Endocrinology

Ask an Endocrinologist. Get Answers to Endocrinology Questions.

Ask a Doctor,
Get an Answer ASAP!

Endocrinology

Endocrine question 36 year male. My testosterone total

Customer Question
before trt was 534 free...
Endocrine question 36 year male. My testosterone total before trt was 534 free testosterone was 50. I did trt for 2 a half months on starting dose. My doctor found in had a pituitary tumor causing high prolactin. He got me off trt and on dostinex. I have been on dostinex 6 weeks and off trt 3 weeks. I had a blood test yesterday say I have 126 yo to all testosterone and 22 free. My question is what can I do to get my t levels before trt and will my system go back to before trt. It seems like my body is not making testosterone right now.
Submitted: 1 year ago.Category: Endocrinology
Show More
Show Less
Ask Your Own Endocrinology Question
Answered in 1 hour by:
3/20/2016
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago
Dr. Captain
Dr. Captain, Board Certified Physician
Category: Endocrinology
Satisfied Customers: 774
Experience: I have specialized in common problems for men, women, children, and the elderly.
Verified

Hello!

Welcome to the JustAnswer.com chat dialog.

I am a Family Medicine doctor, board certified with active licenses and certification in Internal Medicine, Pediatrics, Obstetrics and Gynecology, as well as Integrative Medicine & Naturopathy, with advanced training in Neurology, Cardiovascular Medicine, Gastroenterology, Endocrinology, and Psychiatry. I am also well-trained in Functional Medicine. Perhaps most importantly, I consider myself a patient listener.

I have read your post and observations.

Would you prefer a summary answer to your question, or would you prefer more back-and-forth, where there will be a series of more questions and more details clarified?

Either way, I’ll do my best to take the appropriate time to help you.

Ask Your Own Endocrinology Question
Customer reply replied 1 year ago
Give me a short summary and can you answer me a few questions.
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

As you wish. Yes, of course. To your direct question, of what you can do to get your testosterone levels back up where they were, the answer is a bit complicated. Your tumor, and the high prolactin, are what we call "downstream" causes of lower testosterone. If you think of your testosterone levels as the current in a stream you might be fishing in, for example, there are mountains and waterfalls and rivers and oceans before the stream that can all effect the current of the fishing stream.

Ask Your Own Endocrinology Question
Customer reply replied 1 year ago
No I mean I used it for 2 months will my testorone go back to before trt therapy not where it should be normally
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

I see. Provided your tumor is treated appropriate, you can certainly expect your testosterone to return to those levels, yes.

Ask Your Own Endocrinology Question
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

As far as things you can do to help this process?

Firstly, provided your tumor and high prolactin are addressed appropriately, diet and exercise are likely going to be a central part of your healing and return to baseline. Healthy, well-exercised muscle is an important contributor to normal male testosterone levels.

Ask Your Own Endocrinology Question
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

There is some evidence that supports testosterone supplementation to help this return to normal, but that is a very complicated discussion, and one that would depend on many aspects of your health and care, including your bloodwork and tumor management.

Ask Your Own Endocrinology Question
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

I would recommend you visit https://www.supertracker.usda.gov/, and set up a profile, so that you can track your food intake. This is a free service that will give you detailed information about your diet, and the wide effect it has on your nutritional intake.

Ask Your Own Endocrinology Question
Customer reply replied 1 year ago
Being that I was on a low dose for 2 months for my body to start making its own testoerone to what it was before trt how long can that take.
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

honestly, it varies widely, and depends on many factors. Assuming your treating your body optimally (which is a very big assumption for most people), it can as much (or as little) as 12-18 months.

Ask Your Own Endocrinology Question
Customer reply replied 1 year ago
How long before the t levels at least start going up not fully restore
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

Great question - If you're heading in the right direction with your treatments, usually within 2-3 months, you should start seeing improvements.

Ask Your Own Endocrinology Question
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

Sometimes, you can see them sooner, but I'm giving you a more conservative estimate.

Ask Your Own Endocrinology Question
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

I should also be comprehensive, however, and include the possibility that your testosterone levels may not rise back to their old levels. Depending on what happens with the tumor and treatments, there are certainly cases where men are not returning back to where they want to be. At the very least, the stress of going through what you have been through, can cause lower testosterone levels itself. Make sure that you are including some stress relief exercises with your treatments.

Ask Your Own Endocrinology Question
Customer reply replied 1 year ago
Thank you for your reply
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

Was I able to address your question to your satisfaction? Can I answer any other questions for you today?

Ask Your Own Endocrinology Question
Customer reply replied 1 year ago
Thanks
Endocrinologist: Dr. Captain, Board Certified Physician replied 1 year ago

You're welcome, take care!

Ask Your Own Endocrinology Question
Ask Dr. Captain Your Own Question
Dr. Captain
Dr. Captain
Dr. Captain, Board Certified Physician
Category: Endocrinology
Satisfied Customers: 774
774 Satisfied Customers
Experience: I have specialized in common problems for men, women, children, and the elderly.

