Lorem Ipsum

[Hypo-is-here]

Whoa Hypo!

I'm just glad I found this site and I'm defenitely grateful for your help and advice. I can live happily with Gyne for the rest of my life instead of have those deadly side-effects.

The likely side effects are not deadly; they are just very troublesome for the duration of treatment, important to keep things in perspective in that sense.

You might want to follow your doctors advice and take the prescription- your call.

I am just telling you what you might/probably expect in the short term whilst taking the medication given your current estradiol level.

Also if there is an underlying androgen or thyroid issue, something far from clear at present, that medication would not address it and as such any reduction in gynecomastia might not be permanent if an underlying causative issue exists.

Having said everything I have let me make one thing absolutely clear.

I am not a doctor and my advice does not replace that of a relevant doctor.

I am a layperson, a man who has had gynecomastia and had it surgically removed who also has hormone problems that are treated.  I am very well versed in hormonal issue as a layperson, but that I am a layperson nevertheless.

But, I'm not yet ready to give up. I'm going to go and visit another endocrinologist in quite some time. The one I just visited was some random doctor I found in a clinic; so this time around, I have to hunt the internet for real good ones.

Anyway, I'll be posting my gyne pictures in about a week or more. I'll be grateful if you could see them and give some detailed comments. I'll also post the proceedings with the next doctor.

I'd like to know which specialist you'd like me to visit. Should the person be a thyroid specialist or a specialist in some other specific area?

I see no harm in getting a second opinion that will hopefully clarify your situation, on which note I have no problem at all with you copying anything I have mailed to you and taking it with you to an appointment, or showing such postings generally to anyone you choose.

My interest is to just ensure that you do not have any underlying causative problem that can cause you any problems if undiagnosed and pointing out any problems inherent in any hormonal medicine that I have experience of- hence the comment on the tamoxifen based on your estradiol levels.

Anyway I have looked for endocrinologists in India that have an interest in both reproductive endocrinology (usually covers evaluation of androgens) and at the same time an interest in thyroid disorders. 

I found a number of endocrinologists that had an interest in both areas, though I do not know them personally and cannot as such recommend any of them (I live thousands of miles away).  This means you would have to phone them and judge for yourself the credentials of each one in turn.  Hopefully one is within a reachable distance from where you live and you find that their credentials and what they have to say helpful and you can make an appointment.

At the very least this represents a second opinion, which is useful, and it might be that it is a more qualified or more relevant medical opinion given their areas of interest.

Personally I am still concerned over the symptoms you have mentioned and the free T3 thyroid level and to a lesser extent any factor SHBG might have on your free testosterone level.

I am waffling here are the details.

Gundam Chandrasekharareddy, MD, DM, FACE
OMC/OGH
Hyderabad, AP, 500029
INDIA
Phone: 91-40-246000
Interest Areas:
    Diabetes Mellitus
    General Endocrinology and Metabolism
    Pediatric Endocrinology
    Reproductive Endocrinology
    Thyroid Dysfunction

Sachin Kumar Jain, MBBS, MD, DM, FACE
E-20
Sector 40
Noifa, Uttar Pradesh, 201301
INDIA
Phone: (0091) 9312227776
Interest Areas:
    Diabetes Mellitus
    Reproductive Endocrinology
    Thyroid Dysfunction
   
Sailesh Lodha, MD
759, Mahaveer Nagar-I Tonk Road
Tonk Road
Jaipur, Rajasthan, 302018
INDIA
Phone: (91) 141 513 44 55
Interest Areas:
    Diabetes Mellitus
    General Endocrinology and Metabolism
    Reproductive Endocrinology
    Thyroid Dysfunction
    Osteoporosis

Shailesh Umakant Pitale, MD, FACE
4 West Samarth Nagar
Near Ajni Square
Nagpur, 440015
INDIA
Phone: 91-712-2239108
Interest Areas:
    Adrenal Disorders
    Diabetes Mellitus
    Reproductive Endocrinology
    Thyroid Dysfunction
   
Dinesh Chandra Sharma, MD, DM
111 Anand Nagar Ayara Pool
Udairpur, Rajasthan, 313001
INDIA
Phone: 0294-2429690
Interest Areas:
    Diabetes Mellitus
    General Endocrinology and Metabolism
    Obesity
    Reproductive Endocrinology
    Thyroid Dysfunction
   
Gumpeny Ramachandra Sridhar, MD, DM
Endocrine and Diabetes Centre
15-12-16 Krishnanagar
Visakhapatnam, AP, 530002
INDIA
Phone: 9108912566301
Interest Areas:
    Diabetes Mellitus
    Reproductive Endocrinology
    Thyroid Dysfunction

I'm very thankful for your advice. Your help almost saved my life! <phew!>

Cheers.

