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  1. C

    Ask The Urologist Anything (Dr Michael Rotman)

    Have you tried dropping the dhea and preg?
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    The Thread for Dialed-In Dudes

    I took ai for a short time because I was led to believe I needed to be in the low 20s on e2. It put me on a horrible roller coaster.
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    The Thread for Dialed-In Dudes

    50mg 2x a week shallow im 5mg daily cialis (stayed on for BP help and keeps me hard with no problem) I also take zinc picolante on injection day And vit d I take a multi vitamin Total t close to 700 Free t slightly above midrange. Shbg 25 E2 low 30s Just started NP thyroid low dose 15 MG...
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    Tadalafil - Capsules vs Oral Dissolvable

    When i take it everyday my sides went away. I had reflux to at the very beginning. If you just started give it a few days. I even had back pain for the first few days. All went away. Also, I live in NYC area to. My Dr sends script to compound pharmacy they have a location in Manhattan and...
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    TRT without the use of Aromatase Inhibitors

    Hey doc. I was doing 90 mg a week cypionate split in 2 subq. My shbg is near 26. I was fine with this and felt good. Kept e2 in low 30s. I switched to IM just because I thought it was easier to do shallow im which I actually like. So when I started 100 mg a week divided in 2 Injections my e2...
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    Ask The Urologist Anything (Dr Michael Rotman)

    I agree with the other poster. I found dr rotman from this site. And appreciate that dr is not afraid to ask for help esp in this field. And your office is great esp Emily. Dr very accessible. Btw my name is not charlie. I have a question that i will state here i think it can help others. I am...
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    Cialis (Tadalafil) steady-state blood level literature

    I take 3mg Cialis SR from empower. I started taking 2 of them. I am confused because these are slow release. If I take 3mg SR it seems like I would not get the full effect of it since it's SR. If it's immediate release I know my serum levels peak within 2hours or so. I ask because an thinking...
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    Change to ED injections

    I get hot flashes to as e2 is going down. Whether it's going down to a normal level or below that
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    Most up to date HCG/AI dosing/timing protocol

    I get emotional when it's high or low. But high I get emotional like getting sad/tear up when watching movies. Low - emotion more angry. High e2 also i def get bloated. What other high e2 symptoms do you get? I inquire because I am soon taking .125 dex since .25 e3.5 crashed my e2. Am thinking...
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    Most common total weekly dose for cypionate/enanthate

    Me to from empower. But I also have 5.5mg and think those make it harder. I love the cialis though lowers pressure a bit, see veins, and most of all don't have to worry about losing my erection. I guess if it works at 3 should stay there
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    Current TRT Protocol 85mg E6D, thyroid?

    Well I managed to crash my e2. Actually took .5 arimidex this morning right before I saw the labs. :rage: Here are my numbers in 50 mg subq injection 2x a week = 100 a week. .25 ai at time of injection except this morning I took .50 Took labs morning of injection on 3/13. TT 669 (264-916)...
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    When to add HCG to TRT?

    I was on t for 3 months then started HCG 250 2x a week and it caused severe bloating and insomnia. Not being concerned for fertility I just ended it after 4 injections
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    Current TRT Protocol 85mg E6D, thyroid?

    I will attach my updated chart for those tracking. the 2/21 draw was after HCG and 50 mg T. I have since eliminated the HCG, only did 4 injections, it just made my e2 symptoms go to high. So now its 50 mg e3.5 and .25 dex with injections. I started the dex after the 2/21 draw and feel so much...
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    Current TRT Protocol 85mg E6D, thyroid?

    Thanks. I am on that thread as well. I actually tried 50-60 mg iodine for about 7 days. There are some days I get to 98.6 some not. My recent free t3 was 3.3 which is good but tsh still 2.66. I think it's related to still not having stable hormone levels. Rt3 Ng/dl
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    Current TRT Protocol 85mg E6D, thyroid?

