Treatment Why is it one doctor is telling me I need to have my thyroid checked before she will take over my testosterone therapy?

[Juicewrldfan]

It’s ridiculous to me sometimes how protocols outweigh common sense. I have damage to one of my testes and she still wants to check my thyroid before she will take over care.

Why? Why would my original doctor not feel the need to? The issue I have is she wants me to STOP my the testosterone for a week and I was a suicidal mess pre testosterone therapy but I also had a three day relapse with stims.

But when I started the T it all went away and so did my adhd symptoms. I mean night and day. I have lots of interviews this week so need to be able to function. Idk what to do really. One doctor will give me what I want…the other is very cautious which is great but idk.

See, I got caught up in the confusion and started taking estrogen a 5 years ago for a few months before I woke the fuck up. And she knows about it and she literally said”remember you told me you took estrogen and wanted you T levels checked. And then went on to say “if your hemoglobin gets too thick then we won’t be able to give you testosterone. Maybe it isn’t for you? Like wtf is she insinuating.

I hope no one judges me for my short bout of confusion all those years ago. Found out it was due to c-ptsd and just wanting to escape myself and got my PTSD treated. It didn’t help that out of the 5 therapist I consulted with they all try to encourage me and “affirm” and said I was in “denial” so I bought it because I was lost and confused and then violated.

So anyway, I am thinking about just sticking with the original doctor but he isn’t very safe imo. Just means I’ll have to educate myself and make sure he is monitoring my levels and blood thickness.

Never had an issue with that tho. Sigh…idk.

I wonder if I could sue the people who manipulated me…I mean I have gynocomastia and have to take testosterone therapy. Probably not…idk if I would anyway

 

[G_Chem]

Who and why did they give you estrogen??

-GC

 

[Juicewrldfan]

Who and why did they give you estrogen??

-GC

This is embarrassing as hell.m, but I was in an altered state of mind (I don’t mean high though I was getting high sometimes) and was dealing with trauma. know this word gets tossed around a lot but I mean complex and frequent trauma going all the way back to 5 and then after the abuse as a child I ended up in the military and then got out in the drug world living on the streets and stuff.

And I felt bad about who I was and wanted to get as far away from myself as possible and I explained my confusion to 5 different therapists before I made any decisions. But they all but one (who I see today still) “affirmed” my delusions and said I was in denial when I said I don’t think that’s it.( I’m not trans) but as I said I was lost and confused as all hell and suicidal asf and they say “ hey this will fix you” and so it goes…

Took it for a few months before my current therapist really helped me with my true issues and I saw I was being fooled and gravely so…

Thankfully I stopped before it went on too long. Just a few months. Ok. It was 5 months but trauma takes a lot of time to work thru sometimes. Still working thru some but it’s way better than ever was and I think low T has been a key issue all these years since. I was mentally ill and should have been treated for that not manipulated. I feel manipulated…and like a fool.

I really hesitate sharing this information because it’s extremely personal and I’m extremely embarrassed about me myself getting fooled…and going along…always thought I was smarter than that…

Well now everyone knows why I feel so strongly about doing away with the informed consent model at least not without a legit mental evaluation.

 

[G_Chem]

I appreciate your honesty man, don’t be embarrassed. You had multiple “professionals” telling you this, most people would believe it.

Trauma takes a lot longer than 5mo to overcome too. For most it’s a continuous effort over a lifetime.

-GC

 

[Juicewrldfan]

I appreciate your honesty man, don’t be embarrassed. You had multiple “professionals” telling you this, most people would believe it.

Trauma takes a lot longer than 5mo to overcome too. For most it’s a continuous effort over a lifetime.

-GC

Thanks man. That means a lot to me. Yeah. I guess what I was meaning by treating trauma in that 5 months is we sorted out that part of it while treating it. And very true. Been in therapy for years. And when we resolve one thing I have to move onto the next but man therapy has worked for me very well. I can’t speak highly enough of a good therapist that’s a good fit for a person.

The estrogen was about 5 years ago and I kept the one that didn’t “affirm”. She didn’t push back either but I’m sure in that field (clinical social work) she has to toe a certain line or she could be shut off from being able to work in the field.

