T Cream script question

[thinbluegeek]

On my next dr. visit i am thinking of trying out the compounded scrotal cream. I have been on different injection protocols with no results on symptoms. I may even try the injection + cream method. Here's my question, how do i ask my dr. to write the prescription for the scrotal cream? I have a local compounding pharmacy in my area and may give them a try instead of empower. I just need to know what to ask for? Thanks.

 

[Systemlord]

I responded to your other thread because a great deal is missing, your labs are inadequate and no thyroid testing, TRT cannot work if there are thyroid problems.

 

[thinbluegeek]

I understand your response but would still like some input on my current topic question that i posted.

 

[fifty]

Just ask for cream with some concentration ex: 200mg/ml

There is no specific scrotal cream other than the fact that people on here love to type scrotal.

 

[slicktop]

On my next dr. visit i am thinking of trying out the compounded scrotal cream. I have been on different injection protocols with no results on symptoms. I may even try the injection + cream method. Here's my question, how do i ask my dr. to write the prescription for the scrotal cream? I have a local compounding pharmacy in my area and may give them a try instead of empower. I just need to know what to ask for? Thanks.

Literally just ask him. You gotta have that kind of relationship with your TRT doc. "Hey doc, I've been looking into it, and I really want to try this, and here's why: ______ What's your input on the best way for me to give this a shot?"

 

[thinbluegeek]

From what I understand most creams are made with an alcohol base which can’t be used on the scrotum. I didn’t know if I needed to request a different base

 

[thinbluegeek]

Literally just ask him. You gotta have that kind of relationship with your TRT doc. "Hey doc, I've been looking into it, and I really want to try this, and here's why: ______ What's your input on the best way for me to give this a shot?"

I have a great doc who is very understanding in treating me by the way I feel vs a number.

 

[bbex2014]

If you can pick your base, empower uses hrt base for the cream. Atrevis is most likely the best, but very expensive and not every pharmacy offers it.

 

[SSHSSA74]

If you can pick your base, empower uses hrt base for the cream. Atrevis is most likely the best, but very expensive and not every pharmacy offers it.

Which pharmacies offer Atrevis?

 

[Jason Sypolt]

Creams are not alcohol-based, those are the gels. The creams use a lipoderm base. Very similar to a lotion. Never use an alcohol-based gel on your scrotum. It will burn, crack, and dry the skin.

All you ask for is compounded testosterone cream. They come in any concentration up to 20%; above that and they become gritty. 5, 10 and 20% are the most common strengths. Many come in a topi-click dispenser and your doctor would write it as something like 1-2 clicks per day applied to scrotum. Gels usually only go up to 2% for comparison to the creams.

The reason why it works differently and so well in some guys is that when absorbed through the thin skin on the scrotum, there will be a much higher conversion and increase in DHT. Nothing else available can come close to matching it. I have used an injection + cream combination for years and love it.

Listen to Systemlord. If your thyroid is not working then you will see poor results with TRT no matter what you do. About 20 million people in the US have a thyroid problem. And there is another estimated 20 million that don't know or don't think that they have a problem but do. Free T4, Free T3, Reverse T3, TSH, Fasting Insulin. And the normal ranges for those are not normal. Come back here and ask when you have the results for all of those. Fixing my own thyroid made as much of an impact on my health and life as TRT itself.

 

[Charliebizz]

Creams are not alcohol-based, those are the gels. The creams use a lipoderm base. Very similar to a lotion. Never use an alcohol-based gel on your scrotum. It will burn, crack, and dry the skin.

All you ask for is compounded testosterone cream. They come in any concentration up to 20%; above that and they become gritty. 5, 10 and 20% are the most common strengths. Many come in a topi-click dispenser and your doctor would write it as something like 1-2 clicks per day applied to scrotum. Gels usually only go up to 2% for comparison to the creams.

The reason why it works differently and so well in some guys is that when absorbed through the thin skin on the scrotum, there will be a much higher conversion and increase in DHT. Nothing else available can come close to matching it. I have used an injection + cream combination for years and love it.

Listen to Systemlord. If your thyroid is not working then you will see poor results with TRT no matter what you do. About 20 million people in the US have a thyroid problem. And there is another estimated 20 million that don't know or don't think that they have a problem but do. Free T4, Free T3, Reverse T3, TSH, Fasting Insulin. And the normal ranges for those are not normal. Come back here and ask when you have the results for all of those. Fixing my own thyroid made as much of an impact on my health and life as TRT itself.

what were your thyroid numbers before you addressed them if you don’t mind me asking

 

[Jason Sypolt]

what were your thyroid numbers before you addressed them if you don’t mind me asking

This is a little long:
Free T3 was hovering around 3 and you typically see more energy and metabolism with it being closer to 4. Mine is around 4.5 now.

Reverse T3 was "in range" at 24. But the lab range for this is just like for Total T, it's only normal for the sick population that the lab range is derived from. RT3 should be at the very bottom of the lab range around 9-12. 24 is very high and most people never get RT3 checked to know this because they are told that it is inactive and thus unimportant. But that is the point of RT3. It negates the effects of T3 putting the brakes on energy and metabolism. High RT3 is directly related to high fasting Insulin. Even most diabetics don't get that checked either. Fasting Insulin is different from fasting Glucose, and it should also be at the very bottom of the lab range because you should not have much if any insulin in your blood in a fasted state.

