Low Testosterone: What are the options? UPDATE:Testosterone megathread (Page 423 of 443)
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Anybody using Henry Meds, and are you happy with them? I was going with them but my HCT level was 52.1 so was told I have to get that down first. Two testosterone tests were at 285 (but at 10am) at MyDrNow and the second 295 at 8am (SonoraQuest for Henry Meds). Have the usual symptoms for a few years now, mood changes (crying like a girl at movies or even youtube videos) losing muscle mass, gaining weight (20 pounds) injuries not healing for a long time, low libido, etc. Age 54 btw. I let it slide the past 3-4 years since it also calmed me down a lot as far as aggressiveness. It's actually pretty nice not being ready to fight all the time. However the downsides are now outweighing that so I think it's time to try and pump the t back up a bit. Didn't bother trying the VA since I heard they require test levels to be 240 or below. But I'm going to get a full blood panel including test done by VA, mainly to see if I've gotten my HCT down. Also Henry Meds is charging $129 month, including supplies (syringes) and lab work. One thing I didn't like about them is the video appointments are a week or more out, so it takes a while to get the ball rolling. Guessing they have limited NP's/docs working for them and they're booked out that far. |
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Originally Posted By BlackheartActual: Anybody using Henry Meds, and are you happy with them? I was going with them but my HCT level was 52.1 so was told I have to get that down first. Two testosterone tests were at 285 (but at 10am) at MyDrNow and the second 295 at 8am (SonoraQuest for Henry Meds). Have the usual symptoms for a few years now, mood changes (crying like a girl at movies or even youtube videos) losing muscle mass, gaining weight (20 pounds) injuries not healing for a long time, low libido, etc. Age 54 btw. I let it slide the past 3-4 years since it also calmed me down a lot as far as aggressiveness. It's actually pretty nice not being ready to fight all the time. However the downsides are now outweighing that so I think it's time to try and pump the t back up a bit. Didn't bother trying the VA since I heard they require test levels to be 240 or below. But I'm going to get a full blood panel including test done by VA, mainly to see if I've gotten my HCT down. Also Henry Meds is charging $129 month, including supplies (syringes) and lab work. One thing I didn't like about them is the video appointments are a week or more out, so it takes a while to get the ball rolling. Guessing they have limited NP's/docs working for them and they're booked out that far. A week out is not bad at all. Hell I screwed my back up and the pain management guy that does injections is a week out, could be worse you could be hobbling around like an old man.  |
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Originally Posted By 2tired2run: A week out is not bad at all. Hell I screwed my back up and the pain management guy that does injections is a week out, could be worse you could be hobbling around like an old man. You're right of course, a week isn't bad. Especially after waiting years already. 
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Well, I experienced a fun fuckup by the hospital system I’m in. I got married last year, got the wifey and stepson on my insurance at the end of the year, and got us into the local Baylor Scott & White system. I looked into seeing an endocrinologist, and had to call their office, as I wasn’t able to schedule an appointment. They wanted a referral from my PCP, so I asked for one. Got that, and called the endo’s office. This was in March. The earliest appointment they had was in September. Fuck it, I signed up. The date rolls around and the fuckups start. The appointment didn’t show up on my account on the BSW app. I had the date and time on my calendar, but couldn’t find anything in the app, or in email. I set everything up on the phone, but it should all still be associated with my account. So I go to the office, go to check in… and the first WTF moment. Apparently the doctor I was supposed to see left their job there in July. I never received a call, email or letter. WTF? So the receptionist says to wait for a bit, someone will come talk to me about it. A few minutes later, a woman asks me to come to the back. She’s not a doctor, more like an admin assistant or something. She repeated that the doctor left in July and shows me the letter I should have gotten. Nope, didn’t get it. I could also see she had a printout with my information on it and the appointment. And the reason I was requesting to see an endocrinologist. Then the next major fuckup. This endocrinology group doesn’t treat testosterone related issues! WHAT THE FUCK. COULDN’T THEY HAVE TOLD ME THIS ON THE PHONE IN MARCH WHEN I TOLD