I just don't understand how having a total testosterone of 218 does not indicate hypogonadism. What am I missing.
Well, that's thing, it does put hypogonadism into play and on the table. My GP is also female, she is razor sharp in all sorts of areas, including cardiovascular, genetics, hematology, pathology, etc..., however, by her own admission she isn't all that up to speed with mens endocrine treatment.
For over 8 years, I have had my HRT treated through specialists, and currently for 2+ years at
Defy. There's no secrets, I share everything with her, and I share her stuff with
Defy and Dr. Saya. She seems fascinated with a lot of the science, and she's one of the few that is still able to learn new treatments and new technologies, long after she earned a doctorate degree.
Unfortunately, many are not of this mindset ... In the beginning, I had an endo that she had referred me to. He was a complete arrogant and ignorant fool. He told me any test serum level over 600ng/dl is a pathway to cancer. He told me it was illegal to take testosterone cyp home and that it was a Class III controlled substance, and he told me that this means it's controlled by the physician. I countered that with all the other Class III opiods, he just got frustrated and wouldn't answer. He said HCG did nothing and it was for people trying to be Manny Ramirez. And of course, estrogen was no factor in his world. I emailed him some journal transcripts from the Society of Endocrinologist, basically rebutting all of his profound statements. He fired me as a patient within 10 minutes and I was back to my GP.
Rat buddy, as bad as that sounds, it was the best thing that could have happened!! For the first time in my life I had a full understanding of how and why a physician could potentially do more harm than good. Sadly, the "why" in that case (and in many) was due to an out of control ego with an arrogant disposition. This actually was my kick-in-the-butt to grab hold of my health and start learning how this all works. That led me to align and learn from people with real life experiences, and from the professionals who really have their "A" game on, eating & breathing this stuff day-in and day-out (there's this guy named
Nelson Vergel that falls into that category, some may have heard of him)
