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endocrinologist what to expect?

robbieboy672

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Get Shredded!
I started taking Anabolics when I was 19 years old and am now 22 almost 23. I have probably been off for a combined 1-2 months total during this time period. I know how stupid this was and do not wish to be lectured. I have been on hrt doses for the past few months and for personal reasons have decided recently that I would like to stop using AAS for at least the next few years and maybe forever.
I know how much damage I probably did and how difficult it will be to get my body to start producing it's own testosterone again if it is even possible at all. So because of how hard I know it will be and because my insurance covers it I made an appointment with an endocrinologist on August 25th to get some professional help.
Anyway this question is for anyone who has had to go to an endocrinologist for gear related reasons. What should I expect? Will I be prescribed a typical pct like hcg, nolva, clomid? How long will this process take?
I know that no one can have a difinitive answer go this, but I'm a little nervous and don't like going to the doctors essentially wearing a blindfold. Thank you for reading.

Robin
 
B

bobcat1

You should expect your name being flagged by insurance company for admitting steroid use.

Personally if you've been doing steroids illegally anyway why not try and restart yourself.

Get you some HCG and start taking that at about 500 Mcg a week for about 2 weeks. It will wake up your pathways. Then get Pharma Clomid and Nolva. Note I said PHARMA. Not UGL shit and try a restart. 4-6 weeks of that will let you know if you've done any damage to your HPTA.

Wait about 6 weeks after your final dose and get your own blood work through Privatelabsmd and post the results here. Make sure you get LH, FSH, free and Total Test, and Estradiol. Make sure the tests are also ultra sensitive. Don't cheap out.
 

REHH

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I would try what bobcat is saying first, your young so you may recover easily, won't know till u try. I think you should be more aggressive with the HCG, 500iux2 a week, think I've seen even more than that used, you need to research a lot. Ask the doc on youtube is an endo that specializes in trt and recovery from steroid abuse, look up his videos.
 
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REHH

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Probably need some aromasin too, so HCG, nolvadex, clomid and exemestane. Here some info I quoted.

HCG Dosage for Increased Endogenous Testosterone Secretion and PCT (Post Cycle Therapy)

It has been clearly stated earlier in this section of the profile that the use of HCG alone is a very bad idea for the purpose of endogenous Testosterone production recovery during PCT. HCG is, for all intents and purposes, synthetic Luteinizing Hormone, and LH just like any other hormone in the human body works on a negative feedback loop whereby when excess exogenous sources of a hormone is detected by the HPTA, the body will suppress or shut down its own endogenous production of the hormone. It would therefore actually be counterproductive to administer HCG doses alone for hormonal recovery during PCT as many bodybuilders did prior to the 1990s. Although it might have worked for some, the majority of individuals doing this ended up with more endocrine and recovery problems than they had attempted to fix. This is an old outdated practice of the pre-1990 bodybuilders and should not be used.

HCG should ideally be utilized as a part of a multi-component PCT protocol whereby HCG is utilized for the first 1 – 2 weeks of PCT, while the other components of the PCT protocol are utilized for the remaining weeks of the total PCT program (4 – 6 weeks total). The best possible addition to HCG in a PCT protocol is Nolvadex (Tamoxifen Citrate), as studies have demonstrated that HCG and Nolvadex utilized together have exhibited a remarkable synergistic effect in terms of stimulating endogenous Testosterone production, and that Nolvadex will actually work to block the desensitization effect on the Leydig cells of the testes caused by high doses of HCG[3].

Furthermore, it has been outlined early on in this section of this profile that HCG will increase testicular aromatase expression, causing Estrogenic side effects as a result of HCG use. The combination of HCG and Nolvadex must also therefore be utilized with an aromatase inhibitor (AI). However, the use of HCG with Nolvadex leaves only the most valid choice being Aromasin (Exemestane), as studies have demonstrated that when the other two AIs (Letrozole or Arimidex) are utilized with Nolvadex, Nolvadex will decrease blood plasma concentration of Letrozole as well as Arimidex. Therefore, the best possible choice of aromatase inhibitor in order to mitigate the increased aromatase activity caused by HCG administration would be Aromasin.

