Recent content by Dr Justin Saya MD

Exercising common sense is generally in one’s best interest!

I read the article when originally published years ago. If you find a long term study of men with DHT levels >400ng/dL please post it here for everyone’s benefit. I haven’t found any.

No one can claim the position of right or wrong when discussing persistent DHT levels several times the upper range of physiologic (as opposed to “modestly elevated” as discussed in article)…it has never been studied.

Always insightful posts readalot. The bell curve for our patients lies mostly between 100mg - 180mg weekly, with the mean right around 140mg estimated. Of course there are outliers above and below, but this would account for the majority.

Hi Dom - I apologize for your frustration. Our electronic tracking system certainly isn’t perfect and I know there are times when it can get out of sync for various reasons. I forwarded this to my management team to look into and someone should reach out to you within a couple days to hopefully...

I’m very sorry you feel that way, goolapsh. Low SHBG guys are always a unique challenge, but I’ve probably successfully treated more than most other practitioners. With that said, I certainly don’t have a perfect batting average. Wish I could have helped you more.

We haven’t seen any cases of priapism (up to now) with concurrent use of trimix and PT-141, but that’s not to say it can’t happen. As always, the dose of trimix should start low and go slow as this will be the primary risk factor for priapism. I would recommend ordering and having on hand the...

Indeed folks, the only thing we cannot provide/perform via telemedicine is a physical exam. Consequently, we rely on a surrogate (your local practitioner, clinic, urgent care, etc) to perform this service. A basic physical exam (such as an annual wellness exam, sports physical, etc) is all that...

Indeed. As we all know, however, a SERM is only #1 on the fertility list when used without the HPTA suppression of TRT.

I don’t know any specific locations in Oregon, but local hematologist offices are usually a good source for local knowledge. The finger stick HgB tests are notoriously variable. The lab test (CBC) is much more reliable.

Most of us do need to drink more water :)

Fantastic Madman! Something we’ve “known” for a long time, but good to see data to support. Fascinating to see the disparity in DHT comparing hCG/rFSH with T treatment and then baseline...despite higher T levels in the hCG/rFSH arm, DHT was significantly lower.

Lots of factors to consider, but below 30 gives me pause for the potential implications of iron deficiency. Above 250 and you start considering if systemic inflammation is at play (ferritin is well known as an iron storage indicator, but is also an “acute phase reactant” = increases during...

I would have suspected lower, as in most cases this explains the discrepancy. Nonetheless, not high. I would expect you’ll run 80-90 range on MCV consistently.

I would suspect this apparent discrepancy could be reconciled with the explanation that your MCV (mean corpuscular volume = “average size of RBCs”) is likely on the lower/smaller side...I would guess low to mid 80s. This smaller size means the RBCs essentially “take up less space” in the...