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  1. #1
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    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Quote Originally Posted by Rwy View Post
    Thanks everyone for the information and support. During my panic, I forget that my best friends brother is a top trauma surgeon in Manhattan who took my call yesterday.

    He said-Smooth Surface during the exam, PSA is currently 2.25, not direct relatives with Prostate cancer tell them to piss off with their biopsy and see more patients.

    Its intrusive and comes with its own inherent risk. Tell them to get one if its a walk in the park.....He did think it would not be a terrible idea to come off for six weeks and have PSA tested again just for shits and giggles. But he agrees with you guys that its BPH.

    Good to hear. In future rounds of BW start monitoring your dht levels as well. It doesn't always take a lot of testosterone for dht to be above range.
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  2. #2
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    Quote Originally Posted by kelkel View Post
    Good to hear. In future rounds of BW start monitoring your dht levels as well. It doesn't always take a lot of testosterone for dht to be above range.
    I can testify to that! I'm convinced that even if I ate the whole $^%# saw palmetto plant, it wouldn't bring my DHT levels down. I've recently adjusted my T dose down after dropping my Armour Thyroid dose and seeing a drop in SHBG with concomitant rise in Free T. I'm hoping that finally brings DHT into range. BPH has not been a major issue, but I have been told by two docs that I have a big prostate (but with a smooth surface and very low PSA).

  3. #3
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    So I came off TRT for two months, and of course, my PSA test post test was the highest its been at a 3.25. I switched Dr's, and he specializes Urology and in TRT. He even said this is why this test can be so frustrating. We both were expecting the number to be down now that my body had more than enough time to clear the test. He gave me an exam and said everything felt fine. He ordered a 4k blood test and another PSA.

    My PSA came down to a 2.67, and because of that number, my 4k test was rejected by the company that does it. They said I am in range for my age. Talk about frustrating! This Dr is not pushing biopsy but does not think its wise to be on TRT until we get this figured out.

  4. #4
    kelkel's Avatar
    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Quote Originally Posted by Rwy View Post
    So I came off TRT for two months, and of course, my PSA test post test was the highest its been at a 3.25. I switched Dr's, and he specializes Urology and in TRT. He even said this is why this test can be so frustrating. We both were expecting the number to be down now that my body had more than enough time to clear the test. He gave me an exam and said everything felt fine. He ordered a 4k blood test and another PSA.

    My PSA came down to a 2.67, and because of that number, my 4k test was rejected by the company that does it. They said I am in range for my age. Talk about frustrating! This Dr is not pushing biopsy but does not think its wise to be on TRT until we get this figured out.
    A properly run TRT protocol will not hurt you one bit. What about asking for the T-3 MRI?
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  5. #5
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    Quote Originally Posted by kelkel View Post
    A properly run TRT protocol will not hurt you one bit. What about asking for the T-3 MRI?
    I agree with you. I think its obvious now that TRT played no role in my PSA bouncing all over the place. The problem I am now running into is no one wants to give me a script for TRT with a PSA thats considered high for my age.

    As for the MRI. I was told the 4k test was more accurate. I have no idea if that is true or not.

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