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07-06-2016, 10:23 AM #41
I keep my TT level in the 14-1500 all the time. And this is on 60-70 mgs twice per week. This keeps my FT about 10 pts over range. I rarely "need" to give blood. "Safe" would depend on the individual and their blood work, imho. When it comes to BB'ing, especially at an elevated level, 1 gram of test is nothing, especially when you consider all the other compounds run along side it. And BB'ers aren't dying at an accelerated rate.
CRP is particularly important and under-monitored, imho.
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07-06-2016, 11:10 AM #42
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07-06-2016, 11:21 AM #43
I saw your protocol at 60-70mg x 2 at week..
When is your BW normally taken ? Just before injection ?
The majority on TRT don't have a trough TT of 1400 since we are talking about TRT..
I know when I was on TRT my GP near shat when she saw me at about 800 and that was just above the labs range..
Then again that is why I stopped TRT.. I didn't feel who I could find for treatment really knew enough..
Mac
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07-06-2016, 11:24 AM #44
I suppose you are referring to nebido/aveed, can you please provide medical proof that testosterone undecanoate induces "prostate cancer and brittle arteries" ?
As to my experience it is absolutely none of your business and I fail to understand why to bring such childish argument.
The term "butcher" was applied to describe medical procedures not needed/required with an intent to increase profits.
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07-06-2016, 11:45 AM #45Associate Member
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See what I am saying.... this is how little you know. Absolutely clueless. You think someone cares about increased profits from 150mg to 200mg a week? Cause that sir is the only difference between a 750 ng/dl and a 1,000 ng/dl trough.
I find your comments archaic and your knowledge on these subject matters that of a newbie to TRT. On one hand your over here calling us reckless, on the other hand your on another forum suggesting people take nandrolone . Quite the hypocrite.
As for the idiotic 10 week injection schedule I have explained this to you numerous times, I am not sure doing it again will garner a different result, so maybe I am the stupid one.
As we discussed in the other thread your injection schedule leaves men in the 2-300 ng/dl range for 6-4 weeks.
Do you know the dangers of carrying a TT number at this level? Are you not aware of the mountains of research on it?
Do you not understand that it is widely accepted in the medical community that a TT level under 350 ng/dl has a far greater risk than testosterone administration?
What decade am I in? When having discussions with you I feel thrusted back into the 80's
The worst part about it all you are completely blind to how dangerous what you are suggesting is......... its sad.Last edited by IncreaseMyT; 07-06-2016 at 12:06 PM.
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07-06-2016, 11:46 AM #46Associate Member
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07-06-2016, 11:47 AM #47Associate Member
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07-06-2016, 12:01 PM #48
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07-06-2016, 12:15 PM #50
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07-06-2016, 12:22 PM #51Associate Member
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I have never seen lab work from a 10 or a 12 week injection schedule. We would never try something like that, this was already tried with Sustanon in the past and it was a complete failure. The idea was to give men once per month injections. Nebido is the same dog and pony show. TU should be injected AT LEAST every 3 week to maintain stable serum levels.
Mr BB posted a table of men on an every 10 week injection schedule and TT levels went from 1200 to under 200 in that timeframe.
This is not healthy and actually dangerous. Low testosterone levels make the arterial walls less pliable and prone to damage. This can go unnoticed. It can be a small stress related event.
This is why you see high LDL in men with lowT (and low HDL), because it is the responsibility of LDL to go out and patch up any damage occurring from an event. Now your body has to use more total cholesterol for LDL production and you have less HDL that is responsible for clearing the LDL from the arterial hallways if you will.
So during this time of extremely low testosterone levels, even lower than pre-TRT since patient is now ASIH, these events can happen and cholesterol builds up leaving the door open for clotting.
Aslo as Dr Morgantaler points out in the mayo clinic proceedings, men with low levels of testosterone see a increase in the carotid intima-media thickness. Those with proper testosterone levels actually had a decrease in thickness.
