Doctor "fixing" my test??

oldark · 03-06-2008, 12:58 PM

It's 375 tested, with high TSH (over 2.5 is "high" according to doc), and high estrogen (over 30 according to doc) - cortisol was 11.5.

So he gave me the cream, 75mg concentration if I read it properly. Says rub on 1mL worth each morning. So that's 75mg a day right?

Question for everyone: what results to expect here? Our goal is to "fix" testosterone to the 600-700 level. Is there a stronger concentration cream or do we have to move to gels or shots?

Any advice?

(I'm 37, male, eat healthy, workout, and take naps at about 5:15pm daily ha!)

whitegato1488 · 03-06-2008, 04:15 PM

i was getting an alcohol gel at 100mg and from what i read is its got a 15% intake rate. so your not getting all of it in your system.

oldark · 03-11-2008, 03:32 PM

OK UPDATE

---------------------------

There are no other doctors here in my area, and this one seems not to favor injections. So if the concensus is to "change doctors" I will need some help finding one that my PCP could contact with my situation and my blood work.

ALSO - asking for doctors and HRT/TRT clinics in the US is NOT asking for illegal steroid sources. Seriously people, the reason we are wanting HRT/TRT is for healthy, legal, manageable and knowledgable solutions to what is wrong with us. Thank you to the person who responded to my PM, but again this is not "asking for sources" to get illegal steroids.

Just wanting some help that googling "HRT testosterone clinics" might not get me.

Thanks in advance.

whitegato1488 · 03-11-2008, 05:28 PM

are you worried about insurance covering it?

thenxtgrt1 · 03-11-2008, 07:37 PM

Quote:

Originally Posted by oldark

OK UPDATE

---------------------------

There are no other doctors here in my area, and this one seems not to favor injections. So if the concensus is to "change doctors" I will need some help finding one that my PCP could contact with my situation and my blood work.

ALSO - asking for doctors and HRT/TRT clinics in the US is NOT asking for illegal steroid sources. Seriously people, the reason we are wanting HRT/TRT is for healthy, legal, manageable and knowledgable solutions to what is wrong with us. Thank you to the person who responded to my PM, but again this is not "asking for sources" to get illegal steroids.

Just wanting some help that googling "HRT testosterone clinics" might not get me.

Thanks in advance.

I agree Oldark. I asked in a separate thread "How does one go about finding a good HRT doc?" and it was moved to 'Steroid' forum. There was no previous talk about steriods in any of the posts. So I still don't get it..

muscle_bound · 03-12-2008, 06:54 AM

I think I saw a while back where pmgamer had a link to a drug company that you could email and ask who prescribed pellits which would be a good indication that the doc was hrt/trt. You might PM him and see if he can post it.

oldark · 03-12-2008, 09:08 AM

Insurance covers both doc visits and prescription copays ($20 each). Nice huh?

So I was able to find via google a Michigan guy, Crisler I think (also thanks for the pm). He seems legit.

But google also found me youth-rx and a few other places (Boca Raton, Miami, Alpharetta, etc). All had these great looking websites with tons of forms to fill out. All offer test, GH, and more. And all have pricing. In fact one even had a price list and a form to fax in with my credit card number. But after emails and even a phone call or two, no responses. Uh, how do you spell s-c-a-m??

So you can see my worries. I don't want to use an UGL and administer my own therapy (and track blood myself). I'd rather have an expert that I can talk to and trust, as well as a legit script for the stuff.

All help is thanked!!

keith1958 · 03-12-2008, 09:31 AM

Quote:

Originally Posted by oldark

Insurance covers both doc visits and prescription copays ($20 each). Nice huh?

So I was able to find via google a Michigan guy, Crisler I think (also thanks for the pm). He seems legit.

Dr. crisler is a great doctor and very legit. I think you must pay him and deal with the insurance yourself.

oldark · 03-12-2008, 09:53 AM

Thanks Keith, yeah was in touch with them. Sounds like I just need to have my PCP contact Dr. Crisler. He will then tell my PCP what to prescribe. Nice in that he doesn't actually prescribe it doesn't sound like. But yeah, seems very knowledgeable and legit, and when you live in a town of 20,000 there aren't a lot of choices for experts in this field. And yes, I'd pay Dr. Crisler then submit it to the insurance (which will probably only cover like half, expecting the doc to write off other half, so it would therefore be more than $20, but still worth it). But I think I can still go to my local compounding pharmacy for prescriptions (so $20 copay there still would probably apply)....

