Men with low Testosterone (T)

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
Joe_0206
Posts: 101
Joined: Wed Feb 08, 2006 3:49 pm
Location: Little Rock, Arkansas USA

Re: Men with low Testosterone (T)

Post by Joe_0206 » Mon Mar 24, 2014 11:59 pm

Going in tomorrow for follow-up lab work. It'll give the doctor something to compare. First test showed low (they didn't provide numbers) 'T' levels. If it's low this time they'll put me on AndroGel. Woot!
Arkansas
--------------------
I work in medical insurance - not sales. If you have code or claim questions, maybe I can help. PM me if you like.

User avatar
Goofproof
Posts: 16087
Joined: Mon Dec 05, 2005 3:16 pm
Location: Central Indiana, USA

Re: Men with low Testosterone (T)

Post by Goofproof » Tue Mar 25, 2014 12:33 am

Info Side Note: My ins is set up for 90 day supplies, with 3 added refills for drugs. In Indiana, maybe elsewhere, limits are set for 90 days and one added refill. Might check on your rules, the limit raises drug costs for me.
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

User avatar
Joe_0206
Posts: 101
Joined: Wed Feb 08, 2006 3:49 pm
Location: Little Rock, Arkansas USA

Re: Men with low Testosterone (T)

Post by Joe_0206 » Tue Mar 25, 2014 6:06 am

Goofproof wrote:Info Side Note: My ins is set up for 90 day supplies, with 3 added refills for drugs. In Indiana, maybe elsewhere, limits are set for 90 days and one added refill. Might check on your rules, the limit raises drug costs for me.
Yep, a 90 day refill is what I can get here too. The Doc may want to see me every 90 days at first just to monitor its effectiveness. Then, I hope to move it up to 180 days.
Arkansas
--------------------
I work in medical insurance - not sales. If you have code or claim questions, maybe I can help. PM me if you like.

User avatar
RandyJ
Posts: 1673
Joined: Thu Apr 21, 2011 7:22 pm
Location: Connecticut, USA

Re: Men with low Testosterone (T)

Post by RandyJ » Tue Mar 25, 2014 7:33 am

I did the gel replacement for 5 years after testing low... used Androgel 1% which I liked a lot better than Testim, which was substituted a few times (the Testim also remains sticky on the arm which I hated)...

After going on cpap and losing weight, I decided to go off the T replacement as well to see how I'd do without it, and I'm doing great (so far - I've been off the gel after doing a taper for 8 months now). My doctor tests now for Free Testosterone as well, to see how much is available in my body at a given time, and it's not a bad number, considering. I also feel a lot better at 75 pounds lighter, and exercising 4-5 times a week.

As I think was said above, poor sleep, inflammation in the body and belly fat can reduce T levels... to do it all again, I would NOT have started T replacement. While it did raise my T levels as far as testing goes, I never experienced a burst of energy from T replacement, either before or after cpap, and no noticeable increase in libido. But I stuck with it for 5 years anyway.

It's important to remember that your body will stop making any testosterone once you start replacing... I've heard that if you go off T replacement later that sometimes the body never does restart on its own, but I wanted to try.

Some have said that the injections are far more effective, but I never tried them.

_________________
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: Backup & Travel Machines: PR System One Bipap Auto, S9 VPAP Auto, S9 Autoset, Oximeter CMS-50E
Diagnosed March 2011, using APAP 14 - 16.5 cm, AFlex+ 2
Alt masks Swift FX pillows, Mirage FX nasal mask, Mirage Quattro full face mask

User avatar
Joe_0206
Posts: 101
Joined: Wed Feb 08, 2006 3:49 pm
Location: Little Rock, Arkansas USA

Re: Men with low Testosterone (T)

Post by Joe_0206 » Tue Mar 25, 2014 4:01 pm

RandyJ wrote:Some have said that the injections are far more effective, but I never tried them.
A co-worker swears by the injection. I think I'll stick with the AndroGel (if that's what I get). Just what I need ... another prescription.
Arkansas
--------------------
I work in medical insurance - not sales. If you have code or claim questions, maybe I can help. PM me if you like.

User avatar
digitalepiphany
Posts: 255
Joined: Thu Sep 05, 2013 12:31 am
Location: Dallas, TX

Re: Men with low Testosterone (T)

Post by digitalepiphany » Tue Mar 25, 2014 5:31 pm

Injection is, hands down, the best delivery method. This is not disputed.

Other options are out there (such as the gel) because a lot of people don't like needles. With injections, you get 100% of the administered dose. With things like gels, you only absorb about 50-60% of the testosterone.

So, if you want accuracy of dosage, go with the injections.

_________________
Mask: Amara Full Face CPAP Mask with Gel & Silicone Cushions
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: It's a VPAP ST. IPAP:16 EPAP: 12

User avatar
Joe_0206
Posts: 101
Joined: Wed Feb 08, 2006 3:49 pm
Location: Little Rock, Arkansas USA

Re: Men with low Testosterone (T)

Post by Joe_0206 » Tue Mar 25, 2014 10:04 pm

digitalepiphany wrote:Injection is, hands down, the best delivery method. This is not disputed.

Other options are out there (such as the gel) because a lot of people don't like needles. With injections, you get 100% of the administered dose. With things like gels, you only absorb about 50-60% of the testosterone.

So, if you want accuracy of dosage, go with the injections.
The only negative I've read about was the potential for a small chance of infection.

I like the idea of self injectable application. Simple and no oder.

Joe
Arkansas
--------------------
I work in medical insurance - not sales. If you have code or claim questions, maybe I can help. PM me if you like.

User avatar
digitalepiphany
Posts: 255
Joined: Thu Sep 05, 2013 12:31 am
Location: Dallas, TX

Re: Men with low Testosterone (T)

Post by digitalepiphany » Wed Mar 26, 2014 1:40 am

There's a small chance of infection with anything you do. But, do you think insulin-dependent diabetics get infections very often from injecting? Nope. The odds of infection from a testosterone injection are no greater than from injecting insulin. If that's your only concern, don't worry about it. Injection is the best way to go with testosterone. Most doctors won't allow you to self-administer though. Find one who will. Otherwise, you'll get hit with co-pays every week you go in for an injection.

_________________
Mask: Amara Full Face CPAP Mask with Gel & Silicone Cushions
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: It's a VPAP ST. IPAP:16 EPAP: 12

User avatar
Joe_0206
Posts: 101
Joined: Wed Feb 08, 2006 3:49 pm
Location: Little Rock, Arkansas USA

Re: Men with low Testosterone (T)

Post by Joe_0206 » Wed Mar 26, 2014 9:30 pm

Self injection is the only way I would go. I mentioned the possibility of infection only because it was mentioned in WebMD. It's not a concern of mine.
Arkansas
--------------------
I work in medical insurance - not sales. If you have code or claim questions, maybe I can help. PM me if you like.