Thread: Made trip to see Dr. Crisler
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01-04-2012, 10:58 AM #1New Member
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Made trip to see Dr. Crisler
So, I'm on the road to recovery, and if you feel lost, or helpless, or feel like you have to educate your doctor on this. Please, save all your energy and just see Dr. Crisler. He is cool as hell, and made me feel like he cared, and I wasn't judged at all. Worth every penny.
I would also like to thank gdevine for educating me about all of this stuff. I'll certainly keep updatingLast edited by Ibreakspawns; 01-07-2012 at 12:29 PM.
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01-04-2012, 11:06 AM #2
some docs get it, some don't...glad to hear you're on your way.
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01-04-2012, 11:07 AM #3HRT
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Great news man...so happy for you
Note, Dr. Crisler sees you as E2 dominant.
Test injections in smaller more frequent doses via SQ.
SQ = lower conversion to E2 than IM.
Validates the injection methodology.
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01-04-2012, 11:11 AM #4New Member
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01-04-2012, 11:21 AM #5
Yea buddy!!! That's the best damn story I've heard in a long time, it's nice to hear about someones success from time to time. Thanks for sharing and don't be afraid to keep us updated on this thread .......sharing your story and protocol will help people who desperately need answers and encouragement so don't be a stranger.
GD, I've mentioned that my acne is better since I started sub Q, can't prove anything but this sure makes me think that sub Q is responsible for at least part of my improvement.
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01-04-2012, 11:29 AM #6New Member
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01-04-2012, 11:39 AM #7
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01-04-2012, 11:39 AM #8
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01-04-2012, 11:41 AM #9
Good for you. Smart move. I bet you are happy.
Life is too short, so kiss slowly, laugh insanely, love truly and forgive quickly.Author Unknown
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01-04-2012, 11:43 AM #10New Member
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01-04-2012, 11:44 AM #11New Member
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01-04-2012, 12:02 PM #12HRT
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Keep in mind, he's only 23 years old and E2 dominate.
hCG ED
* More consistent and stable levels (more natural)
* Stimulate more natural Test production (if not Primary)
* Lower doses controls E2 and intratesticular E2
* Better ongoing sense of well being (increased libido)
I have always been a big proponent of smaller doses more frequently of both Test and hCG.
Hell, even taking an AI in everyday in smaller doses is better then once or twice a week in controlling E2 and stabilizing levels.
Problem is many folks just can't stick to that type of protocol so Doc's go weekly which seems to have a better efficacy rate.
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01-04-2012, 12:03 PM #13Banned
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Good move, it pays to see a doctor who will treat you properly. Hopefully this will inspire others that have GP's who are pushing their Anti D's and Viagara. It makes one really appreciate the qualifications and experience of a doctor like Crisler.
One question on your protocol ... You mentioned that you were diagnosed as primary. How much benefit does Dr. Crisler foresee you getting from adding HCG , being that your condition is primary and not secondary? There can be some added benefits with taking HCG, but most guys are primarily taking it for its ability to stimulate some natural production.Last edited by Vettester; 01-04-2012 at 12:06 PM.
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01-04-2012, 12:05 PM #14
Awesome news! Gd educates people here daily. Great work!
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01-04-2012, 12:30 PM #15Anabolic Member
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01-04-2012, 02:04 PM #16
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01-04-2012, 02:14 PM #17New Member
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01-04-2012, 02:29 PM #18
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01-04-2012, 02:38 PM #19Junior Member
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Congrats Ibreakspawns and thanks for posting your progress. Let us know how things go for you.
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01-04-2012, 03:52 PM #20
Your talking regeneration Swifto?
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01-04-2012, 03:55 PM #21HRT
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He's Primary Hypogonadal and E2 dominant so I don't know how much this comes into play...if at all.
Crisler believes in hCG therapy for both Primary and Secondary.
Obviously, we understand hCG administration efficacy for Secondary but Primary???
Yes!
Here's why; Crisler believes that hCG acts wya more than just an LH analog as much as it acts as a powerful neurohormone. He claims (see below) Primary men really feel much better (increased libido, sense of well being...) when hCG is added into their protocol and it also may help rebalance the expression of other hormones as well.
Crisler: "It is my belief this may be a factor in the heightened sense of well-being my patients report throughout the week—far in excess of what a nominal dose of HCG would produce by virtue of induced testosterone production".
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01-04-2012, 04:17 PM #22
I dont see how E2 dominance changes leydig cell refraction.
He's primary, so he's probably lacking LH receptors in his testes, they're shot or some other possibilites. I guess it comes down to why his testes are failing and primary hypogonadism subjects may not experience the refraction. But they also wont respond to HCG very well.
I still wouldnt ever suggest it ED. Neither would Dr. Scally and this is an example of how they often disagree on subjects.
