Re: Important help Required!!! Can you help this man? Assesment/getting a doctor

[Guest guest]

Wasn't the saliva result for testosterone and not free testosterone?

> > > > > > > > > > > >

> > > > > > > > > > > > A recap and update:

> > > > > > > > > > > >

> > > > > > > > > > > > Two years ago I developed gynecomastia due

to

> > > > applying a

> > > > > > > > > potent

> > > > > > > > > > > anti-

> > > > > > > > > > > > androgen topically. Although this incident

> > > triggered

> > > > my

> > > > > > > > > > > > gynecomastia, it was further enforced

through

> my

> > > use

> > > > of

> > > > > > > > > > > finasteride

> > > > > > > > > > > > and topical spironolactone. The former is

well

> > > known

> > > > to

> > > > > > > > cause

> > > > > > > > > > > > problems relating to lowering DHT and they

are

> > both

> > > > > > known

> > > > > > > to

> > > > > > > > > > cause

> > > > > > > > > > > > gynecomastia. However, a recent DHT test

> > revealed

> > > the

> > > > > > > > > following:

> > > > > > > > > > > >

> > > > > > > > > > > > DHT: 1704 pmol/L ref- 217-1650 pmol/L

> > > > > > > > > > > >

> > > > > > > > > > > > I stopped using finasteride two years ago

when

> I

> > > > > > realized

> > > > > > > > that

> > > > > > > > > > it

> > > > > > > > > > > > was antagonizing my gyne. At the time, I

> thought

> > > > that it

> > > > > > > was

> > > > > > > > > the

> > > > > > > > > > > > only culprit. I only recently stopped using

> > topical

> > > > > > > > > > > spironolactone

> > > > > > > > > > > > on April 20, 2006.

> > > > > > > > > > > >

> > > > > > > > > > > > Pathology taken in March '05 revealed the

> > > following:

> > > > > > > > > > > >

> > > > > > > > > > > > FSH: 1.3 1-11 IU/L

> > > > > > > > > > > > LH: 2.9 1-8 IU/L

> > > > > > > > > > > > Prolactin: 8 3-13 ug/L

> > > > > > > > > > > > Total Test: 19.0 10-28 nmol/L

> > > > > > > > > > > > SHBG: 39 11-52 nmol/L

> > > > > > > > > > > > Free

> > > > > > > > > > > > Androgen

> > > > > > > > > > > > Index: 0.49 0.25-1.00

> > > > > > > > > > > > Estradiol: 95 50-218 pmol/L

> > > > > > > > > > > > Prog

> > > > > > > > > > > > Serum: 2 1-5 nmol/L

> > > > > > > > > > > >

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

> > > > > > > > > > > >

> > > > > > > > > > > > Although my serum testosterone level looked

> ok,

> > my

> > > > SHBG,

> > > > > > > > which

> > > > > > > > > > > binds

> > > > > > > > > > > > testosterone with greater affinity than

> > estradiol,

> > > > was

> > > > > > > high

> > > > > > > > > > > normal.

> > > > > > > > > > > > My friend, from this forum then

> > calculated

> > > my

> > > > > > free

> > > > > > > > > > > > testosterone via the method employed by

> Schering

> > as

> > > > > > > opposed

> > > > > > > > to

> > > > > > > > > > the

> > > > > > > > > > > > FAI (which apparently is diagnostically

> flawed).

> > > > > > > > > > > >

> > > > > > > > > > > > My CT level was low (although this was

> > > theoretical).

> > > > > > > > > > > >

> > > > > > > > > > > > asked me to get a free testosterone

test

> > on

> > > the

> > > > > > > basis

> > > > > > > > of

> > > > > > > > > > the

> > > > > > > > > > > > above.

> > > > > > > > > > > >

> > > > > > > > > > > > The result was the following:

> > > > > > > > > > > >

> > > > > > > > > > > > Free Testosterone: 38.6 31.0-94.0 pmol/l

(10am)

> > > > > > > > > > > >

> > > > > > > > > > > > This would appear very low on the reference

> > range

> > > > for a

> > > > > > > > young

> > > > > > > > > > man

> > > > > > > > > > > so

> > > > > > > > > > > > offered me a symptomatic testosterone

> > test.

> > > He

> > > > > > took

> > > > > > > > the

> > > > > > > > > > one

> > > > > > > > > > > > from Malcom Carruthers book " The Testosterone

> > > > > > Revolution " .

> > > > > > > > He

> > > > > > > > > > > told

> > > > > > > > > > > > me that I scored highly on the test, the

> results

> > of

> > > > > > which

> > > > > > > > > > > indicated

> > > > > > > > > > > > it was `Very Likely' that I was testosterone

> > > > deficient.

> > > > > > > > > > > >

> > > > > > > > > > > > In March '06 I was diagnosed with

> hypothyroidism.

