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Thanks, my friend.

Picking up on Sustemlord’s observations, what is your natural production doing for you? In the back of The minds of far too many, the decision to initiate testosterone therapy is seen as an elective, lifestyle issue. Well, like all medical choices, it is “elective” since no one is going to issue...

No need to stress. Keep the hcg at home.

As noted in other posts, my PSA leaped dramatically in a little over a year, 1.00 to 2.99. Though still below the magic number of 4.00, the velocity puzzled me and alarmed my doctors. My urologist in Toronto was using words and phrases like “biopsy,” and “suspending your TRT protocol for a...

“Last” as in most recent or final? If you are an ongoing TRT patient wishing to abandon the use of an AI, simply stop taking it and go on with your protocol. If you have taken your last, final, end-of-the-protocol injection of enanthate, take the final dose as you normally would and say...

She has announced she is taking a maternity leave for a year. I’m working to get you the names of others.

Thank you. I'll learn next week if my rising PSA has returned to baseline. Just another blinking light on the dashboard. I hope.

I have monitored CRP for over 10 years. A family history of both coronary disease and an array of autoimmune issues, I deal with hypogonadism, adrenal insufficiency (Addison’s Disease), microscopic colitis, pernicious (B-12 deficiency) anemia, and discoid lupus, meant that this particular marker...

You have no lab values since you initiated therapy?

Where does your SHBG sit? What about your total and free testosterone values? Is your estradiol at a comfortable level?

This is a volume of oil, not a dose as expressed in milligrams. Assuming you are drawing from a vial of testosterone marked 200mg/ml, you are injecting 80mg of testosterone twice weekly. A significant dose that hasn’t moved your levels at all. How long have you been on your protocol? Are you...

We can offer the names of doctors you may wish to consult, and respond to questions and/or comments about androgen replacement. But one can only obtain testosterone from a licensed physician.

This has been an issue since you initiated treatment?

I’m sorry, but you are asking for information that we can’t provide. As a men’s health forum we do all we can not to run afoul of regulatory challenges. Trafficking in controlled substances may not be criminal offence in your country, but it is in the United States and Canada - where the bulk of...

You raised a question about hematocrit. You should certainly keep an eye on your hematocrit, but it’s not presenting any challenges at this point.

Welcome to Excelmale. Here is some good background reading to get you started. Penis Injections for Hard Erections: TRIMIX

Thank you for the kind words. Each of us is in this life and each of us can make someone else’s journey a bit easier.

We hope you’ll be an active member.

I pre-load for a week at a time when I travel or have meetings starting at an absurdly early hour. Probably two weeks out of every month. Nearly five years of daily injections.

Well, 300 milligrams of testosterone per week in divided doses...an estradiol reading of 82...can you explain how you reached this point? Why are you and your doctor managing such a protocol? Where does your SHBG sit? Was the estradiol test you ran the sensitive, LC, MS/MS, the only one men...

Libido is the result of multiple integrated factors; one is rightly hesitant to assure anyone considering testosterone replacement that they will restore libidinal function through TRT alone. I’m a patient that, through androgen therapy, found my sex drive at age 55. It can happen. It does...

Thank you. Addressed.

I’ve never done anything other than stick the needle in and push the plunger. All of us can make this harder than it has to be.

Gene's Nitric Oxide Stack

Elevated or suppressed estradiol can be responsible for problems, and sorting out libido-related issues are some of the trickier challenges men face. There isn’t, sad to say, a linear relationship between testosterone levels and libido (or erectile function). Think of testosterone as frequently...

I see her Monday.

Well, in six to eight weeks you will have shut down your endogenous production. Hardly the end of the world, but it’s important that you recognize the consequences of initiating androgen replacement. I agree with Cataceous, you’re rushing into something that may well be unnecessary.

For future reference, your doctor failed to order the proper estradiol test (the reference range is a dead giveaway). The standard test that was ordered for you is unreliable when men use it.

A patient can always choose who will provide their care without regard to a previous doctor’s wishes. Dr. Crisler did urge patients to consider turning to Defy following his death.

This is great - thank you for posting.

Home - Healthlab You may wish to check with them.