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Off Topic / Re: Are too many guys misguided in wanting TRT?
« Last post by mt006 on Today at 07:23:05 PM »
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I'll be going off to Australia and New Zealand for two months at Christmas to take in an Ashes test match

Wow sounds like a proper adventure.. I thought I was being adventurous by going to Tenerife for new year lol

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I can't understand why if a man goes to the doctor with sexual issues the doctor would prescribe a medication known to have negative side-effects on sexual function as most SSRIs do.
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Yes I said that straight away when offered - but her response was "you might feel better about it"   ::)


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Personal Diaries / Re: Expecting too much
« Last post by Olly13 on Today at 11:20:04 AM »
Just stick them in a vitamin bottle or something

#TDCsmugglingtips




Oh boy...

But seriously MG it's a prescription medication, that your actually prescribed, you can either just risk it and be a little cautious, by sticking it in with vitamins/ibuprofen or something, or just simply obtain proof which you have a legitimate reason for them.

I guessing an empty pen would also work if totally paranoid, again, this isn't like your actually doing anything illegal anyway, otherwise I wouldn't be saying any of this.
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Personal Diaries / Re: Expecting too much
« Last post by Anonymous on Today at 09:39:44 AM »
Just stick them in a vitamin bottle or something
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Therapy Issues / Re: Test levels and other stuff.
« Last post by eggmule on Today at 08:33:39 AM »
Hi Craig

Well those feelings only lasted for a day or so and then I was OK again so not too bad. Couple of things I've noticed since dropping down, I haven't lost any energy or any of the good feelings like being able to get out of bed in the morning, shower and get ready for work, or like I used to, taking me 2 or 3 hours to come round before I could do anything, thankfully. The biggest difference are that my moobs have reduced dramatically, down to a more manageable size ha ha. I hadn't really noticed they had grown but they were massive in hindsight, you know when these things happen gradually you don't really notice so since they've reduced it's been a nice bonus. I've been putting weight on recently, not purposely, just thought it was a bi-product of that, but no. So, basically I think I'll stay on 5mg, it seems to be doing the trick and I'd rather feel like I do than just a bit better but with the side effects.

Neil
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Diagnosis Problems / Re: Diagnosed privately, still stuck in a quandary
« Last post by nick on Today at 05:02:59 AM »
You are right Big V which is why relying on the Serum T level alone as a guide is wrong.


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Off Topic / Re: Are too many guys misguided in wanting TRT?
« Last post by BigV on August 20, 2017, 10:13:26 PM »
Definitely under treated...

When I presented to my GP with low libido I was instantly offered anti-depressants and viagra (at the age of 35)

Even when I politely turned this down and returned with T levels of 5.5 n/mol (a repeat test returned 8.5) I was denied even a referral.

Even more worrying is the fact that there are a multitude of secondary issues that could cause low T that are not even investigated.


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Wow that is shockingly bad.  5.5 and 8.5 and not even a referral to an endo?!!  :o

I can't understand why if a man goes to the doctor with sexual issues the doctor would prescribe a medication known to have negative side-effects on sexual function as most SSRIs do.

Don't get me wrong I have nothing against anti-depressants, they have uses and can help, but not before underlying physical issues have been resolved.  Anyone can be depressed if their body isn't functioning properly due to low T, low thyroid or whatever.
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Diagnosis Problems / Re: Diagnosed privately, still stuck in a quandary
« Last post by BigV on August 20, 2017, 09:59:51 PM »
Hi Nick,

I love what you do with this site and your presence in the area of trt in the uk is most welcome but I am struggling to understand your position on optumizing hormones. Isn't the goal here to tune your hormones to best they can be (to reduce symptoms) while staying healthy?

My understanding is that the ranges used can vary, the one on the nebido site for example goes up to 40 nmol and thats still classed as "normal". My local lab range used within gp practice goes to 28nmol. Is there anything wrong with wanting to have peak health? I am more than happy to listen and learn from others and am interested in your reply. I feel the hormone optimazation crowd are very different from the steroid abuse crowd - most steroid abuse cycles can vary from 500mg of test per week to over 5grams of anabolics a week - this a huge difference from someone running a hormone optumization protocol of test,hcg,AI. Again I really repect your work in this area and am interested in your view point.
My understanding is the reference range is set by the results from the local population - they set up the ranges against these figures somehow so that they can say that 95% of people they test fall within the lower and upper limit of the range.   The problem is if they are setting the reference ranges on people who may already have low testosterone but not know it, therefore creating an artificially low reference range.

Also in many cases the range is presented as a one size fits all, i.e. it is not broken down by age group.  This is critical because while 10 to 30 nmol/L might be 'normal', a healthy 19 year old should be towards the upper end while an 80 year old would expect to be at the lower end and a 40 year old somewhere in between.  So if you are 21 and go to your doctor with low T symptoms and your test returns a level of 10 nmol/L then you are probably gonna walk out with a prescription for an antidepressant... many of which make sexual function worse... kind of ironic in a tragic way.
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Diagnosis Problems / Re: Diagnosed privately, still stuck in a quandary
« Last post by BigV on August 20, 2017, 09:48:12 PM »
Hey guys,

I've got a hypothetical situation for you both to Consider, Taking away from the subject of the s**tty Clinics in the USA (and creeping over here...) who love to overdose their patients with the "famous trio" (TRT, HCG and Anastrozole)... taking it totally out of the picture for the remainder of what i'm going to say, as otherwise it'll cloud the idea i'm getting at.
...


I have no issue with guys using (prescribed) whatever they need to find their individual sweet spot and feel well again - (but where is the evidence for these cocktails?). There are some doctors in the USA who seem to do that very well by mixing in HCG and drugs to control E2, Dr Crisler for example.  However as you say the problem is the more questionable clinics that are putting  fitness fanatics & body builders on large doses of these drugs and  then calling it TRT or 'optimised' hormones... essentially their definition of optimise is maxing out every level. I think these kind of clinics/doctors just contribute to the negative perception of TRT and make life more difficult for those that genuinely need help. 

As for the HCG route - I believe there are some potential benefits but that would have to be offset against any increased risk or complications such as increased E2.  With testosterone vs testosterone + HCG the end result would be the same.  But anyway the in the UK the chance of getting the "famous trio" is almost zero on the NHS.
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Personal Diaries / Re: Expecting too much
« Last post by Olly13 on August 20, 2017, 04:46:51 PM »
What do you mean by "got others"?

Can't you get Dr Savage to send you some proof of you being prescribed them? So you can take what you have with you. 

That or just risk it and put them in a card compartment in your wallet or something, it's not exactly like there big. Obviously do so at your own risk and don't blame me if you get cavity searched by customs...
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Personal Diaries / Re: Expecting too much
« Last post by MG on August 20, 2017, 04:11:58 PM »
Majorca
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