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  1. Dr Justin Saya MD

    Please welcome Dr Calkins to ExcelMale!

    ExcelMale community - Please join me in welcoming my colleague at Defy Medical to the forum, @Dr Caleb Calkins ! Dr Calkins has been a trusted provider on our team and has really honed his skills over the past few years under my supervision to become the highly skilled and extremely personable...
  2. Dr Justin Saya MD

    Defy Medical - making it easier to continue your HRT/TRT during the COVID-19 pandemic

    As an FYI to assist patients during these unprecedented times (COVID-19), we have temporarily loosened some requirements for patients needing to transfer their HRT/TRT care from traditional physical locations to our remote telemedicine model. I will not elaborate here, but anyone seeking more...
  3. Dr Justin Saya MD

    Biotin Interferes with Lab Assays

    Not sure if this has been covered already, but if folks ever encounter lab results that just don't make sense...biotin supplementation may be the culprit (see pages 4-7 for list of assays that may be impacted)...
  4. Dr Justin Saya MD

    LabCorp Testosterone Reference Range Changing (Decreasing) Effective July 17, 2017

    As FYI and discussion topic for the community, effective July 17, 2017 the LabCorp reference range for total testosterone measurement in adult males will be changing (DECREASING) to 264 - 916 ng/dL (previously 348 - 1197 ng/dL). Please note the METHODOLOGY for the assay is not changing in any...
  5. Dr Justin Saya MD

    Inspirational reminder of the difference you can make and we are ALL CHANGING LIVES for the better!

    Posted with permission from the poster in Nelson's Facebook group. I find all testimonials that I receive inspiring, but found this one particularly heartwarming. It's a reminder of the significance and importance of our area of medicine and what a difference we ALL (also members on the forums...
  6. Dr Justin Saya MD

    Dr Saya: Relative concentrations of various hormones in the body

    As the title suggests, as simple food for thought (johndoesmith should like this one) I'm listing common levels/concentrations for various hormones in the male body. Further, to facilitate direct comparison, I am adjusting the units of measurement to units that we are all familiar in dealing...
  7. Dr Justin Saya MD

    Trimix: Dr. Saya's Advice on Mixing Well Before Every Injection

    Make sure the vial of trimix is mixed up VERY WELL prior to every injection. As the name suggests, Trimix includes 3 active ingredients, and as the vial sits in the refrigerator awaiting your next use gravity is constantly at work pulling those ingredients towards the bottom of the vial. In...
  8. Dr Justin Saya MD

    Defy Medical/Hurricane Matthew

    Note to our patients/members of the forum: Due to Hurricane Matthew expected to hit our state, we have decided to close tomorrow, Friday, October 7th, 2016. The safety of our staff, their families, and our patients is top priority. We have also been informed that most of our primary compounding...
  9. Dr Justin Saya MD

    Dr Saya Presents a Case Study for Possible Upper Limit of Physiologic Estradiol Levels in a Male

    Attached a case study just wrapped up that may be of interest to some of you! Will also try to paste plain text below for those that cannot open pdf.
  10. Dr Justin Saya MD

    Food for Thought: Testosterone and Estrogen in Males/Females

    Would any of you believe me if I told you that FEMALES actually (typically) have MORE TESTOSTERONE in their system than ESTRADIOL? This is indeed an important factoid to keep into consideration during the testosterone/estrogen debate. Let's look at the "normal" lab ranges for both in a FEMALE...
  11. Dr Justin Saya MD

    What is the best dose of HCG? Dr Saya presents two case studies.

    Community - I am sharing and have attached the write-up of a recent small case study I have conducted on quantitative serum beta hCG concentrations relating to hCG injections. This study is limited to dosages of 150iu and 500iu, although I hope to obtain more data in the near future. P.S...
  12. Dr Justin Saya MD

    Are guys that do well on low dose clomid unicorns...or do they really exist?

    They actually EXIST!!! There are certainly some challenges in treating with low dose clomid, specifically in dealing with the varying effect (estrogen antagonist/agonist) of the two isomers enclomiphene and zuclomiphene. However, as I (and Dr Crisler) have said many times...I DO ACHIEVE SUCCESS...
  13. Dr Justin Saya MD

    Some insight on T cyp injection frequency and SC vs IM)

    Wanted to drag over a discussion from the FB group so it doesn't get lost in the FB black hole (as Nelson calls it) for all of time and perhaps can enlighten folks for more than a few days. A member posted the following (copy/paste so hopefully formatting cooperates): I switched to daily SubQ...
  14. Dr Justin Saya MD

    Interesting case...nothing surprises me anymore!

    Wanted to share an interesting case with the community. I thought that, at this point, I had seen and heard it all...the cases of a guy mistakenly receiving estradiol cypionate from his local compounding pharmacy instead of T cypionate (this has happened TWICE in patients that came over to me...
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