Guest guest Posted June 6, 2002 Report Share Posted June 6, 2002 pel@... Hope you are not sick! Prescription Hi: Does anyone have the e-mail address for Trisha in LV. She was to call in a prescription for me and my pharmacy does not have it. Thanks. Phyllis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2002 Report Share Posted June 6, 2002 Trish's cell phone is 704 682-0834 however Dana may be better able to help you with a prescription. I don't have her number but it is on the clos site. N Prescription Hi: Does anyone have the e-mail address for Trisha in LV. She was to call in a prescription for me and my pharmacy does not have it. Thanks. Phyllis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2010 Report Share Posted March 26, 2010 Have the doctor write it for 1 mg every 4 days, and split it up on your own. I don't think a generic form of Arimidex is available. > > I am taking T at the 100/wk level ==finally==after 1 1/2 years. I believe I have gyno beginnings and certainly ED problems.I have an endo willing to prescribe the Arimidex, and my insurance pays some. QUESTIONS: if the doc prescribes 1/4 to 1/2 eod how should it be written?? Pharmacy won't take prescription as 1mg cause that is not right. componding pharmacy will do 30 days....16 compounded caps for $128 ===$42 to me after insurance. OR I could go to rxhealthdrugs and get the generic version with 20 pills (80 1/4 tabs) for about $50 . Is this stuff ok and can it be split at all reliably?? > > Any help appreciated > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2010 Report Share Posted March 26, 2010 That is how you get it in 1mgs pills but if your Dr. says take .25 mgs every 2 or 3 days you will not get it. Have him wright it for 1mg per day then get a pill cutter and single edge razor to cut the pill into 1/4 parts. My BCBS and all the men I know get it so I don't see why your having a problem. Co-Moderator Phil > From: strongsltn <no_reply > > Subject: PRESCRIPTION > > Date: Thursday, March 25, 2010, 9:01 PM > I am taking T at the 100/wk level > ==finally==after 1 1/2 years. I believe I have gyno > beginnings and certainly ED problems.I have an endo willing > to prescribe the Arimidex, and my insurance pays some. > QUESTIONS: if the doc prescribes 1/4 to 1/2 eod how should > it be written?? Pharmacy won't take prescription as 1mg > cause that is not right. componding pharmacy will do 30 > days....16 compounded caps for $128 ===$42 to me > after insurance. OR I could go to rxhealthdrugs and get the > generic version with 20 pills (80 1/4 tabs) for about $50 . > Is this stuff ok and can it be split at all reliably?? > > Any help appreciated > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2010 Report Share Posted March 26, 2010 Hi, this is where All Day Chemist is great. you don't care how the prescription is written... you just order it and cut the tabs yourself. the prescription is just for your tax deduction. > > I am taking T at the 100/wk level ==finally==after 1 1/2 years. I believe I have gyno beginnings and certainly ED problems.I have an endo willing to prescribe the Arimidex, and my insurance pays some. QUESTIONS: if the doc prescribes 1/4 to 1/2 eod how should it be written?? Pharmacy won't take prescription as 1mg cause that is not right. componding pharmacy will do 30 days....16 compounded caps for $128 ===$42 to me after insurance. OR I could go to rxhealthdrugs and get the generic version with 20 pills (80 1/4 tabs) for about $50 . Is this stuff ok and can it be split at all reliably?? > > Any help appreciated > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2010 Report Share Posted March 26, 2010 The doctor can simply write 1) take 1/4 tablet qod (every other day), or 2) take as directed. Some health insurances even encourage patients to adopt the practice of splitting tablets in half, since it also saves them money. As a former pharmacist, I wouldn't have any hesitation about filling a prescription written either way. The doctor would probably prefer the first was since it reduces his liability. If the pharmacist is uncomfortable about the directions on a prescription, it's his/her responsibility to call the doctor's office to confirm the instructions. ________________________________ From: strongsltn <no_reply > Sent: Thu, March 25, 2010 9:01:15 PM Subject: PRESCRIPTION  I am taking T at the 100/wk level ==finally==after 1 1/2 years. I believe I have gyno beginnings and certainly ED problems.I have an endo willing to prescribe the Arimidex, and my insurance pays some. QUESTIONS: if the doc prescribes 1/4 to 1/2 eod how should it be written?? Pharmacy won't take prescription as 1mg cause that is not right. componding pharmacy will do 30 days....16 compounded caps for $128 ===$42 to me after insurance. OR I could go to rxhealthdrugs and get the generic version with 20 pills (80 1/4 tabs) for about $50 . Is this stuff ok and can it be split at all reliably?? Any