My Dr. Crisler Experience

[UFgrad777]

Yup.

I agree with you.

I used to work for a bank and it was their policy to always treat customers with the utmost respect bc if someone is treated poorly they will tell their friends, family, and acquaintances and this impacts their bottom line and business.

I dont know about Crisler specifically but he is not some special flower or scare resource. There are literally hundreds of doctors in North American who are more than capable of administering TRT and conducting labs to oversee that treatment.

This boils down to a "buyer beware." Crisler's entire reputation was built through buzz marketing via the internet. The myth that "endo's suck" is perpetuated on "bro science" forums all over the internet. If you goto any message board on the internet you will see "endo's suck. go see Crisler" but it will be from the same handful of posters. Also, these guys who say "endo's suck" are often guys who don't need TRT but want it and won't get it prescribed. So they get pissed off and think endo's suck.

End of the day your experience will help other people decide if they want to see Crisler or not. Some will still ultimately see him (maybe they have low self-esteem, or maybe they have no other options) but some people will read your account and realize they have options and they don't HAVE to goto this egomaniac in Michigan who claims to be the only TRT option in town.

Well I have consulted with him first hand and can honestly say that this man did not in any way ,shape, or form come across as an egomaniac. I had heard all of the bad rap on Dr. Crisler before I had a consult with him and I can't tell you how blown away I was with his genuine concern and interest.

 

[Tyler81]

Most endos do suck, wether you think Chrisler started this or not the bottom-line is most of them are worthless, you don't even live in the US so I wouldn't expect you to have a clue about it.

I agree that people have options, but to say there are 100's of doctors capable is def not a true statement. There wouldn't be a million stories of guys going to their endo and getting a TT value of 315 and being told that is completely normal. It happens EVERY SINGLE DAY.

So maybe guys don't like Chrisler, thats not my point, point is just because you don't agree with someone and how they handle their business does not mean you start a smear campaign on them.

Like you said, just take your money elsewhere............... why the need to smear someone cause YOU don't think they are a good TRT doc?

He dismissed him, whats the big deal? they didn't get along........... no one can make everyone happy.

I personally dont give a fuck about Crisler. I did my due diligence on him and decided he was a toolbag. That's my personal opinion of him based on his forum, his posts, and the fanboys on his forum who rant about the tea party.

I was just saying the OP has the right to post about his experience. It's not a "smear" campaign. Crisler is running a business and say you had a bad experience at McDonalds, or Bank of America, or any business, you would tell people about it.

This guy has that right and in a free market based society he SHOULD talk about it.

 

[newbie23]

I personally dont give a fuck about Crisler. I did my due diligence on him and decided he was a toolbag. That's my personal opinion of him based on his forum, his posts, and the fanboys on his forum who rant about the tea party.

I was just saying the OP has the right to post about his experience. It's not a "smear" campaign. Crisler is running a business and say you had a bad experience at McDonalds, or Bank of America, or any business, you would tell people about it.

This guy has that right and in a free market based society he SHOULD talk about it.

LOL yea he sure does have a right.............but he is a loser troll.......its obvious. I guess when BK forgot my cheese on my chicken sandwich the other day I should have told people about it [)]

No normal person starts an account just to rant and rave about someone............and honestly I can't figure out how he was treated so unfairly.

You talk an awful lot of shit..........oh wait you are Canadian...........[)] fuckin canucks always getting their panties in a bunch

You guys on TRT think you should be catered to every time the your nuts hang a little left............. grow up......... this is a free market and Chrisler has the right to dismiss someone just like this low life has the right to rant and rave about it all over the internet............. it doesn't mean its the right thing to do.

BTW you have no clue if this guy is just another troll.........I am sorry I don't believe every tom dick and harry that starts an account and on there first post starts talking shit about someone...........there should be a rule against that.

You guys act like he killed the guys dog...........all he did was tell the guy he didn't want to deal with his whiny bullshit.................

 

[Tyler81]

LOL yea he sure does have a right.............but he is a loser troll.......its obvious. I guess when BK forgot my cheese on my chicken sandwich the other day I should have told people about it [)]

No normal person starts an account just to rant and rave about someone............and honestly I can't figure out how he was treated so unfairly.

