I had full blood work done in Jan I shared those results with Dr and he just did a test work up to start therapy I am going for anoth full work up in 4 weeks.
100mg Test Cypionate per week, I am going to bring a copy of Dr John's writings on HCG my next visit.The DO I am seeing starts all TRT patients off with myomin as AI unless something stronger is needed be he said must stay in the high teens - low 20's using that formula
Dr is in Middletown NJ
Bill
The idea of HCG is to keep testicles working (primary) plus stay in its original size for cosmetic reason (secondary).
Probably the best is to use 100IU/day every day.
I am using 250IU every other day and already I see daily variations in scrotum size and I think testicles feel. I will have to get enough will power to get the shots daily.
The Idea of Testosterone supplementation is to get Bioavailable Testosterone into right range. I am not aware that someone posted any numbers on this. I have a number
BAT=5.50(nmol/L)
from this publication (Table 2). So far nobody protested or come with better number.
------http://www.atypon-link.com/WDG/doi/pdf/10.1515/JLM.2006.050
From that follow other numbers.
FreeT=199 (Table 4) same publication.
Dr Shippen uses FreeT=(100-250)
On a first pass people shoot for TotalT~750
Depending on their SHBG and Albumin status that vary.
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Often, before starting T supplementation it is good idea to check
Adrenals (Cortisol, DHEAs)
Thyroid (FreeT3) mostly
also prolactin
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Estrogen management is a constant worry.
There are no good guidance posted on other estrogens, except that E2 should be (10-30)
Other than E2 we are supposed to worry about good/bad estrogens ratio.
For this two factors we use first DIM+I3C+TMG and if that does not bring E2 down enough we use small amount of Arimidex.
I am assuming that Myomin works in this area.
Wonder if you have anything else to say about Myomin, if not now possibly after next visit with your Dr.
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