by Biologist » Sun May 10, 2009 9:45 pm
Hi, Craig.
Based on your numbers, you are an excellent candidate for TRT. Congratulations for getting on the right track. You have not mentioned if you have read Dr. Shippen's book. You could order it here or find it in a library.
*http://www.amazon.com/Testosterone-Syndrome-Critical-Sexuality-Reversing-Menopause/dp/087131858X/ref=pd_bbs_sr_1/103-8409589-8095012?ie=UTF8&s=books&qid=1191943414&sr=1-1
If you have been ONLY on Androgel for a while, by now you should be feeling pretty bad.
You did not mention your estradiol level. To me, that implies that it probably was not tested. That also implies that your doctor is not competent in TRT (like my original doctor was not and the vast majority of primary care doctors are not). He may be good at almost everything else in medicine, and be a great guy, but he does not know what he is doing with your therapy. Sorry to be so blunt. You have to educate your doctor is some areas of medicine which include TRT. They simply were not taught in med school and it is not a topic for continuing education classes. Or find one who already knows.
As an example, you almost certainly need to be on low dose Arimidex to control testosterone conversion to estradiol. It's generic name is anastrozole, and its cheap as a generic. You would likely need about 1/2 of a milligram every three days. If you do not take it, your ratio of estradiol to testosterone will get too high and that is the same has being too low on testosterone regardless of how high your levels of testosterone are. You need proper testing and a doctor who knows what he is doing. They do not necessarily charge more. You just have to find them. (Or teach them. Give them the info.)
Among other things, my left shoulder and hip hurt when I let my levels get low. Mentally and physically, I do much better now and appear to be continuing to improve in all areas, partly or mainly, due to having more youthful levels of testosterone now. My energy levels have increased significantly. I still have fatigue after even moderate exercise, but I have some theories on the problem; I believe it is due to liver damage, but that may be improving too.
My statin problems are/were too numerous for me to want to try to comment on them all right now. Many have gone away over the months or are not nearly as bad. Time alone may do that. Supplements have probably helped. There is no way for me to know for sure. The biggest single jump was getting my testosterone levels corrected.
Let me mention this: One of the major theories for aging and disease is a decline in important hormones -- which happens as we get older whether we accelerate the process with statin damage or not. Another theory is high cellular oxidation levels. Me and you (and everyone else on this forum) are counting on the first (i.e., hormones) being more real than the second (i.e., oxidative damage). Why? Because we have done significant damage on the oxidation scale already. We have torn up mitochondria that spew atypically high levels of oxidants (which we keep under control with CoQ10 supplementation which is one of the two major antioxidants that can actually get inside mitochondria and prevent more oxidative damage). And remember, from what we read, if it is to be believed, there has never been any proof that taking a lot of antioxidants increases life spans. But we, in particular, should probably still take them. I certainly do. (Women on this forum should also consider getting their hormone levels checked including for testosterone -- and don't even think about anything other than bio-identical hormones. If you watch "The Doctors" you would have seen a recent episode with "Dr. Phil's" wife, Robin McGraw. She can set you straight there. Search for her YouTube videos.)
While looking for the Amazon URL for Dr. Shippen's book, I found this one which I just ordered. It certainly is new enough. (Dr. Shippens is real good, but older.)
*http://www.amazon.com/Andropause-Mystery-Unraveling-Truths-Menopause/dp/0970706103/ref=sr_1_4?ie=UTF8&s=books&qid=1242000678&sr=1-4
This is the one I want:
*http://www.amazon.com/Cardiovascular-Endocrinology-Pathways-Crossroads-Contemporary/dp/1588298507/ref=sr_1_11?ie=UTF8&s=books&qid=1242000774&sr=1-11
I will get it maybe after finishing some of my other medical textbooks, if I get the time in the future. (It's 100 bucks.) I will be interested in seeing if I can confirm a finding I made on my own recently. I now believe the reason that HCG used by itself as a TRT therapy does not always yield the same good results (as has been reported by the major HRT doctors) as testosterone and HCG combined, is due to the action of that hormone on the thyroid gland. My TSH levels increased significantly in a trial indicating that the hormone was interacting with the thyroid gland (and giving lower T3 & T4 readings/levels); and we already know that the two molecules (i.e., TSH & HCG) are similar in structure. Using less HCG does not appear to cause this problem.
Other than what I have mentioned that I have experienced, note the following regarding testosterone and the heart from page 82 of Dr. Shippen's book. He writes the following:
"The following cardiovascular risk factors INCREASE as testosterone DECREASES:
* Cholesterol and tryglyceride levels go up
* Coronary artery and major artery dilation diminish
* Vasoconstriction and greater risk of cardiac events
* Rising blood pressure
* Increased insulin output, which leads to obesity, elevated blood pressure, adult diabetes, and increased cortisone output
* Increased central abdominal fat; increased waist/hip ratio
* Increased estrogen levels in men -- associated with higher stroke and heart attack rates
* Increased lipoprotein A
* Increased fibrinogen -- the basis of most blood clots (combined with a simultaneous drop in plasminogen, our natural clot buster
* Decreased human growth hormone (HGH) output, leading to a decline in energy, strength, stamina, and heart muscle mass and output
* Decreased energy and strength, causing decreased physical activity thereby leading to obesity -- the vicious cycle of the male menopause"
Biologist