Recent content by Esq

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    folks on nandrolone what are some typical protocols for TRT

    Defy has me on 126mg test / 90mg nandrolone per week. The nandrolone is to help with some chronic joint pain issues, and from what I understand 90mg to 100mg per week is a common dose for that particular use.
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    No libido, unable to orgasm

    Also, still maybe worth talking to your doctor if everything else, especially e2, is in a good place. I may be misremembering, but I think I recall Dr. Saya saying that prolactin levels in the double digits can cause issues in some men even if technically “in range.”
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    No libido, unable to orgasm

    Before starting caber, mine was at 26.3 (4.0-15.2). Caber starting working pretty quickly, and brought my prolactin down to around 5.0 on a dose of 0.125 twice weekly.
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    What are your experiences with PT-141? (as an aphrodisiac)

    Have you checked your prolactin levels? I was struggling with a lack of penile sensitivity and difficulty reaching orgasm. I tried PT-141 first and couldn't handle the sides. It gave my insane erections and helped a bit with the sensitivity issues, but then I'd suffer from flu-like symptoms...
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    No libido, unable to orgasm

    Just wanted to piggy-back on this, because it's good advice. I'm under physician-monitored TRT and after several years of treatment and my levels being dialed in, as well as learning about the kinds of necessary bloodwork and what to watch for, I feel like if I had to, I could manage my own TRT...
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    For Nelson Vergel, what’s your current protocol?

    Thanks, Nelson. Definitely not fun, especially at 40 years old, but (for now) I trust my docs so hopefully we'll figure out a plan. Doc said if CT shows issues with the prior anterior fusion, he may want to fuse from the posterior side, maybe L4-S1. If the CT is clear at the surgical level, by...
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    No libido, unable to orgasm

    It's also possible you have elevated prolactin. I did, and while it didn't really affect my libido, it made it damn near impossible to orgasm. A low dose of cabergoline took care of that. Probably worth getting your prolactin checked.
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    For Nelson Vergel, what’s your current protocol?

    I have not tried naltrexone. I've read a little about it. It seems to help a fair amount of people, although some of the sides people report are concerning (anxiety/sense of doom, psychosis, etc.). It's worth discussing with my doctor though. Initially, my issues were a collapsed disc at L5-S1...
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    Defy shipping costs

    Looking at those codes, it looks like one of the pharmacies is shipping standard (S01), which is normally $12. The other code (S06) reflects express with ice packs. I'm guessing that's $40. I agree that seems pretty steep, and I guess if it has to ship that way you don't have much choice, but I...
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    Optum Specialty Pharmacy for HCG

    Sorry to hear that. My first experience with OSP was pretty easy and seamless, but I suppose that doesn't mean future ones will be. Were you using them for something other than HCG?
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    For Nelson Vergel, what’s your current protocol?

    Thanks for sharing all of this, Nelson, and as others have said, you look fantastic. I can't believe you're 63. This caught my attention. Just curious what you've used them for. I'm battling chronic pain related to some lower spinal cord and SI joint issues and did a few ketamine infusions for...
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    Optum Specialty Pharmacy for HCG

    Your timing is impeccable. UPS just delivered it about an hour ago. It comes lyophilized with bac water separate and has to be reconstituted. I was surprised that the included syringes are 27g 1/2". A bit heavy and long for my taste for sub-q HCG injections, but I can use them for my shallow IM...
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    Optum Specialty Pharmacy for HCG

    I've seen a number of threads about sourcing HCG now that (hopefully only temporarily) compounding pharmacies like Empower are prohibited from manufacturing it. I just wanted to share my recent experience getting it through Optum Specialty Pharmacy. I had my regular consult with Dr. Saya at...
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    Who Started TRT w/ "Normal" Levels @ What Age?

    I had the same issues with Clomid, and my estradiol went through the roof. I was very irritable and emotional on it. Not sure if that was because of the high estradiol, but I never felt good on it even though my testosterone levels skyrocketed.
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    Who Started TRT w/ "Normal" Levels @ What Age?

    How does enclomiphene monotherapy compare with clomiphene monotherapy? I was about to type up my own experience with clomiphene monotherapy when I noticed that enclomiphene was being discussed. I remember vaguely enclomiphene being discussed on here back when I was on clomiphene (2017), but my...
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