Changed plan slightly in coordination with provider.

[TDCNINJA]

If you've ever wondered if the information that you provide to newbies ever does any good, the answer is yes.

Because of the information I read from the experienced members on this site, as well as several of Nelson's interviews with TRT doctors as well as published clinical studies, I had an additional phone consultation with my provider from Defy and we now have a new plan as follows:

BEGIN T Cyp 200 mg/mL – 0.05 mL (10mg) SQ Daily. 27G 1/2” insulin needle

BEGIN HCG 100 IU SQ Daily. To reverse/prevent testicular atrophy. Increase Free T.

BEGIN Anastrozole 0.125 mg one by mouth. HOLD until 3-month labs are in and PRN per elevated E2 symptoms

BEGIN DHEA 25 mg one by mouth every night. To Decrease SHBG and Raise Free T.

BEGIN NDT 0.5 Grains (30 mg) (or T3/T4 equivalent 4.5/19 mcg) - One by mouth every AM, for two weeks. Then can increase to 1 Grain (60 mg) by mouth every AM, for two weeks. Then can increase to 1.5 Grain (90 mg) by mouth every AM, for two weeks. Then can increase to 2 Grain (120 mg) by mouth every AM, for two weeks. Can continue to titrate 0.5 Grains (30 mg) in intervals of 2 weeks or longer, per benefit and tolerance as discussed, STOPPING at a maximum of 3 Grains (180 mg). Stop titration if any hyperthyroid symptoms occur and go back to the previous dosage starting the next day. Take first thing in the morning upon waking, on empty stomach, at least 30, preferably 60 minutes before breakfast.

BEGIN GABA Injectable, 10mL 100mg/ml inject 0.25ml-0.5ml every night . PRN - helps with sleep.
*Patient may order enough bottles to last 3 months according to their rate of usage.

CONTINUE Metformin 500mg twice a day -

BEGIN TADALAFIL 25mg ODT - take 1/4 of tablet SL every day. May take one to two additional 1/4 tablets on days of anticipated sexual activity. (1/4 daily for ED/BPH).

BEGIN Ipamorelin 15mg vial- STARTING dosage of 500mcg SQ every night . For Growth Hormone Stimulation and to increase IGF-1 and decrease SHBG and increase Free T. ***NO CARBS 2 HOURS PRIOR TO BEDTIME. HOLD until the first 3 month labs are in.

Follow Up in 3 months, sooner if needed. + Limited Labs: CBC, TT/TF, E2 sensitive, DHEA Sulfate, SHBG, FT4, FT3, RT3, Ferritin, A1C, IGF-1, Vitamin D

As far as the Anastrazole goes, it is my desire to never ever touch the stuff if I have the choice. That is one of the reasons I am beginning T with daily low-dose subQ injections.

Any comments on my plan are most appreciated.

Thank you

 

[Charliebizz]

Omg that’s a lot of medication to start at one time. How the hell can you know what is doing what.

 

[Systemlord]

That's quite the morning/nighttime ritual, suggest an organized pill holder A.M/P.M. container.

I'm not a fan of anastrozole either, everytime I touch the stuff it destroys me. I once took a few grains of powder from a 0.050 capsule and had capable erections on demand for 12 hours, never could get the dosage correct.

Same goes for aromasin, never could get the dosage low enough. Been without AI's for almost several weeks, doing much better.

 

[TDCNINJA]

Omg that’s a lot of medication to start at one time. How the hell can you know what is doing what?

The Anastrozole and Ipamorelin are on hold until after we see the first follow-up labs in May. So, basically, we have T, HCG, DHEA, and Thyroid. All based on labs.

I've already been taking Metformin for 2 years. I requested the Gaba for anxiety relief.

This is what my provider at Defy put me on and I'm very comfortable with that at this point. I'm starting on very low doses. We will look at the labs in May and adjust if needed.

Charlie, I'm just beginning. I don't know Jack about Men's health. Thank God, I didn't go to my family Doctor or ask the roid heads at the gym, or to some Endocrinologist in the phone book, or to the "Low-T Center." At least I was smart enough to go to Defy to get started.

 

[TDCNINJA]

That's quite the morning/nighttime ritual, suggest an organized pill holder A.M/P.M. container.

I'm not a fan of anastrozole either, every time I touch the stuff it destroys me. I once took a few grains of powder from a 0.050 capsule and had capable erections on demand for 12 hours, never could get the dosage correct.

Same goes for Aromasin, never could get the dosage low enough. Been without AI's for almost several weeks, doing much better.

Agreed. I bought a 7-day pill box with Morning, Noon, Evening and Bedtime compartments for each day. 28 total compartments.

 

[Charliebizz]

The Anastrozole and Ipamorelin are on hold until after we see the first follow-up labs in May. So, basically, we have T, HCG, DHEA, and Thyroid. All based on labs.

I've already been taking Metformin for 2 years. I requested the Gaba for anxiety relief.

This is what my provider at Defy put me on and I'm very comfortable with that at this point. I'm starting on very low doses. We will look at the labs in May and adjust if needed.

Charlie, I'm just beginning. I don't know Jack about Men's health. Thank God, I didn't go to my family Doctor or ask the roid heads at the gym, or to some Endocrinologist in the phone book, or to the "Low-T Center." At least I was smart enough to go to Defy to get started.

yes your in good hands hope it all works out well for you. I’m just speaking on my experience. I have a hard time figuring out what one medication does to me let alone a few. But biggest thing I think we all learned here is we are all so different.