macrophage69alpha said:
if he has low progesterone then consider supplementing DHEA (precursor, guessing that he also likely has low DHEA and DHEA-s levels), use of an AI eliminates most of the E conversion issues. As far as the testosterone, reccomend pressuring the doctor to give him injectable, preferably cypionate or enanthate. would also ask about getting aromasin instead of arimidex, though dex is an OK option.
though thats JHMO
I don't know SQUAT about male hormones, I freely admit it (and sometimes I wonder about what little I know about female hormones ...). Now how do men make progesterone since they don't ovulate? Purely from adrenal glands and Schwann's cells?
Anyway, he went into doc's office with me specifically saying "INJECTIBLE" because hubby TRULY hates creams, lotions. I was thinking of the slow release pellets, actually. His doctor wants to do it this way and since husband is just entering therapy maybe it's a situation where the doc wants to start off slow? I dunno. I like the doctor's treatment philosophy, more importantly my husband feels relatively comfortable with the doctor so I'm trying to keep my mouth shut here (gee, you'd never believe it but that's pretty damn hard for me
)
He just came back from the second visit on Monday, scripts to fill, and we're waiting for the cream to arrive from the compounding lab. The pharmacy didn't even HAVE Armour Thyroid so that had to be special ordered as well.
First visit, physical, DRE, gallons of blood drawn (I'm afraid of what the lab. co-pays are gonna be). Everything that's off is basically borderline, not sky high, not rockbottom, if it's high, it's top normal, if it's low, it's bottom normal (e.g., serum test. 287, range 241-827; T4 .87, range .61-1.76; TSH 5.298, range .350-5.50, progesterone 0.3, range 0.3-1.2; DHEA is actually pretty good at 88 ug/DL, the range is 70-310).
Since he's having the test. and thyroid manipulated already I'm not interfering with his endocrine therapy in any way. My focus is keeping him healthy and side stepping any potential health issues that might crop up. Additionally, his liver enzymes are screwy which is one more reason not to add anything else to his oral therapies until that issue is sussed out (he's on antihypertensives, which can screw with your liver enzymes, I'm hoping that once his hormones come into line and he drops some weight maybe he'll be able to come off those).