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Latest Questions
My girlfriend has PCOS and has been spending years trying to figure out how to treat it. Doctors are zero help when she tries to see one, and she has...
Without knowing the specifics of her particular case, I can only say that”maybe”.
For the states that some services aren’t available in, are you looking to expand in the future?
Yes. For a long time we struggled with total coverage for medications/services in every state because of pharmacies only servicing certain areas or in...
I foolishly got on clomid because I’ve been feeling like crap for the last year workouts were horrible and brain fog literally every symptom of low t...
Questions about TRT
For the states that some services aren’t available in, are you looking to expand in the future?
Yes. For a long time we struggled with total coverage for medications/services in every state because of pharmacies only servicing certain areas or in...
I foolishly got on clomid because I’ve been feeling like crap for the last year workouts were horrible and brain fog literally every symptom of low t...
Looking at adding Deca to my trt protocol is this something you offer?
Yes, we do
Questions about GLP-1
My girlfriend has PCOS and has been spending years trying to figure out how to treat it. Doctors are zero help when she tries to see one, and she has...
Without knowing the specifics of her particular case, I can only say that”maybe”.
For the states that some services aren’t available in, are you looking to expand in the future?
Yes. For a long time we struggled with total coverage for medications/services in every state because of pharmacies only servicing certain areas or in...
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...
Questions about Semaglutide
My girlfriend has PCOS and has been spending years trying to figure out how to treat it. Doctors are zero help when she tries to see one, and she has...
Without knowing the specifics of her particular case, I can only say that”maybe”.
For the states that some services aren’t available in, are you looking to expand in the future?
Yes. For a long time we struggled with total coverage for medications/services in every state because of pharmacies only servicing certain areas or in...
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...
Ready to get answers?
Ask your own question today.
Questions about Tirzepatide
My girlfriend has PCOS and has been spending years trying to figure out how to treat it. Doctors are zero help when she tries to see one, and she has...
Without knowing the specifics of her particular case, I can only say that”maybe”.
For the states that some services aren’t available in, are you looking to expand in the future?
Yes. For a long time we struggled with total coverage for medications/services in every state because of pharmacies only servicing certain areas or in...
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...
Questions about HCG (Human Chorionic Gonadotropin)
If I wanted just Clomid and HCG, what would that cost? I have recent bloods and a current prescription from my physician.
If you were on traditional TRT & those were ancillary medications, then the prices would be a bit different.
I added HCG, about 1200 IUs per week. I normally inject on the MWF along with my testosterone. Should I pin HCG on different days or does it not matt...
It doesn’t matter.
Have you noticed a shift in labs after introduction of HcG to a TRT? Specifically DHEA and (allo)pregnenolone. does hcg usually raise them? do some p...
Yes, TRT does suppress upstream steroid hormone production. DHEA and pregnenolone levels do typically drop on TRT, but in over 8 years of treating men...
Questions about Peptides
Currently on 125mg per week. Levels 1050 test estrogen in range etc. all blood work good for over 1.5 years. Currently no sides. But light facial acn...
As far as additional medications to supplement your TRT to advance your physique; your primary options (legally speaking) of anabolic/androgenic stero...
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.
Ready to get answers?
Ask your own question today.
Questions about Female TRT
My girlfriend has PCOS and has been spending years trying to figure out how to treat it. Doctors are zero help when she tries to see one, and she has...
Without knowing the specifics of her particular case, I can only say that”maybe”.
How can I get info on getting my wife some blood work and possibly on hrt? Aside from testosterone, do you also deal with estrogen?
Generally you would meet with your PCP & talk about her symptoms, then based on those run normal labs to see where she sits & where TRT might help. If...
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...
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)
Do you prescribe Anavar for people already on TRT from their primary doctor?
Yes.
I’d be interested in hearing about your prices on Nandrolone and Anavar. I am through Royal medical now but have Been looking for a cheaper plan or on...
For our ancillary medications, we try to keep them as low as possible as long as you are a current TRT member. You only pay when you need an order for...
For Nandrolone and Anavar, I’m assuming you would cycle them on and off due to liver and kidney health still, correct? As for nandrolone , do you usu...
Yes, cycling on and off would be appropriate.
Ready to get answers?
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)
Looking at adding Deca to my trt protocol is this something you offer?
Yes, we do
I’d be interested in hearing about your prices on Nandrolone and Anavar. I am through Royal medical now but have Been looking for a cheaper plan or on...
For our ancillary medications, we try to keep them as low as possible as long as you are a current TRT member. You only pay when you need an order for...
For Nandrolone and Anavar, I’m assuming you would cycle them on and off due to liver and kidney health still, correct? As for nandrolone , do you usu...
Yes, cycling on and off would be appropriate.
Questions about SERMORELIN
Do you offer enclomiphene? When should it be considered vs traditional TRT?
We do offer enclomiphene. Like all SERMs, its effectiveness varies. Due to the way it functions (ramps up pituitary output of FSH and LH), enclomiphen...
Currently on 125mg per week. Levels 1050 test estrogen in range etc. all blood work good for over 1.5 years. Currently no sides. But light facial acn...
As far as additional medications to supplement your TRT to advance your physique; your primary options (legally speaking) of anabolic/androgenic stero...
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...
Ready to get answers?
Ask your own question today.
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
Have you noticed a shift in labs after introduction of HcG to a TRT? Specifically DHEA and (allo)pregnenolone. does hcg usually raise them? do some p...
Yes, TRT does suppress upstream steroid hormone production. DHEA and pregnenolone levels do typically drop on TRT, but in over 8 years of treating men...
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...
Ready to get answers?
Ask your own question today.
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