

> > make me

> > > > normal?

> > > > > > >

> > > > > > > Forgot to add I am 42 years old. 

> > And

> > > > other than horrible

> > > > cholesterol and now Triglycerides as well I am in

> > decent

> > > > health.  I just

> > > > can't seem to get moving so does this have

> > anything to with

> > > > energy or

> > > > just ED?  While I have zero sex drive (my poor

> > wife),

> > > > I have no problem

> > > > with my end of the bargain which makes no sense?

> > > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > > >

> > > >

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

> > > >

> > > >

[Guest guest]

Forget about this doc to take care of you.... I wouldn't see her for a hangnail.

You can go see the Endo with an open mind but I would not gets your hopes up....

sorry to say but the odds are slim.

Back to your present doc...

" Modafinil is used to promote wakefulness in patients with excessive sleepiness

associated with narcolepsy, obstructive sleep apnea/hypopnea syndrome (as an

adjunct for treatment of the underlying obstruction), and shiftwork sleep

disorder. "

Do you have any of these conditions? This med concerns me and why you had been

prescribed without looking for the root cause. Do yourself a favor and find a

good doc, if not a great doc.

> > > > > > > >

> > > > > > > > For year, many many years, I've

> > > been going

> > > > > to the Dr. and advising

> > > > > that I just can't get up and out of bed, have a

> > > hard time

> > > > > walking or

> > > > > even stading without losing energy.  I've

> > > requested

> > > > > Thyroid tests and it

> > > > > just confuses the Dr.  she says it says I am

> > > > > hyperthroid with all the

> > > > > symptoms of hypothyroid.  I have asked for

> > > other

> > > > > endocrinologic tests

> > > > > but for the lost part She just refills my

> > > cholesterol

> > > > > medication and

> > > > > sends me home.

> > > > > > > >

> > > > > > > > Now as part of our fertility

> > > testing I got

> > > > > my Testosterone tested,

> > > > > something I had asked about before but only the

> > > fertility

> > > > > doc ordered it

> > > > > for me.

> > > > > > > >

> > > > > > > > It just cam eback with this:

> > > > > > > > Free Testosterone  44 /

> > > Reference

> > > > > levels 241 - 827

> > > > > > > > FSH           

> > > > >   <0.7 / Reference levels 1.6 - 8.0

> > > > > > > > LH           

> > > > >    <0.2 / Reference levels 1.5 - 9.3

> > > > > > > >

> > > > > > > > Knowing my doctor she will say I

> > > had the

> > > > > blood drawn in the

> > > > > afternoon and it looks like they really should

> > > test in the

> > > > > AM as the

> > > > > result will be higher in the morning. So how much

> > > more will

> > > > > be added by

> > > > > morning testing?  Will that add 200 points to

> > > make me

> > > > > normal?

> > > > > > > >

> > > > > > > > Forgot to add I am 42 years old. 

> > > And

> > > > > other than horrible

> > > > > cholesterol and now Triglycerides as well I am in

> > > decent

> > > > > health.  I just

> > > > > can't seem to get moving so does this have

> > > anything to with

> > > > > energy or

> > > > > just ED?  While I have zero sex drive (my poor

> > > wife),

> > > > > I have no problem

> > > > > with my end of the bargain which makes no sense?

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > > >

> > > > >

> > > > >

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

> > > > >

> > > > >

[Guest guest]

You surely need another doc,......no question about it.

Even mine which is a cardiologist is testing me far more than yours is.

Quit playing, and find someone that knows a little about TRT.

Your current doc is a joke IMHO.

Best wishes, as we are all in the same boat.

[Guest guest]

Just left the endocrenologist. Actually it went ok I think. He seemed to know

what he was doing. Sugeested no TST as we are going throug fertilty and it can

drop sperm count. He said you don't want to raise the level you want to find

out the cause so he ordered a bunch of thyroid, cortisol, growth hormone, free

tst and PSA test and recommended a brain mri of the pituitary.

The odd one was he said he suspects the issue is sleep apnea. He said the most

common cause of low testosterone is sleep apnea. I guess that is better than a

lifetime of drugs. Still seems like a stretch given myblabs.

>

> You surely need another doc,......no question about it.

> Even mine which is a cardiologist is testing me far more than yours is.

>

> Quit playing, and find someone that knows a little about TRT.

> Your current doc is a joke IMHO.

> Best wishes, as we are all in the same boat.

>

[Guest guest]

But sleep apnea can be caused by low thyroid.

Barb

> >

> > You surely need another doc,......no question about it.

> > Even mine which is a cardiologist is testing me far more than yours is.

> >

> > Quit playing, and find someone that knows a little about TRT.

