I had my first appointment with endocronologist yesterday - surprised

kmarcetjr

New Member
This is a follow up post from previous thread : https://www.excelmale.com/forum/showthread.php?10651-High-SHBG-Low-BioAvailable-T-Options

I had my first appintment with my endocronologist yesterday. SHe started out by asking me why I was refered to her. I told her about my symptoms fatigue, muslce weakness, body fat increase, just feeling run down. SHe asked about my job and my lifestyle, I told her I work full time in a retail store, on my feet walking around all day lifting boxes and such. She asked about my diet, I told her what I eat. She asked about my sex life. The what she sais after all her questions surprised me. She said I am a canidate for TRT!

She went on to tell the the benifits of TRT, and the cons of it as well. But she suggested I try lifestyle and diet changes first as she said diet can influance test and shbg levels. She suggested I cut way way back on simple carbs. And exercize a bit more. Ok I'm willing to try those changes to see if it helps. I've never heard or read of diet being a big influence on test or shbg levels, but she is the doctor.

Now about her TRT program. She said there are several options for TRT, implants, injections and gels. SHe said here in hot humid Florida the gels tend not to work well, guys sweat the gel away. Most of her patients go with the injections. They start out injecting at the office and teaching patients how to self inject. She said patients usually start self injecting after a few months. They start the injections at every 2 weeks. She also said that getting insurance to cover TRT is almost immpossible, but even without insuirnace the injections would probably run $30 to $40 a month.

SO now I am going to try the diet and lifestyle changes she reccommended until I see her again in 4 months for more blood tests.

Ok so feedback on all this?
 
I see in the last few sentences you are going for follow up blood work in 4 months. Do you have baseline blood work you can post? The guys on this forum are fantastic at looking at your blood work and can recommend any further testing for baseline values before you begin any treatment. I wish I had that information when I started.
 
inj every two weeks is a red flag, if you cant work in to E3.5D at a minimum then I would not suggest you continue with her, you also need to get her point on HCG use, and even Anastrozole availability, should it be needed in the future.
 
An injection every two weeks won't restore your hormonal levels. In fact, you're quite likely to feel even worse than you do now due to shot-down of your own, endogenous testosterone production. As Vince Carter noted, an injection every 3.5 days is the standard protocol now. You'll find plenty of threads and supporting material here that you can share with your doctor that supports this practice.
 
I see in the last few sentences you are going for follow up blood work in 4 months. Do you have baseline blood work you can post? The guys on this forum are fantastic at looking at your blood work and can recommend any further testing for baseline values before you begin any treatment. I wish I had that information when I started.

Hi, I posted baseline bloodwork in the previous thread, the link in the beginning of this thread. As I recall, total t was 685, free test was 49, and shbg was 70.
 
inj every two weeks is a red flag, if you cant work in to E3.5D at a minimum then I would not suggest you continue with her, you also need to get her point on HCG use, and even Anastrozole availability, should it be needed in the future.

Well I'm noy on TRT yet, she want's to see how the diet and lifestyle changes affect my blood tests in 4 months.
 
I think that that's best, you don't have bad numbers and I've said in your other thread it seemed an SHBG and Free T matter. I wouldn't advise TRT with those numbers.
 
I think that that's best, you don't have bad numbers and I've said in your other thread it seemed an SHBG and Free T matter. I wouldn't advise TRT with those numbers.

Well I'm kind of hoping that someone on this board is a nutritionist and will chime in with how reduction of simple carbs will affect my test or shbg levels. My doctor said that the simple carbs "kind of clog up your whole body and not let all the organs and hormones work the way they are supposed to" She said some aspects of both the Mediterranean diet and the paleo diet are what she recommends to her patients.
 
Well I'm noy on TRT yet, she want's to see how the diet and lifestyle changes affect my blood tests in 4 months.

Regarding diet/lifestyle the biggest factors that can negatively impact natural endogenous test levels are lack of sleep/too much stress (excess cortisol), excess body fat ,alcohol/drug abuse, and if you can improve upon those you may notice an improvement in test levels to some degree. As far as training with weights the test increase is transient at best and as far as diet obviously eating clean healthy whole foods will supply your body with the macro/micro nutrients it requires to function optimally but as far as training/diet really making a huge improvement on your hormone levels highly unlikely. Excess calorie restriction and low fat diets have been shown in the literature to reduce testosterone levels to some degree also.
 
Regarding diet/lifestyle the biggest factors that can negatively impact natural endogenous test levels are lack of sleep/too much stress (excess cortisol), excess body fat ,alcohol/drug abuse, and if you can improve upon those you may notice an improvement in test levels to some degree. As far as training with weights the test increase is transient at best and as far as diet obviously eating clean healthy whole foods will supply your body with the macro/micro nutrients it requires to function optimally but as far as training/diet really making a huge improvement on your hormone levels highly unlikely. Excess calorie restriction and low fat diets have been shown in the literature to reduce testosterone levels to some degree also.

Well I'm going to try the diet and the supps I'm taking, vitamin d, zinc, magnesium, stinging nettle root and tongkat ali, for about 2 months then get my test levels checked again via private labs or other such service and see if there is any improvement, if not maybe I go back to my old eating habits and encourage TRT.
 

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