Swipe both bottles with alcohol before and after. I don't worry too much about getting a few micrograms of t into the hcg bottle. If you know of a reason I should change my protocol, I'd be happy to learn.
Agreed about the scheduling. I do believe 1/week is too infrequent though. Eod is...
Our protocol also has the t and hcg shot on the same day. Actually, we draw both t and hcg into the same 25 g syringe, then replace needle with 30g and then inject once. My patients do this twice/ week.
Admin Edit: Do not advertise
Not sure why people think SHBG, reverse T3 or estradiol are the main issues here. Yes, lowering your estradiol may lower your SHBG. Of course that would help. Your reverse t3 is a little higher than normal, however the rest of your thyroid work up pushes that way down the priority list.
I'm...
Was this a joke? I certainly hope so. However, after reading some of your posts I think you were being serious. If you're serious I am going to report you to the internet medical board to have your eMD revoked. Please tell me that was a joke.
"I don't like you because you're dangerous."
ice
You are correct. I might not even be a doctor. I might be a sociopath trying to give faulty advice because I like to hurt people. There's no way for you or anyone to know. That is exactly my point. Come to these boards to learn and interact. However, take everything with a grain of salt...
Who ever stated doctors are above reproach? It certainly wasn't me.
I'm not saying you aren't knowledgeable about TRT. Many here have much more knowledge about TRT than the vast majority of doctors. However, that knowledge can be extremely dangerous. Many here have just enough knowledge to...
No shot at anyone. Just a frightening observation. I realize that many here are self prescribing. Naturally, that is a terrifying thought to me. We aren't talking about some ed pill or something. We're talking about your hormones, which impact every system in your body. I can't condone...
The internet is scary. I'm quickly learning that these boards are filled with internet doctors giving advice based on the three people they know on trt. The worst part about it is that people take this advice seriously.
Hi lexmuscle,
Thanks for your interest in my practice. However, I will stay anonymous for now. Heard too many horror stories about message boards. I hope you can understand. For now, am enjoying participating, sharing and learning.
Best regards
pacificmd
Wow. Your biweekly protocol IS our standard protocol. If E is elevated prior to starting protocol, we will add AI day of T injection and titrate to E of 20-30. Also add preg and dhea
Do you have preg and dhea-s levels? What dosages? Actually, nm. This is getting too close to crossing the line of establishing dr-patient relationship. Nothing I say should constitute medical advice.
You should ask your doc these questions and report any and all side effects you experience...
Your endo is misinformed. I believe he may consider dhea as simply a precursor to test (if that's true, that's pretty bad especially for an endo). When in fact dhea has several positive roles independent of testosterone. This is why I consider low dose serm first line. Axis intact, so have much...
Ic. Not sure what those oils are. We use grape seed or cotton oil. No problem.
Dr Crisler's thought on tissue damage from smaller needles due to heightened velocity is one of the very few things I don't agree with.
Some theorize that there will be more aromatization subq due to aromatase...
Clomid 25mg qd
anastrazole 0.5 mg 2x/week
Of course after determining you aren't primary by your physician.
Once your counts improve, try to titrate down to clomid 12.5 mg M W F
Anastrazole 0.25 2x/week
i'd test FSH again. Lab tests are nowhere near perfect.
I'd also test prolactin, LH and GnRH
Also, I disagree with the above poster who said you're not a candidate for TRT.
After ruling out other more serious possible causes for your symptoms, I'd absolutely give TRT a try. Looking at your...
Agree.
Way too much HCG.
Also, as already stated, your doc needs to determine if you're secondary before blasting you with HCG.
Bare bones minimum
Total T
SHBG
Estradiol
CBC
CMP
LH
Prolactin
Find another doctor. Isn't Dr. Crisler in your neck of the woods?
You might be hypothyroid. Get a complete panel done. Free T3, T4, rT3
294 is near the bottom of reference range.
reference range includes 95% of the population. Out of range low means you fall in the bottom 2.5 percentile...
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