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[Guest guest]

Hi Lee / Sheila

Both of your posts were very useful and I thank you kindly.

I should have mentioned initially, I have had both a short synacthen test and an a.m serum cortisol prior to commencing testosterone replacement therapy. The short synacthen came back 'normal'. Not a pleasant experience I must admit. I could not get a copy of the results. The serum cortisol test revealed the following:

572 nmol /L (218 - 876)

Additionally, prior to commencing testosterone the following were also taken:

B12: 1017 ng/L (190 - 910)

Folate: >20.0 (2.5 - 20.0)

Ferritin: 253 ng/l 22 - 322

I habitually supplement with D3 at 3,000 IU daily. I have done so for quite some time. I also take supplemental Zinc 30mg in the am, and 600mg magnesium citrate in the pm.

My lack of testosterone is indeed secondary; hypogonadotropic hypogonadism (quite the mouthful). My LH and FSH are low / normal with very low testosterone production. I have been on treatment for 12 months. I self administer (with prescription) a testosterone injection, 100mg, in a divided dose throughout the week. My oestradiol is well controlled. I do take an aromatase inhibitor for this: arimidex, 0.25mg every other day. I also have HCG (pregnyl) 150 IU every other day too, so I do not take DHEA. I follow the treatment protocols for this of Dr Crissler, a US testosterone replacement specialist: www.allthingsmale.com

My testosterone treatment has been excellent thus far to be honest. I have 3 monthly evaulations with my endoprat (lol) for the testosterone, FBC and PSA routinely performed. The testosterone has made a very real and large impact on my quality of life, but something is still lacking. I have regained sexual functioning however fatigue and other hypothyroid symptoms persist.

So, do we feel that I should

1. Discontinue the T3

2. Commence hydrocortisone or increrase NAX?

3. re start the t3 at a later date?

I would like to sincerley thank you both. This has been such a rollercoaster and I would like to do what I can to address these problems I have. I am still a young guy and would like to put all this past me.

Thanks everyone,

Dave