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are docs hormone replacement phobic??
Aug 27, 2004

48 year old male. Also.. I'm HIV pos and on meds for 1 1/2 years (videx ec (low dose), viramune, epivir, viread).Blood counts are good. My testosterone total was 433, My testosterone % Free & Weakly bound was 13.7% ng/dl, and my testosterone , F&W bound (bioavail) was 59.3 ng/dl. Although the total testosterone was in normal range the bioavail was low. The reason I had it checked is because I have low energy. My doc said that starting replacement therapy may shut down my own testosterone making abilities and that without other symptoms he would not recommend it. What are your thoughts? I've asked 2 other docs I know and both said the same thing basically... are docs hormone replacement phobic?? Or are they just not experienced with this stuff? Thanks!

Response from Dr. Frascino


Did you discuss this with your HIV specialist? They generally are better informed and less "phobic" about this issue than general medicine doctors.

Hormones that are out of whack make us feel wacky! If your free testosterone is below the normal range, your "testosterone making abilities" are already impaired. If you're feeling wiped out and the other causes of a power-drain have been ruled out, then testosterone replacement would indeed be worth a try. Low testosterone is the most common hormonal energy-zapper in HIVers. If your HIV specialist remains "phobic," ask for a referral to an HIV-knowledgeable endocrinologist or get a second opinion from another HIV specialist.

Good luck.

Dr. Bob

I am tired
Hiv related symptoms?

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