> > Your current doc is a joke IMHO.

> > Best wishes, as we are all in the same boat.

> >

>

[Guest guest]

Seriously! This is a giant chicken and egg game it seems. Everything either

causes or is caused by something else and you never find out what starts the

whole thing. This was actually the first I'd heard the sleep apnea caused low

3estosterone idea and this endo said " far and away " it is the number one cause.

I did pick up a little of the idea that if the reason I found my low T was in

fertility testing and I have a good sperm count than there really is not an

issue. I said well other than the weight gain, fatigue, loss of dive,

sleepiness, dry skin, poor sleep, general pain issues and others...but yes you

are right my boys can swim...with that he ordered a bunch of tests...I have

found passivie approach to to your health issues does not work.

> > >

> > > You surely need another doc,......no question about it.

> > > Even mine which is a cardiologist is testing me far more than yours is.

> > >

> > > Quit playing, and find someone that knows a little about TRT.

> > > Your current doc is a joke IMHO.

> > > Best wishes, as we are all in the same boat.

> > >

> >

>

[Guest guest]

And these are all hypothyroid symptoms. It is MUCH easier to take pills for

hypothyroid than it is to do shots. Maybe your testes just don't have enough

energy (provided by thyroid) to produce, and getting thyroid up will help.

Barb

" Bstee " <bstee@...> wrote:

weight gain, fatigue, loss of dive, sleepiness, dry skin, poor sleep, general

pain issues and others...

>

>

> > > >

> > > > You surely need another doc,......no question about it.

> > > > Even mine which is a cardiologist is testing me far more than yours is.

> > > >

> > > > Quit playing, and find someone that knows a little about TRT.

> > > > Your current doc is a joke IMHO.

> > > > Best wishes, as we are all in the same boat.

> > > >

> > >

> >

>

[Guest guest]

Being passive will get you no where except maybe a pill for depression. When it

comes to hormone care, you are your best advocate.... so keep reading and

learning and stay several steps ahead of the doctor.

When I first started on my journey I was counseled by a wise person in ATM who

related that hormone problems are rarely isolated (to paraphrase). They were

right of course as I now find that T, E, thyroid, and Cortisol all need

adjustment.... probably not through yet.

The advice is to work on at least the most significant hormone imbalance first

but realize there is a interrelationship or cascade effect. GH and Cortisol are

high in the chain but even boosting Testosterone can have benefits if you can't

tackle anything else first.... that's why some guys feel ok, at least initially,

by boosting T.

Sleep apnea (OSA) can cause issues but depending upon the severity may not be

the end game. Do you know that you snore? Do you wake up startled as if some

deep snoring/lack of breath woke you? I know it is difficult to pinpoint on

your own so ask the significant other some questions too.

I forget how old you are but remember that multiple hormone declines are not

uncommon as we age and don't be surprised that these changes may be happening at

30. By the time you are 50 it is almost a sure thing that hormones have seen a

significant decline. Only the hardiest males seem to approach 50 without some

issues.

> > > >

> > > > You surely need another doc,......no question about it.

> > > > Even mine which is a cardiologist is testing me far more than yours is.

> > > >

> > > > Quit playing, and find someone that knows a little about TRT.

> > > > Your current doc is a joke IMHO.

> > > > Best wishes, as we are all in the same boat.

> > > >

> > >

> >

>

[Guest guest]

Being passive will get you no where except maybe a pill for depression. When it

comes to hormone care, you are your best advocate.... so keep reading and

learning and stay several steps ahead of the doctor.

When I first started on my journey I was counseled by a wise person in ATM who

related that hormone problems are rarely isolated (to paraphrase). They were

right of course as I now find that T, E, thyroid, and Cortisol all need

adjustment.... probably not through yet.

The advice is to work on at least the most significant hormone imbalance first

but realize there is a interrelationship or cascade effect. GH and Cortisol are

high in the chain but even boosting Testosterone can have benefits if you can't

tackle anything else first.... that's why some guys feel ok, at least initially,

by boosting T.

Sleep apnea (OSA) can cause issues but depending upon the severity may not be

the end game. Do you know that you snore? Do you wake up startled as if some

deep snoring/lack of breath woke you? I know it is difficult to pinpoint on

your own so ask the significant other some questions too.

I forget how old you are but remember that multiple hormone declines are not

uncommon as we age and don't be surprised that these changes may be happening at

30. By the time you are 50 it is almost a sure thing that hormones have seen a

significant decline. Only the hardiest males seem to approach 50 without some

issues.

> > > >

> > > > You surely need another doc,......no question about it.

> > > > Even mine which is a cardiologist is testing me far more than yours is.