PS - Honestly, I don't know what would have happened to me if I hadn't met you!
Thank you very much!

I haven’t done that much in all honesty, but hopefully it is helpful.  In all honesty, if a second medical opinion decides that there is no underlying issue then you will have more piece of mind and at the worst I will have wasted a bit of your time and potentially money on furthering this.  If an underlying issue is found then it will have been very important.  If you decide on staying where you are and taking that prescription, then at least you have an idea of what symptoms to look out for that can be problematic and will know why they are occurring.

[Hypo-is-here]

I looked at the lin and there is no indication as to her having an active interest in reproductive endocrinology or thyroid disorders...so I do not know if she can help you or not.

[matthew1]

 I am reading some  great info here.
 I am  hypo thyriod,  take synthroid medicine  every day. My gyne and  underactive  thyroid  both started  at age 13. [ 45 now]
               I  am  sure I have low testosterone ,  and   will move forward with testing.

  Hypo  said   ''Hypothyroidism can indirectly cause gynecomastia by the fact that it promotes increases in adipose fat and this can help promote pseudogynecomastia.''

 this is new to me

[rashdudes]

Hey,

Training bodybuilding myself, I dont think the fat under your abs has alot to do with your hormonal levels (I'm not a doctor!).

Needless to mention I havent seen you but I would say you've had either a slight or even pretty good amount of fat between ages 12 to min 15 resulting in both gynecomastia and your condition now.

The fat under the abs usually burn as the last amount of fat in the entire body and therefore in order to get a flat or even a "six-pack" you need to train hard and keep a good diet.

Do check your self out to be on the safe side but I wont really worry about stuff I dont know about and would instead go to the gym and work just a bit harder 

Good luck.

Hey man,

you're right, I was getting fat when I was 12 or something. Now, there's a small, extra soft pouch sticking to my lower abs.

I've been doing crunches (just 25) for the past one month, without change in my diet (I never ate too much anyway). I'm seeing good changes in my upper abs. Its getting hard. But the lower abs is still squishy-squashy but nonetheless, there have been some changes in the lower abs too.

So, I'm gonna keep continuing my excercises and then hope for the good. But, I don't know what to do with the love handles. They're a big problem too. Do you think that they too can be reduced through excercise? If so, can you mention a specific excercise?

Anyway, thanks for your advice and confidence boost man. I appreciate it.

Regards.

Hi boob_slayer, be patient; love handles are the last thing to disappear in some males (myself included).
You know the mantra 'there is no spot reduction' so keep working those abs hard and eat healthy
(I understand that rice is the supreme food in south India - so stay away from it; if possible).

I myself am training my abs for the past 6 months. I have lost a lot of fat in my upper, lower abs including
some fat around my waist. I think love handles will take a while to leave. I have a thick waist (like one of
those UFC champs  ) so i stay away from working my obliques - as that will make my waist look even thicker!
Do lots of crunches, sit-ups, leg raises and core exercises. Avoid side bends as well (with weights), as these will get
you thicker waists as well.

[Hypo-is-here]

Hey,

Training bodybuilding myself, I dont think the fat under your abs has alot to do with your hormonal levels (I'm not a doctor!).

The fat under the abs usually burn as the last amount of fat in the entire body and therefore in order to get a flat or even a "six-pack" you need to train hard and keep a good diet.

Do check your self out to be on the safe side but I wont really worry about stuff I dont know about and would instead go to the gym and work just a bit harder 

Categorically wrong and poor information given the hormonal situation which is up in the air.

