Re: Best T delivery system

[Guest guest]

Hi,

Shippen also mentioned pellets.

See pages 56, 77, 112, 156 and 198 of his book.

Ernie

> Shippen says injections are the worst. Patches are sticky, irritate

> the skin, slimy when come off, and in general I dislike them the

> most. So it seems to be a toss up with the spread ons, androgel,

> testim, any compounded gel. And now Ernest comes along and

> impresses me most with the fact that he has pellets implanted about

> every four months. This would seem to be the best method in the the

> release allows best full anti estrogen effect and delivers T in a

> steady long term manner. So why the big problem getting it handled?

> Is Ernest the only list member doing this? And if this is such a

> good method, and he has been doing it for 10 years, plenty of time

> for every endo to be up on it and the advantages to their patients,

> why the scarcity of docs and places to get it done? I don't want to

> book a round trip flight to Atlanta every four months, car rental,

> hotel, this gets expensive. Any thoughts, suggestions?

> norton

[Guest guest]

Hi,

Pellets are not pushed by pharmaceutical houses and have no reps going

to urologists or endocrinologists informing them of the beneficial

aspects of pellets over other forms of testosterone delivery systems.

Pharm. Reps. are doing the primary educational efforts in this area as

doctors did not receive this type of training when they were in med.

school. This has become popular in recent years and the doctors in

many cases are learning only what their sources of info want them to

know about their products.

There are many suppliers of pellets which are compounded in

compounding pharmacies. The use of a trocar tool which is tubular and

inserted under the skin, is a skill not available everywhere. When the

tool goes under the skin, the doctor has to have experience to know

where it is safe to jam the tool.

Pellets and visit combined are about $450 in Augusta GA and medicare

covers most of it. Not so in other parts of the US. This is probably

lower or nearly the same as for other forms of T.

ernestnolan

> Shippen says injections are the worst. Patches are sticky, irritate

> the skin, slimy when come off, and in general I dislike them the

> most. So it seems to be a toss up with the spread ons, androgel,

> testim, any compounded gel. And now Ernest comes along and

> impresses me most with the fact that he has pellets implanted about

> every four months. This would seem to be the best method in the the

> release allows best full anti estrogen effect and delivers T in a

> steady long term manner. So why the big problem getting it handled?

> Is Ernest the only list member doing this? And if this is such a

> good method, and he has been doing it for 10 years, plenty of time

> for every endo to be up on it and the advantages to their patients,

> why the scarcity of docs and places to get it done? I don't want to

> book a round trip flight to Atlanta every four months, car rental,

> hotel, this gets expensive. Any thoughts, suggestions?

> norton

[Guest guest]

Norton,

As you may remember from some of my earlier postings, I use pellets

as well. I think an excellent approach you shoudl take is to contact

one of the pharmacies that make the pellets and ask for doctors in

your are that they may supply. The pharmacy that makes the pellets

in me is Kronos in Las Vegas - 800.723.7455. I think there was a

post a few weeks ago with a list of others who make the pellets.

y

> Shippen says injections are the worst. Patches are sticky, irritate

> the skin, slimy when come off, and in general I dislike them the

> most. So it seems to be a toss up with the spread ons, androgel,

> testim, any compounded gel. And now Ernest comes along and

> impresses me most with the fact that he has pellets implanted about

> every four months. This would seem to be the best method in the the

> release allows best full anti estrogen effect and delivers T in a

> steady long term manner. So why the big problem getting it handled?

> Is Ernest the only list member doing this? And if this is such a

> good method, and he has been doing it for 10 years, plenty of time

> for every endo to be up on it and the advantages to their patients,

> why the scarcity of docs and places to get it done? I don't want

to

> book a round trip flight to Atlanta every four months, car rental,

> hotel, this gets expensive. Any thoughts, suggestions?

> norton

[Guest guest]

I think Shippen has softening his dislike of shots since the book was

published. Test Cyp shots are a way of getting you T high enough if

you don't respond to other forms of treatment.

> > Shippen says injections are the worst. Patches are sticky,

irritate

> > the skin, slimy when come off, and in general I dislike them the

> > most. So it seems to be a toss up with the spread ons, androgel,

> > testim, any compounded gel. And now Ernest comes along and

> > impresses me most with the fact that he has pellets implanted

about

> > every four months. This would seem to be the best method in the

the

> > release allows best full anti estrogen effect and delivers T in a

> > steady long term manner. So why the big problem getting it

handled?

> > Is Ernest the only list member doing this? And if this is such a

> > good method, and he has been doing it for 10 years, plenty of

time

> > for every endo to be up on it and the advantages to their

patients,

> > why the scarcity of docs and places to get it done? I don't want

to

> > book a round trip flight to Atlanta every four months, car

rental,

> > hotel, this gets expensive. Any thoughts, suggestions?

> > norton

[Guest guest]

I agree with Ernie on this one. The almighty dollar is what drives

doctors prescriptions, not the best treatment for the individual.

One of the drawbacks of capitalism. Luckily, groups like this exist

that are not concerned with making a buck and where shared knowledge

can result in the truth coming out, not convoluted messages

originating from pharmaceutical reps.

Armyguy

> > Shippen says injections are the worst. Patches are sticky,

irritate

> > the skin, slimy when come off, and in general I dislike them the

> > most. So it seems to be a toss up with the spread ons, androgel,

> > testim, any compounded gel. And now Ernest comes along and

> > impresses me most with the fact that he has pellets implanted

about

> > every four months. This would seem to be the best method in the

the

> > release allows best full anti estrogen effect and delivers T in

a

> > steady long term manner. So why the big problem getting it

handled?

> > Is Ernest the only list member doing this? And if this is such

a

> > good method, and he has been doing it for 10 years, plenty of

time

> > for every endo to be up on it and the advantages to their

patients,

> > why the scarcity of docs and places to get it done? I don't

want to

> > book a round trip flight to Atlanta every four months, car

rental,

> > hotel, this gets expensive. Any thoughts, suggestions?

> > norton