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Re: HRT Choices

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Hi,

I started with Androderm patches in 1998. Discontinued them because they left

red

irritated spots on the skin, left hard-to-remove adhesive deposits, and fell off

during

sweaty work in warm weather. Went to AndroGel in late 2000, 5mg/day, increased

to

10mg/day. I didn't like concerns about getting it on my wife ( " I love you,

honey, but I have

to take a shower first " ). Discontinued AG because it just wasn't getting my T

levels high

enough, I'm one of the people who just don't absorb it well. Went to shots in

2002,

Delatestryl (T-enanthate), 200mg IM every 3 weeks. After several months my wife

learned

how to do give shots, saving trips to the doc's office. Results were poor

because 3 weeks

is too far apart: I had the classic peaks and valleys roller-coaster effect. A

new doc

switched me to T-cypionate subQ in 2004, which is now at 100mg/week.

I also tried pellet implantation in early 2004, but for some rare unknown reason

they

failed. I think that was a freak event, and I would try them again, but I'm

getting good

results with injections.

Compounded testosterone gels or creams are available from compounding

pharmacies, a

good alternative to AndroGel. I never used them, but I was paying $96/month

co-pay for

AG 10mg/day. Not sure, but I wouldn't be surprised if a month's supply of

compounded

gel would cost less even without insurance.

Oral testosterone has a reputation for working poorly. There's something

(Striant) that

is supposed to adhere to the gums, but it I don't know anyone who has liked it

or stayed

on it. I don't know anything about scrotal patches.

I understand applying AG to the testicles increases DHT through the roof,

causing prostate

problems & possible hair loss.

You'd do well to get a copy of " The Testoterone Syndrome " , by Eugene Shippen,

MD. (Note:

he write that shots are the worst way to go, but I think he's changed his

position-

provided shots aren't timed too far apart.)

Best,

Bruce

> Sorry for cross posting this on a few forums but my questions are...

>

> My Doctor has started me on Androgel. No problems but she said I

> would opt for a different delivery system if I thought I would like a

> different one better. Can you guys who are using other systems please

> tell me more about patches vrs gels? Also injections re the

> effectivness and what schedual you use. And do you inject yourself or

> do you go to the doctors?

>

> Last I've read about the effectivness of the scrotal patch. Is this

> no longer available? Was there an issue with delivery in this region?

> My Androgel specificaly says DON'T apply there. Why? Wouldn't it

> make sense for it to come from that area or are we worrying about

> contaminating sex partners?

>

> p.s. My insurance won't cover compounding pharmacy so even though this

> sounds better I'm stuck with the standard options. BTW any other

> suggestions to a new member of the " club " would be greatly appreciated.

> <sigh>

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,

I'm on weekly injections of 120mg. My wife learned how to do them

from her mom (her mom is a nurse). Still fine tuning the dosage.

Mark

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Hi the Gels work good for a lot of men. But for me I have to much joint

and muscle pain on them. I am doing shots now and feel the best I have ever

felt in the 21 yrs. that I have been on TRT. Doing the max dose of Androgel or

Testim does not get my levels up high enough and using them had my DHT 2 times

over the top of the range on my blood test. For yrs. my Dr. has added the shot

to my gels to keep my levels up but doing this drives up my E2 Estradiol levels

bad. I kept telling my Dr. it makes no since to do both why not do just the

shots. It took a long time but now I am not just shots started at 100 mgs.

every week then uppped it to 150 mgs. when my test came back on the low side I

need my Total T over 800 better at 1000. This is the best I have felt in the 21

yrs. being on TRT.

Phil

james186282 <pillow@...> wrote:

Sorry for cross posting this on a few forums but my questions are...

My Doctor has started me on Androgel. No problems but she said I

would opt for a different delivery system if I thought I would like a

different one better. Can you guys who are using other systems please

tell me more about patches vrs gels? Also injections re the

effectivness and what schedual you use. And do you inject yourself or

do you go to the doctors?

Last I've read about the effectivness of the scrotal patch. Is this

no longer available? Was there an issue with delivery in this region?

My Androgel specificaly says DON'T apply there. Why? Wouldn't it

make sense for it to come from that area or are we worrying about

contaminating sex partners?

p.s. My insurance won't cover compounding pharmacy so even though this

sounds better I'm stuck with the standard options. BTW any other

suggestions to a new member of the " club " would be greatly appreciated.

<sigh>

---------------------------------

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Thanks for the feedback Bruce. I goofed when if I said Androderm.

I'm currently on Androgel myself. So far it seems to be ok. No red

sploches etc. I'm only on my third application so nothing much to

report. *I've got my fingers crossed however. My doctor hinted that

the 5mg / day may very well need to be upped. I'll have to see how

much is absorbed and how my malfunctioning male equipment decides what

it's going to do.