help appreciated Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2010 Report Share Posted March 26, 2010 Don't waste your time worrying about a tax deduction for medical expenses. Only the medical expenses that exceed 7.5% of your total income are deductible, and then only if you itemize. The reality is that while medical expenses are " deductible " the deduction is subject to the 7.5% floor. In my professional experience, very few people get any tax benefit from medical deductions. I think your goal should be quality of life or improvement of symptoms. If the insurance pays a portion, great! If you have to pay it out of your own pocket, places like ADC are priced right. _____ From: [mailto: ] On Behalf Of jbbooks1901 Sent: Friday, March 26, 2010 11:05 AM Subject: Re: PRESCRIPTION Hi, this is where All Day Chemist is great. you don't care how the prescription is written... you just order it and cut the tabs yourself. the prescription is just for your tax deduction. > > I am taking T at the 100/wk level ==finally==after 1 1/2 years. I believe I have gyno beginnings and certainly ED problems.I have an endo willing to prescribe the Arimidex, and my insurance pays some. QUESTIONS: if the doc prescribes 1/4 to 1/2 eod how should it be written?? Pharmacy won't take prescription as 1mg cause that is not right. componding pharmacy will do 30 days....16 compounded caps for $128 ===$42 to me after insurance. OR I could go to rxhealthdrugs and get the generic version with 20 pills (80 1/4 tabs) for about $50 . Is this stuff ok and can it be split at all reliably?? > > Any help appreciated > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2010 Report Share Posted March 26, 2010 I went to rxhealthdrugs.com after I found out pharmacist was not componding arimidex but something " herbal " . I have no problems with herbal and would recommend Butea Superba from beautiqueThai.Cost for generic anastrozole is $39/20 must buy 2 and pay shipping,but 4rx.com coupon works 4 20%off. Thanx 4 help if this works mayb Hcg is next. My doc would not write me the 1mg script. From: Wharff Sent: Friday, March 26, 2010 3:29 PM Subject: RE: Re: PRESCRIPTION Don't waste your time worrying about a tax deduction for medical expenses. Only the medical expenses that exceed 7.5% of your total income are deductible, and then only if you itemize. The reality is that while medical expenses are " deductible " the deduction is subject to the 7.5% floor. In my professional experience, very few people get any tax benefit from medical deductions. I think your goal should be quality of life or improvement of symptoms. If the insurance pays a portion, great! If you have to pay it out of your own pocket, places like ADC are priced right. _____ From: [mailto: ] On Behalf Of jbbooks1901 Sent: Friday, March 26, 2010 11:05 AM Subject: Re: PRESCRIPTION Hi, this is where All Day Chemist is great. you don't care how the prescription is written... you just order it and cut the tabs yourself. the prescription is just for your tax deduction. > > I am taking T at the 100/wk level ==finally==after 1 1/2 years. I believe I have gyno beginnings and certainly ED problems.I have an endo willing to prescribe the Arimidex, and my insurance pays some. QUESTIONS: if the doc prescribes 1/4 to 1/2 eod how should it be written?? Pharmacy won't take prescription as 1mg cause that is not right. componding pharmacy will do 30 days....16 compounded caps for $128 ===$42 to me after insurance. OR I could go to rxhealthdrugs and get the generic version with 20 pills (80 1/4 tabs) for about $50 . Is this stuff ok and can it be split at all reliably?? > > Any help appreciated > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2010 Report Share Posted March 26, 2010 Try ADC, anastrozole / arimidex is priced right, just order enough to cover the shipping cost. Also a great place to get HCG. On Fri, Mar 26, 2010 at 2:45 PM, <themondo@...> wrote: > > > I went to rxhealthdrugs.com after I found out pharmacist was not > componding arimidex but something " herbal " . I have no problems with herbal > and would recommend Butea Superba from beautiqueThai.Cost for generic > anastrozole is $39/20 must buy 2 and pay shipping,but 4rx.com coupon works > 4 20%off. Thanx 4 help if this works mayb Hcg is next. My doc would not > write me the 1mg script. > From: Wharff > Sent: Friday, March 26, 2010 3:29 PM > < %40> > Subject: RE: Re: PRESCRIPTION > > > Don't waste your time worrying about a tax deduction for medical expenses. > Only the medical expenses that exceed 7.5% of your total income are > deductible, and then only if you itemize. The reality is that while medical > expenses are " deductible " the deduction is subject to the 7.5% floor. In my > professional experience, very few people get any tax benefit from medical > deductions. > > I think your goal should be quality of life or improvement of symptoms. If > the insurance pays a portion, great! If