Re: Opinions on Labs

[Guest guest]

I say your doing the right thing with the MRI your LH is low for a TT level of

209 your pituitary should be sending the LH like no tomorrow with levels this

low. Dr.'s I feel forget about there math and they look at labs and say your in

range but you would be in range if your TT was over 500 to 600.

Co-Moderator

Phil

> From: marc200134470 <cfs38@...>

> Subject: Opinions on Labs

>

> Date: Friday, May 14, 2010, 4:46 PM

> Finally I have some results beyond my

> T levels that I posted before.

> Some will remember them, and what my situation is, but for

> others my total T was 209, and my free T was 65.2 with a

> free % of 3.12 which was high. These are all Quest

> Diagnostic tests.

>

> Prolactin-8.0

> LH-3.7

> FSH-5.8

>

> According to the clinician I spoke to over the phone these

> are totally normal.

>

> I am going for my MRI monday AM to look for a pituitary

> tumor.

> Seems that is unlikely with these numbers I guess?

>

> Any input would be much appreciated as usual.

>

>

>

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

>

>

[Guest guest]

Phil,.....I am so confused by all of this stuff as you can tell.

I think I understand what you are saying though. You are suggesting I might be

'secondary' instead of primary regardless of the 'normal' ranges?

As I said before I am having headaches, visual disturbances, tinnitus, etc. that

I never had before. It only makes sense to have the MRI.

BTW,......it is w/wo contrast. Not looking forward to 45 minutes in a coffin

with something over my head by any means, but I intend to do what needs to be

done.

After that, I am pressing for the Estrogen test you mentioned.

I am sick to death of feeling this way, and want to find out what it

is,........good, or bad.

I may have many more questions for you, and others coming up over the next weeks

and months.

Hope you guys don't mind?

[Guest guest]

Like you I am sick of living this way, but we can't give up.

I finally decided to go to Dr Crisler because I have listened to many of his

lectures and heard feedback from his patients.

At this moment this is the time to be strong and do what is necessary to fix our

problems.

Good luck.

Sent via BlackBerry from T-Mobile

Re: Opinions on Labs

Phil,.....I am so confused by all of this stuff as you can tell.

I think I understand what you are saying though. You are suggesting I might be

'secondary' instead of primary regardless of the 'normal' ranges?

As I said before I am having headaches, visual disturbances, tinnitus, etc. that

I never had before. It only makes sense to have the MRI.

BTW,......it is w/wo contrast. Not looking forward to 45 minutes in a coffin

with something over my head by any means, but I intend to do what needs to be

done.

After that, I am pressing for the Estrogen test you mentioned.

I am sick to death of feeling this way, and want to find out what it

is,........good, or bad.

I may have many more questions for you, and others coming up over the next weeks

and months.

Hope you guys don't mind?

[Guest guest]

Marc the way I feel it looks in labs is your Total Testosterone come back low

and to me anything below 400 on a Quest labs test is low. With this a good Dr.

will test your LH and FSH this is the message that is sent to your Testis to

tell them to make more Testosterone. So if one has low Total T and low LH and

FSH then there Pituitary is not working telling the Testis to make more

Testosterone.

Now this needs to be checked with Total T, LH and FSH and that is Estradiol. If

one has high Estradiol the brain will see it as high Testosterone and not send

the LH and FSH to make more T. So this needs to be checked with them. The

brain can't tell the difference between high Estradiol and high Testosterone and

will think high Estradiol is high Testosterone. Estradiol is made from

Testosterone.

So if one has low T with low LH and FSH and a high Estradiol level this might

mean all that needs to be done is to lower the Estradiol. Then the brain will

see Total T is low and send the LH and FSH messages and Total T levels might

come back up.

So it's best to get Estradiol down to about 20 pg/ml the retest. Some men will

come back up some 200 to 300 Points on labs doing this.

If your Total T is low with a high level of LH and FSH it means there Testis can

make enough Testosterone this is called Primary the other is Secondary.

I had to take Xanax to do my MRI test.

You can never ask a bad question here you need to know something just ask.

