I did it again. I was sick tues through fri last week and looks like
I wasn't running on all cylinders. Some of you may have noticed on
other groups I mod I hadn't been responding (caught up this morning)
as I don't like to post when I'm tired or sick. You can see now why I
do that.

If one has been on TRT for very long, of course you wouldn't want to
lower it and might have to raise it actually. It will be a jugging
act to say the least in treating cortisol with TRT started, but if and
when cortisol is introduced, be ready for your TRT to become less
effective so you may need to raise it.

Take care,
Chris


--- In Hypopituitary_Support@yahoogroups.com, philip georgian
<pmgamer18@...> wrote:
>
> Hi Chris are you sure about doing this as to my problem I have as
you know been on TRT for over 23 yrs. Just started on Armour up to 2
grains now and 8 pills of Isocort. There is no way I could stop TRT
and do what your saying been down that road 7 times and the crash for
me was so bad I could not get out of bed. I find this whole process
very slow. I just wish my Dam Dr.'s would have found my problem with
my Pit 23 yrs. ago. My tests were screaming a problem with my Pit
yet they all and there were many missed it. I am feeling better but
it is dam slow. I just got back from Vac. and had a hell of a time
keeping up with everyone. I am thinking about stopping the Isocort
and getting on the Cortef just finnished the book you told me to read
Safe Uses of Cortisol dam good book has all my problems with
Bronchitis and Flu. So when I feel like I am getting sick just double
the dose of Cortef.
> Phil
>
> Chris Jackson <chrisgj@...> wrote:
> I must have been dozing off. I should have said get the
cortisol
> testing and if it shows you need cortisol replacement, wean off the
> testosterone. Trying to stay on testosterone therapy, may cause the
> cortisol numbers to be lower than if you weren't on TRT.
>
> I've found people people seem to do better doing HRT in the order I
> recommend
>
> Cortisol
> aldosterone
> thyroid
> sex hormones
> Growth hormone
>
> and the people who are doing HRT of a different order, don't do as
> well and in fact tend to have more problems with HRT than those doing
> in order I recommend. It's much easier to do HRT in order than to do
> a juggling act from what I've seen. Some docs know there is an order,
> most do not.
>
> You're welcome,
> Chris
>
> --- In Hypopituitary_Support@yahoogroups.com, "kincaiddave" <dave@>
> wrote:
> >
> > Thanks for the response and advice Chris!
> >
> > I don't have any reason to doubt that you've given me good advice.
> > I hope you understand that I would be reluctant to wean off the
> > TRT. I'll do what ever is best in the long run, but I had an
> > experience on AndroGel that makes me dread coming off of the shots.
> >
> > I was on 5g of AG and decided that I would "cheat" one Saturday and
> > used two packets (10g). I felt a bit better that day, nothing
> > really significant, but the big deal was the next day. My but was
> > really dragging that day after going back to one packet on Sunday.
> >
> > I am pretty sure (haven't been tested since starting the shots) that
> > my T level is a good bit higher on the shots than on the gel. That
> > would give me a potential for a bigger crash coming off of the shots
> > than what I had experienced on the gel from my "cheat day".
> >
> > Is there a reasonable way that I can have my cake and eat it too?
> > Stay on the shots and test as necessary for adrenal
> > fatigue/insufficiency and treat appropriately? Then do the same
> > related to thyroid. Titrate as necessary for T, adrenal, and
> > thyroid levels....
> >
> > I'll definately discuss your recommended approach at my next
> > appointment.
> >
> > Thanks!
> >
> > --- In Hypopituitary_Support@yahoogroups.com, "Chris Jackson"
> > <chrisgj@> wrote:
> > >
> > > Isocort is cortisol replacement, but for the vast majority of
