Her are opening notes:
-height: 5' 10"
-describe body and facial hair: Body: fairly hairy from the waist downward, light hard around navel and chest, medium beard thick head of hair
-describe where you carry fat and how changed: decent lean until around 3-4 years ago (estimate today is 23-26%). fat started around belly and is now in upper chest, pelvis, upper back and so forth
-health conditions, symptoms [history]: glucose always in mid-high 90's and recently 106, creatinine levels higher and kidneys are lower end of filtration capability
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: currently taking 100mg Cyp weekly, kelp (450mcg)
-- real dangers! see this http://propeciahelp.com/overvi...
-lab results with ranges: have LOTS of results but will include most recent:
see attachment (only figured out how to attach 1 image)
-describe diet [some create substantial damage with starvation diets] : Things I know do not help: sweets, ice cream, pizza, red wine, fast foot, etc. Also try to eat as freshly prepared meals as possible consisting of brocolli, grean beans, baked/barbequed chicken, etc and not have junk food more than 2 or 3 meals a week.
-describe training [some ruin there hormones by over training] : I used to swim 4-5 times a week for 6+ years (competitive swimmer) but 6 months ago, I found myself unable to wake up early enough (sleep quality decreasing). Most recently, I swim 1 time per week.
-testes ache, ever, with a fever? Started out with Testim and found them achy...could not stand the scent so I quickly stopped using it and went on to androgel. I did not have much more aches but noticed a small bit of shrink (size is restored within a few weeks of no T).
-how have morning wood and nocturnal erections changed : loss of these were what led me to investigate and research low T. Since I started TRT, I have noticed increases in both but now both are fleeting (probably on a hormone roller coaster). When I was less than around 42, 4-6 days of wood per week was normal.
Summary: Around 2011 my normal doctor noted potential creatinine issues (kidney function slightly lower than normal. We tested and the end result was that I was taking too many NSAIDS and test result was likely skewed by extreme swim work outs (sore muscles spike creatine levels which work the kidneys and result in higher than normal creatinine). Once I stopped freaking out, I started research in TRT (a couple of years earlier, a urologist found low T ~250).
Started therapy over a year ago with a renown endo in SF (measure LH, Prolactin, FSH...secondary was diagnosed). Had classic signs of low T but mostly found myself unable to sustain my focus at work (my work requires intense concentration...a moments laps could mean I have to spend 20 minutes re-organizing my thoughts). I also noticed that my swim performance was dropping off as compared to similar aged swimmers. My recovery times were increasing and I was starting to sustain over usage injuries (shoulders...typical in older swimmers). I also noticed libido had gone down and morning wood wasnt there, and climaxes were taking longer and longer.
Initially started with Testim. It seemed to have immediate impact and found had teen libido but could not stand the scent or the stickiness. Plus, it took too long to prep (jump out of the pool, come home, apply, wait to dry, then off to work). I tried Andro 1.6 but could not get my levels up whatsoever do went on to injections (initially 200mg/2 weeks, then 100mg/1 week on my own). All along, I read information and tried to get ahead and become aware of my therapy.
I ask several times about estrogen but my doctor seemed to sidestep the topic. The straw that broke the camel was that he wanted me to undergo a physical in addition to that of my normal practitioner (his cost: ~1200...my insurance will cover 1 per year).
So I spoke with my normal doctor and got a doctor nearby. As it turns out, I was correct in my assumptions on E2/Estradiol levels at 100mg/week Cyp injections. I decided to join this site and post my results and solicit feedback and suggestions. It is clear that some people are "givers" on this site which is really appreciated and is what compelled me to tell my story.
I've met with the new doctor and it seems like he is ok adding on AI as this was discussed. Thanks to this site, I knew what to discuss! Thanks.
Should I work toward balancing T and E2 or go on Metformin to lower glucose?
As of 7/12, I am on .5mg anastrozole EOD.