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I have been dosing in the AM and it starts working 6-8 hours after. It continues to work through the night. I could see where dosing it at night to be ready to go in the AM. I have found PT-141 to cause pain like the flu. It's like what you get from Tadalafil only way worse. The pain seems to be...

Lower your T dose to lower DHT. Progesterone lowers DHT but it's not recommended to do so.

APS ships it ready to use with cold packs.

Pt-141 from compounding pharm comes ready to use. The ones I have got had about a 3 week to use by date. Says to keep it frozen. Effect is dramatic but hard to time it for use.

I would guess that DHT is low because you don't have enough Testosterone to convert to DHT.

Low SHBG, low energy, and sore. Low SHBG comes with Diabetes. He sounds to be over weight and may also have sleep apnea. He is experiencing low energy, lack of motivation and easily irritated.

Do you have diabetes?

It may have more to do with Metformin lowering your IGF 1 than b12 deficiency. Dr. Crisler made a claim about Ibutamoren restoring hair color on his forum years ago.

I don't think you would need TRT. Eat some carbs and retest.

Do you have an MRI that shows your fixed problems?

Defy has these on their med list. Tri-Amino claims it increases Nitric Oxide, improves circulation, growth hormone, and muscular endurance.

I recall that body builders take it to control the increase in prolactin from steroid abuse. I have used caber before and it didn't do any of the things you read about. If your prolactin is not way high I would avoid taking it.

I think HCG increases the size of the cells. Like has been said it's atrophy of cells causing shrinkage. There is no change in the amount of cells so I would think there would be no change in apoptosis.

Serotonin related either way you look at it.

I understand this to be from increased serotonin from TRT. Buspirone used to be the drug used for it.

Cabergoline made me tired and had a hard time driving. Other than that it didn't do anything for me.

If you don't have diabetes then diet may change your SHBG. You will see better cholesterol labs on low carb if you don't have diabetes but not so much if you do. T3 may increase or decrease SHBG. Too much T3 or too little can cause insulin resistance.

I was having shoulder pain and I stopped all supplements and most meds for a different reason. Last thing I eliminated was cytomel and the shoulder pain is better. It maybe just a coincidence that the pain is less but time will tell.

There are guys that have enlarged breast and low sperm count that don't use DHEA. I have used DHEA for years and never seen an increase in E2.

Defy Hasn't set a goal for TT. My TT runs between 500-900. I have heard we like free T over 15. When you get labs it's just what is at that time. You may get labs done again and be totally different. One set of labs with only total T on it don't say much.

I am a patient of Defy Medical.

I have been on TRT for years and going from 550 to 700 you wouldn't feel any different. I would trade my TRT for your natural 550 any day. TRT is a pain in the ass and I wouldn't have wanted be doing it from age 21. 550 is the target for Endocrinology at Cleveland Clinic and Urologist I have...

Order proper labs from discountedlabs. You will probably see that you don't need TRT. I would think it would be hard to find anyone that would put you on TRT at the age of 21 with TT 550. Other than cash clinics TT 550 is the target level of TRT.

Check for sleep apnea.

I split gel dose before and found no benefit. I feel better with one application. Crisler said that most do better split dosing. I felt like I did before TRT. Maybe the ones using higher dosing see a benefit. If your doctor doses by total T and you split dose you will be able to use more T and...

No orgasm for at least two years could be a neurological problem.

The combination of very low test and high prolactin is probably the standard for ordering the MRI. You shouldn't have to do the MRI from one set of labs and needs confirmed on multiple sets of labs before you get the MRI order.

Tumor prolactin levels are way higher. Proton pump inhibitors also increase prl. I recall that levels spiking to 30 are normal. 22.1 could be from stress or meds. I think thyroid problems can cause it as well.

From my experience over the years is hematocrit at an endo 55 is the cut off. At Defy the cut off is 53. If you need it to be lower a point or two drink more water. Your BUN level can tell you how hydrated you are from lab test to lab test. Once your over hydrated your BUN will be low or lower...

Defy has it on their med list. I don't know if it is a good deal.

165 for 15mg vial. I think that's it says it's a 30 day supply when you get it. I don't recall the shelf life of it.