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  1. 31 gauge?

    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...
  2. 31 gauge?

    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
  3. If you were me....

    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...
  4. What detrimental sides accompany TRT?

    That's the best advice you've given thus far. You are correct. This internet experiment will now end. Regards Pacificmd
  5. What detrimental sides accompany TRT?

    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
  6. What detrimental sides accompany TRT?

    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...
  7. What detrimental sides accompany TRT?

    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...
  8. What detrimental sides accompany TRT?

    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...
  9. What detrimental sides accompany TRT?

    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.
  10. What detrimental sides accompany TRT?

    mpd556 Thanks for the heads up. I assure you I graduated high school and am not a smoker. Lol! Best regards
  11. What detrimental sides accompany TRT?

    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
  12. What detrimental sides accompany TRT?

    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
  13. What detrimental sides accompany TRT?

    Anti-aging/ interventional endocrinologist
  14. What detrimental sides accompany TRT?

    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...
  15. What detrimental sides accompany TRT?

    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...
  16. 31 gauge?

    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...
  17. Low sperm count remedies

    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
  18. If you were me....

    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...
  19. HCG mono therapy help

    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
  20. Blood Work Done

    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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