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Latest Questions
My girlfriend has PCOS and has been spending years trying to figure out how to treat it. Doctors are zero help when she tries to see one, and she has ...
Without knowing the specifics of her particular case, I can only say that”maybe”. So, ovaries actually produce testosterone first, then convert the t...
For the states that some services aren’t available in, are you looking to expand in the future?
Yes. For a long time we struggled with total coverage for medications/services in every state because of pharmacies only servicing certain areas or in...
I foolishly got on clomid because I’ve been feeling like crap for the last year workouts were horrible and brain fog literally every symptom of low t...
Questions about TRT
For the states that some services aren’t available in, are you looking to expand in the future?
Yes. For a long time we struggled with total coverage for medications/services in every state because of pharmacies only servicing certain areas or in...
I'm using an in-person TRT clinic for now but it won't be sustainable for longer than a few months. How easy would it be for me to jump from an in per...
Around 30% of new patients with us are transfer patients from other TRT clinics (digital or physical) due to the hassle of in-person visits or our bet...
Also on your website it states that supplies are included. What would those supplies be? Would there be two different size needles, one for drawing an...
Generally needles, syringes, & prep pads. The number would depend on your injection frequency & the size on your IM vs Subq. For Subq there tends to b...
Questions about Cialis
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
We do, though they are more tightly focused than a full on peptide provider. This is because we can only work with peptides that are available from ph...
Who are your pharmacy’s? How do you choose them?
In digital TRT, it's usually best to work with a compounding pharmacy or a pharmacy designed to work with businesses. Local pharmacies like Walgreens...
36 M - 4 weeks into treatment. 60MG test cyp injection Tuesdays and Fridays. Started w T level around 280 - all typical symptoms. Low energy, moodines...
Check out this timeline we give to our patients: - The Start, Weeks 1-4 - Many notice effects from the first few injections. During this time, mo...
Questions about Lab Testing
Regarding TRT, what are the most important blood tests that you check for?
For initial diagnosis that would be total testosterone, free testosterone, and LH. For monitoring TRT it’s usually total and free testosterone, estrad...
How closely do you help monitor blood tests with the patient?
In general, we take blood tests for all new patients or accept recent lab work in place of that. If they're an established TRT patient & can provide p...
Do you require bloodwork? What test levels are you shooting for? My current clinic shoots for 1100.
We do require bloodwork, most TRT companies will since Testosterone is a controlled substance & it's good to have this info on file even if someone is...
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Questions about GONADORELIN
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
We do, though they are more tightly focused than a full on peptide provider. This is because we can only work with peptides that are available from ph...
When the HCG gets here should I do em both? I've seen them used together with a mixed bag of opinions. It's just 1 vile I will not be getting anymore ...
Once the hCG arrives, you should discontinue the gonadorelin.
What have you found to be best for fertility with your patients, clomid or something like hcg+fsh? Obviously people react differently on different med...
With our patients, we have had more success with hCG. This may have to do with the fact that more of our patients prefer hCG to clomid. Every patient ...
Questions about Peptides
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
We do, though they are more tightly focused than a full on peptide provider. This is because we can only work with peptides that are available from ph...
Where is the list for pricing from your peptide partner?
Their practice philosophy is to meet with patients to understand their needs and teach them about peptides, then build a plan to reach their goals. Fr...
How do you address patients that started with low libido and continue to have low libido/worse libido since starting TRT?
Libido is one of the hardest hypogonadal symptoms to dial in correctly. Part of this is because libido is not entirely hormonal and is confounded by e...
Questions about HCG (Human Chorionic Gonadotropin)
If I wanted just Clomid and HCG, what would that cost? I have recent bloods and a current prescription from my physician.
If you were on traditional TRT & those were ancillary medications, then the prices would be a bit different. We would classify this approach as HCG mo...
I added HCG, about 1200 IUs per week. I normally inject on the MWF along with my testosterone. Should I pin HCG on different days or does it not matt...
It doesn’t matter.
What do you guys charge for HCG 1000iu weekly? My current TRT clinic is killin me on this stuff
We treat HCG as an ancillary medication, and only charge for it at the time of order/reorder. For a current TRT member it is $300 for 10,000 units, wh...
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Questions about Oxytocin
How do you handle libido problems? If testosterone and estradiol are both in range, where do you look next? DHT? Prolactin? I am currently dealing wi...
Libido issues can unfortunately be difficult to pin down sometimes because there are many factors, both intrinsic and extrinsic, that affect it. Libid...
Questions about GLP-1
My girlfriend has PCOS and has been spending years trying to figure out how to treat it. Doctors are zero help when she tries to see one, and she has ...
Without knowing the specifics of her particular case, I can only say that”maybe”. So, ovaries actually produce testosterone first, then convert the t...
For the states that some services aren’t available in, are you looking to expand in the future?
Yes. For a long time we struggled with total coverage for medications/services in every state because of pharmacies only servicing certain areas or in...
How about stacking TRT with peptide therapy. Are Sermorelin, Tesamorelin, or CJC w/ Ipamorelin actually safe to use with TRT? What are the real benef...
These are perfectly reasonable options. Currently we and other TRT providers can dispense Sermorelin, though not long ago it was permissible to work t...
Questions about Nandrolone (Deca-Durabolin)
Looking at adding Deca to my trt protocol is this something you offer?
