SWALE on some testosterone replacement therapy (TRT) drama...very good info with the drama

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some might be of the opinion that 600mg (as used in NEJM) a week is a suitable replacement dosage...

some might argue thats selling steroids, others might consider it advanced hrt.

just some thoughts
 
I myself have had dealings with PFJOY and I was very pleased with how I was treated... They were very gracious to accept lab tests from my own doctor and DID NOT charge a consultation fee at all.... I recieved the medicine WITH A PRESCRIPTION and get this... they sent it to me IN ADVANCE without payment or a credit card on file... I sent the money after I recieved the product. Yes, they do things differently than most clinics and yes, you can get an entire steroid cycle from them and get a prescription to go with it, making it entirely legal from the customers point of view. Of course a cycle is very expensive, but it is name brand, human grade with no legal hassles.

It is hard enough to fend off the anti-testosterone sentiment that seems so rampant. Clinics that provide steroid cycle doses do not do guys who are on legitimate testosterone replacement therapy (TRT) any good. Not only are they messing with the health of the guys they are "treating", but they are also providing fodder for the anti-testosterone sentiment that seems so rampant in our society.

CEM now has a paying sponser with a diffferent HRT protocol than SWALES, and hence SWALE, rather than staying and dealing with the competition, goes from board to board slandering the company and the staff at CEM.

With all due respect, calling cycle doses, "a different HRT protocol," is just plain bullshit! That is NOT HRT!
 
Now that would be an interesting discussion, to see what the differences are between testosterone replacement therapy (TRT) of 100mg/wk and 200mg per week. Specifically any sides effects that can not be controlled with the same ancillaries that are used with the 100mg/week protocol.

jb
 
Motown--Your friend did not have an apointment with me. I told him I would be willing to come in just to see him on a Saturday if that would help him out, but he never actually made an appointment. Besides that, I specifically told him I would not be available THIS Saturday, because I would be out celebrating my Birthday the night before, and would be...er...sleeping in that morning. So I have no idea why he went ahead and just drove all that way, and on a day when my office is usually closed, without an appointment. I feel bad about it just the same, though.

Macro--I have never seen 600mg per week of testosterone being used as standard testosterone replacement therapy (TRT). I assure you NO ONE in legitimate testosterone replacement therapy (TRT) Medicine ever would.

True Anti-Aging Medicine is about restoring mens' health to youthful levels. That means all within the physiological range, that which Mother Nature herself gives us. Well, I take a perspective that is just a little different. I do not feel it is fair for one man to have gotten 900ng/dL as his "youthful level" but another only 450ng/dL. So I agree that the upper quartile of normal range is where men are healthiest and happiest. Maybe I am just "leveling the playing field", so to speak.

When I first started providing TRT--virtually on Day One of my medical practice a couple of years ago (my personal experience with steroids made me confident I knew what I was doing) I decided that I would try out everything on myself first (which is where all my protocols come from--I would not prescribe anything for anyone else that I would not do myself). So I started at 300mg per week at first, then 200mg per week, then 150, then 100. Once I had created my weekly test cyp/daily HCG protocol, I dropped it down to 50mg per week, and added in daily Human Chorionic Gonadotropin (HCG). I can tell you from personal experience that the last protocol felt the best. And absolutely better than I did at 300mg per week. I found that you just cannot live at the serum T level that genererates, and that the top of normal range is where we feel our best.

I have had quite a few pateints tell me the same thing now. Many have come to me from these Internet so-called "HRT Clinics", and were on the 200mg per week protocols they sell in order to make money. Sometimes it takes me a bit to convince them that 100mg per week is a good starting dose (which I will increase if their labs and Medical History warrant it), but once I do they tell me they feel better at 100mg per week than they did at 200. You just have to be there to feel it, I guess, but that is the way it is.

In fact, I have a couple of guys on my weekly test cyp/daily HCG protocol who report they feel much better at a lower T level on that than they did on the higher one a straight test cyp regimen produced, so did not want to increase their dosages to gewt them back up there. I am still trying to figure out why that is. Perhaps when we know more about hormones and our health.

It is natural for men to want to take more and more testosterone. After they start, or following a dosage increase, as their serum androgen levels are accelerating, they REALLY feel good. So they want to continually take more and more. But living at higher than normal range (long term) soon lends a burned-out, edgy feeling. I think it is your body's way of telling you that it is too much.