You talk an awful lot of shit..........oh wait you are Canadian...........[)] fuckin canucks always getting their panties in a bunch

You guys on TRT think you should be catered to every time the your nuts hang a little left............. grow up......... this is a free market and Chrisler has the right to dismiss someone just like this low life has the right to rant and rave about it all over the internet............. it doesn't mean its right.

I talk alot of shit? LOL

Cum on....

The way you post it seems like you are Crisler's illegitimate love child.

 

[newbie23]

I talk alot of shit? LOL

Cum on....

The way you post it seems like you are Crisler's illegitimate love child.

Maybe I am........... or maybe this guy is a troll............ I am just saying bro this guy reeks of a troll........... i honestly don't know how you don't see it.

 

[hardasnails1973]

Salutes ........
[ame=http://www.youtube.com/watch?v=Q65KZIqay4E]God Bless the U.S.A. by Lee Greenwood - YouTube[/ame]

 

[newbie23]

 

[NeelyDan]

Calling one a troll while making statements like "fucking canadians always getting their panties in a bunch" is rich.

Why don't you get off Crisler's dick for 5 minutes? How do you sleep at night?

 

[newbie23]

Calling one a troll while making statements like "fucking canadians always getting their panties in a bunch" is rich.

Why don't you get off Crisler's dick for 5 minutes? How do you sleep at night?

Actually I said Canucks........... and I usually sleep in my underwear.........

This has nothing to do with Chrisler from my perspective, it is simply a matter of being on the boards for years and accumulating more that 12k posts and knowing when someone is full of shit and this guy is full of shit.

Others have had thrown in there 2 cents in this thread but I didn't jump on them............

 

[newbie23]

let me ask you a few questions Dan Neely.......

1. Why is it that the OP on his first post, made a lengthy post detailing his entire negative experience, in detail, with all facts laid out like it was planned methodically? Do you know that there are hundreds of people that look at these forums every single day and do not post because they are intimidated?

When someone makes there first post it is usually short and filled with " appreciate feedback" or " if you guys have time" or "thanks for reading my post". This is because it probably took them 6 months to muster up the gumption to post it.

Not this guy though, he was armed and ready and did not hesitate to return snippy post's.

Im sure you are saying so what maybe he is used to posting on forums but he is just new to this one, which brings me to my next question.

2. Why does the OP use a handle that can not be found on any other board on the internet? Its simple really you just plug in someones handle in google and if they post somewhere else under that name then the threads they have posted in will come up.

I will tell you why you can't find his handle cause he made up a new one, cause he is a troll and and does not want anyone to research any prior post's of his. If I was a poster on another board and I had a legitimate complaint about someone I would use the same handle, that way if people questioned my merit they could see that I have posted elsewhere under the same handle for some time. This is what trolls do though, oddly enough he seems like an experienced troll cause he chose his name well, like a UGL would choose there name, a name that is very common and when you google it a million other unrelated things come up.

3. Why did the OP share this? pointing to the new or other doctor he was using?

Thanks for the recommendation kjcmc. I actually found a superb Doc in the Columbus area. My experience with her was the polar opposite of Crisler and his scam All Things Male clinic. Her first in person consult lasts 2 hours and the charge was $350. She is incredibly responsive, doesn't charge you for your prescript, doesn't steer you towards her pharmacy for a kickback and she has a brand new, clean and sterile office building, located less than a mile from LabCorp's Columbus lab. I went 30 minutes over on my first appointment and I was never once rushed or pressured out the door. She was extremely thorough, answered all of my questions and concerns, and really knows her stuff. She works up a complete therapy plan prior to your visit and has your blood work statistically plotted showing where you are at and where you should be for all hormonal categories. All of this is put together in a book which is yours to take. It tracks your medical history, your supplemental history, diet recommendations and their effect on blood work etc. I was completely blown away with her professionalism; all of this without a hint of ego. I left there confident that I had found a long term partner in my HRT therapy.

Then when I called him out and said he was a troll trying to push business to this doctor his reply was :

Nope not a troll post. I never mentioned the Dr.'s name or practice and I won't. I offered it up to show that there are viable alternatives to the great Dr. Crisler in the larger market area. Actually I wouldn't even consider this Dr. an alternative because that implies that Crisler is this Dr.’s equal and he is not.