So what do you think is happening here with extreme changes in TT levels that our body is completely unfamiliar with? Can you say inflammation?
Also we know that mens low levels of testosterone increase their risk go aggressive cancer as well.
So lets just say its only 4 weeks they go sub 300, thats 20+ weeks of the year...... what is the point of that? How does that help in any way shape or form?
It is our opinion and we have seen labs when people get yanked of T by their endo multiple times to confirm, these massive changes in TT levels (which high affect DHT, E2 and FT ratios), are far more dangerous then not even starting treatment at all. Like I said mountains of research to back it up as well. Now your adding anastrozole another med you may have not even needed on a more stable injection program.
Now if someone could find a way to keep trough levels above 600 with Nebido we see nothing wrong with that. But huge fluctuations affect all your ratios, and we know the high DHT ratio have played a role in the result of the JAMA heart attack studies.
What would be the difference of doing TU every 10 weeks vs TC every 4 weeks?
What do you guys think of every 4 week TC injections? Do you think we should try injecting 600mg a month?Last edited by IncreaseMyT; 07-06-2016 at 12:26 PM.
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07-06-2016, 12:30 PM #53Associate Member
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Ps here is the table:
http://forums.steroid.com/hormone-re...ml#post7188380
As you can see some guys were below 300 at day 42.
And based on many missed days some men could have been below threshold in as little as 30 days. Thats more than half the time.
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What would be the difference of doing TU every 10 weeks vs TC every 4 weeks?
What do you guys think of every 4 week TC injections? Do you think we should try injecting 600mg a month?
Not so funny of a thing is how some docs around where I am are still using protocols as such
- 200mg TC every 2 wks
- I've heard a client of mine say 200mgs/every 4wks
Both no testing was done for E2 levels... No AI OR HCG ! It's utterly a disaster and they all obviously feel like shit as well as some have formed gyno from these protocols and high E2 - it's a real shame as I try and help them on what a protocol should look like... Frustrating
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07-06-2016, 12:38 PM #56Associate Member
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This is my point exactly. TU cannot be more than a 21 day ester. Even if you give it some slack it is a 28 day ester.
So if we inject TC every week based on half-life, why would it be ok to inject TU every 70 days?
It just doesn't make any sense at all we just can't agree with it or suggest it.
As we said in the previous thread if we had to guess we would think 3-400 mg of TU every 21 days would keep levels much more stable.
We were offended because Mr BB has called us reckless a few times and we take pride in putting our integrity above getting a new client.
We don't force or push anything on anyone and educate our clients to a point to where they know more than most doctors out there concerning TRT so they can make a decision with one of our physicians together.
Just our 2 cents.Last edited by IncreaseMyT; 07-06-2016 at 12:52 PM.
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07-06-2016, 12:41 PM #57
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07-06-2016, 12:52 PM #59
been on TRT for almost 5 years now and learned that numbers don't mean anything, its how you feel, so if you're 72 years old with 600 TT and feel like shit but want to do something about it then be it if TRT is what's needed. beside at 72 what harm can TRT do, make your last years worth living?!
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07-06-2016, 01:00 PM #61
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07-06-2016, 01:26 PM #62
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07-06-2016, 01:39 PM #63
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07-06-2016, 01:49 PM #64
In my case I never stopped cold turkey.. I used clomid..
for a more clear picture.. The doctor who prescribed the T did not want to do bloodwork. And she is very old ( I was concerned about her retiring and me being high and dry )
My GP would do my bloodwork but would not prescribe since she was afraid of the typical steriotypes of TRT.. She asked me about Roidrage, I told her I had never been calmer.. but would not buy into giving me scripts.. And could not beleive I was injecting myself.
Since then I have found a good local clinic and am trying to educate myself before going to visit this guy.
Mac
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07-06-2016, 02:21 PM #65Associate Member
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Oh I see I thought you meant someone his age should not have TT over 600.