There is also a moral and ethical perspective here. For a doctor to knowingly take every patient to twice the top of normal range, and thus prescribe steroids, is not treating any known medical condition. Overdosing a Controlled Substance violates DEA, FDA and the medical Oath we take as physicians. I can guarantee you that the "patients" of these charlatans would feel better at proper dosing. And the American Academy of Anti-Aging Medicine feels the same way.
 
Smitty--You said it all, Bro.

jboldman--I can very easily control estrogen, and even DHT, at 200mg per week dosing. I do it all the time for guys who are on steroids. However, estrogen and DHT effects are no where near the only parameters which affect the body. There are T receptors on every cell in the human body, and flooding all of them with a concentration twice what evolution designed them to handle (please let's not get into a teleological discussion--this is only a matter of speaking) just is not good for you. Think about the repercussions throughout the entire hormonal milieu.

I would have to add, however, that there are men who really DO need 200mg per week of test cyp in order to get them to the top of normal range. I have several patients like that, so have absolutely no problem increasing their dosage to what becomes an optimal level.

So it would be pretty hard to directly compare the two doses, as there is infinite variability amongst the population.
 
This all reminds me of one of those movies where there are 2 kids that grew up together being great friends. Then 1 kid takes a turn heading in a totally different direction, changing everything he ever was while the other kid stays the same and heads in the right direction.

The bad kid starts making big plans on how to run a shady operation that could benefit the both of them if the good kid teams up and becomes partners.

Well the good kid wants nothing to do with it so the bad kid would like nothing more than to bring down the good kid anyway he can.


SWALE is a Specialist that makes his living helping others and making sure that they can enjoy living a healthy lifestyle while nandi12 is the evil crooked shady middle man that doesn't have the customers best intentions in mind to benefit his pockets and his crooked sponsors.

These wannabes are nothing but steroid sources that will one day be shut down. And SWALE will still be helping people enjoy living healthy lifestyles.
 
Okay maybe you can answer these:

How important is it to restore dhea levels that have been decreased for chronic roid usage?
My doctor is telling me that it is not significant and that my total test is only at 145 and it is only free/unbound ( which is ungodly low) that matters. I understand free test but feel he is fucking me around.

Also outside of the dea/law issue, the point about harming patients thing you mentioned:
I stated in another post that my doctor(most all doctors) have no problem prescribing the latest greatest hyped pharm-rep promoted shit that destroys the body possessing what makes me question, enough bad qualities(short and long term) to even justify their existence(this has to be kown before marketed through R&D)! The idea just to make that ride from birth to death more bareable(99% for huge profit margin not HEALTH); Though when it comes to ANYTHING that has to do with muscle growth the hypocratic oath card gets played! Need I even go into the cosmetic surgery aspect?

I understand your statements are made with the knowledge of big brothers eye(not saying that to undermine the help you've mentioned). But I feel it is bullshit with the rampant presribing for kcik backs and the small benefit versus side efect ratio for many of these so-called great drugs making me wonder why the hell they even exist.......
the questioin (being redundant since it's obvious at this point)isn't much of what you say because the law/propaganda being held over your head?

And If you're answer is:"NO". Then I would have to question if health is the real issue, than you most likely do not prescribe 90% of the current shit list of pharmacueticals at your disposal.

MY bottom line is We juicheads may be destroying our health at the extreme end but I still don't think we've caught up with the medical mill way of doing it legally!

note: I hope I've made my point with no intended disrespect and can get honest insight to what I have always percieved to be unethical and in violation of physicians hippocratic oath.
Thanks!
 
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Ok, so a doctor cannot prescribe steroids to make muscles grow unless there is a wasting disease. Well, aging itself is a wasting disease. The problem lies as to where to draw the line. Its A ok for people to spend tens of thousands of dollars for plastic surgery that probably has a higher mortality rate than doing two or three cycles of steroids. But the law is what holds many doctors back... If it were legal, I am sure many doctors would prescribe a cycle or two to get a man back to youthfull muscle levels. And they could do it in a manner that would not harm the patient and would help them to become stronger and healthier.

The fact is, many, many doctors prescribe medicines off label and this is what will change things... When responsible doctors take hrt to the next, logical level things will begin to change. Its fine for a doctor to say "its against the law and I will not do it" But to call ALL doctors that prescribe a cycle of steriods "quacks" and say that they are harming men's health is not productive in this debate. What is better? For guys to just figure things out on a web site and then order underground gear? Or for them to find a doctor willing to help them in their quest for better health... ?
 
rjx said:
This all reminds me of one of those movies where there are 2 kids that grew up together being great friends. Then 1 kid takes a turn heading in a totally different direction, changing everything he ever was while the other kid stays the same and heads in the right direction.

