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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Congrats, great story!
For me I apply it in the morning after I shower except on the weekends I apply it and then shower later in the day. Why would showering first help absorb better?



When you shower first, and then apply. All of your pores are open and your skin is clean, therefore creates greater absorption. I recommend applying at night due to the fact I do not have clothing against my skin and running the risk of the cream rubbing off. I have found by applying in the p.m. your natural level is low, therefore replenishing it then gives the body what it needs. It is like when we charge a battery we only do it when it is low.
how do you feel and what are your numbers?
 
When you shower first, and then apply. All of your pores are open and your skin is clean, therefore creates greater absorption. I recommend applying at night due to the fact I do not have clothing against my skin and running the risk of the cream rubbing off. I have found by applying in the p.m. your natural level is low, therefore replenishing it then gives the body what it needs. It is like when we charge a battery we only do it when it is low.
how do you feel and what are your numbers?
I never had symptoms prior to trt other then sometimes fatigue but I still feel the same from time to time on trt. Doctor put me on it because my numbers were 429 and then another time 350 or so. After trt the numbers were 799, 597, ad latest 601 with free t at 14.
The 799 was applying on the inner arms, the 597 upper shoulders and 601 on the chest and shoulder area.
Currently I apply it on my thigh and will see what that shows.
 
Transdermals are preferable--for the individuals who absorb well, and lifestyle allow--because they most closely mimic the natural rhythms of the body. They are the most physiologic TRT modality available.
 
Transdermals are preferable--for the individuals who absorb well, and lifestyle allow--because they most closely mimic the natural rhythms of the body. They are the most physiologic TRT modality available.

Dr. Crisler,

I have read this from you and from several other informed sources. And it makes sense. However, it seems that the majority of guys use injections. In your practice, do you find that to be true (that most patients use injections) or is that a reflection of a more vocal majority on forums? Do you have a fair amount of patients that have been successfully using transdermals long-term?

Thank you.
 
You are indeed correct: most of my patients do use the injections.

Transdermals are not for everyone. When when they are, there are numerous advantages to them. But it is a decision the patient makes; I am there to give him the information he needs to make the best decision for himself.
 
Transdermals are preferable--for the individuals who absorb well, and lifestyle allow--because they most closely mimic the natural rhythms of the body. They are the most physiologic TRT modality available.

Are the majority of your patients that are using creams supplementing with DHEA, Pregnolone and HCG without an AI?
 
Are the majority of your patients that are using creams supplementing with DHEA, Pregnolone and HCG without an AI?
Great question.

I want to "Backfill the Pathways" in all my TRT patients. That means HCG, and DHEA, and often, Pregnenolone.

Whether or not they need an aromatase inhibitor, or other estrogen control (just to bend the pathways) is highly patient specific.
 
A very good read and its good to hear you have had great results!
I am new to this forum and new to Testosterone in general. I am a 45 yr old male, in good health. Eat pretty good, lift weights/cardio 3-4 times per week.
The issue I have run into is, fatigue around 2:30 in the afternoon, and just wiped out by the end of workouts. Sex drive has waned, and I get something like a "brain fog", trouble remembering words, etc.

Took my Testosterone labs via Lab Corp and I got the following:

Testosterone total: 365
Free: 10.5

FS: 4.9
LH: 6.5

Primary Care Phys says I'm ok. He had me do a 'full panel' this morning.

Trying to weigh options.
 
Wow. I would say total T is way too low. When I was at that level I had vertigo and would want to go to bed at 7. If you are not taking T now you can try to increase it naturally by practicing intermittent fasting, limiting sugar and alcohol.
 
A very good read and its good to hear you have had great results!
I am new to this forum and new to Testosterone in general. I am a 45 yr old male, in good health. Eat pretty good, lift weights/cardio 3-4 times per week.
The issue I have run into is, fatigue around 2:30 in the afternoon, and just wiped out by the end of workouts. Sex drive has waned, and I get something like a "brain fog", trouble remembering words, etc.

