Testosterone friendly doctors in Ottawa/Gatineau area ??

[alex5898]

Hey guys

i know that there were more than one thread under the same concern, i went back and read them but could not get anything beneficial out of them.

so as the title says, I need an understanding doctor who is TRT friendly in Ottawa/Gatineau area.

I just got my blood test results and the doctor told me that i have a lower than average T levels ( something like 13 or 14 and was supposed to be at least in 30`s ), then he referred me to see a psychiatrist !!!??? like WTF dude ?? not only that, he is one of the worst rated psychiatrists in Ottawa. The doctor wasn`t helping at all and he did not even listen to me and now i`m waiting to get my copy of the blood test result and go see another doctor.

the symptoms i have are lack of energy, lack of endurance, slow muscle growth, mood swings, anxiety, and sexual related symptoms.

any recommendations ??

by the way, i`m 26 years old, will be 27 in 2 months

[alex5898]

seriously guys no one has suggestion ?

ok it does not have to be in ottawa, montreal is fine too

[cog]

Andre Gregoire knows one.You don't say much about your past or present physical condition.

[alex5898]

thanks bro but who is Andre Gregoire ?

and for the physical condition i really don`t know exactly what to say, i`m 26 yrs 5`7 , 150 lbs with 25.8% bodyfat.
i`ve been working out regularly for the past 8 months with no real gains, and having the same symptoms before and after starting to work out.

not much to say about the past except that i had a lazy lifestyle which is changed now.

[cog]

Well you're pretty young to be going on HRT with no history of aas usage.Your bodyfat is rather high.Nothing about your diet in the recent era,enough protein?Things working with the wife/gf?Why did the doc talk about about a psych?Andre Gregoire is a member in Ottawa.

[alex5898]

yea i know that i`m still young but the doc said that it is common and not really related to age. Nothing special about the diet, i try to eat healthy 3-5 meals a day, i reduced junk food and pop drinks to once or twice a week, taking maultivitamins, protein shakes if needed.

the doctor did not even listen to me, i barely spoke for less than 1 minute, then he went out and got me a blood test note and said we will call you if something is wrong. they called me a week later and saw the doctor and again for less than 1 minute saying i have lower than average free T levels and said some numbers quickly and didnt bother to explain. then gave me a referral paper to see dr. Krishnaprasad. which is the worst rated doctor in ottawa.

I know that i don`t need a psychiatrist, and i`m totally aware of what i want and willing to take the consequences.

thanks bro

[Andre Gregoire]

Hey Alex,

I am in the Gatineau area and seeing docs in Ottawa mostly. I am in a bit of different situation, I started seeing a urologist because of fertility problems. My wife and I are trying to conceive a second child and the morphology (shape) of my sperm was a problem before.

So I went to see this guy again and after a bunch of questions he sent me to get my testosterone tested. First test I had 8 and the second 4.6nmol/L. You need two tests before any one can prescribe testosterone.

The normal range is 7.6 - 31.4 nmol/L at Canadian labs. In the States it's in ng/dl and normal range would be something like 300-1200...

Your testosterone is a bit lower than the middle of the normal range. I am pretty sure most doctor's wouldn't prescribe testosterone until you are under the normal range or at the very least at the very bottom.

TRT isn't all it's cracked up to be, if you can avoid it and have normal testosterone you should. I started TRT and 3 months later my sperm count went to zero, we are trying to have a baby so I went off TRT and I am now crashing with no doctor willing to prescribe clomid/hcg.

In 3 months on TRT I lost a bit of fat but didn't really gain any strenght or size so don't use that as your motivation to go on TRT for life. For me the main benefits were being less moody, more patient, better concentration at work.

If you go on TRT you need to monitor cholesterol, hematocrit, hemoglobin every 6-12 months for life. You will become infertile eventually and your testicles will shrink. You will also need injections every week or two for life. In my case my doc refused to do it every week so I had 200mg every other week and felt kind of like a roller coaster, feel great one week and crappy the next until the next shot.

In your situation I would try to naturally improve test levels since they aren't that bad from the start, while on TRT my test levels were 16.5 when I was tested.


Where your LH and FSH levels tested? Results?

How many hours are you sleeping per night? This has a strong correlation with test levels.

Do you smoke?

What is your average alcohol intake?

Do you take recreational drugs?

Your bodyfat level is high which means you will aromatize a lot of your testosterone to estrogen, lower bodyfat you will have more test essentially.

If you are doing cardio avoid long slow cardio and do HIIT but not more than 2-3 times per week.

