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Latest Questions
I’ve been researching hrt for women as my wife is beginning perimenopause and has low t and e2(very bottom of the healthy range but has all the sympto...
The process of creating estrogen is the same in women as it is in men. Women actually produce more testosterone than estrogen in their lives. They pro...
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...
Hi, I am a 41 year old female, in peri menopause interested in TRT. Recent labs taken 2 weeks ago: Free testosterone 0.5 pg/ml and Testosterone NG/dl ...
Your lab results along with your reported symptoms would qualify you for TRT. It is rare to find medical providers that are comfortable with prescribi...
Questions about TRT
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...
Does HCG make sex better? Not necessarily having issues currently with my TRT dose but anecdotally heard it increases sensitivity and makes sex better...
There has been anecdotal reports of this by some men, though we tend to think this is more about finding the right hormone levels rather than the addi...
Is going over 300+ for a lady similar to staying above 1500 for a gent? Noe my wife is 0.5 nmol, which means she's at an abysmally low level of 15 ng...
The risks are a bit more for women with too much testosterone than men with too much.
Questions about GLP-1
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...
I am 42 and have been unable to lose weight or build muscle for years now even working with trainers and nutritionists. Semagultide makes me horribly ...
We've treated men at 700 before. Relative hypogonadism is far more rare than normal than traditional low Testosterone, but if you're suffering then yo...
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...
Questions about Semaglutide
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...
I am 42 and have been unable to lose weight or build muscle for years now even working with trainers and nutritionists. Semagultide makes me horribly ...
We've treated men at 700 before. Relative hypogonadism is far more rare than normal than traditional low Testosterone, but if you're suffering then yo...
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...
Ready to get answers?
Ask your own question today.
Questions about Tirzepatide
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...
I am 42 and have been unable to lose weight or build muscle for years now even working with trainers and nutritionists. Semagultide makes me horribly ...
We've treated men at 700 before. Relative hypogonadism is far more rare than normal than traditional low Testosterone, but if you're suffering then yo...
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...
Questions about HCG (Human Chorionic Gonadotropin)
Does HCG make sex better? Not necessarily having issues currently with my TRT dose but anecdotally heard it increases sensitivity and makes sex better...
There has been anecdotal reports of this by some men, though we tend to think this is more about finding the right hormone levels rather than the addi...
I just had 6 week bloods done. e2 was 48. SHBG must be crashed because my free T was 255. Obviously an e2 of 48 is unlikely to cause any puff or itchi...
Well, to break things down, when starting TRT you should generally not be adjusting your routine or adding medications until the 7-8 week mark when yo...
Are there any downsides to using hCG?
Generally no, it is fairly safe. There are a few niche interactions which may have it tip your Estrogen up or such, but that's usually more controlled...
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.
What do you think about combining enclomiphene with a peptide to increase IFG1 to counteract enclomiphenes side effect of lowering IFG1?
Logically that makes sense and we get it, however there are not long term studies on this exactly. If you're cool with that you could be the test subj...
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Ask your own question today.
Questions about Female TRT
I’ve been researching hrt for women as my wife is beginning perimenopause and has low t and e2(very bottom of the healthy range but has all the sympto...
The process of creating estrogen is the same in women as it is in men. Women actually produce more testosterone than estrogen in their lives. They pro...
Hi, I am a 41 year old female, in peri menopause interested in TRT. Recent labs taken 2 weeks ago: Free testosterone 0.5 pg/ml and Testosterone NG/dl ...
Your lab results along with your reported symptoms would qualify you for TRT. It is rare to find medical providers that are comfortable with prescribi...
I literally just started on TRT for the first time this week. 43 yo m, self aware moodiness and fights with my wife over dumb shit along with obvious...
Glad to hear you are finally getting treated. I’m sure with time your wife will see how it helps you be the best version of yourself and will come to ...
Questions about 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 ...
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.
So I've been on TRT for 6 months, my clinic doubled my dose when I was at 615 with normal E2 levels then 3 months later. I'm only at like 718 and my E...
You already paid for it, there is no harm in trying it. It’s true, gonadorelin is a poor substitute for hCG, and has little benefit for this purpose, ...
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...
If a person would take HCGs the preserve fertility, how many injections can he expect to do weekly on a combo of TRT and HCGs Also, regarding libido,...
Someone looking to maintain fertility by using hCG while on TRT would typically dose at a minimum of 500 IUs/wk, with improving sperm levels with incr...
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Questions about ED
My labs are dialed in on TRT but I still feel like I have room for improvement. Whats a good starting dose of HCG to help improve libido further and h...
Typical low end dosing for hCG is 500IU/wk. “Start low and go slow” is what they teach in med school, and I would suggest that with the addition of an...
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...
HCG benefits more than just fertility. It also benefits mood and sensitivity, but too much can cause someone to crash. I'm guessing it causes E to sp...
Awesome to hear that, those are great outcomes. Yes, it can cause E spikes as well at any level depending on the person. That more has to do with how ...
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.
As someone who just restarted TRT after 6 months off trying to see if my body would restart, I wish I’d reached out to you guys as well. What is the p...
The only thing we require is labs that are less than 12 months old. We can easily transfer you over after a brief consultation. You can visit the webs...
If my labs come back with let’s say tt of 750 and I have no side effects but still no libido and feeling OK, but still like I was befor trt maybe a l...
Let's take a look at that TT first. First, what age are you (or age range)? Second, what was your TT before you started therapy?
Questions about Oxandrolone (Anavar)
How much does oxandrolone cost from you guys? And what can it be prescribed for? I’ve heard about people getting it prescribed for body recomp, but no...
For Oxandrolone/Anavar it is an ancillary medication which means it would be handled by a single payment for typically a 90 day supply at a time. It w...
Can oxandrolone can heart problems/chest pains? I had it but was also anxious at the time of taking, and it seemed to cause chest pains. UNLESS that ...
It has no known cardiac effects, but is known to trigger anxiety in some people.
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...
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Ask your own question today.
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.
Questions about Nandrolone (Deca-Durabolin)
What are your thoughts on long term, low dose nandrolone as part of TRT treatment. A safe addition to testosterone full time, or should it be cycled ...
We do this with certain patients, though we normally request some additional check-ins and lab work. Many times it is prescribed due to it's beneficia...
Does Deca Durabolin cause extreme anxiety and jealousy at therapeutic dosages of 100-200 mg./wk.?
No. It does not & should not. We routinely work with men at the 100mg/wk mark and this is not a common concern at all. When getting near 200mg/wk you'...
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 SERMORELIN
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...
What are most common symptoms of high estrogen for men? Does everyone need an aromatase inhibitor? Would a SERM help with symptoms vs and AI? Thanks i...
High E2 symptoms: tender/swollen nipples, fluid retention/edema, emotionality, pimples, loss of libido
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.
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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...
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...
My question is have you heard of Calcium D-glucarate being substituted instead of an AI? And reducing E levels? My Endo seems to know nothing about AI...
Calcium D-glucarate has been shown to increase the metabolism of estrogen, meaning your body will eliminate it from your system faster. It does nothin...
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.
Ready to get answers?
Ask your own question today.
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