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Latest Questions
What labs do you run to analyze libido on TRT? My provider just runs total test, E2, and hematocrit.
For libido concerns a provider will typically check total and free T, SHBG, DHT, prolactin, and estradiol. Sometimes it thyroid function testing is do...
In an earlier comment you stated that 0.25mg of anastrozole will lower E2 by an average of 7.5 pg/mL. How much could you reasonably expect 6.5mg/12.5m...
Exemestane (aromasin) is much stronger than anastrozole in that it completely eradicates aromatase. In studies, a single dose of 25mg of exemestane lo...
Any solutions for military members who require a FFD waiver to use needles? PCP swapped me to androgel 1.62 to stay green and I am not sure it’s going...
Yes, providers on the AlphaMD platform can complete FFD waivers. Your provider can also prescribe the cream, which has much better absorption than the...
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'm using an in-person TRT clinic for now but it won't be sustainable for longer than a few months. How easy would it be for me to jump from an in per...
Around 30% of new patients with us are transfer patients from other TRT clinics (digital or physical) due to the hassle of in-person visits or our bet...
Also on your website it states that supplies are included. What would those supplies be? Would there be two different size needles, one for drawing an...
Generally needles, syringes, & prep pads. The number would depend on your injection frequency & the size on your IM vs Subq. For Subq there tends to b...
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?
Yes — providers on the AlphaMD platform can prescribe certain peptides, though the selection is more tightly focused than a full on peptide provider. ...
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...
36 M - 4 weeks into treatment. 60MG test cyp injection Tuesdays and Fridays. Started w T level around 280 - all typical symptoms. Low energy, moodines...
Check out this timeline we share with patients: - The Start, Weeks 1-4 - Many notice effects from the first few injections. During this time, mor...
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. For monitoring TRT it’s usually total and free testosterone, estrad...
How closely do you help monitor blood tests with the patient?
In general, a licensed provider orders blood tests for all new patients or accepts recent lab work in place of that. If they're an established TRT pat...
Do you require bloodwork? What test levels are you shooting for? My current clinic shoots for 1100.
Yes, providers do require bloodwork, most TRT companies will since Testosterone is a controlled substance & it's good to have this info on file even i...
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Questions about GONADORELIN
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
Yes — providers on the AlphaMD platform can prescribe certain peptides, though the selection is more tightly focused than a full on peptide provider. ...
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, the provider overseeing your care will generally have you discontinue the 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...
Generally speaking, providers on the AlphaMD platform have seen more success with hCG. This may have to do with the fact that many patients prefer hCG...
Questions about Peptides
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
Yes — providers on the AlphaMD platform can prescribe certain peptides, though the selection is more tightly focused than a full on peptide provider. ...
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. Fr...
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. This approach would be considered HCG mon...
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.
What do you guys charge for HCG 1000iu weekly? My current TRT clinic is killin me on this stuff
HCG is handled as an ancillary medication, with the cost billed only at the time of order/reorder. For a current TRT member it is $300 for 10,000 unit...
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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. Libid...
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”. So, ovaries actually produce testosterone first, then convert the t...
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, licensed providers can prescribe Sermorelin, though not long ago it was permissible to work with th...
Questions about ED
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...
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
Yes — providers on the AlphaMD platform can prescribe certain peptides, though the selection is more tightly focused than a full on peptide provider. ...
Is any symptom considered more relevant for TRT than others? I.e. low libido versus ED versus muscular issues
Some symptoms are more directly treated by TRT than others, and that makes them more relevant to diagnose it. Low energy, low libido, difficulty losin...
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Questions about SERMORELIN
Do you offer enclomiphene? When should it be considered vs traditional TRT?
Enclomiphene is available through AlphaMD. Like all SERMs, its effectiveness varies. Due to the way it functions (ramps up pituitary output of FSH and...
What are your thoughts on enclomiphene without TRT and do you see it gaining FDA approval anytime soon?
This is very similar to another question so I will copy/paste that answer. The SERM (clomiphene or enclomiphene) and TRT combo is still experimental a...
Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?
Yes — providers on the AlphaMD platform can prescribe certain peptides, though the selection is more tightly focused than a full on peptide provider. ...
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Questions about DHEA
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?
Trying both DIM and the CD2 together is a reasonable approach to discuss with the provider overseeing your care. Adding DHEA can have some benefits on...
What are the benefits of DHEA with Testosterone?
As of now, no DHEA receptor has been identified in the human body. That means that DHEA is solely a precursor to other sex hormones. Any DHEA you take...
Aside from high/low E2, what else are the primary reasons a person on TRT would have poor mood and low energy?
Hormonally speaking, it could relate to the neurosteroids pregnenolone and DHEA-S. These act directly on the brain and are associated with mood and co...
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?
Yes — providers on the AlphaMD platform can prescribe certain peptides, though the selection is more tightly focused than a full on peptide provider. ...
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. Providers often hold off on adding it right aw...
Questions about Female TRT
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...
What's a typical dose you provide for a woman's trt
Providers on the AlphaMD platform tend to work between 6mg-12mg for women on a weekly basis. When it comes to dosing you're primarily focused on benef...
Please explain the role of androgens in PCOS? The condition is already caused by androgen excess
Women produce more testosterone in their lifespan than estrogen. In fact young women produce 3-4x as much testosterone than estrogen daily. Women als...
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This website is a repository of publicly available information and is not intended to form a physician-patient relationship with any individual. The content of this website is for informational purposes only. The information presented on this website is not intended to take the place of your personal physician's advice and is not intended to diagnose, treat, cure, or prevent any disease. Discuss this information with your own physician or healthcare provider to determine what is right for you. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. The information contained herein is presented in summary form only and intended to provide broad consumer understanding and knowledge. The information should not be considered complete and should not be used in place of a visit, phone or telemedicine call, consultation or advice of your physician or other healthcare provider. Only a qualified physician in your state can determine if you qualify for and should undertake treatment.