Recent content by Esq
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What are typical nandrolone plus TRT protocols?
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.- Esq
- Post #9
- Forum: Clinical Use of Anabolics and Hormones
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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.”- Esq
- Post #8
- Forum: Testosterone Basics & Questions
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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.- Esq
- Post #7
- Forum: Testosterone Basics & Questions
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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...- Esq
- Post #33
- Forum: When TRT Is Not Enough (ED, Libido, & More)
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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...- Esq
- Post #4
- Forum: Testosterone Basics & Questions
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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...- Esq
- Post #49
- Forum: Testosterone Basics & Questions
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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.- Esq
- Post #3
- Forum: Testosterone Basics & Questions
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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...- Esq
- Post #47
- Forum: Testosterone Basics & Questions
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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...- Esq
- Post #10
- Forum: Resources and Suppliers
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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?- Esq
- Post #7
- Forum: Resources and Suppliers
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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...- Esq
- Post #45
- Forum: Testosterone Basics & Questions
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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...- Esq
- Post #3
- Forum: Resources and Suppliers
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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...- Esq
- Thread
- Replies: 11
- Forum: Resources and Suppliers
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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.- Esq
- Post #29
- Forum: Testosterone Basics & Questions
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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...- Esq
- Post #23
- Forum: Testosterone Basics & Questions
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