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Hi all,

 

I have recently been prescribed Sustanon 250 125mg per week due to high SHBG leading to low free T.  This was obtained via a well know hormone balancing company.

I should be getting it today.  I am nervous about starting and have so many questions.  I hope someone can offer some good advice ;)

I have been prescribed HCG to take as well if I want to, should I?

Will I get many side effects with 125mg p/w?

Will I need an AI?

I have a son I see once every 2 weeks.  If I ever snapped or shouted at him because of side effects I would never forgive myself.  Is this likely?

Can I store the remaining 125mg from an ampule for next time?  My prescription says to discard it, but that seems wasteful...

How do I dispose of it if I cannot keep it for next time.  I would be worried about throwing away an open ampule?

Should I take at morning or night?  Does it make any difference?

 

Bloods:

Oestradiol:83

Testosterone: 20.00

SHBG: 57

Free-Testosterone(Calculated): 0.305

Prolactin: 230

 

Thanks, guys & sorry for the noob questions :)

 

T

 

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balance my hormones just want your money they do not care about your health - the company is an absolute joke that just gives TRT to anyone regardless of whether they need it or not (and you dont)

NHS endos are told to aim for a level of 15nmol when prescribing TRT , your natural levels are higher than that .

all that is going to happen is you will feel better for awhile (which will be psychosomatic) then you will probably have E2 problems (at which point BMH will sell you arimidex) (they will also try and flog you HCG as well to get as much money from you as possible) -somewhere along the line you are going to shut down your own HPTA system so that if you try to quit TRT you will feel even worse and probably end up with a test level lower than what you started with in the first place.

if you want to contact them and point them at my post here im happy to discuss with one of there 'endos' why he/she thinks that someone with a natural level or 20nmol needs to be put on TRT.

they can start by introducing themselves via pm and telling me their GMC registration number.

*ive tried to find out the details of BMH's  'specialists' in the past and drew a blank- there is nothing on the site and the site itself makes it look as though they are a third party company.

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I have also been to bmh who prescribed sustanon 250 at 125mg per week my bloods were 12.5 test and .255 free test. I am 45 year old and train 9 times week

they were wanting £100 month for that more if I need hgh or anything else I haven’t placed my order yet thought I would come on here and try to get more info and see if there is a cheaper option any advice will be appreciated 

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How old are you? would you mind telling us? Having to remember to stick pins in yourself 3-10 times a week is no fun after a year or two of doing it.

How many blood tests have you had? where they veinous blood samples taken with perfect preparation? hydrated, well rested? do you have your exercise routine and diet in good order? .3 free Test is not that bad and you could potentially improve that with changes to routine and diet. I and others would urge you to exhaust all other options.

Put it this way I know people who are treated and reasonably happy on TRT with similar numbers to yours!

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13 hours ago, MrTr said:

I have recently been prescribed Sustanon 250 125mg per week due to high SHBG leading to low free T. 

Curious to what has lead you to resorting to testosterone...

What symptoms have you been suffering?

What has a 'real' doctor said about your levels?  How many times have you been tested?

How did you fair when you made the necessary dietary changes, and did swapping simple carbs with complex carbs have much impact?

What effect did dropping alcohol and caffeine have?

Did any supplements you took not help, as I've read boron showed some promise?

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15 hours ago, aqualung said:

if you want to contact them and point them at my post here im happy to discuss with one of there 'endos' why he/she thinks that someone with a natural level or 20nmol needs to be put on TRT.

Thanks, I might do that.  All the stuff arrived today and I have a chat with them on Monday (probably to explain why I did not start, at this rate...)

 

13 hours ago, albatross said:

How old are you? would you mind telling us?

Not at all!  I’m 39.

 

13 hours ago, albatross said:

How many blood tests have you had? where they veinous blood samples taken with perfect preparation? hydrated, well rested? do you have your exercise routine and diet in good order?

I had 4 tests, 2 medicheck style and 2 veinous.  The 0.3 free above is actually the best (by a tiny amount) looking back. 

