Re: Response from Dr. Gambrell

[Guest guest]

I have a problem with Dr. Gambrell comments. He is way off base

telling someone that taking gel or wearing the patch won't hurt you

and just might help. Oh yeah, they will help - shut down your

natural T production.

The only thing haywire in the below labs is E2. Free T is a little

below midpoint and the rest are low normal. I suggest that a mild E2

blocker would give you a big leg up more than T replacment. As I

posted earlier, Arimidex is tough to right dose so keep that in mind.

Clomid might also be of value to you in stimulating LH primarily and

T secondarily.

>

> From: swrtw2001 [mailto:no_reply ]

> Sent: 22 July 2004 17:01

>

> Subject: Ernestnolan - Response from Dr. Gambrell

>

>

>

> HI Ernestnolan,

>

> I wrote to Dr. Don Gambrell yesterday and here's his response,

> unfortunately he doesn't have experience with young men suffering

> from the side effects of propecia, but atleast he does acknowledge

my

> T levels are low, unlike many of the doctor's I've seen.

>

> ----------------------------------------------------------------

>

> Dear Steve

>

> I have not had occasion to prescribe Propecia but am familiar with

> its mechanism of action and have prescribed other testosterone

enzyme

> inhibitors. According to the product information, side effects

such

> as you mention, decreased libido, erectile dysfunction, and less

> sustainable erections. Since the drug works by blocking the

> conversion of testosterone to dihydrotestosterone, you would

expect

> the testosterone levels to be normal even while taking the drug.

Your

> levels are normal now and probably

>

> always have been normal. Since you have not taken Propecia in 5

years

> I do not see how it could be affecting your sexuality now.

Although

> your total testosterone is normal, it is slightly below the mid-

> normal range. I suggest that you ask your doctor to prescribe one

of

> the testosterone patches or the new gel. It will not hurt you and

> just might help.

>

>

> R.

> Don Gambrell. Jr., MD

>

> At 08:40 PM 7/21/2004, you wrote:

> >Dear Dr. Gambrell,

> >

> >I was referred to your website by one of your

> >patients.

> >

> >Im writing to you because, 5 years ago I took the hair

> >loss drug propecia for 6 months and am still

> >experiencing the side effects today. I've been to many

> >doctors but all they would do is refer me to

> >psychologist, but I know the symptoms are not in my

> >head cause I still have watery ejaculate. I also have

> >problems ejaculating and orgasming, no libido, and my

> >errections don't seem to be as strong as they use to.

> >Non sexual dysfunctions include fatique, depression,

> >lack of emotions, foggy thoughts.

> >

> >If you don't mind can you also look at my hormone

> >profile and let me know what you think and if you've

> >treated any patients with finasteride side effects. Is

> >there anything you could recommend for me, and do you

> >do remote consultations.

> >

> >My profile, Im 27 years old and had no problems prior

> >to taking propecia.

> >

> >Free T 120.8 Range 50 -- 210 pg/mL

> >Total T 462 Range 260 -- 1000 ng/dL

> >DHT 37 Range 25 -- 75 ng/dL

> >LH 3.9 Range 1.5 -- 9.3 miu/ML

> >FSH 2.3 Range 1.4 -- 18.1 miu/ML

> >Estradiol 59 Range 10 -- 51 pg/ML ***

> >

> >Thanks!!!

>

>

>

>

>

>

>

>

[Guest guest]

Hi Modestman,

I don't agree with using T gel or patches as well, Im hoping to get

my system working properly again.

I seem to have too much E2 conversion after finasteride use. Im

hoping by suppressing E2, I would be able to increase LH and have

less converstion from T to E2, giving me more T.

I pray this will work.

> > >Dear Dr. Gambrell,

> > >

> > >I was referred to your website by one of your

> > >patients.

> > >

> > >Im writing to you because, 5 years ago I took the hair

> > >loss drug propecia for 6 months and am still

> > >experiencing the side effects today. I've been to many

> > >doctors but all they would do is refer me to

> > >psychologist, but I know the symptoms are not in my

> > >head cause I still have watery ejaculate. I also have

> > >problems ejaculating and orgasming, no libido, and my

> > >errections don't seem to be as strong as they use to.

> > >Non sexual dysfunctions include fatique, depression,

> > >lack of emotions, foggy thoughts.

> > >

> > >If you don't mind can you also look at my hormone

> > >profile and let me know what you think and if you've

> > >treated any patients with finasteride side effects. Is

> > >there anything you could recommend for me, and do you

> > >do remote consultations.

