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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
22 Years Old - Starting TRT - HELP ME NOT **** MY LIFE
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 51347" data-attributes="member: 12687"><p>Many little pearls (though not applicable to all):</p><p></p><p>Higher presenting LH = typically needs higher HCG dosing (longterm) to prevent testicular atrophy</p><p></p><p>Lower SHBG - smaller/more frequent EVERYTHING (T cyp, HCG, anastrozole)</p><p></p><p>Lower SHBG = generally more sensitive to E2 levels >35pg/mL</p><p></p><p>Higher progesterone = can tolerate higher E2 levels asymptomatically</p><p></p><p>Higher HgB/HCT in the setting of low baseline T levels = smoker, lives at high altitude, excess iron, or...VERY commonly SLEEP APNEA</p><p></p><p>Lower DHEA (in setting of anxiety/stress) - often "pregnenolone steal" with shunting to cortisol (especially if concurrent low-ish progesterone)</p><p></p><p>The list goes on and on, with many nuances of each!</p><p></p><p>Just arrived in Atlanta to take care of some business the next few days, so retiring for the night. Take care all and hope to talk soon Tarnation!</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 51347, member: 12687"] Many little pearls (though not applicable to all): Higher presenting LH = typically needs higher HCG dosing (longterm) to prevent testicular atrophy Lower SHBG - smaller/more frequent EVERYTHING (T cyp, HCG, anastrozole) Lower SHBG = generally more sensitive to E2 levels >35pg/mL Higher progesterone = can tolerate higher E2 levels asymptomatically Higher HgB/HCT in the setting of low baseline T levels = smoker, lives at high altitude, excess iron, or...VERY commonly SLEEP APNEA Lower DHEA (in setting of anxiety/stress) - often "pregnenolone steal" with shunting to cortisol (especially if concurrent low-ish progesterone) The list goes on and on, with many nuances of each! Just arrived in Atlanta to take care of some business the next few days, so retiring for the night. Take care all and hope to talk soon Tarnation! [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
22 Years Old - Starting TRT - HELP ME NOT **** MY LIFE
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