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Old 03-03-2008, 05:41 AM   #16
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Bilbo HB User
Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

AFAIK there is no drop off. Just two different vwhicles into the body. ap could be wrong. This a question for lewis and hayfarmer.

Quote:
Originally Posted by seth64 View Post
Question on Compounded Gel:

Does these Gels enable long term sustainable increase in T similar to shots? Or does it become ineffective after some time?

Thanks
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2 Lumbar Lamies 93 (age 22); Cervical Fusion C4-C6 2004. Lumbar Fusion w/ hardware S1-L4 2007, DDD & stenosis entire spine. super low T. 30mg Methadone BID 10-20mg Norco 4 BT. 2mg Xanax PRN.

 
Old 03-03-2008, 10:19 AM   #17
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

I don't have long term experience or knowledge regarding the relative benefits of the various modes of application of testosterone but I have a bit of information as to a great cost reduction. I was using androgel a packet a day but I was nearing the "donut hole" on my Rx prescription plan and the retail that I would be paying would soon be over $300 a month. This was last November. So I told my doctor (a very resourceful and reasonable guy)
that I just couldn't afford to continue at that expense level. So he told me that he utilizes a private pharmaceutical lab in Las Vegas to compound injectable testosterone and I could either inject myself or have his assistant do it for me. It is a monthly injection and the cost for a five month supply of the medication is $40.00 plus $5.00 for shipping/handling. I have had a hormone panel done 10 days after an injection and my levels of free as well as total testosterone were at the lower end of normal but also rather high on DHT.
I am now taking avodart to reduce the DHT and increase the free T.
Does this sound reasonable to any of you old timers on this 'Board' ??

Last edited by LALOV929; 03-03-2008 at 10:21 AM. Reason: to add a word left out

 
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Old 03-03-2008, 09:16 PM   #18
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

LALOV, yes it sounds fine but I'm not so sure on the advodart. How high was the DHT? Usually DHT conversion is not that bad from shots.

Seth,
Not sure what you mean by long term sustainable. Gels wear off in just 24 hours. After several days the T is completey out of your system. Injections are oil based and take some considerable time to be absorbed. It takes about 2-3 weeks to get your T to a steady state with weekly shots. It may take a month or more for it all to get out of your system once you stop the shots. Hope this helps.

Last edited by hayfarmer; 03-03-2008 at 09:18 PM.

 
Old 03-04-2008, 10:07 AM   #19
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

That's what my Doc said, that the T shots rarely increase the DHT overly. But the instant rapid rise in my PSA level from a 4.9 to 9.04 convinced him to give me avodart
to try. In my first blood panel before the first T shot my free DHT was 62. A blood draw
taken 9 days after the second shot resulted in a 79 level. The lab result form indicated
75 as the top end of the acceptable range. I will know more by this Friday when I get
the results from after awhile on avodart.

 
Old 03-04-2008, 07:15 PM   #20
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

This whole thing with your PSA being high scares the helll out of me. But, I don't know how to advise you except to say if you have any doubts get a second opinion.

 
Old 03-05-2008, 08:49 PM   #21
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

Thanks for your concern, Hayfarmer....I have some myself. But I have
had several PSA flareups over the past few years from prostatitis which
inspired me to read a urology text to be sure it wasn't cancer. Since
the PSA level rises with any increase in size of the prostate, and it
typically gets larger as one ages as well as with prostatitis, I am fairly
comfortable with these fluctuations of PSA. But I do keep an eye on it
as well as having regular digital prostate exams and an ultra sound test awhile ago.

 
Old 03-06-2008, 03:48 PM   #22
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

Well you probably know more about it than me since I have not had any issues there yet. Glad to hear you are keeping on top of it.

 
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