Successful Story with Testosterone Cream Protocol

To all members:

Below is an overview of my history, and TRT cream protocol that I found most effective for myself and others

I am a 55-year-old business owner who has always exercised, eat healthy foods, and tried to stay on the path of wellness. For the last ten years or so, I've noticed a decline in the positive results I'd been getting due to walking this path: loss of energy, loss of focus, belly fat. Like most people, I attributed this to getting older. As a teenager, I was a skinny kid who wanted to gain muscle, so I started eating more and working out. I would read muscle magazines and research what supplements to take. Back then, I saw consistent positive results and was inspired to continue the path. The problem for me as I aged was that these results were fewer and farther apart. Some thirty years later I found myself swimming around trying to find the magic supplement, and becoming more and more discouraged. As a result, approximately ten years ago, I started looking for a "wellness" doctor.

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In addition to the above-mentioned issues, I have for my entire life suffered from migraine headaches. I'd tried all sorts of fixes and various prescriptions with minimal results. The problem with most mainstream doctors is that they have to follow a certain protocol. They are ignorant of the fact that drugs and/or surgery are not the only fix.

Five years ago, the stars aligned and I landed on a nutritionist and also a holistic MD. I started with the nutritionist first, and within three weeks, I noticed a difference. I had been a "meat and potatoes" guy all of my life. I discovered that the carbohydrates in addition to the lack of enzymes in my system were fueling my headaches. So I went on a modified Adkins diet. To date, my headaches are 95% cured.

The next step was to see the holistic MD. She tested my testosterone levels and they were at the time at 470. While this number was on the low side of normal on the conventional scale (400-600), I was blessed with a doctor who was not just looking at the numbers but at my symptoms. I started a TRT regiment approximately fifteen months ago. The combination of diet change, supplements, and TRT transformed me into what she, my doctor, calls me: Ironman. My numbers increased to 717 total/25.8 free testosterone.

Most people want a quick fix. They must understand that there are NO quick fixes in this world. If they find one, it is short-lived or many sometimes very bad side effects to go along with it.

The main question I ask many people is-- why can't health be the number one priority? I see new faces in the gym all the time. They are out of shape and trying hard to make a change. Most of them are there on doctor's orders. Don't wait for a health catastrophe to hit before you make a change. The secret to good health is a complete lifestyle commitment. No TRT program by itself is a magic bullet.



My TRT cream protocol

I have been on TRT for approximately five years. For the first 18 months, I had a very difficult time. Initially, it was a slow start mainly because of low dosage and poor-quality product.

I started with an alcohol-based bioidentical pharmaceutical packaged product. This product was worthless. I moved on to a local compound pharmacy, my current doctor uses this pharmacy for years. As I moved up from 50 to 200 milligrams per milliliter per day. I felt good for a while. But then I found myself applying more, but still not feeling the best. I switched compound labs using a cream based product. This process went on for over a year. I was carefully monitoring all my blood results along with how I felt on a daily basis. My best testosterone totals were approximately 750 range with Free being around 18.

The more I took the worse I felt. At one point I was taking 600 mg per day. My blood tests came back lower than before. I noticed from the second compound lab that the product was not consistent, it had hot spots. The pharmacy acknowledged it made me a new batched and then still charge me for it.

At this point, I was questioning the whole cream process versus injecting. I even tried suppositories. Me being a needle Phobia I was determined to make the cream work.
I started working with Nelson Vergel on the problem. I contacted Empower pharmacy and decided to give the cream one last try. To my amazement, I had fantastic results.
For the past few years, I've been on a steady protocol of approximately 250 mg/per milliliters Daily. My total testosterone averages 1100 with the free testosterone averaging 32

I thank Nelson Vergel and Dr. Ariane Cometa for my success to date.
www.cometawellness.com


I continue the wellness Road daily. I feel blessed and I mentor others that need help and struggle with similar issues. I believe a lot of men start a program and are doomed to fail at the start because of misinformation and/or poor monitoring by the physicians. Nelson should really be honored because he has paved the road for many and continue to do so. He is very inspirational and is a remarkable health coach, not to mention scientist. I am very grateful to work with him on this process and did not quit early on. Most people believe we are in a race/Sprint, this is not true we are running a marathon.


 
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Since @Zibernet has gone radio silent, does anyone else out there want to comment? I am curious why abdominal application would work better for him? I also want to know why he switched (I think he was doing high-dose scrotal twice a day). Was it too much? Does abdominal work better because he is actually absorbing less and he is less likely to experience side effects from supraphysiologic testosterone and/DHT?

The package inserts on most of the commercial forms of creams specifically say not to apply to the abdomen. I am not sure why, but my guess is that absorption may be reduced compared to other sites (at least one study showed this)?

Can anyone who has or is using cream weigh in?
 
The rationale behind abdominal application is to try to target tissue types that are known for higher aromatase activity. He has lower e2 numbers. Absorption may be a factor too but not necessarily significant.
 
