Re: Diagnosis of hypogonadism

[Guest guest]

Hi Mark,

You can't test Estradiol level until your off clomiphene for about 4 to 6 weeks

your levels will show very high until this is out of your body. Your old

Estradiol at 121 is 32 pg/ml in my units. This is not bad if our SHBG is 30 as

SHBG goes down one needs there Estradiol levels lower my SHBG 18 I keep mine at

15 so you’re a little on the high side but not bad.

Your test shows me your Testis work you went from 19.5 to 26.8 for TT your

testis made this so it can by your Pituitary is not working right and it needs

to be looked at to rule out a tumor it's rage to be Cancer so don't get upset

about this post.

You might do good on TRT trying Gels and taking Zinc with Copper to help keep

your testis healthy and hold down your Estradiol levels. The dose is 50 mgs of

Zinc to 2 mgs of Copper Take Zinc at bedtime Copper at noon Zinc can lower

Copper.

The reason most people can’t take Thyroid meds is there Cortisol levels are to

low you need this this carry the Thyroid hormone out of your blood into your

cells. So if your Cortisol levels are low the thyroid meds will build up in

your blood and make you feel worse.

http://featherstone.bravehost.com/thyroid/peatfieldadrenal.html

In this link I show how I started treating my Adrenals and Thyroid it's a good

safe way to start and keeping track of your temps avg. and charting it helps you

to see how your doing. Print out the chart from the link in this link.

http://forums.realthyroidhelp.com/viewtopic.php?f=5 & t=24

And this link is a good read in this is a link to a FAQ's I helped with.

http://livingnetwork.co.za/hormones/adrenal-fatigue/

Co-Moderator

Phil

> From: kronmark03 <kronmark03@...>

> Subject: Diagnosis of hypogonadism

>

> Date: Sunday, May 30, 2010, 8:43 PM

> Dear fellow members,

>

> I have a question regarding diagnosis of

> hypogonadism.  I have an appointement to see a

> specialist at end of June.  I was referred for a

> clomiphene stimulation test during which i had to take 25 mg

> of clomiphene for 7 days and then had the following

> tests.  Here are the results:

> SHBG 30 nmol/l (12-46)

> Estradiol 232 pmol/l (95-230)

> Testosterone total 26.8 nmol/l (10-38.5)

> Prolactin 6.4 (2.6-13.1)

> LH 3.7 IU/L (2.5-16.3)

> FSH 6.3 IU/L (1.2-18.5)

>

> For comparison purposes, here are my tests without

> clomiphene, done in January 2010:

> Estradiol 121 (95-230)

> LH 2.9 (2.5-16.3)

> FSH 4.4 (1.2-18.5)

> Total testosterone 19.5 (10-38.5)

>

> My quesion is: do my results following clomiphene

> stimulation test confirm that i have hypogonadism? If yes,

> how do i get treated for it given the fact that i have high

> level of estrogen? If i get  presribed HCG shots, my

> estrogen  will likely to increase as well.

>

> FYI, I am 37 year old, also have low cortisol and low

> thyroid issues, low thyroid is  not normalized at the

> moment, can not tolerate needed amount of thyroid meds, i am

> working in that area at the moment.

>

> Thanks in advance for your input and advice,

> Mark

>

>

>

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

>

>

[Guest guest]

Hi Phil. Thank you for your response.

I have a couple of questions.

I read messages of Z where he describes how he uses HCG. Do you think it

could be a viable option for me instead of TRT, from what i read hcg is superior

to standard trt for many reasons some of which are: not shrinking testicles,

maintaining fertility, and is in general mimics body's own rhythm of

testosterone production. I think that if i have hypogonadism, HCG would be

better choice than straight TRT, what do you think? Being 37 years old could

also affect the decision.

Also, regarding zinc. I know the importance of taking zinc to reduce estrogen.

