Nandrolone with TRT - Nandrolone for TRT and HRT HR - addition of deca to hrt

Summary

In this episode of 'Balance My Hormones,' Nelson Virgil, a prominent figure in the TRT community, discusses the clinical use of nandrolone, an anabolic steroid. He highlights its FDA approval since 1962 for anemia treatment and its off-label uses, including HIV wasting and joint pain in men with low testosterone. Virgil emphasizes the importance of shifting the stigma around nandrolone and other FDA-approved compounds, advocating for their broader acceptance in clinical practice. The conversation also touches on the challenges of accessing these treatments in different healthcare systems and the role of compounding pharmacies in the US.

Takeaways

• 💉 The speaker has a personal connection with nandrolone, having used it alongside testosterone for many years.
• 📚 Nelson Virgil, an author with a background in the TRT community, discusses the clinical use of nandrolone and its effects.
• 🏥 Nandrolone was approved by the FDA in 1962 for the treatment of anemia and has been used off-label for other conditions since then.
• 📊 Recent studies from Houston have shown nandrolone to be effective in reducing joint pain in men with low testosterone.
• 💊 Nandrolone is legally prescribed in the United States through compounding pharmacies, as it is no longer available as a brand-name drug.
• 🚫 The anabolic steroid control act in the 1990s made nandrolone illegal for non-clinical use, but it is now seeing a resurgence in clinical applications.
• 🤔 There is a debate about the long-term use of nandrolone due to its potential to decrease HDL cholesterol and increase blood pressure.
• 🌐 The speaker suggests that activism for men's health could help improve access to hormones and treatments like nandrolone.
• 💼 The compounding industry in the United States has played a crucial role in making nandrolone and other hormones more accessible.
• 💡 The speaker expresses concern about the potential loss of access to nandrolone and other treatments if the compounding industry is over-regulated.
• 🌟 The script concludes with a call for continued education and activism to ensure men have access to the hormones and treatments they need.

Q & A

What is the significance of nandrolone in the speaker's personal experience?

The speaker has a special place in their heart for nandrolone due to its role when they started testosterone therapy. They did not start with testosterone alone but with nandrolone, which is also known as Deca in the bodybuilding world.

Why does the speaker want to shift the perception of nandrolone from bodybuilding to clinical use?

The speaker aims to reduce the stigma associated with nandrolone and other FDA-approved compounds, emphasizing their clinical benefits and合法 uses beyond bodybuilding, such as for treating anemia and other conditions.

When was nandrolone approved by the FDA, and for what purpose?

Nandrolone was approved by the FDA in 1962 for the treatment of anemia.

What is the current status of nandrolone's legality and prescription in the United States?

Nandrolone is legally prescribed in the United States, often through compounding pharmacies, for various off-label uses, including joint pain and conditions like HIV wasting and cancer.

What recent research has been highlighted regarding nandrolone's effects on joint pain?

A recent study from Baylor College of Medicine showed a dramatic decrease in joint pain for men with low testosterone after treatment with nandrolone.

Why is the availability of nandrolone through compounding pharmacies significant?

Compounding pharmacies provide access to nandrolone by prescription, despite it no longer being available as a brand-name pharmaceutical product, making it more affordable and accessible for patients.

What are some of the potential side effects of nandrolone mentioned in the script?

Potential side effects include a decrease in HDL (good cholesterol), increased blood pressure, and water retention, which can be detrimental to the kidneys.

How does the speaker view the future of nandrolone's clinical use in the United States?

The speaker sees a positive trend, with growing data supporting its use and more doctors prescribing it legally for clinical purposes, despite the challenges from regulatory bodies.

What is the role of activism in advancing men's health and access to hormones like nandrolone?

The speaker believes that activism can help raise awareness and push for better access to hormones needed for men's health, similar to how activism advanced HIV treatments and awareness.

What challenges do doctors face in prescribing off-label medications like nandrolone in countries with national healthcare systems?

Doctors in countries with national healthcare systems may face bureaucratic restrictions and guidelines that make it difficult to prescribe off-label medications, even when there is evidence supporting their use.

How does the speaker suggest maintaining access to nandrolone and similar compounds in the United States?

The speaker suggests protecting the compounding pharmacy industry and the self-pay or cash-based healthcare system, which allows for more flexibility in accessing off-label prescriptions.

