I have seen great benefits from TRT but also an equal amount of great harm. Unfortunately many providers check one total testosterone on a patient in the late afternoon and dx hypogonadism. Heck many providers don’t even warn patients about the sterility and other risk.
Any treatment plans should be based on physical assessment and bloodwork. There’s no one-size-fits-all if you have high estradiol. Surely don’t need any testosterone to raise it higher that be crazy.
Not sure didn’t see your bloodwork . I usually use endocrinologist guidelines, not family doctor or anything like that. most of times I can tell if you’re truly hypogonadal without any blood work too.
Don’t need AI I have prescribed testosterone almost 20 years and have seen the huge spikes in estradiol and many negative side effects . Many providers don’t know how to treat it properly. an aromatase inhibitor with or without testosterone can raise testosterone very well Total testosterone...
Obese folks will aromatize the testosterone into estrogen. Weight loss of course helps this. Total testosterone isn’t that helpful in diagnosing hypogonadism in the obese. Smarter for the obese to take a small dose of an aromatase inhibitor when weight normal taper off
Started april 16, 2024 at 352 lbs . Now 195 lbs. was on Tirz 13 mg and stopped for 5 weeks due to dizziness and increased calories from 1200 to 1800 a day. Restarted 3 weeks ago and reduced calories to 1200-1500 a day.
Tirz was on 13 mg . Stopped one month ago due to dizziness . Restarted it yesterday. 100 lbs first 5 1/2 months……152 lbs since I started April 2024 …. Around 43 percent……… scale keeps dancing between 200 and 205 ……..
I hear ya first 5 1/2 months down 100 pounds 10 -11 months down 150 pounds.. it’s a miracle drug….. 202-203 now, 352 April last year….. my wife only weighs 120 pounds…… down 182 lbs in 2 years ….. just stopped it three weeks ago, seeing if mine food noise and hunger comes back
Good to have blood work. Yeah, orthostatic hypotension is when your blood pressure drops when you stand up usually heart rate goes up. Blood pressure could be good sitting ………They will check your blood pressure laying down, sitting up and then standing to diagnose it.
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