Co-Moderator

Phil

> From: marc200134470 <cfs38@...>

> Subject: Re: Opinions on Labs

>

> Date: Friday, May 14, 2010, 5:43 PM

> Phil,.....I am so confused by all of

> this stuff as you can tell.

> I think I understand what you are saying though. You are

> suggesting I might be 'secondary' instead of primary

> regardless of the 'normal' ranges?

>

> As I said before I am having headaches, visual

> disturbances, tinnitus, etc. that I never had before. It

> only makes sense to have the MRI.

> BTW,......it is w/wo contrast. Not looking forward to 45

> minutes in a coffin with something over my head by any

> means, but I intend to do what needs to be done.

>

> After that, I am pressing for the Estrogen test you

> mentioned.

> I am sick to death of feeling this way, and want to find

> out what it is,........good, or bad.

>

> I may have many more questions for you, and others coming

> up over the next weeks and months.

> Hope you guys don't mind?

>

>

>

>

>

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

>

>

[Guest guest]

OK,.......just so this is clear as mud to me! )

I looked up the reference ranges on Quests site since I don't have the paper

yet, only the numbers over the phone from yesterday.

LH 1-15 range / Mine 3.7

FSH 1-8 range / Mine 5.8

Prolaction - under 20 for men / Mine 8.0

Prolactin seems fine, FSH is over mid-range by a little, and LH is normal but in

the lower end of range.

Since my Total T is so low, the LH should be towards the high end of range, or

even slightly elevated,.....is that correct?

Also I was going to ask about the Estradiol myself, but Phil already mentioned

it I see.

I presume if those levels are high, my pituitary is looking at that as T and

would not be sending the LH to tell my testes to release T?

This leaves me thinking that I am either secondary, and my pituitary can't send

the proper signals,.......or I have high Estradiol levels that are tricking my

pituitary into thinking my T levels are normal, causing the normal test results

I got back.

Do I have this correct?

I just want to have this down in my head clearly so I can fire off my thoughts

when I see the doc next after the MRI.

Also,.....the test I am looking for next is E2/Sensitive Estradiol for men,

Quest #4021,.......correct?

What range should this be in if estrogen is not my problem?

I really appreciate the help, and the encouragement from you folks. I think I

will get to the bottom of this soon, and feel confident my doc will work with

me. He is one of those that doesn't mind people like me that do my own research

and bring up questions. He actually likes it, and has said before that he is

only human and sometimes forgets something that should be done.

Believe it or not, he is a Cardiologist. I let him handle all that he will as my

regular GP is not the greatest. He is ok for simple things but he doesn't even

think my T levels should be of any concern to me. LOL

My Cardiologist said immediately after seeing my T levels that I needed to find

out the root of this and correct it one way or the other. Said that low T will

increase my odds of heart disease as I get older as well as my feeling like

crap. I don't have a heart problem now, but it does run in my family genes

pretty bad,.....that is why I go to him to be watched for anything that might be

changing.

Just finished a stress test, and a MET test this past week. End of the month I

get a carotid and renal ultrasound, and then a leg study.

He rotates different tests on me every year to keep an eye on the whole picture.

So far I have beat everyone in my direct family line by making it to almost 50

without any heart problems so far. I wish ALL docs were like this guy!

Looks like I wrote another novel,....sorry.

[Guest guest]

Thanks for that info Phil, I will print it off and take it with me.

I am going forward with the MRI since it is already set for 9:15 AM Monday.

My insurance requires no approval for diagnostic testing as long as it is

ordered by one of my doctors. With the cardiac stuff I am having done this year

my deductible of 1K will easily be met,.....probably already is! )

I am choosing to do this because of my headaches, and visual disturbances at

this point mainly. If not for that I would do the Estrogen test first, and go

from there.

The info here is invaluable to folks like us. Without it, I would have thought

that everything was fine and I simply needed T gel for life due to testicular

failure. Once you learn how things work, you quickly see that what appears

normal on a blood test, is not necessarily the case.

