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  1. Nelson Vergel

    Enclomiphene restart - how long?

    Enclomiphene: A Detailed Briefing on its Use for Secondary Male Hypogonadism Executive Summary Enclomiphene citrate, marketed under names like Androxal®, is a selective estrogen receptor modulator (SERM) that has emerged as a promising alternative to traditional testosterone replacement therapy...
  2. Nelson Vergel

    What it the purpose of Sex Hormone Binding Globulin (SHBG) ?

    Detailed Briefing: The Purpose and Role of Sex Hormone Binding Globulin (SHBG) This briefing reviews the multifaceted role of Sex Hormone Binding Globulin (SHBG) in the human body, particularly concerning testosterone regulation, based on the provided forum discussion and linked research...
  3. Nelson Vergel

    Where to get Testosterone prescriptions?

    1. What are the common challenges when seeking testosterone replacement therapy (TRT) prescriptions? A primary challenge is finding a doctor who is well-informed and comfortable managing TRT, especially concerning optimal testosterone levels. Many primary care physicians may be hesitant or lack...
  4. Nelson Vergel

    Testosterone Therapy and Erythrocytosis: Unveiling Risks with SGLT2 Inhibitors and Metabolic Syndrome

    Commercially marketed SGLT2 inhibitors Bexagliflozin – Brenzavvy 1 Canagliflozin – Invokana 1 Dapagliflozin – Farxiga / Forxiga (an authorized generic of dapagliflozin is also sold in the United States) 12 Empagliflozin – Jardiance 1 Ertugliflozin – Steglatro 1 Sotagliflozin* – Inpefa 1...
  5. Nelson Vergel

    Testosterone Therapy Induced High Hematocrit- Can Therapeutic Phlebotomy Be a Double-Edged Sword?

    Thanks @madman. Very interesting, indeed!. 1. What is erythrocytosis in the context of Testosterone Therapy (TTh)? Erythrocytosis, also known as elevated hematocrit or polycythemia, is a common side effect of Testosterone Therapy (TTh) in men with hypogonadism. It is defined as a red cell mass...
  6. Nelson Vergel

    Fanconi syndrome and TRT

    Maracaibo. I am moving to Porto soon. I have heard great things about Valencia.
  7. Nelson Vergel

    Fanconi syndrome and TRT

    Thanks. Yes, proud to be Venezuelan and a US citizen. Where do you live ? I noticed your lab test results are in Spanish.
  8. Nelson Vergel

    Fanconi syndrome and TRT

    Have them test this: https://www.discountedlabs.com/cpk-lab-creatine-phosphokinase-test?srsltid=AfmBOor-J8wLaseJdo3Z2ZTse6f8EryuAyBtedXIkAr-aMATdMtXu-Hp Please remind me what medications you are taking.
  9. Nelson Vergel

    Fanconi syndrome and TRT

    Visión general El informe corresponde a una recolección urinaria de 24 horas. Para cada analito indico: Parámetro Resultado Intervalo de referencia del laboratorio Interpretación breve Volumen (diuresis) 3 350 mL/24 h 600 – 1 800 Poliuria leve; suele reflejar alta ingesta de líquidos, uso de...
  10. Nelson Vergel

    Fanconi syndrome and TRT

    @Goddar What's your A1c, blood pressure, and your protein intake?
  11. Nelson Vergel

    Fanconi syndrome and TRT

    Based on an AI analysis: Based on this 24-hour urine analysis, several parameters show significant abnormalities that warrant clinical attention: Abnormal Findings Elevated Protein Excretion The total protein excretion of 168.8 mg/24h exceeds the normal range (0-140 mg/24h) and indicates...
  12. Nelson Vergel

    Are the creams less likely to raise hematocrit?

    I would just get on losartan and stay on your dose. At 56, definitely get a therapeutic phlebotomy. The losartan may help you keep HCT in check.
  13. Nelson Vergel

    Help with blood test results and erectile dysfunction

    When did you start these? Did it coincide with your softer erections?
  14. Nelson Vergel

    High Estradiol in Men on TRT: What to Do

    https://www.excelmale.com/threads/estradiol-in-men-on-trt-surprising-results-of-a-groundbreaking-study.26038/
  15. Nelson Vergel

    Can Please Review My Latest Book: Beyond Testosterone?

    https://www.excelmale.com/threads/best-illustrated-testosterone-book-now-free-for-download.20949/
  16. Nelson Vergel

    Can Please Review My Latest Book: Beyond Testosterone?

