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Hi Vince, I do 1mL B Complex subq without any issues at all. I usually do it in the fat pad above my glutes or in the fat above my quads. I guess it just depends on the individual.

Yes. B-12 and Lipotropic formulations can be administered via IM or subq. Both routes are just as effective. (See second paragraph - http://defymedical.com/component/content/article?id=284:medication-and-injection-instructions-vitamin-nutrients)

Ketoconazole 2% shampoo is considered off-label for the treatment of androgenic alopecia.

Glad to hear. Both Dr. Crisler and Dr. Saya are top notch.

Hello, Lately, I have been suffering from androgenic alopecia. I have been using liquid minoxidil 5% topically twice daily for a few weeks. I got my PCP to call in ketoconazole 2% shampoo for me. The studies that I have read have it being used only a couple times a week and not every day...

I would definitely keep it and use it, but go ahead and get the testosterone from Defy so that way, if you refill on time every time, you will always still have quite a bit of testosterone left. This way you never have to worry about running out.

Agree. You're just throwing money down the drain using that much hCG with exogenous testosterone.

Can you post your labwork? Test 400 is a combo of Testosterone esters, correct? Could you provide the info of how many milligrams of each ester per mL and provide how many mL you take every 5 days?

Three weeks is definitely too soon to know anything yet. Give it at least six weeks to allow everything to settle in.

Maximum serum concentration (Cmax) levels occur between 30 min and 6 hours (medium time of 2 hours).

Right, but it is brand name. I am unaware of any generic recombinant hCG being on the market in the USA. So it looks like his options are to pay the price his pharmacy is charging him or switch to regular hCG.

Do I understand correctly that you are taking 2mg of anastrozole a week?

As far as I know, there is no generic recombinant hCG.

I would just list the medications. If he says something, so what. You are under the care of another doctor for your hypogonadism. It's none of his business.

Have you thought about just switching over to regular hCG? You can get 11000 units from a compounding pharmacy for around $70.

Have you noticed any changes to your body such as a rounded face, a hump between your shoulders, or abnormal stretch marks?

It is very possible that your DHT is fine now that you are on TRT if that DHT level was taken pre-TRT. It is worth it to check and make sure, though. Unfortunately, sometimes TRT doesn't fix all issues for everyone as there could be a good many number of issues causing the symptoms that you...

Was this blood draw shortly before your next injection? Also, do you know what your SHBG level is?

While it is frowned upon to mix these drugs as it increases the possibility of priapism and blood pressure issues, as long as it is done sensibly and one is not using too much of each, it shouldn't be that much of a concern. I'm not a doctor, so it is just my opinion. Now if one took the...

It sounds like the endo doesn't know what she's doing. So she doesn't care about TSH until it hits 10?!? She doesn't care what your thyroid hormone levels are? I think you are going to be disappointed with this doctor in the long run.

Your TSH is definitely high and more thyroid tests need to be performed to find why your pituitary gland is trying so hard to stimulate your thyroid gland for more thyroid hormones.

kd4re, Many that I have spoken with state that it is just too expensive, and they don't receive enough requests for it to make it cost effective. Don't know if that is true, but that is what they have told me.

Good luck! Keep us posted.

What are you other levels like?

Your E2 is indeed high, especially if this is the sensitive test. Have you thought of splitting your dose up even more than 2x per week? Getting your E2 dialed in just right with anastrozole can take months sometimes and splitting your T dose up into even more smaller doses can sometimes get...

I'm sure the great team at Defy can assist. Are you on any medications outside of your TRT (which I assume you are on)? A lot of medications can cause these types of issues. I'm not sure about how true it is that "a woman will not stand for a guy that can't finish." If she completely...

Anxiety with a new partner can certainly hamper the ability to orgasm or maintain an erection, especially if you are concerned about losing him/her if you can't perform. How are things when you are by yourself?

I have a follow-up with Dr. Saya tomorrow so I will ask him then. I just feel weird asking because I don't want him to think that I am trying to pull one over on him. While the anabolic effects on muscle growth would be a nice side effect, I really would like to get my ankle back up to speed...

Hello, I recently fractured my lateral malleolus (outside part of the ankle). Also with this there is tendinitis from the stress of inverting my foot past its limit. I have read various studies that show increase in healing for both bone fractures and joint injuries by using nandrolone. Does...

1. I'm planning a visit to FL, would having my physical and blood work done at Defy speed up the process any? Probably not. 2. Do prescribed meds cost more through Defy than normal? Some do, but the amount is insignificant for the care you receive and is necessary on their part as they do not...

Hello, Would anyone who gets their tadalafil troches DIRECTLY from APS Pharmacy or Empower Pharmacy be willing to state how much they pay? Thanks.