Awesome brother! Would you mind sharing the names of any good FB groups?
Itās not a result of a poor life style. Itās due to toxins and poor life style. You can work in an area that has pollutants. Take medicine .food. The list goes on.
Today many men have high SHBG and normal hormones.
SHBG is usually due to diet issues line low carb diets. Or insulin problems. Rt3 I hear is more often a problem with the liver . Fix that and donāt compensate.
A year almost yes. He told me what to do and I had faith and did it. It works and keeps getting better. Getting answers and communicating with him and office is easy. You would have to fly out and see him unless you are in Cali or Michigan.
Yah heās worth it. 2k year 1. 1500 year 2. It might be a different cost now I am not sure.
I would give them a call. Now they have Scott Howell and they have answers for you my friend. Scott was hired to be their research arm. To release studies in the future showing the truth behind hrt for men and woman. The goal is to get really good studies out there so that every doctor has access to legitimate info.
He has a shit load of experience in anabolics, nutrition, fitness: heās written papers and a book with a big YouTube fitness expert. Matt or mark something.
You are having a complex case. I would go see someone who will spend the time on you. Defy does a quick consult and they arenāt a doctors office. they are a trt clinic. How much time do they spend reading studies and deciphering the truth? Staying in front of hormonal education?
Iād say itās worth the time.
Iāve sent 10-15 guys there and stay in touch with them. They all are happy and living well after spending months with a clinic or a endo who didnāt really know what he was doing.
Big difference in how their patients look at trt and how other doctors and clinics do. If you notice hardly anyone is a patient of his and canāt figure their trt out. I donāt recall any. I donāt see anyone saying they are a patient and canāt figure out trt and need help. Maybe one here or there. But they donāt ever say anything bad .
This is exactly my experience. You can see how I switched to him in my post and really never looked back much.
Not sure if Iām allowed to post links to the groups but search for
āTRT and Hormone Optimizationā this is a Danny bossa one that Nichols used to be a part of until whatever happened there. You can probably find some old positive posts about Nichols
āTRT Communityā is another one but itās older school IMO, more bro science idiots using old protocols or that havenāt done an ounce of research themselves before asking something super basic
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2K covered appointments, right? And then how much were your supplies?
I love Howell too; heās super legit.
I agree with you man, I really need them. Iām convinced theyād provide the best medical care for me given my nuanced situation. Iāve been trying to replicate their approach on my own in a more cost-efficient and convenient mannerā¦but it hasnāt been working. Might need to book that flight out to TN soon.
Do you have any complaints from your time with Tier 1, or all gravy? What was your first protocol from them ā did it include thyroid?
Who were you with before T1, a local endo? Did you look into Defy or just know that wasnāt the place for you?
Thanks man ā though I do kind of worry about people who know me (professional connections, specifically) seeing Iām in hormone-related FB groups, lol. People just donāt get this stuff; they still think youāre such a weirdo.
I was worried about the same to be honest. I canāt remember if people can see youāre in the group or not, but I know your posts donāt show up in any public news feeds or anything like that. They have the privacy settings set a little stricter than that, so only people in the group can see your posts (and at that point theyāre already weirdos too so youāre good to go)
And Iām sure enackers will answer as well, but yeah, $2,000 covers all of the visits/consults for the year
Southwest usually has some dirt cheap flights in to Nashville if you have SW at your localās airport FYI.
Iām still considering the same. I feel like Iāve gotten as good as Iām going to get w/Defy and Iām either going to have to increase or decrease the dose on my own to see what happens.
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It sounds like weāre in practically the same spot, though you are certainly doing better than me. Whatās hard to reconcile is whether we could stick with Defy, stick with their more formalized approach that is sometimes covered by insurance (was 100% covered for me until recently), and just copy what Nichols would prescribe to us ā get the same results. But I think at least I probably need his insight as well. You might be able to pull it off without him.
It has been perfect since day one no complaints at all. The supplies are 50 a month for the cream or 75 for 3 clicks a month. I spend about 180$ every 3 months. DHEA and pregnalone are cheap and thyroid is 100 a month.
