glg said:
I recently switched from the patch to the gel. The 2.5mg was elevating tmy levels to 1000+ so my D.O. is currently having me do 1 pump of the 5mg gel (1.25mg) to see where my levels stabilize at.
So I am interested in your comment regarding the area of distribution. Where did you come across this and what was the thought behind it?
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Only about 10% of testosterone (on average) gets into blood stream. Large variations are possible depending on skin type.
http:----//androgel.com/images/ProfessionalInfo.pdf
TABLE 1: Mean (± SD) Steady-State Serum Testosterone
Concentrations During Therapy (Day 180)
5g
N=44
Cavg 555 ±225
Cmax 830 ±347
Cmin 371 ±165
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there were people who had 830+347=1177
on 5grams of Androgel.
Your 1000 is not unusual. You probably have very low SHBG.
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NDC Number Package Size
0051-8488-88 2 x 75 g pumps (each pump dispenses 60 metered 1.25 g doses)
When you are using only one pump I guess there is v small likelyhood of you having E2 or DHT problem due to excessive area of application.
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Well, on quite few posts on this board I have read about people prefering 10% test cream over Androgel. The thought is that there is a lot of gel and therefore it have to be spread over large area to get absorbed by skin. On the other hand the larger the area the more conversion to DHT and E2.
There is consensus about it, I think.
There is another question that I have not seen addressed,
(if it was, please post a link). That is, what is the proper level of T, and how to figure it out. Some people swear by Total T, others FreeT.
Others claim that testing for FreeT or BioavailableT is (totally) unreliable when done as thru commercial labs, see my link in previous post.
The other link is trying to address the source of this inaccuracies, two different SHGB molecules, and states that FreeT and BioAvailableT, can be found via calculation using T, SHGB and Albumin as obtained from individual blood test.
People who are on Testosterone and complaining of ED are finding that their E2 is often out of sweet range of about 20. They are adjusting it with all kind of AI's. But I think the first attempt should be at getting proper T and FreeT levels, but I am not sure what they are and how they are derived. Posted ranges in LEF and other places are quite general, individual person could probably narrow this ranges down some more base on their tests, at this moment as input I see Albumin and SHGB, mostly SHGB since it bounds lot of T.
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edited,
reminder, listen when 1cc speaks.
discussion on SHGB
http:-----//forum.mesomorphosis.com/518482-post8.html
http:-----//forum.mesomorphosis.com/474319-post10.html
http:-----//forum.mesomorphosis.com/474205-post4.html]
Low SHBG is associated with insulin resistance.
High SHBG is associated with high estrogen states (e.g. with obesity) or low DHEA (e.g. with adrenal fatigue).
http:-----//forum.mesomorphosis.com/474214-post5.html