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Hey   all

back  from hiding out in Maine, Id live there if I could  and will one day    sweet hearts there and wowo!!  what a beach

last week   broke a PR on bench    380  x  3 perfect reps in huge  size 60  phenom !  Now I get out  old  Super Duper Phenom  and get down  to about 1 board... 510--525...  I have time  just playing now...  this winter... I come back with 510 opener @ 198  next meet....   Hell, I'll be 46 on 10/1  and I got to stretch this stuff out!!!  its all about the fun  and feeling  good!!! I thank all my close training buddies for the sick support!!!   LOL 

Stay  Strong and Healthy 

DR  O

Great. Just rolled in from VACA in Maine. Much needed. ready to rock now. 

So sorry about phone. So many men are now calling to join, my office can not handle calls at times!!! 

Wow !!!  what a problem to have... but  do call  Chris and tell her you spoke to me on line.... she will get you in...


see you soon for my 3 hour  History and physical exam !!!  its true   .. after years of keeping this a secret,  its blown open

Stay Strong and healthy 
Dr O

Thanks Doc! I land in Hartford next week Wednesday to do some business with the Hospital, will look for your office to talk to staff and get paperwork rolling...I have had no luck on the phone. Looking forward to working with you.
Thanks

HI  I would have to evaluate this directly. Can be acne vs. some type of dermatitis??  fungal +- allergic???  alway easy fix once I see a pic or in person...  I have  prescription creams  for this...  As for T  dose..you cant live on that much  ... not sustainable with a good out come....  trust me...  thats why I am so busy!!!  hint !!  hint!!!  all you need is real  T   @ about  100  every  4  -  days...  and balance sides... E2  DHT, that is what I do...  sooooooooooo  Busy

Good luck  hope this helps


stay strong and healthy   keep reading my cool MD column 

Dr  O

hey  with 400 mg  of T per week, you will for sure need to block  E2,  but what I do is stabalize the T  for about 6-8 weeks, maybe use arimidex 0.5 mg po qod and then check E2  directly on labs... works like a charm.. we find right balance of T and E  and I always stay on top of my guys with labs  every  2--6  months...  and with symptoms, eg   nipple symptoms   etc...  and as for anxiety,  this is not common and related to something else??? I would have to evaluate case directly....  Take care


hope this helps

Thank you for getting back with me your answers make a lot of sense My dr at the time did not believe I needed an estrogen blocker but at the time i was using 400 total a week for 1 year every 4th day(200) i know you do not have all the facts but with that amount do you believe a blocker should have been incorporated and also up until that point I never had a problem i did real well and felt real well he recommends troches and cream but seems to not increase levels.Do you find patients who need to be on therapy and some type of anxiety med? 

week 23 of "cycle". 43 yr old male. Lifting 4-5 day split for 5 years. first time on AAS. 500mg test and 250 deca, injectable once a week. JUST now broke out...any suggestions?? Someone said it is due to a skin yeast infection?? using a scub and cream. I am very tan and it isnt as bad as I have seen on some, but these little bumps really detract from the build I have gained. I have NEVER had an issue with acne due to my skin tone. Thanks all

Dog House,  tough case. I have seen a few men respond poorly to HRT. That is a reality. I would recommend that you have your doc start T  cyp  at say 75 -100 mg  IM  q 4-6 days and see how you respond. The details are to keep levels straight !! not  up and down. when the frequency of injectiona are greater than 7 days, it is not unusual to see "depleted symptoms" by the time of next injection!!  and then I would check  E2  and even  DHT  and consider a regimen that would block these and balance you in full. As for anxiety, I dont know your history.   But, HRT is very complex and balance is the key!!  This is what I do and it takes a lot of attention to detail. No regular doc can do this!!  That is for sure. But stay with your doc and try to teach him these things

Dr O

I have been on hormone therapy for four years and had too get off because levels got too high and anxiety got bad I was using cyp and have been on cream and troches I stopped for a year and seemed to be okay but had no energy.My levels are 180 and my anxiety is worse dr put me on anti anxiety med and still having anxiety attacks although not taking any therapy my estrogen and thyroid levels have came back good but i seem to have a big lack of confidence due to the anxiety is there something else we are missing I feel I should be on therapy with some type of anxiety med any help would be appreciated.Was taking a 50 troche which was giving me anxiety not so much the day I took it but more the next day.Can my low levels be attributing to the anxiety.I typically never have anxiety except when using testosterone is this common?

 ..   see my recent video on face book  metabolic doc      old school dumb bell alternate seated curls....85s  x 16 reps  some one said I was a fibber....   Still rolling baby

Dr O