Still this doctor wants my thyroid checked and the other doesn’t seem to think it’s necessary. I mean it’s pretty clear what the cause of low T is when she takes my history. It’s highly unlikely to be my thyroid althoigh not impossible. Just a waste of time imo.

Just not sure it’s worth me going off for a week like she wants and the original doesn’t think it’s necessary but he also doesn’t explain much and is hard to communicate with. (Doesn’t speak great English).

I think I’m just going to stay on it and stick with him. I do t want any risk of her trying to take it away from me. And I do t mean to be THAT guy but why is it female providers do t seem to understand how important it is for men to have testosterone. Idk. Both female doctors I spoke with seem to brush off the need.

The male doctor gave it to me right away after some blood tests (excluding thyroid) no issue whatsoever. “ ok so do you want the testosterone?” “ yes. I do” “ okay, here you go”

 

[snmfmy]

I wonder if I could sue the people who manipulated me…I mean I have gynocomastia and have to take testosterone therapy. Probably not…idk if I would anyway

Ummm...

Wow! As an adult male you got gynecomastia from a 5-month regimen of estrogen? There's a lot of trans women out there that wish they were you.

It's also an extremely common and easily remedied condition. It's a quick liposuction surgery which you could probably get seen as medically necessary because it damages your mental health.

But, taking testosterone and other anabolic steroids definitely can give you bitch tits, unless you also take an aromatase inhibitor.

Now I don't know if juiceworldfan actually means you're on the gear or not, but if you are....

 

[someguyontheinternet]

I'm assuming his name is a reference for the musical artist

Juice Wrld - Wikipedia

en.m.wikipedia.org

 

[snmfmy]

I'm assuming his name is a reference for the musical artist

Juice Wrld - Wikipedia

en.m.wikipedia.org

Doesn't mean it wasn't a valid question.

I've been on testosterone replacement therapy before. And even with the low dose for the gel or the cream that they prescribe you, they still say that you have a relatively non-trivial probability of developing gynecomastia unless you also go on an aromatase inhibitor.

And TBH If his gynecomastia was induced by a short term of estrogen therapy five years ago, and he still has gynecomastia today, It's from taking testosterone in the interim and now. Unless he suffers from some sort of disease state that causes elevated estrogen.

You see gynecomastia in adult males caused by transient increases in estrogen are reversed once the increased estrogen is removed, except for the severe gynecomastia caused by long-term abuse of steroids without aromatase inhibitors.

THAT'S WHY ADULT TRANS WOMEN HAVE TO STAY ON HORMONES OR GET IMPLANTS, OR THEIR TITTIES DISAPPEAR.

Things are a little different for trans women that started hormonal transitioning pre-puberty or in their teens and kept it up for years commonly their breasts are long-term.

But since he's taking the testosterone, he's constantly bathing his body in estrogen because exogenous testosterone is converted to estrogen by aromatase.

Oh and you can also compound gynecomastia from testosterone replacement therapy if you're overweight.

 

[Juicewrldfan]

Doesn't mean it wasn't a valid question.

I've been on testosterone replacement therapy before. And even with the low dose for the gel or the cream that they prescribe you, they still say that you have a relatively non-trivial probability of developing gynecomastia unless you also go on an aromatase inhibitor.

And TBH If his gynecomastia was induced by a short term of estrogen therapy five years ago, and he still has gynecomastia today, It's from taking testosterone in the interim and now. Unless he suffers from some sort of disease state that causes elevated estrogen.

You see gynecomastia in adult males caused by transient increases in estrogen are reversed once the increased estrogen is removed, except for the severe gynecomastia caused by long-term abuse of steroids without aromatase inhibitors.

THAT'S WHY ADULT TRANS WOMEN HAVE TO STAY ON HORMONES OR GET IMPLANTS, OR THEIR TITTIES DISAPPEAR.

Things are a little different for trans women that started hormonal transitioning pre-puberty or in their teens and kept it up for years commonly their breasts are long-term.

But since he's taking the testosterone, he's constantly bathing his body in estrogen because exogenous testosterone is converted to estrogen by aromatase.

Oh and you can also compound gynecomastia from testosterone replacement therapy if you're overweight.

