The Intelligent & Relentless Pursuit of Muscle™
T Replacement
 
Finding a TRT Doc
 

m0b1liz3
Level

Join date: Nov 2006
Posts: 13

Why do you say do not consider pellets or patches?

Patches I can understand but why not pellets? This was looking like the best method to me due to being able to travel and not worry about getting harassed about your medications at the border/airport. Also they are inserted once every 3 months or so instead of weekly injections. Just want to know your reasoning for advising against them.

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VTBalla34
Level 5

Join date: Mar 2009
Posts: 7536

m0b1liz3 wrote:
Why do you say do not consider pellets or patches?

Patches I can understand but why not pellets? This was looking like the best method to me due to being able to travel and not worry about getting harassed about your medications at the border/airport. Also they are inserted once every 3 months or so instead of weekly injections. Just want to know your reasoning for advising against them.


-Cost
-Surgical Procedure
-Hard to control E2
-Wild T fluctuations

This is dscussed ad nauseum

You won't get harassed at the airport or border for T. I don't even carry my script with me and always have a 10 mL vial and about 3 syringes.

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farmer1
Level

Join date: Aug 2012
Posts: 11

I have tried all of this stuff and still so far came up empty

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KSman
Level 1

Join date: Aug 2006
Posts: 8019

Do not post in the sticky unless you are adding to the knowledge here.

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johnny k53
Level

Join date: Sep 2012
Posts: 304

Hi Guy's,im from Toronto,Canada.Until 1988 testosterone was available by any family dr.As of 1988 olympics and Canadian Ben johnson and the subsequent Dubbin Inquiry into Anabolic steroids where the political Drug of choice: Bullshit,but it happened.Nowaday's aside from underground labs steroids meaning testosterone enanthate,or cyp.and andriol 40mg's pills are basically all that's left.Plus you got compounding pharmacie's.My personal opinion is this bio identical hormone business is crap.There is no difference between synthetic and compounded,except the Sucker buying the compounded get's rip-off. Straight-up.I am an ex Mr.Canadfa and nobody goe's too the compounding pharmacy eccept woman,regarding estrogen/estriol whatever!!I get my family dr. at age 53 to reluctantly write me 2-vials of delatestryl a month and arimedex,but he questions me constantly and wants a letter from a specialist to keep the T a comin.The other drug's for endocrine recovery like Clomid,Novadex and Hcg are totally out of the question.Just a little insight. john

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KSman
Level 1

Join date: Aug 2006
Posts: 8019

Do not post in the sticky unless you are adding to the knowledge here. Your blabbering is not a contribution.

The first sentence in this sticky is:

"Do not discuss your own issues in this sticky. Create your own post."

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iw84aces
Level

Join date: Mar 2013
Posts: 884

ks man I am new to trt and scared and my doctors are not agreeing with the protical you've listed for trt and three different doctors have said forget about hcg completely including dr e berry gordon a ani aging doctor who has written books on replacement therapy. I am by no means saying that its wrong as i know nothing and I am finding neither do many doctors. I would like to PM you but im new and it said im not athorized. what can i do to speak with you somehow.. I need help

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iw84aces
Level

Join date: Mar 2013
Posts: 884

i apologize.. i didn't see your comment about not posting own problems... my bad

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KSman
Level 1

Join date: Aug 2006
Posts: 8019

Your subject is appropriate. If you read the stickies:

- TRT shuts down LH and FSH
- without LH, your testes will shrink and atrophy
- over time, this can physically destroy the testes
- the testes are a major source of pregnenolone, that is lost
- ones self image and how one is regarded by a mate is affected
- reduced sperm count, infertility later.

TRT leads to organ failure of the testes, reduced fertility and infertility over time. Also causes a drop in pregnenolone that is important as a neural steroid and as the basis of DHEA and other adrenal hormone production in the adrenals. hCG can prevent all of this. Doctors are meant to do no harm, TRT without hCG is harmful.

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iw84aces
Level

Join date: Mar 2013
Posts: 884

I started my own post. Could you please answer me there? It would be greatly appreciated.. thanks for the reply

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EZrider
Level

Join date: Feb 2013
Posts: 107

I thought this might be the best place to post this since it seems we are always looking for ammunition when arguing with doctors that won't listen to anything that's not from a medical journal.

Dr. Raymond Ishaman M.D. put this list together as just a sampling of the many new studies that refute so many of the old myths that many doctors can't let go of. I just came across this today....