My potential issue zinc is that it reduces cortisol level and is recommended for

patients with elevated cortisol to decrease it. I, on the other hand, have low

cortisol. I am concerned that if i take zinc, especially in larger doses as

needed to decrease estrogen, it will materially decrease my cortisol which is

already low.

Finally, regarding low cortisol and thyroid. I am now on 8.75 mg of prednisone

for low cortisol. Unfortunaely, on that dosage, i am taking only 1/4 grain of

thyroid and can not tolerate more at the moment. I tried cortef and it cause

severe hypoglycemia symptoms, i feel cortef is not strong enough for me right

now.

I would appreciate learning your opinion of the issues i raised.

Thanks,

Mark

>

> > From: kronmark03 <kronmark03@...>

> > Subject: Diagnosis of hypogonadism

> >

> > Date: Sunday, May 30, 2010, 8:43 PM

> > Dear fellow members,

> >

> > I have a question regarding diagnosis of

> > hypogonadism.  I have an appointement to see a

> > specialist at end of June.  I was referred for a

> > clomiphene stimulation test during which i had to take 25 mg

> > of clomiphene for 7 days and then had the following

> > tests.  Here are the results:

> > SHBG 30 nmol/l (12-46)

> > Estradiol 232 pmol/l (95-230)

> > Testosterone total 26.8 nmol/l (10-38.5)

> > Prolactin 6.4 (2.6-13.1)

> > LH 3.7 IU/L (2.5-16.3)

> > FSH 6.3 IU/L (1.2-18.5)

> >

> > For comparison purposes, here are my tests without

> > clomiphene, done in January 2010:

> > Estradiol 121 (95-230)

> > LH 2.9 (2.5-16.3)

> > FSH 4.4 (1.2-18.5)

> > Total testosterone 19.5 (10-38.5)

> >

> > My quesion is: do my results following clomiphene

> > stimulation test confirm that i have hypogonadism? If yes,

> > how do i get treated for it given the fact that i have high

> > level of estrogen? If i get  presribed HCG shots, my

> > estrogen  will likely to increase as well.

> >

> > FYI, I am 37 year old, also have low cortisol and low

> > thyroid issues, low thyroid is  not normalized at the

> > moment, can not tolerate needed amount of thyroid meds, i am

> > working in that area at the moment.

> >

> > Thanks in advance for your input and advice,

> > Mark

> >

> >

> >

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

> >

> >

[Guest guest]

Hi Mark,

If your Secondary meaning you have a Pituitary problem and your Testosterone is

low because your testis work they just don't get told to work. I know of a few

men not many that do good on HCG only one would start with 100 IU's per day. I

am Secondary and don't feel good on just HCG I feel better like most men on

both.

I am on cortef and florinef do to my Adrenals not being told to work they work

fine just don't get told to.

Treating your adrenals with prednisone 1 mg of Pred­ni­sone is equi­va­lent

to 4 mg of HC, but is har­der on the liver to pro­cess, so Medrol seems to be

the bet­ter choice for long term cor­ti­sol repla­ce­ment.

Your on a lot of prednisone at 8.75 mgs this is = to 35 mgs of HC and in time it

can do in your liver if I were you I would try Medrol.

In this link is links to a huge amount of info.

http://forums.realthyroidhelp.com/viewtopic.php?f=12 & t=256

I get my Zinc from ZMA I take 3 caps at bedtime and to keep my Copper levels up

I do 2 mg at lunch. Doing this I am fine with my dose of Cortef.

You can tell if your Adrenals are supported on your meds by taking your Temps

read this link and print out the chart in it and keep track of your Temps avg.

and go up on your Thyroid meds this way. When your temps avg. is steady not

going up or down more then 2 ths your adrenals are supported this means you now

have enough Cortisol in HC to carry the Thyroid meds out of your blood into your

cells.

I don't think prednisone is good at this.

http://forums.realthyroidhelp.com/viewtopic.php?f=5 & t=24

We can't get good Armour anymore so try this.

http://www.universaldrugstore.com/medications/Thyroid/60mg

Some people can't take NTH meds and find out this is working great for them.