Im being prescribed testosterone. Im not taking it in anabolic steroid users levels. Those are much higher than what I take.Those doses are 100 times higher according to some sources and I asked the female doctor about that. She said the same thing.

I thought I did have to take something along with it but I consulted a minute clinic doctor about the care I was receiving as well. Not one soctyaaid I need to take an aramotise inhibitor and one of them said because I’m not borderline low, but have true low T that it’s not necessary.

That seems to be only an issue when you have functional testes.

And I only started T last week.

Edit: I’m probably more self Conscious about it than anything really noticeable with my shirt off but what you are saying about trans women is not extremely accurate in all cases. And breast tissue once it develops tends to be permanent without surgery even in cis men. The difference is without estrogen it looses some of its idk what you call it, shape I guess. Ugh…I hate talking about this.

 

[Juicewrldfan]

I'm assuming his name is a reference for the musical artist

Juice Wrld - Wikipedia

en.m.wikipedia.org

rest in heaven my guy.

You sir, are correct. This is one of his most known songs. There’s a lot, but yeah he was taken too soon and it breaks my heart because he was alone yet surrounded by people and all his posthumous releases reflect that. They found like 3000 songs he didn’t release and still coming out. Hackers leaked them because they didn’t like the label and blamed them for not helping him in time and they just seems to care about the money.

Idk Bibby the owner of the label along with his brother, she’s authentic tears like he didn’t know how bad off he was at first until near the end. How do you not know?

Personally I think someone else did that was close.

Emo rap, though I hate the name they put on the genre taking about feelings, died along with him, x, and lil peep. I’m not a huge peep fan but he’s alright. He’s too on the Kirk cobain type vibe shit wanna die type shit. Rest I. Heaven too tho peep but my dude you glorified the shit out of drugs. Juice talked about it but he usually talked about how they were killing Jim but he thinks he needs them.

 

[snmfmy]

Im being prescribed testosterone. Im not taking it in anabolic steroid users levels. Those are much higher than what I take.Those doses are 100 times higher according to some sources and I asked the female doctor about that. She said the same thing.

I thought I did have to take something along with it but I consulted a minute clinic doctor about the care I was receiving as well. Not one soctyaaid I need to take an aramotise inhibitor and one of them said because I’m not borderline low, but have true low T that it’s not necessary.

That seems to be only an issue when you have functional testes.

And I only started T last week.

So are you going to be on the patch, the gel, cream, or injections?

Because, the normal prescription for gel for low T delivers 5-10 mg of testosterone a day. That's 35-70 mg a week.

Now if you're on Testosterone cypionate injected for hypogonadism, it's 50 to 200 mg every 2 weeks. Effectively 25 to 100 mg a week.

Most people using testosterone for performance enhancement are around 400 mg a week which is only 4-10 times the dose from TRT not 100 times.

If you already have gynecomastia from hypogonadism. sometimes testosterone will resolve it, however you are still at risk for increased gynecomastia depending on how your body aromatizes it to estradiol.

If you don't mind sharing, or you just want to PM, what's the cause of your hypogonadism if that's what you have?

The reason I'm asking, is, depending on why, you could and up having worse gynecomastia, and your doctors should have told you.

Feel free to pm me. I've been on testosterone replacement therapy and was just low (not hypogonadism) from drinking too much alcohol and stress. And my doctor told me that I should at the very least consider taking some of the natural aromatase inhibiting flavonoids.

 

[Juicewrldfan]

Ummm...

Wow! As an adult male you got gynecomastia from a 5-month regimen of estrogen? There's a lot of trans women out there that wish they were you.

It's also an extremely common and easily remedied condition. It's a quick liposuction surgery which you could probably get seen as medically necessary because it damages your mental health.

But, taking testosterone and other anabolic steroids definitely can give you bitch tits, unless you also take an aromatase inhibitor.

Now I don't know if juiceworldfan actually means you're on the gear or not, but if you are....

Damage to one of my tested from drugs and medicine.

So yeah I take 200 IM a week. The issue is I think this other doctor is just anti testosterone for whatever reason. I think she just wants to find a reason to not give it to me so I’m going to stick with the other not as safe guy but will give me T. And I’m just going to have to keep up on him making sure he’s monitoring my blood and levels.

Just using it to restore my mind really. And energy levels and wax is thru the roof now. I had many issues before with that.