The estrogens have not really been addressed but I picked up DIM 100

mg today and am trying to figure out how many / how often. I've been

taking a daily zinc tablet 50 mg per the advice. BTW I did read the

Testosterone Syndrome. I gave it to my Doctor as a gift. She is very

talented but admited she is not as up to speed in mens hormones as she

is in the womens. Anyway to make a long story short I gave her the

book after we went over some of the data I got from the library files

here and she seemed very pleased. I think probably mostly because

I've not been a proactive about my health as she would like me to be.

Just between you me and the internet - Having your libido go to zero

and having your wife uptight has a way of motivating a guy...

;-)

I guess from what you say the Androderm is probably not all that

great. I've got little to no hair so less wouldn't bother me but

patches there would tend to get as hot and fall off as anywhere else I

suppose. If the doctor asks I opt to stick with Androgel for now.

BTW Insurance covers most of this so compounding is out for me. Too

expensive!

BTW are you the same bruce as on supportEDforum?

> > Sorry for cross posting this on a few forums but my questions are...

> >

> > My Doctor has started me on Androgel. No problems but she said I

> > would opt for a different delivery system if I thought I would like a

> > different one better. Can you guys who are using other systems please

> > tell me more about patches vrs gels? Also injections re the

> > effectivness and what schedual you use. And do you inject yourself or

> > do you go to the doctors?

> >

> > Last I've read about the effectivness of the scrotal patch. Is this

> > no longer available? Was there an issue with delivery in this region?

> > My Androgel specificaly says DON'T apply there. Why? Wouldn't it

> > make sense for it to come from that area or are we worrying about

> > contaminating sex partners?

> >

> > p.s. My insurance won't cover compounding pharmacy so even though this

> > sounds better I'm stuck with the standard options. BTW any other

> > suggestions to a new member of the " club " would be greatly

appreciated.

> > <sigh>

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BTW my docs other option was a monthly shot at some huge amount of T.

I said thanks but NO WAY!

I heard about the roller coaster. I've got enough problems without

battling my wife for who has the most PMS ;-)

> > Sorry for cross posting this on a few forums but my questions are...

> >

> > My Doctor has started me on Androgel. No problems but she said I

> > would opt for a different delivery system if I thought I would like a

> > different one better. Can you guys who are using other systems please

> > tell me more about patches vrs gels? Also injections re the

> > effectivness and what schedual you use. And do you inject yourself or

> > do you go to the doctors?

> >

> > Last I've read about the effectivness of the scrotal patch. Is this

> > no longer available? Was there an issue with delivery in this region?

> > My Androgel specificaly says DON'T apply there. Why? Wouldn't it

> > make sense for it to come from that area or are we worrying about

> > contaminating sex partners?

> >

> > p.s. My insurance won't cover compounding pharmacy so even though this

> > sounds better I'm stuck with the standard options. BTW any other

> > suggestions to a new member of the " club " would be greatly

appreciated.

> > <sigh>

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shots are good if the gel does not work but not monthly but every week a

good start is 100 mgs every week.

Phil

james186282 <pillow@...> wrote:

BTW my docs other option was a monthly shot at some huge amount of T.

I said thanks but NO WAY!

I heard about the roller coaster. I've got enough problems without

battling my wife for who has the most PMS ;-)

> > Sorry for cross posting this on a few forums but my questions are...

> >

> > My Doctor has started me on Androgel. No problems but she said I

> > would opt for a different delivery system if I thought I would like a

> > different one better. Can you guys who are using other systems please

> > tell me more about patches vrs gels? Also injections re the

> > effectivness and what schedual you use. And do you inject yourself or

> > do you go to the doctors?

> >

> > Last I've read about the effectivness of the scrotal patch. Is this

> > no longer available? Was there an issue with delivery in this region?

> > My Androgel specificaly says DON'T apply there. Why? Wouldn't it

> > make sense for it to come from that area or are we worrying about

> > contaminating sex partners?

> >

> > p.s. My insurance won't cover compounding pharmacy so even though this

> > sounds better I'm stuck with the standard options. BTW any other

> > suggestions to a new member of the " club " would be greatly

appreciated.

> > <sigh>

---------------------------------

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>BTW Insurance covers most of this so compounding is out for me. Too

>expensive!

>

Compounded T would be less, probably, than your copay for your

insurance-covered T. Even though I had insurance I switched over to

compounded because it was cheaper and I did not have to worry about whether

the insurance would cover someone who was within " the range " but very low.

I dont have insurance now but if I did it would not make any difference. You

can get the equivalent of about 10grams a day for about 20 dollars a month.

I dont keep up with prices anymore but lets say that Androgel in that amount

would be closer to 180 dollars a month and then you pay a copay. It is all

a racket. Androgel claims to have a better delivery system but so what. I

tried the compounded and it put my T through the roof until I lowered it.

And even if Androgel does absorb better you can easily just use a little

more of the compounded to compensate. All of those brand names are hyped up

because that is what the pharmaceutical reps hype to the docs. The docs

barely know anything about testosterone anyway and so when you get over into

compounded T they are at a total loss. It is easier to just go with what

their rep hypes to them which is ungodly expensive. There are probably a

few guys out there for whom only androgel works. That does not change

anything. That is true of all generic versus brand name drugs.

