Re: Boston HRT help needed.

[Guest guest]

Hi blue and welcome,

If you go to the files section and read " Finding a Male Hormone Dr. " this will

help you find a Dr. and tell you about calling first adn asking questions. Also

if you check the database section we have Dr.'s names and info some of us see.

Phil

blue_jj_blue <jblue@...> wrote:

Hello,

I have recently tested low (November 2005) and borderline low (May

2006) (total testosterone and free testesterone) after that. I have

used steroids a lot in my life, but none at all in the past 4 years.

I am having symptoms that are making me miserable - low libido, bf

increasing, weak erections, general malaise. I want to find a doctor

who would be open to discussing HRT, but in Boston, it

seems that unless you are wasting away, they will not discuss this. I

am still a pretty bulky guy and think that they like to err on the

side of caution since this is simply a 'comfort' issue for me and it

is not going to save my life. I am tempted to use a doctor from an

online clinic, but I dont want to do that. I would like it if I could

stay local and if my health insurance could pick up some of the

costs. I want a doctor I can look at and talk to. I am very

frustrated with the Doctors at Beth Israel Deaconess.

I am low or borderline low. I am not fading away. I am very unhappy.

Can someone help me find a progressive doctor in this state of

conservative medicine? I understand being cautious with T therapy,

but I am very unhappy and feel crappy. I dont want to be this way. I

have tried to ignore it but I am young, have a fantastic woman, and

want to enjoy life!

I have Neighborhood Health and no qualms at all about switching PCPs

if it will help.

Thanks,

JJ

[Guest guest]

On Sun, 10 Sep 2006 17:11:25 -0000, you wrote:

>Hello,

>

>I have recently tested low (November 2005) and borderline low (May

>2006) (total testosterone and free testesterone) after that. I have

>used steroids a lot in my life, but none at all in the past 4 years.

>I am having symptoms that are making me miserable - low libido, bf

>increasing, weak erections, general malaise. I want to find a doctor

>who would be open to discussing HRT, but in Boston, it

>seems that unless you are wasting away, they will not discuss this. I

>am still a pretty bulky guy and think that they like to err on the

>side of caution since this is simply a 'comfort' issue for me and it

>is not going to save my life. I am tempted to use a doctor from an

>online clinic, but I dont want to do that. I would like it if I could

>stay local and if my health insurance could pick up some of the

>costs. I want a doctor I can look at and talk to. I am very

>frustrated with the Doctors at Beth Israel Deaconess.

>

>I am low or borderline low. I am not fading away. I am very unhappy.

>Can someone help me find a progressive doctor in this state of

>conservative medicine? I understand being cautious with T therapy,

>but I am very unhappy and feel crappy. I dont want to be this way. I

>have tried to ignore it but I am young, have a fantastic woman, and

>want to enjoy life!

>

>I have Neighborhood Health and no qualms at all about switching PCPs

>if it will help.

>

>Thanks,

>

>JJ

Have you had lab work done to confirm you are low/borderline low?

Post the numbers please.

If you messed with steroids to build bulk it is quite possible you

disrupted the HPTA system for hormone levels. But it also means

doctors may suspect you of pursuing T for " abuse " rather than needed

therapy. (ly all the steroid abusers are making life very hard

for those of us who need this therapy.)

On the plus side there are studies showing that sometimes the hpta CAN

BE JUMP STARTED TO RETAIN NATURAL LEVELS THROUGH CLOMID STIMulation

or HCG. I believe the studies are in the group file area. Give it a

look.

________________

I am human; nothing in humanity is alien to me.

Terence

[Guest guest]

> Have you had lab work done to confirm you are low/borderline low?

>

> Post the numbers please.

>

> If you messed with steroids to build bulk it is quite possible you

> disrupted the HPTA system for hormone levels. But it also means

> doctors may suspect you of pursuing T for " abuse " rather than needed

> therapy. (ly all the steroid abusers are making life very hard

> for those of us who need this therapy.)