Took my Testosterone labs via Lab Corp and I got the following:

Testosterone total: 365
Free: 10.5

FS: 4.9
LH: 6.5

Primary Care Phys says I'm ok. He had me do a 'full panel' this morning.

Trying to weigh options.
Have you had a complete thyroid panel ran? FT3, FT4, etc.?
Total T is low. If your Primary is telling you that you are O.K. because you are "in range" you have a rough road ahead.
If that is the case, you need to look for a GOOD TRT DR.
A lot of folks use Defy (Telemed) and have great success. Their DRs are exceptional and know what they are doing.
 
Thanks for the reply, Smokey. I don't have Vertigo but I have noticed a dizziness if I sit up or lie down; very odd as it has only started in the past 3 weeks.
I don't think my PCP is going to be much help.
I have been doing intermittent fasting and have leaned up a bit, just want to figure out what to do next as I'm new to all this stuff for the most part.
I have been reading Jay Campbell's books on testosterone and listening to various podcasts, thus coming across Nelson, and this site.
 
The panel which I had drawn today included Thyroid.
I think I'm going to have to get on testosterone with Defy. Pricey, but I figure health is worth it.

Thanks for the reply, Orrin.
 
Doc gave me the 'Testosterone can cause heart attacks' garbage and I told him there were some flawed studies in that area.
I will probably google pricing for Defy's pricing, but since I'm here, what are the average costs (monthly) for a testosterone program?
 
Thanks for the reply, Smokey. I don't have Vertigo but I have noticed a dizziness if I sit up or lie down; very odd as it has only started in the past 3 weeks.
I don't think my PCP is going to be much help.
I have been doing intermittent fasting and have leaned up a bit, just want to figure out what to do next as I'm new to all this stuff for the most part.
I have been reading Jay Campbell's books on testosterone and listening to various podcasts, thus coming across Nelson, and this site.
That is called "orthostatics", and can be a sign of an Adrenal issue.

When they took your blood pressure, do you know what it was?
 
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.

...
he 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. ... 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'm glad you're feeling good but when I read this I get the exact OPPOSITE of a success story. This sounds like a laundry list of all the typical problems people have with gels and creams and would put me off even attempting it.

You spent (wasted?) 18 months on bad creams. A year and a half of your life gone, and how many years later until you were actually feeling better after finally figuring out the magic protocol that works for you?

An injection would have gotten you there on day 1, most likely.

Not to mention your daily application routine sounds like a nightmare. 365 daily applications per year, vs. 52 once per week injections? Not for me either.

And what about the cost? Gels cost hundreds of dollars per month vs. about $20 per month for testosterone plus syringe?

If by success you mean the most unpredictable, highest-cost, and most-inconvenient, then I would agree this is a "success."
 
Excellent story Tim thank you for sharing it.
If its not a secret I'd love to hear more about your protocol and if you worked on diet and exersize?

I am struggling with getting compounded creams to reach a therapeutic level.
I had no issues with Brand named Gels except the $300/30 tubes price tag.
what is the cheaper alternatives cost?
 
Tim, I also use the compounded cream from Empower and I am in complete agreement with your evaluation on the quality of the product. I also use the 200% cream but I only use a 1/2 mil (100mg/day). Last labs at trough were Free + Total=778(254-916) and Free=10.2(6.6-18.1).

I realize this is an old post, but I hope you receive it. Do you have any E or E3 problems on the cream?
 
I would think the obvious study would be to use DMSO with the cream/gel to aid in absorption. Either immediately after applying the cream or mixed together.

There are a few threads on it, but I never seen any empirical numbers on using DMSO vs not using it on how well creams/gels are absorbed.

I realize the only FDA approved medical use of DMSO is for interstitial cystitis.

Any speculation why this use of DMSO was never studied?
 

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