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Definitely ask your doctor…. My first guess would have been high E or high prolactin but you have neither. When did you do your labs in relation to your last dose? Maybe your lab values have to do with timing?

Never mind - yes Hikma’s test E does contain sesame oil. Answered my own question! https://mms.mckesson.com/product/836380/Hikma-Pharmaceuticals-USA-00143975001 https://imgcdn.mckesson.com/CumulusWeb/Click_and_learn/SDS_9WEST_TESTOSTERONE_ENANTHATE_INJECTION.pdf By the way, notice that the...

Do you guys know if Hikma test E uses sesame seed oil, like xyostead?

3-4 hours after morning dose. No the doctor didn’t order free T.

Quick update. I had another TT lab and this time I was up to 520. Still not as good as t cyp (750-ish) but at least I am up to therapeutic levels with Natesto. Hot flashes have decreased (but not gone away). Maybe there’s hope yet? Only thing I didn’t have LH/FSH retested. I hoping to see if...

Are some of those inactive ingredients bad when used long term at whatever dose they come in those capsules? Thinking of Vit. E, sorbitol and titanium dioxide…

Hi @DrRotman . Thank you for answering all our TRT questions here! It’s very helpful that this is all public because many of us may have the same questions that you already answered as an expert! I want to throw a couple of questions your way: * How do you differentiate between true...

@Gman86 Good to hear your opinion. There’s more info and links to scientific publications on that site if you are interested in learning about an opposing viewpoint. And yes, they advocate for non-processed as well.

How/where do you inject glutathione? I used it before but it burned each time no matter where (subq)... plus it made the area a little itchy for 2-3 days.

Do you want a non-expert opinion? See a urologist. :) DHT is not the only thing that can contribute to BPH. Before trying to adjust DHT, your doctor should test things like current DHT/Estradiol levels, and inflammatory markers, and whatever else can contribute to it. As far as your original...

This is *very* cool. Precision medicine, and genotyping in particular, is the way of the future!

Check out the Lifestyle Medicine website. They're main belief - which is backed by research - is on having a plant-based diet to prevent and even reverse some chronic conditions, including type 2 diabetes. https://lifestylemedicine.org/nutrition-as-medicine/...

@madman once the Leydig and Steroli cells become "dormant" for a long time due to exogenous testosterone, are hCG+FSH still able to revive them? Even when they have become "stubborn"? (Also by stubborn do you mean dissensitized to hCG/LH?)

Thanks guys. So what I'm reading in the articles above is that both FSH and intra-testicular testosterone are needed for spermatogenesis, and in particular, for Steroli and germ cell function. But, many other hormones and processes are also requried for spermatogenesis - transferrin, TSH...

Hi @Nelson Vergel - this is great, but the post is quite hidden. This is the first time I see it! :) It would be really helpful if you added a javascript plug-in for term definitions, so acronyms are automatically hilighted in posts and people can hover over to see the definition in a tooltip...

@sammmy agreed. But, it is also talking about a 79% average increase which for purely hypogonadal men is still not enough to increase to even borderline low T levels. For example, I have secondary hypogonadism and before TRT, my total T was running around 150. So 79% increase = 150 x 1.79 =...

@madman yes I’m gathering that. :(

Without Benzoyl Benzoate or Benzoyl Alcohol? Outside of compounded, I think you would have to look at enanthate products instead.

So… basically they swapped out GSO for coconut oil, in an unclean facility? Thanks but no thanks. It might be made bigger in Texas but apparently not better.

I’ve been reading a lot about testicular atrophy and how to increase testicular size. It appears that FSH could affect size way more than LH because it affects the size of tubules which take up more volume than the individual cells that produce testosterone. But as you all know… FSH is very...

It’s probably more due to the increased focus in GLP-1’s (ozempic and family)… A couple different pharmacists have told me the weight loss meds craze has caused production shifts everywhere that resulted in shortages of other meds. :(

What was your PE routine like for those 90 days? Because 1.5-2cm is pretty impressive for just 3 months.

Thank you so much @john.davidson25 !! When you had extrusions, did that happen only during the first 10 days or afterwards? The urologist told me I would wear some kind of post-op sticky pad for 10 days and couldn’t do things like squats or swimming during that time. And wow, 10 pellets...

I prefer 27g or 28g so it’s easier to push it out. Love handles are tricky- I had bled a but when trying them… it’s hard to find a less vascular spit at least for me. There’s an outer upper buttocks spot that also works well. I do pinch the skin but then let go slowly as I push the liquid out...

Yeah but it’s not a large enough increase into therapeutic levels. For someone like myself starting at 150, it would raise T to 268 on average… still low. The six-week duration and low number of participants also make this study a little doubtful in my opinion.

I love Defy but I think long term, all the out of pocket costs (for non-FDA approved meds) will be too high. Labs and visits are covered by insurance though.

I finally settled on 31g 5/16” for hcg, and 28g 1/2” for testosterone- both subq. No issues with dull needles. The 31g is sometimes hard to pull out of the skin though.

Wait, cialis can lower estrogen levels?!! No wonder I stopped needing arimidex!!

There have been a few other trials, one from Dr. Runels (invented p-shot and bocox) with a dozen participants and a larger one with 123 participants. I’ll have to find the links but it gave something like 1/2” flaccid gain, 70% success for ED in men with mild ED, but between 30-60% for more...

Yes, depending on your copays, GoodRx can be a better value especially for popular generics like test cyp, tadalafil (cialis) and sildenafil (viagra). In my case, I use GoodRx Gold for daily cialis but everything else has a copay of only $10 so it is cheaper with insurance. There are some...

Great info! Thank you guys!