Outlines

00:00

💉 Nandrolone and Testosterone: A Personal Journey and Clinical Insights

The speaker begins by sharing a personal connection to nandrolone, a medication they started using alongside testosterone. They discuss the historical use of nandrolone, branded as Deca-Durabolin, in bodybuilding and clinical settings since its FDA approval in 1962 for anemia treatment. The speaker highlights the shift from the stigmatized view of nandrolone in bodybuilding to recognizing its clinical applications, especially in HIV wasting syndrome. Recent studies from Houston show promising results in reducing joint pain for men with low testosterone, which aligns with the bodybuilding community's long-held beliefs about nandrolone's benefits. The paragraph concludes with the speaker's anticipation of nandrolone's expanding clinical use beyond HIV-related conditions.

05:03

🛒 The Availability and Prescription of Nandrolone in the United States

This paragraph delves into the availability of nandrolone in the United States, primarily through compounding pharmacies due to its discontinuation by major pharmaceutical companies. The speaker explains the process of how nandrolone became accessible again after the HIV crisis and the role of compounding in making it available for off-label prescriptions. They also discuss the clinical use of nandrolone in conditions like HIV, cancer, and anemia, and the importance of proper dosing to avoid side effects such as erectile dysfunction and decreased HDL cholesterol. The speaker emphasizes the growing trend of nandrolone prescription alongside testosterone to counteract the latter's suppressive effect on endogenous testosterone production.

10:03

🌍 International Perspectives on Hormone Therapy and Access to Treatment

The speaker and a guest discuss the differences in hormone therapy access and activism between the United States, the UK, and Europe. They touch on the challenges faced by doctors and patients due to strict guidelines and the bureaucracy of healthcare systems like the NHS. The conversation highlights the slower adoption of new treatments and the potential impact of cost on the availability of therapies like nandrolone. The speakers also express concern about the lack of activism for men's health and the need for more open-mindedness among medical professionals to evidence-based practices.

15:05

🏥 The Role of Compounding Pharmacies and Self-Pay Systems in Hormone Therapy

The speaker underscores the importance of compounding pharmacies and self-pay systems in the United States for the advancement of hormone therapies. They discuss the challenges faced by the compounding industry due to regulatory restrictions and the significance of these pharmacies in providing affordable and accessible treatments. The paragraph also addresses the impact of insurance companies denying coverage for certain prescriptions and how the self-pay system offers an alternative for patients. The speaker advocates for the protection of compounding pharmacies and the self-pay option as crucial for the future of hormone therapy.

20:05

🚨 Concerns Over Long-Term Use of Nandrolone in Hormone Replacement Therapy

In the final paragraph, the speaker shares personal concerns about the long-term use of nandrolone in conjunction with testosterone replacement therapy. They discuss the potential side effects, such as decreased HDL cholesterol and increased blood pressure, and the importance of finding the right dosage and duration for treatment. The speaker emphasizes the need for ongoing monitoring and the individualized approach to hormone therapy, acknowledging the complexity of balancing benefits and risks in clinical practice.

Keywords

💡Testosterone

Testosterone is a hormone that plays a crucial role in the development of male reproductive tissues and secondary sexual characteristics. In the video, it is discussed as a part of Testosterone Replacement Therapy (TRT), which is used to treat men who have abnormally low testosterone levels. The script mentions the personal experience of starting testosterone therapy, indicating its importance in the narrative.

💡Nandrolone

Nandrolone, often referred to by its brand name Deca-Durabolin in the bodybuilding community, is an anabolic steroid that is medically used to treat anemia and other conditions. The video discusses its clinical use alongside TRT, highlighting a study that shows its effectiveness in reducing joint pain in men with low testosterone. The term is used to challenge the stigma associated with anabolic steroids and to promote their legitimate medical applications.

💡TRT (Testosterone Replacement Therapy)

TRT is a medical treatment that aims to increase testosterone levels in men who have deficiency or inadequate production of this hormone. The script discusses TRT in the context of its benefits and the use of nandrolone as an adjunct therapy to enhance its effects, emphasizing the importance of proper dosing to avoid side effects.

💡Anemia

Anemia is a condition characterized by a lack of healthy red blood cells or hemoglobin in the blood, resulting in insufficient oxygen transport to the body's tissues. The script mentions that nandrolone was approved by the FDA in 1962 for the treatment of anemia, illustrating its historical medical use.

💡Off-label use

Off-label use refers to the practice of prescribing a medication for a purpose other than what it was originally approved for by regulatory authorities. The video discusses the off-label use of nandrolone for conditions other than anemia, such as joint pain in men with low testosterone, based on evidence from studies.