Now if you will notice in this first quote he gave enough info to find the doctor, the female doctor that is one mile from said lab, yet stated that "he will never say there name" and he did this to prove he is not a troll.

Now as you can see, new guys usually don't even realize how many trolls are out there so why was his post very specific with a comeback ready to dismiss someone that claimed he was troll?

I could go on and on with this creepy low life troll post, but I hope this is enough info for you to see through his bullshit.

This kind of shit happens all the time, there are many docs in the HRT field that are dying to get a piece of the action so they research current HRT companies and take there info and use it against them. Just recently it has happened to me, I spoke with a guy that was with a company that had him on 1mg of adex a day, the guys was literally about to turn to dust and his E was untraceable. I explained to him that he really needed a blood test and needed to get off that much adex as he had been on it for 2 years. Companies do this cause they make money dependent on how much medication they sell, which is fine as long as they have integrity. Well the guy took a blood test and I spent hours explaining to him reasons why he needed to change his protocol, the low life company that had him on that much adex actually called him and he told them he was getting his bloods, well they offered him 6 bottles of testosterone for $100 bucks to stay with them. short version of the story, they kept the guy and used my consultation to re arrange his protocol to make the guy happy. Can I blame the guy? not really cause he saved a lot of money on more than a years worth of testosterone. so oh well. My point is you don't realize how dirty these companies are, they will do anything to get a piece of the pie even if it means ruining someones reputation, someone that we may not agree with his protocols but nonetheless is one of the pioneers of making HRT affordable and easy to obtain.

 

[SoftAsShit1973]

Noobie you have WAY to much time, even more than myself.
Shut the fuck up already.

 

[newbie23]

Noobie you have WAY to much time, even more than myself.
Shut the fuck up already.

 

[ktmsmith]

let me ask you a few questions Dan Neely.......

1. Why is it that the OP on his first post, made a lengthy post detailing his entire negative experience, in detail, with all facts laid out like it was planned methodically? Do you know that there are hundreds of people that look at these forums every single day and do not post because they are intimidated?

Dude....intimidation isn't in my vocabulary. When you are comfortable racing motorcycles 4 bikes abreast clearing a 75 foot triple jump..well....even with low T, I don't scare too easily.







2. Why does the OP use a handle that can not be found on any other board on the internet? Its simple really you just plug in someones handle in google and if they post somewhere else under that name then the threads they have posted in will come up.

This newbie23 guy has more posts on my thread than I do. That’s ok the longer I can keep the thread alive and write about Dr. Crisler and the All Things Male website the better.

I already mentioned that I am on the steroids .com forum. And guess what Einstein…..you can find me under my secret identity name….wait for it…..wait for it…ktmsmith. Specifically you might want to search under the tread titled Low T Triumphs and Tribulations. It was started 2-23-12 after I had been on T therapy for a couple of months with my local Dr. whom I ultimately decided wasn’t going to work for me long term. I posted it several months before becoming a patient of Crisler’s. I had another post titled Low T Tribulations. They are pretty illuminating. You probably won’t go read them so here they are.

LowT Triumphs and Tribulations
Printable View
• 02-23-2012, 03:22 PM
ktmsmith
LowT Triumphs and Tribulations
I began TRT about 2 months ago and recently stumbled across this forum while doing internet research about this therapy. I am amazed by the quality of the information available here and some of the members blow me away with their knowledge of the subject and their willingness to offer insight and help fellow members…what a fantastic resource. As a new member to the community I thought I would introduce myself and share my story of TRT as it develops. It’s a bit long winded but please bear with me.

My story plays out like many of those I have read about on here. I am 45 years old and for most of my life I gave little thought about my hormonal well-being as I found maintaining my fitness and overall health non-issue. I am not a body builder but I have always been in good physical condition. Through my mid 20’s to 30’s I regularly participated in competitive off-road motorcycle racing. The events I competed in typically consisted of 2 to 6 hour races and are very endurance oriented. The body type which is most adaptive favors strength over size with the ability to periodically perform at nearly 100% of threshold capacity with quick recovery stabilizing to 60% to 80% as the base performance. Cardio capacity and muscular endurance during the event is key to doing well as the races become as much about endurance as riding skill. At my best race performance I was weighing about 180-185lbs with body fat of 12% to 15%. I am 5’10” when gravity isn’t too high for the day. I typically did well in my prime, racing the A class in events, which is one step down from the pro-class. In other words I spent a lot of money making no money.