you have to pay it out of your own > pocket, places like ADC are priced right. > > _____ > > From: < %40>[mailto: > < %40>] > On Behalf Of jbbooks1901 > Sent: Friday, March 26, 2010 11:05 AM > < %40> > Subject: Re: PRESCRIPTION > > Hi, > > this is where All Day Chemist is great. > > you don't care how the prescription is written... you just order it and cut > the tabs yourself. > > the prescription is just for your tax deduction. > > > > > > I am taking T at the 100/wk level ==finally==after 1 1/2 years. I believe > I have gyno beginnings and certainly ED problems.I have an endo willing to > prescribe the Arimidex, and my insurance pays some. QUESTIONS: if the doc > prescribes 1/4 to 1/2 eod how should it be written?? Pharmacy won't take > prescription as 1mg cause that is not right. componding pharmacy will do 30 > days....16 compounded caps for $128 ===$42 to me after insurance. OR I > could > go to rxhealthdrugs and get the generic version with 20 pills (80 1/4 tabs) > for about $50 . Is this stuff ok and can it be split at all reliably?? > > > > Any help appreciated > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2010 Report Share Posted March 27, 2010 My doctor writes it for 1/4 tab 3x per week. I get a dozen at a time and cut them into quarters. That is just over a 3 months supply. Medicare Part D covers it, so it is just a co-pay. -- / K. Woolf / Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2010 Report Share Posted March 27, 2010 That's good I'll be there in 13 months. From: K. Woolf Sent: Saturday, March 27, 2010 6:07 PM Subject: Re: PRESCRIPTION My doctor writes it for 1/4 tab 3x per week. I get a dozen at a time and cut them into quarters. That is just over a 3 months supply. Medicare Part D covers it, so it is just a co-pay. -- / K. Woolf / Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2010 Report Share Posted March 27, 2010 ....Yikes, what a generalization !! You must be blessed with ultra-high income, generally great health and/or no dependents. Otherwise, you surely haven't reached 50, and remain naive as to the financial effect of chronic diseases, or plaguing disabilities. ....Ask your age-50+ friends with diabetes, heart disease, asthma, cancer, MS, MD, CP, kidney trouble, chronic back or limb pain, or lots of other debilitating maladies, how they hope to make it to age 62 (early Social Security income), and then to age 65 (Medicare eligibility) without being bankrupted - even after the 'Reforms'. ....Sure hypogonadism and even hypothyroidism can be treated affordably (maybe even out-of-pocket), but you cannot imagine the exorbitant cost of lots of less common procedures, therapies, meds, surgeries, etc. unless you've been there. ....On an early-retirement pension (used by huge corporations to get rid of their higher priced long-timers), 7.5% is seldom more than a few thousand dollars annually. Our medical insurance premiums alone exceed $20k prior to some trade-imbalance-related credits. Tack on the ever-increasing deductibles, copays (meds & office-visits), and co-insurance amounts (nobody covers anything 100% anymore), and you can see that hundreds of thousands of folks (e.g., absolutely anyone who has ever had a heart attack, a cancer, or diabetes) find themselves in that category. And if they still pay mortgage insurance with property tax, they almost automatically benefit by itemizing on a federal return anyway, with it's still-pitiful Standard Deduction amount. ....We sure hope that your 'profession' was not as a tax consultant. .............. & V................... ......................................... > Don't waste your time worrying about a tax deduction for medical expenses. > Only the medical expenses that exceed 7.5% of your total income are > deductible, and then only if you itemize. The reality is that while medical > expenses are " deductible " the deduction is subject to the 7.5% floor. In my > professional experience, very few people get any tax benefit from medical deductions. > I think your goal should be quality of life or improvement of symptoms. If > the insurance pays a portion, great! If you have to pay it out of your own > pocket, places like ADC are priced right. > > > > _____ > > From: [mailto: ] > On Behalf Of jbbooks1901 > Sent: Friday, March 26, 2010 11:05 AM > > Subject: Re: PRESCRIPTION > > Hi, > this is where All Day Chemist is great. > you don't care how the prescription is written... you just order it and cut > the tabs yourself. > the prescription is just for your tax deduction. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2010 Report Share Posted March 28, 2010 My life long profession envolves reviewing pts medications.I am alarmed at the amount of meds most folks take.It is obvious it is a finacial strain.For almost every med there is a alternative that is much more cost effective.Many don't ask for it and take what ever the dr orders.Drs' are bombarded by drug reps and their own journals to order the newest version of a class of drugs.Once the patent is gone,there is little profit.That doesn't make them any less effective.Question every drug and ask for the cheapest alternative.You can easily get by less than $100 a month taking quite a few meds in most situations. Phil > > Don't waste your time worrying about a tax deduction for medical expenses. > > Only the medical expenses that exceed 7.5% of your total income are > > deductible, and then only if you itemize. The reality is that while medical > > expenses are " deductible " the deduction is subject to the 7.5% floor. In my > > professional experience, very few people get any tax benefit from medical deductions. > > I think your goal should be quality of life or improvement of symptoms. If > > the insurance pays a portion, great! If you have to pay it out of your own > > pocket, places like ADC are priced right. > > > > > > > > _____ > > > > From: [mailto: ] > > On Behalf Of jbbooks1901 > > Sent: Friday, March 26, 2010 11:05 AM > > > > Subject: Re: PRESCRIPTION > > > > Hi, > > this is where All Day Chemist is great. > > you don't care how the prescription is written... you just order it and cut > > the tabs yourself. > > the prescription is just for your tax deduction. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2010 Report Share Posted March 28, 2010 Phil thanks great post I have a Question if one has Arimidex and they cut the pills into 4 parts every Sun. do you think the can lose there strength doing this. Say I cut them up on Sun. then use the parts for a week or two will they become weaker. And if they are near Exp. date or a little over will they be weaker. Co-Moderator Phil > From: phil <phildude43@...> > Subject: Re: PRESCRIPTION > > Date: Sunday, March 28, 2010, 10:04 AM > My life long profession envolves > reviewing pts medications.I am alarmed at the amount of meds > most folks take.It is obvious it is a finacial strain.For > almost every med there is a alternative that is much more > cost effective.Many don't ask for it and take what ever the > dr orders.Drs' are bombarded by drug reps and their own > journals to order the newest version of a class of > drugs.Once the patent is gone,there is little profit.That > doesn't make them any less effective.Question every drug and > ask for the cheapest alternative.You can easily get by less > than $100 a month taking quite a few meds in most > situations. Phil > > > > > Don't waste your time worrying about a tax > deduction for medical expenses. > > > Only the medical expenses that exceed 7.5% of > your total income are > > > deductible, and then only if you itemize. > The reality is that while medical > > > expenses are " deductible " the deduction is > subject to the 7.5% floor. In my > > > professional experience, very few people get any > tax benefit from medical deductions. > > > I think your goal should be quality of life or > improvement of symptoms. If > > > the insurance pays a portion, great! If you > have to pay it out of your own > > > pocket, places like ADC are priced right. > > > > > > > > > > > > _____ > > > > > > From: > [mailto: ] > > > On Behalf Of jbbooks1901 > > > Sent: Friday, March 26, 2010 11:05 AM > > > > > > Subject: Re: PRESCRIPTION > > > > > > Hi, > > > this is where All Day Chemist is great. > > > you don't care how the prescription is written... > you just order it and cut > > > the tabs yourself. > > > the prescription is just for your tax deduction. > > > > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2010 Report Share Posted March 28, 2010 I'm sorry. Yes, I was speaking in generalities. And, you make good points about people who have chronic conditions. However, I think you missed my point. My point is that think people shouldn't chase a tax deduction for medical purposes. I think the goal should be improving the quality of life or relief of symptoms. This isn't a forum for debating and discussing tax issues, but as a general rule (here I go again) the only people who benefit from a tax deduction for medical expenses are either financially disadvantaged or very sick. The people in either of those groups, generally (oh no not again) have bigger concerns that whether or not their medical expenses are tax deductible. If God forbid I got cancer and had $20,000 of medical expenses, my first thought wouldn't be is this deductible. If I lost my job and was struggling to make ends meet and my daughter had an ear ache, my first thought wouldn't be is this deductible. Now, let me put this back into context. I responded to a post that said " the prescription is just for your tax deduction. " My point is don't worry about the tax deduction, take care of yourself and your family. Do whatever you can within your means to treat the problem. The tax deduction, if you get one, is a bonus. And, yes, I am a " tax consultant " and my wife does have a chronic medical condition. I worry all the time about