Urologist or Endocrinologist for Testosterone Replacement Therapy?

Posted by vincescs @vincescs, Jul 19, 2024

The urologist office I visit will continue to see me for BPH treatment but is no longer seeing patients for TRT (testosterone replacement therapy). Where are most men getting treatment for TRT now? Urologist? Endocrinologist? Specialty clinics (e.g. Ageless Men's Health)?

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Profile picture for laughlin1947 @laughlin1947

I have read a few things about various supplements helping increase total testosterone, including boron, DHEA, horny goat weed, fenugreek, and arginine. If I were to google it, I'd find more. But I've never read that any affect Free-T levels. Some websites say to avoid fenugreek. Who knows...I haven't found any sort of doctor who even wants to speak about supplements vs. testosterone, they just shove me out the office door when it comes up in conversation. Good luck to all of us with this....

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Just to clarify my previous comment - boron will not increase total testosterone levels, but may help make testosterone you do have more bioavailable (i.e., higher free T levels)

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Profile picture for vincescs @vincescs

Just to clarify my previous comment - boron will not increase total testosterone levels, but may help make testosterone you do have more bioavailable (i.e., higher free T levels)

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Unfortunately, boron has not worked for me in terms in increasing Free-T. I've been on boron for 3 months (3 mg daily of triple boron complex) or more and my Free-T keeps dropping steadily. But I understand that the Free-T thing is very complicated and many causes for its increase or decrease exist. Today I take my 2nd injection of testosterone cypionate. Looking forward to seeing results in 3 to 6 more weeks.

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Profile picture for laughlin1947 @laughlin1947

Unfortunately, boron has not worked for me in terms in increasing Free-T. I've been on boron for 3 months (3 mg daily of triple boron complex) or more and my Free-T keeps dropping steadily. But I understand that the Free-T thing is very complicated and many causes for its increase or decrease exist. Today I take my 2nd injection of testosterone cypionate. Looking forward to seeing results in 3 to 6 more weeks.

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For what it's worth, the scientific literature says you need 6 to 10 mg boron per day to convert bound testosterone to free testosterone. Of course, you need enough total testosterone to start with.

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Profile picture for vincescs @vincescs

For what it's worth, the scientific literature says you need 6 to 10 mg boron per day to convert bound testosterone to free testosterone. Of course, you need enough total testosterone to start with.

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Thank you! That's very helpful!

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Profile picture for Phil, Alumni Mentor @upstatephil

@vincescs - I am 72 and have had my "T" tested for a dozen years. I follow the typical pattern of declining "T" with all the negatives associated with that decline. I go to a specialty clinic and they compound testosterone replacement pellets made up of bio-identical materials.

The process is simple. I have a blood draw to determine the current "T" level. I can usually tell when it's time for more pellets as I begin to feel lethargic, weaker, and my libido becomes noticeably less intense. A few days later I return to discuss my current "T" status followed by a brief compounding pause. The pellets are then inserted through a small one-stitch incision in my hip and away I go.

I apply cold compresses for the first day or two to reduce any pain associated with the insertion. In a matter of a week or two I feel great again - ready to take on the world.

That is what works for me...no guarantees it will work for you. I'm 12 years in to this process and am thrilled. Google "bioidentical therapy near me".

Good luck!

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Phil,
I am new to testosterone pellets, having just had my second implantation a couple days ago after the initial placement 4 months ago. My total reading was just above 300 but I felt lethargic, tired and loss of libido..( my free testosterone was very low but my urologist indicated he basically looks more at total. )I just turned 80 years old but have exercised all my life, aerobically and with weights and, consider myself to be in pretty good shape considering age. I had a pretty good bump in libido and energy which began to wane at approximately the 3-month mark. I was wondering at what point you begin to feel the diminishing effects. Also, the urologist failed to mention to me that my testicles may shrink, which I've read after research. I do observe that my testicles have shrunk close to 50% sizewise, and I understand the reason. I'm wondering if they will ever return to full size if I discontinue using the pellets. What has been your experience as mentor when conversing with other men. Thanks for your service.

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