>

> On the plus side there are studies showing that sometimes the hpta

CAN

> BE JUMP STARTED TO RETAIN NATURAL LEVELS THROUGH CLOMID STIMulation

> or HCG. I believe the studies are in the group file area. Give it a

> look.

>

> ________________

> I am human; nothing in humanity is alien to me.

> Terence

>

Well, it wasnt my intention to make your life difficult. My apologies.

My numbers:

IGF-1 (SOMATOMEDIN-C) 136

Testost 280-800 ng/dL 281

FreeTes 8.8-27.0 pg/mL 8.4

It has been four years since I used any sort of exogenous

testosterone, so I would think that my axis has recovered as much as

it is going to. I am aware that despite these numbers, some Doctors

will 'suspect' something... but what can I do? Am I supposed to lay

down and cry because I was a bad boy years ago?

I would be happy with any therapy that got me back to where I need to

be. Clomiphene would be fine. As would HCG. Or Tamoxifen. Whatever.

I saw the " How to find a doctor " page. But I would much prefer it if

someone could actually tell me that they had a good experience with

someone. If not, okay. But I wanted to ask.

Thanks,

JJ

[Guest guest]

> Have you had lab work done to confirm you are low/borderline low?

>

> Post the numbers please.

>

> If you messed with steroids to build bulk it is quite possible you

> disrupted the HPTA system for hormone levels. But it also means

> doctors may suspect you of pursuing T for " abuse " rather than needed

> therapy. (ly all the steroid abusers are making life very hard

> for those of us who need this therapy.)

>

> On the plus side there are studies showing that sometimes the hpta

CAN

> BE JUMP STARTED TO RETAIN NATURAL LEVELS THROUGH CLOMID STIMulation

> or HCG. I believe the studies are in the group file area. Give it a

> look.

>

> ________________

> I am human; nothing in humanity is alien to me.

> Terence

>

Well, it wasnt my intention to make your life difficult. My apologies.

My numbers:

IGF-1 (SOMATOMEDIN-C) 136

Testost 280-800 ng/dL 281

FreeTes 8.8-27.0 pg/mL 8.4

It has been four years since I used any sort of exogenous

testosterone, so I would think that my axis has recovered as much as

it is going to. I am aware that despite these numbers, some Doctors

will 'suspect' something... but what can I do? Am I supposed to lay

down and cry because I was a bad boy years ago?

I would be happy with any therapy that got me back to where I need to

be. Clomiphene would be fine. As would HCG. Or Tamoxifen. Whatever.

I saw the " How to find a doctor " page. But I would much prefer it if

someone could actually tell me that they had a good experience with

someone. If not, okay. But I wanted to ask.

Thanks,

JJ

[Guest guest]

Hey JJ - welcome to the group. Based on your numbers, you would seem to be low.

Have you ever tested your estradiol? We usually see a high conversion of T to E2

depending on age. Most doctors want to follow the normal protocol which is if

you are in range on total T you are OK. We are finding this to be wrong because

the range included men in their 60s and older so the curve includes all numbers

and is not age specific. For example, a guy in his 30s should not have a total T

say = 250. For me it was more important to find a doctor that would listen (no

God syndrome) and prove to him I had done my research. Present him with some of

the documents we have in the files section and discuss treating the symptoms. I

would think in your case it would be prudent to try a stimulation test first. If

that does not workout, then evaluate TRT options. This group has multiple men

with a variety of situations and experience. Do not hesitate to ask questions

(even personal) because we

have all be there.

Just my 2 cents - Arkansas

blue_jj_blue <jblue@...> wrote:

> Have you had lab work done to confirm you are low/borderline low?

>

> Post the numbers please.

