Does TRT have to be for life? Is it possible to return the body to equilibrium?

[anyman]

Curious- Since the need for TRT can be brought on by many potential factors, many of which can be indirectly remedied by restoring proper T levels, is it possible that restoring the body to equilibrium can eventually allow for a tapering off in the hopes that one's entire body can restart?

For example, if one has low thyroid, neurotransmitter or adrenal issues, which are often both the cause of low T and fixed once T levels are restored, is it possible that once the body is at equilibrium and natural pathways, etc are restored that supplemental T can likewise be withdrawn in the hopes that natural production resumes?

I keep hoping, albeit it likely in vain, that we can do more than just fill up when down a quart, so to speak, and solve the underlying problem. Any thoughts? The thought of screwing around with needles for the next 40 or so years sounds, well, annoying.:eek:

[JanSz]

Curious- Since the need for TRT can be brought on by many potential factors, many of which can be indirectly remedied by restoring proper T levels, is it possible that restoring the body to equilibrium can eventually allow for a tapering off in the hopes that one's entire body can restart?

For example, if one has low thyroid, neurotransmitter or adrenal issues, which are often both the cause of low T and fixed once T levels are restored, is it possible that once the body is at equilibrium and natural pathways, etc are restored that supplemental T can likewise be withdrawn in the hopes that natural production resumes?

I keep hoping, albeit it likely in vain, that we can do more than just fill up when down a quart, so to speak, and solve the underlying problem. Any thoughts? The thought of screwing around with needles for the next 40 or so years sounds, well, annoying.:eek:

You look like a good candidate.
Fix everything else, check if your testosterone problem will get fixed.

Go thru the paces of

NutriEval
and Estroessence

tests, once every four or so months for a year and half may be two years.
Follow up with their recomended supplements.

Report on your experience as you go thru it.

No guarantee that you will solve your T problem,
but many other things will be in best possible condition.

[boston]

Very interesting question. This is what I have thought before as well.

JanZ what do you mean by Nutrevil and ..... ??
Could you give us more detail about more specifics here, I'm confused.

[pmgamer18]

If your levels are real low in testosterone I don't think they will come up this high. After you take over a yr. or 2 to treat your Adrenls and Thyroid. Why suffer do all things that are low and when your better try going off TRT and see what happens. It's not like TRT will stop your testis for life. I did TRT and was told I am Primary 23 yrs later I find out I am Secondary. I read Dr. Johns HCG Update and at the time my testis were the size of small grapes adding HCG after all this time they come back to work and to there normal size.

[anyman]

If your levels are real low in testosterone I don't think they will come up this high. After you take over a yr. or 2 to treat your Adrenls and Thyroid. Why suffer do all things that are low and when your better try going off TRT and see what happens. It's not like TRT will stop your testis for life. I did TRT and was told I am Primary 23 yrs later I find out I am Secondary. I read Dr. Johns HCG Update and at the time my testis were the size of small grapes adding HCG after all this time they come back to work and to there normal size.

I can't help but wonder why the body can't or won't recover if the underlying issues are repaired that led to low T. There has to be a way to avoid all this BS and risk.

If low T is caused by adrenal or thyroid issues, which can be fixed or helped with low T (gives rise to a 'what came first" question) why can't T production resume once the issues are fixed? Or, are our bodies so pathetically designed that such isn't possible?

[Master Khan]

I have a disorder (fairly rare) known as "Cushing's". Cushing's simply refers to just about any condition where you are in a high hypercostisolim state. In forcing the body to make more and more cortisol, the body robs "building material" from just about every source it needs. For example it will divert a much higher level of Preg to turn into cortisol than normal (etc., etc.). In my case, I have an even rarer form of Cushing's known as "Pseudo Cushing's" (why they named it that I don't have a clue as it is every bit as hypercortisol as other forms). And the variations of Pseuco Cushing's (PC) that I have is even rarer still.

Anyway, the PC disorder completely devastated my HPT Axis and sent my testosterone levels plummeting. Initial test was something like just under 150 in a reference range of 220 - 1000. Now that they have the condition stabilized and "possibly" working towards curing it (which could take a few years), they were blunt that I would likely be on TRT for life... simply because I would want to be. They (these being top-level NIH research doctors at NIH Hospital in 12/2005) advised that curing the PC "could" result in "re-starting" my HPTA... BUT that due to my age (mid 50s) and a certain level of unrepairable damage done to the testicular system, that my "restored HPTA" would likely be - at best - producing 350 - 400 Total T ranges - with paralleling levels of Free T.

