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Also, even if you don't have ED, it will still have an effect on you. At least it does for me. If you become comfortable with their legitimacy, take 20mg and wait 6 hours (it takes some guys longer than the advertised 30 min for it to have the full effect). You will probably notice increased...

Some well known Indian tadalafil generic brands are Ceebis, Megalis, Tadacip, etc.

What lab does it say it is from? I don't think taste is going to tell you anything as different labs use different fillers, binders, and coatings in and on their pills. A lot of times, pills contain more inactive ingredients than the actual medicine itself. I had the same idea as you before...

Please don't attempt an IM shot on your chest. Just use your vastus lateralis muscle on the outside front of your thigh and you should be good to go.

Your syringes are 1mL. So 25 units on the syringe equals .25mL or cc. So yes, as long as your testosterone is 200mg/mL, then 25 units on your syringe will equal 50 mg of testosterone. Your numbers, other than your DHEA being on the low side, look fine to me. Keep an eye on that hematocrit...

I feel moody and am having ED issues that don't even seem to be helped by tadalafil.

Blood was drawn hours before next injection.

I've attached my latest labs. My protocol is: 56 mg T Cyp eod 40 mg Nandrolone Decanoate eod .15 mg Anastrozole eod 250 units hCG eod I'm not sure why my testosterone is off the charts. Last time I had it tested total was in the 700s and free was around 26. The only thing that I changed...

I agree with Sean. I use Defy, and they are wonderful to work with. But if your insurance covers treatment, then it certainly makes since to find someone local who is covered by your insurance.

Sorry, didn't realize those were you numbers PRE hCG. I would still have thyroid checked out. Maybe have TSH checked first to see if it is still elevated. If it is, then I would proceed with further tests.

High blood plasma levels of hCG can simulate TSH and cause the thyroid to produce excess amounts of thyroid hormones, therefore shutting down TSH production by the pituitary via the negative feedback loop. This obviously is not the case with you, as you have elevated TSH. I would go ahead and...

I would keep the appointment with Dr. Saya.

Yes, it is to be thrown away after being broken off.

I would say no since DHEA is downstream from pregnenolone.

To get your trough level, the best time for blood test is as close as you can get to right before your next testosterone injection.

Doesn't seem right at all. Please find out what you were injected with and how much and report back.

This link should answer your questions. http://defymedical.com/video-education?catid=0&id=1

It could just be your body getting used to a foreign substance, i.e. oil, being injected into your body. You could have even hit a little nerve. I think what to watch out for is if the reaction gets more pronounced each time you inject as you could have an allergy to either the carrier, oil...

Do you have any redness or swelling where you injected?

Dr. Saya told me to wait a week.

1. No 2. This could certainly happen and does happen to women who take too much testosterone or some other steroids. The voice changes in puberty due to the larynx growing and the vocal cords lengthening in the presence of androgens. This happens to both men and women. Also the facial...

I understand, but it is worth a shot to see if her OB/GYN will consider this since visits with her OB/GYN are covered by our insurance. If not, I will advise her to speak with Dr. Saya, as he is my doctor as well and I consider him to be top notch. If you don't mind me asking what dosage is...

Thanks, Dr. Saya. My wife is going to bring her issues up with her OB/GYN at her appointment next week. If her OB/GYN agrees to allow her try TRT (if OB/GYN doesn't or if the protocol suggested is substandard, I'm going to urge her to consider consulting with you), what is a good starting...

Hello, I am hoping that maybe Dr. Saya can chime in and any one else that is knowledgeable about female HRT. My wife is 42 years old. She is currently on an estrogen/progestin combo birth control pill as she was having pain and heavy bleeding from ovarian cysts rupturing. She hasn't had a...

1. It depends on the amount of adipose tissue you have above the vastus lateralis muscle (this is the quad muscle that is used for IM injections). For a lot of people, including myself and I don't consider myself skinny, I would think that a 1/2 in. needle would be feasible to do a shallow IM...

As a contrast, years ago, I was referred to a urologist for low T; one test was even below 200. He had me take my shirt off to examine me, saw that I had chest hair, and said that I was fine.

Getting the labs drawn earlier is a good thing as endogenous testosterone goes down as the day goes by. I wouldn't let the fasting thing throw you off, especially since it is insignificant. I would hear him out, come back, and let us know the Clomid protocol that he decides puts you on. His...

Did the doctor run a CBC? If so, what are your RBC, hematocrit, and hemoglobin numbers like? Are you having high E2 symptoms? Also, what is your protocol?

I would probably add SHBG. Fasting is not necessary for any of the tests mentioned, but this NP seems to be pretty reasonable in regards to everything else, so I would give him a chance. Usually when someone starts off with "Saw the endo/urologist today..." something crazy follows. I was...

How long was the cycle?

Sodium chloride is just normal saline and will not help to prohibit growth of bacteria like bacteriostatic water does. Bacteriostatic water has benzyl alcohol added to it as a bacteriostatic preservative. I would not use normal saline for a multiple dose vial.