>

> If you messed with steroids to build bulk it is quite possible you

> disrupted the HPTA system for hormone levels. But it also means

> doctors may suspect you of pursuing T for " abuse " rather than needed

> therapy. (ly all the steroid abusers are making life very hard

> for those of us who need this therapy.)

>

> On the plus side there are studies showing that sometimes the hpta

CAN

> BE JUMP STARTED TO RETAIN NATURAL LEVELS THROUGH CLOMID STIMulation

> or HCG. I believe the studies are in the group file area. Give it a

> look.

>

> ________________

> I am human; nothing in humanity is alien to me.

> Terence

>

Well, it wasnt my intention to make your life difficult. My apologies.

My numbers:

IGF-1 (SOMATOMEDIN-C) 136

Testost 280-800 ng/dL 281

FreeTes 8.8-27.0 pg/mL 8.4

It has been four years since I used any sort of exogenous

testosterone, so I would think that my axis has recovered as much as

it is going to. I am aware that despite these numbers, some Doctors

will 'suspect' something... but what can I do? Am I supposed to lay

down and cry because I was a bad boy years ago?

I would be happy with any therapy that got me back to where I need to

be. Clomiphene would be fine. As would HCG. Or Tamoxifen. Whatever.

I saw the " How to find a doctor " page. But I would much prefer it if

someone could actually tell me that they had a good experience with

someone. If not, okay. But I wanted to ask.

Thanks,

JJ

__________________________________________________

[Guest guest]

On Mon, 11 Sep 2006 01:38:55 -0000, you wrote:

>> Have you had lab work done to confirm you are low/borderline low?

>>

>> Post the numbers please.

>>

>> If you messed with steroids to build bulk it is quite possible you

>> disrupted the HPTA system for hormone levels. But it also means

>> doctors may suspect you of pursuing T for " abuse " rather than needed

>> therapy. (ly all the steroid abusers are making life very hard

>> for those of us who need this therapy.)

>>

>> On the plus side there are studies showing that sometimes the hpta

>CAN

>> BE JUMP STARTED TO RETAIN NATURAL LEVELS THROUGH CLOMID STIMulation

>> or HCG. I believe the studies are in the group file area. Give it a

>> look.

>

>Well, it wasnt my intention to make your life difficult. My apologies.

Nothing personal. It's just a general observation. Because of steroid

abuse anyone looking for TRT is highly scrutinized and many GPs and

even endos just shy away from it because its so heavily watched by

prescribing authorities etc.

>

>My numbers:

>

>IGF-1 (SOMATOMEDIN-C) 136

>Testost 280-800 ng/dL 281

>FreeTes 8.8-27.0 pg/mL 8.4

That's surely not " borderline low " . Those levels are below the

average 80 year old man. And they are below the AACE guidelines for

intervention.

http://f1.grp.fs.com/v1/8HkFRSRoZaG0btSIfJAMFh52wy0j9pu2lBG_-tx4dyaWp8HKo0q\

qU9VibvnE2498qRd_lE-01_l5xaAaqDSyT0FBtbVl6SQ1hsqRLso/T_By_Age.pdf

http://f1.grp.fs.com/v1/8HkFRTcqraq0btSIp2CbxsVjddwktw4gMIUTIl6fKaBAlaQlLUk\

lKD7UtJc30i5EH6Qt5WK0-uqVyRpK1sqdgSZI_LYV0lDgczXWHb8/Testosterone%20Levels%20by%\

20Age%20Grp.

>It has been four years since I used any sort of exogenous

>testosterone, so I would think that my axis has recovered as much as

>it is going to.

On it's own that's likely true. But there is hope you can jump start

it. It's somewhat like the tinkering has cut the communications wires

between the hypothalamus, pituitary and gonads. If you can get them

properly reconnected things may be able to be restarted.

Here's the link for the Clomiphene jump start case:

http://f1.grp.fs.com/v1/8HkFRSRcLDu0btSIaAhMH4_InPH-lDkk-MgRSLQ27bT8A61Ctow\

xNNpKeHy6Ou_Ierc944i8MiOIdj31DMGjf5yE5D6ninvYygV258Y/clomiphene.pdf

I'd suggest taking it to your doctor.