> > >

> > >My profile, Im 27 years old and had no problems prior

> > >to taking propecia.

> > >

> > >Free T 120.8 Range 50 -- 210 pg/mL

> > >Total T 462 Range 260 -- 1000 ng/dL

> > >DHT 37 Range 25 -- 75 ng/dL

> > >LH 3.9 Range 1.5 -- 9.3 miu/ML

> > >FSH 2.3 Range 1.4 -- 18.1 miu/ML

> > >Estradiol 59 Range 10 -- 51 pg/ML ***

> > >

> > >Thanks!!!

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Hi,

Hurt depends on what you are interested in doing. As I started TRT in

my 60's sterility was not an issue to me. I wanted my T level to go up

and if that is the goal the patches and gel will not harm you.

I can't defend Dr. Gambrell, but his credentials are all over the

internet if you want to look for him.

He has been caring for andropause patients for decades. Tough to find

his equivilant anywhere.

Oooh yea, did I mention he is my endo.

ernestnolan

> > >Dear Dr. Gambrell,

> > >

> > >I was referred to your website by one of your

> > >patients.

> > >

> > >Im writing to you because, 5 years ago I took the hair

> > >loss drug propecia for 6 months and am still

> > >experiencing the side effects today. I've been to many

> > >doctors but all they would do is refer me to

> > >psychologist, but I know the symptoms are not in my

> > >head cause I still have watery ejaculate. I also have

> > >problems ejaculating and orgasming, no libido, and my

> > >errections don't seem to be as strong as they use to.

> > >Non sexual dysfunctions include fatique, depression,

> > >lack of emotions, foggy thoughts.

> > >

> > >If you don't mind can you also look at my hormone

> > >profile and let me know what you think and if you've

> > >treated any patients with finasteride side effects. Is

> > >there anything you could recommend for me, and do you

> > >do remote consultations.

> > >

> > >My profile, Im 27 years old and had no problems prior

> > >to taking propecia.

> > >

> > >Free T 120.8 Range 50 -- 210 pg/mL

> > >Total T 462 Range 260 -- 1000 ng/dL

> > >DHT 37 Range 25 -- 75 ng/dL

> > >LH 3.9 Range 1.5 -- 9.3 miu/ML

> > >FSH 2.3 Range 1.4 -- 18.1 miu/ML

> > >Estradiol 59 Range 10 -- 51 pg/ML ***

> > >

> > >Thanks!!!

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Hi,

If you can get you testicles to working again, great.

When I started TRT in 1991 I was tested for the messenger hormone and

found it was high. Net to me was, my remaining testicle was no longer

able to produce enough to keep me in the high normal range.

With hormone pellets I was able to get about to 900 which is at the

top of the high normal range where the doctor says most of his

patients can benefit. About 45% of his patients on patches and gels

will not continue as they can not get to these high levels to benefit.

About 65% of those on pellets will continue.

ernestnolan

> > > >Dear Dr. Gambrell,

> > > >

> > > >I was referred to your website by one of your

> > > >patients.

> > > >

> > > >Im writing to you because, 5 years ago I took the hair

> > > >loss drug propecia for 6 months and am still

> > > >experiencing the side effects today. I've been to many

> > > >doctors but all they would do is refer me to

> > > >psychologist, but I know the symptoms are not in my

> > > >head cause I still have watery ejaculate. I also have

> > > >problems ejaculating and orgasming, no libido, and my

> > > >errections don't seem to be as strong as they use to.

> > > >Non sexual dysfunctions include fatique, depression,

> > > >lack of emotions, foggy thoughts.

> > > >

> > > >If you don't mind can you also look at my hormone

> > > >profile and let me know what you think and if you've

> > > >treated any patients with finasteride side effects. Is

> > > >there anything you could recommend for me, and do you

> > > >do remote consultations.

> > > >

> > > >My profile, Im 27 years old and had no problems prior

> > > >to taking propecia.

> > > >

> > > >Free T 120.8 Range 50 -- 210 pg/mL

> > > >Total T 462 Range 260 -- 1000 ng/dL

> > > >DHT 37 Range 25 -- 75 ng/dL

> > > >LH 3.9 Range 1.5 -- 9.3 miu/ML

> > > >FSH 2.3 Range 1.4 -- 18.1 miu/ML

> > > >Estradiol 59 Range 10 -- 51 pg/ML ***

> > > >

> > > >Thanks!!!

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >