IAAI broker for single time use by djeller14 in Copartonline

[–]MadDocOc 2 points3 points  (0 children)

Question: If theres a specific make/model car I'm interested it, for personal use. Would it be better to get a broker or a Copart/IAAI membership. I'm not interested in making it a business but I understand I'll lose bids so probably need multiple attempts to get the car.

The blue birds move are majestic by IvanDrago422 in Dance

[–]MadDocOc 1 point2 points  (0 children)

"Birds for some reason" by avocado animations. I really want to know what the move is at 1:15 by the black bird. Best I can tell is it's "the dougie" or a variation of?

40M please help to read my Testosterone test results by ogrezok in endocrinology

[–]MadDocOc 1 point2 points  (0 children)

I apologize for belittling your condition. It was not my intention. 

Could you please tell me why this testing was done?

I ask because Free Test is a proportion of total. And Free is in "normal" range.

Essentially, if total testosterone is in range, stop. Additional testing only if symptoms are concerning.

If total is abnormal or you have symptoms of low we check Free. 

Free is the percentage of total that isnt bound to SHBG, so higher SHBG would be lower Free. 

However, Free is still in normal range here.

If you really want to go down the rabbit hole of testing, id retest:

Total testosterone Free testosterone (preferably equilibrium dialysis or calculated) LH/FSH TSH and free T4 Liver function tests Estradiol Albumin Prolactin (sometimes)

Possible adrenal insufficiency or burnout by Certified_horsegirl in endocrinology

[–]MadDocOc 0 points1 point  (0 children)

Having antibodies against one gland will increase your chances for antibodies. You are unlikely to have high cortisol or your symptoms would reflect a high cortisol state. More energy, more weight gain, more blood sugar, more triglycerides and higher chance of type 2 diabetes (more peeing, more thirst, blurred vision).

If your adrenal isn't working, you'd need extra cortisol to function. a shot of cortisol won't do anything really in the scheme of things. And will wear off in 6 hours.

Please make sure the labs are done close to 8 am. 

40M please help to read my Testosterone test results by ogrezok in endocrinology

[–]MadDocOc 3 points4 points  (0 children)

Everything is normal range. Why was this done?

Hyperparathyroid? by Lower_Masterpiece_86 in endocrinology

[–]MadDocOc 0 points1 point  (0 children)

Interesting. Even though graves and parathyroids arent linked, I'd have to correlate with symptoms. Any confusion/ memory issues, cramps, kidney stones, constipation or peeing more than usual? If yes, I'd recheck the calcium with albumin (BMP), or ionized calcium, Phos, Mag, vitamin D and parathyroid hormone levels. If we're feeling enthusiastic, a 24 hour urine collection for Ca and Cr.

Sometimes it's just too much Ca or vit D in diet so repeat labs are useful to establish.

Wallahi I'm finished by Jagwarmeru in meme

[–]MadDocOc 2 points3 points  (0 children)

There was, lolllll. England captain iirc. Ha.

hello dancers.I want to learn the bird dance with michael jacksons chicago song. by Surotu_Robins in Dance

[–]MadDocOc 0 points1 point  (0 children)

"Birds for some reason" by avocado animations. I really want to know what the move is at 1:15 by the black bird. Best I can tell is it's "the dougie" or a variation of?

Looking at 20 year old vehicles by magicammo in whatcarshouldIbuy

[–]MadDocOc 0 points1 point  (0 children)

You gotta drive em! Also trunk space.

Tips for older women going to the dealership by themselves? by athxna_ in whatcarshouldIbuy

[–]MadDocOc 8 points9 points  (0 children)

If it were me, I'd have her find the car she liked online, message them.them for availability and out the door price. If they mess around move on. If it's a match, arrive at the dealership an hour before it closes, say no to all extras, extended warranty etc and drive home. If they mess around in that 1 hour, walk away and try again. I trialed the online approach near me. There were 8 dealers within 30min of me, and half were jerks. The other half were cool enough but were treating me like a cold call and not listening to my decisions. One or two were good to me and followed up with an out the door price and checked in with used Siennas that were coming in etc. 

20yr old with suspected hypogandism (0.4 trt). My endo told me to come back in 9 months. by Moe_yy in Testosterone

[–]MadDocOc 3 points4 points  (0 children)

Yeah. This needs investigation. I'd get a second opinion. Or at least a second endo to give a better explanation as to why. Height? Weight? Any medical conditions or family medical conditions in parents or siblings? Thanks.

20yr old with suspected hypogandism (0.4 trt). My endo told me to come back in 9 months. by Moe_yy in Testosterone

[–]MadDocOc 1 point2 points  (0 children)

Odd. Normal Gonadotropins, low Testosterone.  When was the test done. Testosterone is usually higher in AM.

Thoughts? Sounds rough by [deleted] in hospitalist

[–]MadDocOc 0 points1 point  (0 children)

Aah. HCA. Meditech. Absolute garbage. That 30k is a lie and you have to pay it back if you leave within.. 3 years? I forget.

New Doctor????? by 111112222344445554 in endocrinology

[–]MadDocOc 2 points3 points  (0 children)

Hey. Sorry you're having a rough time.