Dr. Captain is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr Adi

Dr Adi

Professor

440 satisfied customers

Director of the Pediatric Diabetes Clinics at UCSF.

MCC. Endo

MCC. Endo

Board Certified Endo

25 satisfied customers

>10 years clinical exp, award winning research as a fellow

Sohaib K

Sohaib K

16 satisfied customers

Consultant at King Faisal Specialist Hospital

Dr Eisenbud

Dr Eisenbud

Board Certified Physician

166 satisfied customers

Endocrinology and metabolism practice for 35 years

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,784 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

< Previous | Next >

Related Endocrinology Questions
FOR DOCTOR Maneeb Ali only please: Ihave a history of PVC's,
FOR DOCTOR Maneeb Ali only please: Ihave a history of PVC's, last year for halter, 23% PVC and many biogeny and trigemy, hundreds. I went to cardio doc, he said albation would be best and by the time … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,238 satisfied customers
I am having difficulty I have not had before and it's with
I am having difficulty I have not had before and it's with my mind. Usually sharp I find myself being forgetful even to what I have just done. I feel like I'm in a fog but functioning. I make silly mi… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
Dr David - My daughter is 42 years old & has been going
Dr David - My daughter is 42 years old & has been going through premenopause for 3 yrs. First 2 yrs she was on low dosage birth control pills & this past year has been on Zahara USP 3 MG/0.03 MG. Her … read more
Dr. J
Dr. J
Physician, Partner
Doctoral Degree
360 satisfied customers
Can you answer my question about my Thyroid biopsy. As it
Can you answer my question about my Thyroid biopsy. As it relates to my severe arthrosis in my sc joint. Can lumps on my Thyroid be related to SC severe arthrosis.… read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,292 satisfied customers
The back of my throat is always redder than it should be,
The back of my throat is always redder than it should be, and it hurts from time to time. This has been the case for about a year. How can I know if the issue is reflux, silent reflux, post-nasal drip… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,876 satisfied customers
Dr Phil / Dr Phil / Dr Phil Jose' spouse has always had high
Dr Phil / Dr Phil / Dr Phil Jose' spouse has always had high triglycerides in lab reports - this one reads 293 but its down from the last one that was over 400 I think (he was drinking then , stupid )… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
I have been diagnoised with sclerderma of the esphogas, have
I have been diagnoised with sclerderma of the esphogas, have had 3 halo treaments for barrett's esphogas. In 2009 my colon quit working for no reason, there was no cancer but my colon still was remove… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
Not for Dr Phil, please. I had a virus cold and sore throat
Not for Dr Phil, please.I had a virus cold and sore throat last week, bronchitis 2 weeks before. This last Tuesday I was taking a bunch of pills, like 8, I take a lot of them everyday. These were vita… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,238 satisfied customers
I am struggling with meds and thyroid function. I am
Hello there.I am struggling with meds and thyroid function. I am currently taking bio identical hormones t3/t4 105mg and got my blood results back TSH 0.3 T4 5.3 T3 uptake 24 Free thyroxine 1.3 I have… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,091 satisfied customers
If the bile continues to flow into the intestine even if you
if the bile continues to flow into the intestine even if you get your gallbladder removed, why do people who get their gallbladder removed have to be careful with how much fat they eat?… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
I had been diagnosed with thrush, and sent you a picture, by
I had been diagnosed with thrush, and sent you a picture, by the next day the white spots were completely gone and I was just tired and itchy, I took 2 days of diflucan and nystatin. I stopped last ni… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
I sometimes monitor my blood sugar as I have had times where
I sometimes monitor my blood sugar as I have had times where it was low. I have not been diagnosed with a problem and my last A1c was normal, which was done I believe in May . The other night I checke… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,238 satisfied customers
I'm a female with Primary Ovarian Failure for which I take a
I'm a female with Primary Ovarian Failure for which I take a low dose of estrogen and progesterone for. I was diagnosed with POF at 15 because I never menstruated. I have a number of other health issu… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,688 satisfied customers
Will thyroid medication ALWAYS set the body back into
Will thyroid medication ALWAYS set the body back into feeling ok as far as internal body temperature is concerned. Example, feeling cold and then taking thyroid medication and body temperature getting… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,091 satisfied customers
What happens with the bile that the liver continues to
what happens with the bile that the liver continues to produce after the gallbladder is removed?… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
Every time I get blood work done my glucose level is high, a
Hi every time I get blood work done my glucose level is high, a nutrionalist did blood work and did an insulin level mine came back at 485.5 than she had me add more protein to my diet and it came bac… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,675 satisfied customers
Blood sugar is 256 one hour after breakfast of a scone and
Blood sugar is 256 one hour after breakfast of a scone and yogurt, is this to high. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,238 satisfied customers
Is a low platelet count something to be concerned about, for
is a low platelet count something to be concerned about, for the last couple of years mine has been between 103 to 135… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,876 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x