And you know what? They ar right. I would much rather be on a TRT/HRT program that has my hormones (plural) across-the-board in each hormone's OPTIMUM range (as optimum for health overall), rather than to be miserable - but be able to say that my sub-par HPTA production was "natural" once again!

MK

P.S. They also pointed out that the PC could be cured and the HPTA have been too damaged to do more than put out the level that it was nefor starting TRT (i.e., below 150!)... or that we may never cure the PC and that I'll have to live with keeping it stabilized to the point (like now) where I can function with it at this level). I look at TRT for life no different than that of an individual who has diabetes that can only be controlled by the use of insulin. I don't look down on those type of people, it s something that they have to take (daily) to live a normal life. So what's the difference? Much rather be optimal than to be "just barely".

[pmgamer18]

Thank you for that MK and I pray this goes good for you.

All I am saying is like MK said if your levels are below normal this is dam low and doing damage to your body. So why just treat Adrenals and Thyroid hopeing the testosterone will come back up. I can't say it will or will not but treating Adrenals and Thyroid takes a long time mean wile your low T is doing more damage to your body and mind so why not treat the low T and later try coming off the T and see how you do.

[hardasnails1973]

Honestly in the future I hope by back filling all the holes in nutrients and proper imbalances in the body I do beleive that this can be accomplished in some situations with out using HRT. For others there are not options then feel like crap or use natural bioidentical hormones to assist in what the body is lacking to bring them up to healthy levels.

[JanSz]

Very interesting question. This is what I have thought before as well.

JanZ what do you mean by Nutrevil and ..... ??
Could you give us more detail about more specifics here, I'm confused.

You will be more comfortable if you learn more details.

Why do not you watch the videos where it is all explained by a doctor,
Chief Medical Officer, Genova Diagnostics
Patrick Hanaway MD

http://www.prolibraries.com/a4m/?select=speaker&conferenceID=3&speakerID=9

============================================
Ask your doc to do Genova Diagnostic testing.
These tests:

NutriEval (saliva, urine, blood)
EstroEssence (first morning urine)

possibly also

Comprehensive Detoxification profile
and
EstroGenomics
============================================
Also spend 2x $20 and study how to read and apply top two tests.
http://www.prolibraries.com
-----------------------------------------------------------
NutrEval discussed
EW04 - NUTRITIONAL EVALUATION: Understanding Your Patient's Supplement Needs
http://www.prolibraries.com/a4m/?select=session&sessionID=565
A4M :: Conference Library
Conference: A4M Las Vegas 2006
Speaker: Patrick Hanaway, MD
December 7, 2006 6:00 pm - 9:00 pm
---------------------------------------------------------
Estroessence discussed:

GS02m - Estrogen Metabolism: Modifying Risk in Clinical Practice
Conference: A4M Orlando 2006
Speaker: Patrick Hanaway MD
Length: 31m 07s - 66 Slides
April 9, 2006 5:00 pm - 5:40 pm
--------------------------------------------------

[anyman]

All I am saying is like MK said if your levels are below normal this is dam low and doing damage to your body. So why just treat Adrenals and Thyroid hopeing the testosterone will come back up. I can't say it will or will not but treating Adrenals and Thyroid takes a long time mean wile your low T is doing more damage to your body and mind so why not treat the low T and later try coming off the T and see how you do.

I agree that T should be replaced if it is in fact too low. However, is it possible to use external T only until such time as the underlying issues are fixed? Might it be possible to wean oneself off external T and allow the body to kick back into gear?

In this vein, is there a way to stimulate the H an P parts of the HPTA rather than just the testes? Clomid works to block E, but is there something to actually kick the H and/or P into gear via direct action?

[Dr. John Crisler]

The answer is yes.

[anyman]

The answer is yes.

How can one do this? Are there situations more likely to work than others? When should a man try and when should he realize such is not likely?

If the answers are too complex for a forum post, can you tell me where I would look and give me some research aids?

Thank you.