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What to expect?

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Ok.. here is an update on my situation (Origianaly posted under New

Guy)

The Urologist that my gp sent me too (when I had requested a

referral to an enocrinologist) had no problem prescribing Androgel

for me even though my T was in low normal range (480). But he has no

experience with testosterone therapy in men within " normal " range.

I talked with him about what I knew, the huge amounts of research

and reading I have done... various blood tests... and he said

flately that I knew more about this than he did... he was primarily

a surgen. And if we ran into problems.. he would help me find a

endocrinologist.

Perhaps the prudent thing would have been to look for an endo right

then... but I have not had luck in finding doctors that would

prescribe T at my level... even though I am VERY smymptomatic. So I

figured a bird in the hand.... and took his precription and left

somewhat happy.

He has started me on 5 mg a day. Today (march 6) is my 5th morning

since beginning treatment.

I already feel quite a bit better... more energy, more mental

alertness and on two of the mornings I have awakened with an

erection (first time in a decade I think that I can remember a

morning erection). It wasn't the strongest erection in the world but

I was just very happy to see it. I said, " Hey! Good morning old

friend! "

On the same day I started the T, I also bought Dr. Shippens book.

From his discussion, I feel that I probably have high estrogen

issues too.

So... I am wondering what to expect.

A number of people here report they have experienced a few days of

improvement and then a sharp drop off, maybe even feeling worse than

before starting T, when testicles slow or stop production of T

because of suplimental T. Is this a universal occurance? The info

with the Androgel says is MAY happen. If it does happen, is this an

indication that dose needs to be increased?

Dr. Shippen seems to have very good results in controlling estrogen

levels and T conversion to estrogen with zinc. I started taking

zinc in the amounts he suggests. Has anyone here had experience with

controlling estrogen & E2 with zinc alone.

I go back in a week to have T levels checked.. I am going to insist

on broader testing (T, free T, E2, etc.) so I can see where I am.

What else should I expect and/or watch out for at this stage?

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You guys are all great! This discussion group is really a wonderful

source of information and experience.

How long does it " normally " take after beginning TRT before

testicles slow/stop production?

I go back for blood tests on the 14Th, which is two weeks after

beginning TRT... would you think by then?

How frequent is " frequent testing in the first year " ?

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>

> >

<snip>

>Higher than that and hematrocit climbs too far and I get headaches.

That means your blood is getting too thick with red blood cells of

the brain & muscles. When it get too thick it will not flow thought

the small viens & arteries in the brain & muscles. That is why the

headaches & muscles ache. The brain cells will die.

Go to the Red Cross & donate a pint of blood & the RBC will go down.

If RBC keeps going up you can have a stroke & lose brain functions.

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Thanks ...

I am more anxious about the unpleasant proceedure than I am the test

results... my values are only very slightly high... and I don't even

think the dr would have given it a second thought except that I am

beginning TRT and he wants to be careful and be sure.

> >>

> >> clarkws1,

> >>

> >> IMO a uro who's willing to prescribe T, and who knows what he

> >> doesn't know, is a keeper. As long as he's willing to go by the

> >> AACE hypogonadism treatment guidelines and work with you.

> >> Like you say, a bird in the hand...

> >>

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Dale,

Thanks for the encouragement and the heads up. I really appreciate

it.

> > >>

> > >> clarkws1,

> > >>

> > >> IMO a uro who's willing to prescribe T, and who knows what

he

> > >> doesn't know, is a keeper. As long as he's willing to go by

the

> > >> AACE hypogonadism treatment guidelines and work with you.

> > >> Like you say, a bird in the hand...

> > >>

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

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