Re: pelllets.... whats happening

[Guest guest]

The reason is your Dr. did not give you enough pellets. Here is a cut & paste

of a man that does pelltes and has done them for yrs. His Dr. is one of the best

in the U.S. using them

Phil

From: " ernestnolan " <emiles@...>

Date: Tue Sep 6, 2005 5:32 pm

Subject: Cost of Pellets ernestnolan

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Hi, I'm very glad you asked this question. The pellets are about the same

expense to all doctors in the US. The big difference in cost is related more to

what the patient will pay, the health organization involved, the ethics of the

doctors, etc. If I had to pay the full charges to Dr. Gambrell of Augusta,

GA, it would run about $450 dollars for the 20 pellets, the office visit and

the procedure for installing the pellets. The cost goes up for the first visit

perhaps when more testing is required and perhaps those that weigh more than me

(240 pounds) who receive more pellets bacause of the formula used to determine

the proper dosage. The formula is as follows: Subtract 30 pounds from the

total weight and for each 10 pounds remaining, the patient should receive a

25mg pellet. In my case 20 pellets gives me 1500mg of T spread over 4 months or

12.5mg/day. All T stops from the testicles so the pellets are the only

source. Your weight is the correct

basis for determining the dosage. The yearly cost from Dr. Gambrell for a

pellet patient would be $1350. We lived in NY and drove down to NC to visit

with our son and then would spend one day driving over to Augusta and back to

see the doctor. Travel costs are indeed a very large part of the cost to those

at a distance from GA. ernestnolan

zorroceasar <zorroceasar@...> wrote:

Hi

I am secondary hypo 48 year male 90 kg 1.8 meter tall.

so doctor implanted one 100 mg pellet.

Blood was without TRT

Total T 7.1 nmol range 9-35

E2 81 pmol/L range 75-270

Took blood test after one month after pellet implant

Strange T did not go up one bit only

E2 rised.

So after T pellet

Total T is 6.8 9-35

E2 112 75-270

whats happening here

[Guest guest]

I just wanted to mention that this formula has some critics as the

general wisdom on TRT is that it's impossible to know how each

individual will react to any particular mode of TRT although there

are statistical norms which can often times be used as a basis for

initial treatment.

The problem with pellets is that now that you've had one inserted

and it generally takes four to six months for that pellet to be

completely absorbed by the body it's generally not a great idea to

insert more pellets as that would mean you would have two different

pellet absorption durations and strengths. He could always dig out

your old pellet and then insert new ones at a more appropriate dose

but I hear that can be a bit painful.

He could also insert more pellets and then just forget about the

first pellet and only base future pellet insertions on the treatment

duration of the second batch inserted adjusting the dose based on

test results.

My question is what if the second batch is still the wrong dose? I

suspect that going on a Gel for a few months would be appropriate

until new pellets can be inserted after the old ones wear out.

Pellet use can be more complicating and it's best to have an doctor

with pellet experience when going with that mode of administration.

The fact that your doctor inserted just one pellet is rather strange

and seems to point to some question as to how exp. he is with them.

Are you sure it was just one 100mg pellet?

>

>

> Hi

> I am secondary hypo 48 year male 90 kg 1.8 meter tall.

> so doctor implanted one 100 mg pellet.

> Blood was without TRT

>

> Total T 7.1 nmol range 9-35

> E2 81 pmol/L range 75-270

>

>

> Took blood test after one month after pellet implant

> Strange T did not go up one bit only

> E2 rised.

>

> So after T pellet

> Total T is 6.8 9-35

> E2 112 75-270

> whats happening here

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

Hi,

I rarely come by but glad I did.

The slice of a prior note has a typo. The testosterone pellet has 75mg

of T and the estrogen pellet the wife gets is 25mg.

If you did the reverse math you would have found the total of 1500mg

can't be reached with a 25mg number. These pellets disolve 24/7

constantly and last about 4 months. So if you divide by 120 days, you

see the dosage per day is about 12.5mg and for a week, 87.5 mg.

This is just a little lower or more conservative than those injecting

100mg/week.

