Hey Guys –
I had an old progress thread a few years ago, but I can’t find it now, so need to start a new one.
Summary: 37yr old male, have been on TRT now for a few years. Found out I my T was low after going to the doctor for a physical, and soon after experiencing gallbladder-like attacks and major digestive problems. Appeared to the doc with ED, and he checked my T – to find it in the low 200’s. Since he was just a PCP, and basically an idiot – he immediately gave me a shot of T to see how it made me feel, and I felt great for a couple of weeks (Best sex of my life!)-- so we decided to continue the treatment. (No blood tests for LH, etc ever taken, so not sure the exact cause of my low T, or if it is even a chronic thing?)
I initially had an idiot doc who was doing the huge shots (200-300mg every other week), and other course found out by reading the stickies here that was the wrong treatment. I ultimately switched to Androgel and was able to recover about 80-85% of my erections and well-being for a good long time. Androgel worked for a couple of years, but stopped working around 6 months ago.
6 months ago, I found a new doc (urologist) who agreed to let me self-inject at home. He started me out on 150 per week. I felt OK after 30 days, amazing for a couple of weeks, and then my well-being has declined from there. He recently lowered my dose to 100 per week, and referred me to a specialist (Andrologist) in Denver who some of you know – Dr. Mills. I’ll be seeing him soon.
Current symptoms: Can get erections, but lose them quickly if wife isn’t touching it constantly. After about 15-20 seconds of no contact, I’m back to semi, and then flacid. I now suffer from high blood pressure all of the sudden, which has never been an issue for me before. It was as high as 160/110 recently for a couple of weeks, so my PCP put me on Amlodipine 5mg a day (Minimum dose), and now it is in 120/80 range.
Current Diagnosis: IBS, Fatty Liver Disease, High Blood Pressure, Hypogonadism
Current Medications: .5 (100) Testosterone Cypinate injected once per week in the glute. Occasional Cialis, which helps get erections, but they still quickly go down.
Vitamins: Right now I take Milk Thistle for my liver, AQUADEKS Chewable ADEK vitamins, kelp (Iodine), was doing Zinc for a long time, but was upsetting my stomach too much. Also GNC Mega-Men multi vitamin.
GOAL OF TREATMENT: To be a BEAST in the bedroom again!
Most recent blood work:
RBC: 5.47 (4.14-5.80)
Hemoglobin 17.9 (12.6-17.7) HIGH
Hematocrit 52.1 (37.5-51.0) HIGH
MCV 95 (79-97)
MCH 32.7 (26.6-33.0)
MCHC 34.4 (31.5-35.7)
RDW 12.8 (12.3-15.4)
PLATELETS 206 (140-415)
Neutrophils 69 (40-74)
Lymphs 24 (14-46)
Monocytes 7 (4-13)
EOS 0 (0-7)
Basos 0 (0-3)
Absolute Neutrophils 4.9 (1.8-7.8)
Lymphs 1.8 (.7-4.5)
Monocytes .5 (.1-1.0)
Absolute EOS 0 (0-.4)
Absolute BASO 0 (0-.2)
Immature Granulocytes 0 (0-2)
Immature Grans Abs 0 (0-.1)
Hepatic Function Panel
Protein Total Serum 7.6 (6.0-8.5)
Albumin Serum 5.0 (3.5-5.5)
Bilirubin Total .8 (0-1.2)
Bilirubin Direct .16 (0-.4)
Alkaline Phospatase 47 (44-102)
AST 34 (0-40)
ALT 50 (0-44) HIGH
Prostate Specific Serum .6 (0-4.0)
Testosterone Serum 894 (348-1197)
Estradiol 38 (7.6-42.6) – I think this is too high per KSMAN, stickies, etc
My thoughts are that my Estradiol is too high, and my idiot Urologist is not even checking my free-T to see how much SHBG is a problem, etc… Hoping the Andrologist is going to be able to help, but wanted to get your opinions also.