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Just diagnosed with bilateral inguinal hernia. Asymptomatic. Incidental finding, so who knows how long I've had them. Opinions as to whether to repair or watchful wait vary widely. This would precede my diastasis recti/umbilical hernia repair surgery. Advice appreciated.

Don't know why PS even keeps these old older peptide around. No one I know uses sermorelin or GHRP-2 or 6 much anymore.

No noticeable difference yet on enclomiphene. Another compound you might want to try is a bioregulatatory peptide called Testagen. I started it but ran out, so didn't have a chance yet o evaluiate it.

Whatever increase I might have observed early on was short-lived and I've moved on to other compounds (enclomiphene).

The fact you have an umbilical hernia indicates that there is some sort of intra-abdominal pressure causing that to happen. That is a 2015 photo before all this started but shows the beginning of possible DR where that diamond indentation is. I am about 20lbs heavier now and with severe DR...

Update: Surgeon says I will first need to address the intra-abdominal visceral fat. If I do not, the repairs will be under a tremendous amount of pressure and subsequently will likely fail, leaving me right back where I started. What I again can’t figure out is how it’s possible I have have...

It is possible that something your ingesting is blocking absorption of iron. Phytates in foods, turmeric, milk thistle, certain meds are all chelators/inhibitors. Or - you have gut issues which are contributing to malabsorption. I have similar issue (see my post above) and don't have any other...

Then what else do you suggest when after a month, no change in levels in my case?

Started on 12.5mg/day on July 26. Rx from Empower Pharmacy. Took my dose first thing in the morning with water only. After 27 days, no change at all in total (443), free or bioavailable T nor any change in E2, FSH/LH. I also expected to see a drop in IGF-1 since enclomiphene is supposed to...

Update: I've come a long way since my initial post when I had no clue what was going on with my abdomen. Thanks to BigTex for calling it out at the get go. I finally found my answers and hopefully the expert surgeon to correct these defects. I didn't want to report back until I had my...

Out of all the stem cell/PRP providers, Regenexx seems to have done their homework and has the most factual data to back up their claims. The only thing I would say is to make sure and get inflammation under control before doing any orthobiologic treatment otherwise it will all be for nothing.

Exactly. Sleep with dogs, wake up with fleas. Par for the course.

https://support.maximustribe.com/en/articles/6325759-are-blood-clots-a-side-effect-of-enclomiphene-king-protocol Since it is the zuclomiphene isomer in clomid that accounts for many of the unwanted side effects, including blood clots (as detailed in this paper), why would there even be a...

Does anyone know of a way to contact Empower directly? Completely inefficient and incompetent running all calls through a call center in India that won't provide a direct #. Not acceptable.

What were your E2 levels before and after taking both clomid and enclomiphene?

https://support.maximustribe.com/en/articles/6325759-are-blood-clots-a-side-effect-of-enclomiphene-king-protocol Since it is the zuclomiphene isomer in clomid that accounts for many of the unwanted side effects, including blood clots, why would there even be a theoretical concern in using...

Wouldn't it be more prudent to use something like preg or DHEA to optimize E2 levels and help restore libido? The zuclomiphene isomer has so many other drawbacks I would be concerned about (ocular issues, blood coagulation, etc.).

Have not heard of a drop from enclomiphene. And what would be the reason you want to add in clomid? Estrogen too low?

Empower Pharmacy is the only one I know of. There are others marketing it like Maximus, but the markup is huge. Cheapest I have found is to have your get your doc write a scrip for it and fax it in to Empower.

First impression of Empower is that they are extremely inefficient. It appears that incoming calls go through some sort of second-rate call center in India, then are screened and you're on a wait time with other calls ahead of you, then you're put on hold while they look up your scrip. Too many...

My copper levels are within range.

Can anyone hack these values and tell me how one can continue to have normal-high serum iron levels, occasional high % sat, low normal hct/hgb/rbcs and low normal ferritin? Not on TRT, negative for any internal bleeding. I do seem to fit the description of "iron avidity" as described here, but...

That being said, I assume no increase in E2? Anyone else notice an increase? Would it not make sense that since testosterone is increased, so too would E2 from normal aromatization.

What's your dose and frequency? Pre and post wo? Some reports of it causing bubble gut. Something I definitely don't need.

Curious, why would someone want to use DES instead of LR3? Only reason I can think of is DES will give immediate short term pump and has to be site injected (i.e. bilat biceps) whereas LR3 has a much longer half-life and is systemic. Do you see spikes in IGF-1? Insulin? Glucose? Using it for...

A followup to the Fourier Trial: Study Alleges Mortality Miscount in FOURIER Trial; TIMI Group Disagrees https://www.medscape.com/viewarticle/986634?icd=login_success_email_match_norm Doesn't give me much confidence.

Thanks. Here are some links of concern: Doubling of Hemoglobin A1c on PCSK9 Inhibitor Therapy Restoring mortality data in the FOURIER cardiovascular outcomes trial of evolocumab in patients with cardiovascular disease: a reanalysis based on regulatory data The latter study casts further doubt...

I have a scrip for Repatha but haven't yet started. Covered by insurance so cost not an issue. Was concerned that LDL would go too low and cause issues. Also, side effects. Read that it can cause hyperglycemia (diabetes). Any input would be greatly appreciated.

Thanks for the response. I am 63, with some issues (hypertension, past blood clot, sleep apnea) for which I am being treated and stable. Both TT and FT are less than optimal. I wanted to first try compounds that could help optimize T levels naturally so I started with herbal boosters and...

Thanks. That is ~27% cheaper than Defy's price for 12.5mg, I believe also sourced from Empower. I assume your doc isn't tacking on any profit. What symptoms did you feel were not resolved? Any side effects similar tyo clomiphene (i.e. ocular impairment)? Did you observe any changes in body...