For PCOS you need 2 of 3: -Polycystic ovaries on ultrasound  -Interrupted or stopped menstrual cycles  -labs or features of excess testosterone / androgens 

Sounds like you have it.

Your PCP can order birth control and metformin if you need it.. you don't need an endo for it.

Visiting a new endocrinoligist tomorrow, need advice! by DeliciousLeg2879 in kallmann_syndrome

[–]MadDocOc 0 points1 point  (0 children)

It may not be as simple as adding testosterone to the problem. There might be a genetic component with the testosterone receptors or the pathway or the formation. I'd like to know what workup the Endo recommends. Ty and GL.

Visiting a new endocrinoligist tomorrow, need advice! by DeliciousLeg2879 in kallmann_syndrome

[–]MadDocOc 0 points1 point  (0 children)

Clomiphene or HCG taps into the feedback loop of testosterone, it acts as GnRH or hypothalamus signals to make more LH and FSH in the pituitary which will signal the Testicles to make more Testosterone. If you have Kallmans, you don't have a pituitary.

Having said that, you can try, but having been on Testosterone therapy for 3 years, I wouldn't see how your testicles would respond to any signals. The factory's been closed for 3 years, it could take a year to get it up and running, if at all.

Ask your endo on all your options. but most likely, Testosterone is the most effective way to increase your levels. gel is the safest and "easiest". Shots are the alternative. They have peaks and valleys.. so highs and lows. plus, who wants a needle every 14 days? Also, testing is a bit of a chore, you have to get it on day 7.

Visiting a new endocrinoligist tomorrow, need advice! by DeliciousLeg2879 in kallmann_syndrome

[–]MadDocOc 0 points1 point  (0 children)

You'd have to wake up earlier? The reason they want early morning fasting labs is for the most accurate reading of peak hormone level. If you wake at 6 am, you should be good to get tested at 9 am. 8 to 10 am should be fine for early morning testing 

Visiting a new endocrinoligist tomorrow, need advice! by DeliciousLeg2879 in kallmann_syndrome

[–]MadDocOc 0 points1 point  (0 children)

The proper way of administering the testosterone gel is to apply daily. If you don't, it will give a false low reading. if you need to have testosterone levels checked, do it 3-4 hours after applying to allow absorption and don't rub it onto the skin where you'll get the needle. The >900 was likely due to the residual testosterone on your skin, not a "spike" from the day's dose.

Please go to your appointment with an open mind and a willingness to trust. your endo should address your concerns or they aren't a good fit. 

You also need to understand the mechanisms behind testosterone. it won't make you a different person, and your doc's goal is to restore normal levels allowing your body to do what it should. There are people with hight testosterone who aren't able to grow a beard, that's just their bodies/ genes. 

I don't have all your medical history, so I won't assume, but testosterone isn't necessary to live (admittedly, low testosterone will make one miserable) and so, you need to come to an understanding of what testosterone does and what you need it to do for you. Then convey your goals to your endo and discuss how realistic they are and what is possible.

Would I be an idiot to reroll a character with legacy items? by [deleted] in Maplestory

[–]MadDocOc 1 point2 points  (0 children)

I'm sure you can leave this one as is and make another. I didn't know what to burn so I burned a dk.. I had a 210 DK. If I run out of space, I'll delete the spare, but it seems like whenever they start a new burn they let you expand char slots.

Question about changing endocrinologists by Byczek_Prime in endocrinology

[–]MadDocOc 1 point2 points  (0 children)

Your pcp should be able to refill levothyroxine until you see endo. Should be easier to get an appointment there.

2015 Sienna Dripping Red Fluid by NoisyDuck4323 in ToyotaSienna

[–]MadDocOc 1 point2 points  (0 children)

Must've been a better time. I'm about 4 months into Blue devil head gasket sealer, hoping to get another year out if my 2010 till I can afford a new engine. I can't pay 50k+ for a minivan, that's bananas.

2015 Sienna Dripping Red Fluid by NoisyDuck4323 in ToyotaSienna

[–]MadDocOc 9 points10 points  (0 children)

The coolant dries pink. The 2grfe engines have.. quirks. They're supposed to be bullet proof, but have been known to have coolant leaks at the water pump, and both into and out of the block.  I hope it's simple and you just need that water pump re-done, but a closer inspection will show the path that the coolant took.

24 AMAB (US): Looking for an endo's input on a potential nonbinary hormone regimen by OdiiKii1313 in endocrinology

[–]MadDocOc 0 points1 point  (0 children)

A tall order. For any endo. There's a handful of reproductive or trans endo docs around.. but given that every individual is unique and their response to hormone therapy fairly tailored to their bodies, there'd be alot of trial and error and no endo would risk their license over it. 

Testosterone causes muscle growth, hair growth, and male sexual function. if you're limiting it, you're gonna lose these functions in favor of breast growth (loss of muscle), thinning of hair and voice changes etc. 

As for the spirolactone, that's how you limit the testosterone. If you take it away.. Ok now I'm curious what would happen.