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AD, it ends up being adding another drug to counter the sides of the first drug that add more sides. There are studies that show HCG will preserve intratesticular T conc and fertility with HRT. If the subject has any concerns about fertility, and is starting HRT they should start HCG...

Watch the long term use of Clomid, it shuts down the GH/IGF-I axis. IMO before starting clomid, have your circulating IGF-I checked, then about 4 weeks in and see if there is any difference. Some note a drop of about 40%.

Changing nothing unless there is sound evidence to show otherwise, your T would plummet. It would be nice if they looked at older men in NYC on HRT vs not on HRT, and mobidity and mortality from COVID vs treated men with estrogen to see if it helps because that shuts down endogenous T, so what...

Agree get it checked, if they are benign then ask for propranolol, very old and very safe, short acting beta blocker will help mitigate the stress response. Propranolol is used often for situation anxiety, essential tremor, etc. Low doses 20 mg 3 x a day you'll hardly notice, but that's for your...

In general, if they go away with exercise, that is a good thing. Worsen with exercise usually happens in a diseased heart. When they flare up, I get uncomfortable, nausea, headache and fell just generally ill. Rarely dizzy or warm headed feeling. If you're getting that it may be an NSVT, SVT or...

BTW, the heart is hard wired to the brain and vice versa. Often times palpitations will create anxiety before you even know you're having them in people that have never had anxiety issues before. Vagal afferents. It is not always anxiety that drive them. Large meals and reflux can also irritate...

RO sleep apnea, otherwise probably stress. Get worked up, if they can't find anything a beta-blocker like propranolol will help 20 mg 3 - 4x a day. I have had an ablation for atrial ecotopies that was successful but I still have 2 ventricular hot spots that won't quit. Some days 2000/d some days...

Once this COVID stuff settles down, will see how the LC/MS compares to the standard assay for T in someone using N.

I don't remember when I checked my T relative to the inj of N I know I tested several times over the 2 weeks, without the HCG my total T fell to about 100. I ran some of the assays myself, we used Nichols RIA I 125 for total T. I was doing rat work in the lab for grad school, ran IGF-I as well...

Total T was not LC/MS, this was 15 - 25 yrs ago. DS3 was having issues with gyno with T so I switched to N with enough HCG to maintain testicular mass and libido.

If I recall they were both normal/low normal. E1 was higher on nandrolone, not E2.

I did but I don't remember the values specifically. HDL was in the 35 - 40 range, total T was in low 400's with the HCG. Didn't check free or SHBG. Hb was in the 18.0 - 18.5 range and that was way too high, HCT 55%. AST/ALT 80 - 120 range, GGT normal all other liver function normal. CK was in...

I was on 200 mg of Deca every two weeks and 350 IU HCG twice a week for 10 years (1995 to 2005). Never had an issue with either one, but over time Hb and HCT did become a problem as did iron levels. Could have been resolved with blood donations but we didn't have our heads wrapped around that...

I know a couple of females using N for HRT, no hair thinning as they experienced with T, even small doses, but their total T was quite high with standard immunoassay, will suggest LC-MS and see how it compares.

CareFirst Pharmacy has oxandrolone 15 mg caps, 90 ct for $100.

He likely had the real deal. GTx-024 at 3 mg/d will cut HDL by 30% and SHBG by +50%. The selective androgen receptor modulator GTx-024 (enobosarm) improves lean body mass and physical function in healthy elderly men and postmenopausal women: results of a double-blind, placebo-controlled phase II...

IMO in men, SARMs are counterproductive. All they do is suppress, very quickly, endogenous testosterone. The anabolic effects will not offset the suppression of endogenous T. Stick with T as a base along with a little N and OX to preserve lean mass. What I've seen from labs in some women that...

K, The only issue with Clomid is it will tank your GH/IGF-I. 25 mg EOD, perhaps not as much as 50 mg/d, but worth having IGF-1 measured before and during Clomid use. At 50 mg/d 40-50% decrease in IGF-I is not uncommon.

I wouldn't stay on any C-17 oral continuously. Maybe 12 weeks on and 8 - 12 weeks off and always sub-lingual with the orals, not more than 10 mg/d. Best way to get to that answer is ask your doc to order a CT angiogram. If your score comes back zero, then you have the answer to the HDL question...

IMO, decreases in HDL as a function of androgens or SARMs is not the same as having an endogenously low HDL or dysfunctional reverse cholesterol transfer system with high HDL. Increasing HDL by pharmacologic means (niacin for example) has not resulting in meaningful decreases in CAD risk, guys...

IMO, hypertension in combo with androgens exacerbates the negative effects on the LV, both structure and function.

I use a shallow IM, 27 g 1/2" upper glute. You could call it sub-Q, if you're lean it is a shallow IM. Works very well, no scar tissue or pain with inj. Blood levels same as deeper IM.

ACEi are generally best for BP issues in guys that are athletic. HCZ is a diuretic, while it reduces volume and thus pressure, if you're on HRT HCZ may exaggerate viscosity (HCT). My question for Codster is, do you resistance train, aggressively? Some concentric hypertrophy is normal, the echo...

I've been going through the PAC/PVC issue for years, esp the last year. Has nothing to do with HRT, in fact HRT reduces the risk of A-fib. and is anti-inflammatory. They did a pulmonary vein isolation to try and stop the atrial trigeminy I had, came back in 3 weeks, they either didn't get it or...

BD TB Safety Lok Syringe 27 Gauge, 1cc, 1/2" Needle - 100ct

27 g needle, very little pain, no scar tissue, easy to self admin. Even shallow IM with a 1/2 inch 27 g, how I do my HRT (TC), hardly feel it. Blood T values are the same. Perhaps even better. Esp if you are doing small dosing 2 - 3/wk. Serum Testosterone Concentrations Remain Stable Between...

Probably need 30mg 2 or 3x per week, sc. If the libido starts to fade and anxiety increases in several days you'll know you need greater frequency. Hopefully your sperm count will increase. One of my friends is a high level NPC competitor, got his wife pregnant twice running a ton of gear and...

MM, I disagree as well. When I was taking 200 mg N every two weeks I was 250 at 10% BF, 6'2", strongest in my life I looked like I was taking alot more, when I switched back to just T I lost about 15 lbs of lean over the next year. I responded very well to what many would consider a low dose. I...

Indications for the use of human chorionic gonadotropic hormone for the management of infertility in hypogonadal men Concomitant intramuscular human chorionic gonadotropin preserves spermatogenesis in men undergoing testosterone replacement therapy. - PubMed - NCBI IMO, if you are going on...

The months after was likely a result of suppression of endogenous T/DHT. A number of docs are now going with a T/N blend for HRT, about 75/25%, respectively, no more than 50/50. For 10 years I was on 200 mg of N every other week and 350 IU of HCG twice a week by prescription. Erythrocytosis and...

New to this board, excellent source of real life info on TRT and nandrolone. After reading through this thread some thoughts. The age mgmt docs I know do not use AI unless there are Sx of E2 excess. I've tried them with my current HRT (100 mg/TC sc every 4 days and 500 IU HCG every 4 days). They...