Dr. Alan Jacobs, MD - Neuroendocrinogist, NYC USA

Hi JR,
Do you have health insurance in Brazil, or can you get cover e.g through a member of your family? If so, and if you are able to come over and stay for a while you might find it easier (and much cheaper) to get the blood tests done here and then take the results back with you to the US.

brazilian dude, you’re a friendly guy, hehe. sorry for lashing out at you, hehe. well, I now think that my problem lies in low free T, I have done blood work for most hormones (DHT, T, free T, T3, T4, FSH, LH, TSH, estradiol.)
Besides, I don’t have that much disposable income as you to splurge on these doubtful doctors.

I once took something to counter SHGB and it gave me great orgasms, so I think it’s the way to go.

Test Value Lower_limit Upper_limit Unit data
LH (Lutropin) 5.0 2.0 6.0 IU/L 04-Jun-09
LH 5.3 1.0 8.0 mIU/L 22-Apr-12
DHT 2289.0 860.0 3406.0 pmol/L 05-Aug-10
Prolactin 12.1 2.6 13.1 ug/L 05-Aug-10
Prolactin 11.2 2.6 13.1 ug/L 19-Aug-10
Prolactin Total 10.0 2.0 18.0 ug/L 04-Jun-09
T3 free 5.1 2.9 6.0 Pmol/L 05-Aug-10
T4 free 13.9 7.2 21.0 Pmol/L 05-Aug-10
Testosterone 24.9 8.4 28.7 nmol/L 04-Jun-09
Testosterone 15.5 6.0 27.0 nmol/L 05-Aug-10
Testosterone free 37.6 31.0 94.0 PMOL/L 04-Jun-09
Testosterone free 47.9 15.6 146.0 PMOL/L 05-Aug-10
TSH 1.0 0.3 4.7 MU/L 27-Jan-10
TSH 0.9 0.3 5.6 MU/L 05-Aug-10
TSH sensitive 1.2 0.4 5.0 mIU/L 04-Jun-09
TSH sensitive 1.0 0.3 4.7 MU/L 19-Aug-10
FSH 4.4 1.0 1.0 mIU/L 22-Apr-12
Estradiol 25.0 0.0 56.0 pg/ml 22-Apr-12

this doctor alan is a fucking mercenary…after he noticed i wasn’t willing to shove
thousands of dollars up his ass he ignored my emails altogether.

what was i thinking? america is such a sham of a country where doctors do as they please,
even the stupidest imbecile doctors who don’t know the difference between proviron
and Testosterone gel charge hundreds of dollars for a visit to keep the money coming into
their pockets.

i can’t believe the idiot prescribed me T gel even after i said i had used T gel before with no
great results and that i fear its being cancerous.
you call their receptionist, they say they will let the doctor know you left them a message,
but they never get back to you.

the US is in frank decadence, a country where a medication costs 4 times as much as in other
countries, where doctors charge 4 times as much for a visit than in other countries. where
the fuck is this tax money going, if the country is broke?

i don’t believe doctors are competent to cure us of this EA thingy at all, besides, the ones
who are more competent, will charge your soul.

i believe the answer lies in us, i think dopamine and low free T is my problem. i took welbutrin one
time, my libido skyrocketed, orgasms upgraded to a 7.0.
if i took adderall, wow, orgasms would probably hit the higher 9’s, though it has a ridiculous side
effect, you become electric and get no sleep.

geez, i came to america thinking i would pay less taxes than in canada, i couldn’t be more wrong.
it’s no wonder this country is so fucked up.
besides, why the heck did NYC have to have so many rude blacks? wtf…

Brazil is way better. that said, NYC has some super duper hot white guys, jesus christ, these guys are hot…

Really not sure how to respond to that especially considering some of the statements in the last few paragraphs. But, I do notice you mention cost about three times in that post. There is a reaon why guys like Jacobs practice in the US and not someplace else. I don’t have a negative view of Jacobs as a doctor or person but he hasn’t yet cured anyone of PFS yet. So, complaining about what it would cost to find out no one can treat this at the moment is a bit pointless.

lol, it was a moment of anger and letting it out.
yes, the simple conclusion here is, don’t splurge your money on
pricey doctors who don’t know any better about this than ourselves, it will
be like paying a fortune for someone to chop your nails, something that
they can’t do better than us.

go and get tested for the hormones that play a role, investigate
your body weaknesses (low T, low dopamine, depression), test a
bunch of medication that increase libido, orgasm.

