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Thread: Q and A with the Anabolic Doc: Thomas Oconnor

  1. #18

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    I will respond to the "coming off TRT" question. As with all medical issues, we have to consider so many variables... first of all, why are you on TRT ?? why are you now coming off??? are you sick?? how old you are? What are your other medical issues??? etc...these are the real questions that are important for you now and primary vs seconday T failure relates to either testicle/Leydig cell failure or lower brain disease....hypo/pit...respectively... This is how we initiate diagnosis for low T.. espacially in a young man... and timing is every thing. Now that you have been on T and what else?? big questions?? and you would like to come off for base line?? for what?? Why???? to see if you have a prolactin secreting adenoma??? to see if you can produce T on your own... again so many questions?? do you want to be fertile?? You really need to see a good physician that can help you in this regard. And direct you in the correct path.. At the end, deteriming your etiology for hypogonadism or your percieved hypogonadism!!! that started you using T, may be redundant and could cause harsh qulaities of life for you...in that, waiting to see if you "come back" is unnecessary and futile!!!!!! You may never return to "baseline"... To put it in lay terms, once a man has been on T therapy, for any prolonged time (>6 mos+-), he may require supplemental T for life. At least HCG, for fertility.... These are the types of clinical cases that I see all the time.... You may just need long term T and if that is the correct option, you will need to manage this in the safest way possible with your physician(s). Stay healthy and strong..

    Anabolic Doc

  2. #19

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    When starting my PCT after an aggressive and long cycle, how many days after my dinal shot of Test Enanthate should I start clomid, and hcg

  3. #20
    Spotter da goose's Avatar
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    hey doc, i had some blood tests done some months ago and thr results showed i had low test levels. my gp referred me to a specialist where i had more tests done and again i had low test. the specialist said my test was 5.9 and should be at least 8. (im not sure what unit thats measured in, im sure you understand) but he said my fsh was normal so hes not too worried about it. he said he could prescribe me with some of that topical test cream or whatever (but not injectables) if i wanted to but said if it was him in my situation he would just leave it, he made an appointment to go back to see him in a year and do more tests but obviously being a bodybuilder having low test levels is not optimal and lately i have a pretty low sex drive aswell. what do you think i should do? i was thinking of running some test myself for a while and then using hcg but i dont want to do this without proffesional advice. im 20 yrs old by the way. thanks

  4. #21
    Beach Body
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    Hey Doc
    I was wondering how do you get everything done i.e. eating and training while being a doc?

    thx doc

  5. #22
    Beach Body
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    Hey Doc
    I was wondering how do you get everything done i.e. eating and training while being a doc?

    thx doc

  6. #23
    Atlas H4TW's Avatar
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    Awesome thread! Welcome to MD Doc.
    www.IronMagLabs.com

    15% off on all IronMagLabs products at the IronMagLabs store= H4TW15

  7. #24

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    Hey guys..AD here. How do I train and bench over 500 at 45 years old and still take care of hundreds of patients?.... Im the Anabolic Doc thats how!!! C'mon...thats and easy question... As for the Irish guy... Top-o the morning to ya... did you know the Anabolic Doc is and Irish-jew??? I can drink and think!! bata--bing....

    any way, you are 20 and hypogonadal?? that is very unusual. you should have a very detailed medical history and physical exam... either you have done AS or you have some other primary or secondary endocrine issue. Just running FSH and LH is not enough, for starters, see a real endo doc or come and see me!!! for an example a rare cause for your doctors to consider is a prolactinoma.... and or some other secondary hypo-pit disease.... I find that in cases like yours, there is usualy a more simple answer.... although, I do take the time to figure it out with a methodical approach.... and taking T in any form will shut down your HPG axis and you need to do some more exploring first.... and then I would either do HCG and or combo clomid for fertility.... several ways to accomplish clinical end point..... go see a doc in Dublin!!!! or suck up the $$$ and see me..... good luck AD

  8. #25

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    If my bodies test level is low as im aging and on non test AAS like Deca or EQ will my levels test elevated?

  9. #26

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    Great to have you on here doc, if only you're at service in England or Dubai, I would definitely come and see you once I'm on the gear.

    At what age do you think males can start taking anabolic steroids?