    Friends, over the years ExcelMale.com has grown into a knowledgeable, supportive community, and many of you have already taken the time to read my latest project, “Beyond Testosterone: The Illustrated Guide.” If the book has clarified a lab result, sparked a productive conversation with your...
  17. Nelson Vergel

    High Estradiol in Men on TRT: What to Do

    Estrogen on TRT: How High is Too High? Nelson Vergel, engineer and founder of ExcelMale, and Greek physician–researcher Dr George Tuliatos sat down to tackle what Vergel calls the “estrogen madness” that has shadowed testosterone-replacement therapy (TRT) for three decades[1]. The conversation...
  18. Nelson Vergel

    High Estradiol in Men on TRT: What to Do

    https://www.excelmale.com/threads/high-estradiol-blood-level-in-men-how-high-is-too-high.22738/
  19. Nelson Vergel

    High Estradiol in Men on TRT: What to Do

    Briefing Document: Estradiol in Men on TRT Source: Excerpts from "High Estradiol in Men on TRT: What to Do" by Nelson Viegel (excelmale.com) 1. The Role and Importance of Estradiol in Men Core Idea: Estradiol, often misconstrued as a solely "female hormone," is crucial for male health and is...
  20. Nelson Vergel

    Fanconi syndrome and TRT

    Could These Lab Test Values Indicate Fanconi Syndrome? I notice you've asked about lab test values that might indicate Fanconi syndrome, but I don't see any specific lab results provided in your query. However, I can provide you with comprehensive information about the characteristic laboratory...
  21. Nelson Vergel

    Fanconi syndrome and TRT

    Best Electrolyte Products for Treating Fanconi Syndrome Overview of Electrolyte Needs in Fanconi Syndrome Fanconi syndrome leads to the excessive loss of key electrolytes and nutrients—including sodium, potassium, phosphate, bicarbonate, and others—due to impaired reabsorption in the renal...
  22. Nelson Vergel

    Fanconi syndrome and TRT

    From AI: Treatment of Fanconi Syndrome and the Role of Testosterone Replacement Therapy Overview of Fanconi Syndrome Fanconi syndrome is a rare disorder characterized by dysfunction of the proximal renal tubules, resulting in the inadequate reabsorption of essential substances that are...
  23. Nelson Vergel

    How to Lower High Hematocrit Caused by Testosterone Replacement Therapy (TRT)

    Please refer to attached PDF. Elevated hematocrit is the principal dose‑limiting side effect of testosterone replacement therapy (TRT) because testosterone boosts erythropoietin and suppresses hepcidin, accelerating red‑blood‑cell production. The fastest way to correct a dangerously high...
  24. Nelson Vergel

    Stanford Rheumatologist Reveals Surprising Causes of Joint Pain

    https://www.excelmale.com/threads/fixes-for-joint-issues-a-list-of-some-basics.17543/
  25. Nelson Vergel

    Discussion on the field of Andrology/Men’s Health with Dr. Mohit Khera

    https://www.excelmale.com/threads/men%E2%80%99s-sexual-health-dr-mohit-khera.28210/
  26. Nelson Vergel

    How Much Protein Do You Really Need?

    https://www.excelmale.com/threads/how-much-protein-do-you-need-to-gain-muscle.4636/
  27. Nelson Vergel

    How Much Protein Do You Really Need?

    https://www.excelmale.com/threads/how-much-protein-should-you-have-a-day.21985/
  28. Nelson Vergel

    SSRIs, Sexual Dysfunction, Suicide & Mass Shootings, How FDA Works

    I am biased towards the use of psychedelics with integration instead of SSRIs, but understand that most people may not have access due to stigma and laws. I have seen miracles in many people taking SSRIs, though.
  29. Nelson Vergel

    Elevated hematocrit and hemoglobin, not all physicians have the same opinion ..........

    My order for phlebotomy is good for 2 years at the local Houston blood bank. I don't need a physician to tell me when to give blood. It would be your decision unless you require a new order every time.
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