    Which Day when e2 is highest I looked around but can't seem to find the answer. I want to draw labs the day e2 would be the highest. Which day? I inject only t E3.5 and take dex on day of infection.
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    Low SHBG is Correlated to Fatty Liver

    I have FLD for at least 15 years. Am not a drinker. I am 6'1 193 pounds. My shbg is low. Of course other factors could correlate to my shbg. Here are my labs. Also my AST and ALT get slightly elevated when I gain weight. Not sure why I can't attach an image. But check my thread it's in there...
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    Current TRT Protocol 85mg E6D, thyroid?

    I also had good volume before HCG. I think the whiter color and clump of from high e2.
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    Current TRT Protocol 85mg E6D, thyroid?

    So it looks like starting HCG has put my e2 over the top. Couldnt even sleep last night. Orgasm produced whiter than usual semen and clumpy, very low volume. heart race. Bloat, though I was already getting bloat without HCG (my e2 was already high normal at 34). 34 was when I was basically...
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    Current TRT Protocol 85mg E6D, thyroid?

    Ok. Thank you all for your response. It is a big help. If I only wanted to inject HCG 2x a week, is it best to inject with the t on the same days? In other words 250 HCG plus 50 mg t every 3.5 days. Or something like 50mg sat am, 50 mg Tues pm, Thur 250. Fri 250? Also I just started HCG...
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    Current TRT Protocol 85mg E6D, thyroid?

    Vince looks like the protocol given to me was recommended by Dr Crisler in 2004. Is it still good? Many are telling me to split the 100 mg to 2x a week.
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    Current TRT Protocol 85mg E6D, thyroid?

    I did some research and the protocol given to me is the same as dr. crisler http://defymedical.com/resources/health-articles/242-an-update-to-the-crisler-hcg-protocol Its worth to try it. I rather split up the 100 but then the thinking behind the protocol jusy given to me is shot. I would...
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    Current TRT Protocol 85mg E6D, thyroid?

    So I went to a urologist who was responding to many trt questions in a Dr forum at excelmale. So he added HCG. This is the protocol he wants. Friday - 250 HCG Sat - 250 HCG Sun - 100mg T Mon - .5 arimidex Thougths?
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    Ask The Urologist Anything (Dr Michael Rotman)

    Thanks. See u Thursday My thyroid is def not optimal. I have an appointment to see you this coming Thursday. Can't wait!
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    Current TRT Protocol 85mg E6D, thyroid?

    Am 41. 34 is on day of injection so am sure it peaked higher. Thus my ED and bloat on some days
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    Current TRT Protocol 85mg E6D, thyroid?

    Thank you for addressing my questions. Yes I already started the 2x a week. So when I see the Dr tomorrow I will ask for more t. You stating 60 2x a week makes sense. Though I thought that doing the same amount of 100 split e3.5 days would also raise my t but I guess not enough. Should I also...
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    Current TRT Protocol 85mg E6D, thyroid?

    Again am on a e6d 85 mg. Which is 100 mg a week. I GOT THE REST OF THE RESULTS. UPDATED CHART. Last column is blood from 1/30/18. Total t- 589 (264-916) Free t 15.8 (6.8-21.5) Estradiol s - 34.4 (8-35) I think this explains my bloating and inconsistent erections. This lab was taken right before...
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    Current TRT Protocol 85mg E6D, thyroid?

    Well idiot dr prescribed 200mg ever 2 weeks. So know what I know from all the reading that would mean too many highs and lows. So then i called dr and agreed to 100 mg a week, he just agreed said will make no diff. I did do a first shot of 100mg then did 85mg E6D. So I really wanted to to...
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    Current TRT Protocol 85mg E6D, thyroid?

    my protocol, which is currently 85mg E6D. no AI. started injections 12/18. Am 41 years old. So i got most labs back, pending - total t, E2, pregnenolone, D3. Attached is a chart to see #s pre-injections and new labs. Summary of key new labs from 1/30/18: RBC 5.33 (4.1-5.8) hematocrit 48.6...
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    Ask The Urologist Anything (Dr Michael Rotman)

    Thanks. Actually I can attest to that. It does help dissolve the stones and pass them. I have a problem where I can not breakdown protein (purines) to well. So my 24 hr urine tests always come up with high uric acid, even when I limit my purine intake. Lemon does not help be breakdown the...
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