Tamoxifen and Androgel??

[Guest guest]

I am a 24 year old male with heriditary hemochromatosis (recently diagnosed)

which has caused me troubling endocrine problems for the past couple years. I

was diagnosed with Hashimoto's thyroiditis (.75mcg levo/day) last year, and have

definite symptoms of hypogonadism including:

feminine fat distribution (hips, thighs, chest)

decrease in muscle mass

reduced ejacualte volume and loss of sensitivity

reduced libido

chronic fatigue

memory problems

My total testosterone is normal but my free testosterone levels are borderline

low with high SHBG:

Total Testosterone: 445 (250-1150)

Free Test % 1.2 (1.5-2.2) ***LOW==>High SHBG

Free T calculated 50 pg/ml (35-155)

Estradiol 42pg/ml (15-54)

A few months later:

Total T: Total T 489ng/dl

Free T: 12.8ng/dl (9-30)

SHBG 48 nmol/L (10-48)***High

Estradiol 30 (20-40) (I question the validity of this estradiol assay)

From what I have read, low normal free T levels along with symptoms deserve a

trial of testosterone. Besides, if my shbg was in the 20's, my total T would be

about 330 for the same free T values.

I finally went to a hormone specialist this week after months of dealing with

incompetent endos who refused to help me with my problems. The HRT guy was

somewhat disappointing though. He wants me to use:

2.5 grams androgel daily

20mg tamoxifen three times week

Armour 120 MG day.

This seems rather strange. The androgel and tamoxifen are both very low doses

and this combination is unusual. I was hoping for a very basic TRT protocol of

injections or gel along with HCG. He also denied my request to use cytomel/T4

over Armour, which I thought would be better since people are having problems

with the new Armour.

I've read about other hemochromatosis patients having hypogonadism and

feminization

(http://forum.mesomorphosis.com/mens-health-forum/anyone-have-low-t-134262483.ht\

ml#post597486). It seems they improved with higher than average doses of plain

old testosterone.

Should I follow this doctor's recommendations or find a new doc? Would I have

more luck with a urologist than with a endo or HRT person? Thanks.