This is the email I sent to the endo and my PC doc. The endo doct responded that they wanted the Chief to review my email and referal before setting up an appointment. I have a feeling they are not going to want to see an informed patient. What does your doc have you doing for TRT Foxrun?
Email to Endo:
Dr. Y recommended that I contact either you or X to set up an appointment to discuss my testosterone levels and the symptoms I have been experiencing for approximately the last 15 months. A copy of the email I sent to Dr.Y is provided below this email to help provide some background to you (this includes T levels and symptoms i have been experiencing). The way I understand the treatment plan below to work (thanks to Google) is that the Testosterone Cypionate 200mg/week would raise my testosterone levels to the “normal” range, the Human Chorionic Gonadotropin (HcG) prevents testicular shrinkage and keeps my body producing testosterone naturally while on therapy, and the Anasrozole or some similar estrogen blocker to combat estrogen levels caused by the conversion of testosterone to E2 levels. To me this seems like the best way to get my levels back on track. I have no interest in using gels or creams due to the fact that I have 2 small children. Implantable pellets do not interest me either because of the need to implant them and the fact that they can cause uneven hormone levels. I want to find a way to treat this, get my hormones back on track, and keep them there without having to experiment with different delivery methods and prescriptions.
What is your experience with Testosterone Replacement Therapy?
In my opinion for TRT to be successful we should focus on a 3 pronged approach:
1. A source of Testosterone; administered weekly.
2. A low dose anti-aromatase (AI) to inhibit conversion of Testosterone to Estrogen.
3.HcG. This is necessary to keep my testicles from shrinking and undergoing permanent damage.
What are your thoughts concerning this approach to treating the low testosterone?
I realize I am not an endocrinologist or doctor but I have been living with this, the related side effects, and overall lower quality of life for some time and this has led me to research how best to get back to the old me. I do not take going on TRT lightly and I hope you take my thoughts and the information provided seriously.
I look forward to hearing back from you and if you are amicable to setting up an appointment. (I will probably need new labs done since my last ones were completed in September of 2013).
Email to primary care:
I hope this email finds you well. At my last annual physical we ran a full blood panel and had my testosterone levels checked and the results came back on the low side of reference range, 330.20 ng/dl to be exact. Lately I have noticed an increase of some things that I brought up during my physical which were bothering me. I have noticed that my sex drive is very low, almost nonexistent and that I never experience morning erections, I feel fatigued and tired a lot of the time, i am very moody, and easily irritated, and I seem to be packing on more weight around my midsection even though i have cleaned up my diet and increased the amount of exercise I do every week. Based on my symptoms above and the wonders of Google it appears to me that I am suffering from low testosterone or Hypogonadism. Everything I have read says that for my age I should have testosterone levels in the 800-1000 range and not the 300 range and that this low testosterone may be what is causing the other symptoms such as lack of interest in sex, fatigue, etc… I would like to know what you think I should do going forward to remedy this situation. Based on some recommendations for friends I made some inquires to a well know TRT clinic in Massachusetts, but they do not accept health insurance and I would prefer to have this documented in my medical files and shared between my providers. They recommend a treatment of Testosterone Cypionate 200mg/week, HcG, and Anasrozole. I am wondering if I should meet with an Endocrinologist or even you again to discuss all of this and see what my options are moving forward. I have done a lot of research on TRT and understand it is not something that should be taken lightly. I also think given the fact that I have 2 small children that the treatment plan laid out by TRT clinic makes a lot of sense. I really would like to be able to live my life without the symptoms mentioned above being part of my daily life. I would appreciate your professional opinion and recommendation regarding this matter.