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What factors make a physician decide to put a put a patient on Pregnenolone and DHEA? Why is it less about the numbers and more about how the patient feels? In this clip, Dr Rob Kominiarek shares his method for finding out if a patient needs these two drugs.
Listen to the full episode→ https://goo.gl/dqT9HU
We also discussed:
- How to get insulin levels in check with testosterone
- The importance of doing Dexa Scans
- Why almost every diabetic medication is a peptide
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Great information Rob. I agree totally on following the patients symptoms. Labs are great a baseline and can be followed along with dosage adjustments until the patient is optimal (symptom resolution). So much money spent by patients on unnecessary lab work by patients. Would rather see them spend that money enjoying time with family and friends. Kudos Jay for making this information available on a national level
I've been on trt a few months and i sleep way better i get morning wood regular and my stomach is very slim now but I'm not stronger and im not building any muscle please any input would help I'm taking 120mg a week divided into 3 40mg shots and zinc as well as vitamin e and DIM seem to be keeping estro down considering no acne and no water holding what so ever do I need more test
What’s the standard TRT IM weekly, on average? 51 years old. I started out on TRT 3 yrs ago. I had ppo insurance. My endo had me do extensive labs, even an MRI on my pituitary gland. My total test was 38. He put me on 1cc weekly of 250mg CyP. I felt amazing! 90 days later I was at 800. My birthday ins changed to Kaiser. With total test of 800 18 mos ago my endo said my levels were too high. I had ZERO sides. None, and wasn’t taking any ancillary meds. She dropped my weekly dose to 0.25cc of 250mg cyp. After 90 days I was at 58! Total test. I felt like total crap. She then bumped me to 0.25x2 weekly. I went back up to 232, and have stayed at that range ever since. I told her I feel that she crashed my system. Of course she disagrees. I’m to the point that with how I feel and my levels I’d be better off stopping. SMH
Patients taking Viagra are less likely to suffer a heart attack, new research claims.
Men taking the impotence drug were found to have a lower risk of having a heart attack or dying from heart failure than those not on the medication.
The findings mean Viagra could soon be used to treat hundreds of thousands of heart failure patients and even prevent fatal heart attacks, scientists say.
Experts from the University of Manchester studied 6,000 diabetic patients who had been given Viagra to treat erectile dysfunction.
The drug relaxes muscle cells in the blood vessels supplying the penis, allowing more blood to flow there.
This increased blood flow increases the likelihood of getting an erection.
Given the increasing reports of deaths in which the use of Viagra may be implicated, clinicians need to exercise caution when advising their patients with heart
Experts believe a key ingredient in Viagra called PDE5i, which relaxes blood vessels, also prevents damage to heart cells.
Heart failure is caused by the heart failing to pump enough blood around the body at the right pressure.
It most often occurs because the heart muscle has become too weak or stiff to work properly and is usually treated with medication which supports the heart.
Despite diabetics being prone to heart problems, the study participants did not suffer as many incidents as similar patients not on the drug.