Thanks again!

matt9914 · 03-13-2008, 06:24 PM

Quote:

Originally Posted by oldark

It's 375 tested, with high TSH (over 2.5 is "high" according to doc), and high estrogen (over 30 according to doc) - cortisol was 11.5.

So he gave me the cream, 75mg concentration if I read it properly. Says rub on 1mL worth each morning. So that's 75mg a day right?

Question for everyone: what results to expect here? Our goal is to "fix" testosterone to the 600-700 level. Is there a stronger concentration cream or do we have to move to gels or shots?

Any advice?

(I'm 37, male, eat healthy, workout, and take naps at about 5:15pm daily ha!)

the ideal is to use gels, cream and patches, adjust them as need to get you to proper levels, THEN go to testosterone seeds that last 6 months

keith1958 · 03-14-2008, 04:02 AM

Quote:

Originally Posted by oldark

Thanks Keith, yeah was in touch with them. Sounds like I just need to have my PCP contact Dr. Crisler. He will then tell my PCP what to prescribe. Nice in that he doesn't actually prescribe it doesn't sound like. But yeah, seems very knowledgeable and legit, and when you live in a town of 20,000 there aren't a lot of choices for experts in this field. And yes, I'd pay Dr. Crisler then submit it to the insurance (which will probably only cover like half, expecting the doc to write off other half, so it would therefore be more than $20, but still worth it). But I think I can still go to my local compounding pharmacy for prescriptions (so $20 copay there still would probably apply)....

Thanks again!

I live in a town of 5000 so I know what you mean about small towns. I am lucky I found a young DO. that is really into HRT. He doesn't know a lot about it but is very good and trys new things. I have 2 insurances so I am very lucky that way also. Good luck and keep us posted

pmgamer18 · 03-14-2008, 09:55 AM

oldark you missing something here when I was on a cream it was 10% testosterone with DHEA in it and I did 150mgs a day. It's not about the dose it's the % if your cream has 5% testosterone in it and this is what I started with and your levels don't come up in 6 weeks up the dose. Test again in 6 weeks and if still low order 10% cream. Bottom line is you need to get your Total and Free Testosterone up into the upper 1/3 of your labs range. And to keep your Estradiol down between 10 to 30 best at 20 pg/ml. Doing this takes time for some to get tuned up it can take 6 months to a yr.

Your cortisol at 11.5 if a morning fasting test is dam low. You can't go on thyroid meds with low cortisol you need cortisol to carry the thyroid hormones out of the blood into the cells. If your cortisol is not high enough the hormones pools in your blood making you feel worse some end up in the ER thinking they are having a heart attack.

You need Isocort of Cortef 20mgs taking 5mgs 4 x's a day to support your adrenals then you go on Armour or the other meds and go up on the dose slow starting at a lower dose not to stress your adrenals more. Here is a good link about this.
http://www.livingnetwork.co.za/heali...s_thyroid.html

Bad adrenals and Thyroid can and will make you feel dam bad also most of us with a thyroid problem have low Ferritin levels and need Iron get this checked.

Quote:

Originally Posted by oldark

It's 375 tested, with high TSH (over 2.5 is "high" according to doc), and high estrogen (over 30 according to doc) - cortisol was 11.5.

So he gave me the cream, 75mg concentration if I read it properly. Says rub on 1mL worth each morning. So that's 75mg a day right?

Question for everyone: what results to expect here? Our goal is to "fix" testosterone to the 600-700 level. Is there a stronger concentration cream or do we have to move to gels or shots?

Any advice?

