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Age 66 on Androgel, sex drive way too low

Men's Health | Last Active: Aug 24, 2020 | Replies (7)

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@bruce0712

Using Androgel because of VERY low T levels, been using it for years. I have had doctors prior to being cared for by the Veteran's Admin who initially Rx'd the gel for me, plus my regular Dr at the California VA, later the Dr at the Phoenix VA, and later (after a thorough review by an endocrinologist) my regular VA doctor in Las vegas, all approving my continuing to use the Androgel. Now I have moved to Daytona Beach. My new VA doctor insists that I no longer use the Androgel because of risk of heart attack or stroke....neither of which I have ever had before. Granted....it took me a month to move across the country and I was eating poorly during that month, so my cholesterol read borderline, as he said, as well my triglycerides read borderline high. But normally I eat a LOW carb diet, now that I am moved in, back on that later this week, I stick with it religiously once I get that going. But I read it is a conflict of "if you use Androgel at old age, it will cause heart attacks and strokes" versus "if you suffer from very low T at an older age, you will suffer from heart issues and osteoporosis, being frail, old man look....where at present, at age 68 everyone says I look 50. I want to keep that rather youthful look and glow about me. This new doctor is smart...he had a lot of good sense yet he is 86 years old. Seemed well versed but it looks like he will refuse to allow me to continue using Androgel. Is this how it goes? One doctor says NO but more would say yes? A matter of finding a doctor with a different opinion? Should I wean myself off from using Androgel? And if I do that, will I start to fall apart? Is this doctor right in saying no?

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Replies to "Using Androgel because of VERY low T levels, been using it for years. I have had..."

Hi @bruce0712, you'll notice that I moved your recent post to your earlier discussion thread on the topic of AndroGel (testosterone gel). I did this so you can reconnect with @rkleinsmith @bradmm and others.

This review might help answer some of your questions (or may just be overwhelming), if you like to read research.
Healthcare Inspection - Testosterone Replacement Therapy Initiation and Follow-Up Evaluation in VA Male Patients: https://www.va.gov/oig/pubs/VAOIG-15-03215-154.pdf

I certainly would recommend that you ask your great questions to your new physician. If I have to wean off AndroGel, what are the consequences? Will I fall apart? How might I continue to use it and be mindful of my heart health?

Does that sound like a good first step?

I can add that my urologist told me 2-3 (?) years ago that he's been so some educational event and he learned that older men shouldn't (don't remember why) do HRT with testosterone. For the reasons explained above, I just dropped it. I'm 66 and I still left weights, just built an outdoor lifting platform. I'm not as strong as I used to be due to natural losses but that doesn't mean I quit trying. There's a group on FB for guys over who still lift and there's some amazing guys over 60 that look pretty darn impressive. If you want me to share that site with you, let me know. Bottom line, I believe that diet and exercise can do a lot for you without T.