THEM WHY I WANTED TO SEE A FUCKING ENDOCRINOLOGIST?? What the fucking ass? I sent a message to my PCP asking if there was a group that treats testosterone related issues, and pretty much got “not really, so sorry”. This is pretty fucking disappointing since I waited for six fucking months to have the appointment that wasn’t going to happen anyway. Fuck. So I think I’m going to have to look for something I can do out-of-pocket… so I’ll start reviewing this thread again. The wife found something called “biote” that apparently does HRT using pellets implanted under the skin. I looked it up and it looks interesting, but has some issues - it’s expensive, and it can’t be tuned on a weekly or monthly basis…. So I don’t think I would consider that. Anyway. If anyone has pointers from here, I need to see if I can find some way to work on this shit. My libido is still in the gutter and it’s affecting my marriage. |
Now she's making $15 an hour as a 'tard wrangler with a degree in women's studies... - tommytrauma
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Originally Posted By Matthew_Q: Well, I experienced a fun fuckup by the hospital system I’m in. I got married last year, got the wifey and stepson on my insurance at the end of the year, and got us into the local Baylor Scott & White system. I looked into seeing an endocrinologist, and had to call their office, as I wasn’t able to schedule an appointment. They wanted a referral from my PCP, so I asked for one. Got that, and called the endo’s office. This was in March. The earliest appointment they had was in September. Fuck it, I signed up. The date rolls around and the fuckups start. The appointment didn’t show up on my account on the BSW app. I had the date and time on my calendar, but couldn’t find anything in the app, or in email. I set everything up on the phone, but it should all still be associated with my account. So I go to the office, go to check in… and the first WTF moment. Apparently the doctor I was supposed to see left their job there in July. I never received a call, email or letter. WTF? So the receptionist says to wait for a bit, someone will come talk to me about it. A few minutes later, a woman asks me to come to the back. She’s not a doctor, more like an admin assistant or something. She repeated that the doctor left in July and shows me the letter I should have gotten. Nope, didn’t get it. I could also see she had a printout with my information on it and the appointment. And the reason I was requesting to see an endocrinologist. Then the next major fuckup. This endocrinology group doesn’t treat testosterone related issues! WHAT THE FUCK. COULDN’T THEY HAVE TOLD ME THIS ON THE PHONE IN MARCH WHEN I TOLD THEM WHY I WANTED TO SEE A FUCKING ENDOCRINOLOGIST?? What the fucking ass? I sent a message to my PCP asking if there was a group that treats testosterone related issues, and pretty much got “not really, so sorry”. This is pretty fucking disappointing since I waited for six fucking months to have the appointment that wasn’t going to happen anyway. Fuck. So I think I’m going to have to look for something I can do out-of-pocket… so I’ll start reviewing this thread again. The wife found something called “biote” that apparently does HRT using pellets implanted under the skin. I looked it up and it looks interesting, but has some issues - it’s expensive, and it can’t be tuned on a weekly or monthly basis…. So I don’t think I would consider that. Anyway. If anyone has pointers from here, I need to see if I can find some way to work on this shit. My libido is still in the gutter and it’s affecting my marriage. I have so been down that road with endo's with myself and my kids. I am really starting to despise them as a group as a whole with their office staff right up there on the list of worst customer service ever. The Pediatric ones are even worse if you can imagine that, I've got stories to tell that would make your blood boil with one I'm considering reporting to the state medical board for outright incompetence. That said you need to look around for anti aging docs, hormone replacement clinics or even endos that are cash and carry. Most of the ones I've dealt with are much more flexible and solutions oriented vs numbers driven. The pellets are good and bad. My wife uses them and they keep her pretty level, and I think they work better for her than injections did due to less unwanted side effects for a woman. That said she's had issues lately with them working their way back out and they're pricey. IMHO the docs that do only pellets are in it for the money and not interested and what's best for you. The ones that offer them as an option are better, but some good docs don't do pellets because they don't want to deal with the in office procedure. I'll shoot you an IM. |
"Democracy is two wolves and a lamb voting on what to have for lunch. Liberty is a well-armed lamb contesting the vote."
