How I got androgel
I wrote this to my doctor and for a dear friend who was also suffering, If you have decided to use androgel, I hope this helps you…
I am not a doctor and can’t prescribe therapy, but I have learned a lot in the last few months and discovered several facts concerning Androgel, and Hormone Replacement Therapy (HRT) that I think you will find interesting: Amazingly this is not a problem afflicting a minor number of men. Sixty to eighty percent of men are in need of (HRT).
XXX you need to find a doctor that understands your health concerns (Most are very caring people). If you feel your doctor is not concerned, and wants to follow current guidelines and statistics, based upon outdated faulty studies, which have become popular opinion, then your health may well continue to decline placing you in danger.
Locating a doctor that doesn’t hold the opinion that testosterone is dangerous or evil, may be difficult. You need to find a doctor that is up to date on the most recent studies and findings (Most don’t have the time for research). Based upon your statement your current doctor may be unable to help you…
Here is a hypothetical scenario to ponder: You are 45 years old and your total testosterone is 550ng/dl and your doctor says you’re within the acceptable range! Which is (300-1000ng/dl)? If you are or were a high testosterone male and in your prime you had levels at or above 1100ng/dl, and now you are in your thirties or forties and it has dropped by 50%? You probably have noticed a definite difference in your quality of life.
Most Doctors will find your level of 550ng/dl acceptable!
Possibly you were a man who in his prime had levels of 500ng/dl and now your levels have dropped to 300ng/dl. It’s possible this man feels fine at 300ng/dl.
Remember everyone is different.
Ask your Doctor if he thinks that number may be low for you? If he says absolutely not, you may need to get another opinion. Below are some things you should be aware of:
1). You will need to be in a fasting state before giving blood (my first blood test was faulty because I had just eaten a large meal). My last blood test was in a fasting state and my total testosterone was low (328ng/dl). Seek to have several substances checked during your blood test: Dheas, testosterone, free testosterone (also called bioavailable testosterone), and Estradiol: (estradiol; anything over 30ng/dl is too high): If estradiol is too high it means the testosterone you are taking is being converted into estrogen. The free testosterone level is the most important and does decline with age, whereas the total testosterone may not change as you age, so it is often unreliable and dangerous to look at the total testosterone level and assume all is well. Sex Hormone Binding Globulin (SHBG) increases with age due to increased estrogen production. So, it’s important to be monitored if you’re receiving T.R.T. If the level of SHBG is high, more testosterone will be bound by SHBG while the free testosterone levels will be low, but the total testosterone levels unchanged. Receiving more testosterone (A higher dosage) will not increase the free testosterone blood levels.
* SEE DOCTORS QUOTE AT THE END OF THIS LETTER.
2). Almost all of the supposed facts (though widely accepted) have been wrong, since they are based on old and often faulty studies, Many male problems are now known to be associated with low testosterone and High Estrogen some are; prostate enlargement, high blood pressure, depression, cholesterol, heart attack, diabetes, rage, weight gain, irritability, low libido, E.D, low energy, loss of interest in life. ETC.
3). If your Dr. wants to give you injections or if he says “you don’t need therapy, you’re just getting older!” you’ll find yourself struggling against a system that is suppose to help you, but instead is increasing your worry, frustration, and in some endocrinologist’s opinion, your health. Injections are not the preferred method of administration, (other than the fact it is inexpensive) but it is not necessarily safe. Androgel is the safe alternative; it is natural, and metabolized by the body as a natural substance.
4). Depending on your Doctors orders, androgel can be applied up to 3-4 times per day.
Ex: If your doctor prescribes 1 dose of 5g androgel (50mg / 300ng/dl + or – 200) will a single 5g dose help you? It may not. With the plus or minus 200 factor you may need 2-4 doses, spread evenly thru out the day. According to the A.M.A, two doses equals 700ng/dl + or – 200. Three doses of 5g applications puts you on the medium/high end (1000ng/dl + or – 200). Also if you have a lot of fat, the fat cells may not release the androgel as readily as if you were a thin person, so the absorption percentage of 10% has to be taken into consideration.
Following is my experience:
** I noticed my symptoms about 4 yrs ago. I didn’t know then what was wrong; neither did any of the doctors I went to. I don’t fault them; most Doctors can’t do case studies or read each new publication. Most have a very heavy patient work load.
This left me doing a lot of research including reading medical books, books written by doctors and visiting medical websites like the AMA, to find an answer, and if you look at the symptoms of low testosterone, I have almost every symptom, SEE pages 23-26 in book recommended below.
I went to four doctors and I described my problems and symptoms to each of them.
First I saw a family practitioner, then a pulmonary specialist, then an endocrinologist, and finally my current doctor, Thank God for him, he is the only one that said, “xxxx, you don’t need to feel this way, and I’ll fill your prescription I want you to come back and see me in three to four weeks”. Thank You Dr. xxxx!
Now I’m feeling a LOT better, (it can take up to a year to feel your best), but after one month you should feel a big difference, and I do. I have a lot more energy, my attitude is really different, I’m not grouchy, I even have a lot of energy, and am sleeping well, I’m not getting up to pee all night, and best of all my E.D. is gone. Amazingly two additional low testosterone symptoms; the swelling in my legs, and the muscle cramps are also gone! (This swelling was the reason I first saw Dr.xxxx).
I’ve done some experimenting with the dose to be able to report my findings to Dr. xxxx.
As you know one of my greatest concerns was that I have performed very heavy labor for the past twenty years and have another twenty years to go, so I’m very happy to have found the reason for not being well.
In conclusion, the natural testosterones are safe, they are not synthetic, and are not the same as those abused by athletes, (not anabolic steroids), which are often dangerous, because of there differing chemical structure and the amounts used.
Even if androgel was dangerous (and its not), I would be willing to risk a loss of longevity, in order to continue with the quality of life I am now experiencing. This would be much better than living as I was prior to using androgel.
You should get the book: “The Testosterone Syndrome” by a doctor of internal medicine. Or I could pick it up for you. There are probably one or two dozen good books by leading doctors concerning new studies and treatments for male andropause.
If you have an estrogen problem, (some men have high estrogen and remedying this takes care of their problems). The current books and research recommend proviron, and or teslac, they are not just a dose of estrogen, to inhibit its uptake, and (You do need some estrogen in order to be healthy). You may need the estrogen medicine, if you have a high estradiol count (30ng/dl). If this is true for you, make sure you discuss this with you doctor, or no matter how much testosterone you take it will be converted to estrogen!
*Quote: “The genital-pelvic region is packed with testosterone receptors that are ultra-sensitive to free testosterone-induced sexual stimulation. Clinical studies using testosterone injections, creams, or patches have often failed to provide a long-lasting, libido-enhancing effect in aging men (98). We now know why. The testosterone can be converted to estrogen. The estrogen is then taken up by testosterone receptor sites in cells throughout the body. When an estrogen molecule occupies a testosterone receptor site on a cell membrane, it blocks the ability of serum testosterone to induce a healthy hormonal signal. It does not matter how much serum free testosterone is available if excess estrogen is competing for the same cellular receptor sites. Estrogen can also increase the production of sex hormone-binding globulin (SHBG), which binds the active free testosterone into an inactive “bound testosterone.” Bound testosterone cannot be picked up by testosterone receptors on cell membranes. For testosterone to produce long-lasting, libido-enhancing effects, it must be kept in the “free” form (not bound to SHBG) in the bloodstream. It is also necessary to suppress excess estrogen because this hormone can compete for testosterone receptor sites in the sex centers of the brain and the genitals.”