I'm not saying HCG shouldn't be used, I'm questioning the ED protocol. I know of its benifits to "well being".
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01-04-2012, 04:22 PM #23
congratulations Ibreakspawns! glad you made the move to visit Dr. Crisler. i know how you feel about SQ, i took GDevine's advice and switch to SQ, i am not looking back. thanks GD for all you do here!
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01-04-2012, 04:39 PM #24HRT
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ED is fine it's just dose dependent; why wouldn't you suggest it Swifto?
I inject 250 iu hCG EOD...better would be 100 iu ED...smaller regular doses providing for smoother more even and regular levels and better mimics the bodys own rythm (well, best as we can LOL!).
But you are so right about the variability in Physicians protocols.
I guess it comes down to experience and how men feel.
I can say this; I feel much better on EOD as opposed to when it was just twice a week before injection to be honest.Last edited by steroid.com 1; 01-04-2012 at 04:43 PM.
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01-04-2012, 04:59 PM #25Associate Member
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Good thread, and glad to hear of another Crisler patient that is happy. I am here in Lansing now for my appt. tomorrow.
On a much more important note Ibreakprawns, wheres a good place to eat here?
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01-04-2012, 05:04 PM #26
The second peak in endogenous T is larger than the first hourly initial spike. Which is about 48hours after admin.
Then you have the refractory peroid of having to use MORE to get the same effect, so why not use smaller doses. I guess it comes down to effiiciency/cost. Who's to say the levels of estrogen will not also build over time, they will.
I'm not suggesting people use 1000ius every 4 days, but one can use an amount and take into account, spikes in T/E and the refractory peroid to limit sides.
If the goal is small spikes, then ED or EOD might actually be correct. Think about it. We get the hourly spike from injection 1. and admin another HCG dose, does that then decrease the second 48hr spike in T/E the first injection did? It might.
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Ive never heard of the SubQ test is aromatized at a lower rate, i would actually think the oppsite due to thats where alot of adipose tissue is and that is a large source of aromatization. Very interesting.
Can someone link some info that backs up that claim?
I am also a fan of more frequent injections, according to the book i have on testosterone , the hydrolysis of the ester chain is very quick but the release of the testosterone injection depot is the main limiting factor. (Testosterone:action, deficiency, substuition. AMAZING book btw, Nieschlag really knows his stuff)
"the rate of hydrolysis again dependson the structure of the acid chain but this process is much faster than release from the injection depot"
I agree with swifto on the ED/EOD HCG usage, there are 2 LH spikes with the 2nd being just as large or larger than the first. by going ED/EOD with it, you * theoretically* would have a lower 2nd spike b/c the next admin of Hcg wouldnt allow it.
perhaps, by going ED/EOD with the HCG, the LH receptors on the testes to increase (assuming that they didnt properly develop b/c its primary), but this is a double edged sword b/c after long duration those receptors start to not be activated but following the diminished androgen production the natural feedback kicks in and more androgen is produced. *that would support the E3D use of HCG in normal males.
To the OP:
have you always had these issues? did you ever do a cycle? where increased androgens would lead to premature 'aging' of the leydig cells? Did you try gettin the injections closer together than 2 weeks, like E10days? Did you have your thyroid checked? did you get blood work values done of the common/useful things (Test, free test, SHBG, LH, FSH, TSH). Do you have testicular atrophy? how was your 'puberty'.. Normal, late, early?
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01-04-2012, 06:59 PM #28New Member
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@SwiftoIf it helps any, my first endo said that my testicles were under-developed for my age.
@Bill Boy, to be honest, we drove 800 miles in one day, and never did stop. lol. We ate at Bob Evans in Indiana.
@Bass. Thanks sir! Keep us updated on how you're doing. Gdevine knows his shit
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01-04-2012, 07:01 PM #29New Member
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I will answer all of these when I get home! Which is in about two hours. But, to be brief, puberty was late, I take Synthroid , never cycled.
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01-04-2012, 09:30 PM #30New Member
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Edited
Last edited by Ibreakspawns; 01-07-2012 at 01:36 PM.
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01-04-2012, 10:14 PM #31
Very interesting, All my initial research was based on half life times of the drugs. Now im starting understand that there is more to it than just half life times. Leydig cell refraction and the two spikes with hcg is very interesting, had not run across it yet. Makes more sense now why some will recommend a longer frequency. Considering the two spikes, what frequency would be best?
I take HCG every 60 hours, maybe the 12 hour difference prevents interfering with the 48 hr spike.
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01-04-2012, 11:58 PM #32HRT
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Exactly!
Experts in the field follow a typical two and one day before Test injection with relatively higher doses, ie, 350 to 500 iu each.
That's a lot of hCG back to back.
But the ones prescribing this hCG protocol (Crisler, et al) are all pretty much doing the same thing.
