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  1. Dr Justin Saya MD

    Salt, isolated systolic hypertension, and working out?

    Increased salt intake = increased fluid retention (intravascular) = increased fluid volume intravascular = increased blood pressure. The body “holds” more fluid to dilute the serum sodium so we often don’t see high sodium levels on labs unless a patient is concurrently dehydrated.
  2. Dr Justin Saya MD

    Treatments that may increase sex drive in women

    Yes, but works best in conjunction with testosterone as needed.
  3. Dr Justin Saya MD

    Post TRT fertilty question???

    Hey you never know...just fooling with you Vince ;-)
  4. Dr Justin Saya MD

    Post TRT fertilty question???

    Injectable and similar in intended effect to HMG, but a different compound nonetheless (similar to HCG though with stimulation of Sertoli cells of testes).
  5. Dr Justin Saya MD

    E/E2 concerns/questions

    Hope it warms up for you soon up there!
  6. Dr Justin Saya MD

    Starting dose for female TRT?

    Yes thyroid treatment and also oral contraceptives (if applicable) are common causes of high SHBG in females.
  7. Dr Justin Saya MD

    Need Some HCG Help

    And feel fortunate to have a provider that understands the incorporation of HCG into a TRT regimen...
  8. Dr Justin Saya MD

    E/E2 concerns/questions

    A study isn’t even necessary to prove this...one need only read the forums for 15-20 minutes or try it themselves for a month or two.
  9. Dr Justin Saya MD

    E/E2 concerns/questions

    Sigh...I’m a native New Yorker (Syracuse) and am proud to see they are protecting the great citizens of New York from the harm of self testing their lab values :-/
  10. Dr Justin Saya MD

    I need to transition to HCG monotherapy, any advice?

    Just out of curiosity you should ask them why they would be opposed to TRT+ HCG concurrently, but not high dose HCG monotherapy.
  11. Dr Justin Saya MD

    I need to transition to HCG monotherapy, any advice?

    What did he/she expect for semen analysis results being on TRT without HCG? Your concern is valid and several red flags are flying.
  12. Dr Justin Saya MD

    Subq vs im

    True for most...though as with everything hormone-related everyone is unique.
  13. Dr Justin Saya MD

    Subq vs im

    100% dependent on where you inject, the angle of injection, and the depth of the fat layer in said location.
  14. Dr Justin Saya MD

    What dose for me?

    I wouldn’t say “convince” per se, but I would broach the subject with her for sure.
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