I understand that I may still be primary,......but without this site I would not

have even known the difference between primary and secondary, nor all of the

things that can go wrong even if your T levels get back in line.

[Guest guest]

Brand new here and looking for help with test results as well. I have all the

symtoms of low testosterone except the ED. Also, while I have asked to be

tested over the years due to extreme fatigue the closest I came was with my

throid being tested an suggesting I was hypertyroid which makes no sense (TSH

<.17) so the docs just tell me to get up amd move around. This has gone on for

years - I am now 42 and finally got tested due to fertility issues. Winds up I

have a great sperm count too but that doc still decided to test my Testosterone

and this is what I have:

FSH = <0.7 (range is 1.6-8.0)

LH = <0.2 (range is 1.5-9.3)

Testoserone Total 44 (range is 241 - 827)

I understand that maybe I threw it off by testing in the afternoon and it could

be higher in the morning. Any chance that it would go up 200 points and make me

normal? I would love to hear that my issues are related to some type of

chemical issue but I am guessing that the doc will say it is nothing to worry

about. That seems really low though. Do you think a doc will do anything based

on these results or the fact that I did an afternoon test mean that it really is

nothing to worry about. I would love to cut down on the 20 cups of coffee I

drink just to function.

[Guest guest]

I would guess either your pituitary or hypothalamus isn't working well. That

would cause the low stimulating hormones like TSH, FSH, LH, and possibly ACTH.

With no stimulation, you won't make the hormones, which means you have to

supplement whatever's low.

I don't think testing in the morning will bump you up 200 points. I would want

ALL your hormones tested to see if your problem is pituitary. For thyroid, you

need a Free T3, Free T4 and reverse T3. Your high cholesterol is indicative of

hypothyroid. For cortisol you want a 4x/day saliva cortisol lab or you can

start with a morning blood draw.

Barb

>

>

>

> Brand new here and looking for help with test results as well. I have all the

symtoms of low testosterone except the ED. Also, while I have asked to be

tested over the years due to extreme fatigue the closest I came was with my

throid being tested an suggesting I was hypertyroid which makes no sense (TSH

<.17) so the docs just tell me to get up amd move around. This has gone on for

years - I am now 42 and finally got tested due to fertility issues. Winds up I

have a great sperm count too but that doc still decided to test my Testosterone

and this is what I have:

>

> FSH = <0.7 (range is 1.6-8.0)

> LH = <0.2 (range is 1.5-9.3)

> Testoserone Total 44 (range is 241 - 827)

>

> I understand that maybe I threw it off by testing in the afternoon and it

could be higher in the morning. Any chance that it would go up 200 points and

make me normal? I would love to hear that my issues are related to some type of

chemical issue but I am guessing that the doc will say it is nothing to worry

about. That seems really low though. Do you think a doc will do anything based

on these results or the fact that I did an afternoon test mean that it really is

nothing to worry about. I would love to cut down on the 20 cups of coffee I

drink just to function.

>

[Guest guest]

Marc,

I just started seeing Dr. Crisler - one visit.  My results are preliminary at

this time (hard to tell much yet), and I am still struggling with some of the

" normal " stuff we men on this board experience.  How long have you seen

and how well has he done for you?  I guess I'm looking for some hopefullness...

Bill

________________________________

From: Marc Michaud <MisterX225@...>

Sent: Fri, May 14, 2010 5:55:32 PM

Subject: Re: Opinions on Labs

 

Like you I am sick of living this way, but we can't give up.

I finally decided to go to Dr Crisler because I have listened to many of his

lectures and heard feedback from his patients.

At this moment this is the time to be strong and do what is necessary to fix our

problems.

Good luck.

Sent via BlackBerry from T-Mobile

Re: Opinions on Labs

Phil,.....I am so confused by all of this stuff as you can tell.

I think I understand what you are saying though. You are suggesting I might be

'secondary' instead of primary regardless of the 'normal' ranges?

As I said before I am having headaches, visual disturbances, tinnitus, etc. that

I never had before. It only makes sense to have the MRI.