 

[snmfmy]

Damage to one of my tested from drugs and medicine.

So yeah I take 200 IM a week. The issue is I think this other doctor is just anti testosterone for whatever reason. I think she just wants to find a reason to not give it to me so I’m going to stick with the other not as safe guy but will give me T. And I’m just going to have to keep up on him making sure he’s monitoring my blood and levels.

Just using it to restore my mind really. And energy levels and wax is thru the roof now. I had many issues before with that.

So you take 200 mg of testosterone cypionate every week?

That's a double the normal high-end dose for hypogonadism.

That's not a small dose. In fact, there are a lot of guys that are on the gear that are only doing 200 mg a week.

 

[Juicewrldfan]

So you take 200 mg of testosterone cypionate every week?

That's a double the normal high-end dose for hypogonadism.

That's not a small dose. In fact, there are a lot of guys that are on the gear that are only doing 200 mg a week.

Idk…online it said that anabolic steroid users use 100 times the over up T but I guess you can’t believe everything online.

Idk man. I have true low T. I get it’s the max dose but idk why he prescribed the max. But he’s looking at my medical history so…but he could be a quack for all I know. I can see someone else at the same clinic.

She was even saying I might take you down to every other week if you want me taking over your care. And that is weird to me because she said also to stop taking it for a week so she can run a thyroid…but if it lasts two weeeks then why just take off one week?

Also, someone else that’s on TRT said AI are a last resort type thing. He said he’s take. Up to 400mg and didn’t have any issue with that. I think with my T so low that the spike of T is not high enough to convert to estrogen. I also work out a lot.

 

[snmfmy]

Idk…online it said that anabolic steroid users use 100 times the over up T but I guess you can’t believe everything online.

Idk man. I have true low T. I get it’s the max dose but idk why he prescribed the max. But he’s looking at my medical history so…but he could be a quack for all I know. I can see someone else at the same clinic.

She was even saying I might take you down to every other week if you want me taking over your care. And that is weird to me because she said also to stop taking it for a week so she can run a thyroid…but if it lasts two weeeks then why just take off one week?

So how long have you actually been on testosterone?

 

[Juicewrldfan]

So how long have you actually been on testosterone?

One week. I’m supposed to go off it for a week but my shots due today. I was thinking maybe I’ll let her check my thyroid but keep the other doctor doing my TRT type thing. That way I at least know.

I mean I still woke up as a man usually does if you know what I mean, today so I dont think it’s low yet. Maybe I can go two weeks every shot idk.

 

[Eryximachus]

I am confused.

 

[Juicewrldfan]

I am confused.

Is there something can clarify for you? I’m still figuring this out myself. I think I’m going to ask for a referral to a endo. I’d feel more comfortable with a specialist.

 

[snmfmy]

One week. I’m supposed to go off it for a week but my shots due today. I was thinking maybe I’ll let her check my thyroid but keep the other doctor doing my TRT type thing. That way I at least know.

I mean I still woke up as a man usually does if you know what I mean, today so I dont think it’s low yet. Maybe I can go two weeks every shot idk.

The version of testosterone that they gave you is called testosterone cypionate.

It has a half-life of 8 days, which means that 200 mg will be 100 mg in a week.

 

[Eryximachus]

Is there something can clarify for you? I’m still figuring this out myself. I think I’m going to ask for a referral to a endo. I’d feel more comfortable with a specialist.

There is just a lot of stuff written here. My first reaction is maybe you are kind of hypomanic. But, it sounds like you need to get back to baseline.

I'm mostly confused by giving estrogen pills. I have never heard of that before, honestly. Doesn't seem rational.

I'm also concerned with your username. If you have a history of AAS abuse, this changes things. Androgen receptors tend to get desensitized with abuse. Use of topical creams/gels can often be a superior option because there are more androgen receptors in your skin. From my old days on the meso-rx forum, a lot of the AAS recovery docs there said topical testosterone was superior to injections for patients with a history of AAS abuse.

I also have a history of such abuse, and while it takes a while, you do recover enough that you can function. I'm very anti-drug of everything at this point, and I hope to return to a 100% drug free life. Not trying to push a lifestyle on you, but something to think about.