1

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Coming off testosterone treatment?

Answered on August 19, 2014
Created May 03, 2012 at 5:22 PM

Have any readers/followers had experience with testosterone replacement therapy?

I am a PT and have a new client who is embracing the paleo lifestyle. He is 32 years old and been on testosterone treatment for 3 years, he has talked about starting a family with his new lease of life since training and changing his diet. he would like to come off his treatment. I am out of my depth and experience to provide advice.

He had a pituitary adenoma (benign growth) that from last MRI seems to, now not be evident (regressed) However still on therapy. He has recently changed Doctors since moving interstate and after starting paleo now wants to be natural and not take medication.

I have not provided advice as I thought testosterone replacement therapy was for life. I have looked into it a bit of him but don't want to give the wrong advice. He is now sceptical of modern doctors. His latest blood work was low end of normal range of testosterone and traces of FSH and LH

Thoughts?

43f469552cfd3be73fc88a9821b14986

on May 24, 2012
at 05:24 AM

I am in a similar boat restarted natural T cold turkey. 2 months in. How can I find a doc who knows how to help?

Ed71ab1c75c6a9bd217a599db0a3e117

(25482)

on May 04, 2012
at 01:27 PM

I have seen it happen but I would not expect it. When LH is turned off it takes a while to come back on. When people use anti balding drugs and 5 alpha reductase drugs the pituitary sometimes never comes back on without a pharmacologic nudge. You need to have a doctor in tow who gets these clinical issues. Many people who write Rx for those meds do not know how the CNS can react to these Rx.

Cc2a6af675ab70f45893aca5b6c5a0f7

(23)

on May 03, 2012
at 11:16 PM

Thanx Bill I'll put that too him but I think he wants to stop everything like smoking....cold turkey. I said it will be a rough ride!

Cc2a6af675ab70f45893aca5b6c5a0f7

(23)

on May 03, 2012
at 11:15 PM

do you think the testies could turn back on naturally after the intial difficult 6moonths or if no treatment is sorted will it be difficult for the rest of his life?

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4 Answers

1
0721afec895333489aaa029b896d1dc3

on May 04, 2012
at 02:15 AM

Is he on natural/bioidentical hormone replacement or synthetic? Through what vehicle is it administered? (patch, cream, etc.) Those factors aside, there are amino acids that play a somewhat complex but beneficial role in the endocrine system. D Aspartic Acid for one helps balance gonadtrophic stimulus, increasing growth hormones, luteinizing hormones, and metabolizing hormones in the right direction. Studies also show a higher sperm count in relation to higher DAA intake, even after being off it for a bit. This is just ONE factor. An expert in sex hormones, specifically bioidential, should be sought out. Identifying why tester one is low in the first place would be advisable. Of course increasing muscle through proper strength training and nutrition is an option. There are contradicting studies that show Maca to be beneficial in this as well. In men especially, it would be dire to avoid estrogen boosting foods and other stimuli (unfermented soy, poor quality meats, plastic bottles, zeno hormone containing cleaning products, etc). Perhaps this was more information than you were looking for. I would be happy to provide references and studies if you are interested. Best of luck to your client. Hormone replacement and balancing is tough at any age, much less his.

1
Ed71ab1c75c6a9bd217a599db0a3e117

(25482)

on May 03, 2012
at 08:45 PM

He may need lots of help.....HCG is one realm but he may need clomid and other alternatives too to restart his LH production. This maybe a long haul for him without the correct physician. Most endocrinologist have little experience with HCG in low T states. Tell him to find an anti aging doc if he struggles with PCP's or endo's

Ed71ab1c75c6a9bd217a599db0a3e117

(25482)

on May 04, 2012
at 01:27 PM

I have seen it happen but I would not expect it. When LH is turned off it takes a while to come back on. When people use anti balding drugs and 5 alpha reductase drugs the pituitary sometimes never comes back on without a pharmacologic nudge. You need to have a doctor in tow who gets these clinical issues. Many people who write Rx for those meds do not know how the CNS can react to these Rx.

Cc2a6af675ab70f45893aca5b6c5a0f7

(23)

on May 03, 2012
at 11:15 PM

do you think the testies could turn back on naturally after the intial difficult 6moonths or if no treatment is sorted will it be difficult for the rest of his life?

43f469552cfd3be73fc88a9821b14986

on May 24, 2012
at 05:24 AM

I am in a similar boat restarted natural T cold turkey. 2 months in. How can I find a doc who knows how to help?

1
1c67bc28f4e44bbb8770b86df0463df3

on May 03, 2012
at 07:35 PM

Sure, he needs to be get on HCG to try and kick starts his testes into making T IF he wants to try. Judging by what you said 'low normal T', he probably needs to UP his dose of T until it gets to HIGH normal, and see how THAT feels. His body is producing 0.00 T as of right this moment. Guarantee he will feel better with an increased dosage.

Cc2a6af675ab70f45893aca5b6c5a0f7

(23)

on May 03, 2012
at 11:16 PM

Thanx Bill I'll put that too him but I think he wants to stop everything like smoking....cold turkey. I said it will be a rough ride!

0
324bf94d3d6f9322d6e4dba4becfaab1

on May 04, 2012
at 02:43 AM

I've done multiple steroid cycles (legal ones, Superdrol/Methasterone), and I give Clomifene Citrate to my lab rats to help me recover my testosterone levels after the cycle is over. I've also heard some people give their lab rats some HCG injections to help their testosterone levels recover, but I've never given it to my lab rats.

Obviously there's some difference between my situation and your client's situation, but it might be a good place to start looking if you don't have any other leads.

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