Low T... Dr won't start TRT

**jjsevens** · 03-06-2019, 11:07 AM

I'm 42 years old and have been training for 4 years solid along with diet and am not making any further progress, I have hypothyroidism and pituitary dysfunction, with prolactin levels above normal consistently. As of recent my test levels have dropped, am experiencing all the symptoms, weakness, excessive fat around the waist, joint pains, depression, look like I've aged, mood is up and down, low energy, only thing left is my sex drive is so so and erections aren't the greatest. Have been seeing an endocrinologist and although on the low side, don't qualify for TRT.

I'm thinking of just going on test full time since I'm not getting any help. Has anyone tried this? I'm so down right now I feel like giving up, I have no desire or interest in anything anymore and just feel like a sack of shit so am in desperation mode.

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**kelkel** · 03-06-2019, 11:19 AM

I assume you've had a Pituitary MRI?
What exactly were the results?

**jjsevens** · 03-06-2019, 11:49 AM

Originally Posted by kelkel

I assume you've had a Pituitary MRI?
What exactly were the results?

Yes, there is a small tumour but hasn't grown or changed... So my only reluctance to going on test permanently is that, like if the test will worsen the pituitary tumour.

**kelkel** · 03-06-2019, 12:00 PM

Originally Posted by jjsevens

Yes, there is a small tumour but hasn't grown or changed... So my only reluctance to going on test permanently is that, like if the test will worsen the pituitary tumour.

Did he discuss initiating Cabergoline therapy to reduce prolactin levels? If that light bulb didn't go off in his head you need to move on. Or does he just expect you to suffer with this until you feel like dog shit. I'd suggest a Urologist over and Endo as well. He's treating you like a number which is horrible.

Do you happen to recall the size of the adenoma relative to your pituitary? Assume it's a micro-adenoma as a macro normally requires surgery. Anyway, I have one myself which shut down my test production. You'll get through this with the right doctor. And no, TRT will do nothing but help you if needed. Right now I'd want to see how you respond to Caber. It's a D2 agonist and will reduce prolactin levels as well as improve libido / sexual issues.

**jjsevens** · 03-06-2019, 12:07 PM

Originally Posted by kelkel

Did he discuss initiating Cabergoline therapy to reduce prolactin levels? If that light bulb didn't go off in his head you need to move on. Or does he just expect you to suffer with this until you feel like dog shit. I'd suggest a Urologist over and Endo as well. He's treating you like a number which is horrible.

Do you happen to recall the size of the adenoma relative to your pituitary? Assume it's a micro-adenoma as a macro normally requires surgery. Anyway, I have one myself which shut down my test production. You'll get through this with the right doctor. And no, TRT will do nothing but help you if needed. Right now I'd want to see how you respond to Caber. It's a D2 agonist and will reduce prolactin levels as well as improve libido / sexual issues.

So discussed going on it but hasn't yet, I was on caber before through another endo and although it lowered my prolactin levels I didn't feel any better, so stopped taking it because it's stupid expensive. So we're doing bloods again in 2 months but with the way I'm feeling I'm going to give it anotjer month and going back to see him. I feel like death, I get up in the mornings and feel like I'm going to break, arthritic like, feel brittle. He's also concerned that my hgh is high, not sure what that's all about

Not sure of the size of the tumour but not big enough they said where it needs to be removed or treated... Only unless my prolactin levels increase dramatically then that would indicate that the tumour has grown.

OK, so what would the sides or concerns be if I just get on test myself?

**kelkel** · 03-06-2019, 12:20 PM

Still think you need another doc. That said, you should be able to find real caber at over-seas pharmacies with reduced pricing. He's referring to your IGF-1 level which is above range, but not all that much and could very be a side effect of the adenoma. Or, you're just lucky and have great natural levels. Re the tumor, it doesn't have to keep growing for it to elevate prolactin.

No sides to starting TRT yourself but at this point I'd push hard to get it under a doctors control. Especially since there is an adenoma. Getting a doc to initiate TRT once you self-initiate will make it more difficult. Many will turn their back at this point.

