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If your doctor won't provide one, many of have ordered from alldaychemist with good results. Also note that there are now Nitric Oxide lozenges available which have only been out in the last year or two.

I echo Nelson's comment. Hormone/health optimization is not about a few numbers on paper but about wholistic life approach. Defy are well-regarded specialists and have lots of option available as well as specialized expertise. Reading between the lines, it sounds like the doc you went to is...

- I am not sure of all of Primo's impacts, but it seems to me that oxandrolone is the lowest risk anabolic option for what you are after since lowering your T dose should lower your E2. -I was referring to GH secretagogues, not GH, although GH is fine to try to. IME it is lower risk than...

I agree with Nelson that oxandrolone and nandrolone (preferably NPP to start with, IMO) are better add-on options. Primo seems to blunt sex drive in some people, possibly due to its interference with E2 and IMO is overrated unless that doesn't happen for you. Oxandrolone at a low dose like 10-12...

Another avenue to explore is the degree to which Testosterone is a "signaling" molecule which trigger effects that last long after the actual T (and possibly metabolites like E) are out of the system. I don't know the biochem in detail, but we have had people here who for example were injecting...

There are many points of view on this topic, but my two cents is to try going without pinning for as long as you can and then when symptoms reappear, inject a low-moderate dose and repeat the process. T is (among other things) a signaling molecule and some people may do better at much longer...

I find potassium supplementation to be step one for BP. Contrary to popular belief, low salt can also cause high BP in some people. Cold temperatures can also cause a seasonal rise. It seems like trying other meds like telmisartan or possibly an ACEi is worth a try since tinnitus can be...

ok, thanks I'll check it out. Hopefully they have a telemedicine option since i don't have a regular doctor.

A general comment; erection quality is always a combination of things across the spectrum you listed, as well as others such as pheromone-like signaling from your partner. My approach and recommendation is to always be looking to maximize all of them as best you can. It's way too complicated to...

As Funk implies, there are simply too many variables and too little understanding of them to know what will happen, especially at the individual level, without experimentation. We have had posters here who seemed to do with injections at fairly long intervals so you may be one of those people.

Do you have a home montitor and have you done multiple readings at a time to see the fluctuation? What have you tried to bring it down?

Early in my TRT journey I used to come off for 6-8 weeks per year, and 6 weeks was usually not enough to recover my pre-TRT levels, so waiting some more and upping your dose (if it does not produce negative symptoms) seems reasonable. Also consider what else might affect your levels such as...

If you were in a good place with the 60mg, I see no reason to change. Consider yourself lucky to be dialed in and don't change for the sake of change. You can use the higher script to build up a back-up supply. If you raise the Nandrolone dose, you might also be fine on a lower T dose if your E2...

So what does that work out to for cost per use? I experimented with something similar from a different pharmacy just to have as fallback plan, but the price worked out to about $35 per use which is way more expensive than bimix per dose (which I don't use, but which would be the alternative for...

Yes, lower the dose. I'm a believer in stating with 100-300 micrograms. Gradually adjust up if necessary and spread the dosing out as well, subject to experimentation. Also dial back cialis and viagra if you're on those. But most importantly, be grateful it works for you. Remember that millions...

IMO, if you are in a good place, stay there (although your HCG dose sounds kind of hefty and the Tamox is not a common protocol). There are other things you can try which are non-hormonal and which may allow you to fine-tune your situation, such as Nitric Oxide supplementation and PT-141.

This is very interesting and could explain a lot of why people in poor metabolic health do not produce enough T. Avoiding chronically elevated insulin and glucose is something we've talked about elsewhere but not in the context of this mechanism IIRC. However, since activity, especially moderate...

Note that the study looked at "normal" women. What applies on average to "normal' people may not apply to special exception cases, which is what Belekas' SO's situation sounds like. The bottom line is that as is almost always the case, there is no substitute for experimentation once the obvious...

Both DHEA and pregnenolone are upstream of e2 in the hormonal cascade, so perhaps they will help if supplementation is not working due to some sort to of absorption issue. A pure guess on dosage would be 10-25mg to start with and then adjust from there based on results. Also, if something is...

I certainly hope you find something that works. I remember hearing years ago that DHEA in women almost entirely converts to some form of estrogen, so that's why I mentioned it.

I apologize if you covered this elsewhere, but have you tried a small dose (e.g. 3mg) of Oxandrolone and/or DHEA? I have heard many reports of Oxandrolone helping women's libido.

Intra-muscular water retention would explain it, as could refill of glycogen stores if you were low to start with. Also note that unless you are actually testing your metabolic rate with a device for that purpose (Breezing unit?) then you don't really know if you are in a deficit. If you want to...

I take bands to the gym and use chains(which I prefer) at home. Bands seem like they would be cumbersome with most machines.

I have used chains or band for years on all my press exercises with great benefit. I think it is one of the few free lunches in strength training. I really notice when I travel and can't use my normal equipment how much I lose in the top range of the movement. Nautilus machines are also a form...

I'll be interested in other's thought on this however, I can say that when I took clomid alone, 25mg twice a week or 12mg every other day was the most I could tolerate without getting similar symptoms to what you have. Some people do not do well with higher doses. I also found that to drop the...

Great point, and I'm struggling to remember any correlation in the health world that was supported by at least one mechanism, that didn't turn out to be (at least partially) causation. Correction: I should have said "valid mechanism". Healthy user effected generated invalid correlations and a...

IMO we don't need any more "proof" than we already have. There seems to be no argument that NO is positive for the CV system in normal amounts, and PDE5i's indirectly increase it by delaying it's breakdown. Decisions are about risk/reward and cost/benefit, and the PDE5i's are some of the most...

Hydrogen and NO are different things. Cialis works by delaying the breakdown of NO, so having more NO is desirable with or without cialis.

Yes, although I don't take the NO every day.

Yes, there is another thread on it here about it, but it seems like a must-do to me. I have pointed out many times that the PDEi5 family is vastly superior to statins for heart health. You might also want to try Nitric Oxide lozenges ( I use n1o1) and something in the growth hormone family...

Another factor is simply lack of a significant number of symptom/performance reports on forums like this one. Lack of reports about combination with other compounds like nandrolone and oxandrolone would be another reason. If someone benefits from nandrolone for joint issues, that is a much more...