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Phoenix, using testosterone in troche form while you are already supplementing T may have some short term (1-4 hr) benefit on sex drive and NO2, when combined with sildenafil. But taking testosterone troches alone will not be enough to restore T levels and maintain them in range.

Testosterone troches are not the best way to administer testosterone. it is very costly and most of the clinics who provide men testosterone in troche form do so because they can profit more from it. First of all, testosterone does not absorb well sublingually. If you are lucky a small...

Hello Chris Thank you for posting your details First, 1398ng/dl is not too high. The Labcorp references ranges are conservative. I have healthy men with no prior TRT/AAS use with total T in the high 1300s. Individual men respond differently to different levels within the upper normal range...

nydheart, great personal detail. DHT is a byproduct of testosterone and is a potent androgen in its own regard. As most of us know, testosterone is also an androgen. Androgenic hormones play a role in both maintaining libido and erectile function. Although your testosterone is lower, a...

Jonsson, would your doctor be willing to write a prescription for a higher concentrated compounded testosterone cream? A 10% compounded gel/cream would give you 100mg/ml of testosterone. You may absorb the higher concentration better than with testogel. The Rx is typically written this way...

Ero, great questions from Nelson I have learned over the years that testosterone is only a part of libido and erectile function. Neurohormones (dopamine, oxytocin, etc) and your psychology plays a significant, if not equal role. Some things can affect neurohormones which can negatively affect...

The relationship between your testosterone levels and erectile function Summary by Jasen Bruce A recent study of a male population explores the relationship between your testosterone and erectile function. As suspected, higher levels of testosterone equals a better erection and improved...

[h=3]Vitamin B12: Methylcobalamin Overview[/b]Methylcobalamin is one of two coenzymes forms of B12. Evidence indicates that methylcobalamin has some metabolic and therapeutic applications not shared by the other forms of vitamin B12. Cyanocobalamin, the second coenzyme, is the most common...

No, the pituitary is very intricate. Suppressing one hormone should not affect the others as they are managed by completely different stimulating hormones secreted by the hypothalamus. Within the anterior pituitary itself, where the stimulating hormones are received, interactions are specific...

Hulk Welcome and thanks for posting I am sorry to hear of your doctor troubles, although all to common when it comes to TRT. First and foremost, your new protocol is even worse! Did the new doc test estradiol before starting anastrozol? Even if your E2 was elevated, 1mg per day is way too...

Does anyone know what excipients are in Sermorelin acetate thatmight cause a systemic reaction similar to anaphylaxis? It has only happened to a few of our patients, and Iremember speaking to 2-3 patients who had this reaction when I worked at the pharmacy. Always the same symptoms and onset...

Here is our new Defy team photo.

The best way to obtain a prescription is to contact the compounding pharmacy and ask them to send you or your doctor an order form, or technically a prescription template. This way all your doctor has to do is check the box and fax it. Most compounding pharmacies will provide prescription...

Great study! I believe signs of increased aggression correlated with high testosterone occurs in men with a lower IQ, or low cognitive ability. Men with normal (avg) and higher IQs tend to experience enhanced cognitive ability and risk taking with higher levels of testosterone. For many men as...

Accurate drawing/dosing will become more important as many compounders start to only compound Cyp in 5ml instead of 10ml bottles. And with the increase in cost due to the change in pharmacy regulations the compounders are less likely to overfill the vials as they used to. When I worked at a...

Hi Lexy Thank you for reaching out and providing your information. First and foremost, have you ever had your hormones checked via blood? This would provide a great analysis as to exactly what is going on hormonally in your various systems. There is a blood testing service available on...

Topical testosterone can have a more of a tendency to convert to higher amounts of DHT than the injectable forms. Both injectable and topical testosterones use the same raw material to compound/manufacture, so both are technically bio-identical in its raw form. When DHT becomes too elevated...

Hi Leko- Thank you for posting, this is definitely a safe place to ask these questions. You are young at 28 years old. From your history it appears you have never used hormones or steroids? If I understand correctly, you have not used hard drugs in 10 years? Certainly these types o drugs...

Hi Neil, if you cannot obtain an Rx locally you can contact Defy Medical-a telemedicine service that will provide the doctor consultation by phone and a prescription for Oxytocin, usually in the form of a compounded nasal spray however the sublingual is also available.

I don't think the issue is with the pharmacy, I believe were the law is causing the confusion is regarding out of state doctors not licensed in LA prescribing a C-2 controlled substance to a patient across state lines. The real problem is that HCG is a schedule-2 substance in LA (and NY and a...

The information and misinformation is coming from multiple fronts. I have been dealing with this same question for many patients since my time working at the compounding pharmacy until now, spanning 4 years. Some pharmacies are telling doctors that it is illegal to prescribe HCG for off-label...

Thank you Rorin Built to Survive is a great book for any one interested in nutritional and hormone therapies to treat chronic illnesses

Thanks Duane! I am actually the opposite, I am very sensitive injecting into the thigh. It not only is painful going in, but I always am left with a Charlie horse even when injecting just hcg or b12. The shoulders are very easy for me, but I do know what you are talking about when referring...

Good morning sir I have had two other reports of the HCG not mixing correctly at the pharmacy and we are working with the pharmacist today on resolving it. They altered their formula as of recent and it changed the preservatives used which can alter the way bacteriostatic water mixes at times...

I like that he brought up the dopamine factor. That is often overlooked as a contributor to some of the initial functional changes (arousal, motivation, motor control, etc) that occur when treatment in initiated. This is part of the balancing your body will adjust to during the first phase of...

Hi Nippy Congrats on becoming undetectable! This is great news. Now is a good time to focus on improving your physique and overall health. This will provide what you need to remain healthy for a long time. First and foremost, have you had your "hormones" checked? Especially testosterone...

Sums it up right here: "That the researchers would block access to government- and charity-supported research is bad enough. Even worse, it calls into question why, if the data was strong, the researchers wouldn't open it up to independent scrutiny. As it turns out, there are some major...

Your original post is titled "about a month in". Does this mean you have only been on TRT for a month? Check out this thread on the length of time it takes to see the benefits of testosterone therapy...

Assuming your test results are per Labcorp measurements than your numbers are not surprising. 10 weeks after your last injection and your testosterone is still low, and estrogen is on the higher end of the range. This is the common scenario in aging men who have low testosterone, and you...

Good morning Sorry to hear about your experience. It is frustrating when you do not have a doctor to guide you properly. Every other week injections, not checking estradiol, blindly putting you on anastrozol, these are all part of a bad protocol which can make you feel worse in the end...

I was taking Melanotan-2 when my avatar picture was taken. I got too dark for my completion, but I went through a total of two 10mg bottles. I think one would be perfect for me. The tanning results last for 6-12 weeks afterwards, slowly dissipating after you discontinue. I mixed 1ml into a...