Re: 3 Questions for Dr. L

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: : : : : Dr. L : : : : : In your prior posts you mentioned the term 'testicular insufficient'. : : : : : By that , do you mean low free : : : : : testosterone and/or low total testosterone (~300-400ng/dl)? : : : : =Low total testosterone <600 for a <30 : : : : If you have normal total testo but low free it's another problem : : : : generally it appears for obese male : : : : Low-mild total testo and high free testo is seen in obese female : : : : : Why not make use of Testolactone(Teslac) instead of proviron? Cost? : : : : Teslac is not a AS ,it prevents the conversion of testo in female hormone : : : : Provirion is an androgen which doesn't aromatize in female hormone : : : : It's slighty different, you can use proviron alone but you need to use teslac with a testosterone-like : : : : otherwise it's useless : : : : : Would adding Deca (~200 - 400 mg/week for 6-8wks) : : : : : to the Proviron/Oxandrolone stack defeat the purpose? : : : : you can not help you to stack up AS ! The more you stack the more : : : : you are likely to get acute side effects. Stop to always think in term of cycle : : : : i have already explained than longer, fewer is better and safer : : : : 50-150mg/ week of deca is sufficient, you can use Proviron/Oxandrolone : : : : or proviron/deca which is more potent but less safe. : : : : : : : : : Would this make hypogonadism worse? : : : : of course : : : : : terms of nitrogen retention : : : : with deca it would be improved BUT side effects too : : : : and finally you might be compelled to stop this "cycle with deca" earlier than "without deca" : : : : Do you want to improve slightly your nitrogen retention during 2 months or 4? : : : : recovery aid and possibly helping with joint pains associated with lifting. : : : : I can't say, i'm not enough skilled in BB, generally joint pain get worse with/after AS : : : : : : : : : : Thank you very much for answers and contributions. : : : Thanks for the info. Dr. L. So as a matter of review, : : : Let's say a 31 yo male has the following : : : hormonal profile: : : : total testo of ~350 ng.dl, : : TOO LOW for 31 yo : : : free testo of 17 pg/ml (normal should be 18-39,I : : : think). : : LOW : : : %free testo .47 : : : LH ~5.3-8.4 MIU/ML : : OK : : : FSH ~3.2 MIU/ML : : NORMAL,LOW : : : estrogen 67 PG/ML : : TOO HIGH : : : Body Type: Mostly Endo : : : BF: 12-13% : : : Wt.: 198 lbs : : : Ht: 5'7" : : : no gyno, susciptible(sic) to hair loss:RELEVANT : : : testes size: normal :RELEVANT : : : : There is something wrong, if it was a true testes insufficient, : : his LH would be much higher : : Has this guy already used AS ? what,how much,how long, recently ? : : : This male follows an excellent diet and intense : : : exercise 4 times a week. : : Before i answer i'm waiting your answer about his previous AS use : : because it changes everything : : : : : Then if one follows your advise correctly then : : : he should the following: : : : a) it appears that this person is a type 1 based : : : on your previous postings. Therefore: : : : b) start at 10 mg of Provirion a day for 1st week and try : : : to reach 25mg by the end of the month. Take : : : a blood test and make sure LH is above 0.5. : : : So the questions are (please forgive me for repeating : : : what you might have already covered): : : : 1) Should one stay at 25mg of Proviron for life : : : or increase to 40 mg a day (for life)? Or : : : should one take Provirion until testo elevates : : : to ~600 and then stop? : : : : : 2) We have discussed oxandrolone and you have : : : stated that 40mg for 45 days is safe and effective. : : : Is there a time in the Provirion administration : : : period that one should start oxandrolone or at : : : any time of therapy (i.e should one wait a few weeks : : : after start of Proviron therapy or at the start)? : : : 3) There has been some who say that oxandrolone : : : has caused them indegestion problems. In your : : : experience how should one administer this drug? : : : In small divided doses? Before, with or after meals? : : It doesn't matter, it depends for each people : : usually it's better to take it with the main meal : : : Thanks again for your help : : Dr. L : This person was perscirbed Testosterone Cypionate : BY HIS PHYSICIAN (please let me stress this as this : was not a case of self perscription) at a dose of : 1.5 cc per MONTH for 5 MONTHS at the age of 27. : At that time the testosterone was 450 ng/dl and : this person was complaining about low energy and : fatigue. Following the therapy, obviously the : free testosteorone rose but total testosterone : dropped to the 300 levels which is where they : are now. 15 lbs of lean body mass was gained. : This person was told by a sports medicine dr. : that he might have a case of hyperprolactenimia ( : about 3 years later - at the age of 30) : and was taking Bromociptine (2.5mg/day for 30 days) : and deprenyl (5mg every two days) for 1 to 2 months. : Absolutely no other therapy applied. No AS use : without the guidance of a physician.

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