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Type: Posts; User: Dr. Joel Nathan

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  1. If your free testosterone is low, please ask your...

    If your free testosterone is low, please ask your doctor to order an estradiol level. Estrogen acts as a steroid binding globulin.Therefore, you would have less free testosterone. If your estrodiol...
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    The prescribed use of medications, like suboxone,...

    The prescribed use of medications, like suboxone, is an "outside issue" in programs like AA or NA. Your peers are not doctors. If you are in a program that prescribes you suboxone and you are staying...
  3. New information on Vitamin D and Vitamin k@

    Vitamin D has been shown to help not only by keeping bones strong but to help to decrease chances of Alzheimer's disease an decreasing chance of colon cancer. With respect to keeping bones strong it...
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    Raising cholesterol levels is probably a...

    Raising cholesterol levels is probably a dangerous way to go. You may just want to try to add DHEA to your supplement regimen. DHEA is a precursor to testosterone. Also making sure your zinc levels...
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    The person who suggested checking the pulse on...

    The person who suggested checking the pulse on awakening is a good way to see what your resting hear rate is. If you take the pulse after drinking coffee or under stress it may increase your heart...
  6. Chase, Yes, the free testosterone is the...

    Chase,
    Yes, the free testosterone is the important number. To raise this naturally is to do things to decrease your steroid binding globulins. Getting leaner would go a good distance to lower...
  7. This is not my area of expertise.

    This is not my area of expertise.
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    Raising cholesterol levels is not healthy. If you...

    Raising cholesterol levels is not healthy. If you want to raise T levels do more heavy lifting using large muscle groups like the quads. Some use the over the counter supplement DHEA to raise...
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    Chronic Cough

    Chronic cough is not normal. Please check with your health care provider.
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    23,224

    The numbers you report are average numbers. For a...

    The numbers you report are average numbers. For a 30 year old, hormone replacement is not medically necessary with values that you have given. You are correct that people who work out with intensity...
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    This is an excellent question. Because...

    This is an excellent question. Because testosterone can lead to elevated cholesterol levels, it would be best to keep cholesterol levels around 140. A high cholesterol level is a cardiac risk factor...
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    With the new "black box" warning on testosterone...

    With the new "black box" warning on testosterone products that say that they can increase the risk of heart disease, it would be important to monitor cardiac risk factors. Total holesterol levels are...
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    Lexapro can cause weight gain. It will increase...

    Lexapro can cause weight gain. It will increase adipose tissue. The only antidepressant that I know that does not cause weight gain is Welbutrin.
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    Here is a list of side effects. Go over them with...

    Here is a list of side effects. Go over them with your prescribing professional.
    https://www.norditropin.com/what-it-is/safety-and-side-effects
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    Topical testosterone does not have a robust...

    Topical testosterone does not have a robust effect. Consider going to an age management doctor who would prescribe IM testosterone if it were medically indicated.
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    I have not heard about a tolerance to...

    I have not heard about a tolerance to testosterone. I have had patients on the same dose for years without a decrease in the effect of testosterone.
  17. Most likely this speaks to that you're following...

    Most likely this speaks to that you're following a "clean" diet.
  18. If you are getting an opioid effect, you'd be...

    If you are getting an opioid effect, you'd be going through at least a mild withdrawal if you used it daily for a few weeks. The withdrawal could be the symptoms of a mild flu and the symptoms would...
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    You are correct.

    You are correct.
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    If the hematocrit is above 51%, consider donating...

    If the hematocrit is above 51%, consider donating a pint of blood at the blood bank. Another way is to get your doctor to do it at his office or give you a prescription to take to a blood bank for a...
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    Fasting would decrease cholesterol levels.

    Fasting would decrease cholesterol levels.
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    Injections are the way to go. Topical...

    Injections are the way to go. Topical testosterone gets converted to dihydrotestosterone (DHT) to a much greater degree than injections of testosterone. High DHT concentrartions can increase...
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    Normal Hematocrit level can be as high as 50. You...

    Normal Hematocrit level can be as high as 50. You are way above this. You can donate a unit of blood at your local blood bank. Then re-do blood work in 10-14 days.

    I'd be interested in your total...
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    Omega -3 fatty acids effect triglyceride level...

