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I never use the words "Defy Medical", I always say that Dr. Justin Saya is directing my TRT care. They never bat an eye.

Definitely avoid saw palmetto, I have no way of proving it, but it seems to have played at least a part in giving me symptoms similar to PFS.

Since being on TRT my DHEA is very low, around 30 mcg/dL, but I don't tolerate supplementing it even at doses as low as 5mg. Completely wrecks my sleep, even if I take it in the morning, and gives me incredible anxiety. I suspect my low DHEA and my negative reaction to supplementation is one...

If your never had hypothyroid symptoms then I'd just drop the NDT.

What kind of symptoms are you having?

There was a recent study that looked into this. They claim to have gotten some decent results but YMMV. The efficacy and safety of short-acting testosterone ointment (Glowmin) for late-onset hypogonadism in accordance with testosterone circadian rhythm. Abstract INTRODUCTION: It is well known...

Any chance you have sleep apnea?

My thought exactly, talk about putting a target on your back.

Those symptoms can also be a strong indicator of sleep apnea. Try taking the Epworth Sleepiness test: http://www.sleepapnea.org/wp-content/uploads/2017/02/ESS-PDF-1990-97.pdf

I've never used anastrozole from Empower, but what I've been getting from Hallandale has been very effective.

I don't think it is as rare as we all believe based on what we read on the forums. It seems that most guys on the forums are very/mostly interested in the anabolic effects of higher levels and that distorts what is considered an "effective" dose. From Dr. Gordon's writing it seems 60mg is...

Very interesting. I've dropped my dose down to 70mg/week. On my last set of labs my DHEA-S was less than 30. Like you, when I was on a higher dose of test. I could not tolerate supplementing any DHEA. Now I've been taking 25-30mg per day along with 30mg of pregnenolone and my sleep is finally...

Well that sure is interesting. I think I'm going to skip the melatonin for a few days or weeks.

This is definitely a case of conflicting studies. Brownstein cites several to prove his case that high dose iodine is safe. I've had hypothyroidism for years and did try Brownstein's protocol for a couple of years. Never noticed any benefit, but there are a lot of reports online of people who...

I sent a tick that bit me to UMass for the $50 test. It came back negative, I couldn't believe it as I've had Lyme disease before and my area is heavily infested. https://www.tickreport.com/pricing

The doses recommended by Brownstein are far higher (12.5mg/day or more) than anything you can get from iodized salt, which has about 0.4mg/teaspoon. He has a lot of theories as to why the dose needs to be so high, if your interested get his book or search online. There's much more to it than I...

Your labs aren't great, but before you start taking thyroid meds you may want to try supplementing iodine and selenium for a while. Look up Dr. David Brownstein's bookIodine: Why You Need It, Why You Can't Live Without It

Is there a particular brand of levothyroxine you like best? or do you just go with whatever generic your pharmacy carries?

Glad to hear you're feeling better. I hope it lasts. I've been toying with the idea of dropping my dose down to 50-60mg weekly per Dr. Gordon. I'm down to 88mg/week now and still feel pretty awful.

44mg of test. cyp, 300IU HCG and 0.125mg anastrozole twice per week. That puts my FreeT over the top of the range so I'll probably be cutting back after my consult in a couple of weeks.

Coming up on 6 years and I'd give it a 0 to 1, but I now believe that my lack of success with TRT has been due to another underlying medical condition which I have not yet found a successful treatment for.

The STTM forum is on Yahoo: https://groups.yahoo.com/neo/groups/NaturalThyroidHormones/info it is a heavily moderated group they need to pre-approve every post before it goes up and if you don't do exactly what they say you will be thrown off. There is also the thyroid UK forum on...

Since going on TRT my creatinine levels have gone up and now are often right at, or just over the reference range. I've never taken creatine and only do moderate resistance training. My nephrologist just gave me a shrug when I asked him about it.

BTW has your doctor suggested trying Eplerenone? Although I haven't tried it myself there are several reports of a positive response to it (re-absorption of fluid). There are also some low quality studies showing Meriva and low dose aspirin being effective.

Here is a report of someone on TRT who developed CSR which resolved after cutting back on the frequency of testosterone injections. Now the protocol he was on is absolutely horrible, 250mg injected every 2 weeks, and to cut the dose they made it even worse by dropping the injection frequency to...

According tot he drug info for Pregnyl it is still made from urine. https://www.drugs.com/pro/pregnyl.html "Pregnyl® (chorionic gonadotropin for injection USP) is a highly purified pyrogen-free preparation obtained from the urine of pregnant females."

Revatio also consists of sildenafil and is prescribed as 20mg 3 times a day.

http://rt3-adrenals.org/t3_medication.html Usual starting dose • 5 mcg (5 mcg tabs) or 6.25 mcg (1/4 of 25 mcg tab) • Dosed waking and bedtime

Check out http://recoveringwitht3.com/blog/tracking-symptoms-signs-vitals or look up the work of Dr John C Lowe.

^^^^^^^This.

So what did you do instead?