The bad kid starts making big plans on how to run a shady operation that could benefit the both of them if the good kid teams up and becomes partners.

Well the good kid wants nothing to do with it so the bad kid would like nothing more than to bring down the good kid anyway he can.


SWALE is a Specialist that makes his living helping others and making sure that they can enjoy living a healthy lifestyle while nandi12 is the evil crooked shady middle man that doesn't have the customers best intentions in mind to benefit his pockets and his crooked sponsors.

These wannabes are nothing but steroid sources that will one day be shut down. And SWALE will still be helping people enjoy living healthy lifestyles.


Hey in response to that further my point:

Doctors IMHO have become no more than educated drug dealers catering to the cartels/pharmacueticals they push for-FOR A PROFIT!!!
Nobody would get out of bed were it not for a profit!

If you deny this think about how we are direct marketed all these meds on tv and in magazines hell everywhere....As a matter of fact most are worse than street drug dealers . I wouldn't do too much finger pointing at any one particular individual.


btw I'm not siding with anybody I have my own piss offs that have nothing to do with the board happenings.
 
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I am involved with an HRT outfit. I have been for some time now. Its something I feel comfortable doing because its legal and safe. Its my choice. To agree or disagree with their "dosing plans" is fine but why make so much noise to shut them down? I pay good money because I choose to.

So if people get their wish and these clinics get shut down what have you gotten done? I'm forced to do what now? Go to the street and get dirty gear and break the law? Order over seas? NO thanks.

I like how Im able to to it. Whether someone agrees of disagrees with their approach shouldnt matter. This site educates those interested in anabolics. Everyone gets gear in alot of different ways here. Really think about how people obtain their gear. It aint legal and people are taking major chances. But thats their individual choice. Leave it alone.

I'd love to see all this die down. I for one am very comfortable with my approach. Dont mind spending the extra money this way rather than on legal fees. Leave it alone and dont associate if you dont like how they do business.
 
SWALE said:
When I first started providing TRT--virtually on Day One of my medical practice a couple of years ago (my personal experience with steroids made me confident I knew what I was doing) I decided that I would try out everything on myself first (which is where all my protocols come from--I would not prescribe anything for anyone else that I would not do myself). So I started at 300mg per week at first, then 200mg per week, then 150, then 100. Once I had created my weekly test cyp/daily HCG protocol, I dropped it down to 50mg per week, and added in daily Human Chorionic Gonadotropin (HCG). I can tell you from personal experience that the last protocol felt the best. And absolutely better than I did at 300mg per week. I found that you just cannot live at the serum T level that genererates, and that the top of normal range is where we feel our best.

I have had quite a few pateints tell me the same thing now. Many have come to me from these Internet so-called "HRT Clinics", and were on the 200mg per week protocols they sell in order to make money. Sometimes it takes me a bit to convince them that 100mg per week is a good starting dose (which I will increase if their labs and Medical History warrant it), but once I do they tell me they feel better at 100mg per week than they did at 200. You just have to be there to feel it, I guess, but that is the way it is.

In fact, I have a couple of guys on my weekly test cyp/daily HCG protocol who report they feel much better at a lower T level on that than they did on the higher one a straight test cyp regimen produced, so did not want to increase their dosages to gewt them back up there. I am still trying to figure out why that is. Perhaps when we know more about hormones and our health.

It is natural for men to want to take more and more testosterone. After they start, or following a dosage increase, as their serum androgen levels are accelerating, they REALLY feel good. So they want to continually take more and more. But living at higher than normal range (long term) soon lends a burned-out, edgy feeling. I think it is your body's way of telling you that it is too much.

I absolutely agree with this. I feel much better on lower levels and I agree your body tells you what the right level is.

Regarding all of this bullshit: I hate to see this. If it keeps up we will lose SWALE on the boards when he decides he's had enough. Then the online community has lost a very valuable member and we've got too few of them already.
 
rjx said:
This all reminds me of one of those movies where there are 2 kids that grew up together being great friends. Then 1 kid takes a turn heading in a totally different direction, changing everything he ever was while the other kid stays the same and heads in the right direction.

The bad kid starts making big plans on how to run a shady operation that could benefit the both of them if the good kid teams up and becomes partners.

