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Thanks for posting this.

We decided at our office that we will now give our patients the phone number of the pharmacy to call when their orders are so late. We spend our entire day looking into late prescriptions! It’s unsustainable. They need to have the patients contacting them all day, instead of us. Then maybe...

The main reason for these delays is Semaglutide. The pharmacies have decided to take on all these new weight loss clinics that recently popped up to sell semaglutide. I told my contacts at Empower that they need to have two separate pathways for incoming prescriptions and ensure that HRT...

HCG desensitization If you go by the same logic, just because your body produces high levels of other hormones when you were younger, does that mean that exogenous supplementation would not cause down-regulation of receptors? When on TRT, you don’t need Year round HCG. Just because you can do...

Progesterone also opposes estrogen in your system, allowing you to use less arimidex, which is always good. Low dose progesterone is also good for brain health. I get my arimidex compounded with progesterone and diin.

A few things...I've been dealing with APS for 3 years now, as an HRT clinic owner. I've never seen a red capsule from APS, for ARIMIDEX (anastrazole.). They are always blue. So, maybe there's a mix up. That said, they do come in capsule form bc branded and generic anastrazole only comes in 1mg...

Actually, I like how it's worded on the Defy Medical website. This is what seems to be the case with sermorelin, most often. Because of the pulsatile nature of how the pituitary releases gH, bloodwork isn't the most reliable way to determine if sermorelin is working. Here's a cut and paste. I...

Thank you! Yep, we use Quest DX. Even their testosterone levels have anything above 800 as "high," where Lab Corp uses a much more realistic number of something like above 1,100 or 1,196? as "high." Not that it's a big deal to us, but patients, who may not be as "educated" on labs can get...

This is very helpful. Thank you! The other strange thing is that I almost NEVER see a patient's baseline IGF1 outside of the normal range. It always seems to be smack dab in the middle of the normal range! Is that consistent with what you see? I almost hate to do follow up IGF1 tests (but we...

Interesting. We see great results in many patients on the sermorelin we use, from APS Pharmacy. Just never saw a significant change vs baseline for IGF1 levels. What kind of increases in IGF1 do you see, on average, if you don't mind me asking...for patients on sermorelin? Assuming .5mg to 1mg...

In theory, yes, but I've happened to test hundreds of patients on up to 1mg per day and NEVER ONCE saw an increase in IGF1 levels during the day. Never ever ever. Despite seeing fantastic results at that dosage. Have you run a lot of IGF1 tests on patients taking sermorelin? If so, are you...

That's because these drugs have very short half lives. You inject at night before bed and it releases gH, then goes back down to normal fairly quickly. Also, 4 months isn't long enough. You only start to see benefits from sermorelin after about 3 months. Get majority of benefit by 6-8 months...

That's why it's so important to do bloodwork and see what is the right dose of the AI. Unlike most clinics, we don't charge for bloodwork or consults, and bloodwork is so inexpensive. Most clinics use it to make money. We have well over 300 patients and have never once seen a patient out of the...

AI's and finasteride With the AI's, if you're doing regular bloodwork, you'll have no trouble keeping your estradiol levels well within the normal range. Taking .5mg of anastrazole twice weekly will not kill all of your estrogen. You just can't take 1mg per day. It also stops you from retaining...

I hear you on the finasteride, but you can't avoid it with those men who are very sensitive to DHT, get acne, prostate enlargement and/or hair loss from test converting to DHT. It's a "necessary evil," at times, unfortunately. I've had 3 kids and a vasectomy. We don't have many patients, who are...

Really? Haven't tried sub q. Only IM. I like the once a week and done. Plus, I'm a subscriber to the bolus injection that gets you over 1,000 ng/dL for 4-5 days, then down to about 800/900 by day 6/7. When you do low doses every other day, you do keep a consistent blood level, but really never...

We, at ReGenesis, have used both injectable, as well as creams/gels. To obtain similar blood levels as an injection you have to assume that only about 10% of the cream dosage ever makes it through the skin. So, you have to use 300mg of testosterone cream/gel PER DAY, in order to get about 200mg...

Sermorelin allergic reaction Just reading this post. Crazy! Since I posted last in March, one of my friends, who had been taking sermorelin 0.5mg per night, for about 7 months with no issues, had a full blown anaphylactic reaction. He had taken injections from this same vial already, as well...

We, at ReGenesis HRT, have recently started prescribing injectable Aminos...particularly GAC (glutamine, argenine, carnitine.). I have been extremely surprised at the positive feedback I am receiving, after just one week! I didn't expect to receive such positive feedback so quickly, to be...

Sermorelin allergic reaction Very interesting. We've had this same thing happen with several of our patients, who had already been on sermorelin and had even taken injections from the same vial. I considered the issue of them hitting a vessel, but upon further questioning, every one of these...