> I am aware that despite these numbers, some Doctors

>will 'suspect' something... but what can I do? Am I supposed to lay

>down and cry because I was a bad boy years ago?

I think you have to deal with their psychology. Mention the history

with " when I was young and stupid " or some such deflater.

Almost all of us find we have to educate our doctors in this arena.

Your history means you will have somewhat more of an uphill fight and

a slightly harder time of it.

I suggest taking the graphs showing how low your numbers truly are

when compared to mean levels by age. Bring the Clomiphene article.

Even the AACE guidelines

http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf

Best practices

http://f1.grp.fs.com/v1/8HkFRZAdfHC0btSItVt1TLkivm3EigNNXcPSy3OtVyvsOVXzQu7\

geSATiO0bghoBQaqDzyZvkaDlldFUsOApB7oBLu1xx2DNuPM-L9g/Best%20Practice%20of%20Medi\

cine%20-%20Male%20Hypogonadism.htm

and the endocrine society guidelines:

http://www.endo-society.org/quickcontent/clinicalpractice/clinical-guidelines/up\

load/AndrogensMenGuideline053006.pdf

>I would be happy with any therapy that got me back to where I need to

>be. Clomiphene would be fine. As would HCG. Or Tamoxifen. Whatever.

>

>I saw the " How to find a doctor " page. But I would much prefer it if

>someone could actually tell me that they had a good experience with

>someone. If not, okay. But I wanted to ask.

Last resort is get to Crisler. He may prescribe a therapy you can get

administered locally. I also understand he works with other doctors.

Phil can give you details to get to him. I believe his site is

www.allthingsmale.com . He was a body builder steroid user himself so

more open on your issues.

________________

I am human; nothing in humanity is alien to me.

Terence

[Guest guest]

> Nothing personal. It's just a general observation. Because of steroid

> abuse anyone looking for TRT is highly scrutinized and many GPs and

> even endos just shy away from it because its so heavily watched by

> prescribing authorities etc.

> >

> >My numbers:

> >

> >IGF-1 (SOMATOMEDIN-C) 136

> >Testost 280-800 ng/dL 281

> >FreeTes 8.8-27.0 pg/mL 8.4

>

> That's surely not " borderline low " . Those levels are below the

> average 80 year old man. And they are below the AACE guidelines for

> intervention.

>

>

http://f1.grp.fs.com/v1/8HkFRSRoZaG0btSIfJAMFh52wy0j9pu2lBG_-tx4dyaWp8HKo0q\

qU9VibvnE2498qRd_lE-01_l5xaAaqDSyT0FBtbVl6SQ1hsqRLso/T_By_Age.pdf

>

>

http://f1.grp.fs.com/v1/8HkFRTcqraq0btSIp2CbxsVjddwktw4gMIUTIl6fKaBAlaQlLUk\

lKD7UtJc30i5EH6Qt5WK0-uqVyRpK1sqdgSZI_LYV0lDgczXWHb8/Testosterone%20Levels%20by%\

20Age%20Grp.

>

>

-------------- these links do not work. i am very interested in seeing

the corresponding documents.

http://f1.grp.fs.com/v1/8HkFRSRcLDu0btSIaAhMH4_InPH-lDkk-MgRSLQ27bT8A61Ctow\

xNNpKeHy6Ou_Ierc944i8MiOIdj31DMGjf5yE5D6ninvYygV258Y/clomiphene.pdf

>

> I'd suggest taking it to your doctor.

---------------- I will. My doctor is young and I have been to the

endo she sent me to. They dont think I am low enough to warrant

treatment. One of them told me that T levels are always low at certain

times of the day, and I have no problem with those blood results. I

know they are wrong. I can feel it! I feel awful.