BTW,......it is w/wo contrast. Not looking forward to 45 minutes in a coffin

with something over my head by any means, but I intend to do what needs to be

done.

After that, I am pressing for the Estrogen test you mentioned.

I am sick to death of feeling this way, and want to find out what it

is,........good, or bad.

I may have many more questions for you, and others coming up over the next weeks

and months.

Hope you guys don't mind?

[Guest guest]

Well for any interested, I just finished my MRI at 11:00 AM.

I had to show at 9:15 to sign all the garbage of course.

Then they x-rayed my eyes to be sure I had no metal in them from the type of

work I do. After that a blood test to check for renal function before contrast.

After reading about what a horror one of these MRI's was I had myself pretty

worked up last night anticipating it.

What a waste of sleep, as it was a walk in the park IMHO.

About 40 minutes in the machine total, and short of one noise pattern that

became really annoying after a 5 minute run of the same thing, it was all fine.

It was like a musical rhythm of bangs and clicks for that one segment, and made

you want to move a little, which is a big no no.

They left me in the machine for a few minutes while they scanned the images

quickly to be sure they were of high quality, and took me out.

Said I did an exceptional job of keeping totally still, and not breathing in a

panicked pattern,......so I hope it yields some excellent images.

Only thing I was confused by was the fact that they have another MRI that only

targets the pituitary, and mine was ordered for the entire head/brain. They

tried to call my doc but I told them he was not in on Mondays,.....he does

invasive procedures and testing. They told me that I could of course refuse the

test and come back another time, but I went through with it.

Hope I made the right choice!

Now the waiting begins.

[Guest guest]

Lowest testoterone recorded for me was 40.

It was confirmed by repeat analysis because dr could not believe it

His response 2.5 mgs of androgel. I was like you goto be kidding me.

I would have the dr re run the labs in 2-3 weeks to see if it hidden infection

or trama to the body. Most likely this would be due to excessive cortisol and

low DHEA levels in the blood. Please check 24 hour salivary cortisol to catch

this now before it cascades into something that goes out of control. Need to

identify what stage of adrenal imbalance you are in pronto. As well as proper

evaluation of ft3 ft4,tsh and rt3, ferritin for thyroid. This help practioner

in the proper in what direction to treat next.

>

> I think that's the lowest " Total T " number I have seen! You need some

help....

>

>

>

>

>

> ________________________________

> From: Bstee <bstee@...>

>

> Sent: Sat, May 15, 2010 10:53:18 PM

> Subject: Re: Opinions on Labs

>

>

>

>

> Brand new here and looking for help with test results as well. I have all the

symtoms of low testosterone except the ED. Also, while I have asked to be

tested over the years due to extreme fatigue the closest I came was with my

throid being tested an suggesting I was hypertyroid which makes no sense (TSH

<.17) so the docs just tell me to get up amd move around. This has gone on for

years - I am now 42 and finally got tested due to fertility issues. Winds up I

have a great sperm count too but that doc still decided to test my Testosterone

and this is what I have:

>

> FSH = <0.7 (range is 1.6-8.0)

> LH = <0.2 (range is 1.5-9.3)

> Testoserone Total 44 (range is 241 - 827)

>

> I understand that maybe I threw it off by testing in the afternoon and it

could be higher in the morning. Any chance that it would go up 200 points and

make me normal? I would love to hear that my issues are related to some type of

chemical issue but I am guessing that the doc will say it is nothing to worry

about. That seems really low though. Do you think a doc will do anything based

on these results or the fact that I did an afternoon test mean that it really is

nothing to worry about. I would love to cut down on the 20 cups of coffee I

drink just to function.

>

>

>

>

>

>

>

>

[Guest guest]

40?!

That's adrenal production! LOL

Be well!

Regards,

Crisler, DO

Anti-Aging Medicine

The information contained in this message is intended only for the personal

and confidential use of the recipient(s) named above, and is protected by

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document in error and that any review, dissemination, distribution, or

copying of this message is strictly prohibited. If you have received this

communication in error, please notify us immediately, and delete the

original message. We would certainly do the same for you.

