Re: Do I need testosterone or growth hormone?

[Guest guest]

>

> I told the doctor it looks like a pituitary problem.

> He says not worth investigating.

Translation: I cannot or will not prescribe HCG as a treatment so

there is no need to distinguish primary from secondary hypogonadism.

> His recommendation was testosterone gel. I ask about HCG

> because it seems to fit better with low T, FSH, and LH.

> He says too expensive. I say cheaper than gel.

Translation: I'm out of touch and I don't care enough to rectify the

situation.

> He says

> too hard to dose and monitor and I don't need fertility.

Translation: My convenience is more important than your health care

outcome.

Most things are hard when you don't really try.

> If so how does one go about finding a doctor

> who can better treat without going through a lot of trial

> and error?

>

Referrals from satisfied patients usually work best. Post your

city/state. If you are lucky, someone might have a referral for you.

If I had a great answer for this question, I'd shut down this forum

and make a fortune for myself by supplying the answer. Sadly, there

is usually more than a little trial and error involved.

Brad

[Guest guest]

>

> I went to doctor with my main symptoms being lack of

> power and abdominal fat in spite of reasonable diet and

> exercise.

Abdominal fat I understand. Not sure I understand " lack of power " .

Do you feel fatigued easily or frequently. Is there a lack of

muscular strength? Endurance?

How do you keep track of or assess your diet? Do you have a food journal?

Brad

[Guest guest]

That's a pretty good " translation " .

Regards,

Dr. Crisler, DO

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Re: Do I need testosterone or growth hormone?

>

> I told the doctor it looks like a pituitary problem.

> He says not worth investigating.

Translation: I cannot or will not prescribe HCG as a treatment so

there is no need to distinguish primary from secondary hypogonadism.

> His recommendation was testosterone gel. I ask about HCG

> because it seems to fit better with low T, FSH, and LH.

> He says too expensive. I say cheaper than gel.

Translation: I'm out of touch and I don't care enough to rectify the

situation.

> He says

> too hard to dose and monitor and I don't need fertility.

Translation: My convenience is more important than your health care

outcome.

Most things are hard when you don't really try.

> If so how does one go about finding a doctor

> who can better treat without going through a lot of trial

> and error?

>

Referrals from satisfied patients usually work best. Post your

city/state. If you are lucky, someone might have a referral for you.

If I had a great answer for this question, I'd shut down this forum

and make a fortune for myself by supplying the answer. Sadly, there

is usually more than a little trial and error involved.

Brad

[Guest guest]

> >

> > I went to doctor with my main symptoms being lack of

> > power and abdominal fat in spite of reasonable diet and

> > exercise.

>

> Abdominal fat I understand. Not sure I understand " lack of power " .

> Do you feel fatigued easily or frequently. Is there a lack of

> muscular strength? Endurance?

I have endurance. I am a hiker. I can hike 14 hours straight and

not get fatigued. I have done Grand Canyon as a day trip. The

problem is that I can only cover about 2/3 the distance my peers

can do. A hike they do in 3 hours will take me 4 and a half. In

group hikes with peers I am always the last one, not

able to keep up. My heart rate will be 85 to 90% of maximum heart

rate not breathing very hard and I can't develop any more power.

I have a hard time explaining this. It is not so much that I have a

problem with this because I tend to exercise alone. It is more that

I am wondering if it is a symptom of something.

> How do you keep track of or assess your diet? Do you have a food

journal?

>

Not really. My diet is mostly fish, vegetables, and fruit with

a reasonable amount of carbohydrates. My weight is dependent

on amount of exercise. 4 years ago I exercised 5 hours a day

and was 20 pounds lighter, but still overwight. I am down

to 2 hours per day and not interested in doing more.

> Brad

>

[Guest guest]

> >

> > I told the doctor it looks like a pituitary problem.

> > He says not worth investigating.

>

> Translation: I cannot or will not prescribe HCG as a treatment so

> there is no need to distinguish primary from secondary hypogonadism.

>

> > His recommendation was testosterone gel. I ask about HCG

> > because it seems to fit better with low T, FSH, and LH.

> > He says too expensive. I say cheaper than gel.

>

> Translation: I'm out of touch and I don't care enough to rectify

the

> situation.

>

> > He says

> > too hard to dose and monitor and I don't need fertility.

>

> Translation: My convenience is more important than your health care

> outcome.

>

> Most things are hard when you don't really try.

>

> > If so how does one go about finding a doctor

> > who can better treat without going through a lot of trial

> > and error?

