Saw the Endocrinologist or whatever he is today.
He basically said that giving testosterone shots or other treatment should be the last ditch no other choice option because once you do it then your body gets use to it and stops producing your own and you are stuck on it forever or until you don't want testosterone anymore.
He pointed to my weight as being the big issue along with the other medical things I am dealing with.... which I already knew. I lost 7 pounds in about a month after talking to nutrientist and coming up with a plan of basically calorie counting and eating more fruits and veggies, trying to eat more smaller meals and making sure I eat breakfast. Progress but slow progress.
I know the low T is makin it super hard with my drive and energy etc being low.
His plan is to help boost the weight loss. There were two options on that: Ozempic and Wegovy.... my insurance doesn't cover Wegovy so we are doing Ozempic. Ozempic is not approved for weight loss but is for diabetes. I am pre-diabetic so it works.I am going to go on another drug first.... Melforne? (I can't read his writing) and then got a sample of Ozempic today. He said the chances of the insurance approval is better this way. After the sample runs out then hopefully the insurance picks up the Ozempic.
In the meantime, I am getting Clomiphene which is suppose to help the body produce more T.
I got to say, I like this approach better than just getting T shots or whatever. It addresses the root cause. Hopefully it all works out right.
Are you able to exercise at all or is the low energy level making it hard to do that?
Part of what I wanted it that drive is as much of an issue as energy. I can sit there and think "I should/need to get up and excercise" and I can't seem to actually do it. Any time I do anything physical whether excercise or just physical like yard work... I am drained super fast.
The other part of that is my physical problems with my back and knee. Also bone spur but oddly enough, since I been on meds to control uric acid (gout) my bone spur has not been bothering me as much. It was bad to the point I was set on getting surgery but that got put on the back burner with my wife going through her cancer fight.
All my issues are either caused by or exacerbated by my weight. BP, Gout, Kidney Stones, back pain, knee issues, sleep apnea, low T, and all the various things that have been tested where levels are either lower or higher than standard ranges. My back, knee and sleep apnea improved greatly when I lost the 70 pounds before.... I started getting the gout and kidney stones then but that was diet driven. Kindey stones haven't been a problem (THANK GOD) since going away from the low carb diet. Gout still was an issue which is why I relented and went to meds to help control but uric acid levels do get better with weight loss. I didn't do a sleep study when I had lost the weight but I could feel the difference.
I think as I lose the weight, all should improve. Hopefully the Clomiphene increases T production and helps. The Ozempic is definitely going to help with weight loss. I just made a salad for lunch. I portion that before trying to lose weight would have not been enough but a larger portion since I have been. I ate not even a 4th of it and put it to the side.
I am going to try hard to get some activity in. Though I did have a set back with yesterday coaching my youngest development basketball team. I took a couple of steps backwards and my heel struck the floor just enough for me to lose my balance.... and I went down. Nothing big. But with my back, it ends up causing pain. I am better today though. We shall see.