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  1. #1
    Twirp
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    Default Need a good endocrinologist in Toronto or GTA or even Ontario in general.

    Hello.

    Does anyone know of a good endocrinologist in the Toronto or the Greater Toronto Area? I want one who understands male health issues and isn't a moron, one who won't ignorantly appeal to the acceptability of being literally on the floor of the dubious "normal" range. If you don't want to post this kind of info in the thread, I would really appreciate a PM on the matter.

    Failing which, does anyone know of a reliable, cost-effective way of running my own labs? Who is the best provider for this?

    Brief history:

    23 year old male. Been on several psychotropic medications since 14.

    ADs: Paxil, Wellbutrin, Effexor XR, Celexa
    AAP: Zyprexa, Seroquel
    Benzos: Ativan, Klonopin
    ACs: Lamotrigine

    As well as a 5 month course of Accutane at age 16.

    I have persistent sexual dysfunction from both Paxil and Celexa (that is, sexual dysfunction that has not gone away after discontinuance of the psychotropic agent). This includes trouble with erections (morning wood is an extremely rare event), premature ejaculation and severely lowered libido. I am not currently taking any psychotropic medications (and haven't been for at least 6-8 months) and I'm doing OK, although not as well as I'd like.

    I did a hormone test and it has revealed low T, low LH, low FSH and possibly high estradiol (not sure). I only saw the values on an unrelated walk-in and will be going back next month for a more comprehensive visit with my GP (maybe.. if not I will just obtain the results). I only saw a glimpse before he closed the window (on the computer) so I am not positive about the estradiol. The others I am sure of. He said something of the T like "well it's still in the normal range, so...." even though it's on the floor of what is considered normal. Having less testosterone than the average 80 year old man is not okay with me. Typical family doctor bullshit.

    My diet is very clean. I don't drink alcohol or coffee, I don't consume high GI carbs (I suspect hypoglycemia as type II diabetes runs in the family). I'm lean at approximately 150 lbs and 5"9, although I do have somewhat of a pear shape (a tendency towards fat below the waist) and also a tendency towards abdominal fat (although not as much as it is for fat below the waist). I go to the gym but not as regularly as I would like. I have never taken AAS.

    That's it for now. Thank you in advance.
    Last edited by Testiclops; 15-12-2009 at 07:22 PM.

  2. #2
    Muscle Bound
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    i was on paxil and celexa for about 6 months in highschool... kinda ****ed up my sex drive and functioning also

  3. #3
    Twirp
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    Quote Originally Posted by ROCCO View Post
    Why all that psychtropic medication from such a young age?
    At first it was for OCD and PTSD. Once you start on all of this shit it's hard to get off of it and usually the drugs just keep on piling on. I had an antidepressant-induced manic episode over a year ago. After two hospitalizations and all sorts of shit, I had enough and decided I want off. I'm actually doing okay now.. I just need to start feeling better about myself, and the testosterone deficiency is a good place to start.

  4. #4
    Twirp
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    Quote Originally Posted by ubcpower View Post
    i was on paxil and celexa for about 6 months in highschool... kinda ****ed up my sex drive and functioning also
    Did your sex drive and functioning return after discontinuance (or did it at some other time later in the future)?
    Last edited by Testiclops; 15-12-2009 at 09:14 PM.

  5. #5
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    search some post on gsxr750 I think he visisted a few endos in GTA

  6. #6
    Muscle Bound
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    Quote Originally Posted by Testiclops View Post
    Did your sex drive and functioning return after discontinuance (or did it at some other time later in the future)?
    The problem was only when i was on it (particularly paxil) . It had kind of a numbing sensation. Couldnt get full erections and couldnt climax. SOon as i went off, within weeks i was back to normal

  7. #7
    Twirp
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    Quote Originally Posted by ubcpower View Post
    The problem was only when i was on it (particularly paxil) . It had kind of a numbing sensation. Couldnt get full erections and couldnt climax. SOon as i went off, within weeks i was back to normal
    I'm glad to hear that. Although I'm not entirely convinced, it may be possible that the people who have persistent issues after taking these drugs are more likely to acquiring these issues in the first place (due to a predisposition), although even if this is true, there is no way of knowing if they ever would have such issues in the absence of taking the drugs in the first place.

  8. #8
    Twirp
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    i'm 24 yrs old and i'm on TRT now and i know its from the accutane. felt total normal before accutane and within 3 months of taking it, never been the same. but my face looks f*****g great!!!!. Don't waste your time with endos, been there done that, there useless........pm for a good doc.

  9. #9
    Muscle Bound
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    Not sure how endos work but most specialists require a referral from a family doctor. Many fam docs won't be happy about referring you to a specialist of your choosing, since they likely have specialist friends (from school, friends, conferences, etc) that they funnel their patients to.

    Just ask your family doctor. Endos are specialists and all of them should be knowledgeable about hormones; that's their specialty.

  10. #10
    Muscle Bound
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    If you have coverage I'd tell you to see a ND as well.

    Call the reception of your MD and ask for a copy of your blood work and you can just go there to pick up.

    You should just ask your doctor what should be done if his answer is something like : "Accept your faith!: them you should get another doctor.


 
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