Your Compounded TRT and HRT Access is Under Attack: Interview with Scott Brunner from APC

Nelson Vergel

Founder, ExcelMale.com

Nelson Vergel, author, advocate and founder of www.ExcelMale.com, www.DiscountedLabs.com, and www.HormoneAccessCoalition.org interviews Scott Brunner, CEO of the Alliance for Pharmacy Compounding (www.compounding.com) about the current threats to people's access to affordable and customized hormone products in the U.S. and what you can do about it. The FDA is considering banning compounded estradiol, estrone, estradiol cypionate, estriol, pregnenolone, progesterone, testosterone, testosterone cypionate, and testosterone propionate and all pellet cBHT therapies. Also, under the Biologics Price Competition and Innovation Act of 2009 (BPCIA) – Protein-based drug products like hCG, FSH, and hMG that had been approved as “drugs” over 15 years ago are now considered “Biologics” and now fall under the jurisdiction of the FDA’s Center for Biologics Evaluation and Research (CBER). These 3 compounds are gonadotropins that have been used in fertility and hormone replacement in women and men. Compounding pharmacies have been compounding urine-derived hCG, FSH, and hMG and increasing patient access to these medications for 50 years. Under the new law, compounding pharmacies are no longer allowed to make these products unless they go through a new lengthy and costly Biologic License Application (BLA). Scott also explained how proposed USP changes in "Beyond Use Dates" will increase cost and need for frequent refills for patients.

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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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