-eat at least 150-200g protein per day
-50g+ of healthy fats = nuts, olive oil, coconut oil, avacado
-low glycemic carbs and not too many of them = brown rice, sweet potatoes, oats, quinoa, etc..
-Vitamin D 2000-4000iu per day, the darker your skin the more you need
-Go easy on green tea its healthy but too much of it can lower testosterone
-Zinc citrate 25mg per day every night = walmart equate brand is really inexpensive
- lift weights 3x per week, every other day, keep workouts short 45-60min, compound lifts, heavy weights 5-8 reps, lowish volume
-Take creatine and your natural testosterone will convert to the DHT pathway as opposed to the estrogen pathway = better quality of life and sex life

For the sexual sides often that is psychological but sometimes related to circulation so cardio can help, l-arginine isn't good for building muscles but it increases blood flow to genitals.

[TT Eric]

Great post André! Can you elaborate a little more about the effect of long slow cardio ?

Eric

[cog]

And how many mg's were you getting again Andre?

[alex5898]

Andre man that is really appreciated, you totally twisted my mind now lol


Where your LH and FSH levels tested? Results?

How many hours are you sleeping per night? This has a strong correlation with test levels.

Do you smoke?

What is your average alcohol intake?

Do you take recreational drugs?

1- i really don`t know, i`m waiting for my copy of the results.

2- 6-10 hours, but because i have late classes i always sleep around 2-3 am.

3- i don`t smoke.

4- i don`t drink.

5- no.


again man, thank you so much for your reply that really helped. And i wish you good luck with conceiving a second child.

one last request, can you recommend any natural T boosters that really work ? with no side effects. and any recommendations for a HIIT program ?

cheers

[steve_d]

If I am not mistaken, T levels can vary highly day to day, time of day, etc. Seeing that your not on the low end, the problem may very well have nothing to do with test at all...Which is a good thing. the symptoms you describe are very common for basically the entire population. I am not saying your problem is not related to chemistry, but that you may not have a problem at all! I think the best advice is to work on your overall health and fitness, from there, take another test - see how consistent the results are in 6 months. If still on the low end, perhaps explore other options,.

If you don't agree with this, please elaborate on:

lack of energy, lack of endurance, slow muscle growth, mood swings, anxiety, and sexual related symptoms.


muscle growth is a slow process for one... Endurance is something that has to be worked on... If I don't do cardio regularly, i have NO endurance. anxiety is extrmemly common, sexual related...well, i guess it depends on what it is. 27 year olds are different than 18 year olds :) but sexual issues vary within individuals throughout life. so again, is this part of normal variability, or something that indicates a problem...I suppose only a medical professional should determine this, but my hunch says it may not be as a big of an issue as perhaps thought.

[Andre Gregoire]

Great post André! Can you elaborate a little more about the effect of long slow cardio ?

Eric

I don't have any recent studies on hand but older studies of endurance athletes show that they tend to have high cortisol and low testosterone. This might be because of endurance exercise, over training, under eating in general and specifically under eating protein. Most likely all four contribute to the low T. I don't believe every thing that Poliquin writes but he writes quite frequently about this also.

[Andre Gregoire]

And how many mg's were you getting again Andre?

200mg every 2 weeks.

[Andre Gregoire]

Andre man that is really appreciated, you totally twisted my mind now lol

1- i really don`t know, i`m waiting for my copy of the results.
2- 6-10 hours, but because i have late classes i always sleep around 2-3 am.
3- i don`t smoke.
4- i don`t drink.
5- no.
again man, thank you so much for your reply that really helped. And i wish you good luck with conceiving a second child.
one last request, can you recommend any natural T boosters that really work ? with no side effects. and any recommendations for a HIIT program ?
cheers

I have been struggling with this issue and doing a lot of research so I am glad to share what I have found, makes it feel like my time wasn't all wasted.

When you do get results be sure to post them, we might be able to help you interpret them.

You seem to be doing pretty good. For the sleep ideally you wan't 7-8hrs and you want to go to bed at the same time and wake up at the same time every day.

Also I remember sleep studies mesuring various hormones like testosterone but also leptin, ghrelin, etc.. and the results seem to indicate that sleeping from 10pm to 6am was ideal but don't drive yourself crazy with that.

Natural test boosters that work?

D-aspartic acid and possibly Mucuna pruriens. Nothing else that I found.

Now without side effects....

Well D-aspartic acid increases LH and Testosterone but also prolactin, gh, estrogen and a lot of other changes no one knows about. I have tried it out a few times, liked it the first 2 weeks then had side effects like itchy nipples after 4 weeks. I would not recommend it.

Mucuna is illegal in Canada, acts kind of like l-dopa, it's effects are too drug like to be accepted here as a supplement.

Tribulus doenst work.

Maca is good for sex drive and semen but not test.

