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  1. T

    Staging Prostate Cancer - MRI, PIRADS, & PSMA | Are Biopsies Still Needed?

    More great insights from Dr. Scholz. Thanks. Looks like he is in Marina del Rey. Anyone that has seen him and can give us personal viewpoint?
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    Staging Prostate Cancer, PSA Screening, and What If You Have a High PSA?

    Excellent snapshot of the latest trends in dealing with prostate cancer. Thank you.
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    Enclomiphene source

    Tailor Made seems to have it at this point. Empower does not seem to have it at this point.
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    Testosterone in Atrevis hydrogel base = almost double test levels!

    Nelson, when I saw your post and spoke to one of the pharmacists at Empower about getting T cream with the Atrevis base by request, she was not aware of this. She said there would have to be enough demand from providers to make a business case for it. She said she does know you but she was not...
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    Testosterone in Atrevis hydrogel base = almost double test levels!

    For even better absorption (non-scrotal) of Empower cream, use Neutrogena Deep Clean Facial Cleanser to break down the natural skin barrier a bit, and then a hot washcloth compress, and then the cream. Tripled my absorption.
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    Testosterone in Atrevis hydrogel base = almost double test levels!

    I recently spoke with a pharmacist at Empower regarding them offering the Atrevis base in their testosterone cream. I explained the increased absorption. They already use Atrevis in a nasal testosterone product. I was told that we could not currently just "request" an Atrevis base in...
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    HPTA Restart - HCG / Clomid

    On 11/23/20 you posted: "I still have a pretty good libido, ok energy, a little depressed, foggy, and soft erections. I have really noticed much of an increase in testicle size, but the volume of my load has increased." How are each of these things now that you have completed the enclomiphene...
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    Hospitals in the US will now have to show prices to patients ahead of time

    With forced transparency now, hoping for competition rather than collusion on pricing. Those who receive fat bonuses and commissions within the currently opaque system will not give them up easily.
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    Blood Draw Timing When On Cream

    2-3 hours after application of cream. Gel timing may be different.
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    Enclomiphene Lab Results

    Yes to being a Defy patient and yes to labwork. defymedical.com
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    Stopping Testosterone Injections for Enclomiphene

    What is the purpose of 12 days HCG prior to 28 days Enclomiphene if Enclomiphene can perform same ultimate restoration function as HCG?
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    Enclomiphene Lab Results

    Defy Medical currently has Enclomiphene available, sourced from Empower Pharmacy. Defy is an affordable option for hormone replacement, so give 'em a shot.
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    Enclomiphene Lab Results

    You also might consider trying EOD on enclomiphene dosing to see what it does to your numbers and subjective response.
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    Seeing small dots/circles in bright light in one eye

    Agreed. One caveat. When my wife had this process happen, she immediately went to an opthamologist on a Saturday night. He MISSED seeing a retinal tear (or any PVD). A couple of days later the curtain came down on her vision. He had sent her home with assurance that all was ok. She ended up with...
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    Seeing small dots/circles in bright light in one eye

    Likely floaters from the process of Posterior Vitreous Detachment (PVD). They can look likes dots, strings, spider webs. You just need to keep an eye on it and see if/how it progresses. A good optometrist can even see these upon close examination. The next level up would be an opthamologist and...
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    Stopping Testosterone Injections for Enclomiphene

    Thanks, CKO. Those are nice labs. What was your Total T baseline before enclomiphene? How long were you on enclomiphene? Why the anastrozole along with enclomiphene? Did you ever try enclomiphene without anastrozole? If so, any different result? Most importantly, if you went back on...
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    Stopping Testosterone Injections for Enclomiphene

    Thanks. When i was on clomiphene for several years I titrated down to 12.5mg E3D and found it to still be effective from a lab results perspective. However, this may have been due to the much longer half-life of the zuclomiphene isomer. It was never effective subjectively at any dose.
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    Stopping Testosterone Injections for Enclomiphene

    Cataceous, thanks for the reply. Would like your opinion. Given the half-life of Enclomiphene at 10.5 hours, f you were doing monotherapy, would you structure the dosing a couple of times a day (every 10.5-12 hours) to achieve a steady state after 4-5 doses? Or, as I have seen you mention, would...
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    Stopping Testosterone Injections for Enclomiphene

    What dose were you taking and how often?
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    Stopping Testosterone Injections for Enclomiphene

    For those recently or currently on Enclomiphene, can you give us an update on your protocols, labs, and subjective responses? Thanks.
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    Cream levels super low

    Should do labs a couple hours after your morning dose of cream.
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    Cost of Care With Defy Medical - It's Less Than You Think

    What is status of Defy offering enclomiphene through Empower?
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    High TT, low FT, high SHBG

    No, T cream by itself. T cream caused some testes reduction but not bad.
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    Restoring testicle size

    Defy Medical has legitimately sourced enclomiphene from Tailor Made Compounding and possibly soon from Empower Pharmacy.
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    Stopping Testosterone Injections for Enclomiphene

    Just to be clear: Clomiphene has two isomers, enclomiphene and zuclomiphene. Enclomiphene is the estrogen antagonist that we want. Zuclomiphene is the estrogen agonist that we don't want. So, now we can try enclomiphene from Tailor Made Compounding, in either 12.5mg or 25mg strength. Defy is...
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    Has anyone tried creams and felt better on injections?

    Thanks for the update on quantities. Wow. 20% cream in a TopiClick at 400mgx2=800mg/day would get expensive. Through Defy you pay $72 per 30ml TopiClick plus shipping. 50mg per click=16 clicks for 800mg/day. Topiclick has 120 clicks, so 7.5 days. So about $10/day at that rate! Almost bathing in...
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    Stopping Testosterone Injections for Enclomiphene

    What is your enclomiphene protocol?
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    High TT, low FT, high SHBG

    I had these numbers when I was using clomiphene. Switching to T cream helped. I tried all the tricks for lowering SHBG and none of them worked.
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    Weak/Bad batch of trt cream

    If your Topi-Click containers were purchased at the same time it would be unlikely for them to be different from a quality perspective.
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    Enclomiphene - Tailor Made Pharmacy *** 4 month results ***

    Everyone is somewhat different in their response to TRT. Enclomiphene has been on the path to production for years, but only recently made it in a legit form to Tailor Made Compounding. Having Empower compound it would provide a trusted alternative source. That said, I myself have not tried...
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    Enclomiphene - Tailor Made Pharmacy *** 4 month results ***

    I sent a note to Defy regarding Empower possibly compounding. Here was their reply: Good Afternoon, Empower Pharmacy is exploring the option of compounding Enclomiphene, but it's not confirmed yet Thank you for choosing Defy Medical,
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