> >

>

> Referrals from satisfied patients usually work best. Post your

> city/state. If you are lucky, someone might have a referral for

you.

> If I had a great answer for this question, I'd shut down this forum

> and make a fortune for myself by supplying the answer. Sadly, there

> is usually more than a little trial and error involved.

>

> Brad

>

Thanks for the reply. I thought that was what he was really saying

so the conformation is good. I live in Los Osos California which is

on the coast half way between Los Angeles and San Fransisco.

[Guest guest]

>

> Thanks for the reply. I thought that was what he was really saying

> so the conformation is good. I live in Los Osos California which is

> on the coast half way between Los Angeles and San Fransisco.

>

You may be interested in the following quote:

F.1.b. Androgen Effects on Fat Mass and Distribution, and Insulin

Sensitivity. Spontaneous68 and experimentally induced183 androgen

deficiency was associated with increased fat mass, and testosterone

replacement decreased fat mass in older men with low testosterone

levels82, 86. Testosterone supplementation of middle-aged men with

truncal obesity was associated with a reduction in visceral fat

volume, serum glucose concentration, blood pressure, and an

improvement in insulin sensitivity184-187. Testosterone administration

promoted the mobilization of triglycerides from the abdominal adipose

tissue in middle-aged men184. Surgical castration in rats impaired

insulin sensitivity; physiologic testosterone replacement reversed

this metabolic derangement188. However, high doses of testosterone

impaired insulin sensitivity in castrated rats188. Androgens increased

insulin-independent glucose uptake189 and modulated LPL activity in a

region-specific manner190.

Taken from:

http://www.endotext.org/male/male11/maleframe11.htm

See the Risks of Testosterone Administration in Older Men section

Brad

[Guest guest]

> > >

> > > I went to doctor with my main symptoms being lack of

> > > power and abdominal fat in spite of reasonable diet and

> > > exercise.

> >

> > Abdominal fat I understand. Not sure I understand " lack of power " .

> > Do you feel fatigued easily or frequently. Is there a lack of

> > muscular strength? Endurance?

>

> I have endurance. I am a hiker. I can hike 14 hours straight and

> not get fatigued. I have done Grand Canyon as a day trip. The

> problem is that I can only cover about 2/3 the distance my peers

> can do. A hike they do in 3 hours will take me 4 and a half. In

> group hikes with peers I am always the last one, not

> able to keep up. My heart rate will be 85 to 90% of maximum heart

> rate not breathing very hard and I can't develop any more power.

> I have a hard time explaining this. It is not so much that I have a

> problem with this because I tend to exercise alone. It is more that

> I am wondering if it is a symptom of something.

>

>

Sounds like a strength issue that might benefit from higher

testosterone levels.

Brad

[Guest guest]

Hi Brad

Your post is most welcomed - excellent referencing.

Kind regards,

_________________________________________

Randle

_________________________________________

Re: Do I need testosterone or growth hormone?

>

>

>>

>> Thanks for the reply. I thought that was what he was really saying

>> so the conformation is good. I live in Los Osos California which is

>> on the coast half way between Los Angeles and San Fransisco.

>>

>

> You may be interested in the following quote:

>

> F.1.b. Androgen Effects on Fat Mass and Distribution, and Insulin

> Sensitivity. Spontaneous68 and experimentally induced183 androgen

> deficiency was associated with increased fat mass, and testosterone

> replacement decreased fat mass in older men with low testosterone

> levels82, 86. Testosterone supplementation of middle-aged men with

> truncal obesity was associated with a reduction in visceral fat

> volume, serum glucose concentration, blood pressure, and an

> improvement in insulin sensitivity184-187. Testosterone administration

> promoted the mobilization of triglycerides from the abdominal adipose

> tissue in middle-aged men184. Surgical castration in rats impaired

> insulin sensitivity; physiologic testosterone replacement reversed

> this metabolic derangement188. However, high doses of testosterone

> impaired insulin sensitivity in castrated rats188. Androgens increased

> insulin-independent glucose uptake189 and modulated LPL activity in a

> region-specific manner190.

>

>

> Taken from:

>

> http://www.endotext.org/male/male11/maleframe11.htm

>

> See the Risks of Testosterone Administration in Older Men section

>

> Brad

>

>

>

>

>

>

>

>

[Guest guest]

>

> Hi Brad

>

> Your post is most welcomed - excellent referencing.

>

> Kind regards,

>

>

>

> _________________________________________

> Randle

> _________________________________________

The articles at endotext.org are quite useful. I recommend

investigating all the relevant articles.

Brad