Hey man,
Hi boob_slayer, be patient; love handles are the last thing to disappear in some males (myself included).
You know the mantra 'there is no spot reduction' so keep working those abs hard and eat healthy
(I understand that rice is the supreme food in south India - so stay away from it; if possible).

I myself am training my abs for the past 6 months. I have lost a lot of fat in my upper, lower abs including
some fat around my waist. I think love handles will take a while to leave. I have a thick waist (like one of
those UFC champs  ) so i stay away from working my obliques - as that will make my waist look even thicker!
Do lots of crunches, sit-ups, leg raises and core exercises. Avoid side bends as well (with weights), as these will get
you thicker waists as well.

These posts are typical of the general ignorance (dictionary definition not insult) of the impact of hormones on the body.

Hormone levels have EVERYTHING to do the amount of fat and muscle that an individual has. 

If you have a lack of testosterone you have an inability or strong propensity to not be able to increase muscle mass and a propensity to loose muscle mass readily and you have a VERY strong tendency to put on excess visceral fat around the waist, hips stomach etc.  This has been proven in many studies and in fact testosterone literally burns fat as seen in-vitro studies.

Thyroxin has a huge impact on weight, both fat and muscle and is the primary metabolic hormone in the body.  A lack of thyroxin and hypothyroidism can mean that no amount of exercise or dieting can allow the individual to lose weight or get down to a decent weight, or can mean that the individual has to exercise and diet like a world class athlete just to maintain a reasonable weight.

Other hormones that are not involved here but are worth a mention....

A lack of Growth Hormone can mean that the individual has little to no means whatsoever to lose weight or increase muscle mass.  A lack of growth hormone significantly increases the risk of death via heart disease in the general population because such people put on weight no matter what they do.

Excess cortisol production often results in mass weight gain/excess.

You cannot just tell someone to work harder in this situation.  They need to have a proper full medical evaluation of their hormonal status.  If their hormonal status is a problem and is the underlying cause for the gynecomastia, then just saying work harder diet harder; while right for you maybe could be disasterously wrong for a man with a hormonal imbalance.

[Hypo-is-here]

Well the gynecomastia appears to be predominently glandular, that said glandular tissue can sometimes appear to look like fat and fat sometimes appear to look like gland, the only way of knowing for sure what the composition is, is when it is in the gands of a surgeon having been cut out and inspected.

It is probably fair to say it looks more likely to be glandular though and that would fit with hormones being the predmominent cause as opposed to excess weight.  Puberty can also cause such problems and is a hormonal cause for some, so photos alone do not tell us the aetiology of the gynecomastia.

For me your situation remains to be clarified, but certainly is by no means settled.

The idea of exercise improving your situation is not remotely credible in my opinion.

You require surgery if you wish to get rid of that and you need a clarifcation on your hormonal status if you elect for surgery, becuase you do not want the possibility of it returning post surgery and anyone with a hormonal condition needs it diagnosed and treated.

[rashdudes]

These posts are typical of the general ignorance (dictionary definition not insult) of the impact of hormones on the body.

Hormone levels have EVERYTHING to do the amount of fat and muscle that an individual has. 

If you have a lack of testosterone you have an inability or strong propensity to not be able to increase muscle mass and a propensity to loose muscle mass readily and you have a VERY strong tendency to put on excess visceral fat around the waist, hips stomach etc.  This has been proven in many studies and in fact testosterone literally burns fat as seen in-vitro studies.

Thyroxin has a huge impact on weight, both fat and muscle and is the primary metabolic hormone in the body.  A lack of thyroxin and hypothyroidism can mean that no amount of exercise or dieting can allow the individual to lose weight or get down to a decent weight, or can mean that the individual has to exercise and diet like a world class athlete just to maintain a reasonable weight.

Other hormones that are not involved here but are worth a mention....

A lack of Growth Hormone can mean that the individual has little to no means whatsoever to lose weight or increase muscle mass.  A lack of growth hormone significantly increases the risk of death via heart disease in the general population because such people put on weight no matter what they do.

Excess cortisol production often results in mass weight gain/excess.