> > > > > > > > > > > >

> > > > > > > > > > > > I still have various symptoms that have not

> > > > responded to

> > > > > > > > > thyroid

> > > > > > > > > > > > medication.

> > > > > > > > > > > >

> > > > > > > > > > > > Below are my thyroid tests from May `08:

> > > > > > > > > > > >

> > > > > > > > > > > > Free T3 5.0 3.5-6.5 pmol/l

> > > > > > > > > > > > Free T4 17 9-23 pmol/l

> > > > > > > > > > > > TSH 1.67 0.35-5.00miu/l

> > > > > > > > > > > >

> > > > > > > > > > > > It was concluded on this board by several

> > > > knowledgeable

> > > > > > > > > > > hypogonadism

> > > > > > > > > > > > suffers that my relatively high SHBG is at

> least

> > > > > > partially

> > > > > > > > the

> > > > > > > > > > > cause

> > > > > > > > > > > > of my low normal testosterone.

> > > > > > > > > > > >

> > > > > > > > > > > > UPDATE:

> > > > > > > > > > > >

> > > > > > > > > > > > My most recent pathology (2006 05 23) 7:57am

> > > > > > > > > > > >

> > > > > > > > > > > > Free Testosterone 47.6 31.0-94.0 pmol/l

> > > > > > > > > > > > DHEA-S 3.5 LO 7.6-17.4 umol/l

> > > > > > > > > > > > TSH 0.66 0.35-5.00 miu/l

> > > > > > > > > > > > Anti-TPO <10 Less than 35 iu/ml

> > > > > > > > > > > > Anti-TG <20 Less than 40 iu/ml

> > > > > > > > > > > > Ferritin 50 22-322 ug/l

> > > > > > > > > > > > Progesterone 1.2 0.9-2.9 nmol/l

> > > > > > > > > > > > Estradiol-17 Beta <100 Up to 206 pmol/l

( " Test

> > >

> > > === message truncated ===

> > >

> > >

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

> > > Talk is cheap. Use Messenger to make PC-to-Phone

calls.

> > Great rates starting at 1¢/min.

> > >

> > >

[Guest guest]

I will be speaking with my doc in about 30 minutse.

I'll be asking for low-dose tamoxifen to use for 6-12 weeks to

reduce/eliminate my gynecomastia. I'll also request further tests

for my adrenals, namely another saliva cortisol test, aldosterone

(acth serum, acth stimulation, aldosterone, renin and CBC) and

Growth hormone(Igf-1). After using tamoxifen, I'll look to treat my

adrenals.

> > > > > > > > > > > > >

> > > > > > > > > > > > > A recap and update:

> > > > > > > > > > > > >

> > > > > > > > > > > > > Two years ago I developed gynecomastia due

> to

> > > > > applying a

> > > > > > > > > > potent

> > > > > > > > > > > > anti-

> > > > > > > > > > > > > androgen topically. Although this incident

> > > > triggered

> > > > > my

> > > > > > > > > > > > > gynecomastia, it was further enforced

> through

> > my

> > > > use

> > > > > of

> > > > > > > > > > > > finasteride

> > > > > > > > > > > > > and topical spironolactone. The former is

> well

> > > > known

> > > > > to

> > > > > > > > > cause

> > > > > > > > > > > > > problems relating to lowering DHT and they

> are

> > > both

> > > > > > > known

> > > > > > > > to

> > > > > > > > > > > cause

> > > > > > > > > > > > > gynecomastia. However, a recent DHT test

> > > revealed

> > > > the

> > > > > > > > > > following:

> > > > > > > > > > > > >

> > > > > > > > > > > > > DHT: 1704 pmol/L ref- 217-1650 pmol/L

> > > > > > > > > > > > >

> > > > > > > > > > > > > I stopped using finasteride two years ago

> when

> > I

> > > > > > > realized

> > > > > > > > > that

> > > > > > > > > > > it

> > > > > > > > > > > > > was antagonizing my gyne. At the time, I

> > thought

> > > > > that it

> > > > > > > > was

> > > > > > > > > > the

> > > > > > > > > > > > > only culprit. I only recently stopped

using

> > > topical

> > > > > > > > > > > > spironolactone

> > > > > > > > > > > > > on April 20, 2006.