The rationale behind abdominal application is to try to target tissue types that are known for higher aromatase activity. He has lower e2 numbers. Absorption may be a factor too but not necessarily significant.
Thanks for your response!

Do you happen to know of a study that references aromatase activity based on location? I will search for it if you don't happen to know.
 
Thanks for your response!

Do you happen to know of a study that references aromatase activity based on location? I will search for it if you don't happen to know.
Adipose tissue. Most people have more adipose tissue in the belly area. Aromatase is expressed moreso in adipose tissue vs most other tissues.
 
This study would suggest upper body fat has a lower estrogen to DHT ratios compared to lower body fat.

This study suggests Testim is absorbed best in the arms; chest or abdomen is similar or better absorbed than legs.

Would love to hear more chime in with either anecdotes or references to useful studies.

So far, in my experience, scrotal application makes me feel very anxious. Moderate dose (75mg) on the arms also made me anxious. With either application, I also feel a "crashy" feeling between 2 and 4PM (8-10 hours after application). This study would suggest T levels are dropping around this time. Am I feeling that? Am I feeling DHT spiking?

I am willing to try (aka torture myself) another site (perhaps 50mg on abdomen) and report back.
 
Scrotum application could of been sending his levels too high. Elsewhere on the body might of brought T levels to more normal levels. I feel calmer on cream as opposed to injections
 
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I have a few follow-up questions: what dose are you using? What do you think accounts for the improved experience? Have you tried a similar dose on the shoulders? If so, how is your current protocol better than applying to the shoulders?

Never tried any other area than scrotum and abdomen.
I'm applying 3 clicks morning and 3 clicks pm (300mg total in Pentravan cream).
I would venture to guess that higher e2 conversion and lower DHT conversion is what makes me feel good and less anxious.
You may be right I'm also most likely absorbing overall less testosterone, although I have no bloods yet to check that.

One more idea that is purely speculative: I imagine that all this belly fat serves as a bigger reservoir for the testosterone to be slowly released, whereas the scrotum skin is so thin that it doesn't hold any of it, test is straight shuttled to the bloodstream.
So maybe there is a more consistent and gradual release with belly application.
 
Never tried any other area than scrotum and abdomen.
I'm applying 3 clicks morning and 3 clicks pm (300mg total in Pentravan cream).
I would venture to guess that higher e2 conversion and lower DHT conversion is what makes me feel good and less anxious.
You may be right I'm also most likely absorbing overall less testosterone, although I have no bloods yet to check that.

One more idea that is purely speculative: I imagine that all this belly fat serves as a bigger reservoir for the testosterone to be slowly released, whereas the scrotum skin is so thin that it doesn't hold any of it, test is straight shuttled to the bloodstream.
So maybe there is a more consistent and gradual release with belly application.
Makes sense. Do you have a lot of belly fat? Are you applying on the front part of the abdomen or love handle area, where there tends to be more fat?

Thanks for your feedback.
 
Makes sense. Do you have a lot of belly fat? Are you applying on the front part of the abdomen or love handle area, where there tends to be more fat?

Thanks for your feedback.

I'm very lean with a 6 pack showing.
Still there's A LOT more aromatase in my flat belly than on my scrotum.
In between those two areas.
 
Been on 200mg cream for 6 weeks, 50mg DHEA and 100mg Preg. T has gone from 502 to 187, and Free has dropped commensurately. Estradiol and SHBG stayed same, while my LH has hit the floor. DHT was low normal before and while I’m waiting for that lab to come back I’ll assume it’s high, although I have no signs. Feel strong, confident, clear minded, and have gained 6lbs, which I thought was due to lifting more, but I’m in a weird middle ground now. Biggest concern is HCt went from 46 to 50. Clearly cream works but why the plummeting of T levels, and yet increase in HCt?
 
Been on 200mg cream for 6 weeks, 50mg DHEA and 100mg Preg. T has gone from 502 to 187, and Free has dropped commensurately. Estradiol and SHBG stayed same, while my LH has hit the floor. DHT was low normal before and while I’m waiting for that lab to come back I’ll assume it’s high, although I have no signs. Feel strong, confident, clear minded, and have gained 6lbs, which I thought was due to lifting more, but I’m in a weird middle ground now. Biggest concern is HCt went from 46 to 50. Clearly cream works but why the plummeting of T levels, and yet increase in HCt?

Where do you apply the cream? Is it the compounded 20% cream? How often to do you apply? Every 24 hours, every 12 hours? When did you draw blood relative to application?
 
Tim: Thanks for your kind words. I am very proud of you and how analytical you have been during your path. You did not give up on the cream and actually showed extreme success with it after a few tries. I am glad you are debunking the myth that testosterone creams are not worth it. This myth is very common in ExcelMale.com
Nelson where do I contact if I wanted to work with you?
 

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