Just FYI it is very possible for someone that age to have extremely high SHBG from excess fat and low protein diet.
The concentration of SHBG was significantly correlated with age and anthropometrics. These results confirm the findings of others (30, 31). However, we found that weight, which is often used as a predictor of SHBG concentration (10), was not an independent predictor of SHBG when controlled for BMI and WHR. Future investigations should consider measuring BMI and WHR rather than (or in addition to) weight.
So its totally reasonable to think that someone could be hypogonadal as far as FT is concerned even though they had a TT level of 700.
I wouldn't delay, as I said earlier your lowT number your carrying around now is far more dangerous than testosterone administration.Last edited by IncreaseMyT; 07-06-2016 at 02:26 PM.
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07-06-2016, 03:42 PM #66
1. First I'm going to say that I believe the medical staff at IMT knows what they are doing and some statements said here by others dont reflect the knowledge and care a medical clinic should have. IMT clients are in good hands.
2. It would be great if IMT set their staff with proper forum usernames instead all replying under the same user. For example, Todd@IMT,etc.
Ignoring the insult... dont really understand what you are saying here. What I say is a medical clinic should follow medical guidelines and not sugarcoat medical procedures just to gain more clients.
Can you please point me to where I suggest people take nandrolone . Also in case you didnt notice this is steroid forum, personnaly I try to advise users to use steroids in a responsible way. Reckless is a medical clinic not following proper guidelines, like for example ignore medical contraindications. In a different thread you didnt even know that there were contraindications for some patients, again im sure IMT medical staff has a completely different opinion, they are the ones that could be liable in law suits anyways.
Its not idiotic, many ppl follow this schedule with good results. It is the standard procedure for testosterone undecanoate (Nebido in Europe, Aveed in US). In years to come it will be implemented further in US market, nothing you can do will change that, as it just got FDA approval. Get over it! You are going to have to live with it.
This is not true. You keep repeating false statements and ignore the data provided. Get over it, it makes you look stupid.
There is a ton of medical information on testosterone undecanoate easily available, and it is the prefered TRT protocol in Europe, prescribed to thousands of men. It is the treatment with less peaks and valleys as TU is a very long ester. TU peaks in 7 days, test e and test c peaks in 24 hours!
Not going to link any papers or studies as you blatantly have ignore ALL information I provided in other threads, just google it its very easy to find hundreds of medical informations on it.
How old are you? You really dont sound like somebody that remembers the 80's.
Again, Nebido is not dangerous, it just testosterone with different ester, that is so slow that alows for injections protocol of 10 to 14 weeks. Several studies show that T levels remain in range though this period, and its the only ester not alowing peaks on the supraphysiological side after aplication.
Going to contact Bayer and ask for an endorsement if I need to keep correcting your ignorance (or denial) on TU lol.
IMT would be wise to start thinking about the commercial value of TU and prepare for it, as like in Europe, it is predicted to be the prefered prescribed T in the near future by US urologists/endos/andrologists.
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07-06-2016, 05:11 PM #67Associate Member
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OMG here you go again lol I don't know what else I have to say in order for you to understand. IMT WILL NEVER ADVISE A 10 WEEK INJECTION SCHEDULE.
Seriously man over my dead body and thats coming straight from the top.
As for the other rhetoric about lawsuits I asked you what is really the contraindication for multiple things and have provided ample data to back up all positions, unlike you.
As we have said MANY times we typically deal with men that are generally healthy besides their hormonal deficiency, just because we do not think there is a contraindication does not mean we do not think someone with a serious medical condition outside hypogonadism needs more of a hands on approach.
If we have the ability to provide that based on demographics we will. If we do not we will let the client know.
We have never said, or say we have a problem with Nebido or Aveed, we just have a problem with that atrocious injection schedule.
Hope this clears things up for you........Last edited by IncreaseMyT; 07-06-2016 at 05:14 PM.
