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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Clomid Journey Over; Starting TRT
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<blockquote data-quote="Esq" data-source="post: 95004" data-attributes="member: 15250"><p>My 3 month consult with Dr. Saya took place this morning. As always, it was a pleasant and informative conversation. Overall, he's happy with how my labs look. He wants to keep on eye on the slightly elevated potassium. My lipid profile still look fine even with the slightly elevated LDL, but obviously we'll keep monitoring that. He wants to see total T come down a little from my last trough of 1278 to somewhere between 900 and 1200 and free T come down from almost 38 to somewhere between 25 and 35. He also wants to see sensitive e2 come up from 21 to somewhere in the high 20s or low 30s. So, a few protocol changes:</p><p>.</p><p>* Moving from 64mg test every 3.5 days (128mg/week) to 36mg test M-W-F (108mg/week). I have noticed a fairly regular low in the 12-24 hours leading up to each injection, so he thinks going to M-W-F might help this. The lowered dose reflects the desire to bring the numbers down a bit and also the more frequent dosing. We discussed EOD as an option as well, but for now we'll give M-W-F a try. </p><p>* Moving from 0.125mg anastrazole EOD to 0.125 twice a week, taken with my HCG dose (which will remain the same at 400iu every 3.5 days). </p><p>* I started doing regular blood donation when I decided to begin TRT, but Dr. Saya suggested not donating any more (last donation was mid-December) until we see where HCT is after follow-up labs. He thinks I may not need to donate regularly, and perhaps not at all, based on current HCT.</p><p>.</p><p>All in all, I'm pleased with my progress so far and hope that these minor adjustments get me closer to a dialed-in protocol. Dr. Saya wants me to get follow-up labs in 10 weeks and then we'll talk again in 12 weeks.</p><p>.</p><p>Two quick c/s related applauds - first, Defy let me go ahead and schedule my 12-week follow up today, which was nice. Waiting until labs are ordered (or come back) can lead to delay sometimes, so I really appreciated that. Second, I noticed that the order confirmation email I received today was much more descriptive on the process from order to delivery, even listing realistic delivery timeframes (8-11 business days for standard, 5-7 business days for express, and 4-5 business days for expedited). I sincerely applaud Defy for making those changes to their email confirmations as it makes the entire process much more transparent to the patient. Hopefully that resolves future delivery-delay-related-complaints with patients (which we're not allowed to post here anymore anyway). Nice work!</p></blockquote><p></p>
[QUOTE="Esq, post: 95004, member: 15250"] My 3 month consult with Dr. Saya took place this morning. As always, it was a pleasant and informative conversation. Overall, he's happy with how my labs look. He wants to keep on eye on the slightly elevated potassium. My lipid profile still look fine even with the slightly elevated LDL, but obviously we'll keep monitoring that. He wants to see total T come down a little from my last trough of 1278 to somewhere between 900 and 1200 and free T come down from almost 38 to somewhere between 25 and 35. He also wants to see sensitive e2 come up from 21 to somewhere in the high 20s or low 30s. So, a few protocol changes: . * Moving from 64mg test every 3.5 days (128mg/week) to 36mg test M-W-F (108mg/week). I have noticed a fairly regular low in the 12-24 hours leading up to each injection, so he thinks going to M-W-F might help this. The lowered dose reflects the desire to bring the numbers down a bit and also the more frequent dosing. We discussed EOD as an option as well, but for now we'll give M-W-F a try. * Moving from 0.125mg anastrazole EOD to 0.125 twice a week, taken with my HCG dose (which will remain the same at 400iu every 3.5 days). * I started doing regular blood donation when I decided to begin TRT, but Dr. Saya suggested not donating any more (last donation was mid-December) until we see where HCT is after follow-up labs. He thinks I may not need to donate regularly, and perhaps not at all, based on current HCT. . All in all, I'm pleased with my progress so far and hope that these minor adjustments get me closer to a dialed-in protocol. Dr. Saya wants me to get follow-up labs in 10 weeks and then we'll talk again in 12 weeks. . Two quick c/s related applauds - first, Defy let me go ahead and schedule my 12-week follow up today, which was nice. Waiting until labs are ordered (or come back) can lead to delay sometimes, so I really appreciated that. Second, I noticed that the order confirmation email I received today was much more descriptive on the process from order to delivery, even listing realistic delivery timeframes (8-11 business days for standard, 5-7 business days for express, and 4-5 business days for expedited). I sincerely applaud Defy for making those changes to their email confirmations as it makes the entire process much more transparent to the patient. Hopefully that resolves future delivery-delay-related-complaints with patients (which we're not allowed to post here anymore anyway). Nice work! [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Clomid Journey Over; Starting TRT
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