You cannot just tell someone to work harder in this situation.  They need to have a proper full medical evaluation of their hormonal status.  If their hormonal status is a problem and is the underlying cause for the gynecomastia, then just saying work harder diet harder; while right for you maybe could be disasterously wrong for a man with a hormonal imbalance.

Well, do you see the word "hormones" in my post anywhere? I was just sharing my experience
on training Abs, thats all. To me this post seems to be stemming in two directions;
one with all the hormonal imbalances and the other about loosing fat around the waist.
Both these could be intertwined, but considering the case that Boob_Slayer did manage
to loose fat from his Abs (except the love handles); compelled me to share my experience.

After all, all this books/research are a product of years of tests/experiences on real people. 

[Hypo-is-here]

Well, do you see the word "hormones" in my post anywhere? I was just sharing my experience
on training Abs, thats all.

No I do not see the word hormone anywhere in your post and I understand you were trying to be helpful given what has happened with yourself and your experience, but this is the actual problem.

You cannot transpose your situation and experience, how a man without a hormonal problem can loose weight to a man who has might well have a hormonal problem which means metabolically he cannot lose weight in the same fashion.

He has to clarify his situation first and foremost.

He will not be able to gain success via the methods you refer to, which have worked for you if he is metabolically putting on weight no matter what he does.

Sorry if my post seemed pushy, it is just I have a vast amount of experience (a lot of which is personal) of in dealing with and knowing how hormones affect the bodies ability to lose fat and I know that all the good will and good advice in the world counts for naught if an underlying hormone condition exists and remains untreated.

Can you see where I am coming from?
 

To me this post seems to be stemming in two directions;
one with all the hormonal imbalances and the other about loosing fat around the waist.
Both these could be intertwined, but considering the case that Boob_Slayer did manage
to loose fat from his Abs (except the love handles); compelled me to share my experience.

After all, all this books/research are a product of years of tests/experiences on real people. 

It is not a case of the post going in two directions, it just isn’t.

No matter what Boobslayer does he will struggle to lose weight if he has any hypogondal or hypothyroid issue.  The fact that he has struggled to lose weight on his hips could even be an indicator of a gynecoid body habitus due to a hormonal imbalance, if so then nothing he does will shift the weight from his hips as he will be experiencing female weight distribution as a result of a metabolic process.

Low testosterone is linked to increases in visceral fat and obesity in the general population and there are hundreds of links to prove this the same goes for hypothyroidism…below are just two quickly obtained links detailing such..

http://www.lef.org/magazine/mag2000/nov2000_healthwatch.html

Hypothyroidism  See symptoms number 3

http://www.endocrineweb.com/hypo1.html

Just to give an example of another hormone that can cause such problems;

When I was running 20 miles a week I did so to keep an average body weight despite eating a very strict diet.  I was weight terms running hard and long to stand still in that I had to do all this just to maintain an average body shape.  If I stopped doing this I put on LOTS of weight.  The reason for this was I was deficient in Growth Hormone.

Look at symptom number one at the link below.

http://www.pituitary.org.uk/content/view/38/

http://www.pituitary.org.uk/content/view/68/


rashdudes if my mannerism wasn’t right or if I caused you any offence I apologise, but I am right in what I am talking about and I am correct in saying that you cannot apply what works in terms of exercise and diet for most guys to men that have hormone problems…..so the key for boobslayer is in ascertaining his hormonal situation.

Boobslayer, just pm me when your situation changes.

[rashdudes]

rashdudes if my mannerism wasn’t right or if I caused you any offence I apologise, but I am right in what I am talking about and I am correct in saying that you cannot apply what works in terms of exercise and diet for most guys to men that have hormone problems…..so the key for boobslayer is in ascertaining his hormonal situation.

No problem buddy!  I understand that when one knows what he/she is talking about
then you ought to be strong and persuasive in the getting it across.

Hats off to you dude! This forum needs people like you, who are genuinely contributing.
Keep up the good work and keep it coming 

[itsgoingdown]

Hypo,

I understand what you mean by hormonal factors and body shapes. I aimed to clarify my opinion as a bodybuilder and more as a victim but I do want to confirm my knowledge in hormone levels is not at a level to advice this specific person.

Thank you for correcting.