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I have now. Amazing resource. Thank you.

Any practicing providers out there want share some CME or certifications they think would be valuable for someone thinking about offering testosterone replacement and/or peptides to patients? I've already logged quite a few hours on this site and have read just about every post made by Dr...

Will likely keep using my remote provider for TRT and thyroid management, but like the idea of having a PCP who is on the same page. Anyone know a good primary care doctor in the Phoenix area who manages this stuff well? I'm between the Biltmore and downtown areas of Phoenix. Thanks.

Thanks, Vince. I will time my next labs accordingly. Reducing dose for now. I think I am a little hyperthyroid, since I've been having trouble keeping my weight up.

Looking for feedback on www.peakwellness.com/ and the CEO/Medical Director Dr. Colker. I saw a a post suggesting he might have been with Defy at one time. Anyone worked with them or him, or heard from someone who has?

From what I've read, an elevated RT3 and FT3 can also be seen in people taking NDT, due to the higher amount of T3 in NDT. - A reverse T3 ratio greater than 20 does not indicate good health any more than a normal TSH does

I know, should've checked a free T4. Just did the labs my doc ordered and didn't think about it until the results came back. Lab draw was 2 hrs after taking AM dose of 60mg Armour.

After doing some more reading, it seems like adding T3 wouldn't make any sense. And that testing the Reverse T3 in the first place was probably not useful.

My latest labs show an elevated RT3, with a good FT3 . First time checking RT3, so not sure what it was at baseline. Taking 60mg NDT AM and 30mg in the afternoon. Definitely less foggy and need less caffeine since starting NDT 1 yr ago, but could still nap most days if I had the...

Fortitude training, by Dr. Scott Stevenson. Great 4 day split with titratable volume tiers. Free templates available to check it out and reasonably priced ebook to get all of the details, if you like. Also addresses concerns about upper/lower on same day with alternating set types. Lower...

The OP of that same thread I believe you are referring to mentions alternating 10mg/day for 8 wks and 20mg/day for 8 wks for those with ambitions of competing. Says he did it non-stop for 5 years until he retired and has been doing 10mg/day ever since. Theory is that it allows for time to...

This MT2 has been stored in the fridge, dry, not yet reconstituted for about 6 months. Today it looks like this. Still okay, or toss it?

Just wanted to follow-up. Seems like doing nothing was the best plan. Things seem to be settling in nicely. Retested 3 months ago and then again last week. E2 was 57.5 at last check. Still haven't touched the AI. Feeling great. Continuing to put on lean bodyweight, ~10 lbs total over past...

This image might help.

Thanks for linking to this. Very interesting. Dr. Ramasamy doesnt seem to be too worried about treating E2 until it's over 60. And Dr. Saya seems okay with 45-50. I will likely keep testing and see where mine settles.

I rested after another 5 weeks on my EOD protocol (9 weeks total) and numbers are all down. E2 is still high, but feeling pretty good. Total T 861 (264-916) Free T 20.9 (6.8-21.5) E2 57.7 (8-35) Trying to decide if I hold steady and retest in a few months or try some tweaks to see how it feels.

Something else to consider after a trial of Carnivore: Stan Efferding's "Vertical Diet" is another elimination type diet, highly focused on gut health, with red meat at its center, but also includes other easily tolerated foods to balance out micro-nutrient needs. It's pretty much how I eat...

Personal accounts and some good links to other resources. http://meatheals.com/about/ Shawn Baker's podcast is pretty good. https://humanperformanceoutliers.libsyn.com/ Shawn Baker's site and some good interviews https://www.shawn-baker.com/media Some interesting podcasts for a related...

Ah, I see. Thanks. Sounds like this discussion may be a little premature then.

Well put. I will be sure to go slow with any changes. Anyone have thoughts on what to change first, when the time comes? Less test, less hCG, etc.? I know a subset of guys don't do well with hCG.

Could be. I was expecting some sort of a leveling out period with the change to injections, like I had with the clomid, but have been feeling very even. I have some anastrazole sitting on the shelf just in case I start getting the urge to shop for shoes though.

Good points. I wonder if it was a lab error. I feel great and have no typical high E symptoms. I might even be less cranky than usual, sex drive is so high it's almost too much, and body comp. has improved quite a bit.

Just to clarify, I was injecting test for ~90 days before the labs. The last month of which I switched to EOD injections from Q 3.5d.

I am having great results after switching from clomiphene to testosterone/hCG. Estradiol is elevated, but I am feeling good. Do I just hold the course if things are going well, even though E2 is 72.8? Protocol for one month prior to labs was 50mg test cypionate and 250iu hCG every 2 days. I...

Results after switching from clomiphene to testosterone New protocol for past 3 months has been 50mg test cypionate and 250iu hCG every 2 days. Feeling great. Visible physique changes, with increased lean mass and decreased fat as measured by scale and calipers. Started at 173 lbs., now...

This is how I have been doing the delt z-track. https://www.excelmale.com/forum/showthread.php?11985-Testosterone-leakage&p=83330&viewfull=1#post83330

Yes, 1/2" 27g insulin syringe. No need to aspirate with those locations. Z-track is done by pulling the skin taught, administering injection, removing needle, and then releasing skin. The purpose is to keep irritating medications from leaking out of the muscle and into the sub-q space...

Just a quick followup. So, first I found a way to make things worse. I tried a deeper IM injection with a smaller volume, thinking maybe I was not tolerating shallow IM/Sub-Q and that IM might be the way to go: 23g 1" 0.25ml in Left Dorsal Glute, which led to even greater pain, swelling, and...

Compounded 2/27/2018 Exp: 2/28/2019 Lot: TC20G150

It's a fair question. Although anything is possible, my technique is pretty good. Post shower, scrubbed both vial and site, allowed to dry. Infection was certainly in my differential. It just didn't seem to get quite angry enough looking, in my opinion. And the mass wasn't fluctuant, like...

Thanks! Where did you learn that method, out of curiosity? Did you have any bad sub q reactions before trying it this way? I started with 0.45ml Q3.5d, but have been experimenting with 0.25no Q2d to see if lower volume = less site reaction. I have been using a separate site for hcg. I did...