So...my journey began the beginning of January when I got back the test results from my annual physical.
But first, about me:
45 this July 1st
378.5 (23.7 lbs lost since diet began 6 weeks ago with a high of 402.2)
-describe body and facial hair
Sparse. Quarter American Indian...none of the family is very hairy. Decent goatee...too many bald spots for a good beard...thin mustache.
-describe where you carry fat and how changed
I carry it all over at this point, but more heavily around the middle. Started gaining quickly 12 years ago when my wife was pregnant 51 lbs. Slowly ramped up since.
-health conditions, symptoms [history]
Compression fracture of the L2 1983. Worked out heavily to rehabilitate and became a Weider disciple.
Diagnosed with GERD in 95. .
Diagnosed with borderline high BP in 96.(diastolic hovers between 85-90 untreated).
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
Mycardis HCT 80/25 for BP. (usually around 140/70)
Zantac 150mg 2-3/day for GERD.
Never any hair loss or prostate drugs.
Androgel 1% 5mg/day for last 2 weeks, was 7.5mg/day for 12 weeks prior, (this has been changed to Test Cyp 200mg/ml .25ml E3.5D starting next week).
Anastrozole 3mg/week divided ED (This has been changed to 1.5mg/week divided 3 times per week by new doctor, and per advise from KSman)
-lab results with ranges
1/7/11, 7:38am draw (pre HRT)
TT 100 (241-827 ng/dL) L - No FT or E2 taken at this time
TSH, 3rd Generation 1.22 (.040-4.50 mIU/L)
T4, Free 1.1 (.8-1.8 ng/dL)
Cholesterol, Total 137 (125-200 mg/dL)
12 hour fasting Glucose 104 (65-99 mg/dL) H note...this is before starting on a diet.
A1c 6.2(<5.7% of total Hgb) H
AST 20 10-40 U/L
ALT 29 9-60 U/L
2/2/11, 7:29am draw
Glucose 114 66-99mg/dL
TSH, 3rd Gen. 1.80 0.40-4.50 mIU/L
T4, Free 1.3 0.8-1.8 ng/DL
ACTH, Plasma 22 7-50 pg/mL
Cortisol, Totl 12.5 mcg/dL
FSH 1.3 1.6-8.0 miU/mL
LH 2.1 1.5-9.3 miu/mL
Prolactin 7.7 2.0-18 ng/mL
TT 113 241-827 ng/dL (after 6 weeks of Androgel 1%, 5mg/day)
E2 54 13-54 pg/mL
PSA, Total 0.8 < OR = 4.0 ng/mL - test performed using Siemens chemiluminescent method
Hemocrit 43.8 38.5-50.0 %
AST 19 10-40 U/L
ALT 25 9-60 U/L
MRI on the Pituitary was ordered at this point and came back negative
4/7/11, 7:21am draw
FSH <.07 1.6-8.0 mIU/mL
E2 42 13-54 pg/mL - began Anastrozol 1mg/week, 11 drops EOD
PSA, Total 1.2 < OR = 4.0 mg/mL - test performed using Siemens chemiluminescent method
TT,(LC/MS/MS)? 120 250-1100 ng/dL - after 6 weeks Androgel 1%, 7.5mg/day
FT 31.1 35.0-155.0 pg/mL
5/11/11, 7:38am draw
TT,(LC/MS/MS) 602 250-1100 ng/dL - after 5 more weeks Androgel 1%, 7.5mg/day (changed application area)
FT 146.3 35.0-155.0 pg/mL
E2 38 13-54 pg/mL - increased Anastrozol to 2mg/week 9 drops ED after results
6/22/11, 7:28am draw
TT,(LC/MS/MS) 604 250-1100 ng/dL - after 5 more weeks Androgel 1%, 7.5mg/day (changed application area)
FT 176.6 35.0-155.0 pg/mL
E2 32 13-54 pg/mL - increased Anastrozol to 3mg/week, 13 drops ED after results
-describe diet [some create substantial damage with starvation diets]
Currently on a diet consisting of 2 meals of Myoplex Shakes, one regular balanced meal, and 2-3 snacks. The usual is a 17oz Myoplex shake for breakfast or lunch http://eas.com/product/myoplex-original-ready-to-drink. If I eat breakfast, it's 2 scrambled eggs, 2 turkey sausage links and possibly a bagel with orange juice. If I eat lunch it's usually some sort of turkey wrap or chef salad with a vinaigrette. Dinner is 2 11oz low carb EA shakes http://eas.com/product/advantedge-carb-control-ready-to-drink. Snacks are some nuts, usually pistachio, carrots, broccoli or occasionally a trail mix with low as possible sugar. I am maintaining 1100-1800 calories a day with occasional splurges on my one meal. Haven't gone above 1900 in the last 6 weeks.