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07-06-2016, 11:37 PM #68
My personal experience with nebido was poor, and I do believe this was due to poor scheduling.
If I were to go back to nebido, I'd just add a drop of BA to the vial and inject 200mg every other week.
Yes TU has a great commercial value, it would be great if Ba**r had any opponent on the market.
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07-07-2016, 09:04 AM #69Junior Member
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Before you begin a response with "omg...lol" you might want to consider that individuals will form their perception of how they might be treated by you by how you are treating this person.
If your goal is to be right, to appear to be the expert, in this case those goals are at odds with the goal of promoting a service business.
A client or potential client won't just judge the respect he gets, he will judge you for the respect or disrespect you show others as well.
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07-07-2016, 09:38 AM #70Associate Member
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Well after he called us reckless multiple times and accused us of "not following medical guidelines"
Then he has the audacity to tell me to "prepare for whats coming" and "take advantage" (Nebido)
He even called someone a butcher for a 1100 TT level but he suggests doing 1,000mg shots of testosterone.
Lol your kidding me right? Sounds like a hypocrite to me.
It honestly blows my mind anyone is taking this conversation seriously.
Sorry we are not shills, sounds like he is. You get facts with us, if you do not like the facts or disagree with them I am sorry don't know what to say.
Our customer service is superb and our clients rave about us, so if you want to judge us for defending our positions and looking out for the best interest and health of our readers and clients.....so be it.
The 10 week injection schedule is downright dangerous, and we have no problem explaining why, as we have done multiple times.
So I found out I had low T through multiple blood labs. Some of you have seen my posts here so you know what I'm talking about. So I decided to call IMT and find out what to do. I spoke with Todd and he explained multiple protocols and what could be done to help with my low t. He was very generous with his time and made sure we were both on the same page. He has been very easy to get ahold of either by calling their office line or shooting him and Email. He respond quick, which I really liked!.
http://forums.steroid.com/hormone-re...w-network.html
http://forums.steroid.com/hormone-re...rk-review.html
http://forums.steroid.com/hormone-re...at-so-far.html
http://forums.steroid.com/hormone-re...er-review.html
http://forums.steroid.com/hormone-re...mt-review.html
^^^^ I think those speak for themselves.Last edited by IncreaseMyT; 07-07-2016 at 10:01 AM.
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07-07-2016, 10:03 AM #71Junior Member
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Well, you're right. You have that going for you.
My point appears to have not made it to you. That's ok.
I built a business that served 7 of the 10 largest companies in our industry. We had over 70 employees, and in addition to clients loving us we were consistently voted amongst the top places to work in Texas and Dallas. I'm not a stranger to how a brand is built.
ALL of your actions are scrutinized, not just for the correctness of their content but for the quality and tone of the delivery. And ANYONE can be nice to their friends. How civil you are in conflict is a different matter.
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07-07-2016, 10:08 AM #72Associate Member
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Hey thanks so much for the input we will take that into consideration the next time a prominent member of the forum berates a new sponsor and is completely in the wrong, then accuses of us of peddling medication while simultaneously telling us to get ready and take advantage of a new medication he always peddles
Appreciate your input!
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07-07-2016, 10:53 AM #73Junior Member
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You're welcome. Your actions don't create your character, they simply reveal it.
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07-07-2016, 10:58 AM #74Associate Member
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We are quite proud of our reputation and our character so we totally agree.
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07-07-2016, 11:19 AM #75
FACT:
Contraindications for TRT
Although TRT is deemed safe, with appropriate monitoring, for the majority of men with hypogonadism, there are a number of contraindications for TRT, some absolute and some relative[2,50,51,88]:
Absolute contraindications:
◾Advanced or metastatic prostate cancer
◾Prostate-specific antigen (PSA) elevated for the patient's age and prostate size
◾Undiagnosed prostatic nodule on digital rectal examination (DRE)*
◾Hematocrit >50% at baseline
◾Untreated breast cancer
Relative contraindications:
◾Severe lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia
◾Untreated and severe obstructive sleep apnea
◾Uncontrolled (or poorly controlled) congestive heart failure
◾Men desiring fertility
Despite me posting this contraindications you stated there was none in this post, and never retracted yourself.
