Taking my life back

We are all getting super bad care these days for sure.

The last time I was at the doctor, I watched the doctor type my symptoms into ChatGPT and then he read from the iPad what could make me better.

And No, I’m not shitting you.
I know your not because when I had a primary Dr, she used to pull out her phone and type it into web MD.
 
Proactive care is new to medicine (Western only? Idk). Our providers are taught how to fix a problem, like mechanical or psychological, and prevention of these problems is a secondary concern. We ourselves have a hard time objectively reviewing our lifestyles to see what we could change.
I like the offseason fitness related threads here. Giving each other attaboys for walking 10k or losing five pounds, staying in remission, anything really. It’s a great positive feedback loop that amplifies our input to fitness.
I 100% agree.
 
Good thread @cgasner1, thanks for sharing. I thought I was kinda alone but sounds like I am in the same spot as many others. 10 years ago I was in probably the best shape of my life but always tired. My workout buddy at the time suggested I have my T checked and it was in the double digits. I've been on Androgel since then. Two years ago my doc wanted to test my level again and after 3 weeks of not using trt, my value was 9, basically my body does not produce it at all. Since being on trt, my energy is much better but not where I think it should be. Since covid, I've gained a lot of weight, my wife and best friend have been on me to go for a sleep study, which is scheduled for mid-February. This year, I want to lose about 60lbs and try and get off the blood pressure, glucose and cholesterol pills. The thread on drinking also helped a lot. Trying to kick the bottle to the curb also.
Some other good points surfaced also, especially being an advocate for your own healthcare. Change doctors until you find one that listens to you, not just your symptoms.
 
Yearly wellness check up yesterday...aside from the blood/urine test (ok) jibberish, the pearl I came away with was, "when walking on ice, keep your hands out of your pockets."
Get your test fixed and they will
Know your packing a lethal weapon
 
I think this is a huge problem and agree our food has a lot to do with it. And the whole "well you are in the range" Is total bs. Mine has always been in the 300's started getting checked in my early 30's 46 now and haven't been checked in a few years. The Low T clinics are everywhere but I get scared they will just put you on it so they can sell it. My buddy here at work is a big Crossfit guy and is always like dude you never eat and are active I don't know how you don't loose any weight. He thought I was about 260 I said nope I am 290. I think honestly the whole medical field is into the whole a patient cured is a patient lost mid set
 
I saw the endocrinology nurse practisioner this morning. I waited 3 months for this damned appointment lol She asked me a series of questions and said with 2 blood tests with below normal levels, I qualify for TRT. She is giving me a gel that I rub onto my shoulder every morning. I didn't want the injections because they spike and crash your T levels. I'm looking forward to seeing where this goes. I now weigh less than I did when I deployed to Iraq, but body wise look like I did at my heaviest.
 
I saw the endocrinology nurse practisioner this morning. I waited 3 months for this damned appointment lol She asked me a series of questions and said with 2 blood tests with below normal levels, I qualify for TRT. She is giving me a gel that I rub onto my shoulder every morning. I didn't want the injections because they spike and crash your T levels. I'm looking forward to seeing where this goes. I now weigh less than I did when I deployed to Iraq, but body wise look like I did at my heaviest.
I had 1 low test n 1 normal (by 3 points lol) w my VA pcp a few months back. Good luck
 
I saw the endocrinology nurse practisioner this morning. I waited 3 months for this damned appointment lol She asked me a series of questions and said with 2 blood tests with below normal levels, I qualify for TRT. She is giving me a gel that I rub onto my shoulder every morning. I didn't want the injections because they spike and crash your T levels. I'm looking forward to seeing where this goes. I now weigh less than I did when I deployed to Iraq, but body wise look like I did at my heaviest.
Don’t go Charlie Sheen on us! He uses enough lotion to test at 2k!
 