making sure she has the care and medication she needs. Some years we get a deduction for medical expenses and some years we don't. I care about my wife and family first, and that deduction is so far down the list, I never give it a thought. _____ From: [mailto: ] On Behalf Of L Sent: Saturday, March 27, 2010 6:43 PM Subject: Re: PRESCRIPTION ....Yikes, what a generalization !! You must be blessed with ultra-high income, generally great health and/or no dependents. Otherwise, you surely haven't reached 50, and remain naive as to the financial effect of chronic diseases, or plaguing disabilities. ....Ask your age-50+ friends with diabetes, heart disease, asthma, cancer, MS, MD, CP, kidney trouble, chronic back or limb pain, or lots of other debilitating maladies, how they hope to make it to age 62 (early Social Security income), and then to age 65 (Medicare eligibility) without being bankrupted - even after the 'Reforms'. ....Sure hypogonadism and even hypothyroidism can be treated affordably (maybe even out-of-pocket), but you cannot imagine the exorbitant cost of lots of less common procedures, therapies, meds, surgeries, etc. unless you've been there. ....On an early-retirement pension (used by huge corporations to get rid of their higher priced long-timers), 7.5% is seldom more than a few thousand dollars annually. Our medical insurance premiums alone exceed $20k prior to some trade-imbalance-related credits. Tack on the ever-increasing deductibles, copays (meds & office-visits), and co-insurance amounts (nobody covers anything 100% anymore), and you can see that hundreds of thousands of folks (e.g., absolutely anyone who has ever had a heart attack, a cancer, or diabetes) find themselves in that category. And if they still pay mortgage insurance with property tax, they almost automatically benefit by itemizing on a federal return anyway, with it's still-pitiful Standard Deduction amount. ....We sure hope that your 'profession' was not as a tax consultant. .............. & V................... ......................................... > Don't waste your time worrying about a tax deduction for medical expenses. > Only the medical expenses that exceed 7.5% of your total income are > deductible, and then only if you itemize. The reality is that while medical > expenses are " deductible " the deduction is subject to the 7.5% floor. In my > professional experience, very few people get any tax benefit from medical deductions. > I think your goal should be quality of life or improvement of symptoms. If > the insurance pays a portion, great! If you have to pay it out of your own > pocket, places like ADC are priced right. > > > > _____ > > From: @ <mailto: %40> [mailto: @ <mailto: %40> ] > On Behalf Of jbbooks1901 > Sent: Friday, March 26, 2010 11:05 AM > @ <mailto: %40> > Subject: Re: PRESCRIPTION > > Hi, > this is where All Day Chemist is great. > you don't care how the prescription is written... you just order it and cut > the tabs yourself. > the prescription is just for your tax deduction. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2010 Report Share Posted March 28, 2010 If I was on arimidex I would cut it just like you describe.Keeping it dry and not exposed to light would be benificial.Not sure what coating it has on tablet.Some are designed to break down in small bowel rathar than stomach.I guess an option would be to put it in a empty capsule where it might delay absorption.I doubt if a week will allow any lost of potency. Phil H > > > > Don't waste your time worrying about a tax > > deduction for medical expenses. > > > > Only the medical expenses that exceed 7.5% of > > your total income are > > > > deductible, and then only if you itemize. > > The reality is that while medical > > > > expenses are " deductible " the deduction is > > subject to the 7.5% floor. In my > > > > professional experience, very few people get any > > tax benefit from medical deductions. > > > > I think your goal should be quality of life or > > improvement of symptoms. If > > > > the insurance pays a portion, great! If you > > have to pay it out of your own > > > > pocket, places like ADC are priced right. > > > > > > > > > > > > > > > > _____ > > > > > > > > From: > > [mailto: ] > > > > On Behalf Of jbbooks1901 > > > > Sent: Friday, March 26, 2010 11:05 AM > > > > > > > > Subject: Re: PRESCRIPTION > > > > > > > > Hi, > > > > this is where All Day Chemist is great. > > > > you don't care how the prescription is written... > > you just order it and cut > > > > the tabs yourself. > > > > the prescription is just for your tax deduction. > > > > > > > > > > > > > ------------------------------------ > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2010 Report Share Posted March 28, 2010 Yep I think as it gets old it has a loss of power. Still I think I found out what my Problem is. I went on Growth Hormone it is woking so good I don't need to treat my Thyroid anymore. My SHBG is