So it begs the question; Why, given above?
Now we see Crisler going in to an ED basis for some strategic reason.
We can find out why; but when it comes to the "guys in the know" who are on the leading edge of this new speciality I tend to follow thier reasoning to a point.
Two and one day before injection didn't work for me; I could feel swings.
Moving to EOD at lower doses and huge night and day difference. I tend to lean towards lower doses more frequently for that reason.
Talk all you want about refractory periods, I know what worked for me and my BW is damn Skippy to prove it.
This is an art...and not a science.
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01-05-2012, 12:48 AM #33New Member
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I still have a lot to learn. You guys make my head hurt! Lol
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01-05-2012, 02:17 AM #34
I'm pretty sure a study does not exist due to lack of data. I think Dr. Crisler has come to this conclusion by studying his patients firsthand and/or other Endo's in his circles.
I don't see how leydig cell LH receptors would "increase" becuase he's primary given HCG stimulus. Leydig cell refraction is due to loss of LH receptor and possibly estrogen, although there is little evidence pointing the finger at estrogen.
"While these findings have emphasized the probability that
endogenous estrogen is involved in the mechanism of hCGinduced
testicular desensitization, there has been little direct
evidence for the role of the estrogen receptors of the Leydig
cell in the refractory process", as found here.
I don't think you thought that "theory" through really, but nice effort.
Its exactly a science.
I'm pretty sure the refractory peroid does not matter if you're wanting low testicular testosetrone and estorgen spikes. One maybe able to use the refractory process to their advantage.
Sometimes I get too caught up on trying to boost endogenous testosterone as much as possible as I'm usually dealing with hypogondal males post androgen admin.
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The thing is that he has low test DUE TO being hypothyroid. Thyroid hormones increase proliferation of Leydig cells, and plays a key part in puberty. I am going with the thought that he never did fully develop his leydig cells due to being hypothyroid. People who are hypothyroid-ic dont usually respond to HCG like a normal person does. This combined with the fact that the OP began puberty late, has decent LH amounts normally, and good thyroid blood tests (which im still wonderin where the hypothyroidism is coming from, what step is not working right.... ) That with the ED use of HCG simulates puberty where LH increases(from what the body sees) and is greater than FSH (LH>FSH is a sign of reproductive stage, FSH>LH is a sign of prepuberty and senescence) combined with sufficient thyroid repla***ent, he can induce leydig cell proliferation which normally would have occured during puberty.
i never said anything about estrogen, im not sure where the article you posted actually deals with what i am saying here... ?
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01-05-2012, 08:49 AM #36
This is very interesting. But in my opinion the only thing that validates a methodology is something that has been proven and documented. I agree Crisler seems as he is one of many on the leading edge of this - but if you say his recommended protocols validates something you are saying that all his previous recommendations were a validation as well. And, as you stated in another thread, you and your physician disagree with some of the levels Crisler uses as standards - so because you disagree with him does that make his beliefs/practice on that subject incorrect and therefor not validated?
You know me GD - nothing personal, just another view of statements made here.
I hope that this protocol works perfectly for the OP, and anyone else that is on it or moves to it.
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01-05-2012, 09:12 AM #37
I see your line of thinking.
How sure are you that thyroid hormones increase leydig cell proliferation in adults and not neonatal and prepubertal subjects? Thyroid hormones effect steroli cells moreso than they leydig cells by the way, where they are responsible for changes in differentation, proliferation and function. The effects thyroid hormones have on neonatal's and prepubertal subjects is quite different to that of adults, infact, its the opposite.
I was adding estrogen meerly for others also reading our exchanges. A lot of the time people dont have a clue what we're talking about, so I am concious of that fact, as you should be also. Members learn from our posts.
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Gotcha on the estrogen, Thats why ur a MOD keeping in mind that others educate themselves by our discussions :P
This study explains pretty good, that thyroid hormones are important in testicular function/formation.
"The Role of Thyroid Hormone in Testicular Development and Function"
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2799043/
Moreover, T3 has been shown to induce Leydig cell differentiation in testes of adult rats previously treated with ethane-dimethane sulphonate (EDS), a toxin that selectively kills Leydig cells within 48 hr after administration (Ariyaratne et al., 2000b). These results indicate that thyroid hormone is crucial for triggering the onset of mesenchymal cell differentiation into a steroidogenic progenitor Leydig cell in prepubertal and adult rat testis. Indeed, the onset of the adult Leydig cell differentiation in the rat and mouse testes appears to be independent of LH (Siril Ariyaratne et al., 2000, Baker et al., 2003). Nevertheless, LH is essential for the steps beyond the initial differentiation stage for further development and maturation of adult Leydig cells (Mendis-Handagama & Ariyaratne, 2001).
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01-05-2012, 10:02 AM #39
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01-05-2012, 10:03 AM #40
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