Yes, we do
Does Nandrolone convert to DHT as readily as test?
Actually, nandrolone never converts to DHT. Instead, it converts to DHN (dihydronandrolone). It is converted by 5a-reductase, just like testosterone —...
What are your thoughts on using Deca and/or Anavar alongside TRT?
Perfectly normal & we do support this. Those are both legal medications to prescribe, though they cannot be prescribed en masse for all patients witho...
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Questions about Oxandrolone (Anavar)
Do you prescribe Anavar for people already on TRT from their primary doctor?
Yes.
Why would my provider not allow me to use deca with anavar?
Without knowing more about your specific situation, or reason for needing all these medications, all I can say is that more is not always better and t...
What are your thoughts on using Deca and/or Anavar alongside TRT?
Perfectly normal & we do support this. Those are both legal medications to prescribe, though they cannot be prescribed en masse for all patients witho...
Questions about ED
Does TRT help venous leak and erectile dysfunction in general?
In general, yes. It increases corpus collosum blood flow. It helps by bringing in more blood flow, though to a lesser extent slowing venous outflow. B...
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
We do, though they are more tightly focused than a full on peptide provider. This is because we can only work with peptides that are available from ph...
Is any symptom considered more relevant for TRT than others? I.e. low libido versus ED versus muscular issues
Some symptoms are more directly treated by TRT than others, and that makes them more relevant to diagnose it. Low energy, low libido, difficulty losin...
Questions about SERMORELIN
Do you offer enclomiphene? When should it be considered vs traditional TRT?
We do offer enclomiphene. Like all SERMs, its effectiveness varies. Due to the way it functions (ramps up pituitary output of FSH and LH), enclomiphen...
What are your thoughts on enclomiphene without TRT and do you see it gaining FDA approval anytime soon?
This is very similar to another question so I will copy/paste that answer. The SERM (clomiphene or enclomiphene) and TRT combo is still experimental a...
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
We do, though they are more tightly focused than a full on peptide provider. This is because we can only work with peptides that are available from ph...
Ready to get answers?
Ask your own question today.
Questions about DHEA
Would it benefit to add Dim to the protocol then and does DHEA have any effect at all on the combo? Should not even be included?
I would definitely try both DIM and the CD2 together. Adding DHEA can have some benefits on cognition, but usually will result in higher E2 levels thr...
What are the benefits of DHEA with Testosterone?
As of now, no DHEA receptor has been identified in the human body. That means that DHEA is solely a precursor to other sex hormones. Any DHEA you take...
Aside from high/low E2, what else are the primary reasons a person on TRT would have poor mood and low energy?
Hormonally speaking, it could relate to the neurosteroids pregnenolone and DHEA-S. These act directly on the brain and are associated with mood and co...
Questions about Tirzepatide
has tirzepetide and semaglutide been studied for sublingual administration and what doses?
It has, and it is available through us as well. However this is only for Semaglutide, not Tirzepatide yet. The big pharmacies of Empower doesn't have ...
What requirements do you require to get started with semaglutide, tirzepatiode or any of the following that you mentioned above ?
GLP-1s are less of a controlled medication that Testosterone & TRT is, which means the guidelines for use when not working with insurance justificatio...
Is Tirzepatide even available? I heard it was hard to get in the US?
Yes, tirzepatide is available. We have several partnerships with different pharmacies and have never had problems with our patients getting access to ...
Questions about Sildenafil (Viagra)
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
We do, though they are more tightly focused than a full on peptide provider. This is because we can only work with peptides that are available from ph...
Who are your pharmacy’s? How do you choose them?
In digital TRT, it's usually best to work with a compounding pharmacy or a pharmacy designed to work with businesses. Local pharmacies like Walgreens...
How effective is tadalafil paired with TRT? Does it helps to reduce e2, and if so, do you recommend? And what daily dose to see synergy?Does it helps...
It is common to combine the two when the initial symptoms of low Testosterone include low libido or ED. We tend to hold off on adding it right away to...
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Ask your own question today.
Questions about Female TRT
How can I get info on getting my wife some blood work and possibly on hrt? Aside from testosterone, do you also deal with estrogen?
Generally you would meet with your PCP & talk about her symptoms, then based on those run normal labs to see where she sits & where TRT might help. If...
What's a typical dose you provide for a woman's trt
We tend to work between 6mg-12mg for women on a weekly basis. When it comes to dosing you're primarily focused on benefits & side effects to adjust fr...
Please explain the role of androgens in PCOS? The condition is already caused by androgen excess
Women produce more testosterone in their lifespan than estrogen. In fact young women produce 3-4x as much testosterone than estrogen daily. Women als...
Questions about Semaglutide
What’s the cost of trt + tirzepatide?
Our normal TRT program is $129 a month, and our normal Tirzepatide program is $386 a month. (Though if you wanted to use Semaglutide as your GLP-1, th...
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
We do, though they are more tightly focused than a full on peptide provider. This is because we can only work with peptides that are available from ph...
Is mounjaro gonna be available in a pen soon and will that have the same supply issues that have plagued semaglutide?
Most likely not in the exact same pen like fashion, but maybe something close. Semaglutide & Tirzepatide (Mounjaro) are the chemicals & there's no ne...
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