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  1. #141
    Join Date
    Nov 2008
    Location
    Texas
    Posts
    66
    Quote Originally Posted by apamburn View Post
    K I just got back from lunch with my doc.

    I brought up SHBG and calculating free T. It was something he was totally unfamiliar with and was reluctant / didn't commit to add it to my labs.

    I also brought up increasing interval and / or dosage.

    He responded to both with stating that really the range of acceptable T levels is so wide that it's hard to say what is "normal" and he treats based on presence or absence of symptoms.

    He agreed that, depending on today's blood work, we may increase interval.

    And I decided that I'm going to be making an appointment with another doc.

    I'll continue to go to lunch with the guy and use him as my GP, might even accept his invitation to join him on a turkey hunt. But I won't be relying him for T treatment moving forward.
    Your GP would surely refer you to a neurosurgeon if you needed brain surgery. Why would he attempt to treat you hormone replacement when he knows nothing about it. At this point, you are more informed than he!

  2. #142
    Join Date
    Oct 2007
    Posts
    1,303
    Quote Originally Posted by Zzooomm View Post

    ...If you are not monitoring sleep and HRV you probably should. You would see that HRV and sleep efficiency has improved. Therefore, recovery is better than ever...
    Does HRV refer to to heart rate variability? I can hardly keep up with acronyms. If so, what monitors are you suggesting to follow this? Thanks.

  3. #143
    Join Date
    Nov 2008
    Location
    Texas
    Posts
    66
    Quote Originally Posted by alistar View Post
    Does HRV refer to to heart rate variability? I can hardly keep up with acronyms. If so, what monitors are you suggesting to follow this? Thanks.
    HRV = Heart Rate Variability

    Morpheus Recovery Band, Whoop, and the Ouraring are the three I am most familiar with. If you want to monitor anytime except while grabbing dumbbells, the Ouraring is a nice way to go. Probably a bit fragile for me. I have the Morpheus. There are many options out there waiting for your dollars.

  4. #144
    Join Date
    May 2000
    Location
    Beyond The Wall
    Posts
    47,379
    Zzooom, what are we looking for with the HRV?
    Gabriel Suarez

    Turning Lambs into Lions Since 1995

    Suarez International USA Headquarters

  5. #145
    Join Date
    Nov 2008
    Location
    Texas
    Posts
    66
    Quote Originally Posted by Gabriel Suarez View Post
    Zzooom, what are we looking for with the HRV?
    HRV in effect measures parasympathetic versus sympathetic tone. Overall, the greater the conditioning the higher the score. That said, it reflects aerobic conditioning and it is the day to day variation in your score that matters most. Marathon runners and combat sports participants will likely have the highest numbers while untrained folks at the bottom of the list. It is very useful in determining your readiness to accept training (adequate state of recovery to benefit from today's stress). Depending on the product, it can provide a readiness score, weekly and monthly training loads, etc. Joel Jameison the guy behind Morpheus Recovery Band is a great resource. https://trainwithmorpheus.com and his strength and conditioning site, https://www.8weeksout.com will help understand the utility of HRV monitoring.

  6. #146
    Join Date
    Mar 2011
    Location
    Western WA
    Posts
    6,239
    Any thoughts on the necessity of adding HCG to the treatment regimen?

    My doc asked me if I was interested in it and briefly explained the benefits. I am not to concerned about it; the one thing that interests me is that he says it makes the transition easier if one goes off the T therapy. I have no plans for that, but with things as they are I can imagine possibilities where supply chains might be affected.

    But I wanted to see what the opinions were here.
    Brent Yamamoto
    Suarez International Tier 1 Staff Instructor

    Ready, willing, able. Bring it.

    Instagram: karate_at_1200fps

    Upcoming classes:

    Pistol Groundfighting, Texas

  7. #147
    Join Date
    May 2000
    Location
    Beyond The Wall
    Posts
    47,379
    Quote Originally Posted by Brent Yamamoto View Post
    Any thoughts on the necessity of adding HCG to the treatment regimen?

    My doc asked me if I was interested in it and briefly explained the benefits. I am not to concerned about it; the one thing that interests me is that he says it makes the transition easier if one goes off the T therapy. I have no plans for that, but with things as they are I can imagine possibilities where supply chains might be affected.

    But I wanted to see what the opinions were here.
    Again...just my opinion, but I have not used HCG. Will text on some strategies.
    Gabriel Suarez

    Turning Lambs into Lions Since 1995

    Suarez International USA Headquarters

  8. #148
    Join Date
    Nov 2008
    Location
    Texas
    Posts
    66
    Quote Originally Posted by Brent Yamamoto View Post
    Any thoughts on the necessity of adding HCG to the treatment regimen?

    My doc asked me if I was interested in it and briefly explained the benefits. I am not to concerned about it; the one thing that interests me is that he says it makes the transition easier if one goes off the T therapy. I have no plans for that, but with things as they are I can imagine possibilities where supply chains might be affected.

    But I wanted to see what the opinions were here.
    Brent,

    It is much easier to prevent testicular atrophy than it is to recover volume after it has been lost. They can diminish in size to point of ascending into the inguinal canal where the don't cool well and extrapolating from males with undescended testes there is an increase in testicular cancer in those folks. You can also experience a decrease in ejaculate volume so you loose your porn star status. Overall, I now encourage its use from the beginning. I have not always felt it important and still don't feel it is absolutely necessary. Like all things TRT, there are no good double blind randomized crossover placebo controlled trials to give us guidance. There is currently an availability shortage of HCG and I have resorted to using Clomid though I prefer HCG.

    And, your Doc was correct, should you ever need to stop therapy it does but you ahead of the curve. The only way I would personally stop therapy would be secondary to a supply issue. It just makes everything better. Look at Morganthaler's study of testosterone and prostate cancer.
    Last edited by Zzooomm; 04-27-2021 at 03:47 AM.

  9. #149
    Join Date
    Dec 2009
    Location
    Phoenix, Arizona
    Posts
    2,794
    Quote Originally Posted by Zzooomm View Post
    Brent,

    It is much easier to prevent testicular atrophy than it is to recover volume after it has been lost. They can diminish in size to point of ascending into the inguinal canal where the don't cool well and extrapolating from males with undescended testes there is an increase in testicular cancer in those folks. You can also experience a decrease in ejaculate volume so you loose your porn star status. Overall, I now encourage its use from the beginning. I have not always felt it important and still don't feel it is absolutely necessary. Like all things TRT, there are no good double blind randomized crossover placebo controlled trials to give us guidance. There is currently an availability shortage of HCG and I have resorted to using Clomid though I prefer HCG.

    And, your Doc was correct, should you ever need to stop therapy it does but you ahead of the curve. The only way I would personally stop therapy would be secondary to a supply issue. It just makes everything better. Look at Morganthaler's study of testosterone and prostate cancer.
    Hello Zzoomm, how long on TRT does it take for one's balls' to shrink? This would be a bothersome condition, going from large and healthy to marbles that disappear.... :(
    "When one goes willingly into the darkness, all he will find there, is what he brought in with him".

    --Gabe Suarez, after the 7-11 shootout

    Proper development of the 'Warrior Spirit', training and physical conditioning before 'The Event' cannot be overstated.

    U.S. Army Rangers (1/75 'Old Scroll')
    CRG; 0-5 Feet CRG; PSP Pistol; FOF Instructor School; Combat Pistol Instructor School

  10. #150
    Join Date
    Mar 2013
    Posts
    1,564
    Haven't noticed mine shrinking but then again my TRT has been all fucked up from day one.

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