Winter

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Hi ,

AndroGel might or might not be okay for you, everyone's different. Too soon to

think

about switching. Your doc already knows the dosage might need to be increased,

that puts

her ahead of most TRT docs.

No, I'm not the same bruce who's on supportEDforum.

Bruce

> > > Sorry for cross posting this on a few forums but my questions are...

> > >

> > > My Doctor has started me on Androgel. No problems but she said I

> > > would opt for a different delivery system if I thought I would like a

> > > different one better. Can you guys who are using other systems please

> > > tell me more about patches vrs gels? Also injections re the

> > > effectivness and what schedual you use. And do you inject yourself or

> > > do you go to the doctors?

> > >

> > > Last I've read about the effectivness of the scrotal patch. Is this

> > > no longer available? Was there an issue with delivery in this region?

> > > My Androgel specificaly says DON'T apply there. Why? Wouldn't it

> > > make sense for it to come from that area or are we worrying about

> > > contaminating sex partners?

> > >

> > > p.s. My insurance won't cover compounding pharmacy so even though this

> > > sounds better I'm stuck with the standard options. BTW any other

> > > suggestions to a new member of the " club " would be greatly

> appreciated.

> > > <sigh>

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Hi ,

If you're worried about cost, forget insurance. Using your insurance is

the EXPENSIVE way to go. You can do injections for about $120 a year if

you're not taking hCG (see yesterdays digest). I think compounding cream

is fairly cheap too, but I don't really know how many jars you go

through in a year. I seem to remember someone posting that the jars were

about 50 bucks? Anyone?

Louis Nardozi

> Message: 16

> Date: Fri, 06 May 2005 01:27:44 -0000

> From: " james186282 " <pillow@...>

> Subject: HRT Choices

>

> Sorry for cross posting this on a few forums but my questions are...

>

> My Doctor has started me on Androgel. No problems but she said I

> would opt for a different delivery system if I thought I would like a

> different one better. Can you guys who are using other systems please

> tell me more about patches vrs gels? Also injections re the

> effectivness and what schedual you use. And do you inject yourself or

> do you go to the doctors?

>

> Last I've read about the effectivness of the scrotal patch. Is this

> no longer available? Was there an issue with delivery in this region?

> My Androgel specificaly says DON'T apply there. Why? Wouldn't it

> make sense for it to come from that area or are we worrying about

> contaminating sex partners?

>

> p.s. My insurance won't cover compounding pharmacy so even though this

> sounds better I'm stuck with the standard options. BTW any other

> suggestions to a new member of the " club " would be greatly appreciated.

> <sigh>

>

>

>

>

>

>

>

> _

--

No virus found in this outgoing message.

Checked by AVG Anti-Virus.

Version: 7.0.308 / Virus Database: 266.11.6 - Release Date: 5/6/2005

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Guest guest

Hi Louis: Thanks for the message. My copay is $25 a month for

Androgel. Which for me is still affordable. I think Gene told me he

was paying $180 a week for good compounding stuff. Good for him but

just not doingable for the blue collar guy here in the midwest.

I'm not interested in herbal stuff made by guys in garages ;-) if

thats what we are talking about.

> Hi ,

>

> If you're worried about cost, forget insurance. Using your insurance is

> the EXPENSIVE way to go. You can do injections for about $120 a year if

> you're not taking hCG (see yesterdays digest). I think compounding

cream

> is fairly cheap too, but I don't really know how many jars you go

> through in a year. I seem to remember someone posting that the jars

were

> about 50 bucks? Anyone?

>

> Louis Nardozi

>

> > Message: 16

> > Date: Fri, 06 May 2005 01:27:44 -0000

> > From: " james186282 " <pillow@m...>

> > Subject: HRT Choices

> >

> > Sorry for cross posting this on a few forums but my questions are...

> >

> > My Doctor has started me on Androgel. No problems but she said I

> > would opt for a different delivery system if I thought I would like a

> > different one better. Can you guys who are using other systems please

> > tell me more about patches vrs gels? Also injections re the

> > effectivness and what schedual you use. And do you inject yourself or

> > do you go to the doctors?

> >

> > Last I've read about the effectivness of the scrotal patch. Is this

> > no longer available? Was there an issue with delivery in this region?

> > My Androgel specificaly says DON'T apply there. Why? Wouldn't it

> > make sense for it to come from that area or are we worrying about

> > contaminating sex partners?

> >

> > p.s. My insurance won't cover compounding pharmacy so even though this

> > sounds better I'm stuck with the standard options. BTW any other

> > suggestions to a new member of the " club " would be greatly

appreciated.

> > <sigh>

> >

> >

> >

> >

> >

> >

> >

> > _

>

>

>

> --

> No virus found in this outgoing message.

> Checked by AVG Anti-Virus.

> Version: 7.0.308 / Virus Database: 266.11.6 - Release Date: 5/6/2005

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