Well the good kid wants nothing to do with it so the bad kid would like nothing more than to bring down the good kid anyway he can.


SWALE is a Specialist that makes his living helping others and making sure that they can enjoy living a healthy lifestyle while nandi12 is the evil crooked shady middle man that doesn't have the customers best intentions in mind to benefit his pockets and his crooked sponsors.

These wannabes are nothing but steroid sources that will one day be shut down. And SWALE will still be helping people enjoy living healthy lifestyles.

This reminds me of a Democrat. You form an opinion and then engage in name calling based on limited information. You have no idea who Nandi12 is and what he's done for our community. The exact can be said of Swale as well -- I have the utmost respect for both parties. Two grown men have a disagreement, so what? It happens all the time. There's no need for us to stick our heads in, choose a side, and then start bashing the opposition.
 
rjx said:


SWALE is a Specialist that makes his living helping others and making sure that they can enjoy living a healthy lifestyle while nandi12 is the evil crooked shady middle man that doesn't have the customers best intentions in mind to benefit his pockets and his crooked sponsors.

These wannabes are nothing but steroid sources that will one day be shut down. And SWALE will still be helping people enjoy living healthy lifestyles.

I would appreciate it if you kept your comments about Nandi to yourself, he has done more for this community than most, and your negative comments are pretty much not wanted or needed.
 
SWALE said:
Motown--Your friend did not have an apointment with me. I told him I would be willing to come in just to see him on a Saturday if that would help him out, but he never actually made an appointment. Besides that, I specifically told him I would not be available THIS Saturday, because I would be out celebrating my Birthday the night before, and would be...er...sleeping in that morning. So I have no idea why he went ahead and just drove all that way, and on a day when my office is usually closed, without an appointment. I feel bad about it just the same, though.

I will tell him to make an appointment next time.

;)
 
SWALE...I have been reading your stuff for a long time now....since way back when you were on T-mag....

I have ALWAYS thought that you gave your best for the bro's and really wanted to help, and I appreciate that, as do many others.

I also agree with what you say in regard to HRT as it just "makes sence" to me.
You have "a nack" for getting things across in a way that is very logical and easy to understand and this helps all the bro's.

More guys like you are needed on the boards.

Stick around.

RG



:)
 
EXStreet--I am with your doctor on the DHEA question AT THIS TIME. Of course DHEA will be low in men who are hypogonadal. You aren't going to find normal DHEA levels in a man with low test, given the pathways involved. But you cannot raise T by supplementing with DHEA, so why do it? I prefer to just go to the real playa, testosterone itself. I may change my mind in the future about DHEA, when and IF anyone can change my mind.

You won't get any argument from me on the Pharmaceutical industry thing. Trust me, it looks even worse from inside of medicine! But let's also keep in mind who it is that may invest hundreds of millions of dollars on the risky bet they can produce another lifesaving drug, too.

And you are correct in stating that I dispense medications only loathingly. For instance, I would prefer a man on testosterone replacement therapy (TRT) to have a CHOL of 220 and taking fish oil than a hypogonadal one at 180 on a statin drug. My patients will confirm this. We find alternative ways of avoiding potentially dangerous drugs all the time.

I consider it part of my Oath as a physician to always speak the truth, NO MATTER who may not like it. Man, you should have been there a couple of years ago when I gave a lecture to a room full of docs at a local hospital where I ripped the current legislation which lowered BAC to .08% (in abscence of any statistical valididity) and MADD for purposefully distorting the effects of drinking and driving on our society. WOW! Were some of the doctors mad at me! Made a LOT of enemies. The truth hurts when it shakes us from our Political Correctness, eh?

dustoff1--You are kidding yourself if you think steroids do not damage your health. And all doctors believe they do (even the ones who have sold out in exchange for profit). So, purposefully damaging a patient's health with medications is against the Law, and against the Oath. Sorry, you can twist logic all you want to, but you just cannot get there from here. And this is PRECISELY the point of this debate.

A "wasting disease" is one where you will die from a lack of nutrition unless soemthing is done. How many people qualify in that way?