I am trying right now.

http://thyroid.about.com/b/2010/05/17/t3-superior-t4-levothyroxine-hypothyroidis\

m-thyroid.htm?nl=1

http://forums.realthyroidhelp.com/viewtopic.php?f=12 & t=15455

You need to be careful on this drug you can end up with Cushings Syndrome.

http://forums.realthyroidhelp.com/viewtopic.php?f=12 & t=15462

Co-Moderator

Phil

> From: kronmark03 <kronmark03@...>

> Subject: Re: Diagnosis of hypogonadism

>

> Date: Monday, May 31, 2010, 10:26 PM

> Hi Phil.  Thank you for your

> response.

> I have a couple of questions.

> I read messages of Z where he describes how he uses

> HCG.  Do you think it could be a viable option for me

> instead of TRT, from what i read hcg is superior  to

> standard trt for many reasons some of which are: not

> shrinking testicles,  maintaining fertility, and is in

> general mimics body's own rhythm of testosterone

> production.  I think that if i have hypogonadism, HCG

> would be better choice than straight TRT, what do you

> think?  Being 37 years old could also affect the

> decision.

>

> Also, regarding zinc.  I know the importance of taking

> zinc to reduce estrogen.  My potential issue zinc is

> that it reduces cortisol level and is recommended for

> patients with elevated cortisol to decrease it.  I, on

> the other hand, have low cortisol.  I am concerned that

> if i take zinc, especially in larger doses as needed to

> decrease estrogen, it will materially decrease my cortisol

> which is already low. 

> Finally, regarding low cortisol and thyroid.  I am now

> on 8.75 mg of prednisone for low cortisol. Unfortunaely, on

> that dosage, i am taking only 1/4 grain of thyroid and can

> not tolerate more at the moment.  I tried cortef and it

> cause severe hypoglycemia symptoms, i feel cortef is not

> strong enough for me right now.

> I would appreciate learning your opinion of the issues i

> raised.

> Thanks,

> Mark

>

>

> >

> > > From: kronmark03 <kronmark03@...>

> > > Subject: Diagnosis of

> hypogonadism

> > >

> > > Date: Sunday, May 30, 2010, 8:43 PM

> > > Dear fellow members,

> > >

> > > I have a question regarding diagnosis of

> > > hypogonadism.  I have an appointement to see

> a

> > > specialist at end of June.  I was referred for

> a

> > > clomiphene stimulation test during which i had to

> take 25 mg

> > > of clomiphene for 7 days and then had the

> following

> > > tests.  Here are the results:

> > > SHBG 30 nmol/l (12-46)

> > > Estradiol 232 pmol/l (95-230)

> > > Testosterone total 26.8 nmol/l (10-38.5)

> > > Prolactin 6.4 (2.6-13.1)

> > > LH 3.7 IU/L (2.5-16.3)

> > > FSH 6.3 IU/L (1.2-18.5)

> > >

> > > For comparison purposes, here are my tests

> without

> > > clomiphene, done in January 2010:

> > > Estradiol 121 (95-230)

> > > LH 2.9 (2.5-16.3)

> > > FSH 4.4 (1.2-18.5)

> > > Total testosterone 19.5 (10-38.5)

> > >

> > > My quesion is: do my results following

> clomiphene

> > > stimulation test confirm that i have

> hypogonadism? If yes,

> > > how do i get treated for it given the fact that i

> have high

> > > level of estrogen? If i get  presribed HCG

> shots, my

> > > estrogen  will likely to increase as well.

> > >

> > > FYI, I am 37 year old, also have low cortisol and

> low

> > > thyroid issues, low thyroid is  not normalized

> at the

> > > moment, can not tolerate needed amount of thyroid

> meds, i am

> > > working in that area at the moment.

> > >

> > > Thanks in advance for your input and advice,

> > > Mark

> > >

> > >

> > >

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

> > >

> > >