> > > > > > > > > > > > >

> > > > > > > > > > > > > Pathology taken in March '05 revealed the

> > > > following:

> > > > > > > > > > > > >

> > > > > > > > > > > > > FSH: 1.3 1-11 IU/L

> > > > > > > > > > > > > LH: 2.9 1-8 IU/L

> > > > > > > > > > > > > Prolactin: 8 3-13 ug/L

> > > > > > > > > > > > > Total Test: 19.0 10-28 nmol/L

> > > > > > > > > > > > > SHBG: 39 11-52 nmol/L

> > > > > > > > > > > > > Free

> > > > > > > > > > > > > Androgen

> > > > > > > > > > > > > Index: 0.49 0.25-1.00

> > > > > > > > > > > > > Estradiol: 95 50-218 pmol/L

> > > > > > > > > > > > > Prog

> > > > > > > > > > > > > Serum: 2 1-5 nmol/L

> > > > > > > > > > > > >

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

> > > > > > > > > > > > >

> > > > > > > > > > > > > Although my serum testosterone level

looked

> > ok,

> > > my

> > > > > SHBG,

> > > > > > > > > which

> > > > > > > > > > > > binds

> > > > > > > > > > > > > testosterone with greater affinity than

> > > estradiol,

> > > > > was

> > > > > > > > high

> > > > > > > > > > > > normal.

> > > > > > > > > > > > > My friend, from this forum then

> > > calculated

> > > > my

> > > > > > > free

> > > > > > > > > > > > > testosterone via the method employed by

> > Schering

> > > as

> > > > > > > > opposed

> > > > > > > > > to

> > > > > > > > > > > the

> > > > > > > > > > > > > FAI (which apparently is diagnostically

> > flawed).

> > > > > > > > > > > > >

> > > > > > > > > > > > > My CT level was low (although this was

> > > > theoretical).

> > > > > > > > > > > > >

> > > > > > > > > > > > > asked me to get a free testosterone

> test

> > > on

> > > > the

> > > > > > > > basis

> > > > > > > > > of

> > > > > > > > > > > the

> > > > > > > > > > > > > above.

> > > > > > > > > > > > >

> > > > > > > > > > > > > The result was the following:

> > > > > > > > > > > > >

> > > > > > > > > > > > > Free Testosterone: 38.6 31.0-94.0 pmol/l

> (10am)

> > > > > > > > > > > > >

> > > > > > > > > > > > > This would appear very low on the

reference

> > > range

> > > > > for a

> > > > > > > > > young

> > > > > > > > > > > man

> > > > > > > > > > > > so

> > > > > > > > > > > > > offered me a symptomatic

testosterone

> > > test.

> > > > He

> > > > > > > took

> > > > > > > > > the

> > > > > > > > > > > one

> > > > > > > > > > > > > from Malcom Carruthers book " The

Testosterone

> > > > > > > Revolution " .

> > > > > > > > > He

> > > > > > > > > > > > told

> > > > > > > > > > > > > me that I scored highly on the test, the

> > results

> > > of

> > > > > > > which

> > > > > > > > > > > > indicated

> > > > > > > > > > > > > it was `Very Likely' that I was

testosterone

> > > > > deficient.

> > > > > > > > > > > > >

> > > > > > > > > > > > > In March '06 I was diagnosed with

> > hypothyroidism.

> > > > > > > > > > > > >

> > > > > > > > > > > > > I still have various symptoms that have

not

> > > > > responded to

> > > > > > > > > > thyroid

> > > > > > > > > > > > > medication.

> > > > > > > > > > > > >

> > > > > > > > > > > > > Below are my thyroid tests from May `08:

> > > > > > > > > > > > >

> > > > > > > > > > > > > Free T3 5.0 3.5-6.5 pmol/l

> > > > > > > > > > > > > Free T4 17 9-23 pmol/l

> > > > > > > > > > > > > TSH 1.67 0.35-5.00miu/l

> > > > > > > > > > > > >

> > > > > > > > > > > > > It was concluded on this board by several

> > > > > knowledgeable

> > > > > > > > > > > > hypogonadism

> > > > > > > > > > > > > suffers that my relatively high SHBG is at

> > least

> > > > > > > partially

> > > > > > > > > the

> > > > > > > > > > > > cause

> > > > > > > > > > > > > of my low normal testosterone.

> > > > > > > > > > > > >

> > > > > > > > > > > > > UPDATE:

> > > > > > > > > > > > >

> > > > > > > > > > > > > My most recent pathology (2006 05 23)

7:57am

> > > > > > > > > > > > >

> > > > > > > > > > > > > Free Testosterone 47.6 31.0-94.0 pmol/l

> > > > > > > > > > > > > DHEA-S 3.5 LO 7.6-17.4 umol/l

> > > > > > > > > > > > > TSH 0.66 0.35-5.00 miu/l

> > > > > > > > > > > > > Anti-TPO <10 Less than 35 iu/ml

> > > > > > > > > > > > > Anti-TG <20 Less than 40 iu/ml

> > > > > > > > > > > > > Ferritin 50 22-322 ug/l

> > > > > > > > > > > > > Progesterone 1.2 0.9-2.9 nmol/l

> > > > > > > > > > > > > Estradiol-17 Beta <100 Up to 206 pmol/l

> ( " Test

> > > >

> > > > === message truncated ===

> > > >

> > > >

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

> > > > Talk is cheap. Use Messenger to make PC-to-Phone

> calls.

> > > Great rates starting at 1¢/min.

> > > >

> > > >