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Pharmaceutical Tools for Opiate Detoxification This originally started as a short, unofficial guide for my doctor friends to use in helping patients come off opiates. I put this together myself and it should be noted that the medications outlined below require a prescription and monitoring in...

As stated above there is certainly negative hormonal changes which do occur with chronic opioid use. Primarily hypogonadism in men and woman, this has been clinically evident. In addition to disrupting your limbic system which controls emotions and other things. The thought is that...

Dr Justin Saya discusses Testosterone Use in Bodybuilding versus Replacement Therapy

The abuse of anabolic androgenic steroids has been prevalent among men during previous decades. Anabolic steroid abuse has not been traditionally discussed in mainstream medicine, therefore conventional medical care can be limited for those who experience AAS related side effects. Prior...

This patient abused anabolic steroids for many years-reportedly 30 years. We spoke at length about his drug use and what type of anabolic steroids he was using. Like many men and woman who use anabolic hormones, Quinton obtained his hormones on the black market from various sources typically...

Dr Lynese Lawson in VA has been prescribing LDN for years along with HRT. She has fibro and ai patients who seem to benefit from it. There also appears to be some benefit for chronic pain patients who cannot tolerate, or have built a non-responsive tolerance, to opiods. Dr Lawson is among a...

Men and women on testosterone replacement therapy who previously suffered from low testosterone and depression already understand the positive effect that testosterone has on their mood. A study led by Rupert Lanzenberger from the Vienna Medical University Department of Psychiatry and...

Speed- your second question regarding fertility on TRT will be a good one for both Doctors. Both have worked with men on TRT who successfully fathered children. Dr Saya has developed a few protocols, chosen depending on the individual, which help restore/optimize fertility.

Speed- your second question regarding fertility on TRT will be a good one for both Doctors. Both have worked with men on TRT who successfully fathered children. Dr Saya has developed a few protocols, chosen depending on the individual, which help restore/optimize fertility.

Many men report an increase in well-being and mood when HCGis added to their protocol. It is suspected by some that this response is due to HCG's interaction with gonadotropin receptors in the brain. Since it mimics luteinizing hormone, HCG will also help sustain testicularsize and fertility...

That does not sound like gynecomastia, but rather fat tissue which can be common for many men as they age. gynecomastia refers to the abnormal increase, growth, and/or irritation of glandular tissue. All men actually have glandular tissue, and it can accumulate with age. Its only a problem...

Ditto Gene and Nelson! I worked with Tri-Mix and similar gels while working as a pharmaceutical rep It must be inserted into the urethra which is uncomfortable. Injections are much easier and quicker to administer, TriMix injections should cause no irritation. If you have ever had your...

You will lose the shelf life using sterile water. The bacteriostatic water is used because it contains a preservative that helps extend the HCG life. With sterile water you would have to use the vial quickly, so it can be used with single use ampules but should not be used for multi-dosed...

Davet- No need to ever take an AI 'just in case'. That is a bodybuilder/AAS mentality that makes more sense when testosterone is abused rather than administered clinically. We have learned over the years that estrogen is very important for men and needs to be within a range. Much like...

From my understanding, CJC1295 is a modified GhRH similar to Sermorelin but longer acting. The DAC (drug affinity complex) sort of forces the GH to release in more of a bell-curve fashion rather than in pulses. In the short term this may be beneficial for healing where static levels of GH can...

Good morning smithers Shoot me an email with your real name and I will see if I can get you scheduled sooner If you are scheduled to consult with Dr Saya he is on vacation until this weekend. Dr Crisler has availability this week and next. Once we get you through the initial consultation the...

GH rises within 20 min after injecting Sermorelin. From there it is converted into various growth factors including IGF-1 within the liver- this process takes longer. Since IGF-1 competes with insulin and is one of the primary growth factors you want to be sure not to spike insulin with high...

Good questions croaker and smithers Regarding cancer cells, this is a bit out of my league. Just like all cells, cancer cells can be influenced by hormones and growth factors. For many years oncologists have manipulated various hormones in attempt to control or reduce certain cancer cells...

Gene provided great feedback from a patient's perspective and highlighted the importance of diet/exercise. I personally also did not see physical changes until between 6-12 months. I did notice improved sleep and intense dreams soon after starting. I took 1000mcg daily for roughly 12 months...

Derrick- You will not realize much benefit physically from peptides used for 3 months. The process by which peptides work which results in the accumulation and repair of tissues takes a long time to take effect. GHRH peptides must also be given enough time to ramp up the pituitary reserve of...

It will be tough to get insurance to cover TRT ancillary medications like HCG. Remember, insurance is in the business of making money, not giving it away. This year insurances are denying more claims for "quality of life" and off label medications- and especially compounded medications. Find...

If Norco has been used nightly for longer than 30 days than a dependency has developed which will require a withdrawal period once the Norco is discontinued. Part of the withdrawal symptoms of opioid medications like Norco is insomnia, agitation, anxiety, in addition to physical symptoms of...

Ab, many cash pay doctors include an extra charge on medications they are providing through a compounding pharmacy. If the doctor is not charging a monthly fee, or a high price for their time, then they make the cost up on the medications. It is the best way to keep the consultation and...

Good morning Your instinct is on point, oral HCG is not an effective medication HCG does not absorb well via sublingual administration. In addition, the peptide itself is very fragile and will not preserve well in an oral solution. By the time the HCG is administered there will be...

Croaker- Vitamin B12 can be mixed with your testosterone injection. It does not have to be taken frequently as B12 stores in the body well. 1ml per month improves and maintains most. It can be taken once per week for more aggressive dosing. If you got room in the syringe along with...

This link contains the Lipo-C fact sheet. http://defymedical.com/resources/health-articles/1-the-next-generation-of-fat-loss-injections The "b-complex" listed is per the standard formula used at the pharmacy this particular formula is compounded: Each ml of Vitamin B-Complex contains...

Lipo-C is a generic term for a popular lipotropic injectable nutrient combination. Dr Rand McClain and I actually came up with the term "Lipo-C" back when you could private label compounded injectables which you no longer can. The common formula simply contained MIC (see breakdown below) and...

Very interesting. I wonder if this effect is limited to just tadalafil or if it occurs with other PDE-5 inhibitors?

I just received a quick explanation from a compounding pharmacist as to why air needs to be removed from lyophilized medications like HCG "Our lyophilizer has a "back fill" component in which nitrogen is used to regulate the pressure inside the vial. This is usually a component of the bigger...

I just had the CYP2D6 test done which concluded I am an "intermediate metabolizer". The results then breakdown commonly prescribed drugs which are metabolized by the CYP2D6 enzyme and explain how your body can potentially metabolize the drug. As an intermediate metabolizer, certain drugs may...

MG and Midnight are on point You can also pull the air prior to adding the diluent. For example, draw 5ml air, then inject 5ml of diluent. Depending on the pharmacy, sometimes you need to pull some air so that all the diluent can fit into the bottle without creating back pressure. Especially...