I lift 4/5 times a week I’m 5’11 and I weigh 81 kg.  I eat clean, currently to a small deficit as I have been finding it harder and harder to stay lean.  I am fairly lean atm, but not body builder lean.

 

12 hours ago, TERBO said:

Curious to what has lead you to resorting to testosterone...

I’m pretty sure my first test was off the back of my GF’s suggestion.  She had noticed my huge lack of libido.  I’m constantly tired, never get morning wood, have little interest in sex most of the time and have completely halted any sort of progress in the gym.  I feel like I’m dragging myself from A-B.

 

12 hours ago, TERBO said:

What has a 'real' doctor said about your levels? 

“See a specialist”

 

12 hours ago, TERBO said:

How did you fair when you made the necessary dietary changes, and did swapping simple carbs with complex carbs have much impact?

I mostly always eat cleanish (Apart from cheat weekends etc), but I don’t think my diet has had an effect.

 

12 hours ago, TERBO said:

What effect did dropping alcohol and caffeine have?

I don’t really drink, maybe once a month (admittedly then about 5 beers binge style...)?  I drink 1 coffee in the morning but I must admit I drink a lot of Diet Coke, maybe 1ltr a day?

 

12 hours ago, TERBO said:

Did any supplements you took not help, as I've read boron showed some promise?

I have not noticed an effect, but I have been supplementing heavily vit D because I was deficient,  I actually just sent off another medicheck style test to see if this has helped lower my SHBG.

 

Bottom line, don’t start just yet (or at all)?

Thanks guys, appreciate all the help. 

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these are the UK guidelines for TRT

http://www.bssm.org.uk/wp-content/uploads/2018/09/guidelines-on-adult-testosterone-deficiency-with-statements-for-uk-practice.pdf

give them a read ,  if you call BMH ask them why they dont follow the UK guidelines as set out by the BSSM - they will probably spout some shite such as  'individual optimisation ' - the truth is they have one aim (to take your money) and they wont get it by saying you dont need TRT , BHM's practices are bordering on medical negligence imo.

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21 hours ago, aqualung said:

balance my hormones just want your money they do not care about your health - the company is an absolute joke that just gives TRT to anyone regardless of whether they need it or not (and you dont)

NHS endos are told to aim for a level of 15nmol when prescribing TRT , your natural levels are higher than that .

all that is going to happen is you will feel better for awhile (which will be psychosomatic) then you will probably have E2 problems (at which point BMH will sell you arimidex) (they will also try and flog you HCG as well to get as much money from you as possible) -somewhere along the line you are going to shut down your own HPTA system so that if you try to quit TRT you will feel even worse and probably end up with a test level lower than what you started with in the first place.

if you want to contact them and point them at my post here im happy to discuss with one of there 'endos' why he/she thinks that someone with a natural level or 20nmol needs to be put on TRT.

they can start by introducing themselves via pm and telling me their GMC registration number.

*ive tried to find out the details of BMH's  'specialists' in the past and drew a blank- there is nothing on the site and the site itself makes it look as though they are a third party company.

Well said mate. Shocking to hear someone with those levels being fooled into TRT. 

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On 10/08/2019 at 1:04 PM, aqualung said:

Thank you,   I have looked at these now. A couple of things struck me.  

For context here are my historical test results:

2 May 2019    T:22.2   Free: 0.264   SHBG: 76.5

30 May 2019    T:15.9    Free:0.253    SHBG: 52.1

9 July 2019    T:20    Free:0.305    SHBG: 57    LH:9.5

In the referenced article it states:  “Increased LH levels in men with normal T levels but symptoms of TD should be considered as having TD” and it references: http://refhub.elsevier.com/S1743-6095(17)31538-2/sref26 which states a couple of interesting points, including the above:

Re. SHBG: “Others have proposed a more generous threshold of 347 pmol/L (100 pg/mL or 10.0 ng/dL) as a lower threshold for free T level based on clinical experience

Given my ridiculous SHBG numbers, low free levels and elevated LH, there is defo something going on...  Any thoughts?

