
Originally Posted by
BrysZ
I have copied and pasted a letter below I have created to hopefully begin discussions with my doctor. Please provide feedback as you deem necessary. Thank you so much for all your help...
Dr @#$%^&*,
To begin I want you to know that I am very grateful for your help and I want to thank you for identifying a possible solution regarding my recent diagnoses of Low-T. I am very excited to pursue this option. From what I have read I truly agree it is the correct course of action.
Since my last appointment on the 12th of November I have been researching Low-T and Hormone Replacement Therapy. I have read medical articles and joined a forum on the internet of men who are also Low-T. I understand that I am in the implementation stage of this new “process”, but I have found a couple of reoccurring items I would like to discuss with you. I wrote you this letter rather than call you and bother you at work so you could “read my thoughts”, if you will. I was hoping after you had time to read this and had a rare free moment we could talk either on the phone or face to face about my concerns.
To begin I am concerned about the half-life of testosterone. The articles I have read state anywhere from 5-8 days and prefer using a weekly injection to prevent what they call an “emotional roller coaster”. Some fellow “Low-T” guys refer to the third week as the “dark zone”. I find this a little alarming since I am already very concerned with my current restlessness, irritability and mood swings.
Another concern I have is the possible conversion of testosterone into estrogen. I have read where an Estradiol test is used, specifically an “ultrasensitive” assay for males, to watch for estrogen increase, especially E2. Side effects from this increase seem to range from water retention to gynocomastia. I read that if conversion of testosterone is apparent through subsequent tests after a baseline is established further testosterone conversion into estrogen and be prevented with an aromatase inhibitor.
I want you to know that I am not in any way attempting to tell you how to do your job. I have a great deal of respect for you and I feel grateful that we can work together to get me “back on track”. I would also like to add that I am always curious about the medications and treatments I receive so I am merely being my usual compulsive self and not in any way questioning your decisions. I hope you can help me to understand the enormous amount of the information I have been finding on the internet. It is truly a struggle to make sense of it all.
Thank you again for your time and your help. I am looking forward to discussing this with you further.
Sincerely,
BrysZ