> > people
> > > it is not strong enough. Isocort is a supplement so it can't be as
> > > strong as cortef. Yes you need to wean off the Isocort and be free
> > of
> > > it for 2 weeks before testing.
> > >
> > > I've seen several men feel worse doing TRT first before cortisol.
> > Also
> > > Cortisol and thyroid replacement done first can help TRT be more
> > > effective.
> > >
> > > My biggest advice:
> > >
> > > If were me I would wean off the TRT (talk to your doc about this)
> > and
> > > get the cortisol tests and if they show you need cortisol
> > replacement
> > > (post tests here), then proceed with it with docs help of course.
> > At
> > > the same time as cortisol tests I'd get thyroid tests and if they
> > show
> > > you need Armour (get opinions on these forums), then start with
> > 1/4 to
> > > 1/2 grain only after cortisol replacenent has been going well for 1
> > > month (if HC isn't strong enough, ask for Medrol).
> > >
> > > I recommend you read the info on this site and check out the help
> > > forums on it.
> > > http://www.stopthethyroidmadness.com/
> > >
> > > Chris
> > >
> > >
> > >
> > >
> > > --- In Hypopituitary_Support@yahoogroups.com, "kincaiddave" <dave@>
> > > wrote:
> > > >
> > > > Thanks Chris!
> > > >
> > > > I have started the Isocort and am up to four pills/day. Does
> > this
> > > > qualify for the cortisol replacement that you mention?
> > > >
> > > > The doc already started me on testosterone shots, so I guess I
> > am
> > > > going about it backwards from the steps you have given.
> > > >
> > > > I will request the acth stim and serum acth tests and free T3
> > and T4
> > > > when I go for my next appointment in three weeks. Now that I
> > think
> > > > of it, in regard to the acth stim and serum acth tests, is it
> > bad
> > > > that I am already taking the Isocort?
> > > >
> > > > I have studied the TRT a good bit, but I am just starting to
> > look
> > > > into adrenal and thyroid matters and am pretty ignorant of
> > same. I
> > > > would appreciate any other comments/advice you may have.
> > > >
> > > >
> > > >
> > > > --- In Hypopituitary_Support@yahoogroups.com, "Chris Jackson"
> > > > <chrisgj@> wrote:
> > > > >
> > > > > cortisol is pretty low, 25 to 30 is what I look for.
> > > > > TSH is low, 2 is what I look for in men.
> > > > > prolactin may be to low, but not important
> > > > >
> > > > > The TRT may make your cortisol go lower and so may make you
> > feel
> > > > worse.
> > > > >
> > > > > First priority is to get acth stim and serum acth tests. You
> > > > probably
> > > > > need to be on cortisol replacement.
> > > > >
> > > > > Next, get free T3 and free T4 tests. Thyroid is treated
> > second.
> > > > >
> > > > > Then after both of those are going well, you can look at
> > treating
> > > > > testosterone.
> > > > >
> > > > > Chris
> > > > >
> > > > >
> > > > > --- In Hypopituitary_Support@yahoogroups.com, "kincaiddave"
> > <dave@>
> > > > > wrote:
> > > > > >
> > > > > > I am 49 years of age and hypogonadic with testosterone of
> > 319
> > > > total
> > > > > > (rr 350-890). I have tried AndroGel and it didn't work for
> > me.
> > > > Just
> > > > > > started on testosterone injections.
> > > > > >
> > > > > > What do you think about these numbers?
> > > > > >
> > > > > > AM Cortisol 9.9 ref. range 8.7 - 22.4
> > > > > > Ultra TSH 1.18 ref. range .34 - 5.6
> > > > > > Prolactin 5.6 ref. range 2.6 - 13.2
> > > > > >
> > > > > > All the above numbers are from before starting any
> > testosterone
> > > > > > replacement therapy. There were more tests done, but they
> > > > didn't run
> > > > > > T3 or T4.
> > > > > >
> > > > > > I started Isocort last week and will do my third weekly
> > 100mg
> > > > > > testosterone injection this Friday.
> > > > > >
> > > > > > Any comments would be appreciated!
> > > > > >
> > > > >
> > > >
> > >
> >
>
>
>
>
>
>
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