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can you post your results again with the ref ranges inc the time the bloods were taken (you should have been told to get bloods done pre 10am )

remember there will be fluctuations in levels throughout the day , no one can say much more without the labs ref ranges (you may be just under or a lot out )

if you are just under/over it can be many things inc stress /lack of sleep (massively impacts test levels) /and a host of other things that just come with normal life.

generally if you are way out on ranges then something is wrong - being just under/over can be a lifestyle thing as above or an indicator of problems further on down the line as time goes by.

imo for someone to need TRT then it must be having a large impact on their life with the bloodwork to back it up , being over/under by a tiny amount will make no difference.

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On 09/08/2019 at 7:45 PM, aqualung said:

balance my hormones just want your money they do not care about your health - the company is an absolute joke that just gives TRT to anyone regardless of whether they need it or not (and you dont)

NHS endos are told to aim for a level of 15nmol when prescribing TRT , your natural levels are higher than that .

all that is going to happen is you will feel better for awhile (which will be psychosomatic) then you will probably have E2 problems (at which point BMH will sell you arimidex) (they will also try and flog you HCG as well to get as much money from you as possible) -somewhere along the line you are going to shut down your own HPTA system so that if you try to quit TRT you will feel even worse and probably end up with a test level lower than what you started with in the first place.

if you want to contact them and point them at my post here im happy to discuss with one of there 'endos' why he/she thinks that someone with a natural level or 20nmol needs to be put on TRT.

they can start by introducing themselves via pm and telling me their GMC registration number.

*ive tried to find out the details of BMH's  'specialists' in the past and drew a blank- there is nothing on the site and the site itself makes it look as though they are a third party company.

we have received a post report from a guest claiming to be a representative of BMH, wanting this post removed or they will take legal action.

I cannot reply to the person claiming to be the representative as he has made the message as a guest.

To the BMH rep: this post is an opinion formed by a legitimate member of this forum, it will not be removed, if you would like to join the forum and discuss this message it is your right to do so, this way you can prove you are a rep from BMH and provide the details the member requested to prove legitimacy of your experts.

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BMH are just an intermediary, who act as a conduit between you and a private GP.  I dont believe they actually employ or have an in house endo, my understanding is youre paying them to to pass your details to a private GP.  

You're better off experience and financially to find a private GP that will treat you.  

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1 hour ago, Lukeg said:

BMH are just an intermediary, who act as a conduit between you and a private GP.  I dont believe they actually employ or have an in house endo, my understanding is youre paying them to to pass your details to a private GP.  

You're better off experience and financially to find a private GP that will treat you.  

exactly , BHM are a third party provider.

my above post is my own opinion of this company which has been formed from posts on this board.

....again , if the BHM representative wants to pm me the names of the specialists it uses and their GMC registrations i will edit and remove the post myself - i am simply interested in what 'specialist's ' are confident enough to go against BSSM (UK)and ISSAM (EU) recognised guidelines .

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On 8/9/2019 at 7:45 PM, aqualung said:

balance my hormones just want your money they do not care about your health - the company is an absolute joke that just gives TRT to anyone regardless of whether they need it or not (and you dont)

NHS endos are told to aim for a level of 15nmol when prescribing TRT , your natural levels are higher than that .

all that is going to happen is you will feel better for awhile (which will be psychosomatic) then you will probably have E2 problems (at which point BMH will sell you arimidex) (they will also try and flog you HCG as well to get as much money from you as possible) -somewhere along the line you are going to shut down your own HPTA system so that if you try to quit TRT you will feel even worse and probably end up with a test level lower than what you started with in the first place.

if you want to contact them and point them at my post here im happy to discuss with one of there 'endos' why he/she thinks that someone with a natural level or 20nmol needs to be put on TRT.

they can start by introducing themselves via pm and telling me their GMC registration number.

*ive tried to find out the details of BMH's  'specialists' in the past and drew a blank- there is nothing on the site and the site itself makes it look as though they are a third party company.

Reading between the lines i  sense you are perhaps a shade cynical toward the above mentioned company....