---------------- Thank you very much for your time. To the other

question, my estradiol is 18.

Thank you very much.

[Guest guest]

FYI - there are five doctors listed as practicing anti-aging medicine

in Boston in the " Finding a Doc " file. Only one has a phone that still

works, and the Doctor there told me that he is no longer doing

anti-aging medicine.

J

[Guest guest]

On Mon, 11 Sep 2006 20:03:28 -0000, you wrote:

>http://f1.grp.fs.com/v1/8HkFRSRoZaG0btSIfJAMFh52wy0j9pu2lBG_-tx4dyaWp8HKo0\

qqU9VibvnE2498qRd_lE-01_l5xaAaqDSyT0FBtbVl6SQ1hsqRLso/T_By_Age.pdf

>>

>>

>http://f1.grp.fs.com/v1/8HkFRTcqraq0btSIp2CbxsVjddwktw4gMIUTIl6fKaBAlaQlLU\

klKD7UtJc30i5EH6Qt5WK0-uqVyRpK1sqdgSZI_LYV0lDgczXWHb8/Testosterone%20Levels%20by\

%20Age%20Grp.

Try these:

http://tinyurl.com/fs8aa

http://tinyurl.com/zd4jh

http://tinyurl.com/kt6mq

>>

>-------------- these links do not work. i am very interested in seeing

>the corresponding documents.

>

>

http://f1.grp.fs.com/v1/8HkFRSRcLDu0btSIaAhMH4_InPH-lDkk-MgRSLQ27bT8A61Ctow\

xNNpKeHy6Ou_Ierc944i8MiOIdj31DMGjf5yE5D6ninvYygV258Y/clomiphene.pdf

>>

________________

I am human; nothing in humanity is alien to me.

Terence

[Guest guest]

On Mon, 11 Sep 2006 20:03:28 -0000, you wrote:

>---------------- I will. My doctor is young and I have been to the

>endo she sent me to. They dont think I am low enough to warrant

>treatment. One of them told me that T levels are always low at certain

>times of the day, and I have no problem with those blood results. I

>know they are wrong. I can feel it! I feel awful.

It is true that levels vary over the day. Natural level T tests are

usually as early as possible in the morning. (Natural levels peak

around 4 am. Tests are usually done between 8 am and 9 am.)

>

>---------------- Thank you very much for your time. To the other

>question, my estradiol is 18.

SO E2 is not your problem. But that's to be expected with the steroid

use trigger.

>Thank you very much.

________________

I am human; nothing in humanity is alien to me.

Terence

[Guest guest]

On Mon, 11 Sep 2006 20:42:20 -0000, you wrote:

>

>FYI - there are five doctors listed as practicing anti-aging medicine

>in Boston in the " Finding a Doc " file. Only one has a phone that still

>works, and the Doctor there told me that he is no longer doing

>anti-aging medicine.

In approaching these doctors I'd suggest not using the phrase

" anti-aging medicine " . You should speak of hypogonadism and low

testosterone.

Much of the anti-aging field is quackery (in my humble opinion) and

seen that way by regulatory authorities and the public. It'll chase

away many doctors. I'd note too that four out of five doctors who

listed themselves that way have moved on to something or somewhere

else - I think that says something.

Just my two cents.

Unfortunately this is a problem area fraught with bad PR and

imperception that makes it hard for those who need treatment for low

levels. A lot of us find we need to gently guide our doctors into

agreeing to treatment and then subtly educate them along the way.

There are very very few doctors with a state of the art understanding

of hypogonadism and doctors have the same faulty ideas fed by the

media hype and such that the general public has.

________________

I am human; nothing in humanity is alien to me.