NSI Mega EFAÃ??Ã?Â® Omega-3 EPA & DHA -- 2.126 grams per serving http://www.gonsi.com/...ku-835003005017
NSI CoQ10 -- 100 mg x2 per day http://www.gonsi.com/...ku-835003004560
NSI Chromium Picolinate -- 500 mcg x2 per day http://www.gonsi.com/...ku-835003004126
NSI SynergyÃ??Ã?Â® NutriSlim Low Carb Dieter's Basic Multi-Vitamin http://www.gonsi.com/...835003001552NSI
NatureMade D3 2000iu x2/day (will switch to 5k ui/day once these run out per suggestion from KSman)
Will be looking into some probiotics, Acetyl L-Carnatine and Lipoic Acid based on KSman's recommendations. Also will be changing my multi-vitamin.
-describe training [some ruin there hormones by over training]
Very little training at the moment. Swimming for an hour 3 times a week is about all my back allows right now. As I lose some weight I'll be adding walking, and then running to the mix. Have mo plans to start lifting again until I lose at least 100lbs and figure out a way to pay for it.
-testes ache, ever, with a fever?
Occasional ache in the last few weeks. Doesn't last long...no fever.
-how have morning wood and nocturnal erections changed
Don't have morning wood other than the occasional piss hardon. Don't have nocturnal erections either. Had a period of about 3 weeks when I felt back to normal when I first started androgel, as is usual, but then quickly went back to feeling like shit.
The whole interest in this was sparked by two things. First, I hit 400lbs shortly after my 44th birthday and the low carb diet I was on wasn't doing shit. Second, I had been feeling progressively crappier but was chalking it up to getting older and being grossly obese. Right before my annual physical in January, I heard one of the commercials that have been playing about bio-identical HRT, and when they went down the list of symptoms of low T, I could say yes to about 2/3 of the list. So I asked my primary care doc to throw a TT on the blood work and it came back at 100. From there, we decided to try an Endo since my glucose was borderline as well (prior to finding this site, mind you). He put me on 5mg/day of Androgel and told me that I was making Estrogen from being fat, and that I needed to lose weight (you think?). Not feeling real great about his lack of feedback, I started doing some research, which led me here.
Needless to say, I wasn't too thrilled when I read how much he was likely to suck, which he confirmed my next visit when I brought him a bunch of studies I printed out, that were referenced here, and asked him about Anastrozole. Since he wouldn't put me on it, I bought it myself and went from there...starting at 1mg/week and up to 3mg/week.
Once it was clear that I wasn't getting anywhere, I took KSman's post advice about finding an hrt doc, called the compounding pharmacist, got a recommendation and made an appointment. In the meantime I contacted KSman via PM, and he patiently put up with a week worth of back and forth questions and got me pointed in the right direction. I can't thank him enough.
That appointment was today. He listened to me for 30 minutes about what I wanted, what I expected, and what I had read here. He then prescribed 100mg of Test Cyp per week, 1.5mg of Arimidex in 3 .5mg doses per week, and a cycle of 250iu EOD of HCG to start me off, with a follow up in 6 weeks to review blood tests. He also ordered TSH, fT4 and fT3 which I should have back by the end of the week.
So I decided to stop lurking, put up my thread, and once again publicly thank KSman for all his time and effort in putting up with yet another noob he didn't know from Adam.
And also a thank you in advance for anyone else who chimes in on yet another thread by a noob.