When I turned 39 I made a big life change and started my own business. I was fed up with the partnership I was in and my wife was so tired of listening to me bitch about it she agreed to quit her job too and join me in creating our company. We have been lucky and all of our hard work has paid off with all the success I could have hoped for with our new business. But it has no doubt come at a cost. We both work very long hours and have new stresses that come with turning on your own lights so to speak. None the less I definitely would not change the move we made but over the course of those 6 years my outlook and vitality really changed as did my wife’s.

I guess about 3 years ago I noticed some changes going on in my health and overall well-being. I started to put on weight and my zest and energy levels really plummeted. At first I explained it away by the work load and stress I was under. Eventually I figured it was the inevitable course of getting older and starting to realize a man’s finite life and vitality. I started to talk like those mid-life guys, “I remember when, back in the day, I used to” or some other variant of BS. I still competed from time to time but it was way different. I had lost my killer instinct and really just didn’t have much motivation to do anything. Eventually I quit racing and just rode for fun but at a much reduced frequency. About a year ago it had reached the point that I barely rode at all. I also quit doing other activities and my life pretty much consisted of working, sleeping and eating and drinking. Even on weekends I would just go to work or sit on the couch reading or watching TV which is something I never did before. Without the activity level being there I started to put on weight and right now I am at 215lbs. I am a good 30lbs over weight for sure; something I have never been. Last year I was disgusted enough with myself that I started the P90X program which was a real eye opener for me showing me how far I had deteriorated. I went 45 days on the program and lost 17 pounds and then hung it up. Mistake….1 year later I am right back where I started. However the biggest shock for me when I did the program was how weak my body was that I did not respond to the strength training at all. I could do no more push-ups or pull ups etc. at 45 days than day 1. I really could not make any sense out of that at all. I ended up deciding most of the weight loss was a result of my diet rather than working out so I figured the heck with P90X.

Six months ago I really started to notice my decline. I started having a lot of joint pain and muscle stiffness after doing almost nothing at all. I starting thinking I must be turning into an old man as I hobbled out of bed in the morning figuring all of those old motorcycle injuries and years of abuse was coming back to haunt me. I also began wondering if I was depressed or if something else was wrong. I did not feel depressed in the traditional sense but I had absolutely no desire to do anything. Even sex was barely worth the effort, and maintaining a strong erection periodically became an issue…something I never had happen before. Even with all these new symptoms I just kept chalking it up to work and stress and reserved myself to the idea that getting older was going to suck.

Then one day I saw a TV ad for LowT. I joked with the wife that I probably had LowT as a result of the vasectomy I had when I was 36 and I wasn’t a man anymore and she would have to trade me in. But the commercial did have me contemplating researching LowT a bit more as the symptoms seemed to fit me text book. Still I didn’t get off my lazy azz and take it any further. Fast forward a couple more months and the same add is on again and I crack the same joke with the wife again. This time however she says to me... “I want to go to a Dr. I have heard about in the area that specializes in HRT and see if I need hormonal therapy.” Turns out that many of the symptoms I was experiencing such as low energy and motivation, sex drive poor sleeping etc. she was feeling too. So I encouraged her to go and she did. She discovered she was deficient in T and had a super high estrogen level which apparently is not good for a lady. The Dr. put her on a program right away and she started noticing an improvement in 30 days…..yay! OK so now I am thinking…go see this guy and get your answer. Truthfully I was afraid the Dr. was going to say… “You are fine, try to act like a man” or some variation of that. Anyway…I went.

First visit was a general health exam. Lots of questions, a little poking and prodding and I was sent on my way with BW request. A week later the results were in. Here they are and I am not really clear on what they mean as there are numbers all over the place. As an example the Free T3 column reads: FreeT3 4.2pg/ml then below that is the Dr.’s handwriting in parentheses {2.5-3.9} then what I assume is my reading of 2.7. Anyway here they are as shown on the sheet given to me by the Doc.

