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Testosterone Replacement Therapy For Men: my experience

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 Posted 2/14/2012 8:29:20 AM
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If by "balanced," you mean that they are within the normal range for a younger person then yes, that is an optimal situation for health.  Some hormones metabolize into other hormones that you may not want to increase, which is one reason why repeat testing is needed (in addition to aiding in the determination of a proper dose).  If you just added testosterone, you may increase your level to an optimal range for a younger person, or some of it could be metabolized into other hormones, which is one reason why it is good to have several of them evaluated.  However, some men just use testosterone with good results. 

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 Posted 2/14/2012 10:17:51 AM
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Thanks
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 Posted 2/14/2012 10:19:58 AM
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Thanks...will read the articles she suggested.
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 Posted 2/27/2012 2:19:15 AM
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Hey folks! I haven't logged in to LEF circa 2009 and used to go by the name, "over40mule" I found a great HRT clinic and prices 20-30% cheaper. I just had my blood work done for $150.00 at LabCorp where other HRT clinics wanted 500.00!
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 Posted 2/27/2012 4:10:45 AM
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Welcome back.

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jfp
 Posted 3/1/2012 4:54:30 PM
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Anyone here have experience with HRT treatment after PCa treatment (ADT or IMRT)? My uro is a little reluctant to prescribe because of the cancer history.
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 Posted 3/2/2012 3:48:07 PM
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Just discovered the LE Forums and am pretty amazed at this incredible resource.   TRT (testosterone replacement therapy) can be administered logically, rationally, and with a scientific basis.  First main issues are what are the baseline test results? 

These should include baseline total and free  testosterone levels which are commercially available through many labs including LE lab. If you wish to be very scientific about this then you also want PSA, estradiol, DHT, fasting prolactin level.  The reason for this is that if there is occult  PC (prostate cancer)present, the  TRT (testosterone replacement therapy)will result in a serial increase in  PSA.  Also, as the  testosterone level increases, it will be metabolized via aromatase to Estradiol (E2) which if the level becomes significantly elevated will result in breast enlargement + nipple sensitivity etc. Therefore, monitoring E2 is important and there may be a need for the use of an aromatase enzyme inhibitor  e.g., Arimidex, Aromasin. 

Same issue with DHT since T  → DHT via the enzyme  5ARI (5-alpha reductase inhibitor), you should consider getting a baseline DHT level (blood) and rechecking DHT once you have good  testosterone levels.  If DHT is getting up there, then you may wish to discuss with your MD using Avodart or Proscar.  I prefer Avodart since more potent an inhibitor of 5AR.   Reason for checking prolactin is that E2 increase will increase prolactin and you do not wish this to occur since prolactin will increase nipple sensitivity and lower libido.  

These are some of the recommendations I would make.  

I am just looking at the forums to see how they operate so do not count on me watching the forum. 

Stephen B. Strum, MD

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 Posted 3/2/2012 4:07:27 PM
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Has anyone tried either boron or D-aspartic acid?

A recently published study showed boron supplementation increased testosterone by 28%.

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 Posted 3/4/2012 2:39:56 PM
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Welcome to the Forums, Stephen and Andy!

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 Posted 8/26/2013 10:28:47 AM
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Androgel is bioidentical. 

The problem you ran into was an unscrupulous doc. Any physician that sells you drugs or supps should be scrutinized very carefully, particularly if they wont provide you with an Rx you can take to your local drugstore. 
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