💡Bodybuilding

Bodybuilding is a sport that involves developing and sculpting the body's muscles through weight training and proper nutrition. The script mentions the bodybuilding community's use of nandrolone, known as 'Deca,' and the desire to shift the perception of such compounds from solely bodybuilding to legitimate clinical use.

💡HIV wasting

HIV wasting refers to the severe weight loss and muscle atrophy that can occur in individuals with HIV/AIDS. The script discusses the use of nandrolone in the 1990s to treat HIV wasting, showing its application in addressing the symptoms of this condition.

💡Anabolic steroids

Anabolic steroids are synthetic substances similar to the male hormone testosterone that promote muscle growth and strength. The video touches on the controversy and stigma surrounding anabolic steroids, advocating for their legitimate medical use beyond the realm of bodybuilding.

💡FDA (Food and Drug Administration)

The FDA is a government agency responsible for protecting public health by ensuring the safety, efficacy, and security of drugs, among other things. The script refers to the FDA's approval of nandrolone in 1962, indicating the regulatory history of the drug.

💡Compounding pharmacies

Compounding pharmacies are specialized pharmacies that create customized medications tailored to the needs of individual patients. The video discusses the importance of compounding pharmacies in providing access to nandrolone and other medications that may not be readily available as brand-name products.

💡Men's health activism

Men's health activism refers to the efforts to raise awareness and advocate for better health care and policies for men's health issues. The script calls for more activism around men's health, including access to hormones and treatments like TRT, to address the gap in health care services for men.

Highlights

Nandrolone decanoate, also known as Deca, has a special place in the speaker's heart due to personal experiences with testosterone.

Nandrolone was initially used for clinical purposes such as anemia treatment, approved by the FDA in 1962.

Off-label use of nandrolone is legal in the U.S. if supported by evidence or studies.

Nandrolone was used in the 1990s for HIV-related wasting disease, particularly in South America.

Anabolic steroid control in the 90s made nandrolone illegal for non-clinical use.

Recent studies show nandrolone can significantly reduce joint pain in men with low testosterone.

Nandrolone is gaining recognition in the U.S. for uses beyond HIV wasting, thanks to research from Houston.

Nandrolone is available in the U.S. through compounding pharmacies due to its discontinuation by major pharmaceutical companies.

Doctors in the U.S. are increasingly prescribing nandrolone alongside testosterone to prevent side effects.

Nandrolone's clinical use is expanding, including for conditions like cancer and joint pain.

The speaker advocates for less stigma around the clinical use of anabolic compounds like nandrolone.

Nandrolone can improve cardiovascular health and has been used by the speaker for 20 years without severe side effects.

High doses of anabolics, including testosterone, can have negative effects like increased hematocrit and decreased HDL cholesterol.

The compounding industry plays a crucial role in making nandrolone and other hormones accessible at lower costs.

The speaker discusses the importance of activism for men's health and access to necessary hormones.

The speaker expresses hope for a future with less stigma and more access to hormones for men's health.

The impact of bureaucracy and healthcare systems on the prescription of hormones like nandrolone is discussed.

The speaker shares personal experiences with nandrolone, including dosage and long-term use.

The potential benefits and risks of long-term, low-dose nandrolone use in TRT are debated.

The importance of the self-pay system and compounding pharmacies in the U.S. for hormone access is highlighted.

Transcripts

that alone has a very special place in

my heart

okay when I started testosterone I

really did not start to start to learn

alone when I started testosterone with

nine Berlin nandrolone the brand name is

is there a gravel in in the bodybuilding

world aquatic data can nandrolone

be used clinically alongside trt find

out next

[Music]