[Guest guest]

Yep

t4 - 9.5

t3 -81

Dr said I was normal OMG what an idiot..

Adrenals produce what 5-10% of male total testosterone? correct

>

> 40?!

>

>

>

> That's adrenal production! LOL

>

>

>

> Be well!

>

> Regards,

>

>

> Crisler, DO

>

> Anti-Aging Medicine

>

> The information contained in this message is intended only for the personal

> and confidential use of the recipient(s) named above, and is protected by

> state and federal law. If the reader of this message is not the intended

> recipient or an agent responsible for delivering it to the

> intended recipient, you are hereby notified that you have received this

> document in error and that any review, dissemination, distribution, or

> copying of this message is strictly prohibited. If you have received this

> communication in error, please notify us immediately, and delete the

> original message. We would certainly do the same for you.

>

>

>

>

[Guest guest]

If you are located in the mid west area I highly suggest Dr Crisler. If you are

more towards east coast feel free to PM me for details on Dr Over beck and

myself. Right now the main concern is to get this squared away before it goes

out of control with a Good HRT dr. Do not fall victim and slip through the

cracks of the medical system.

> >

> > I think that's the lowest " Total T " number I have seen! You need some

help....

> >

> >

> >

> >

> >

> > ________________________________

> > From: Bstee <bstee@>

> >

> > Sent: Sat, May 15, 2010 10:53:18 PM

> > Subject: Re: Opinions on Labs

> >

> >

> >

> >

> > Brand new here and looking for help with test results as well. I have all

the symtoms of low testosterone except the ED. Also, while I have asked to be

tested over the years due to extreme fatigue the closest I came was with my

throid being tested an suggesting I was hypertyroid which makes no sense (TSH

<.17) so the docs just tell me to get up amd move around. This has gone on for

years - I am now 42 and finally got tested due to fertility issues. Winds up I

have a great sperm count too but that doc still decided to test my Testosterone

and this is what I have:

> >

> > FSH = <0.7 (range is 1.6-8.0)

> > LH = <0.2 (range is 1.5-9.3)

> > Testoserone Total 44 (range is 241 - 827)

> >

> > I understand that maybe I threw it off by testing in the afternoon and it

could be higher in the morning. Any chance that it would go up 200 points and

make me normal? I would love to hear that my issues are related to some type of

chemical issue but I am guessing that the doc will say it is nothing to worry

about. That seems really low though. Do you think a doc will do anything based

on these results or the fact that I did an afternoon test mean that it really is

nothing to worry about. I would love to cut down on the 20 cups of coffee I

drink just to function.

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Yes ruling out pituitary issues is a wise thing to due. Some times nothing may

be found but still have problems with something either interrupting the signal

or do not have the right nutients to help creat the signal in the first place

which can mimic pituitary issues.

The next thing would to evaluate the pathology of the issue as well as other

hormonal markers to try to come up with some kind of scenerio on WHY this

occured and then start proper treatment to take care of the cause as well as

help bridge the symptoms.

How I would. handle this

1. Look for potential stressors- when did this occur what occured with in 3-6

months of experiencing symptoms. Some kind of dramam can eventually be isolate.

Working on lifestyle modification, sleep patterns, eating balanced meals would

be the first line.

2. proper hormone evlaution of thyroid, testosteone, adrenals, estrogen with

complete blood work, salvia cortisol test,

3. If the person has insurance running nutra eval has been a huge asset into

looking into the potential cause of the prolbem giving vital clues that may be

hidden

4. Gather the data and come up with some type of logical scenerio explaining the

information that was found.

5. implement proper protocol then retest in 5-6 weeks till symptoms get better

then goto every 12 weeks then once every 6 months.

if nothing comes back with MRI then i would do a clomid challenge and then to

see if you are able to start up. if this was positive run clomid protocol as

same time back fill it with proper nutrient needed to make testosterone it self

and supporting the adrenal and thyroid if needed.

>

> > From: marc200134470 <cfs38@...>

> > Subject: Re: Opinions on Labs

> >

> > Date: Monday, May 17, 2010, 1:55 PM

> >

> >

> > Well for any interested, I just finished my MRI at 11:00

> > AM.

