Dr. Crisler has me worried

**VTX1800** · 03-01-2013, 07:20 AM

I was reading over Dr. Crislers write up this morning regarding TRT for Men.
The article can be found at http://www.*************.com/word_docs/TRT.doc After reading the paragraphs regard prolactin I must admit I became a little concerned. My initial BW came back and my test level was at 50ng/dl with free test at 1.4. Im wondering if I should follow up with a pituitary MRI?? I guess I should just wait And speak to my doc about my concern when I go back for the next BW in 5 weeks. Has anyone had experience with this issue before or undergone Pituitary MRIs? Any feedback would be greatly appreciated.

PROLACTIN

A very important hormone, and must not be overlooked on initial work-up. Approaching five percent of hypogonadotrophic hypogonadism is associated with hyperprolactinemia, due to inhibition of hypothalamic release of LHRH. Its serum concentration must be maintained within physiological range (meaning neither too high NOR too low). Greatly elevated hyperprolactinemia, or hyperprolactinemia plus a Total Testosterone less than 150ng/dL, equals a trip to an Endocrinologist for a pituitary MRI.

**kelkel** · 03-01-2013, 09:19 AM

We'd have to see your BW to assess it further. Yes, I have a pituitary tumor which is what put me on TRT. MRI's are nothing to worry about and if your doc is astute he will know whether you need one or not.

**steroid.com 1** · 03-01-2013, 09:36 AM

Not do be disrespectful but I think there may be a bit of hypochondria here.

There a any number of things that can cause your low Testosterone serum levels most of which are benign in nature...meaning not life threatening.

Like kel said, you need a complete blood work done in order to make any assessment on whether or not you need an MRI.

Read kel's sticky on Finding a TRT Doc and you will see the labs that must get...most Doc's won't order these unless you request so pay attention.

**AnabolicDoc** · 03-01-2013, 10:02 AM

I agree with the prior posts. Even in the part of the article that was posted (by the OP) it says that elevated prolactin accounts for less than 5% of cases of hypogonadotropic hypogonadism.

You can always get your blood test results from your doc and see if he checked your prolactin levels. If not, just ask him to check it. I imagine it won't be a problem and if it's elevated then you can talk about going for a CT or MRI with your doc. I wouldn't start worrying without a known cause for concern. Good luck!

**VTX1800** · 03-01-2013, 11:04 AM

That is reassuring... I'm still waiting to receive my most recent BW that was taken last Thursday. I will post when I know 4 sure. I guess I was just caught off guard when I read his write up and the way he stated it. I'm quick to worry about the little things that aren't even a huge deal. So "Not do be disrespectful but I think there may be a bit of hypochondria here."
gdevine stands correct! I freaked out and ran to pros for help and "your" opinions so I could get get some clarity. Still new to this all, so any little thing tends to cause some anxiety. Im looking forward to my next appt. so I can learn more about my hormones And the stability I'm trying to achieve. Thanks for your replies

**steroid.com 1** · 03-01-2013, 11:09 AM

Buy Nelson's book and start to learn: http://www.amazon.com/gp/product/096...pf_rd_i=507846

**VTX1800** · 03-02-2013, 08:11 AM

Great advice, it's on the way!!!

**AnabolicDoc** · 03-02-2013, 10:01 AM

Originally Posted by gdevine

Buy Nelson's book and start to learn: http://www.amazon.com/gp/product/096...pf_rd_i=507846

I am thinking about getting that book. Is it meant for health professionals or patients? Do you have any other recommendations? Thanks.

**steroid.com 1** · 03-02-2013, 11:27 AM

It's written by a laymen for laymen...why I highly recommend it.

You will like his lecture here: http://www.youtube.com/watch?v=zO7YLPXRvzs

One of his websites: http://www.testosteronewisdom.com/

He's a good dude and I like him very much.

**steroid.com 1** · 03-02-2013, 11:47 AM

Originally Posted by AnabolicDoc

I am thinking about getting that book. Is it meant for health professionals or patients? Do you have any other recommendations? Thanks.

Doc, I want to send you this research paper...may be one of the best reads in over a year...you will enjoy it. IM me your email address and I will send to you.

Changes in pituitary function with ageing and implications for patient care
Johannes D. Veldhuis
Abstract | The pituitary gland has a role in puberty, reproduction, stress-adaptive responses, sodium and water balance, uterine contractions, lactation, thyroid function, growth, body composition and skin pigmentation. Ageing is marked by initially subtle erosion of physiological signalling mechanisms, resulting in lower incremental secretory-burst amplitude, more disorderly patterns of pituitary hormone release and blunted 24 h rhythmic secretion. Almost all pituitary hormones are altered by ageing in humans, often in a manner dependent on sex, body composition, stress, comorbidity, intercurrent illness, medication use, physical frailty, caloric intake, immune status, level of exercise, and neurocognitive decline. The aim of this article is to critically discuss the mechanisms mediating clinical facets of changes in the hypothalamic–pituitary axis during ageing, and the extent to which confounding factors operate to obscure ageing-related effects.