If you dont do a medical evaluation of this contraindications that is reckless to me.
In another thread you said you were going to consult with your medical director, what was the conclusion?
Sounds good advice to me, sorry if you dont understand it as advice, meant no offense, and by no means it required audacity.
The term butcher was used to describe a doctor putting in TR Ta 72 year old with total testosterone of 675ng/ml .
Testosterone undecanoate (nebido) in Europe and Australia it is a 1000mg testosterone preparation, still the slow ester brings the following FACT:
Patients received up to 5 testosterone undecanoate injections during 9-12 months; a total of 6333 injections were analyzed. Mean testosterone levels rose from a baseline of 9.6 nmol/L to 15.2, 16, 17 and 17.3 nmol/L, at second, third, fourth and fifth injections, respectively.
No comment
Had to google what is "shills" lol, you can go read my posts, I only adviced nebido once. I am seriously considering contacting B*yer and ask for an endorsement for my trouble correcting you lol.
It is just testosterone to me, I have used most esters of testosterone, TU is just another.
Great, like I said before, Im sure IMT medical staff knowleadge and care is where it should be. Just the persons responding here seem to have this campaign against me and/or any data and facts relating to TU.
Again, it is not dangerous, Nebido is aproved world wide since 2004, and the FDA aproved Aveed in 2015.
Quoting again the last study:
The large IPASS study (International Post-Authorization Surveillance Study) on the tolerability and effectiveness of injectable testosterone undecanoate for the treatment of male hypogonadism according to these recommendations, was conducted in a worldwide sample of 1,438 hypogonadal men.5 Patients received up to 5 testosterone undecanoate injections during 9-12 months; a total of 6333 injections were analyzed. Mean testosterone levels rose from a baseline of 9.6 nmol/L to 15.2, 16, 17 and 17.3 nmol/L, at second, third, fourth and fifth injections, respectively.5 Mean trough serum total testosterone increased from 9.6 nmol/L at baseline to 17.3 nmol/L before the fifth injection (p<0.0001). At the time of injection 5, there was a significant improvement in the overall levels of sexual desire/libido compared with baseline. Significant improvements over each injection interval were seen in the overall levels of vigor/vitality, mood and ability to concentrate (p<0.0001 for each). The proportion of patients reporting moderate, severe or extremely severe ED was significantly decreased from baseline at the time of the fifth TU injection, from 65% to 19% (p<0.0001). Mean waist circumference decreased from 100 to 96 cm, and serum triglyceride, total cholesterol, LDL cholesterol and blood pressure was significantly improved from baseline at injection 5.5
The pharmacokinetics of Aveed® (750 mg/3 ml) were investigated in a multicenter, US study on 130 hypogonadal men (total testosterone < 10.4 nmol/L) followed up to 24 weeks.6 Injections were administered at baseline and week 4, and thereafter every 10 weeks. A steady state was obtained after the third injection. About 94% of all men had a mean testosterone level ranging within the normal range (10.4 - 34.7 nmol/l) during the 10 weeks after the third injection, and 92% of the subjects had a maximum testosterone concentration (Cmax) of < 1500 ng/dl (52 nmol/l), meeting threshold criteria requested by the FDA.
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07-07-2016, 11:47 AM #76Associate Member
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We wouldn't work with a doctor that wanted to inject our clients with a gram of testosterone sorry, but your wrong as usual.
Thanks for your input!
(hopefully thats better for everyone, if you have a problem with a heated discussion we believe it is not our character that is the problem and we suggest getting evaluated for a hormone deficiency)Last edited by IncreaseMyT; 07-07-2016 at 12:33 PM.
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