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Following is an update on my treatment. I had an appt. with Dr. Lipshultz yesterday after 5 ½ weeks on 1 tube Testim per day with 1,500 IUs HCG once per week. I told the doc that I was not feeling much improvement in energy, mood or libido. I had a few intermittent good days, but I was having...

Thanks, Nelson! So, 250 mcg would equal 500 IU, correct?

My wife and I are doing a round of IUI this month, so she was recently prescribed Ovidrel (brand name HCG). The dose is 250 mcg, and the cost will be $75. I'm guessing that's way overpriced, given that I take compounded HCG that costs $75 for 11,000 IUs. So, I'm thinking of just giving her a...

This is all very helpful. I am hopeful she just had the wrong assays done previously. Labcorp offers a Liquid Chromatography/Tandem Mass Spectrometry test for Total T and an Equilibrium Dialysis for free T, so I think she should get more accurate results with those tests, if I'm reading these...

Thank you, Chris! I will definitely pass this along.

My wife recently received the results of a blood panel that stated that her free testosterone was "0" and her total testosterone was under the detectable range. Needless to say, this was somewhat alarming, but we don't want to do anything hasty, and since we're currently working on having a...

Thank you, Nelson! Will do. : )

One more question... I'm almost 3 weeks in now. Nothing to report yet. However, I will see Dr. Lipshultz again in two weeks for a follow up. I will see him on a Monday afternoon, and I usually do my one weekly shot of 1,500 IUs of HCG Monday mornings. He draws blood for labs at his office...

This is a little off topic, but my wife uses letrozole for 5 days each cycle to enhance her fertility. Are there negative side effects that we should be aware of?

Still, it would be very good to know why your doctor wants to start you on a regimen that will only work for a week or maybe two, and then will have you back to suffering from low T for two to three weeks. I can't see how that is helpful or healthy. Why not go right to what is most likely to...

Perfect. Thanks as always, Nelson! You are a huge gift to us guys. : )

Thanks. Does anyone have any thoughts on my first question? 1) It is said to avoid the blood draw site and surrounding area when using the forearms to apply the gel to your flanks, as this may cause a lab error. I'm trying to avoid that area, but I can't say I'm doing a perfect job as...

I have two questions about using testosterone gel, according to the recommendations provided by Dr. Crisler in his video (https://www.excelmale.com/?s=74-Dr-John-Crisler-ON-Transdermal-Testosterone) on transdermal testosterone. I’m about a week and a half in (nothing to report yet), and I want...

Personally, I was having a very tough time staying asleep throughout the night. I would usually wake up at least once and sometimes twice to go to the bathroom. On top of that, the last one to two hours were frequently interrupted by multiple awakenings for no apparent reason. A few months...

Thanks, Gene. I will, of course, stick with 50 mg per day unless my doctor suggests otherwise.

Thanks, Gene. What are your thoughts on how to determine the correct, individualized dose for Pregnenolone?

Gene, can you tell us how to determine whether we are correctly dosing Pregnenolone? My doctor has me on it in the hopes that it will bring up moderately low cortisol levels in the afternoon (my cortisol drops rather quickly between waking and noon). Like you, he says that the Preg lab test is...

Miklu, did you ever use Accutane (also known as isotretinoin) to treat acne? Accutane is very effective, but is known to have significant side effects. It worked great for me, but I honestly wish my doctor had better informed me of the risks. However, it sounds like there may be more to what...

For someone who is primary and is not on testosterone replacement therapy, the above in bold would be true. However, I would presume that anyone on TRT (including primary or secondary hypogonadal men) would have very low LH due to the HTPA suppression caused by administration of exogenous...

Also of interest is Dr. Jeffrey Dach's recent blog post discussing the effects of MDMA on HPTA function: http://jeffreydach.com/2013/03/01/clomid-for-men--with-low-testosterone-part-two.aspx Personally, although I never felt anything remotely resembling rage when experimenting with MDMA during...

Thanks to you, Gene and Nelson. I will follow Dr. Lipshultz as I think I'm in good hands. : )

Great comments, Bass. Thanks!

I am now a patient of Dr. Lipshultz. He is now treating me with testosterone plus HCG to preserve my fertility. Details are in this thread.

Hello, all. I am very excited to report that I started testosterone replacement therapy (TRT) on Saturday. After years of being tired and depressed with poor concentration and low libido, I was diagnosed as secondary hypogonadal about 15 months ago. Under the guidance of doctors, I have had...

I'll share my personal experience with this (n=1). Before embarking on proper medical treatment of my low testosterone, I tried tongkat ali at various dosages. It seemed to give me some energy and mood improvement, but the results were not reliable from day to day. I tested total and free...

So far, it seems like most who have responded either started on or ended up on injections. If you haven't filled out the poll, please do. Either way, please let us know how and why you've chosen your current method of administering TRT (i.e., gel or injection).

Nelson, I have heard it said that testosterone can increase dopamine. Is that true? Also, do any of the supplements you mentioned or ADHD drugs potentially result in dependence or future neurotransmitter imbalances? Many times, I've heard that dopamine can be the missing link for libido and...

I'm finally about to start TRT (and boy, am I ready), and I've done a fair amount of research on the pros and cons of injectable vs. transdermal TRT. So, I'm currently thinking I will start with a gel and then switch to injectables if, after sufficient time and tweaking, I don't feel optimized...

I have a degree in kinesiology and was a personal trainer for several years. It's important to note that "spot reduction", or the idea that you can reduce fat in an area by working the muscles underneath, is a myth. So, it's fine to work abs daily or at high reps, but don't do it in the...

I was recently quoted $850 for 10,000 IU of HCG at Walgreens. The same amount at Empower Pharmacy was literally one-tenth the price. Has anyone found great prices on HCG at a conventional pharmacy such as Costco's?

Oh, I didn't see that he has you on sublingual HCG! Ditto to what Gene said...