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Parajack

New Member
Greetings from Alaska
As I ease in to this amazing resource here plz accept my apologies for not self answering every question which is no doubt already been asked somewhere. I'm working on it but want to get into the action phase as quickly as possible.

Insurance. I have a legacy corporate insurance plan. I have 2 doctors available. My flight surgeon (who is self injecting T and now HCG) but really only dabbling in it technically, and an ND who is supportive and smart on many fronts but is weak on TRT and only going to work for me if I'm directing the protocol (which he's fine with).

Should I line out all the required blood work to get me up to speed via the sticky threads here and then take it to one of my docs, or should I use the Discounted Lab option and pay out of pocket and then seek reimbursement on my own? Is DL only geared for those without Insurance? Is this just a stupid question and you're thinking that's easy dumbass just go through one of your docs and tell them what you want so that insurance reimbursement will actually happen?
Thanks
Jack
(61 yr old "messing" with TRT for years but never doing a really good job at it. Currently on Tcyp E3D 20ml and been there for a few years)
 
Greetings from Alaska
As I ease in to this amazing resource here plz accept my apologies for not self answering every question which is no doubt already been asked somewhere. I'm working on it but want to get into the action phase as quickly as possible.

Insurance. I have a legacy corporate insurance plan. I have 2 doctors available. My flight surgeon (who is self injecting T and now HCG) but really only dabbling in it technically, and an ND who is supportive and smart on many fronts but is weak on TRT and only going to work for me if I'm directing the protocol (which he's fine with).

Should I line out all the required blood work to get me up to speed via the sticky threads here and then take it to one of my docs, or should I use the Discounted Lab option and pay out of pocket and then seek reimbursement on my own? Is DL only geared for those without Insurance? Is this just a stupid question and you're thinking that's easy dumbass just go through one of your docs and tell them what you want so that insurance reimbursement will actually happen?
Thanks
Jack
(61 yr old "messing" with TRT for years but never doing a really good job at it. Currently on Tcyp E3D 20ml and been there for a few years)

Do you mean 20mg every three days? If so, that's sufficient to suppress endogenous production, but leave you feeling the effects of hypogonadism in a more pronounced way.
 
Yes I think I dropped the . to make it .20 mil. Every 3rd day. Dropped the Anastrozole 6 months ago because I couldn't tell any difference one way or the other. My flight surgeon (older well beyond the having kid stage) is injecting HCG now and says its really helping.

I really need to get out of this ignorance mode I've been stuck in and get on top of it...

If I haven't had blood work for a few years, what tests should I add to the normal maint tests beside D & B12 and the like?
 
Yes I think I dropped the . to make it .20 mil. Every 3rd day. Dropped the Anastrozole 6 months ago because I couldn't tell any difference one way or the other. My flight surgeon (older well beyond the having kid stage) is injecting HCG now and says its really helping.

I really need to get out of this ignorance mode I've been stuck in and get on top of it...

If I haven't had blood work for a few years, what tests should I add to the normal maint tests beside D & B12 and the like?

You are in need of total and free testosterone, LH and FSH (which will come back in undetectable due to the use of exogenous testosterone, but lay down a marker and have it run), SHBG, estradiol/LC, MS/MS (this is the sensitive estradiol test, the only one that is accurate for men), DHT, DHEA, CBC, CMP, PSA (a PSA has to be run before TRT is initiated and then repeated at regular intervals).

There's a wealth of material here on the Forum, the so-called "sticky" posts can give you an excellent grounding.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

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

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

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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