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27 minutes ago, Fletch68 said:

Reading between the lines i  sense you are perhaps a shade cynical toward the above mentioned company....

im only going on what others have posted here   , TRT is a lifelong commitment -as such it should be approached as a last resort rather a cure all treatment , im also weary of any medical provider that does not give full transparency regarding its practitioners .

* i base my comments on what is said here by other forum members using the UK /EU guidelines as a guide in relation  ,  this goes for any company that is mentioned on here -as such (and as far as im aware) this is classed as 'fair comment ' from a legal perspective  -im not legally trained but if someone more versed in law knows otherwise im happy to remove the comment .

 

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On 11/08/2019 at 1:20 PM, MrTr said:

Thank you,   I have looked at these now. A couple of things struck me.  

For context here are my historical test results:

2 May 2019    T:22.2   Free: 0.264   SHBG: 76.5

30 May 2019    T:15.9    Free:0.253    SHBG: 52.1

9 July 2019    T:20    Free:0.305    SHBG: 57    LH:9.5

In the referenced article it states:  “Increased LH levels in men with normal T levels but symptoms of TD should be considered as having TD” and it references: http://refhub.elsevier.com/S1743-6095(17)31538-2/sref26 which states a couple of interesting points, including the above:

Re. SHBG: “Others have proposed a more generous threshold of 347 pmol/L (100 pg/mL or 10.0 ng/dL) as a lower threshold for free T level based on clinical experience

Given my ridiculous SHBG numbers, low free levels and elevated LH, there is defo something going on...  Any thoughts?

Well, the European association of urology guidelines do say that men with primary testicular failure can have normal total T with elevated lh and that it can be considered a compensated form of hypogonadism. Your shbg isn't helping either but i have seen higher.

I would probably seek a second opinion from someone like Dr Robert Stevens who is definitely a highly reputable private trt specialist. You won't get anywhere with the NHS, even people with levels under 8nmol/l are regularly turned down on the NHS for trt.

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it may be the lowest yet but its still classed as in range , not everything needs to be at the top end of the range ;)

most of that could probably be improved with lifestyle changes

i state the obvious once last time - prescribing TRT (or putting yourself on it) with those numbers is just silly ,its starting to look like you are just grasping at straws imo for some justification for going on TRT  (thats not a dig at you its something we have seen on these forum time and time again with people fixated on TRT becasue they think that its a cure all for whatever problems they are experiencing )

trying to micro manage hormones with pharmacological intervention usually ends up getting the person in more of a mess than what they started with

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On 10/08/2019 at 11:42 AM, MrTr said:

Not at all!  I’m 39.

I lift 4/5 times a week I’m 5’11 and I weigh 81 kg.  I eat clean, currently to a small deficit as I have been finding it harder and harder to stay lean.  I am fairly lean atm, but not body builder lean.

 

I’m pretty sure my first test was off the back of my GF’s suggestion.  She had noticed my huge lack of libido.  I’m constantly tired, never get morning wood, have little interest in sex most of the time and have completely halted any sort of progress in the gym.  I feel like I’m dragging myself from A-B.

Just a few points that struck me that I thought i'd mention, though i'm no expert.  But at nearly 40 years old you are naturally going to feel a bit more tired from work, the gym and day to day life.

You lift 5 times a week and you're in a calorie deficit, trying to stay un naturally lean.  I feel like absolute pony in any kind of calorie deficit, tired, no libido, everything is a massive effort, just feel so flat and worn out.  Plus previously you said you train 9 times a week?  Don't know if that was a typo or you do cardio or martial arts or something too?  Either way you are asking your body to do alot, with not enough fuel, so you will feel pretty shitty due to that imo.

Also if you're in a deficit trying to get lean, have you cut fats atall?  Whole eggs could help, you need fats and cholesterol for your body to produce hormones.

£100 sounds like alot for 2ml of Sustanon too lol.

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4 minutes ago, faipdeooiad said:

I see BMH’s legal threats haven’t materialised

Doesn’t surprise me. BMH practices are malpractice, simple as that. If Pscarb was concerned we would be banned from talking about bmh by now and we haven’t been.

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