Yohimbine is good for viagra like effects but not testosterone, its a stimulant so many don't tolerate it, can't be used with alcohol or other stimulants.

Really the only good natural test booster is zinc if you are deficient and 3-4000iu of vitamin D should make you feel different after a week or two from an energy perspective.

For the cardio nothing special, 20min 2-3x per week. Warmup 5 minutes, don't count this. 1 min very hard, 1 min slow jog repeat 10 times.

[TT Eric]

Great post again! Did you tried 6-oxo ?

Eric

[alex5898]

Steve & Andre

thank you so much guys for your posts, i really appreciate it

[AAA]

If I am not mistaken, T levels can vary highly day to day, time of day, etc. Seeing that your not on the low end, the problem may very well have nothing to do with test at all...Which is a good thing. the symptoms you describe are very common for basically the entire population. I am not saying your problem is not related to chemistry, but that you may not have a problem at all! I think the best advice is to work on your overall health and fitness, from there, take another test - see how consistent the results are in 6 months. If still on the low end, perhaps explore other options,.

If you don't agree with this, please elaborate on:

lack of energy, lack of endurance, slow muscle growth, mood swings, anxiety, and sexual related symptoms.


muscle growth is a slow process for one... Endurance is something that has to be worked on... If I don't do cardio regularly, i have NO endurance. anxiety is extrmemly common, sexual related...well, i guess it depends on what it is. 27 year olds are different than 18 year olds :) but sexual issues vary within individuals throughout life. so again, is this part of normal variability, or something that indicates a problem...I suppose only a medical professional should determine this, but my hunch says it may not be as a big of an issue as perhaps thought.

This is so true. I've had my test levels measured mid afternoon and they were just below the lower range of acceptable, MY GP sent me to an Endo and he tested me at 8:00 in the morning. The results; my levels were in the mid to upper range of whats consdiered norm. I have no energy after lunch, I just want to nap. The Endo said its normal to have high levels in the morning and low levers by mid afternoon.

[Janos Baci]

Hey guys

i know that there were more than one thread under the same concern, i went back and read them but could not get anything beneficial out of them.

so as the title says, I need an understanding doctor who is TRT friendly in Ottawa/Gatineau area.

I just got my blood test results and the doctor told me that i have a lower than average T levels ( something like 13 or 14 and was supposed to be at least in 30`s ), then he referred me to see a psychiatrist !!!??? like WTF dude ?? not only that, he is one of the worst rated psychiatrists in Ottawa. The doctor wasn`t helping at all and he did not even listen to me and now i`m waiting to get my copy of the blood test result and go see another doctor.

the symptoms i have are lack of energy, lack of endurance, slow muscle growth, mood swings, anxiety, and sexual related symptoms.

any recommendations ??

by the way, i`m 26 years old, will be 27 in 2 months

Not that I want to be on TRT but I was reading a lot about it when a few months ago my readings showed 7.5. The men's clinic guy wanted me to retest and possibly go on TRT. I ended up reading a lot about the subject as well as other alternatives like Chlomid, HCG, Arimidex. One thing I wanted to make sure is to find out what's going first. So, after the recent test showed 12.5 I went to urologist today (after several months of asking my GP to refer me). The guy did not want to listen to me either - said that everything is in my head and that I need to see a psychotherapist. After I told him that I saw one and she just gave me a sex book to read after a $140 session, he told me to find a good one. While I agreed with him that TRT shuts down your natural test production, I was hoping he would do some tests to find what's going but he was just dismissive - looked at my balls for one sec and that's it. He said my results are ok and told me not to worry whether I have sperm in my ejaculate or not unless I want to make babies now. He also told me not to read about the subject on the internet as these are "not doctors posting on the subject". I did not want to argue with him but I was reading a lot of serious research and papers on the subject. I probably know more than him at this point. It just seems that neither my GP nor the urologist want to be bothered with this. On the oher hand if you go to a private clinic they probably just want to hook you up on expensive gels, etc. for the rest of your life.

[Peakmenshealth]

Guys,

I am writing this post to let you know about a new medical clinic that I have opened in Ottawa, Canada that may be able to help some of you. Many of you have been fortunate to be able to get advice and helpful tips from long standing TRT users on this forum but have been unable to or have struggled to get the medical help necessary.

Peak Men's Health is a medical clinic focusing on customized TRT and androgen-related management. My aim is to optimize your testosterone levels if medically appropriate with the goal of improving or resolving your symptoms. In addition, I am happy to work with AAS users for monitoring and harm reduction during AAS cycles as well as medical management of androgen induced hypogonadism (AIH) post cycle.

Check out the clinic at www.peakmenshealth.com and book you initial consultation online.

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