Do you have a recommendation for a doctor in Central Texas who is knowledgable about male hormone issues, understands that just because a level is in the "normal" range doesn't make it normal, and is willing to try alternatives before heading straight into hormone replacement?
I have a friend in the Austin area who has been dealing with the effects of low testosterone for at least two years. He's a 38 year old male. In 2009, a mid afternoon test showed his level at 272, with a normal range of 262-1593. An early morning test a couple of days later was 464. Prolactin was 8.9 (normal range for the lab is 2.5-17.0). The doctor declared him normal after the 464 test, gave him some Cialis, and sent him on his way.
Two years later, the problems (chiefly ED) persist. My friend went to a urologist who supposedly specialized in male hormone problems after seeing this chart
that said yeah, his numbers are normal - for an 84 year old. For a few weeks prior to his urologist appointment, he had been taking a multivitamin, vitamins B and D, Zinc, and Magnesium daily, as well as getting regular exercise. This time his afternoon number was 430. At his appointment, the urologist said he wanted his number to be 450. The doctor does not recommend any treatment, but did pass out Levitra. My friend is convinced the doctors have a vested interest not to treat the problem because they're in league with the ED pill companies.
Research indicates that these are not good numbers for a 38 year old male who is showing signs of having low testosterone. And it also seems that moving straight into testosterone replacement means that he would be making a life-long commitment; that doing so shuts down the body's own production. But there seem to be other treatment options, such as using Clomid, which are not very well-known. In fact, calling around to different men's clinics, aging centers, and other places here in Austin have returned the telephone equivalent of blank stares when Clomid is mentioned.
So at last, the question (TL;DR
): Do you know of a doctor in Austin who 1) deals with low testosterone; 2) would treat someone with a level that's not below the "normal" range; 3) is knowledgable about alternative treatment options; and 4) is willing to search for the cause of the problem (i.e. is this a pituitary thing?) rather than simply treat the symptom?
If this doctor doesn't exist in the Austin area, does he or she exist somewhere in Texas?
Throwaway email if needed: littleTtobigT@gmail.com