alright so welcome to another episode of

balance my hormones we're here with a

special question time with nelson Virgil

he's the author of several books and has

a very big background in the TRT

community so we're very honored to have

Nelson with us today

I know Stan how are you hey hey guys how

you they I know Cynthia thanks I guess

whilst we're talking about the

nandrolone maybe we can talk about you

know your experiences in the TRT world

with nandrolone being used

IATI and some of the of the effects that

iran has a very special place in my

heart

okay no he's for obvious reasons I was

when I started testosterone I really did

not start the starter alone I start to

start from with not alone and alone the

brand name is is they can travel in and

the bodybuilding world they call it

theta okay we don't call the deck

anymore because there is nandrolone

and to be honest with you there the term

deca kind of a controlling kind of turns

me off because I'm trying to shift the

clinical world to the clinical use of

the Underland or the bodybuilding and

there's nothing wrong with very building

my way I'm I'm kind of a hobby of the

bodybuilder but I want to shift the

stigma of not only nandrolone but other

other compounds that are FDA approved

the FDA in United States approved

nandrolone

in 1962 most of you guys you definitely

I'm too young I was I was probably three

four years old and 1962 for the

treatment of anemia and

it has been used since then of label and

off-label means doctors can prescribe it

legally in the United States if there is

some evidence some studies that show

benefits or something else that was not

approved for and so we started getting

obviously in the in the early 1990s HIV

data with wasting disease in my country

I'm from Venezuela I remember when I

used to when I was growing up you would

give their two old men that had you know

frailty that were very frail you were

given back up that's that's what he was

prescribed back then at least in in

South America so here obviously the

anabolic steroid control at in the 90s

made all this crazy stuff you know

nandrolone illegal for non clinical use

so obviously we know what happened then

it was kind of crazy and still but we're

going through all that

yes but nandrolone is opening up united

states they use of nano known as a

prescription as a as a legally

prescribed product and I'll show some

data real quick because I it really is

is growing here in United States I never

thought I would see the day so I did

we're not alone was gonna be used beyond

HIV wasting I wanted to push it for

cancer wasting oncologists who haven't

been really open-minded some of them

have and we have very little some later

but it is opening up from one big reason

and it's it's basically show the

nandrolone basically we started to see

data from Houston I mean Houston has

become kind of a mecca for research to

from with the folks from from Baylor

College of Medicine dr. relief showed so

it's a friend of mine call back and some

others so I'm very also very lucky to be

Houston because I talk to them directly

we share a lot of information but

they've done a Studies on that alone

they can wait for a joint pain in men

with low testosterone these are men that

we're taking testosterone

they're complaining about a lot of

showing pains a lot of these guys are

going to the gym obviously some of us

you know tend to have issues with even

with shoulders or you know hips whatever

so they actually found really and this

is a very recent I think it was 99 2019

trying to get the date - yes 2019

published and they saw a dramatic

decrease in pain and joint pain this is

actually a measure of pain aroma chroma

toid arthritis pain scale and this is

the this axis and here so different

degrees of that but here in the total

you can see before treatment and after

treatment pain was dramatically reduced

and that's something that the

bodybuilding community has known for a

long time that Becca

not alone has been always known to

improve you know joint aches and even

flexibility sometimes for those that are

having issues so I'm glad to see they

folks at Baylor being unafraid about

this and actually really trying it out

on min so we're starting to see a lot

more data on this and a lot of a few

doctors I will say a lot prescribing it

legally not alone in the United States

is available through compounding

pharmacies

why because what son back in the days it

was he was played like so welcome first

they may take a drug Lin and they

eventually faced it out it was I think

they they probably got scared with

anabolic steroid control at etc etc and

other more expensive treatments for

anemia like Ipoh came out and obviously

Pharma always wants to the more

expensive option for profits so and I

don't know what's dropped in the middle

of our HIV crisis it was dropped meaning

no more another known even brand name or

company so I rushed to compound in

Foreman since I say listen you have to

save us we need our neither look for way

see and they started making it so that

was my first contact with compounding

now I'm very good relationships with

compounding pharmacies and the

compounding industry right so anyways it

is not available to like a brand-name

Pharma but it is available by

prescription through compounding here in

the United States so many doctors are

already prescribing it with testosterone

because not alone like any anabolic

shuts down your own testosterone

production your own endogenous

production so you don't want to

obviously have erectile dysfunction and

sexual dysfunction after a few weeks of

three days and then some people say well

there's a number long is known for

having nandrolone big or you know where

yeah yeah yeah and you know I really I'm

not one of those that believes that I

you know they may be some truth and

somehow but if you don't do it with the

proper dose of testosterone you may have

very tell this function like anything

else on a bar which is auction alone is

another legally prescribed anabolic for

clinical use we used to read or in HIV

and some cancer and some pediatrics and

burn patients it's also being described

