Bulletin shortages: Testosterone cypionate and hCG. Source: D.I.S. University of Utah, May 25

Re-Ride

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Pfizer and Paddock cypionate preparations for injection ARE available. Please read this before continuing:
http://priceonomics.com/the-great-toilet-paper-scare-of-1973/

It's not unusual for certain brands to become unavailable. ASHP is a convenient source to check availability and track trends of many drugs.

http://www.ashp.org/menu/DrugShortages/CurrentShortages/Bulletin.aspx?id=638

West-Ward reports "manufacturing delays" and has 200mg/10ml vials on weekly allocation

Sun Parma, unavailable, did not report a reason and can not provide estimated re-supply date at this time

Paddock had cyp on shortage "due to increased demand and shipping delays" but now seems available

Novarel and APP hCG have been reported to me as unavailable at certain west coast chains. I don't see this on ASHP.

If you're considering hoarding don't. Testosterone cypionate is very stable. The oil the injection preparation it's dissolved in not so much. Store vials in a dark place at stable room temperature and use by expiration date or before beyond use date.
 
update: Novarel won't be available I'm told today until sometime in July. Generic hCG by APP is available. Your pharmacist, depending on local state rules, may not be able to substitute generic unless he states that this is o.k. on the script. Advise members to check with both the pharmacy and the insurer in advance of MD appointment.

Another hitch: Distributors are now restricting which pharmacies they will allow access to "specialty drugs".

Ordering from a compounding pharmacy like Empower bypasses all of the above.
 

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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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