> > I had to show at 9:15 to sign all the garbage of course.

> > Then they x-rayed my eyes to be sure I had no metal in them

> > from the type of work I do. After that a blood test to check

> > for renal function before contrast.

> >

> > After reading about what a horror one of these MRI's was I

> > had myself pretty worked up last night anticipating it.

> > What a waste of sleep, as it was a walk in the park IMHO.

> > About 40 minutes in the machine total, and short of one

> > noise pattern that became really annoying after a 5 minute

> > run of the same thing, it was all fine. It was like a

> > musical rhythm of bangs and clicks for that one segment, and

> > made you want to move a little, which is a big no no.

> >

> > They left me in the machine for a few minutes while they

> > scanned the images quickly to be sure they were of high

> > quality, and took me out.

> > Said I did an exceptional job of keeping totally still, and

> > not breathing in a panicked pattern,......so I hope it

> > yields some excellent images.

> >

> > Only thing I was confused by was the fact that they have

> > another MRI that only targets the pituitary, and mine was

> > ordered for the entire head/brain. They tried to call my doc

> > but I told them he was not in on Mondays,.....he does

> > invasive procedures and testing. They told me that I could

> > of course refuse the test and come back another time, but I

> > went through with it.

> >

> > Hope I made the right choice!

> > Now the waiting begins.

> >

> >

> >

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

> >

> >

[Guest guest]

I am in ville, FL. Well I called Mayo and said I needed to see an endo

based on these TST results (44 total) and feeling pretty poorly. But of course

I was told that an interrnist would review and see if there is any need for a

referral. " a lot of ties people just get excited about tests for no good

reason " . I am sure it is true but if this is really low I I hate to hear it may

just be in my head...then again....410 cholesterol (when untreated)_ 0.17

TSH_480 triglycerides and 44 testosterone...maybe it is in my head...my

pituitary to be exact....gotta laugh.

> > >

> > > I think that's the lowest " Total T " number I have seen! You need some

help....

> > >

> > >

> > >

> > >

> > >

> > > ________________________________

> > > From: Bstee <bstee@>

> > > To:

> > > Sent: Sat, May 15, 2010 10:53:18 PM

> > > Subject: Re: Opinions on Labs

> > >

> > >

> > >

> > >

> > > Brand new here and looking for help with test results as well. I have all

the symtoms of low testosterone except the ED. Also, while I have asked to be

tested over the years due to extreme fatigue the closest I came was with my

throid being tested an suggesting I was hypertyroid which makes no sense (TSH

<.17) so the docs just tell me to get up amd move around. This has gone on for

years - I am now 42 and finally got tested due to fertility issues. Winds up I

have a great sperm count too but that doc still decided to test my Testosterone

and this is what I have:

> > >

> > > FSH = <0.7 (range is 1.6-8.0)

> > > LH = <0.2 (range is 1.5-9.3)

> > > Testoserone Total 44 (range is 241 - 827)

> > >

> > > I understand that maybe I threw it off by testing in the afternoon and it

could be higher in the morning. Any chance that it would go up 200 points and

make me normal? I would love to hear that my issues are related to some type of

chemical issue but I am guessing that the doc will say it is nothing to worry

about. That seems really low though. Do you think a doc will do anything based

on these results or the fact that I did an afternoon test mean that it really is

nothing to worry about. I would love to cut down on the 20 cups of coffee I

drink just to function.

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

I appreciate the info,.....but honestly can't say I understand it all.

Right now I simply have to wait to see my doc again on June 1st. after some

other cardiac testing this week, and next.

So far I have not received a phone call from anyone concerning my MRI, but then

again I have no idea how long it takes for them to read them and fax the outcome

to my doc. They said if something really bad was seen I would get a call.

My life has been full of stress for the last 6 years especially so there is

nothing for me to tie it to that way. My step-father that was a retired

physician died a horrible death that took almost 2 years from start to end.