on the low side and I have very good Free T and BIO. T levels so my E2 Estradiol goes up fast now on HGH I think my SHBG went lower and it is making the Estradiol go nuts. Here is what Dr. M says about low SHBG and I need to get new labs to prove this. ---------------------------------------------------- Low SHBG FROM DR. MARIANO Focusing on increasing SHBG is like treating a lab value rather than treating a patient. The question I would have for a person with low SHBG is: What problems does one have? Is it low libido, high blood pressure, heart attack risk, depression, anxiety, lack of energy, impaired concentration, urinary frequency, gynecomastia, hot flashes, etc.? By identifying one's problems, it will be easier to see whether or not SHBG level contributes to the problem. SHBG has signaling properties of its own. It has its own receptors on cell membranes. When testosterone or estrogens are bound to SHBG, it can bind to its receptors and send its message to the cell. What happens afterwards is not clear. It may be related to the formation of more hormone receptors - but that is speculation at this point. SHBG helps prolong the duration of action of testosterone, DHT, and estrogens. Low SHBG will increase the amount of free hormone. Swings in hormone level may occur when low SHBG is present as destruction of the hormone is accelerated by having high free levels. This may cause problems experienced during testosterone replacement. For example, if estrogen is more quickly destroyed/metabolized and levels drop more quickly, one can get hot flashes or anxiety or hypertension, etc. If testosterone levels fluctuate from high to low, depression can occur as the day progresses. SHBG is made in the liver in response to levels of many hormones: 1. Increasing Testosterone reduces SHBG 2. Increasing DHT lowers SHBG 3. Increasing DHEA lowers SHBG 4. Increasing Growth Hormone lowers SHBG 5. Increasing Insulin lowers SHBG 6. Increasing Estrogen increases SHBG 7. Increasing Thyroid Hormone increases SHBG The SHBG level is determine by the balance of the hormone levels. Given one's assumed goals in TRT (high libido, good energy, etc.), it may be difficult to increase SHBG without causing problems since SHBG is determine by a balance of hormones. For example, having high Testosterone and high DHEA is not a situation where SHBG is going to be high without corresponding problems with estrogen or thyroid. If anything, SHBG should be most often viewed as an indicator of a problem that needs to be solved - rather than as a problem itself. For example, SHBG is most commonly an indicator of high insulin levels - i.e. insulin resistance or diabetes. It would be then far more important to address insulin resistance or diabetes in treatment than to focus on SHBG. If low thyroid is a factor in low SHBG, addressing hypothyroidism is far more important. If low estradiol is a factor in low SHBG, addressing this is more important. If the low SHBG itself is a problem because it causes large swings in hormone levels, then working around this by achieving more stable hormone levels is indicated. More frequent dosing of testosterone may be required to stabilize levels. With testosterone cypionate or enanthate injections, dosing twice a week would be better than once a week. If frequent dosing of testosterone cannot be achieved with transdermals or injections, then a constant dose solution may be needed. This includes testosterone patches, the buccal system, or testosterone pellet insertions. Testosterone pellet insertions may be viewed as fairly drastic since it involves regular minor surgical procedures, but does give the most stable levels - so is a viable solution for the men with problems due to highly variable hormone levels resulting from low SHBG. If one suspects swings in hormone levels as a cause of problems, one can look for the swings in hormone levels by obtaining a peak and trough level of the hormones (e.g. total testosterone, estradiol, DHT, etc.). For testosterone injections, this is a level about 24-48 hours after an injection and a level just before the next injection. One can also obtain a midpoint level to fill out the level curve. Co-Moderator Phil > From: phil <phildude43@...