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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Changed plan slightly in coordination with provider.
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<blockquote data-quote="TDCNINJA" data-source="post: 141726" data-attributes="member: 38505"><p>If you've ever wondered if the information that you provide to newbies ever does any good, the answer is yes.</p><p></p><p>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:</p><p></p><p>BEGIN T Cyp 200 mg/mL – 0.05 mL (10mg) SQ Daily. 27G 1/2” insulin needle</p><p></p><p>BEGIN HCG 100 IU SQ Daily. To reverse/prevent testicular atrophy. Increase Free T.</p><p></p><p>BEGIN Anastrozole 0.125 mg one by mouth. HOLD until 3-month labs are in and PRN per elevated E2 symptoms</p><p></p><p>BEGIN DHEA 25 mg one by mouth every night. To Decrease SHBG and Raise Free T.</p><p></p><p>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.</p><p></p><p>BEGIN GABA Injectable, 10mL 100mg/ml inject 0.25ml-0.5ml every night . PRN - helps with sleep.</p><p>*Patient may order enough bottles to last 3 months according to their rate of usage.</p><p></p><p>CONTINUE Metformin 500mg twice a day -</p><p></p><p>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).</p><p></p><p>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.</p><p></p><p>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</p><p></p><p>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.</p><p></p><p>Any comments on my plan are most appreciated.</p><p></p><p>Thank you</p></blockquote><p></p>
[QUOTE="TDCNINJA, post: 141726, member: 38505"] 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 [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Changed plan slightly in coordination with provider.
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