Date 12-2-11

Free T3 Male 4.2pg/ml……………….…{2.5-3.9}………My Score: 2.7
DHEA Male 500-600 ng/ml………. {44 -331}……..My Score: 144
Total Test Male 500-1000ng/ml……....{349-1197}…..My Score: 188
Free Test Male 40-41 pg/ml…………….{6.8 -21.5}……My Score: 6.8
Estradiol Male <55 pg/ml………………………………......…My Score: 18.7
Progesterone No test given
TSH No range given…………………………………......My Score: 1.97
Free T4 No test given

I do not know if any other blood work was done. These are the only scores I was given. Unfortunately I went into this completely uniformed and didn’t even know enough to ask questions until I stumbled upon this site. I am interpreting the first column as the ideal range or score for each category with middle column representing the typical range for a male at my age, but what do I know? The Dr. did say I was LowT but didn’t really express it in terms of how low.

Here is what he prescribed:

Armour Thyro 15mg once daily tablet
DHEA Micro 15mg once daily capsule
Testosterone 100mg/ml Gel…. 2 ml per application twice a day. Pharmacy compounded.

He prescribed a 90 day supply and set up BW one week before my next visit 90 days out. I am 2 months into the program. I really can’t say I have noticed a major improvement in any one category except joint and muscle pain has been greatly reduced. The libido is about the same and erections could be better..ie last longer like when I was 25. Energy levels seem about the same or slightly better. Based on what I have read here it looks like the Doc has me on a high dose of T at 2800 mg per week assuming a 10% absorption rate that’s 280 mg a week. I realize it takes time for benefits to show but I am wondering if I am a low-responder to Tgel. I guess that will be more clear from the next BW results which are 30 days out.

So that my story for now. I would appreciate any feedback you guys might have about my experiences, the Dr.’s prescribed therapy and especially my BW results. What do you think I have to look forward to in terms of HRT? I realize I am probably on this course for the rest of my life and I am alright with that. I just want to get the maximum best advice, care and effect possible. Come to think of it…maybe my competitive type A personality is awaking. Anyway, I am anxious to see some of the great results I read about on here and am looking forward to feeling better; losing some weight and gaining back the competitive fire I used to have in the past.
• 02-23-2012, 05:26 PM
kelkel
Welcome KTM. Fantastic opening diatribe! It would be helpful to get a complete copy of your BW from your doctor and to start getting them emailed or faxed to you from the lab directly in the future. Fill out the forms at the lab you use and they will do it. Start a folder to keep track of your health/progress. With BW in hand you have time to do your research and prepare for your next visit. Do you have LH/FSH as it would help us determine if your primary or secondary. SHBG and Albumin possibly?

You are definitly in need of TRT although I'm confused a bit about what your taking and what the dosage actually is. Does the med insert actually say it's 10% absorption rate on this compound? Also curious why the doc put you on Armour Thryoid which is for Hypothryoid. If you were hypo-T then your TSH level would be higher. Reason is your hypothalamus would recognize this and in turn stimulate the pituitary to release more TSH resulting in a higher TSH level, which you don't have. Normal range is .3 to 3.0 for TSH. That in mind, being hypothryoid can effect T levels and give similar symptoms. Maybe that's his thought process but I'm just guessing here. The micronized dhea is a great idea.

Glad your here. Hope you stay. We all learn here everyday!
• 02-23-2012, 06:19 PM
ecdysone
I think everything kelkel said is what I would do... only thing I would recommend is that you get your test measured now - for transdermal applications there no reason to wait more than a few weeks prior to making a dosage adjustment.

The Armour Thryoid is a puzzler - your lab tests would not support the need to take it, so maybe your doc has some other ideas.
• 02-23-2012, 10:10 PM
ktmsmith
Thanks for the feedback guys. I am going to be more proactive on the bloodwork results cause I am anal like that and want to keep a complete log over time. I am getting the BW done at my local hospital so hopefully they can email results directly to me. I have no idea if I got my complete results from the Doc as I would have thought a PSA test had been done. Kelkel, the other tests you asked about I have no idea if they were and what they would indicate if they had been. Can you shed some light on why I would want to know these levels and what it could mean ie primary vs. secondary.

As far as the Test compound, I cannot find anything on the label or presrciption which indicates what the absortion rate is, I just assumed the 10% absorption rate was standard so I am assuming the weekly absorption of 280mg which would be a very high amount correct?

Finally, the explanation for the Armour Thyroid therapy is for the bad joint pain I was experiencing. The Doc. maintains that he will slowly increase my prescript which he claims will increase joint fluid an alleviate my difficulties. He actually put my wife on the same prescript because she has had some severe hip pain and was unable to sleep through night on her side. I can say that we are both responding extremely well to the therapy. I am amazed with how much better I feel with my joint pain greatly reduced so the Doc. Defintely has my attention.
• 02-24-2012, 09:28 AM
kelkel
Call your docs office and have one of the nurses fax you your lab results. They are yours. If they won't for some odd reason call the lab and find out their procedures for obtaining them and get a copy.

PSA: Need baseline to monitor for changes possibly brought on by T therapy. Remember no sex for about 48 hrs prior to a psa test. It can/will spike your levels.

LH/FSH: These levels can determine if your primary or sedondary. Produced by your pituitary LH with FSH stimulates the leydig cells in your testes to produce T. So, if your levels of LH/FSH (proteins btw) are higher than normal and your T is low it could indicate a problem with your testicals=Primary Hypogonadal. If your LH/FSH levels are very low to non-existent and your T is then low=Secondary Hypogonadal. If secondary then an MRI is needed to check for pituitary tumors inhibiting natural production. I happen to be the proud owner of one of these tumors! We've developed a relationship and are going out for a drink later tonight!

280mg would be a very high amount which is why I questioned it. Still wondering why a specific compound and not androgel 1.62 or something similar. Is he mixing something else in the compound?

Armour Thyroid. If that works then awesome. Some Deca, a 19 Nor steroid would also probably help with your joints also.

SHBG and Albumin: Blood proteins that T binds to. Moreso shbg than albumin. What is not bound is called Free T and is available for use.
Knowing these levels along with your T levels can give a clear picture of the percentage of T available for use. High shbg levels mean your T is being bound to much.
• 02-24-2012, 09:54 AM
bullshark99
^^^^ was thinking the same thing regarding joint pain, deca. Depending on how interested you are in getting into the gym this would clearly give you an advantage. As kel indicated, DO NOT overlook the PSA test @ age 45 you need to have a baseline. TRT has the potential to increase PSA (minor BPH or inflamation) mine did go up but then did go back down regardless this is one marker you are gonna always want to track.
Most people here use injections, dont know how your Doc feels about that??? Deca, injectable, may want to discuss going this route with the Tes with your Doc. You have not convinced me that other than the joint pain relief that you are reaping the full benefits of TRT. libido, erections, well being ect....
Glad you are here, keep us all in the loop!
• 02-24-2012, 11:33 AM
ktmsmith
Well the Dr.'s office just faxed up my bloodwork and apparently what I posted is all that was tested. This concerns me after reading the stickies and learning what should have been requested. I am going to give the Dr. the benifit of the doubt at this point because he may have not run the larger battery due to costs. Being self employed I am on the ticket for all of this cost because of my high deductable, $7500. I do remember him asking about my insurance coverage and commenting that he would factor that. He also stated that the reason he uses a pharmacy to compound the Test is because of cost. I get a 30 day supply for $99.00, so I will be out $1200 for the year excluding bloodwork just for my T. How would that cost compare to Androgel or the like or say IM...which I think I might push for if my T levels aren't where I want them? What kind of cost would be associated with the full battery of BW tests?

I think I might right the Dr. an email prior to my next visit expressing my concern over the lack of some of the BW tests, particularly not getting the PSA which really has me scratching my head. I am expecting him to respond that some of these other tests are not necessary if the T level rises and I feel better. I don't have a read on this Dr. yet so I am not sure to what degree he will work with me. I did not get impression from him of the typical Dr. big ego and he is in my home town so the convience of that is a big seller to me. He advertises himself as an Internist and I believe he pretty much only does hormonal therapy. All and all I would really like to develop a symbiotic relationship here but will move on if necesaary. I just see this therapy as a life long commitment and I want the most control and best advise I can get.

