Big Z, thank you for your very detailed and informative post.
To the mention of booze and blood pressure in another post, neither of those things are a concern in my case. I haven't had a drop in nigh on 28 years and my blood pressure is perfect.
I am thinking about seeing a urologist, even more so having read your post, Big Z. My current doc (it's actually a place called "Ageless Mens Health", sort of a TRT specialty clinic) looks at my PSA level to gauge prostate health, but maybe it needs to be addressed more aggressively than that. I do understand that the test can cause the prostate to enlarge, so maybe that's happening?
Also, the cialis is I took did absolutely zero but it was a one shot thing. Doc said cialis is is better suited for "older guys" - Inot sure why that would make a difference... I can tell you the interest is there, strong, but the plumbing just doesn't work. Worse now than before I started on the TRT. So something's up
My test level currently comes back at about 850 and estrogen in the low 30's. I think the last one was 34. Doc had me stop the anastrozole when estrogen got down to 20, fit since has risen to 34 and he has me taking zinc as a sort of more moderate blocker. I added a 50 mg zinc to my multi, which has 30 mg already; that gave me bad gas and bloating, now breaking the 50''s in half, which seems to be ok. Not sure how well it's controlling the estrogen, however.
So Clomid is an estrogen but blocks test conversion? Seems counterintuitive. But this is all new to me.
I inquired about the other variations of test mentioned and was told they don't technically have a medical use, so he can't get them. So for now that's not on the table. I'd really like to figure out what works before I move (currently live in Las Vegas area but expect to be moving back to NJ in the next 2 months or sooner, assuming a job I'm looking at comes through). There is no Ageless Mens Health or similar that I've found anywhere near me in NJ, so I don't know what I'm going to do once I get there. Start w my doc, I guess, but if I can't get squared away there, not sure. There's an outfit that does mail order scripts and uses Labcorp for blood work, but they don't take insurance, and they're so expensive it seems like I could do much better on my own, if only I could get the formula figured out.
You guys that do this on your own, how do you monitor your levels? Can you walk into a Labcorp and order your own blood work? How do you manage that?