The HCG and FSH problems are really separate now and apply to nearly every compounding pharmacy. There was a law passed in 2009, the BPCIA which is only now taking effect (on March 23rd). The FDA classified HCG and FSH as biologics (because they are). Biologics are derived from living tissue or DNA and HCG was derived from urine. The FDA did not consider the tiny compounding industry 10 years ago and so there was no commenting period to oppose the change. The law is actually intended to lower prices of biologics like HCG, FSH, and HGH but the net effect is that now it is going to harm most compounders. No one is allowed to produce biologics without a BLA license. The license application costs hundreds of thousands of dollars and it can take 18 months to obtain. Most pharmacies - the small 503A's, can't even get it because you have to have a cGMP facility to meet new quality and safety standards.Im not sure on the details but I just talked to them today on the phone. They said some pharmacies won’t be able to make hcg and fsh but they aren’t one of them and they can continue to make them
Predict estradiol, DHT, and free testosterone levels based on total testosterone
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.
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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