(I'm 37, male, eat healthy, workout, and take naps at about 5:15pm daily ha!)

keith1958 · 03-14-2008, 10:45 AM

Quote:

Originally Posted by pmgamer18

oldark you missing something here when I was on a cream it was 10% testosterone with DHEA in it and I did 150mgs a day. It's not about the dose it's the % if your cream has 5% testosterone in it and this is what I started with and your levels don't come up in 6 weeks up the dose. Test again in 6 weeks and if still low order 10% cream. Bottom line is you need to get your Total and Free Testosterone up into the upper 1/3 of your labs range. And to keep your Estradiol down between 10 to 30 best at 20 pg/ml. Doing this takes time for some to get tuned up it can take 6 months to a yr.

Your cortisol at 11.5 if a morning fasting test is dam low. You can't go on thyroid meds with low cortisol you need cortisol to carry the thyroid hormones out of the blood into the cells. If your cortisol is not high enough the hormones pools in your blood making you feel worse some end up in the ER thinking they are having a heart attack.

You need Isocort of Cortef 20mgs taking 5mgs 4 x's a day to support your adrenals then you go on Armour or the other meds and go up on the dose slow starting at a lower dose not to stress your adrenals more. Here is a good link about this.
http://www.livingnetwork.co.za/heali...s_thyroid.html

Bad adrenals and Thyroid can and will make you feel dam bad also most of us with a thyroid problem have low Ferritin levels and need Iron get this checked.

Phil is there a blood test for cortisol?

bighaig · 03-14-2008, 02:00 PM

Yes, there is a cortisol test. Mine was CORTISOL 5.5 (8.7 - 22.4 ug/dL).

PMGamer gave me a link to a lab site. This combo pack has a cortisol test http://www.canaryclub.org/content/view/247/94/. I am sure they may also have lesser cortisol test bundle.

oldark · 03-14-2008, 03:37 PM

Cortisol was tested, but I dont' remember the exact "name" of the test.

Also, pm, my testosterone cream prescription (per the pharmacy) is 75mg/gram. They said that translates to a little less than 10%. Does that sound right? What do I have you think? A standard first dose shot? I plan to follow doc's orders for this first month and go back and check blood work again. Although a friend said try this 1 gram a day thing for 2 weeks then go up to 1.5 or 2 grams per day. Thoughts on that?? Sounds like you were on the 2 grams a day thing (150mg), right?

Thanks man!!

pmgamer18 · 03-15-2008, 07:59 AM

Yes and all it said was 10% take 150mgs Testo this was many yrs. ago I get it from Collage Pharymacy.
http://www.collegepharmacy.com/mensh...andropause.asp
I had called them when I was on Testim and they told me my dose of cream was 2x's as strong as the Testim at 10 grams. I did good on this for yrs. until one day it was made thicher do to complaints from women that used it saying it was to thin and it ran off there arm. When they changed it and sent it to me I would not get it out of the bottle. I used a plastic syringe to pull it out of the bottle I called them and they told me they could not make it thiner of just on person. So that was it at the time the patch just came on and I went on that. I would not change my dose because someone did better at a higher dose. You need to do what your Dr. is telling you any Dr. that uses compounded Creams knows what he is doing. You need to keep at this dose test when he tells you and go up if needed after a test. It takes time to get on the right dose and it is not the same for every one. So what your trying to do it to get your Total and Free T levels up into the upper 1/3 of your labs range for a young man. And always test your Estradiol and keep it down between 10 to 30 pg/ml best at 20 doing this you should be back to your old self. If your body does not need a higher dose of T it will convert into Estradiol and if this is to high it undoes all the good the T dose.

A cortisol test is called Cortiosl test. If done in Blood and should be checked this way first you need to do this as a fasting test and get the blood taken as early as you can.

Quote:

Originally Posted by oldark

Cortisol was tested, but I dont' remember the exact "name" of the test.

Also, pm, my testosterone cream prescription (per the pharmacy) is 75mg/gram. They said that translates to a little less than 10%. Does that sound right? What do I have you think? A standard first dose shot? I plan to follow doc's orders for this first month and go back and check blood work again. Although a friend said try this 1 gram a day thing for 2 weeks then go up to 1.5 or 2 grams per day. Thoughts on that?? Sounds like you were on the 2 grams a day thing (150mg), right?

Thanks man!!