> > > >

> > > > Quit playing, and find someone that knows a little about TRT.

> > > > Your current doc is a joke IMHO.

> > > > Best wishes, as we are all in the same boat.

> > > >

> > >

> >

>

[Guest guest]

I seem to be blocked at every turn. I saw the endocrinologist 10 days ago to

try to figure out why my testosterone tevels are 10% of what they should be

(44), why my TSH is in the ground 0.17 why my FSH and LH and super low, why I am

chronically anemic yet have too much triglyceride in my blood. I also needed a

shot of cortisone because I was in an accident three months ago and am in pain.

He ordered the blood tests but i've heard nothing. He ordered an MRI that

appears to have been stopped by insurance because I just had one on a shoulder

after the accident and seem to viewed as too expensive. The doc would not

prescribe testostorone though he acknowledged at these levels that would be the

first thing to do. The reason is we are treating a fertility issue and it

sounds like adding testosterone decreases sperm count. Not only that I am stuck

in pain as I can't get a shot of cortisone until all is figured out as it will

throw off all testing so I am just stuck in pain, tired, fatigued, not knowing

and no treatment. I went and bought some DHEA about three days ago and almost

think I feel something but I also added B vitamins and calcium. I don't even

know what DHEA does. I am just looking for anything at this point. Can it help

to raise testosterone in someone that is super low?

>

> For year, many many years, I've been going to the Dr. and advising that I just

can't get up and out of bed, have a hard time walking or even stading without

losing energy. I've requested Thyroid tests and it just confuses the Dr. she

says it says I am hyperthroid with all the symptoms of hypothyroid. I have

asked for other endocrinologic tests but for the lost part She just refills my

cholesterol medication and sends me home.

>

> Now as part of our fertility testing I got my Testosterone tested, something I

had asked about before but only the fertility doc ordered it for me.

>

> It just cam eback with this:

> Free Testosterone 44 / Reference levels 241 - 827

> FSH <0.7 / Reference levels 1.6 - 8.0

> LH <0.2 / Reference levels 1.5 - 9.3

>

> Knowing my doctor she will say I had the blood drawn in the afternoon and it

looks like they really should test in the AM as the result will be higher in the

morning. So how much more will be added by morning testing? Will that add 200

points to make me normal?

>

> Forgot to add I am 42 years old. And other than horrible cholesterol and now

Triglycerides as well I am in decent health. I just can't seem to get moving so

does this have anything to with energy or just ED? While I have zero sex drive

(my poor wife), I have no problem with my end of the bargain which makes no

sense?

>

[Guest guest]

My experience with an endocronologist was equally dismal, she asked about 3

times if i had ever used steroids, she also suggested looking into the

possibility of gastric bypass surgery. My bodyfat is maybe 25%, but i weigh 400

lbs and the " body mass index " puts me into the morbidly obese category. I can

promise you, I am not morbidly obese. She eventually refered me to a urologist,

because of the erectile dysfunction.

Although he doesn't know what he is doing as far as modern hormone replacement

therapy, he is willing to work with me. he also orders labs for me to send to

Dr. Crisler. I am also dealing with fertility, and the HCG is at least stopping

the decrease in fertility. I am down to 34 million sperm that look fairly

normal, before I started I had 70 million. I have been on HCG for over a month

now, and testosterone for 5 months.

it takes 90 days for the sperm to come back, so I am hopefull. I am also not

taking any high blood pressure meds, which hurt fertility and sex drive.

I don't know anything about thyroid, and it seems like these are not my

problems. My Andropause is a result of genetics, multiple food allergies, sleep

apnea, and bad reactions to high blood pressure meds.

[Guest guest]

My MRI was clear but my labs were still a mess. Total T rose slightly to 120

but that is less than half the lowest level, bioavailable was 54 and the bottom

was 61 so clearly I still have an issue. That endo refused to treat as I am

moving in the next few weeks and suggested a sleep study before any medication.

I advised I was at risk even driving because I am close to narcolepsey I am so

tired. He said that it is no wonder with a total t number in the double digets

but left it at that.

So I went today to my wife's baby doctor (fertilty specilist/endo) he said I

clearly need to be on HCG about 1200 27 week. Also wants more tests and sleep

study but said I should begin feeling better within days on the HCG. Thank

goodness I think I found a doctor...and I think he's kind of a

gynocologist.....not really but close....hey whatever it takes

> >

> > You surely need another doc,......no question about it.

> > Even mine which is a cardiologist is testing me far more than yours is.

> >

> > Quit playing, and find someone that knows a little about TRT.

> > Your current doc is a joke IMHO.

> > Best wishes, as we are all in the same boat.

> >

>