Natan Bar Chama and Harris Nagler are in Manhattan. I'm not sure if Harris Nagler practices as a private doctor anymore because he recently became CEO of Beth Israel Hospital in Manhattan.
I don't know what you mean by "soon". There are men who go directly to pellets because that's the option that goes best with their life, not because they failed with gels. I took gels for NINE years with great results (in 700 to 1000 range nearly all the time) and after being informed one day by my doc of Testopel, thought it over, and decided to go with the pellets. This decision was not made because I had problems with gels; it's that I simply didn't care to rub gel on every night for the rest of my life, remember to take medication with me when sleeping out of my home, or have a T-shirt on during sex soemtimes.
If you mean "soon" as in he didn't bump you up from 5 to 10 grams of gel (which would almost definitely bring you where you want to be considering you're at 500s with 5 grams), but instead just figured to put you on pellets, then I know what you mean.
However, as I wrote, pellets aren't a last resort; neither are gels or injections. It's what you desire AND WORKS that counts.
How do you know you're estrogen dominant just because one of your problem areas for fat gain is the abdomen considering that's where nearly all people gain fat initially when they over eat or are too sedentary. Ever figure you're carrying too much fat because your fitness routine and diet aren't up to speed? (Yeah, it can be that simple.) You don't diagnose elevated estradiol by looking at someone, unless there are very severe, discernible things evident (eg, gynecomastia, delayed puberty) - not through seeing someone's a bit bloated or where they have problem areas with fat.
About bloat and water retention... What DOCTOR diagnosed you with edema (real water retention, not just being a bit bloated).
Did you tell your doctor you take arimidex? If not, you're beign deceptive to the doctor, because if something unintentional happens with you (not getting desired results from what he prescribes), he will not be able to make necessary adjustments. Docs don't practice medicine by making recommendationsl; they practice by prescribing medication and performing surgeries. NO doc practices through writign on internet message forums, which is why we don't have one person on here qualified or in the position to counsel you on your situation. I don't know the credentials of everyone on here, but if ther eare some doctors on here, perhaps they are just lurking around or talking shop; they still are in no position to practice through the 'net.
How many pellet procedures have you gotten already. They are supposed to be done 3 to 5 months apart. WHO said they're not to be done at the same site? I've gotten one implant procedure done on Friday. I'll see in 3 to 5 months where he puts them again. I doubt he changes the location. Maybe he will, and maybe it's procedure to alternate buttocks with implants. I just want to know what COMPETENT MEDICAL DOCTOR said sites have to be alternated.