Aging in men is characterized by a progressive decline in levels of anabolic hormones, such as testosterone, IGF-1 (growth hormone), and DHEA. Age associated decline in anabolic hormone levels is a strong independent predictor of mortality in older men. Having multiple hormonal deficiencies rather than a deficiency in a single anabolic hormone is a robust biomarker of health status in older persons. (Archives of Internal Medicine, 2007)

testosterone concentrations are inversely related to mortality due to cardiovascular (heart) disease and all causes. (Circulation, the Journal of the American Heart Association, 2007)

In older men, lower total testosterone levels predict increased incidence of stroke or TIA (mini stroke) after adjusting for conventional risk factors for cardiovascular disease. Men with low-normal testosterone levels had increased risk. (Journal of Clinical Endocrinology and Metabolism, 2009)

Testosterone replacement therapy reduces insulin resistance and improves glycemic (glucose) control in hypogonadal (low testosterone) men with type 2 diabetes. Improvements in glycemic control, insulin resistance, cholesterol and visceral adiposity (belly fat) together represent an overall reduction in cardiovascular risk. (European Journal of Endocrinology 2006)

In men with low testosterone levels, testosterone treatment was associated with decreased mortality compared with no testosterone treatment. (Journal of Clinical Endocrinology and Metabolism, 2012)

Low free testosterone is an independent risk factor for Alzheimer's disease. (Experimental Gerontolology, 2004)

Administration of testosterone to hypogonadal (low testosterone) men reverses part of the unfavorable risk profile for the development of diabetes and atherosclerosis (hardening of the arteries). (Journal of Obesity, 2011)

In patients with coronary (heart) disease, testosterone deficiency is common and impacts significantly negatively on survival. (Heart, 2010)

DHEA-S concentration is independently and inversely related to death from any cause and death from cardiovascular disease in men over age 50. (New England Journal of Medicine)

Low serum levels of DHEA-S predict death from all causes (Journal of Clinical Endocrinology and Metabolism 2010)

Higher DHEA-S levels are independently and favorably associated with executive function, concentration, and working memory. (Journal of Clinical Endocrinology and Metabolism 2009)

Do hormones cause cancer?
Blood levels of androgens (like testosterone) and other male hormones do not seem to be related to the risk for prostate cancer. The finding comes from a huge pooled analysis of data from 18 studies, published in the Journal of the National Cancer Institute (that) confirms the lack of evidence to support an androgen prostate cancer hypothesis.
Urologist and Harvard Faculty, Dr. Abraham Morgantaler, states that there is not now nor has there ever been a scientific basis for the belief that testosterone causes prostate cancer to grow (European Journal of Urology, 2006)

Mortality due to malignancies (cancers) was not elevated in adults receiving hGH treatment. (Journal of Clinical Endocrinology and Metabolism 2011)

With respect to hGH (human growth hormone) which is only recommended for patients who have been shown to be deficient based on strict FDA guidelines:
relatively high circulating IGF-I (growth hormone) bioactivity in elderly men is associated with extended survival and with reduced cardiovascular risk. (Journal of Clinical Endocrinology and Metabolism 2008)

Like HDL (good cholesterol), high (normal) levels of IGF-1 (growth hormone) confer protection against coronary artery disease. (Atherosclerosis. 2011)

The above excerpts are a small sampling of the medical literature that supports the safety and efficacy of replacing hormone deficiencies.

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KSman
Level 1

Join date: Aug 2006
Posts: 8019

Can you [edit] the above and clean up the garbage characters?

* You can use [*] as point bullets.

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EZrider
Level

Join date: Feb 2013
Posts: 107

I will try to...not sure how they got in there...thought maybe that was just my computer cussin me out....thanks.

It looks a lot better now. I didn't know you could do that...keep in mind I'm Testosterone deficient so it takes a little longer to figure stuff out. Future posts will look much better, thanks for your help again KSman.

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HouKN98
Level

Join date: Feb 2013
Posts: 142

Just one piece of my personal experience regarding calling compounding pharmacies for referrals to TRT doctors:

Don't forget to ask if they prescribe HCG and AI, because if you don't ask, you'll most likely get doctors who abide by "bio-identical HRT" schools of thought. Meaning they tend to prescribe compounded T creams. They may or may not give you HCG + AI if you ask (haven't asked my doc yet, but will soon).

So it's hit or miss if you don't ask about HCG and AI when calling your local pharmacies / compounding pharmacies.

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diazium353
Level

Join date: Jun 2013
Posts: 11

Is it true that using TRT will shrink testis? Or is it just vary from a guy to another guy? And can girls use TRT? Just wondering tho..

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KSman
Level 1

Join date: Aug 2006
Posts: 8019

Please study the advice for new guys sticky, all of the basics are there.

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martin60018
Level

Join date: Jul 2012
Posts: 1

I use allthingsmale Dr Crisler. No real need for office visits or driving.
everything can be done via fax. blood work, scripts, etc.
I did fly to see the doctor cause I work in the airlines, and he is a super great guy, and he works with you and your goals!
try it out.


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KSman
Level 1

Join date: Aug 2006
Posts: 8019

It is not legal for a doc to not see you in person at least once prior to Rx.

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GSUbarbell
Level

Join date: Oct 2012
Posts: 357

so glad i have a legit source of test so i dont have to worry about expensive prescription. :D

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