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Thank you Nelson! Very interesting regarding Taurine. There was also a study that showed taking NAC alongside HCG counteracts oxidative stress and prevents HCG-induced apoptosis in rat Leydig cells. https://pubmed.ncbi.nlm.nih.gov/20824644/

Thanks madman, great information! I currently inject test cyp once a week on Mondays, 100mg. I do this for simplicity and also because I haven't noticed much of a difference in terms of how I feel on 100mg once a week vs 50mg twice a week. When it comes to HCG, would injecting 750iu - 1000iu...

Human Chorionic Gonadotropin (From the book Testosterone: A Mans Guide, amazon.com) Human chorionic gonadotropin (HCG) (not to be confused with human growth hormone, or HGH) is a glycoprotein hormone that mimics LH (luteinizing hormone), produced in pregnancy by the developing embryo soon after...

For what it's worth Nu Image Medical has a 4th of July sale which ends today. I would stick with pharma grade enclo if it were me. Can't put a price on your health.

I'm sorry the Jatenzo did not work out for you. Please keep us updated on how the Natesto is working for you. It's something I may consider as well at some point. Good luck my friend!

VERY sound advice! I'm dropping the HCG until I get my Kyzatrex dose dialed in.

Oh wait, so it was Citicoline used in the study and not Alpha GPC?

Oh got it! This is Alpha GPC as I know it. It supposed to be the best choline supplement because it crosses the blood brain barrier easily. I'm no grandpa but could definitely use some help in the libido department so going to give this a try haha!

Wonder how many mgs per day and what form of choline?

Thanks for the update and glad you're feeling better!

I've felt this as well with Kyzatrex after being on it for a few weeks at 200mg BID. Are you feeling any improvement?

Stick with pharma grade which is more expensive. Maximus Tribe or Nu Image Medical are two tele-health clinics that offer it but there are many more.

It's a great question and one I have as well. I have read 500iu to 1000iu a week to help prevent testicular atrophy. I guess it's possible < 500iu a week could work but it seems like 500iu tends to be the minimum.

Systemlord is spot on. Your TSH seems a bit high. You should get a TPO antibody test to check for Hashimoto's Disease. You also want to check your Free T3 and Free T4 hormone levels and make sure they are at least in the middle of the normal range. Low thyroid levels can definitely make you...

Thank you Systemlord! This is exactly the perspective I was looking for. Very helpful! I have low Free T and high SHBG so that's why I am trying Kyzatrex first. But I am getting some MPB so wanted some perspecitve on which delivery may exacerbate that more. Really appreciate it!

Oral T vs Injectable T - Hair Loss I have read that oral T (Jatenzo/Kyzatrex) converts to DHT more than injectable T. Is this true? If so, would that mean that oral T would accelreate hair loss (for those predisposed) faster than injectable T? Or, would the constant higher T/DHT levels with...

Hello Nelson, 50 year old male here with low T about to start TRT for the first time. I just received my Kyzatrex and will be taking 200mg twice a day for a total of 400mg a day. I see you are trying Kyzatrex as well and seem to like it. Any pros and cons over injections you have noticed...

This is very helpful! Thanks a lot. I'll try Tiger Medical since I'm in the US. Really appreciate it!

Thanks for sharing this! Would you mind sharing where you buy these from?

Hi Dr. Saya, When making a dose adjustment either up or down on Clomid, how long should I wait before getting labs done after the dose adjustment to see the full effect of the dose change? Is it 2 weeks, 4 weeks, etc.? Thank you!

Hi Dave, I was not part of the Repros trial. I purchased the enclomiphene from an online peptide company that calls it a "research chemical". It could in fact be real and just that my body reacts they way it does to it because I might have low SHGB for whatever reason. I am going to have my...

Thank you Dr. Saya. I really appreciate your feedback.

Thank you so much for your reply Dr. Saya. Isn't total testosterone made up of bound and unbound (free) testosterone? So isn't the free testosterone number part of the total testosterone number? So wouldn't it stand to reason that if the free testoesterone number went up that the total...

Thank you so much for getting back to me Dr. Saya! I am so confused. So clomid itself can cause a lowering of SHBG and thus a decrease in total testosterone (less bound) and an increase in free testosterone? But I thought free testosterone was part of the total testosterone number so you...

Hello Dr. Saya, Have you ever seen total testosterone levels go DOWN from being on clomid? I was on enclomiphene (generic androxal) for exactly one month and taking 12.5MG every third day. Here are my before and after results: Before: Total Testosterone: 564 Free Testosterone: 9.4 LF: 2.5...