Terence

[Guest guest]

On Tue, 12 Sep 2006 10:16:41 -0700, you wrote:

>On Mon, 11 Sep 2006 20:03:28 -0000, you wrote:

>

>>http://f1.grp.fs.com/v1/8HkFRSRoZaG0btSIfJAMFh52wy0j9pu2lBG_-tx4dyaWp8HKo\

0qqU9VibvnE2498qRd_lE-01_l5xaAaqDSyT0FBtbVl6SQ1hsqRLso/T_By_Age.pdf

>>>

>>>

>>http://f1.grp.fs.com/v1/8HkFRTcqraq0btSIp2CbxsVjddwktw4gMIUTIl6fKaBAlaQlL\

UklKD7UtJc30i5EH6Qt5WK0-uqVyRpK1sqdgSZI_LYV0lDgczXWHb8/Testosterone%20Levels%20b\

y%20Age%20Grp.

>

>

>Try these:

>

>http://tinyurl.com/fs8aa

>http://tinyurl.com/zd4jh

>

>http://tinyurl.com/kt6mq

>

>

>>>

>>-------------- these links do not work. i am very interested in seeing

>>the corresponding documents.

>>

>>

http://f1.grp.fs.com/v1/8HkFRSRcLDu0btSIaAhMH4_InPH-lDkk-MgRSLQ27bT8A61Ctow\

xNNpKeHy6Ou_Ierc944i8MiOIdj31DMGjf5yE5D6ninvYygV258Y/clomiphene.pdf

>>>

>

>

>________________

>I am human; nothing in humanity is alien to me.

> Terence

>

>

Arg. It looks like has made the inks in the file area not

copyable.

Search the files area for " by age " . You'll get several tables.

Also search clomophine in the files area - you'll get the study.

CTRL-F will give you an on screen find capability.

________________

I am human; nothing in humanity is alien to me.

Terence

[Guest guest]

>

> >http://f1.grp.fs.com/v1/8HkFRSRoZaG0btSIfJAMFh52wy0j9pu2lBG_-

tx4dyaWp8HKo0qqU9VibvnE2498qRd_lE-

01_l5xaAaqDSyT0FBtbVl6SQ1hsqRLso/T_By_Age.pdf

> >>

> >>

>

>http://f1.grp.fs.com/v1/8HkFRTcqraq0btSIp2CbxsVjddwktw4gMIUTIl6

fKaBAlaQlLUklKD7UtJc30i5EH6Qt5WK0-

uqVyRpK1sqdgSZI_LYV0lDgczXWHb8/Testosterone%20Levels%20by%20Age%

20Grp.

>

>

> Try these:

>

> http://tinyurl.com/fs8aa

> http://tinyurl.com/zd4jh

>

> http://tinyurl.com/kt6mq

>

>

> >>

> >-------------- these links do not work. i am very interested in

seeing

> >the corresponding documents.

> >

> > http://f1.grp.fs.com/v1/8HkFRSRcLDu0btSIaAhMH4_InPH-lDkk-

MgRSLQ27bT8A61CtowxNNpKeHy6Ou_Ierc944i8MiOIdj31DMGjf5yE5D6ninvYygV258

Y/clomiphene.pdf

> >>

>

>

> ________________

> I am human; nothing in humanity is alien to me.

> Terence

>

The links dont work, but I got the files.

I got an appointment with Spark, who I guess wrote a lot of

books. I dont think he will help me because he is of the opinion

that unless you are lower than the low end (under 300) - you dont

need therapy.

Im getting pissed. Thanks for trying to help, but this makes me nuts.

[Guest guest]

You need to cut & paste them into your browser to get the link to work the links

are to long for this site.

Phil

blue_jj_blue <jblue@...> wrote:

>

> >http://f1.grp.fs.com/v1/8HkFRSRoZaG0btSIfJAMFh52wy0j9pu2lBG_-

tx4dyaWp8HKo0qqU9VibvnE2498qRd_lE-

01_l5xaAaqDSyT0FBtbVl6SQ1hsqRLso/T_By_Age.pdf

> >>

> >>

>

>http://f1.grp.fs.com/v1/8HkFRTcqraq0btSIp2CbxsVjddwktw4gMIUTIl6

fKaBAlaQlLUklKD7UtJc30i5EH6Qt5WK0-

uqVyRpK1sqdgSZI_LYV0lDgczXWHb8/Testosterone%20Levels%20by%20Age%

20Grp.

