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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Scrotal TRT Cream Application - A Precautionary Tale
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 159441" data-attributes="member: 12687"><p>In this case it’s closer to 7x upper reference range, though we all know the limitations of “reference ranges” this is still undoubtedly quite “supraphysiologic”. To your point, we don’t know...uncharted waters. At some point, however, we have to use common sense and follow the most fundamental law of hormones (okay not an actual law, but the primary tenet that guides me) - <strong>balance</strong> is key. Too low or too high = problems (whether symptomatic or health-wise). Where is that line? We don’t know. Folks in uncharted waters must be aware and know that the risks are unknown, but should not be accepted as non-existent. Risk tolerance dictates how comfortable patient and provider are in those uncharted waters.</p><p></p><p>To be clear, I am NOT bashing scrotal T application. In fact, I have been selectively (in select patients/cases) utilizing that technique for many years before it became the buzz in the forums. I credit the great Dr Shippen for that wisdom. Most often relatively small dose as adjunct to injections or as partial (not full) transdermal T dose. However, never without monitoring DHT.</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 159441, member: 12687"] In this case it’s closer to 7x upper reference range, though we all know the limitations of “reference ranges” this is still undoubtedly quite “supraphysiologic”. To your point, we don’t know...uncharted waters. At some point, however, we have to use common sense and follow the most fundamental law of hormones (okay not an actual law, but the primary tenet that guides me) - [B]balance[/B] is key. Too low or too high = problems (whether symptomatic or health-wise). Where is that line? We don’t know. Folks in uncharted waters must be aware and know that the risks are unknown, but should not be accepted as non-existent. Risk tolerance dictates how comfortable patient and provider are in those uncharted waters. To be clear, I am NOT bashing scrotal T application. In fact, I have been selectively (in select patients/cases) utilizing that technique for many years before it became the buzz in the forums. I credit the great Dr Shippen for that wisdom. Most often relatively small dose as adjunct to injections or as partial (not full) transdermal T dose. However, never without monitoring DHT. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Scrotal TRT Cream Application - A Precautionary Tale
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