I’m curious as to whether anyone knows of a good TRT doctor in the Memphis area. I’ve followed the recommendations in KSman’s post on finding a good TRT doctor, but the urologist I ended up with (based on a referral from a local compounding pharmacy) seems to be very old school in his approach (1 injection every two weeks/no a-dex/no consideration of HCG even upon my asking about both a-dex and HCG). He said that he “may” look at my E2 levels after the 8 week point when he has a peak/trough test scheduled.
A little about me… I’m a month from turning 38 and have been plagued by serious health issues since my late teens. I was always athletic growing up and initially attended the USMA at West Point before my back gave out (I was later diagnosed with ankylosing spondylitis at age 33, but not until after 16 years and at least 10 “specialists” had told me it was all in my head) and I started having serious nosebleeds (a complication from sinus surgery the previous year). After returning home, my health faded fast – I ballooned from a healthy 175 to over 220lbs in roughly a 2 year period.
Exercise was difficult due to severe back pain (I now know that my SI joints were in the process of fusing, which is a painful process until fusion is complete, which happened sometime around 30 years old for me). I fought like hell to get back in shape and was able to get back under 190 for my wedding at age 23, but by then I was already having serious issues with my libido and ED (not a good set of circumstances for a newly-wed!). My GP back then simply through a Viagra script at me and left it at that. Thankfully, my wife is nothing, if not patient and supportive, even after 15 years (June 5 will be our 15th anniversary).
Initially, my focus was admittedly NOT on the weight/sexual issues, but on the severe pain I was suffering from due to my AS. But once a really sharp physiatrist diagnosed me and referred me to a rheumatologist, my quest to quell AS’s inflammation began and after 4 years of switching from one protocol to another, I’m happy to say that my AS is well under control, which freed up my mind to focus on the gigantic elephant in the room…
Two years ago, my GP suggested checking my T levels after I explained my symptoms, which I had long ago chalked up to AS, which often mimics some of the symptoms of low-T (severe fatigue, hyperalgesia, etc.) My total T came back at a whopping 162!!! He initially prescribed Androgel, but didn’t do any further monitoring of my E2, etc. For better or worse, it simply did not help. Rather than feeling better and more energized, the opposite occurred and I ended up ballooning well past my previous heavy weight of 242 to nearly 280lbs (none of it being additional lean muscle!).
That is when I started really digging into the science and educating myself about what could be going on inside my body. I asked my GP to run some additional tests, etc., and when the results came back, he referred me to a urologist (a/k/a the “Pontius Pilate” maneuver). Rather than blindly accepting the referral, I followed the steps in KSman’s post about finding a TRT doc, and found another doctor in the same practice that my GP had referred me to who allegedly knew what he was doing.
Upon retest, my total T was 189 (I forget offhand what my free-T was, but with Total T that low, it couldn’t possibly be much). He put me on self-administered T-injections at 2 weeks apart… I asked about smaller, more frequent injections to avoid the highs and lows, etc., in addition to asking about Arimidex and HCG. I was basically scoffed at.
That experience is what led me to post this question here. I have two small kids and want my life back, as much for their sake as mine. On the current path I’m on, I am not optimistic about my chances of being around more than 10 years and I’m committed to doing whatever in the heck it takes to change that.
For a long time when I was in so much pain from my AS not being under control, I admit that I lacked the focus, energy, and (pardon the pun) the testicular fortitude to change my lot in life. Now that the circumstances have changed, I don’t want my quest for help to be hindered by some half-a$$ed doc who is just “mailing it in” and doesn’t really understand the real-life (as opposed to theoretical/academic) interplay between T/FSH/LSH/E2/SHBG, etc., and how that interplay affects the lives of his patients.
Any help/referral that someone could offer would be greatly appreciated. Thanks for all you do (I’ve been reading for a while, but haven’t posted until today); it is VERY helpful!