Here is the update.
We received from the pharmacy pre-loaded syringes with the B-complex mixture, a vial of 2% lidocaine, and some extra syringes. The procedure is to remove the needle from one of the B-complex syringes, draw the plunger back far enough to make room for 0.25ml of lidocaine, draw 0.25ml lidocaine from the lidocaine vial with one of the extra syringes, put this lidocaine into the B-complex syringe, put the needle back on the B-complex syringe and do a standard IM injection.
So basically, when you inject, the 0.25ml lidocaine is the first thing to go into the tissue.
Not sure why she couldn't just draw the lidocaine with the B-complex syringe directly. The nurse giving the training wasn't the kind you could ask questions like that, the answer would be "because that's the way we do it around here".
Interestingly my wife said the injection was painless and she did not have the bruised feeling in her leg that I get when I inject test. cyp. IM in my leg. I wonder if the lidocaine has anything to do with that.
Predict estradiol, DHT, and free testosterone levels based on total testosterone
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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.
Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.
The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.
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