> > Subject: Re: PRESCRIPTION > > Date: Sunday, March 28, 2010, 1:59 PM > If I was on arimidex I would cut it > just like you describe.Keeping it dry and not exposed to > light would be benificial.Not sure what coating it has on > tablet.Some are designed to break down in small bowel rathar > than stomach.I guess an option would be to put it in a empty > capsule where it might delay absorption.I doubt if a week > will allow any lost of potency. Phil > H > > > > > > > Don't waste your time worrying about a > tax > > > deduction for medical expenses. > > > > > Only the medical expenses that exceed > 7.5% of > > > your total income are > > > > > deductible, and then only if you > itemize. > > > The reality is that while medical > > > > > expenses are " deductible " the deduction > is > > > subject to the 7.5% floor. In my > > > > > professional experience, very few > people get any > > > tax benefit from medical deductions. > > > > > I think your goal should be quality of > life or > > > improvement of symptoms. If > > > > > the insurance pays a portion, great! > If you > > > have to pay it out of your own > > > > > pocket, places like ADC are priced > right. > > > > > > > > > > > > > > > > > > > > _____ > > > > > > > > > > From: > > > [mailto: ] > > > > > On Behalf Of jbbooks1901 > > > > > Sent: Friday, March 26, 2010 11:05 AM > > > > > > > > > > Subject: Re: > PRESCRIPTION > > > > > > > > > > Hi, > > > > > this is where All Day Chemist is > great. > > > > > you don't care how the prescription is > written... > > > you just order it and cut > > > > > the tabs yourself. > > > > > the prescription is just for your tax > deduction. > > > > > > > > > > > > > > > > > > > ------------------------------------ > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2010 Report Share Posted March 29, 2010 Ahaaa, our apologies for taking your statement out of the context with which you intended it!! Thanks for the reply. No doubt you are very good at what you do. ....Clearly, we've drifted off-topic, but FYI, we've exceeded our 7.5% threshhold many, manyfold for several years now, and will inevitably continue to until death - no longer able to work full-time, and having been forced to tap into our 'nestegg' to help with medical expenses. The tax deduction is still quite valuable toward our survival. ....Our obvious frustration has been due to the loss of our employer-subsidy for medical insurance following our early retirement (promised, but withdrawn after their reemergence from bankruptcy - still six years 'til Medicare), and with high-priced meds like Lipitor and insulin products. Sure we could switch to the far-inferior generic, Simvastatin, but its really hard to 'settle' when your life may be at stake. ....And, along with several of our friends, we are fighting the out-of-pocket cost of insulin-dependent diabetes. Humalog (fast-acting before meals), Lantus (slower-acting for overnight dose), and Byetta (very effectively regulates blood-glucose levels once the others get you close) are all required every day. If there was a cheaper substitute, we would probably never take a chance without the Endo's recommendation. Total annually for all three exceeds $6,000. But the stakes are too high to experiment much. A friend with cancer (in remission) spends much more. ....We both have substituted generics for several of the BP, anti-coagulant, thyroid, and anxiety meds, and you're right about the signiificant cost-savings (they may not really be equivalent, but nobody cares much in many cases). ....Anyway, we're not financially disadvantaged yet, and fortunately neither of us is really 'sick', but many are, and we're guessing that your average client is probably healthier and younger that most of those on this board. You'd doubtless agree that with age and skyrocketing premiums, deductibles, etc., more and more folks will soon be taking advantage of the tax benefit of their burden (if Congress leaves it in place). ....Have a good one!! ........... & V........... > > I'm sorry. Yes, I was speaking in generalities. And, you make good points > about people who have chronic conditions. However, I think you missed my > point. My point is that think people shouldn't chase a tax deduction for > medical purposes. I think the goal should be improving the quality of life > or relief of symptoms. This isn't a forum for debating and discussing tax > issues, but as a general rule (here I go again) the only people who benefit > from a tax deduction for medical expenses are either financially > disadvantaged or very sick. The people in either of those groups, generally > (oh no not again) have bigger concerns that whether or not their medical > expenses are tax deductible. > > If God forbid I got cancer and had $20,000 of medical expenses, my first > thought wouldn't be is this deductible. If I lost my job and was struggling > to make ends meet and my daughter had an ear ache, my first thought wouldn't > be is this deductible. > > Now, let me put this back into context. I responded to a post that said > " the prescription is just for your tax deduction. " My point is don't worry > about the tax deduction, take care of yourself and your family. Do whatever > you can within your means to treat the problem. The tax deduction, if you > get one, is a bonus. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2010 Report Share Posted May 8, 2010 No Co-Moderator Phil > From: will <wilray@...> > Subject: prescription > > Date: Saturday, May 8, 2010, 8:51 AM > do I need a prescrip > to buy from all day > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
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