The effects of this were felt all over. Fixing my thyroid by flushing out excess RT3 increased metabolism and energy production, reduced insulin resistance, and nearly doubled my SHBG to the mid-20's. T3 (Cytomel) is one of only a few things that will increase SHBG.

I don't know how much you know about SHBG. There is a lot of misinformation about it.
More SHBG (within reason, remember: balance) means more T can be bound and be transported to tissues in the body. This is lost on many because Free T is "felt" and bound T is "useless". T is not a water-soluble molecule (and your body is nearly all water) and so it must bind to a protein (SHBG) to be carried to where it is needed. Then it can be released directly into cells. Think of it like traveling for a job on a plane across the country. You can't really do much in the air, but you go to work when you get to your destination.

Lowering SHBG just for the sake of increasing Free T is a foolish thing to do. And if your SHBG is already low, then I can virtually guarantee that you were either doing anabolics or that you have insulin resistance/metabolic disease and don't know it.

 

[thinbluegeek]

Creams are not alcohol-based, those are the gels. The creams use a lipoderm base. Very similar to a lotion. Never use an alcohol-based gel on your scrotum. It will burn, crack, and dry the skin.

All you ask for is compounded testosterone cream. They come in any concentration up to 20%; above that and they become gritty. 5, 10 and 20% are the most common strengths. Many come in a topi-click dispenser and your doctor would write it as something like 1-2 clicks per day applied to scrotum. Gels usually only go up to 2% for comparison to the creams.

The reason why it works differently and so well in some guys is that when absorbed through the thin skin on the scrotum, there will be a much higher conversion and increase in DHT. Nothing else available can come close to matching it. I have used an injection + cream combination for years and love it.

Listen to Systemlord. If your thyroid is not working then you will see poor results with TRT no matter what you do. About 20 million people in the US have a thyroid problem. And there is another estimated 20 million that don't know or don't think that they have a problem but do. Free T4, Free T3, Reverse T3, TSH, Fasting Insulin. And the normal ranges for those are not normal. Come back here and ask when you have the results for all of those. Fixing my own thyroid made as much of an impact on my health and life as TRT itself.

Creams are not alcohol-based, those are the gels. The creams use a lipoderm base. Very similar to a lotion. Never use an alcohol-based gel on your scrotum. It will burn, crack, and dry the skin.

All you ask for is compounded testosterone cream. They come in any concentration up to 20%; above that and they become gritty. 5, 10 and 20% are the most common strengths. Many come in a topi-click dispenser and your doctor would write it as something like 1-2 clicks per day applied to scrotum. Gels usually only go up to 2% for comparison to the creams.

The reason why it works differently and so well in some guys is that when absorbed through the thin skin on the scrotum, there will be a much higher conversion and increase in DHT. Nothing else available can come close to matching it. I have used an injection + cream combination for years and love it.

Listen to Systemlord. If your thyroid is not working then you will see poor results with TRT no matter what you do. About 20 million people in the US have a thyroid problem. And there is another estimated 20 million that don't know or don't think that they have a problem but do. Free T4, Free T3, Reverse T3, TSH, Fasting Insulin. And the normal ranges for those are not normal. Come back here and ask when you have the results for all of those. Fixing my own thyroid made as much of an impact on my health and life as TRT itself.

this was tested in March 2019

T4 Free 1.0 ref range 0.8-1.8 ng/dl
TSH 1.91 ref range 0.40-4.50 ml/UL
Prolactin 5.4 ref range 2.0-18.0 ng/ml

 

[SSHSSA74]

Creams are not alcohol-based, those are the gels. The creams use a lipoderm base. Very similar to a lotion. Never use an alcohol-based gel on your scrotum. It will burn, crack, and dry the skin.

All you ask for is compounded testosterone cream. They come in any concentration up to 20%; above that and they become gritty. 5, 10 and 20% are the most common strengths. Many come in a topi-click dispenser and your doctor would write it as something like 1-2 clicks per day applied to scrotum. Gels usually only go up to 2% for comparison to the creams.

The reason why it works differently and so well in some guys is that when absorbed through the thin skin on the scrotum, there will be a much higher conversion and increase in DHT. Nothing else available can come close to matching it. I have used an injection + cream combination for years and love it.

Listen to Systemlord. If your thyroid is not working then you will see poor results with TRT no matter what you do. About 20 million people in the US have a thyroid problem. And there is another estimated 20 million that don't know or don't think that they have a problem but do. Free T4, Free T3, Reverse T3, TSH, Fasting Insulin. And the normal ranges for those are not normal. Come back here and ask when you have the results for all of those. Fixing my own thyroid made as much of an impact on my health and life as TRT itself.

Thank you for the helpful info Jason. When I start the cream, will it be clear how many mg are in each click? I assume that the amount of T in each click is based on the percentage strength of the cream. As for the thyroid, I am currently on 1 grain of Armour Thyroid each morning. I am going to get full labs soon, including thyroid, to see where I am at. The last thyroid panel I got did not include every single thyroid lab test so I am going to ask for full thyroid labs as well as everything else for my next blood draw.

 

[Cooper]

I have used an injection + cream combination for years and love it.

What is your protocol when using both cream and injection?

 

[Jason Sypolt]

What is your protocol when using both cream and injection?

For the testosterone medications, I inject 3 times a week and apply cream daily AM and PM. I take many more things than just testosterone in my protocol.