[canthavetoomanytoys]

My humble advice is to seek a doctor who will not use synthetic hormones but only prescribes bio-identical hormone therapy. It just so happens that LEF has a report in their October publication. http://www.lef.org/magazine/index.htm

Another source for finding a doctor is one of several books authored by Suzanne Somers. You may actually be convinced that, as a male, you may want to consider BHT yourself.

[canthavetoomanytoys]

@hardasnails1973 1468 wrote:

From just the list of test i speculate thyroid and adrenal imbalances may be in your future along with other nutritional factors, lifestyle changes which may need some modification.
If he is on the west coast I encourage him to seek out Dr mariano. If he is on the east coast he can pm me. People that get evaluated by us will have comprehensive blood work, salvia, urine test done to look at all aspects of your well being. Who ever you go to I just encourage that you research them heavily so you know what they are all about.

There are few Endocrinologists in my area and only one who is in my insurance plan, which is not a minor plan.

I can PM the name if you have connections or resources to make some deeper inquiries. I thought about posting the links to the report cards but thought there might be some prohibition on this.

Here is what I know without providing a name:

American Board of Internal Medicine (ABIM) certification in the specialty “Internal Medicine”
ABIM certification in the subspecialty “Endocrinology, Diabetes and Metabolism”

Studied abroad at University Of Damascus; Completed 1996
Residency in Internal Medicine, SUNY Downstate Medical Center, Brooklyn, NY
Member American Association of Clinical Endocrinologists

Special Expertise:
Diabetes Mellitus; High Blood Pressure (Hypertension); Insulin Resistance; Lipid Metabolism Disorders; Metabolic Bone Diseases; Obesity; PCOS; Thyroid Diseases.

I spoke to his office to confirm that his practice includes LOH/Andropause along with the list above.

Before coming to NJ, the doctor practiced at the University of Missouri Hospital, Columbia, MO

Languages are English, Arabic, Circassian

[canthavetoomanytoys]

@skywalker45 1464 wrote:

Regarding above in bold. I’m no expert but have learned much from various forums and you need the thyroid workup HAN spoke about but it’s not a good idea to have a testosterone test 2 hours after applying Testim. I’m on Testim as well and the general “name of the game” (according to my doctor) was to apply the gel the day before the test, then the morning of the test take a shower and wash the applied area, have the blood drawn, then apply the gel again. This worked with me.

I should have listened to the collective wisdom and should not have applied the Testim the morning of the blood draw. I confirmed with the doctor what he wanted me to do; apply the gel on schedule and get the blood drawn two hours latter between 8 – 10 A. I don’t think the doctor had given this much thought but was following the 8-10 A instructions as you would pre-TRT. I don’t want to knock the Doc too much but I suspect his TRT patients are not getting optimum benefit from TRT. The Doc is good at his practice which is largely Uro issues including kidney stones… he has treated me well in that regard.

I would suggest others to do as Skywalker suggests… let this be a lesson learned. All in all, it is probably a good thing that the Doc saw his limitations and realized that a specialist is best for me.

[canthavetoomanytoys]

IMO, you can gain more benefit of low-carb eating by eliminating the rice and potatoes. When selecting fruit select those on the low glycemic index end of the scale, thus reducing further the carbohydrate control on cholesterol.

Aside from the total cholesterol, the HDL level is good and the triglycerides are at a reasonable level. You might also want to have the fractional components of LDL evaluated.

There are some doctors who would not suggest a statin unless you have had a previous heart attack or blockage. If a drug or vitamin intervention is a must then have your doctor consider high-dose niacin. Remember, cholesterol is needed by your body. Driving the level too low is harmful to proper health. Inflammation of your circulatory system is how cholesterol can have a negative effect; look at those factors.

I would cut out the Omega 6 supplements and dietary additions altogether; typical diets already have a high or too high amount of Omega 6. I would then increase your Omega 3 supplements to the equivalent of 8 grams fish oil using typical EPA/DHA softgels. These supplements with your fish meals will provide a good supply of EPA.

Your 99% dark chocolate is fine in moderation as a treat. 85% is all I can find but has minimal sugar content.

I am not a health care professional; If I got anything wrong HAN or Dr M should be by to make adjustments.

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