there's a brand name their source of

compounding so in the States we believe

it or not things are moving forward when

it comes to getting this stigma out of

the clinical use of these compounds I

don't know whether this is a trend that

we're seeing worldwide because the data

is actually being presented by good

respected medical schools so I think it

is gonna get better when it comes to

less stigma more access I lived in the

States and and I don't know hopefully

maybe my next book should be about

nandrolone in you know clinical use of

nandrolone instead of hiv-related

I seen I don't know expanding at least

the United States because it's also good

for building muscle as we all know it

increases it like any anabolic any it

decreases sex hormone-binding globulin

and increases obviously free

testosterone which you know we know free

testosterone tends to be the most you

know important or active metabolite of

testosterone or portion of testosterone

and

the benefits I'm biased I use another

loan for I don't know 20 years weekly my

cardiovascular system is good my

prostate is good in HIV you used it for

a long time many people higher doses

then I prescribe now 200 milligrams a

week is the dose I used to use 400 and

you know I don't know anybody had died

of a heart attack hey I'm not getting

coffee I think all anabolics even

testosterone a higher doses tends to

have a negative effect not only on

hematocrit which is the portion of blood

the regular cells percent or portion of

your blood that makes your blood thicker

either higher doses of testosterone or

nandrolone or any anabolic decreases HDL

which is a good cholesterol and increase

blood pressure what a retention which is

not good for the kidneys

there's no liver toxicity thank God on

injectables except winstrol but we don't

have that legal here in the United

States so there are ways to do to use

these compounds I had lower dose maybe

100 milligrams see each other and 50

million on testosterone and alone a week

and I don't know obviously not for a

long term even though I did use it for a

long term and back then I was really

terrified about loosing weight more than

now so I see I see a trend and the trend

is positive here in the states the

government has in the DEA hasn't gotten

involved in this kind of use and

hopefully they want I think what we have

lacked in the United States and around

the world this activism for men's health

in HIV we were active we were tearing

things down we were tying ourselves to

you know to two fences we were blocking

traffic we were dying obviously that

degree of of desperation will probably

never be present in Miss health activism

but I really dream

before I die I'm a 61 year old man that

we will reach a day where we're gonna

have activism around men's health about

around access to hormones that we need

about you know other things that but

obviously we are we are experiencing

right now but we don't speak up because

nobody has taught us how to do so I see

it a lot in the states I see it in other

countries where men are very frustrated

and and doctors don't seem to be

changing their mind so I think in a way

I'm not saying that we need something

desperate to be activists but there's no

reason by men's health and women's

health obviously year so that's a

separate issue that and you don't know

there a lot of we're really good women's

activist for women's health activist so

anyways I'm getting and getting off so

it's a good point is because I even in

the UK like you we talk about it this

study comes out let's just say they do a

few on Europe as well they do a few good

studies on the benefits of something

like nandrolone or or you know even just

testosterone and things like that and

then a patient maybe presents with said

evidence you know the doctor the the

even of a doctor is is really open to

like changing their practice through

evidence and things like that the

scrutiny of like the bureaucracy that

covers the gmz for example covering

doctors as an example and things like

that if if they if doctors and

particularly with that NHS which is

massively overpowering further practice

in the UK and Europe anyway but if they

if they're they not are they're not

following guidelines so guidelines have

now become rules so even in America

where you're pushing forwards is much

easier for a doctor to go hey great new

study by this person you know really

good outcomes I could justify this you

know against the board if I was

questioned because of the new evidences

come out that takes years I mean look

how far we know just getting CRT in

hormone therapies in the UK you know

it's way behind the US and even if a

doctors like the best doctor that's so

so minimal to it they you know they

got this restriction abate they'll be no

sword of Damocles about their hair just

waiting to be caught up on it so it's

really difficult even in that in the

actual field of medicine just to get the

basics of things so I think even if

nandrolone for example is one of those

things where maybe it becomes you know

more mainstream I think it's gonna be

even more delayed can't be positive I

think it even be more delayed coming to

the UK what do you think Mike do you

think yeah I think part of it is the

cost as well I mean we were told even

about two RT being available in the UK

to most men on the NHS was they they saw

the mistake they made with HRT for women

and they didn't want to go down that

huge potential cost so they've actually

lowered to very low standards you know

even giving trt so I much doubt they

would prescribe nan alone for really

anything other than what's on the

package insert the package leaflet so

that which is usually I think bone

fracture or osteopenia or osteoporosis

but um you know you need to talk about

the mail there the access from male

health mean even mental health if you

look at suicide rate for men you know I

think it's worldwide they even in the UK

and Europe it's it's really like mental

health has been cut in the NHS which is

our main supply of you know sort of

medical care it's just massively cut so

you're missing out on all of these

things and you know I think you're right

there is something missing but

