| Muerta 2006-07-21, 4:22 pm |
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"Nick D" <not@important.com> wrote in message
news:Xns9806DCFC1F0AAnotimportantcom@63.218.45.254...
> Ok months have passed... And I went to a new endo, who is really cool.
> He at least has diagnosed me with secondary hypogonadism. (I actually
> have newer blood work which shows "better" numbers, but it still was low
> for my age, even though it was taken at the right time of the day)
>
> Please forgive the excessive quoting, but I am including bhasf's last
> post in full for reference.
>
> My endo is sending me for an MRI, but he strongly believes that it is
> highly unlikely there is a problem... And agrees with the thesis below,
> that for some other reason, I always had this problem - just with two
> testes pumping out T, it was never an issue.
>
> I discussed HCG therapy, and I got the standard answer that it is used
> really only to take care of fertility issues. The 2002 update of the
> American Association of Clinical Endocrinologists talks only about using
> HCG for boys with delayed puberty or for fertility issues.
>
> So question #1 - Is there any AACE peer reviewed publication that talks
> about therapy for men who do not have fertility concerns?
>
> People have posted to give that document
> (http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf) to my endo as a
> document showing that HCG is used for treatment of low T...
>
> But as you know, doctors are often reluctant to go out on a limb (do no
> harm), and generally stick to accepted practices.
>
> Question #2 - Any advice on finding someone local who is more
> "progressive"? I am NOT saying I definitely want to use HCG, but I would
> like it to be "on the table" as a potential therapy. I want to talk
> about the options with a doctor who is "open" to it, and then make the
> final decision. (My doctor suggested that patches/creams aren't nearly
> as effective as T shots, due to sweating, etc... I don't much like the
> thought of the peaks and valleys associated with T injections)
>
> Thanks again...
>
> Nick
>
>
Well, Nick, the A.A.C.E document is about as concrete as one can get. A
number of us have had the skitterish dr. problem, and have had to shop
physicians. HCG therapy is widely accepted among the medical commubity, and
if you run into problems, you could do what I did which was go to an endo
specializing in fertility with A.A.C.E. document in hand.
You say you're secondary, and if that's the case then I assume you've been
tested and found to have low LH. The medical test for secondary is to give a
large dose injection of HCG and then test the testosterone soon after to see
if the Leydig cells respond.
The current protocal for injecting testoterone cypionate that I and others
on this forum do, is to inject small dose once a week, therefore eliminating
peaks and valleys.
I inject from .5 to .7 ML of 200mg/ML per week, which equates to 100 to 140
mg of T per week, well below the max recommended dose of 800 mg per month.
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