URRIPPED--Your argument is much like the one which makes conscientious people such as myself, who despise the thought of abortions (ever assisted in a surgery to clear the "products of a failed abortion"? I have) have to admit that we are better of as a society carefully providing them than not, because of the great risk of backroom abortions. I sure do recognize the validity of your well-made point.

jcp2--You are apparently oblivious to the point that Nandi chose to come over here, for his THIRD post here ever, to try to smear me as damage control for his financial interest in CEM. JGUNS emailed me this morning and told me he did so of his own volition. As if. His points were as transparent as his motivations for doing so. He put himself in the kitchen that then got hot for him. And I am as disappointed in him as I am sure others are. However, despite this, I do appreciate him for the good things he has done, and do think he is a lot smarter than I am. However, he really has stabbed me in the back. And this after the wonderful relationship we have enjoyed, and I privately provided free medical advice he sought from me for a medical condition he suffers from. But no one just gets a free pass around here. I certainly have not.

MotownMuscle--We already spoke this AM, and have scheduled. I am also looking forward to seeing his hot new 'Vette. Thank you for your help in this.

Okay, guys, can't we PLEASE now remain in the arena of mens' health here? Just look at all the interesting points made in this thread, on both sides of the debate. Let's not crap it up any more with this negativity. And truth be told, 'Ol Doc just does not have the stomach for it. I have always been of the opinion that anyone who wants to try to disparage my hard-earned good name had better be ready to throw down RIGHT NOW. Perhaps I should just ignore all that nonsense. I probably would be better off for it. More important, perhaps so would others.
 
My comments and opinions are not directed at one person or even persons for that matter. Only pertaining the noise in general and the unnecessary attention it brings sometimes.

Swale has been a enormous help to me on these boards and he doesnt even know it. He's taken the time to answer me on several occasions. That along with all his other posts are beyond valuable. Very greatful to have that privilege extended to me.

Hope things get resolved and it works out for everyone.
 
SWALE said:

jcp2--You are apparently oblivious to the point that Nandi chose to come over here, for his THIRD post here ever, to try to smear me as damage control for his financial interest in CEM. JGUNS emailed me this morning and told me he did so of his own volition. As if. His points were as transparent as his motivations for doing so. He put himself in the kitchen that then got hot for him. And I am as disappointed in him as I am sure others are. However, despite this, I do appreciate him for the good things he has done, and do think he is a lot smarter than I am. However, he really has stabbed me in the back. And this after the wonderful relationship we have enjoyed, and I privately provided free medical advice he sought from me for a medical condition he suffers from. But no one just gets a free pass around here. I certainly have not.

First off, I am not oblivious to the fact that it was his third post, i have a pretty good understanding of who posts here and who doesn't. Secondly, i have no clue what transpired at CEM, i have a hard enough time going over the posts here. Thirdly, until i can talk to Nandi, i have only heard one side of the story, and then their rebuttles, and to be honest i have not read this thread thoroughly, as i am at work. I also can't read nandi's mind, so i don't know what his motives are. Also, i am not even sure what this post has to do with this board. We appreciate having you here swale but what nandi and jguns choose to do with their board, and sponsors is their business. This is just my opinion, so please take it as that.
 
SWALE said:

jcp2--You are apparently oblivious to the point that Nandi chose to come over here, for his THIRD post here ever, to try to smear me as damage control for his financial interest in CEM. JGUNS emailed me this morning and told me he did so of his own volition. As if. His points were as transparent as his motivations for doing so. He put himself in the kitchen that then got hot for him. And I am as disappointed in him as I am sure others are. However, despite this, I do appreciate him for the good things he has done, and do think he is a lot smarter than I am. However, he really has stabbed me in the back. And this after the wonderful relationship we have enjoyed, and I privately provided free medical advice he sought from me for a medical condition he suffers from. But no one just gets a free pass around here. I certainly have not.


I didnt really find Nandi's post to be a smear compaign as much as he was just airing out his side of the story. Who's side is right or wrong is up for debate by all who are prevy to both sides of the story.

Jcp2 simply asked a member to keep the negative personal comments off the board and if Jcp hadnt have posted it, I would have. So SWALE, please do not go after JCP2 for performing his moderator duties.

My opinion of everything: If Nandi and JGUNS want to move in a different direction based on a financial interest, then they are free to do so. Who is to say that these guys cant attempt to make some money from all the time they have put into their board? So they seem to have found another set of Doctors that share a different belief then SWALE does on HRT, ok, fine. In the end, these Doctors will surely speak on why they recommend the dosages that they do. I say give them a chance to explain themselves and their practices before everyone starts jumping on the bandwagon. I know SWALE knows his stuff and many of us take his word on HRT as gospel, but there are others out there who like to hear different opinions on HRT so there is no point in playing down their practice until we hear what they have to say.
 
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