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I’ve also noticed my testicles are quite a bit smaller than maybe 5-10 years ago. I have been thinking I should see a urologist anyway. From time to time, I do have urination issues. Not serious trouble, but very weak flow. Maybe prostate issues? |
Now she's making $15 an hour as a 'tard wrangler with a degree in women's studies... - tommytrauma
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This is from a facebook reel from a body builder by the name of Quinton Pulliam. He is supposedly a “natty” body builder, but in this video he shows his blood lab results. https://www.facebook.com/share/r/1ADZ7mfjDb/ I clicked on the comments. Yeah, I know, that was my first mistake. Some poster is saying that a test level of 300 was “normal” or “average” and they questioned Quinton’s 538 level. I could swear that whatever actually published journal article I stumbled across like 15 years ago said that 600 was the average. But I can’t remember what the stan dev was??? And I think for years here in this thread 600 has been the rule of thumb. Would one of you manly men with better google fu happen to have a link to a legit scholarly journal article that says 600 is the mean? TIA |
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T level varies by age. Around age 18 it jumps to almost 800 and then declines. Uses age and percentile and people are different so it is wide range by age well. The study shows around 450 is the mean for 50th percentile, ie half above it and half below it. Medical study. https://pmc.ncbi.nlm.nih.gov/articles/PMC5698798/  |
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Originally Posted By SWIRE: T level varies by age. Around age 18 it jumps to almost 800 and then declines. Uses age and percentile and people are different so it is wide range by age well. The study shows around 450 is the mean for 50th percentile, ie half above it and half below it. Medical study. https://pmc.ncbi.nlm.nih.gov/articles/PMC5698798/ https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38df/5698798/7b12a4d4d38f/nihms920534f1.jpg Thank you! I know it is not Tuesday and not our normal day for bashing fatties, but this caught my eye: Attached File EDIT: Chicken and the egg thing…. Maybe read it backwards: ….for every 7.5% decrease in T, there was a 10% increase in BMI… |
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Originally Posted By captnstabn: Just got my regular labwork, it appears labcorp has lowered the Reference interval for Free T direct. It was 8.7-25.1 pg/mL in May 2025, and now its 6.8-21.5. No doubt to continue to deny people using insurance because "you're within range". Pulled some labcorp bloodwork from last year it was 7.2-24.0, so as typical it's a moving target. I'm waiting on labs pulled late last week. Be interesting to see it there are regional differences. |
"Democracy is two wolves and a lamb voting on what to have for lunch. Liberty is a well-armed lamb contesting the vote."
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Has anyone worked with Ageless Men’s Health? I noticed the sign for one of those when I went to pick up the wife from a shopping trip. It’s only about 2.5 miles from home. I tried looking up reviews and found a few posts on Reddit. One guy had a bad experience, but that might have just been him, and that was years ago. I’m not finding anything about cost or whether or not my particular insurance (BCBS) might cover anything. I’d love to have at least a ballpark of what to expect in that regard. If I can get everything I need for around a Benjamin every month, maybe a bit more, that would be great. ETA: JP just put up a video about TRT  The 5 LIES About Testosterone (And How NOT to Get Tricked) |
Now she's making $15 an hour as a 'tard wrangler with a degree in women's studies... - tommytrauma
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Had blood work done recently. Doc has me 200mg every 2 weeks. I told him I'd like to switch to weekly injections. Started at 178.8 before treatment in July to the number below last week. Total Test 981 (which my PCP considers high) Free Test 2.6% Free Test 247.9 Globulin 30 Im assuming weekly injections will keep my test more even and not peak as high as 981, right? |
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Originally Posted By DirtyHandsRob: Had blood work done recently. Doc has me 200mg every 2 weeks. I told him I'd like to switch to weekly injections. Started at 178.8 before treatment in July to the number below last week. Total Test 981 (which my PCP considers high) Free Test 2.6% Free Test 247.9 Globulin 30 Im assuming weekly injections will keep my test more even and not peak as high as 981, right? When was your injection vs when blood was drawn? I do twice a week (Mon & Thursday) and usually draw blood Wednesday to get an idea of the low end. |
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Originally Posted By DirtyHandsRob: I should also say I have another blood test coming up a week from Wednesday to find my low. Also find a better provider. |
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Originally Posted By 20229mm: That high and low must be brutal. Ha....I forgot and pulled bloodwork Friday morning after a Wednesday night injection. It was over 900, doc may give me a lecture on that one. And I inject twice a week. On another note Walgreens jumped their price about 20% they're now highest, at $51, and that's with a goodrx code. 
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"Democracy is two wolves and a lamb voting on what to have for lunch. Liberty is a well-armed lamb contesting the vote."
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Originally Posted By 2tired2run: Ha....I forgot and pulled bloodwork Friday morning after a Wednesday night injection. It was over 900, doc may give me a lecture on that one. And I inject twice a week. On another note Walgreens jumped their price about 20% they're now highest, at $51, and that's with a goodrx code. I was at my PCP for the first time in a while and she saw that my last test was 1200. She mentioned that she thought it was too high and i told her I feel great. she moved on. |
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Originally Posted By 20229mm: That high and low must be brutal. And this is why we learn to pin Sub-Q 3-4 days a week. It will keep the levels just as high, if not higher and much more stable all week long. And if you are having trouble controlling E2, hematocrit and other things, pinning more frequently helps that as well. |
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Originally Posted By 10mmManiac: And this is why we learn to pin Sub-Q 3-4 days a week. It will keep the levels just as high, if not higher and much more stable all week long. And if you are having trouble controlling E2, hematocrit and other things, pinning more frequently helps that as well. Originally Posted By 10mmManiac: Originally Posted By 20229mm: That high and low must be brutal. And this is why we learn to pin Sub-Q 3-4 days a week. It will keep the levels just as high, if not higher and much more stable all week long. And if you are having trouble controlling E2, hematocrit and other things, pinning more frequently helps that as well. I tried subq and hated it. Left knots everywhere I injected and in general just didn't feel as good. IM seems to work much better for me, that 900 number above is on 60mg 2x per week. |
"Democracy is two wolves and a lamb voting on what to have for lunch. Liberty is a well-armed lamb contesting the vote."
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Originally Posted By 2tired2run: I tried subq and hated it. Left knots everywhere I injected and in general just didn't feel as good. IM seems to work much better for me, that 900 number above is on 60mg 2x per week. Originally Posted By 2tired2run: Originally Posted By 10mmManiac: Originally Posted By 20229mm: That high and low must be brutal. And this is why we learn to pin Sub-Q 3-4 days a week. It will keep the levels just as high, if not higher and much more stable all week long. And if you are having trouble controlling E2, hematocrit and other things, pinning more frequently helps that as well. I tried subq and hated it. Left knots everywhere I injected and in general just didn't feel as good. IM seems to work much better for me, that 900 number above is on 60mg 2x per week. I’m doing a MWF sub-q .25 (200mg/mL) and my hematocrit is high. I’ve started nattokinase since that was suggested by someone who is on heavy gear for quite some time. What else should I do? |
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Originally Posted By 2tired2run: Pulled some labcorp bloodwork from last year it was 7.2-24.0, so as typical it's a moving target. I'm waiting on labs pulled late last week. Be interesting to see it there are regional differences. Originally Posted By 2tired2run: Originally Posted By captnstabn: Just got my regular labwork, it appears labcorp has lowered the Reference interval for Free T direct. It was 8.7-25.1 pg/mL in May 2025, and now its 6.8-21.5. No doubt to continue to deny people using insurance because "you're within range". Pulled some labcorp bloodwork from last year it was 7.2-24.0, so as typical it's a moving target. I'm waiting on labs pulled late last week. Be interesting to see it there are regional differences. As a physician, I find it infuriating that there are so many obstacles like this from various sources that interfere with my ability to practice medicine unimpeded to do what is the best interest of each and every patient. |
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Attached File |
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Originally Posted By 2tired2run: I tried subq and hated it. Left knots everywhere I injected and in general just didn't feel as good. IM seems to work much better for me, that 900 number above is on 60mg 2x per week. |
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Originally Posted By TheRealSundance: https://www.ar15.com/media/mediaFiles/32522/IMG_4364_jpeg-3638358.JPG GAME CHANGER |
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Originally Posted By artimus009: I'm doing a MWF sub-q .25 (200mg/mL) and my hematocrit is high. I've started nattokinase since that was suggested by someone who is on heavy gear for quite some time. What else should I do? |
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Originally Posted By artimus009: I’m doing a MWF sub-q .25 (200mg/mL) and my hematocrit is high. I’ve started nattokinase since that was suggested by someone who is on heavy gear for quite some time. What else should I do? Donate blood |
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Originally Posted By StarCityShooter: Donate blood Originally Posted By StarCityShooter: Originally Posted By artimus009: I’m doing a MWF sub-q .25 (200mg/mL) and my hematocrit is high. I’ve started nattokinase since that was suggested by someone who is on heavy gear for quite some time. What else should I do? Donate blood Also if you live at elevation it is going to be high naturally. I was near the top of the range before any T, and it has barely changed since. |
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Originally Posted By tonysoprano150: As a physician, I find it infuriating that there are so many obstacles like this from various sources that interfere with my ability to practice medicine unimpeded to do what is the best interest of each and every patient. Originally Posted By tonysoprano150: Originally Posted By 2tired2run: Originally Posted By captnstabn: Just got my regular labwork, it appears labcorp has lowered the Reference interval for Free T direct. It was 8.7-25.1 pg/mL in May 2025, and now its 6.8-21.5. No doubt to continue to deny people using insurance because "you're within range". Pulled some labcorp bloodwork from last year it was 7.2-24.0, so as typical it's a moving target. I'm waiting on labs pulled late last week. Be interesting to see it there are regional differences. As a physician, I find it infuriating that there are so many obstacles like this from various sources that interfere with my ability to practice medicine unimpeded to do what is the best interest of each and every patient. Thanks for reminding me....just looked the range on free T is 7.2-24 |
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Originally Posted By TheRealSundance: Says right on the bottle for IM injection. Originally Posted By TheRealSundance: Originally Posted By 2tired2run: I tried subq and hated it. Left knots everywhere I injected and in general just didn't feel as good. IM seems to work much better for me, that 900 number above is on 60mg 2x per week. What read the directions? You do realize i'm on testosterone right?
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"Democracy is two wolves and a lamb voting on what to have for lunch. Liberty is a well-armed lamb contesting the vote."
| Everyone should know that the lab stated ranges for testosterone are based on the "average healthy male", which if you look around are mostly fatties and skinny men. Their T is really low compared to 50 years ago. Do not go by the lab results. Go by how you feel. |
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Originally Posted By StarCityShooter: Donate blood Originally Posted By StarCityShooter: Originally Posted By artimus009: I'm doing a MWF sub-q .25 (200mg/mL) and my hematocrit is high. I've started nattokinase since that was suggested by someone who is on heavy gear for quite some time. What else should I do? Donate blood |
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Originally Posted By TheRealSundance: Wrong answer. Your body will naturally replace your red blood cells to the same level or higher. Also, please show where there's a study showing that higher hematocrit due to testosterone therapy poses any risk. I dont need to have a study, I have personal experience from when I was younger. Hematocrit levels were getting high and I could tell by sudden increase of headaches and face getting redder more often/easier. I donated blood every 8 weeks and kept the hematocrit numbers down. |
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Originally Posted By StarCityShooter: I dont need to have a study, I have personal experience from when I was younger. Hematocrit levels were getting high and I could tell by sudden increase of headaches and face getting redder more often/easier. I donated blood every 8 weeks and kept the hematocrit numbers down. Originally Posted By StarCityShooter: Originally Posted By TheRealSundance: Wrong answer. Your body will naturally replace your red blood cells to the same level or higher. Also, please show where there's a study showing that higher hematocrit due to testosterone therapy poses any risk. I dont need to have a study, I have personal experience from when I was younger. Hematocrit levels were getting high and I could tell by sudden increase of headaches and face getting redder more often/easier. I donated blood every 8 weeks and kept the hematocrit numbers down. |
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Originally Posted By HappyCamel: That's BP champ BP was fine Doc recommended the blood donating since all my other labs were good, and it worked. Got to love GD "cite a study" or its this or that, never mind a posters actual life experience on whats being discussed  Maybe Im 1 of 1 then, who knows. But I had high hematocrit and thats what worked with medical supervision. |
