question from a user
AlphaMD's Answer
At first glance Primobolan seems like it would be a great option to boost the effects of TRT while also helping control estrogen. However, its use can be very detrimental to your lipids and liver health, even in low doses. It is for these reasons that its use is illicit in the US (DEA Schedule 1) and all other countries except Spain and Turkey. Even in those countries it is not to be used for longer than 3 months at a time.
There are safer ways of managing estrogen (adjusting dose and/or frequency, AI’s, etc) so we do not recommend using Primobolan long term to control estrogen or to boost libido.
In general, low doses of Primobolan have been used as a part of TRT protocols in countries where it is legal. It does help manage estradiol levels and is known to free up more free testosterone from S... See Full Answer
Our general approach to patient care is one that is focused on patient goals. We also treat the patient, not the number. So if you have goals that are focused on symptom relief, than we typically find... See Full Answer
In general we opt for a "lowest medication needed" approach, as most things in TRT have less benefits and higher side effects the higher you go in doses. For AIs, we find that most men do not need the... See Full Answer
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