I went for my annual physical in May and told the doctor I had been feeling tired and been having some problems with ED. He said he would check my T levels and Vitamin B12 on my blood tests.
Height - 5’-8"
Weight - 203 lbs
Hair - no hair loss, hair arms, chest & back
Symptoms - tired all day long especially afternoons, erection problems, moody, carry fat in mid-section only, muscle cramps at nights mainly in calves, joint pains in shoulders and elbows
Exercise - Lift 5 days a week for 30 - 45 minutes a day.
Diet - Average - try to watch simple carbs but not on a low carb diet
Past medical - vasectomy in 2008 - double hernia surgery 2010
Total Test - 231 ng/dL range 348-1197
TSH - 5.660 ulU/mL range 0.450-4.500
Vitamin B12 - 391 pg/mL range 211-946
Cholesterol - 185 mg/dL range 100-199
Triglycerides - 70 mg/dL ragne 0-149
PSA - 1.3
Doctor prescribed Androgel 1% 5 grams a day. On the Androgel 1% after a couple of weeks I notice small increase in energy, faster recovery from workouts and a decrease in joint pain. I requested to be changed to the 1.62% after the 1st month, I travel some for work and the 1% packets would fall out of the box and the box was damaged and with it being a controlled substance I didn’t want to risk getting caught without the script another benefit was less gel to use. After week 5-6 noticing the fatigue was back and erections were almost non-exitant.
Blood tests after 2 months on the Androgel:
Total Test - 137 ng/dL
TSH - 5.950 ulU/mL
T4 - 6.7 ug/dL range 4.5-12.0
Talking with the doctor on another matter I had told him the fatigue was back. I also ask about E2 levels to which he replied no need to worry unless you start getting man boobs.
When they called back with the test results they prescribed 200mg of Test Cyp once a month and blood test again in 3 months. I had to ask about the TSH level increasing and if they were going to do anything about that, they prescribed 25 mcg of Synthroid a day.
Should I stay with the current doctor or ask him for a referral to the only endo in the area? My family has been seeing this doctor for years and he has been great but I don’t want this to drag on for years while they experiment. I also don’t want to go to another doctor and get completely pulled off of all meds and have a crash.