>

>

> Try these:

>

> http://tinyurl.com/fs8aa

> http://tinyurl.com/zd4jh

>

> http://tinyurl.com/kt6mq

>

>

> >>

> >-------------- these links do not work. i am very interested in

seeing

> >the corresponding documents.

> >

> > http://f1.grp.fs.com/v1/8HkFRSRcLDu0btSIaAhMH4_InPH-lDkk-

MgRSLQ27bT8A61CtowxNNpKeHy6Ou_Ierc944i8MiOIdj31DMGjf5yE5D6ninvYygV258

Y/clomiphene.pdf

> >>

>

>

> ________________

> I am human; nothing in humanity is alien to me.

> Terence

>

The links dont work, but I got the files.

I got an appointment with Spark, who I guess wrote a lot of

books. I dont think he will help me because he is of the opinion

that unless you are lower than the low end (under 300) - you dont

need therapy.

Im getting pissed. Thanks for trying to help, but this makes me nuts.

[Guest guest]

On Tue, 12 Sep 2006 19:48:29 -0000, you wrote:

>

>I got an appointment with Spark, who I guess wrote a lot of

>books. I dont think he will help me because he is of the opinion

>that unless you are lower than the low end (under 300) - you dont

>need therapy.

>

>Im getting pissed. Thanks for trying to help, but this makes me nuts.

Hmm. Maybe you can get a bone density test. Low T can cause low bone

density. My levels at one point were hovering around 300, but they had

to continue TRT because I'd cracked 8 ribs with low bone density from

those levels. I'd argue the test is necessary to see the impact of

these levels.

Of course if it goes against you . . .

________________

I am human; nothing in humanity is alien to me.

Terence

[Guest guest]

Hi,

Years ago, 1992, I visited Dr. Irwin Goldstein, Boston Univ. and

started TRIMIX injection therapy for ED. I visited several times since

then and each time pushed the doctor to consider providing TRT as it

is an essential need for older men in most cases.

He was hesitant then, but I hear now he has associates affiliated with

Boston Univ. which provide TRT.

He has a web site which may provide more information for you.

Avoid the Boston ED Clinic which is a chain around the US. Many have

reported problems with their service, trimix therapy specifically and

their costs were very high.

ernestnolan

>

> Hello,

>

> I have recently tested low (November 2005) and borderline low (May

> 2006) (total testosterone and free testesterone) after that. I have

> used steroids a lot in my life, but none at all in the past 4 years.

> I am having symptoms that are making me miserable - low libido, bf

> increasing, weak erections, general malaise. I want to find a doctor

> who would be open to discussing HRT, but in Boston, it

> seems that unless you are wasting away, they will not discuss this. I

> am still a pretty bulky guy and think that they like to err on the

> side of caution since this is simply a 'comfort' issue for me and it

> is not going to save my life. I am tempted to use a doctor from an

> online clinic, but I dont want to do that. I would like it if I could

> stay local and if my health insurance could pick up some of the

> costs. I want a doctor I can look at and talk to. I am very

> frustrated with the Doctors at Beth Israel Deaconess.

>

> I am low or borderline low. I am not fading away. I am very unhappy.

> Can someone help me find a progressive doctor in this state of

> conservative medicine? I understand being cautious with T therapy,

> but I am very unhappy and feel crappy. I dont want to be this way. I

> have tried to ignore it but I am young, have a fantastic woman, and

> want to enjoy life!

>

> I have Neighborhood Health and no qualms at all about switching PCPs

> if it will help.

>

> Thanks,

>

> JJ

>