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Did you confront them about their attitude? They were suggesting that you are an illegal steroid user and Defy is the pusher. Ignorance can only be corrected when it is confronted. I wouldn't let them get by with it. I'd complain to their HDQTRS, too. They need to know what their employees are...

I got my lab report today after 3 months of taking 500 mg of Metformin twice a day and eating half a grapefruit or taking Narigin. My HCT is exactly the same as 4 months ago - 52.7. The good news is that this is the first time it has not gone up. Also, I was a bit dehydrated the day I had blood...

Thank her for her time and go to Defy Medical.

Write down questions as already advised. Even ones you may think are "dumb." Dr. Saya was wonderful in my consults with him. Not rushed, very thorough and humorous. Relax and enjoy the conversation and learning time with him.

Dr. Saya did say that the high altitude plays a role in increased HCT. That's one reason why he has cut me some slack on blood donations.

Having blood work done for Defy this week. Will see where the hematocrit is at and then decide if I should continue it or not after consult. If the Metformin is working, maybe the tired feeling could be from lowered hematocrit??? I have lived at a mile high for 34 yrs. so my hemtocrit is at...

I take 500mg twice daily in an effort to lower hematocrit. I have feel more tired and have less energy. This is a know side effect.

He doesn't get to decide where you fill your prescription. You do. Unless he wants to pay for it. The only time I'vd been asked is when they offer to send it electronically. I still get to make the choice.

If it doesn't make senses, alwys follow the money trail.

Doesn't the Doctor who discovered the PSA test now say that it is pretty much useless? Too many false positives, alot of over treatment and causing a lot of needless anxiety and fear.

You may have broken the airtight seal allowing air into the bottle? Leave the bottle inverted for a while to see if any T is dripping out.

projects.propublica.org/docdollars/ Find out how much big pharma is paying your doctor

Agree. My last consult was with her. Very friendly, courteous, helpful and well-informed. She even responded to an email after hours. I'm very pleased with every experience I have had with Defy.

:):):) Good one!

Hope it works for me. I don't feel the "bloat" or have the heart thumbing and face flushing. I'll have blood drawn next week.

No, that's CBC and all the other tests. This next on will cost $277. Defy has me do it every 3 months.

Don't have #s with me, but my HCT was at the top of the upper range. I am phobic of blood donations. Never done it and probaly never will. The blood work every 3 months to floow the HCT has become super expensive - at least $1000/year.

I've added 500mg of Metformin each day along with 1/2 grapefruit or naringin in an effort to lower my hematocrit. Will have blood work in another week or so. I also live at high altitude in the desert which is a contibuting factor. My primary doesn't see an issue but Defy does.

I tried 25ga - 1/2" and I was sore for week or I bled. Maybe 27 ga or smaller would work better? I am currently using 29ga - 5/16"

I switched to grapeseed oil. Still get lumps, but nothing like the red, swollen, itchy lumps I got from cottonseed oil. I do SubQ injections.

I went to the Minute Clinic. No problems. The PA was actually very interested in what Defy was doing. Thought it was great.

I started Metformin this month in hopes of lowering my HCT. I take 250mg twice a day. I think it's working because I don't feel the effects of HBP like I did before - no flushed face, heart pounding or headaches. I'm also eating half a grapefruit each morning. My next labs in a couple months...

My wife and I are both Defy patients. We are both very pleased with the treatment we receive. Dr. Saya and his staff couldn't be better, All nice, down-to-earth people and , most importantly, they know what they are doing. We are both very confident in their knowledge and care. The consults with...

Just had my consult with Jill from Defy. My A1c test shows that I in the range of prescribing Metaformin. She will pass the info on to Dr. Saya and it will be up to him. If approved, I'm anxious to see if it will lower my hematocrit.

My dad and grandfather both had Type 2 diabetes.

I've had blood run out of my hips when I used 25 g 1/2 needles. I'm using 29 ga 5/16 needles now. Wondering they could be too shallow?

Wondering what effect, if any, daily injections would have on Hematocrit?

Would doctors prescribe Metaformin for high Hematocrit?

I not using Berberine but am researching it. What do you see wrong with it? If it does what Metaformin does for HCT levels, I would probably try it. But. Dr. Crisler's comments on HCT tell me it may not be a big deal. Dr. Saya and I discussed my levels and he agreed that high altitude has an...

A natural form of Metaformin is berberine. Wonder if it has the same effects on hematocrit. Mine is high but I live at a mile high elevation.

Similar problem with hematocrit. I started taking naringin and drinking green tea which is also suggested to bring down the numbers. Haven't had blood work done yet, but will do it soon.