During that time I was running my business of 18 years, taking care of my home,

as well as theirs, along with bills for both places, and my usual business

paperwork. I also had to bring my mothers pooch here to care for him.

After that my mother has had several health issues, one which almost killed her.

I basically lived over there for several months doing the same,........back and

forth and trying to keep up with work.

After all this started is when I began 'over consumption' of beer to try and

calm myself down. I am now cutting way back on that, and intend to quit totally

soon.

I posted in another thread about my diet,.....it is good. No junk food and all

that garbage.

I feel like I have been running on adrenaline for a long time actually, and that

may have something to do with this,.....I don't know. My own doc has said that I

am a very strong person to have gone through all that I have and still be

standing.

All I can do is take it one step at a time, and report it here. I am very

hopeful that I will be guided in the right direction by doing this. Some of

these doctors you guys mention are not available to me as I live in Florida, so

my best hope is to work with the one I have.

He is open to thoughts and theories, and I don't think he will hesitate to order

tests that might be needed.

My understanding is when I see him again on the first, he is going to check my T

again, and I will ask for the E2 test as well,......I know he will order it.

Until then it is a waiting game for me.

Simply trying to keep myself going right now, but I do appreciate all of the

help to date.

>

> Yes ruling out pituitary issues is a wise thing to due. Some times nothing

may be found but still have problems with something either interrupting the

signal or do not have the right nutients to help creat the signal in the first

place which can mimic pituitary issues.

> The next thing would to evaluate the pathology of the issue as well as other

hormonal markers to try to come up with some kind of scenerio on WHY this

occured and then start proper treatment to take care of the cause as well as

help bridge the symptoms.

>

> How I would. handle this

> 1. Look for potential stressors- when did this occur what occured with in 3-6

months of experiencing symptoms. Some kind of dramam can eventually be isolate.

Working on lifestyle modification, sleep patterns, eating balanced meals would

be the first line.

> 2. proper hormone evlaution of thyroid, testosteone, adrenals, estrogen with

complete blood work, salvia cortisol test,

> 3. If the person has insurance running nutra eval has been a huge asset into

looking into the potential cause of the prolbem giving vital clues that may be

hidden

> 4. Gather the data and come up with some type of logical scenerio explaining

the information that was found.

> 5. implement proper protocol then retest in 5-6 weeks till symptoms get better

then goto every 12 weeks then once every 6 months.

>

> if nothing comes back with MRI then i would do a clomid challenge and then to

see if you are able to start up. if this was positive run clomid protocol as

same time back fill it with proper nutrient needed to make testosterone it self

and supporting the adrenal and thyroid if needed.

>

[Guest guest]

Stress is a killer for sure,....watch out for too much of it.

I have lived in Florida since I was about 3 years old. Used to live in Ft.

Lauderdale, then WPB and Boca.

Now in Central Florida about an hour north of Orlando since 1991. Name is the

same but mine is spelled with a k actually. I used an old sign-in to join

this group instead of setting up a new one.

If any folks in Florida know of good TRT docs be sure to post about them.

Take care of yourself as well.

>

>

> Wow Marc you and I have a similiar story, I care for both my parents I'm

sorry about your father.

>

> We also have the same name and live in FL.

>

> Good luck with everything.

>

> Marc

> Sent via BlackBerry from T-Mobile

>

[Guest guest]

Elevated triglycerides and cholesterol is usually signs of severe hypothyroidism

as well as insulin resisance. Proper managing of sex hormones can also cause

the lipids to rebalance them self. Examing the person symptoms along with

clincal evidence would be the first step as well as taking a holisitic approach

would be the best approach to get proper resolution. There are alot of natural

things you can do to help this condition as well as getting properly hormonally

evaluate. You do not know how many men come to us with this scenrio and once

properly tuned up hormonally with proper nutrition, balanced meals and

idenitfying the stressor the body had an incredible way of rebalancing it self.

> > > >

> > > > I think that's the lowest " Total T " number I have seen! You need some

help....

