You are a man after my own heart! I am 34 5'10 and 234. I have a 19" neck and the sleep Dr. measures it everytime I go in and shakes his head and tells me it can't get any bigger. He's a good Dr though. I have had sleep apnea for at least 4-5 years. I was given a CPAP about 3 years ago but could not use it. I started waking up gasping for air and a cold sweat. I lost my libido
and energy and wondered what was wrong so, I went to my Dr. and was diagnosed with low T. I have spent the last 3-4 years trying to find a good Dr. that knows about T replacment. I finally went back to the sleep Dr. about a year ago and the put me on a CPAP w/Cflex so, I did not have to breath back against the pressure of the CPAP and that made all the difference in the world.
In regards to T therapy. There are articles that say if you are truly low because of sleep apnea then getting the apnea fixed will fix the low T. Although I can tell you this was not true in my case.
200 mg of Test
every 3 weeks will put you on a hormonal roller coaster. It will spike your T as well as probably cause excess estrogen. See if he will do 100 to 125 once a week. That is what most people are doing on the board. Some a tad more, some a tad less.
One thing about T is, it can make apnea worse. There is no one that knows why this happens in some and not others. There is some speculation though. It is not because of weight gain or water retention because it happens to quickly. It is more of a neruological issue. Testosterone
seems to have an effect on ventilatory drive. There have been cases where women have had a Testosterone producing tumor and began showing signs of apnea. Once the tumor was removed they returned to normal. Estrogen and Progesterone seem to have a positive effect on sleep and apnea but, as a man you don't want to go around taking Progesterone. Being on a CPAP can keep the T from making your apnea worse. I am not taking direct T replacment but rather HCG
right now because I am trying to see if my testis can make enough T on there own to keep me in the upper normal ranges. My wife and I have also not had children so, I want to keep the testis good in that area as well.
If you don't mind, I have some questions for you for my own benefit.
1. How did you know you had apnea?
2. What were your symptoms at night? Waking up gasping etc.... ?
3. How have been since the Dr. gave you T? Were your symptoms worse or better?
I would be curious to see what your sleep study is while on CPAP and T replacement. Please keep us updated on your status. This is an area I am very interested in for obvious reasons. I wish you the best of luck.