I saw the endocrinology nurse practisioner this morning. I waited 3 months for this damned appointment lol She asked me a series of questions and said with 2 blood tests with below normal levels, I qualify for TRT. She is giving me a gel that I rub onto my shoulder every morning. I didn't want the injections because they spike and crash your T levels. I'm looking forward to seeing where this goes. I now weigh less than I did when I deployed to Iraq, but body wise look like I did at my heaviest.
I take my shots twice a weeks. The test I’m on has a 3.6 day half-life. After getting my dose correct I have had zero crash. I just got my second round of bloodwork back when I started this last spring I was at 160 I’m running at 860 now.
 
For the guys doing the replacement therapy have you noticed any big side effects? I researched TRT and was ready to schedule my appointment but the statistics on the acne and how bad it can get and also the being on TRT for life once you start scared me. Also have you had any issues flying with the drug? I read a couple things says that its hard to do sometimes. Assume if its a prescription I would be good on that front.

I ended up trying some natural T boosting mainly with Ashwagandha, I have noticed a big change in my mood and overall happiness. But dont think I'm getting much of a T bump.
 
I’m going to say it again because TRT shuts down your body making testosterone. Go to a compounding pharmacy and ask them about enclomiphene. This increases your testosterone and your body makes it. I don’t see a reason for most people to not go that route.
 
My take: Its gotta be tough being a doctor these days, so much info out there and so many patients demanding that they agree with the patients diagnosis. But it's also very important to find a doctor that matches your desires.

I'm not an easy patient from the standpoint of accepting things without question. I want to know what and why and function. I bring thoughts and I want to know the potential for them to be the cause of a problem, or why the doctor would rule them out. With my training and family background full of nurses, doctors, therapists etc. I can talk some of their talk and understand things pretty well from a body system and function standpoint, which helps.

Some doctors would be a very bad fit for me, thankfully my primary is great at this.

And we just had a conversation on T at my annual physical last week. I have had a potentially serious medical problem that's been a mystery to solve. We know what precipitates the problem but the usual suspects have all been ruled out through a battery of tests. It may be related to a drug I'm taking which has been the best thing for my health in decades and it's hard to get off of.

I knew we hadn't tested my T levels and knew some of my symptoms could be tied to them. He agreed to order a blood test. Turns out total is right in the middle or the range but free is right at the very top of normal for my age. Haven't heard back from him but high T is tied to some tolerable issues I have long had, not sure if there's a relation.

But the thing I wanted to mention was our discussion. He said in the last year sometime he attended a presentation by a Mayo clinic researcher on what the medical profession knows about Testosterone levels and health impacts resulting from it.

It wasn't encouraging--he said the fellow said we really know very little. Research trials have not been able to tie health problems to levels of T in the blood at all. For some with a problem thought to be caused by low T, their levels were high. For others withou the problem, their levels were low. The one thing that seems to hold is sexual problems which do correlate with low T levels. Most of the rest--the evidence is not there.

So my docs thoughts were it's fine to check T levels, but each patient is different and T levels are just one thing to think about that may or may not be tied to maladies often thought to be caused by low T.
 
But it's also very important to find a doctor that matches your desires.

I know you didn’t mean it in a dangerous way, but this is referred to as doctor shopping. Beware.

Often times, the greatest service a physician can offer is to protect a patient from their desires- especially with things like this.

There is a ton of bro science and self-diagnosis going on in the Ozempic/TRT space- I have a sinking feeling it will not end well for a large amount of people.
 
For the guys doing the replacement therapy have you noticed any big side effects? I researched TRT and was ready to schedule my appointment but the statistics on the acne and how bad it can get and also the being on TRT for life once you start scared me. Also have you had any issues flying with the drug? I read a couple things says that its hard to do sometimes. Assume if its a prescription I would be good on that front.

I ended up trying some natural T boosting mainly with Ashwagandha, I have noticed a big change in my mood and overall happiness. But dont think I'm getting much of a T bump.
All of my side effects I’ve had are positive and the reason I got on. My numbers were to far gone to do anything else. If I was borderline I’d probably tried some other stuff first. Such as the cpap or diet change an other supplements. It is a life commitment once you start. For me my only regret is not getting on it a few years sooner. Your life may be different
 

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