Re: New to low t and androderm SF Bay area Hypogo docs?

[Guest guest]

Hi Bob,

You can find a good doc. Here are tips:

There are two steps to finding a good doctor who treats hypogonadism:

Making a list of possible doctors near you, and then pre-qualifying the one

you want.

1. Finding possible docs near you (note: A doc being on someone's list

doesn't mean he/she's qualified.)

Contact a compounding pharmacy. They can probably tell you the name of a

good doc. Ask for one that orders testosterone and hCG. Look under

Compounding Pharmacy, in the Files section here, or do a web search. One is

Collage Pharmacy in Colorado, (800) 888-9358 or (719) 262-0022, or go

online: http://www.collegepharmacy.com/ and click " Find a Health Care

Provider " . There's a form to fill out. Submit the form & they'll e-mail a list

of

docs nearest you. Other online pharmacies that might know: Strohecker's

Pharmacy, 2855-A S.W. Patton Road, Portland OR, 97201 Tel: (503)

222-4822 Fax: (503) 222-4868

www.stroheckersrx.com

Kronos Compounding Pharmacy, 3675 S. Rainbow Blvd. #103, Las Vegas,

NV 89103-1059 Toll-Free 1-800-723-7455

http://www.kronospharmacy.com/

B. Go to:

http://www.tuneupyourt.com/

and click on the Find a Doctor menu. These aren't guaranteed to be

competent, but they've shown an interest in TRT.

C. There's a Physician Reference table in the Database section on this board,

with names people here have recommended. (If you find a good hormone

doc, post his/her name there.)

2. Pre-qualifying and selecting the right doc

A. Call the doc or his staff and ask:

i. How many men he/she treats, if he/she uses hCG, Arimidex to keep E2

down and checks for Primary or Secondary Hypogonadism.

ii. If they can't or won't answer satisfactorily, move on & call the next doc.

----

What to do about the Androderm? If it was me, I'd discontinue it, but I don't

like

to advise people to start of stop a medication. Another week on it won't hurt,

although it might delay tests a little longer. Why don't you find a doc, & ask

him/her or the staff what you should do?

DIM is a supplement, basically a concentrated dose of the good stuff in

cruciferous vegetables. It helps the liver metabolize estrogens. You don't need

to know too much about it yet.

Primary hypogonadism means testicles cannot make T. This limits therapy to

TRT. Secondary hypogonadism means testicles can make T, but aren't

making enough of it. Treatment can be either TRT or a therapy that stimulates

testicles to make T. Stimulation therapy is preferred when preserving fertility

is

important.

Best,

Bruce

>

> Any doctors knowledeable in Hypogonadism in San Francisco Bay Area

(live in east bay, work in silicon valley...found my current " internal medicine "

doc at camino medical group...near work)

>

> What is DIM?

>

> What is primary vs secondary hg?

> Thanks

> bob

--

[Guest guest]

Hi Bob,

I don't have personal experience with stimulation therapy. What I know is

gathered from others here. In a nutshell, stimulation therapy involves using a

hormone or medication that sends a message to the testicles to make more

testosterone. The most common is hCG therapy (human chorionic

gonadotropin), injected under the skin with a fine needle. I understand an oral

medication called clomiphene (aka Clomid) also works; I don't know anyone

who uses it. Another is GnRH therapy (Gonadotropin-Releasing Hormone).

There's some detailed info. in the AACE Hypogonadism Guidelines, under

" Dynamic Tests " and " Gonadal Stimulation in Hypogonadotropic

Hypogonadism " . (Hypogonadotropic means secondary)

BTW, did you see my message #20763 about SF docs?

Best

Bruce

>

> Thanks for the detailed reply Bruce. I'm guessing its secondary since the

doc said my pituarary was ok and my testicles had just gotten a little lazy.

Tell

me more about the stimulation therapy, is this chemical, physical ?

> thanks bob

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