    Thanks

  10. #27
    Spotter da goose's Avatar
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    thanks for the reply doc. i would love to be able to come see you if i had the money, unfortunatly i dont at the moment and im still in college but maybe some day il get the chance i was hoping to get out to the states sometime next year. where are you located? or do you have any contact details you could give me? thanks

  11. #28
    Beach Body
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    Hey Doc. What is the likelyhood of becoming infertile due to using testosterone? I realize that there are variables. I'm also refering to one or two 10-12 week cycles, not years of continuous use.

    Thanks Doc.

    You're in my neck of the woods too, I plan on coming up your way at some point, when my finaces are more stable.

  12. #29

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    [quote=anabolic doc;1663594]Hi guys.. Ill try to respond to as many questions as possible per day. I am getting so many lifters coming to see me now daily, that Its very hard to keep up, but I will always try my best to give you guys my best here..

    Tren is very strong drug and is nepro (kidney) toxic!! also depresses the HDL and raises the LDL big time!!!! not good... Decca is still a "safe" AS in usual doses.. and as for "decca dick" and variable response on men.. well, like any thing else, biologioc variation is responsible for this..some men take the HPG aixs hit more than others. That is why it is said that Decca should always be run with T . And I see this to be true in clinical practice.

    can you explain to me why Tren is kidney toxic? Also, won't all steroids cause your HDL to lower and LDL to raise? Thank you for your work!! You're an inspiration to me as I am a pre med student and I want to do what you are doing!!!

  13. #30

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    HI doc, welcome to MD, I hope you can answer my question. Im in the offseason and I know the anabolic window to have carbs and grow is mornings and post workout, can one take metformin(glucophage) to increase insulin sensitivity during those times to get the most benefits from the carbs to get the nutrients in the muscle. What dosage would you recommend and the type of protocol if any.

    thanks

  14. #31
    Juggernaut Brutal Master's Avatar
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    Quote Originally Posted by anabolic doc View Post
    I will respond to the "coming off TRT" question. As with all medical issues, we have to consider so many variables... first of all, why are you on TRT ?? why are you now coming off??? are you sick?? how old you are? What are your other medical issues??? etc...these are the real questions that are important for you now and primary vs seconday T failure relates to either testicle/Leydig cell failure or lower brain disease....hypo/pit...respectively... This is how we initiate diagnosis for low T.. espacially in a young man... and timing is every thing. Now that you have been on T and what else?? big questions?? and you would like to come off for base line?? for what?? Why???? to see if you have a prolactin secreting adenoma??? to see if you can produce T on your own... again so many questions?? do you want to be fertile?? You really need to see a good physician that can help you in this regard. And direct you in the correct path.. At the end, deteriming your etiology for hypogonadism or your percieved hypogonadism!!! that started you using T, may be redundant and could cause harsh qulaities of life for you...in that, waiting to see if you "come back" is unnecessary and futile!!!!!! You may never return to "baseline"... To put it in lay terms, once a man has been on T therapy, for any prolonged time (>6 mos+-), he may require supplemental T for life. At least HCG, for fertility.... These are the types of clinical cases that I see all the time.... You may just need long term T and if that is the correct option, you will need to manage this in the safest way possible with your physician(s). Stay healthy and strong..

    Anabolic Doc
    first off, thank you for the advice. i am on HCG and Clomid right now as i come off TRT and will be going to a specialist shortly (once my PCT is done). i may also store sperm before i go back on just incase.

    when you say "percieved hypogonadism" what do you mean? that my low T, may just be low T, with no real cause? i hope thats the case.
    "Feel ill as fuck - not sure if it is protein powder or tren?"-bigdog123

  15. #32

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    That's why MD rulez!!! i loved your atitude Doc, unfortunely i'm from brazil, :/ , i would love to have you has my doctor, i'm a bodybuilder and the doctor's that we have here are not so prestative with us!! i hope can count on you, even from distance!! thanks

  16. #33

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    thanks doc

  17. #34
    Behemoth
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    if the CRP is 16, what could cause such an elevation?

    when inflammation is involved, through proteins and the liver, is this strictly in the heart/blood? or can it be from muscle inflammation

    could use some mental relief to know 16 (although very horribly high) will come down and what exactly may cause it to increase aas, ancillaries..etc

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