    Omega -3 fatty acids effect triglyceride level not cholesterol. It would be important to know if you were fasting and for how long with each blood test. Labs can vary with respect to their normal...
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    See A Doctor Today

    If this is continuing, you need to get evaluated as soon as possible. (like today).
  26. Here's some information I got from...

    Here's some information I got from http://marycrimmins.com/the-benefits-and-side-effects-of-wheatgrass/

    Wheatgrass should be consumed on an empty stomach – not with a meal
    It’s ideal to...
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    Post TRT cycle, the cholesterol decreases and the...

    Post TRT cycle, the cholesterol decreases and the HDL raises. If there are issues with these values 2 months after stopping TRT, see your doc for blood work and a consultation on what to do. Either...
  28. The problem with a low LH is that it is caused by...

    The problem with a low LH is that it is caused by being on TRT. When you stop TRT you may still have low LH which would decrease your natural testosterone production. Using HCG will act like LH but...
  29. You need to see your health care provider first...

    You need to see your health care provider first for a physical exam to make sure you're otherwise healthy. The blood work they'll do will help to document your health or opportunities to improve....
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    It would be good to talk to your health care...

    It would be good to talk to your health care provider regarding ways to lower your cholesterol and raise HDL cholesterol. The health provider will factor in your family history of cardiovascular...
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    Urology is not my specialty. Please ask you...

    Urology is not my specialty. Please ask you question to a urologist.
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    Here's one study that says Dostinex may help with...

    Here's one study that says Dostinex may help with producing a firm erection. The study is not big and is specifically for psychogenice impotence.
    This is not my area of expertise.
    Please consider...
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    The test would be a nerve conduction study of the...

    The test would be a nerve conduction study of the pudendal nerve. Here is on study about this.
    http://www.ncbi.nlm.nih.gov/pubmed/11821666

    Dr. Joel Nathan
  34. You can consider getting your estradiol level now...

    You can consider getting your estradiol level now and then repeating it in about 3 months. You should see a decrease in the estrogen produced by the high testosterone levels to get back to normal now...
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    Good Point, Here is one study that states the...

    Good Point,
    Here is one study that states the pudendal nerve conduction studies may help in the evaluation of erectile dysfunction.
    Dr. Joel Nathan
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    Yes. It's a blood test.

    Yes. It's a blood test.
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    Human Growth Hormone Measurement

    Previously when testing for HGH, we had to test indirectly by testing for IGF-1 and IGBP-3. Now there is a test that measures HGH directly. You may want to ask your health care professional to order...
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    The following answer is for educational purposes...

    The following answer is for educational purposes only. I am not your treating physician. To fully evaluate what do do with respect to HCG would be to get your blood work done (see my sticky on blood...
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    It's very hard to read the photos of the results...

    It's very hard to read the photos of the results sheets. Also the units are different than in the US. I'm unable to comment on medication regimens.

    For educational purposes only, it's important to...
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    Intramuscular administration of amino acids is an...

    Intramuscular administration of amino acids is an interesting idea but unless one's GI tract has a hard time absorbing aminos, it is probably not an essential supplement. The arginine may give people...
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    Yes, your testosterone is not optimal. The...

    Yes, your testosterone is not optimal. The estrogen is too low. We need some estrogen for cardio protection.

    By the way, DHEA is an over the counter supplement and is non-prescription.
  42. The following is for educational purposes only. I...

    The following is for educational purposes only. I am not recommending the regimen below for anyone. It's something that one's health care professional may want to consider.

    First a history and...
  43. Here's what WebMD says about Carnitine...

    Here's what WebMD says about Carnitine tartrate:L-carnitine is LIKELY SAFE for most people when taken by mouth. It can cause side effects such as nausea, vomiting, stomach upset, heartburn, diarrhea,...
  44. Carnitine Tartrate - Should you be taking it?

    I've been doing a lot of reading on carnitine tartrate. It has many excellent properties. It increases fat metabolism, increases energy production, elevates mood and the big bonus for guys: it...
  45. reply from Dr. Joel Nathan

    [QUOTE=kilsong;1915242]Well... I FIANLLY bit the bullet and went to one of those Testosterone clinics.
    My decision was based on my low quality erections. However the possible gains in the gym is...
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