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Originally Posted By StarCityShooter: I dont need to have a study, I have personal experience from when I was younger. Hematocrit levels were getting high and I could tell by sudden increase of headaches and face getting redder more often/easier. I donated blood every 8 weeks and kept the hematocrit numbers down. Originally Posted By StarCityShooter: Originally Posted By TheRealSundance: Wrong answer. Your body will naturally replace your red blood cells to the same level or higher. Also, please show where there's a study showing that higher hematocrit due to testosterone therapy poses any risk. I dont need to have a study, I have personal experience from when I was younger. Hematocrit levels were getting high and I could tell by sudden increase of headaches and face getting redder more often/easier. I donated blood every 8 weeks and kept the hematocrit numbers down. Thanks for proving what I said. The real question is why was it high when you were younger? |
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Originally Posted By TheRealSundance: Thanks for proving what I said. The real question is why was it high when you were younger? Originally Posted By TheRealSundance: Originally Posted By StarCityShooter: Originally Posted By TheRealSundance: Wrong answer. Your body will naturally replace your red blood cells to the same level or higher. Also, please show where there's a study showing that higher hematocrit due to testosterone therapy poses any risk. I dont need to have a study, I have personal experience from when I was younger. Hematocrit levels were getting high and I could tell by sudden increase of headaches and face getting redder more often/easier. I donated blood every 8 weeks and kept the hematocrit numbers down. Thanks for proving what I said. The real question is why was it high when you were younger? From using testosterone. The testosterone raised my hematocrit levels |
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Originally Posted By StylesBitchley: Fasted morning total test = ~340, unfasted afternoon total test = ~ 130 this normal? I know it's higher in the morning, didn't think there would be that much difference though. |
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Originally Posted By StarCityShooter: From using testosterone. The testosterone raised my hematocrit levels |
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 When To Donate Blood On TRT |
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Here's a response from well known and respected trt providers. Attached File Attached File Attached File |
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I’m just starting my 4th week of injections. Holy mother of God, I don’t know if I should feel sorry for my wife or if she owes my doc a car. I feel like I’m in my teens again. We were in Hawaii for our daughter’s wedding. We had a lot of free time. Which we mostly spent finding places to sneak off. 3-5 times a day. Not even kidding. We got back home at 630 this morning after a red eye, quickie before we took a nap. Then again when we woke up, and twice more this evening. I’m ready to go again right now but she’s passed out and sore I can’t believe how much better I already feel |
If you're tired of starting over, why the fuck do you keep quitting?
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Originally Posted By ragedracer1977: I’m just starting my 4th week of injections. Holy mother of God, I don’t know if I should feel sorry for my wife or if she owes my doc a car. I feel like I’m in my teens again. We were in Hawaii for our daughter’s wedding. We had a lot of free time. Which we mostly spent finding places to sneak off. 3-5 times a day. Not even kidding. We got back home at 630 this morning after a red eye, quickie before we took a nap. Then again when we woke up, and twice more this evening. I’m ready to go again right now but she’s passed out and sore I can’t believe how much better I already feel Living up to that username, huh? |
"I see dumb people... they're everywhere. They walk around like everyone else. They don't even know that they're dumb."
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Originally Posted By tonysoprano150: Living up to that username, huh? Originally Posted By tonysoprano150: Originally Posted By ragedracer1977: I’m just starting my 4th week of injections. Holy mother of God, I don’t know if I should feel sorry for my wife or if she owes my doc a car. I feel like I’m in my teens again. We were in Hawaii for our daughter’s wedding. We had a lot of free time. Which we mostly spent finding places to sneak off. 3-5 times a day. Not even kidding. We got back home at 630 this morning after a red eye, quickie before we took a nap. Then again when we woke up, and twice more this evening. I’m ready to go again right now but she’s passed out and sore I can’t believe how much better I already feel Living up to that username, huh? Maybe he should give the wife a break and hit up that harem he has in his avatar.
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"Democracy is two wolves and a lamb voting on what to have for lunch. Liberty is a well-armed lamb contesting the vote."