Hello. This thread demonstrates the problem I have been attempting to make the medical community (physicians/reserachers) address for almost a decade. See website
www.asih.net. I personally have treated many thousand of patients for this problem. I challenge anyone to find a medical professional who has treated more individuals than me. I have termed the condition ASIH or Anabolic Steroid Induced Hypogonadism. This has lead me down many paths and realizations for the failure of the medcial profession to properly research ASIH. I have been absolutely tirelessly dedicated to developing a treatment regimen as well as programs utlizing AAS but without the ASIH usually seen with the cessation of AAS. I have been very successful in this endeavor. However, the medical community does not recognize this problem or labels it something entirerly different. Lunacy.
This past March 2005 the Texas State Board of Medical Examiners revoked my medical license for treating ASIH. I am in the appeal process currently. I was offered a plea early on which would have had me practice no endocrinology for 10 years with a $10,000.00 fine. I refused. Besides the revocation I was fined $200,000.00. I am bankrupt finnacially but wealthy beyond my wildest dreams morally and spiritually. I feel good that as a physician I was doing the right thing for my patient. I will be vindicated. I am a hopeless believer in truth and justice!!!
There is not enough space here to detail the whole story but it does have a consistent path - "FOLLOW THE MONEY." At this time I would rather address the isssue of ASIH. To save time and space please see my recent posts on hCG & clomid/tamoxifen. The protocol developed is published and can be downloaded from the website. It is temporarily offline but will return by Monday.
I will be a moderator starting this coming April. I have written an article on ASIH to be published online at MESO at the same time. originally 22,000 words I have had to cut it back to ~2500. I plan on detailing the information in follow up articles.
I do have a few tips regarding HPTA normalization after AAS cessation:
1. hCG should be used subcutaneous; one may begin the administration before ending AAS use but should only be done after calculating the half-life of the AAS(s) used so as to not deplete the hCG or come up against down regulation of the lutropin receptor; 2. at some point while on the hCG begin the antiestrogen clomiphene citrate at 50 mg po bid (more will be wasteful and increase the risk of troubling side-effects, headaches and ocular pain); tamoxifen can also be added at 20 mg po qd; 3. do not depend upon a clinical response (increased libido, energy. blue-balls, increase in testicle size, etc.) as proof of returned testicular function - NEVER. A serum T should be done and timed to be done just prior to finishing hCG. I will discuss the reason for this at a later time; 4. Only after a sufficient respone in the serum T stop the hCG as planned and continue with the antiestrogens. Towards the completion of these meds and before their gone have a blood test for LH & T, simultaneously.
Decisions after this are individualized and take into consideration the medical history, etc. prior to initiating AAS. one of the best moments in my practice was when a graduate student in Exercise Science received his Masters on work done in my office. The thesis was titled, "The Evaluation Of A Medically Supervised Anabolic-Androgenic Steroid Program Effects On Strength, Body Composition, And Blood Levels." None of these individuals suffered from ASIH post AAS cessation.
I hope this is of some help.
Peace.
Mike