fortunately we you know we've got the

ability in the UK and like I think other

healthcare systems in Canada where we

can offer private health care to it to

our patients but unfortunately the the

regulator's also on to what's good for

the NHS make big try to make it the same

for the private sector yeah what has

really changed things here in the states

and he's fortunate is an unfortunate

thing is that all of this progress most

of our progress in the hormone field has

happened because we have a dual system

we have the insurance system which as

you well know in the UK here in the

states is very complicated because

discussion political discussion for many

years and we also have the bit self paid

or were a field this has the self paleo

or the cash basis field which is is

where all the progress is happening so

unfortunately for you to have access you

definitely have to have the cash is not

super expensive but it's it's there and

also the fact that we have a very strong

and they're trying to dismantle and I'm

go against them a compounding industry

that the FDA and the DEA unfortunately

all of them mostly the FDA and trying to

put more and more restrictions and you

know there's some issues there anyways

I'm gonna get into that but we do have a

strong compounding industry where things

can be sold lower prices and obviously

and on a cash basis on our self pay

basis and that has made a humongous

difference when it comes to off-label

prescriptions meaning prescriptions

where dr. Shah prescribing legally but

it wasn't approved for that purpose but

there's some data behind it

so without the compounding industry this

would not have happened without axis

because nan-oh long as I said was

abandoned even in the middle of the HIV

crisis that we had abandoned by Pharma

and then compounding picked it up the

same thing with HCG ACG has is a brand

name also in the states like it is

everywhere else but compounding makes it

all cheaper they're trying they're now

basically is successfully trying to shut

down that part of the compounding

industry and we're obviously fighting

here and that's why it means health

activist items that I have to do this

year and so an testosterone also

testosterone

we have many brand names many Pharma me

testosterone products and they're

covered in my book but the main ones

they're sauce or injections and creams

are made by compounding out a lot

cheaper price so what's happening here

in the states as the insurance companies

are denying prescription or coverage

payment for prescriptions of

testosterone for men that do not qualify

meaning if you have 350 nanograms who

you guys use that no mores there I think

it's probably a

I don't know so here they they just

don't want to cover so doctors can or

and patients can reach with the same

prescription a compounding pharmacy and

they will get it they will get the

product so if it wasn't for that

flexibility we would be in a really

different shape in the United States so

that has been something that most men in

the states don't know how lucky we are

and I need to educate men that hey we

cannot lose that option so we need to

actively protect the company Pharmacy as

long as a compounding pharmacy is

following the rules safety and sterility

rules one compounding pharmacy was

responsible for the death of many many

people with meningitis because they

didn't have to reality this is a chorus

coracoid steroid for in fact for

Hospital use then meningitis in in in

people died so honestly oh this FDA

changed the regulations but without the

compounding industry I would not be able

to talk about nandrolone HCG and that's

for so or whatever it is else that we

talk about so hopefully in the UK it

could be a movement where you guys have

a parallel system of a strong

compounding industry and in a mimic what

we're doing here you guys have something

we do not have is the national health

care system which obviously the states

is trying to get to I don't know what

anything it's a plus you have to go

broke you guys don't go broke like we do

here when we get sick but at the same

time if you want to get anything that

off-label for that system I'm sure you

get shut down and you said and for

obvious reasons but having a parallel to

systems where people can move to if they

the system is not working for them is

the way to go but hey we're talking

about politics

move on to the next question

do you just quickly last bill matter do

you think there's a place for long term

low-dose nandrolone with CRT I know

somebody's gonna ask I really believe

you know they

tl I don't do not alone anymore there's

a good reason why I mean I am really

concerned about the HDL drop in

cholesterol high density yeah I am so

and I do my blood pressure goes up I'm

borderline or with some blood pressure

and I've tried many blood pressure

medications they all give me fatigue or

IDI or something so I'm right now on

nervous but they blood pressure I think

everybody reaches I believe I should

have a graph on that a barrier at wall

every man has a wall when they come TRT

or nitrile or anything when it comes to

dough see you can they hire the doors it

doesn't really mean you feel better and

people are finding that out yes higher

the dose more hematocrit more blood

pressure problems more more as I said

the HDL issue so when you had another

loan to testosterone you're also adding

an androgen that would cause more of

that even the same thing with HCG when

you add HCG to testosterone you can even

you know you can add on to those typical

androgenic side effects so the dose and

the duration has to you guys that's what

you guys do obviously you have known in

clinic you are the duration of 19 or so

men long some people are really good at

a hundred milligrams a week with an HDL

of 35 to 40 here which is not bad and a

blood pressure is normal and as a matter

of grid that that's a requirement to go

to block the nation every three months

and then you know you could to go so

there are many variables as you well

know that's what you

ok so ok thanks for watching mr.

imbalance more hormones hopefully the

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