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > ________________________________

> > > > From: Bstee <bstee@>

> > > > To:

> > > > Sent: Sat, May 15, 2010 10:53:18 PM

> > > > Subject: Re: Opinions on Labs

> > > >

> > > >

> > > >

> > > >

> > > > Brand new here and looking for help with test results as well. I have

all the symtoms of low testosterone except the ED. Also, while I have asked to

be tested over the years due to extreme fatigue the closest I came was with my

throid being tested an suggesting I was hypertyroid which makes no sense (TSH

<.17) so the docs just tell me to get up amd move around. This has gone on for

years - I am now 42 and finally got tested due to fertility issues. Winds up I

have a great sperm count too but that doc still decided to test my Testosterone

and this is what I have:

> > > >

> > > > FSH = <0.7 (range is 1.6-8.0)

> > > > LH = <0.2 (range is 1.5-9.3)

> > > > Testoserone Total 44 (range is 241 - 827)

> > > >

> > > > I understand that maybe I threw it off by testing in the afternoon and

it could be higher in the morning. Any chance that it would go up 200 points and

make me normal? I would love to hear that my issues are related to some type of

chemical issue but I am guessing that the doc will say it is nothing to worry

about. That seems really low though. Do you think a doc will do anything based

on these results or the fact that I did an afternoon test mean that it really is

nothing to worry about. I would love to cut down on the 20 cups of coffee I

drink just to function.

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

[Guest guest]

Marc,......I am in Ocala, not really that far away. Used to do work in Daytona

for a few clients years ago, but have not been over there for awhile.

I found a D.O. here that seems to be into this stuff, but I only want to use him

if it's needed. I have no clue if my insurance will cover a D.O. or not, and I

do believe they will pay for most of this stuff as long as it is ordered by one

of my regular docs.

I say they pay for it! LOL

I pay about 6200 bucks a year for my insurance, so I figure that I am paying for

most of it. This year it appears that they will lose money on me for the first

time in over 12 years.

I have read a lot of the articles about Dr. Crisler,....seems pretty impressive.

I don't have the time to fly around the country seeing a doc though.

I truly hope it works out well for you!

>

>

> I live in Daytona.

>

> There is a place in Lake called Eterna MD.

>

> The doc is Mercado. He seemed experienced but not like Dr . If you go by

Dr Crislers protocal it seems to work.

>

> Since I went to Mercados I don't have baselines of my E2, prolactin, and some

others.

>

> I'm actually seeing him this Sat to pick up someblood. I'm not on TRT but I

wouldn't recomend him unless he agrees to work with Dr . I never mentioned

Dr to him. I should.

>

> But I'm going to go see Dr June 3rd. I figured he is one of the best in

the country and that's the help I need.

>

> PS. Mercado charges 2600 a year.

> Sent via BlackBerry from T-Mobile

>

[Guest guest]

I am 48.5 almost to the day.

When I say insurance will cover it,......i mean blood work, and some form of T

replacement. Most likely Testim is what I am looking at right now to be

prescribed.

Now in terms of HCG, and some of these other drugs for Estrogen you guys talk

about,......I have no clue.

Just a for instance was my MRI. Most folks have to have them 'approved' while I

require no authorization and mine was done in a flash with no hassle or trying

to get me to pay anything.

This is a new area that I know little about concerning my insurance. I am sure I

may have much to learn.

>

>

> That's good you found a Doc.

>

> I'm not sure about your insurance covering it. How old are you?

>

>

> Sent via BlackBerry from T-Mobile

>

[Guest guest]

Then i would look into androgel instead of testim.

its been around longer and much more convient. I'm going to battle with the rep

on thursday to see if they could some how better improve the delivery system for

it. She actually really hot and loved it when I got up in her face because she

was not expecting some one to give her a challenge. She was totally hitting on

me and when she left looked back and gave me a wink and sexy smile saying " bring

it on thursday " Componding stuff is too much hit or miss where androgel is a

regulated by FDA for potency.

> >

> >

> > That's good you found a Doc.

> >

> > I'm not sure about your insurance covering it. How old are you?

> >

> >

> > Sent via BlackBerry from T-Mobile

> >

>