Still alive and kicking. I have been busy with other things. There seems to be too much new-guy traffic for me to deal with things in a comprehensive manner. And it is very tiresome when most of the time I end up asking guys to read the stickies. There really is not much more than I can contribute what beyond what we have collectively put in the stickies.
So you guys have to do the heavy group self-help lifting on your own. Stick to the basics and point new guys to the stickies. There really is required reading. Because guys need to know more than their doctors and need to manage this aspect of their health care, we cannot expect to achieve that goal with incremental spoon feeding in guys’ case files [threads].
You need a collective approach to deal with the needs that new guys have and that requires a group behavior that goes beyond posts that focus on isolated minute factors. New guys need to get the big message. You cannot do that with post, you need to get guys to do the required reading. I can’t think of a better approach.
I have passed the torch.
Insist that guys stick to one thread.
Point guys to the stickies.
Insist on labs results getting posted, with lab ranges.
Go after details to establish primary vs secondary with LH/FSH results.
If secondary, look for causes as per the advice for new guys sticky, including head injuries. Young guys may need a MRI, older guys typically simply have an age related condition.
Because thyroid issues are oddly very common in the population of guys who land here, focus on body temperatures, iodine intake [or lack thereof], TSH should be near 1.0, fT3 and fT4 should be near mid range. Skip T3, T4 labs.
T+AI+hCG [AI is aromatase inhibitor]