Thanks everyone for taking the time to reply. I will try and educate my self more on this topic. I'm willing to start TRT preferably with topical finasteride. I have experienced a noticeable amount of hair loss since December. The loss is moslty in the crown within the last 6 months. I am sure its due to stress from a loss in the family. I'm a little hesitant to start TRT with out something that will potentially inhibit dht related hair loss. I thought they're plenty of people that are on TRT with Finasteride that feel great and have more hair.
I fasted for 10 hours before I went for the blood draw at 8AM.
I have a follow up appointment with a Telus health doctor (not my family GP) on Aug 14th.
He told me that if any of my levels were out of range that he would then order more testing.
I want to do gold standard Equilibrium Dialysis or Ultrafiltration test. Is that something that I should specifically request next time I speak with the doctor? How difficult is it to get TRT prescribed from a GP in Canada? My friend who also tried to get TRT from his doctor failed and just had to self administer. Again, thanks everyone for your time.
Most would not be willing to pay out of pocket due to the absurd cost for testing FT using the most accurate assays (ED/UF) as they are not covered by insurance.
For the time being you are going to have to use/rely upon the cFTV.
@Marcel https://www.
excelmale.com/forum/threads/the-dea-wants-to-limit-your-access-to-trt-telemedicine.27274/page-6 We have always been far worse off than the US when it comes to the treatment of men for testosterone deficiency. Although there has been some improvement in certain areas we...
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There is a lot of fear mongering when it comes to the use of 5-ARIs.
Can they cause sexual/mental sides most definitely.
It is not a given that you will experience such.
Some may experience negative short/long-term sides when using 5ARIs.
No one can say for sure if you will be one of the unlucky ones.
Personally I would not use 5-ARIs or AIs but that is me though!
Learn as much as you can and do what you feel is best for you.
We need to tread lightly when trying to manipulate testosterone metabolites estradiol and DHT as they are needed in healthy amounts and are critical to our overall health.
Estradiol and DHT are needed in healthy amounts to experience the full spectrum of testosterones beneficial effects on mood, energy, libido, erectile function, cardiovascular health, brain, bones, tendons, immune system, body composition, and recovery.
*Natural testosterone is viewed as the best androgen for substitution in hypogonadal men. The reason behind the selection is that testosterone can be converted to DHT and E2, thus developing the full spectrum of testosterone activities in long-term substitution
A review discusses various treatments for androgenetic alopecia (AGA), the most common cause of hair loss. Traditional methods like minoxidil and finasteride have mixed results. Newer treatments, such as low-level laser therapy (LLLT), microneedling, platelet-rich plasma (PRP), and others, are...
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Maria Uloko, MD, discusses symptoms, causes, and treatments for post-finasteride syndrome (PFS) and post-SSRI sexual dysfunction (PSSD) in men. She explains the controversy behind the PFS diagnosis and discusses the attention it has gathered in urology, citing the NIH’s inclusion of PFS in its...
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Comprehensive review of oral minoxidil in alopecia (2022) Jay D. Modha MD | Yashdeep Singh Pathania MD Abstract Background: There have been various treatment modalities available for alopecia in the form of topical and systemic with a variable response. The compliance of the patients is...
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*Considerable evidence exists in the contemporary literature regarding the physiological role of 5a-reductases in the peripheral tissues and CNS and the pathophysiological implication of inhibiting this family of enzymes and blunting biosynthesis of neurosteroids, which are critical biological mediators in the CNS, and contribute to altered mood, cognition, and libido (23–50). Also, significant pre-clinical evidence exists demonstrating that inhibition of 5a-RIs contributes to erectile dysfunction (16–22) and may also contribute to neurological symptoms (Fig. 4 (36)
