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Do you drink alcohol regularly? breast tissue exists in every male, it just becomes a problem when influenced by certain hormones or chemicals. If your E2 is in range it may be something else you are exposed to. Another consideration is your 'free estradiol" levels. If your SHBG is too low...

This link contains information about the effects that benzodiazepines have on the brain and body and how these actions are exerted. Detailed suggestions on how to withdraw after long-term use and individual tapering schedules for different benzodiazepines are provided. Withdrawal symptoms, acute...

Much of the cost for the finished product generates from the labor and regulatory overhead. Since a pharmacist makes a compounded drug from scratch there are more labor costs involved with producing a finished compound. When it comes to injectables including HCg and testosterone, each batch...

The pharmacy must meet certain requirements prior to Defy Medical sending a prescription, this includes proof of testing where every sterile injectable batch is tested for potency and sterility by an independent laboratory. Every compounding pharmacy must comply with the regulations set by USP...

Historically brand medication prices increase when cheaper alternatives are no longer available. Compounders provide low cost access to a variety of medications that can be customized into different forms, strengths, and blends using the exact same FDA approved ingredients. If compounders cease...

I just checked the website for The International Academy of Compounding Pharmacists and found this page: http://www.iacprx.org/?page=128 Shaun from Empower Pharmacy may also have a contact as well. The best way to preserve access is to use a compounding pharmacy whenever possible. Educating...

Compounded injectable testosterone medications like cypionate are presently being pushed out of the market. Compounding pharmacies provide a low cost alternative to standard and more expensive manufactured brand name medications. In the case of testosterone, compounding pharmacies are able...

Sildenafil has also been available since 2005 in the form of Revatio 20mg tablet (also owned by Pfizer) and also as a compounded generic. Here is a summary of the current status of sildenafil, its availability, and how it is able to be compounded while the patent is still active for Viagra If...

If this study supports that estradiol is responsible for increasing prostate volume and PSA, and not independently testosterone, then the current protocol of administering Lupron to PC patients is overkill since leuprolide is designed to induce hypogonadism.

The Cypionate + DHEA combination at APS was created to mimic an old combination product called Sten. Sten was a blend of testosterone's cypionate+propionate+DHEA in a lower concentration (37.5mg+12.5mg+10mg per ml). There were a handful of doctors who used the compounded version (test...

If DHEA were to be compounded separately it could be done in a higher concentration and could be individually titrated. DHEA in an injectable solution tends to be thicker than testosterone, but 100mg/ml or even 200mg/ml may be possible. With a higher concentration less would need to be...

If you have only performed a single blood test I suggest having another draw done to confirm. Also as mentioned be sure to use the masspectrometry Sensitive Estradiol LC/MS (Labcorp) or Ultrasensitive Estradiol MS (Quest) as this will provide more accuracy for a smaller window found in men...

Why some men run out of their injectable testosterone before their next refill During the last year we have had an increase in reports from men that they are running out of their testosterone cypionate injections before the refill date. Lets first rule out those who over-draw the testosterone...

Yes, One Blood (and a few others around the US) have great prices for the therapeutic phlebotomy, most likely as they do a high volume and therefore get a better cost on the kits needed to perform the therapy. Defy will work to get the price down as the patient volume increases. Its also nice...

Chris- Armour thyroid is still expensive and many strength ratio's often on "back order" at pharmacies. I just posted this thread below explaining the much cheaper compounded alternatives available to those who can get a prescription. Two pharmacies with the best prices are Empower and APS...

With the ever increasing price of the brand “Armour Thyroid”, which is a popular thyroid medication we prescribe, I wanted to take a moment to explain the different thyroid medications. We have options for our patients which are a better cost and it is important for you to understand the...

Here is a link to an article that explains the process of hair-loss (head), how DHT works, and the FDA approved and alternative treatments available to treat hair loss. If you are looking to "thicken" hair, check out the topical latanaprost: http://defymedical.com/services/355

The follicles that produce head hair are different than body hair, therefore DHT blockers may not work for body hair (although the overall lowering of DHT which is not good, such as with finasteride, may slow hair growth). Body hair varies between men on TRT. I had little body hair until I...

Try a compounding pharmacy as they can provide very low prices for generic medications. They may even be able to compound it, however the generic may be a better price. But when using a US compounder he will still need an Rx

Depends on what type of anti-estrogen is being used (SERM vs AI?) Give us some background on your TRT status. What is your protocol, levels, etc?

Vince, were are you injecting and with what volume? Are you mixing with other compounds?

This can often depend on who made your testosterone. Brand name, or manufactured testosterone cyp such as Pfizer often use a thicker cottonseed oil (pharmacists call it a "dirty oil" compared to grape or sesame). In addition, there is a huge variation in preservative use in these injectables...

Dr Saya is taking into consideration the T:E ratios and how it offers predictive value for subsequent E2 levels after initiating TRT. For example, maxadvance initial T 199with E 21 (approx 10:1 ratio), now if that ratio holds (and it often does fairly closely), if his T increases to let's say...

There is another use for anabolic pre-authorization which is worthy of mentioning. This is separate from the information requested by insurance carriers for billing purposes. Some compounding pharmacies require additional 'pre-qualifying' information prior to dispensing an anabolic hormone...

This is becoming more common with all the insurance carriers as they strive to NOT cover as much or your medicine as they possibly can. With the shifting insurance-healthcare model this will only get worse. The two ways this has become more evident for Defy patients is 1) Increasingly more...

You will be in good hands with your new doctors at Defy No doubt they will thoroughly discuss the various possible contributing factors regarding your polycythemia. Although your dosing frequency was erratic and initially incorrectly administered every 2 weeks, the dosages themselves are not...

Mikeb, congrats on your recovery and thank you for sharing your story Like NP stated, time will be your friend. 16 months is still fresh after 13 years. You will get even better, there is no doubt about it. I observe the biggest progress in emotion-control, mood, and well-being between the...

One of the best and most important statements: "I am more happy now than the highest/most euphoric times I had while using. "

Congrats Nutpuncher for punching that addiction right in the nuts! Thank you for sharing your story, as you know it will provide motivation for many who are scared to make the jump as you did.

Right on point Nutpuncher. Recovery is long, and dosnt really end for someone who has experienced an addiction. Treating testosterone levels prior to WD would have some benefit, but you bring up a solid point in that first and foremost the person MUST be committed to coming off. Not because...

Post-Acute Withdrawal Syndrome Post Acute Withdrawal syndrome can last from 30 days to 1 year after discontinuing opiates depending on the person's use. Symptoms associated with PAWS begin at some point after acute withdrawal has ceased and can last for a long time if left untreated. PAWS is...