There is a web site:

http://www.members.aol.com/gambr999/

It is tragic in my mind that more doctors do not provide pellet

therapy as it is trouble free for the patients. Nothing to do but go

back in 4 months.

ernestnolan

>

>

>

> Hi

> I am secondary hypo 48 year male 90 kg 1.8 meter tall.

> so doctor implanted one 100 mg pellet.

> Blood was without TRT

>

> Total T 7.1 nmol range 9-35

> E2 81 pmol/L range 75-270

>

>

> Took blood test after one month after pellet implant

> Strange T did not go up one bit only

> E2 rised.

>

> So after T pellet

> Total T is 6.8 9-35

> E2 112 75-270

> whats happening here

>

[Guest guest]

Hi,

Yes there is controversy by only a few here on this web site about the

approach of using total weight as the basis for dosage as doctors do

for many other medications including anesthesia and the difference

between childrens and adults doses.

The suggestion he may have the option of digging out the original

pellet seems extreme when compared to adding a few more to come up to

a total that matches the formula based on weight. The error is slight

and will work itself out in a few months.

It is not one size fits all. Smaller men should not be expected to use

100mg per weekly injection as they will probably be getting to much. I

have not heard any discussion about adjusting for the size of

individuals or differences in patients needs at all. Maybe I missed

something.

I have never heard anyone say they got too much at 100mg/week but I

must admit I do not get here as much now as I used to.

ernestnolan

> >

> >

> > Hi

> > I am secondary hypo 48 year male 90 kg 1.8 meter tall.

> > so doctor implanted one 100 mg pellet.

> > Blood was without TRT

> >

> > Total T 7.1 nmol range 9-35

> > E2 81 pmol/L range 75-270

> >

> >

> > Took blood test after one month after pellet implant

> > Strange T did not go up one bit only

> > E2 rised.

> >

> > So after T pellet

> > Total T is 6.8 9-35

> > E2 112 75-270

> > whats happening here

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Just want to know what type of pellets are you referring to? The only

pellets I am aware of are the ones my brother receive for prostate cancer.

Please clarify

[Guest guest]

For me 100 mg every 7 days was too much. On the day of my shot my T was still

1000 ng/dl on a range of 250-800. The plus with shots is that if you overshoot,

in 7-10 days its gone. I am not saying pellets are not a good alternative. Its

just you have to be prepared to take a long time to get your dose right due to

going slow. When you have 4 months between doses, there is not much room for

error. The plus side is you end up with a more stable dose and minimal highs and

lows. Its just what ever melts your butter. They all have pluses and minuses.

Dan

ernestnolan <emiles@...> wrote:

Hi,

Yes there is controversy by only a few here on this web site about the

approach of using total weight as the basis for dosage as doctors do

for many other medications including anesthesia and the difference

between childrens and adults doses.

The suggestion he may have the option of digging out the original

pellet seems extreme when compared to adding a few more to come up to

a total that matches the formula based on weight. The error is slight

and will work itself out in a few months.

It is not one size fits all. Smaller men should not be expected to use

100mg per weekly injection as they will probably be getting to much. I

have not heard any discussion about adjusting for the size of

individuals or differences in patients needs at all. Maybe I missed

something.

I have never heard anyone say they got too much at 100mg/week but I

must admit I do not get here as much now as I used to.

ernestnolan

> >

> >

> > Hi

> > I am secondary hypo 48 year male 90 kg 1.8 meter tall.

> > so doctor implanted one 100 mg pellet.

> > Blood was without TRT

> >

> > Total T 7.1 nmol range 9-35

> > E2 81 pmol/L range 75-270

> >

> >

> > Took blood test after one month after pellet implant

> > Strange T did not go up one bit only

> > E2 rised.

> >

> > So after T pellet

> > Total T is 6.8 9-35

> > E2 112 75-270

> > whats happening here

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Men can have Testosterone pellets implanted for TRT. The process requires you go

to the doctors office ~ every 4 months and have a series of 75 mg pellets

implanted under the skin. The procedure requires a small incision and the

pellets are injected. These are slow dissolving pellets that keep your T level

at a constant level. You also seem to have minimal amount converted to E2 based

on the post made here. I have not had any implanted so Nolan or someone who has

should give you personal responses. They are typically more expensive but

depending on your insurance, this may not be the case.