Are there any publications out there written by say Dr. Crisler or Shipman etc. that I can read and gain some greater insight on this whole TRT.
• 02-24-2012, 11:47 AM
bullshark99
I pay 155 for a 10 week supply(10ml) of Tes Cyp (IM of course) so I feel what you are doing is expensive. regarding the BW, it is expensive, for example, I had a full panel done at Qwest a few months ago and total cost BEFORE ins adjustments was over 2k. You have a high deduct but as long as the lab is in network you will get the negotiated rates. In my case it was 250 dollars even (neg rate) , which I had to pay 10% 25 bucks. Running a PSA test for someone on TRT is the most basic of basic, it really is. Any Dr that wouldnt do this would REALLY have me scrathing my head???? TRT is for life, most people here do inject, even the ones that started out with gel or patch, eventually most seem to go IM. Might really want to research this more, if your in, jump all the way in.
• 03-13-2012, 04:40 PM
ktmsmith
Update:

I just received my new blood work results taken on 3/06/12. I haven’t gone into to see the Dr. yet and I want to be prepared for him when I do. As I mentioned last time I thought the absence of a PSA test was a mistake from my first blood work so I asked the Dr. to make sure he included it in this round. Here are the results compared with my first blood work on 12-2-11.

Date:................................. 12-2-11................................................ Date: 3-6-12

PSA ...................................None........... ..........................................1.6..... ........Range: 0.00 to 4.00 ng/ml

Free T3................................2.7 .................................................. ....3.1.............Range: 2.50 to 3.9 ng/ml

DHEA-S................................144.............. .......................................297.1...... ....Range: 44.30 to 331.00 ug/dl

Total Test ............................188................... ...................................610............ Range: 348 to 1197 ng/dl

Free Test .............................6.80................. ....................................12.70......... Range: 6.80 to 21.50 pg/ml
.
Estradiol...............................18.70..... ..............................................69.1 0.........Range: 7.60 to 42.60 pg/ml

TSH.....................................1.97...... ...............................................1.2 8...........Range: 0.34 to 5.60 uIU/ml


Looks like my total T and Free T are up but not to a satisfactory level. As I mentioned earlier I feel a little better overall but not significantly. It looks like my estrogen is high moving up from a previous normal level and this is a concern to me. I am wondering if I am beginning to convert T to E and that is why my T hasn’t moved into the 20 year old age group despite being on a large 280 mg per week dosage via pharmacy compound. My concern is if the Dr. increases T levels via more application will my E go up too high or maybe I am already there.

What say you experts? Looking for any and all feedback based on my situation. I think I have a lot more potential here and am looking for max positive results. Thanks in advance for all the help.
• 03-13-2012, 11:22 PM
kelkel
Ok. You've now got a baseline PSA. Did you refrain from sex for a couple days prior to the test to avoid a spike in levels as suggested?
Beginning to convert T to E? Your past that point. You need an AI pronto to lower this to app 25-30 range based on how you feel. I'd test every month or so if possible until your where you need to be. Easy test, no fasting. Introducing an AI to your protocol can substantially free up more test for your body to use. I don't see SHBG or Albumin? Were they not done? Get them next time if possible as right now I'd bet your shbg is relatively high based on your E2 level.

Overall, great progress. It's only been a few months for you and it does take time. Be patient and make changes one at a time so you know what is working for you! Get your E2 under control and your on your way. Congrats!
• 03-14-2012, 12:44 AM
Vettester
Definitely listen to what Kelkel is saying on the E2. This will turn into a disaster if you don't get a handle on it now. Hopefully your doctor will be tuned into this. This is why it is imperative that a patient runs labs 6 weeks after starting their protocol. No sweat off the doctor's back since you're the guy that has to carry the burden of this. And yes, the PSA was crucial in the beginning as well, glad you informed your doc.

Presuming nothing is whacked on your albumin, your SHBG calculation is looking mid to high 30's. Your free test is just a little over 2%, which 2% to 3% is usually the place to be. It would be good to get an albumin and/or SHBG to know for sure.
• 03-14-2012, 09:28 AM
PPC
Interesting, another case where blood work reveals a good looking TSH, yet low freeT3. If your Doc had only tested for TSH and T4 as many are apt to do, your low active thyroid hormone would have been missed - along with the primary reason for your joint pain. It's still could come up further but I'm sure your Doc will help you get there. It seems odd that your Doc neglected PSA the first time around yet was proactive on the thyroid.

