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    Ask Dr Rand McClain

    I'm really glad you got the Doc to come on here. I feel very fortunate to have him as my doctor, he is a wealth of knowledge and speaks very highly of you as well Nelson. Welcome Dr. Rand!
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    Testosterone regular vs Testosterone LC/MS assay

    My questions is on the standard test it won't show your total test level if it's above 1500. But will it give you an accurate free test number? The price difference between these two test is significant. Any input would be appreciated.
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    Does anyone use Nandrolone (Deca Durabolin) ?

    I've been following this thread and I'm curious, a few people have mentioned that a side effect of nandrolone would be lethargy/fatigue. Is this common and why would it happen.
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    Estradiol in Men: Interview with Urology Professor Dr Ranjith Ramasamy

    Thanks Dr.! I appreciate your time and input.
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    Estradiol in Men: Interview with Urology Professor Dr Ranjith Ramasamy

    Question: The Doc mentioned that gyro can take place in the absence of high estradiol. He said in the interview he would treat this with tamoxifen 20mg twice daily. He mentions this could be a result if elevated IGF-1. I have some pain (sensation) and a small hard lump in one of my nipples...
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    Muscle cramps?

    None of the above!
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    Muscle cramps?

    Thanks for the reply Vince. I just did updated blood work yesterday. My hydration is consistent I drink 80-100 oz a day of water. Nothing really changed I just get cramps now so I guess we will see if something comes back on the blood panel. I did a CBC about a month ago while i was over seas...
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    Muscle cramps?

    Anyone else get muscle cramps after starting TRT? I rarely ever had one until starting TRT, now I seems to have them frequent and somethings they can be quite painful. Could this be anastrozole related? I do supplement with magnesium. I have a follow up with my Dr. on the 7th and I was going to...
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    Does anyone use Nandrolone (Deca Durabolin) ?

    I'm curious if any of you who have run/ran low dose Nandrolone 100-200 with your TRT experienced any noticeable boost in libido while taking it? Because of the obvious bump you would get in free T, also if so did you notice any reduction or problems after stopping.
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    Challenges With TRT

    Ok it was just a thought since no one else mentioned it. HbA1c is the 3 month average of your blood glucose.
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    Challenges With TRT

    Where you fasting when you did this blood draw? Your glucose is elevated, so that's something you might want to look into. Also get you HbA1c done.
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    High SHBG

    This was a reply to a questions asked. All my test have been serum, although i did do a saliva panel as well with my last Doc, who I'm no longer interested in working with.
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    High SHBG

    A saliva hormone panel diurnal cortisol, dhea, progesterone, testosterone, estrogen.
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    High SHBG

    Yeah that was from the 10/25 This was the first time I ran SHBG and I ran this lab on my own. The test I ran before that a full saliva panel and everything was pretty normal except for the T was on the low side. So I guess we will see what the doc says next week.
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    High SHBG

    I appreciate your input! My vitamin D is finally in check it was low for several years but I just had it checked with these last labs and its finally in range 68 (30-100 ng/ml)
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    High SHBG

    Everything seems to be normal. I guess I will see what my new doc says.
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    High SHBG

    Interesting as it's been a few months. My last Thyroid panel was 10/25 and my T3, free was 3.4 (2.3-4.2) pg/ml
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    High SHBG

    I'm currently on Nature-throid 1 grain 65mg. I don't feel that bad, I've felt worse with higher T. Sex drive has been pretty shitty lately so at least the result explain that. I've looking forward to starting with a new doc and doing injections. I think the cream has just shut me down and I...
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    High SHBG

    Any thoughts on high SHBG? My latest labs go as follows: Total T 462 ng/dl ref. (348-1197) Free T 5.1 pg/ml ref. (6.8-21.5) Estradiol sensitive 11 ref. (8-35) SHBG 101.1 nmoll/L ref (16.5-65.9) My total T was 898 back on 10/25 this test was on 11/10 Taking 100mg of compounded cream daily. I...
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    Low SHBG and how to raise it? Other Questions

    Would this be the same for high SHBG?
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    Am I and outlier ?

    The first serum test is pre-TRT. As others had mentioned I'm sure it's high SHBG, because the total T was in the high normal range but my free was pretty low comparable.
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    Am I and outlier ?

    Hi All! I will make this as brief as possible. How many of you here have high total test but low free test in the TRT value? My first serum test came back as: (Pre TRT) Total T 1044 (250-1100) ng/dl Free T 59.4 (35-155) pg/ml Estradiol 35 <39 I had all the low T symptoms so the doc...
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