Arkansas

pyrral@... wrote:

Just want to know what type of pellets are you referring to? The only

pellets I am aware of are the ones my brother receive for prostate cancer.

Please clarify

[Guest guest]

Hi,

I do not understand where you have gotten the idea that there is a

history of overdosing with pellets. I mentioned this to Dr. Gambrell

and he knew of no mention of this in any of the conferences on TRT.

This idea of overdose is not a demonstrated problem to his knowlege.

He has never heard of anyone digging out pellets which is another

extremem seemingly not in any publications.

Can you provide any references for your statements?

The reason there is no overdose is probably due to the conservative

dosage instructions on the box by the producers of the pellets. Also

many doctors are very conservative and will not dispense enough T to

benefit the patients. Many patients never get any benefit and stop the

pellet therapy.

Doctors such as Dr. Gambrell with confidence in their therapy with

many years of trouble free treatment, are very rare and you will not

find his equivilant easily. The dosage formula he uses has withstood

the test of decades.

ernestnolan

> > >

> > >

> > > Hi

> > > I am secondary hypo 48 year male 90 kg 1.8 meter tall.

> > > so doctor implanted one 100 mg pellet.

> > > Blood was without TRT

> > >

> > > Total T 7.1 nmol range 9-35

> > > E2 81 pmol/L range 75-270

> > >

> > >

> > > Took blood test after one month after pellet implant

> > > Strange T did not go up one bit only

> > > E2 rised.

> > >

> > > So after T pellet

> > > Total T is 6.8 9-35

> > > E2 112 75-270

> > > whats happening here

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

Hi,

Since the 50's hormone pellets of both testosterone and estrogen have

been available but the FDA approval was withdrawn under pressure.

About 10 years ago the FDA once again gave approval for testosterone

pellets to be used in men for hypogonadism or the condition of

andropause, which is comparable to menopause in women.

The wife has been receiving both estrogen pellets (25mg) and

tesosterone pellets (75mg) since 1991 by one of the few doctors

allowed to provide hormone pellet therapy. She suffered horribly from

menopause fr a year and a half. She was unable to benefit from the

oral medications being given women. Her liver did not metabolize the

pills to provide hormones in her blood stream. With pellets the

hormone disolves 24/7 for 4 months and go directly into the blood

stream. She received fewer pellets than me of course. 2 T and 3 E for

a time she received a higher dose of 3 T and 4 E. She was immediately

cured of her symptoms and I had my loving wife back. As she was

receiving both of the basic hormones she once again enjoyed sex.

Any more questions?

ernestnolan

>

> Just want to know what type of pellets are you referring to? The

only

> pellets I am aware of are the ones my brother receive for prostate

cancer.

>

> Please clarify

>

>

>

>

>

[Guest guest]

Nolan Roy is trying to find any one over 80 like him to talk to.

/message/33203

Phil

ernestnolan <emiles@...> wrote:

Hi,

I do not understand where you have gotten the idea that there is a

history of overdosing with pellets. I mentioned this to Dr. Gambrell

and he knew of no mention of this in any of the conferences on TRT.

This idea of overdose is not a demonstrated problem to his knowlege.

He has never heard of anyone digging out pellets which is another

extremem seemingly not in any publications.

Can you provide any references for your statements?

The reason there is no overdose is probably due to the conservative

dosage instructions on the box by the producers of the pellets. Also

many doctors are very conservative and will not dispense enough T to

benefit the patients. Many patients never get any benefit and stop the

pellet therapy.

Doctors such as Dr. Gambrell with confidence in their therapy with

many years of trouble free treatment, are very rare and you will not

find his equivilant easily. The dosage formula he uses has withstood

the test of decades.

ernestnolan

> > >

> > >

> > > Hi

> > > I am secondary hypo 48 year male 90 kg 1.8 meter tall.

> > > so doctor implanted one 100 mg pellet.

> > > Blood was without TRT

> > >

> > > Total T 7.1 nmol range 9-35

> > > E2 81 pmol/L range 75-270

> > >

> > >

> > > Took blood test after one month after pellet implant

> > > Strange T did not go up one bit only

> > > E2 rised.

> > >

> > > So after T pellet

> > > Total T is 6.8 9-35

> > > E2 112 75-270

> > > whats happening here

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >