I have spoken to my endos secretary today on the phone i asked for a copy of the letter that is going to go out to my gp in connection the endo appointment that i just had , the secretary as emailed me a copy i have eliminated my pefsonal details here is the letter


Division of Diabetes & Endocrinology

Consultant: Dr A Jostel Royal Blackburn Hospital
Secretary: Mrs Anali Cottam Haslingden Road
BLACKBURN
Direct line: 01254 734469 BB2 3HH
Ext: 84469
Fax: 01254 736311

Our Ref: AJ/KB/RXR0719778


30 June 2014

ENDOCRINE CLINIC


Private & confidential
Mr V



Dear M– Dob 31.12.66


Diagnosis:
Anabolic steroid misuse

I saw you in the endocrine clinic today. You have been under the care of my endocrine colleagues off and on since 2009 until March last year. The uncontrolled use of anabolic steroids did result in secondary polycythaemia which was recently rectified with repeated venesections and abstinence from testosterone and anabolic steroid injections. The fact that your haemoglobin did not rise any further, and the fact that your gonadotropin levels have only just risen into double figures, confirm that stopping exogenous testosterone excess is effective in eliminating the side-effect of polycythaemia and there is evidence of a potential for physiological recovery by reactivating your own pituitary gonadal axis.

In order to see the effectiveness of this approach, we need to let at least six months pass and reassess your hormonal profile after that time. The misuse of any anabolic steroids or testosterone in the meantime will jeopardise that natural recovery and will be evident on falling gonadotropin levels.

I will review you again in six months’ time.

Yours sincerely




Dr ANDREAS JOSTEL
Consultant Physician
(Endocrinology/Diabetes/Acute Medicine)
GMC Number: 4342247
Anabolic steroid misuse
that's is not the diagnosis. the diagnosis is hypogonadism, anabolic steroid misuse is not a medical diagnosis.

uncontrolled use of anabolic steroids did result in secondary polycythaemia
the secondary polycythaemia was caused by TRT, not uncontrolled use of anabolic steroids.

evidence of a potential for physiological recovery by reactivating your own pituitary gonadal axis
rising LH and FSH without improvement in T level is not an improvement of HTPA

The misuse of any anabolic steroids or testosterone in the meantime will jeopardise that natural recovery and will be evident on falling gonadotropin levels.
this sounded like a threat. not professional

Last edited by Theseus; Yesterday at 03:35 PM.