It's generally accepted that if your TSH is between 1-2, your thyroid hormones are in good working order. Your blood work proves that wrong as does my friend's blood work. She had a TSH of 1.6 yet free T3 at the very bottom of the range. Armour has made all the difference in the world to her. There is an issue with the conversion of T4 to T3 somehow in the body in these more rare cases I would have to assume.

Congrats on getting started on your path to restoring your hormones. It's excellent that both you and your wife are in this together. Would you mind sharing how high her estrogen levels were? Sometimes that happens during the years of peri menopause, right before the official change starts. Women may have anovulatory cycles where estrogen rises but an egg is unable to be released from the ovaries. High estrogen sits out there all alone without the balancing effect of progesterone, since progesterone is only released if there is an egg for it to nurture. The years of peri can be a strange time and even hard to track via blood work because the sex hormones rise and fall more dramatically in a last hurrah before they finally putter out.
• 03-14-2012, 10:34 AM

 

[ktmsmith]

Now I am headed out the door for a little over a week for some well earned vacation. I am feeling pretty good today, the new therapy program I started with my new Dr. is starting to kick in...feels like T levels are moving up.

I will check back when I return...headed for the back country so no internet access for me.

You guys play nice now while I am gone.

 

[ktmsmith]

Oh yeah...one more thing. My first Dr., he was a good dude, just wasn't up to date with the latest protocols and willing to try some of the things I wanted to. I never felt the need to bad mouth him... I just moved on. He managed to fill my prescripts and treated me like a patient not just an online credit card customer without any options. His front office staff was nice too. Good people...kinda miss them a little.

He hasn't dismissed me yet either.

 

[ktmsmith]

Shit...it looks like all of the steroids.com forum postings did not come through on my earlier post. Thats Ok....they are there to read if you want to....just search the titles I gave you.

Oh yeah one more thing Newbie...I won't post my new Dr.'s name because the real trolls on this post, READ CRISLER LOVIN NUTTHUGGERS...would start draggin them through the mud and I won't jeopardize that situation.

Good Dr.'s are are to find.
Bad Dr.'s pimp themselves on the internet.

 

[smitty4]

Shit...it looks like all of the steroids.com forum postings did not come through on my earlier post. Thats Ok....they are there to read if you want to....just search the titles I gave you.

Oh yeah one more thing Newbie...I won't post my new Dr.'s name because the real trolls on this post, READ CRISLER LOVIN NUTTHUGGERS...would start draggin them through the mud and I won't jeopardize that situation.

Good Dr.'s are are to find.
Bad Dr.'s pimp themselves on the internet.

So if someone says they have not had any bad experiences with Dr. Crisler and that they are pleased with his services they are a nut hugger? Very intellectual comment...

 

[ktmsmith]

So if someone says they have not had any bad experiences with Dr. Crisler and that they are pleased with his services they are a nut hugger? Very intellectual comment...

No...not at all. People who are happy with Crisler don't bother me. Why would I care? Your money, your health, your life, its no affair of mine. Actually, the nuthugger comment was out of line. I apologize to those on here that are happy with him…. it wasn't directed at you.

It was directed at Newbie23, my Crisler, surrogate nemesis. I have been accused by him of: being somebody else, a liar, a troll, a spammer for another Dr. an HRT competitor trying to steal Crisler’s medical practice fees, a non compliant patient, blah blah blah. That’s a Crisler nuthugger in my book. An the best part of it is I haven't yet heard him claim he is or has been a patient, so what the hell would he know about it and why the fuck would he care?

And with that…I gotta go for a while. Damn this is becoming like a full time job. [)]

 

[hardasnails1973]

We got an academy ward winner in the making .....

 

[newbie23]

We got an academy ward winner in the making .....

Yea I know, I read his story on steroid dot com and he vanished from there after his meeting with Chrisler, besides if your appointment was so bad why did you wait 30 days to cancel your script?

Even if your not just a professional troll, which I highly doubt, you charged back your request instead of just asking the him to cancel it, which shows your awesomeness. If you would have charged me back I would dropped your ass like a bad habit as well.

As far as your comment about dirt bikes, when you can wrap your little nuts around one of these and clear the triples, then you can talk to me about riding, until then stick with your kiddy bikes.............