Just an update on where I am at with regard to my TRT. At my last visit with the endo., he had switched me to the 1.62% A-gel, but dropped my dosage to 2 pumps which is the starting dose for that gel. I had been on 6 pumps of the 1% A-gel with total T high in the range and free T middle of the range. I felt good at that dose and couldn't understand why my dosage was effectively cut in half. The endo's office didn't bother to return my call as to why the dosage cut.

I saw a urologist yesterday for a second opinion on dosage. After a physical exam and review of my prior 2 years of labs, he seemed willing to do about whatever I wanted to keep me in the upper part of the normal range. For now we settled on doubling my dose of the 1.62% A-gel to 4 pumps per day with labs in about a month. He also wrote a decent scrip. for 20mg. Cialis tabs with about a year of refills...sweet.

He is encouraging the Testopel procedure and says he has good results, but leaving me to decide on that. I know how most feel here about Testopel, but I am open to trying this come Summer for a round or two of implants. He says he would insert 12-14 of the pellets and that would last about 4 months. I am sure he would provide more gel or test. cyp. for me if the pellets were not getting the job done. We'll see. A few months to decide this.

I feel better about the switch in doctors. My last seemed to want to cut my dose back whenever I started feeling good, and was not open to much flexibility with my regimen. He wanted me in to see him every 3 months with associated labs. The new doctor only wants me in every 6 months and seem pretty laid back about treatment.

Try a switch in doctors if you don't feel you are getting along OK with your current doc. I waited too long to make a switch.

One New Year's resolution done...