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Polymyalgia Rheumatica (PMR) | Last Active: Feb 13 10:20am | Replies (55)

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@dadcue AI search -- "Testosterone Replacement Therapy (TRT) boosts metabolism by increasing muscle mass, which burns more calories at rest, and enhancing fat oxidation (burning). It helps reverse the slowed metabolism associated with low testosterone, often reducing body fat, particularly visceral fat. Benefits include higher energy, improved insulin sensitivity, and better long-term body composition. " -- My TRT was complicated by having prostate cancer. I had mine removed and caught it early. My urologist would not even discuss TRT. My family practice is a mens and womens health clinic. My PA agreed to TRT if I waited 3 yrs after removal, my PSA was undetectable, and I had a clean PSMA PET scan that was clean. I started TRT in late 2023. I was 71. I can no longer build muscle like I could into my late 60's. I have also changed my workouts to minimize lifting single rep heavy weights. I have been able to maintain body composition. Overall I feel healthier. I think there are too many benefits to ignore for both men and women with TRT. My goal is the upper end of normal. This prevents any other complications.

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Replies to "@dadcue AI search -- "Testosterone Replacement Therapy (TRT) boosts metabolism by increasing muscle mass, which burns..."

@tuckerp

You have to love artificial intelligence. I just did a search of my own. I learn something new all the time on this forum. I didn't know there is an HPG axis and an HPA axis.

According to artificial intelligence:
"Testosterone and Metabolism (The 100s to 300s)
The Shift: Prednisone is a corticosteroid that can significantly suppress the hypothalamic-pituitary-gonadal (HPG) axis, often causing a sharp decline in testosterone. Moving from the 100s to the 300s ng/dL is a positive sign that your body is recovering after discontinuing or reducing the medication."😄
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@tuckerp

I see a urologist annually to monitor multiple uric acid kidney stones in both kidneys. I think she is sadistic based on the things she says that I should have done. She can see on my annual abdominal CT scan that my prostate is enlarged. Since my PSA is normal, I think my prostate should be left alone. She also said that microscopic blood in my urine isn't normal even though the microscopic blood has been detected for years when I was still on warfarin with kidney stones. There was no way I was ever going to do the work-up she said I should do to see why there is blood in my urine even though I can't see any blood in my urine visually.

My kidney stones aren't getting any bigger since the treatment of my uric acid level with allopurinol was initiated. Potassium citrate is shrinking the size of some kidney stones and others have disappeared. My prostate, on the other hand, gets bigger every year. I might not have the urine stream that I used to but hey ... that is the end of the world.