The fee is a years worth of consultations with the doctor as needed. I usually just email through their patient portal and have an answer within the same day or next.
I went to tier 1 because the trt clinic could not figure out why treatment was not working for me. When I went to tier1 they immediately put me on thyroid medication and within 24 hours of starting the medication my fatigue and depression was starting to lift. Within weeks the testosterone really started to take affect.
I forgot to mention. Go to google maps and look for their reviews there.
I flew down HOUSTON to Atlanta. I rented a car and drove 1 hour or so for the appointment. I got my meds from the lock compound pharmacy they use and was back to HOUSTON at 11.
Just schedule the trip so that you get there early and the drive from Atlanta to Chattanooga is a nice easy drive.
I could not find tickets straight to Chattanoogaās that would allow me to fly in and out the same day. Thatās why I chose Atlanta. Keep that in mind if you decide to go.
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You can set your privacy settings up and nobody can see.
Folks will see you are in a group if they find the group and join. Meaning they are also on or looking to get onto hormones. Otherwise they cannot just click on your profile and see all the groups when privacy is setup properly. Just go to the Facebook section and set it up.
Thatās what Iām wondering ā if thyroid would be the lynchpin for me, and Iād similarly see everything turn around (and the T kick in) after starting that medication. The idea of that gives me hope because even when the cream was working, it was super inconsistent ā it felt like something was missing. I felt like a 10/10 some days and 1/10 others.
Iām not due for bloodwork until February, but Iāve requested a script for full labs (including thyroid functions). I canāt wait until then and really want to know where everything stands right now. Plus, even if I switch to Tier 1, Iām sure theyāll want updated bloods.
Yes thyroid can do this. I know you have high SHBG. This means your body is off kilter. You have high rt3 as well. This negates the effects of free t3.
Check out stop the thyroid madness website and read up on reverse t3. Youāll see what Iām talking about.
You want free t3 top of range . T4 doesnāt have to be at the top. However it should be high normal.
The way you get around a high rt3 is by giving less t4 and more free t3. More importantly you have to realize this is temporary. You donāt want to spend a life time with high rt3. A good doctor will try to identify what is causing this high number and try to lower it. Even then you would still probably take meds for thyroid.
If I were in your shoes I would start on a compounded version that has less t4. Or just go get the liquid t3 and take that daily. There are many sites with research chemicals that you can use without a prescription. Email me Iāll direct you to a quality site where he gets all his chemicals in the USA not India or China. I would definitely just take t3 to see if thatās going to help me. Donāt forget to go to the site I mentioned above and read their articles.great info. Youāll find answers there that cannot be typed out easily.
If Iām remembering this correctly. t4 converts to reverse t3 and thatās why we lower t4.
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@bkb333 - I just ordered this from Ulta labs. You could probably omit some of these for your purposes - My doc wants to see HTC and I want to see if something Iām taking is helping my previously elevated prolactinā¦ But since you are in MA, you could order these today and do them whenever you wanted to.
Nice, man! I appreciate it. They are actually going to send me a script, and I generally get all (or almost all) of bloodwork covered, so I am going to go through Quest.
Cool. Those are quest too, but self purchased through Ulta.
Looking forward to your results!
I plan to get the labs done Thursday morning. I was planning on discontinuing Danazol and slightly increasing my T dose ā think I should hold off on that until post-blood draw?
Also, I normally inject MWF mornings. If I am having the labs Thursday AM, should I still inject Wednesday AM?
Yes, I do. Get a snapshot of now, what you donāt like about how you feel and then adjust and retest. Thatās where Iām leaning towards too.
Talked to my wife about it today. Iām not thrilled with potentially wasting 2 months trying a protocol that might not work, but she said - āyou never know if it will work unless you try itā¦ā
Never a wiser word spokenā¦ So, the holidays could be emotionally rocky for me or not, weāll see
Is there any way to wait until your true trough opposed to trying to manufacture one by skipping a shot?
It probably wonāt matter much actually if you skip a shot, but just curious.