I think there is value in seeing the docs personally. I know not everyone agrees with this and personally I’ve taken a bit of a break from the constant labs, appointments, phone consults, etc. since I carried on with that for over a year with no improvement. If you can affort to see Jacobs or Shippen go ahead, I don’t think it’s a waste. But if you cannot afford it you really arn’t missing out on anything since no one is having any success with treatment right now.

Me too.

And i certainly haven’t got any worse!

i think you too silly “gooses” are contradicting yourselves a little bit. if no one has seen any improvement whatsoever, which i don’t doubt, why is there any value in shoving money up these overrated guys asses?

maybe it’s an issue that can’t even be cured, and in that event, it’s like asking the doctors to come up with a solution for x^n+y^n=z^n, for n>2 on x,y,z integers.

hopefully I’m wrong, and if we try hard enough and with a bit of luck, some orgasm should still be found in there. well, i know sometimes my orgasms return, out of the blue. my best shots happen when i’m off all stuff that is libido harming.
it’s incredible that i was hopeful that things like nolvadex, arimidex and even cabergoline would do anything to me and turns out they didn’t help the least bit, maybe even backfired.

i know that welbutrin helps a bit though comes with a huge undesired side. adderall would probably make me orgasmic again, though very same story. it seems that i’m screwed one way or another.
jesus xist, so sad that the only thing that i enjoy in life was lost to some stupid medication from some stupid mercenary lab. i wonder if they know that their stuff is anti-libido poison.

*too=two

Not contradicting at all. There is value for the PFS community in trying things via the docs and documenting more case studies for further research. Just saying not to expect huge gains in your recovery much less being cured.

His consultation fee is $600 I know. How much will bloodwork cost on an average to see him? Please i want to know from his patients.

I am desperate.

mark

Dont waste your money hes a charlatan who has lied about curing people. If you have any spare cash you should put it into the foundation.

He did post a clarification about the word ‘cure’. He said was indeed able to bring back functionality to most of them.
I don’t know why you have to be a skeptic. That is the irony of many people on this site. We are claiming hundreds of thousands of people to be suffering and yet, based on just 2000 or so members on this site, we want to conclude that Dr.Jacobs could not have helped 300 people?

And Charlatan? thats so offensive a word to use for a physician. Did you get a list of all of his patients, call them up to verify how they were feeling. As far as spare money, goes, no I do not even have money to see Dr.Jacobs. If I had spare money I would have contributed.

Mark

Don’t waste your money.

Mark I’m just trying to give you a heads up in regards Dr.Jacobs if want to use his services thats your business, but I would stay away from him.

if you have Low T and Low bioavailable T, his method of treatment is generally TRT. Unforutnately not many have claimed any real benefits from this. In fact many people here have ok levels of T or highish T and still struggle with PFS. Also, his last post was quite a little strange sorting out different cases of PFS.

My current bloodwork shows…I have hypogonadal total T and yet high bio-available T (due to very low SHBG). I have never really gotten a well administered TRT.

Mark

Also, I have voiding issues and bowel control issues that developed at the same time. Very high level of pelvic numbness and yet no pelvic pain. Have been on SSRIs in the past. I need a neuro-endocrinologist rather than one specialist I feel. If I could visit Dr. Mariano I would have loved to do that.

Mark

is it worth making appointment with jacobs or will he just offer TRT? Im in NY area and thinking of making appointment but if his only answer is TRT then i may as well wait a little longer.

Did you read the thread? His method is TRT. It doesn’t help most people.