**jjsevens** · 03-06-2019, 05:33 PM

Originally Posted by kelkel

Still think you need another doc. That said, you should be able to find real caber at over-seas pharmacies with reduced pricing. He's referring to your IGF-1 level which is above range, but not all that much and could very be a side effect of the adenoma. Or, you're just lucky and have great natural levels. Re the tumor, it doesn't have to keep growing for it to elevate prolactin.

No sides to starting TRT yourself but at this point I'd push hard to get it under a doctors control. Especially since there is an adenoma. Getting a doc to initiate TRT once you self-initiate will make it more difficult. Many will turn their back at this point.

Agreed, I'm going to insist TRT next visit and if I get no help I'll try another, problem is I'm in Canada and have to request for an endo through my family Dr. The other option is private clinic and isn't covered under our health care system so I'd have to pay extra.

So I can order caber online from oversees with a prescription?

**kelkel** · 03-06-2019, 06:21 PM

Originally Posted by jjsevens

Agreed, I'm going to insist TRT next visit and if I get no help I'll try another, problem is I'm in Canada and have to request for an endo through my family Dr. The other option is private clinic and isn't covered under our health care system so I'd have to pay extra.

So I can order caber online from oversees with a prescription?

There are sites out there. Check out:

https://www.alldaychemist.com/

And similar. From what I'm told even if it says a script is needed you just keep going through the steps and it lets you order. I haven't used them personally so take a look.

**David LoPan** · 03-06-2019, 07:41 PM

Always listen to kelkel on TRT issues and his advice. At your levels, I would try to stay off TRT as long as possible. TRT sounds awesome but it becomes a chore. Never rush something that you are going to be on the rest of your life.

**jjsevens** · 03-07-2019, 01:25 PM

Originally Posted by David LoPan

Always listen to kelkel on TRT issues and his advice. At your levels, I would try to stay off TRT as long as possible. TRT sounds awesome but it becomes a chore. Never rush something that you are going to be on the rest of your life.

Thanks, and definitely take the advice of many here given their experience, and knowledge. Agreed I'd hate to add another layer of things I have to take for life, as it is I'm on synthroid every day, prob caber next because of my prolactin levels, and all the other, vitamins I take for general health... That all being said however, I'm already living a life of things I must take, and things I choose to take for general health, adding trt to my lifestyle at this point is small relative to how I feel, I literally wake up feeling like my joints and bones are going to break, depression and overall just feeling like shit...

**mac34** · 03-09-2019, 06:23 AM

How regularly did you check your prolactin levels on Cabaser? It could be you way went too low.

At first you have to take some, then you need to drop it. whenever I overdid cab, I felt hazy, I couldn't focus on anything, felt like hangover.

I had similar readings at age of 22, I got cabaser from a guy in the gym lol. After a month, I kept my prolactin on the lower end, and my T went up to 450. But I did bloods like every week to keep it in check.

Though perhaps you are older and lowered prolactin levels won't have that much effect on T, I'm not sure. But I would definitely try to maintain prolactine at 12, don't go too low or too high and see what happens.

**Windex** · 03-09-2019, 07:55 PM

Originally Posted by jjsevens

Agreed, I'm going to insist TRT next visit and if I get no help I'll try another, problem is I'm in Canada and have to request for an endo through my family Dr. The other option is private clinic and isn't covered under our health care system so I'd have to pay extra.

So I can order caber online from oversees with a prescription?

As a Canadian - I can tell you ordering overseas is not the best option . You can find real Dostinex inside canada and across the border

Demanding TRT is not really a good way to go about getting in Canada either. Building a medical case for yourself and showing the physician you understand the benefits, risks, and consequences is more strategic and often more successful.

The reason there are so many roadblocks for TRT in Canada is because of how OHIP / EAP and other provincial services work, along with the level of controlled substances for anabolic steroids .

It's no different than waking in asking for Statex or Oxy without explaining the history behind pain, steps taken to overcome, etc