Finally, HCG doses for the purpose of hormonal restoration during PCT are that of 500IU daily for the first 1 – 2 weeks of PCT. The higher and more frequent HCG doses are only necessary during the first initial weeks following the termination of an anabolic steroid cycle in order to provide an initial ‘jolt’ of Testosterone output after an anabolic steroid cycle where extended periods of testicular atrophy might have occurred.
 

robbieboy672

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Sorry for the late response, just got back from vacation. So my doctor already knows that I use anabolic steroids. I had an infection about a year back so he found out about it then. You guys are probably right that I could try it on my own and might be able to get myself started again, but I don't want to take that chance. I know I might get flagged but if it can get my natural testosterone protection back then it is worth it. Also I would feel much more comfortable getting things like nolva or clomid or hcg from a legitimate pharmacy and knowing that they were 100 percent real.
Has anyone on this board had experience going to an endocrinologist after having crashed test levels? I'm curious what kind of treatment is typical and what kind of results people have gotten? Thank you both of you for your advice though I really appreciate the responses.
 

Velociraptor44

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Are you visiting a real Endo or a trt clinic? That makes a big difference in approach
 

robbieboy672

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A real endo. And my goal is not to get trt. It is to get off of Anabolics longterm and possibly permanently. I just want to produce my own testosterone again and figured if my insurance covers it I might as well get a professional opinion.
 

REHH

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Sorry for the late response, just got back from vacation. So my doctor already knows that I use anabolic steroids. I had an infection about a year back so he found out about it then. You guys are probably right that I could try it on my own and might be able to get myself started again, but I don't want to take that chance. I know I might get flagged but if it can get my natural testosterone protection back then it is worth it. Also I would feel much more comfortable getting things like nolva or clomid or hcg from a legitimate pharmacy and knowing that they were 100 percent real.
Has anyone on this board had experience going to an endocrinologist after having crashed test levels? I'm curious what kind of treatment is typical and what kind of results people have gotten? Thank you both of you for your advice though I really appreciate the responses.

Not many endocrinologists are knowledgeable in restarting HPTA after long term AAS use, some barely know how to treat with trt. I would search out a specialist on the subject.
 

Velociraptor44

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A real endo. And my goal is not to get trt. It is to get off of Anabolics longterm and possibly permanently. I just want to produce my own testosterone again and figured if my insurance covers it I might as well get a professional opinion.


Well the i would suggest informing yourself man and print out any info you can find and dicuss it with him. He is the Dr but an informed patient is the one who can decide the outcome. Work with him and tell him your concerns.
 

robbieboy672

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okay, thank you all so much for the advice. I know that the first thing the doctor will say will be telling me to stop my self administered trt. I am totally fine with that and that is my plan anyway. However, my biggest concern is that he will not prescribe anything until I get blood work done that shows my testosterone, fsh, and lh completely crashed. I'm worried that it's going to be over a month after my last pin before he begins treating me. I'll just be sure to research thoroughly and voice all of my concerns. Thank you again everybody
 

robbieboy672

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Not many endocrinologists are knowledgeable in restarting HPTA after long term AAS use, some barely know how to treat with trt. I would search out a specialist on the subject.

do you know how I would begin to look for a specialist? I looked through my insurance provider for doctors that were covered and all of them were listed as endocrinologist. None said hrt or trt or anti aging doctors.
 

fatballjr

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Can't even see an endocrinologist with out a referral these days.
 

REHH

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do you know how I would begin to look for a specialist? I looked through my insurance provider for doctors that were covered and all of them were listed as endocrinologist. None said hrt or trt or anti aging doctors.

I would search for all endos in my area then research each to find one more knowledgeable on the subject. Look at reviews, their website etc.
 

Canebrake

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okay, thank you all so much for the advice. I know that the first thing the doctor will say will be telling me to stop my self administered trt. I am totally fine with that and that is my plan anyway. However, my biggest concern is that he will not prescribe anything until I get blood work done that shows my testosterone, fsh, and lh completely crashed. I'm worried that it's going to be over a month after my last pin before he begins treating me. I'll just be sure to research thoroughly and voice all of my concerns. Thank you again everybody

More than likely he will make you stop everything for a month or two. They will need a baseline to go off of not a false one. Maybe you'll get lucky and not have to but I doubt it.
 

Victorz06

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More than likely he will make you stop everything for a month or two. They will need a baseline to go off of not a false one. Maybe you'll get lucky and not have to but I doubt it.

This. A smart MD would have you take NOTHING for at least a month to see where you are at. It's not common for many MDs to put someone in their early 20s on TRT. He may put you on meds like Clomid, Aromasin, HCG, maybe even proviron.....but I think he will try and get you to start producing your own test naturally rather than put you on TRT. There are exceptions though....for example, if you were on heavy doses of opiates for a long time, that can tank your T counts. He might put you on TRT for a while....but again, at your age....he will more than likely try and fix the issue rather than put you on TRT. Good luck.



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