Priapus shot and O shot tomorrow morning!
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I'm almost at the two week mark and it somewhat feels like the initial impact is winding down. I won't be able to tell much until maybe the end of this month or so. That should be enough time to cement any gains. I don't actually track girth, so now I don't have much to go by except that it feels fuller and I had to go up a pump size due to base discomfort and that was after over a year with the same pump.
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I went for my followup visit today. Talked with the Dr for almost an hour about PRP and also hormone replacement therapy.
Some subjects we chatted about..
* Priapus Shot bruises should not occur (each patient is different but I can attest to having no bruising at all). My Dr does many facial injections and so perhaps he does things with more precision
* Shots may be given every six weeks if desired
* I also asked about ACell (http://acell.com) because I had read on another forum that Dr Runels experimented with ACell in the PRP preparation. Funny thing, my Dr texted Dr Runels right as we were talking and we got an answer back as I was walking out. Said the ACell experiment was mostly in regards to the PRP treatment for hair regrowth
* It takes as much as 7 days to get a testosterone panel back from some labs. Bummer because I was hoping my lab work would be available by this followup appointment
* One type of hormone replacement therapy involves creams. We talked about popular ones but he prefers to use a compound chemist
* One hormone replacement therapy uses testosterone pellets implanted near your upper buttock -- an advantage is that they release testosterone based on your blood flow. The more active you are, the more is released. Typical refill is four months
This is exciting stuff! Thanks for such a Gangsta thread.
Some subjects we chatted about..
* Priapus Shot bruises should not occur (each patient is different but I can attest to having no bruising at all). My Dr does many facial injections and so perhaps he does things with more precision
* Shots may be given every six weeks if desired
* I also asked about ACell (http://acell.com) because I had read on another forum that Dr Runels experimented with ACell in the PRP preparation. Funny thing, my Dr texted Dr Runels right as we were talking and we got an answer back as I was walking out. Said the ACell experiment was mostly in regards to the PRP treatment for hair regrowth
* It takes as much as 7 days to get a testosterone panel back from some labs. Bummer because I was hoping my lab work would be available by this followup appointment
* One type of hormone replacement therapy involves creams. We talked about popular ones but he prefers to use a compound chemist
* One hormone replacement therapy uses testosterone pellets implanted near your upper buttock -- an advantage is that they release testosterone based on your blood flow. The more active you are, the more is released. Typical refill is four months
This is exciting stuff! Thanks for such a Gangsta thread.
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toucHydromaxyjunk;576824 said:
Awesome info in this thread, and I am happy to hear about the progress you've been logging. I don't mean this to be rude in any way, I just want to inform you about HRT/TRT because I've studied it extensively, and have some personal experience as well. This is by far a very simple write-up and there's so much more information that needs to be addressed before deciding to go through with the treatment.
HRT isn't something to take lightly. It's very complex and I would refer to an endocrinologist before you do anything. Go to multiple Dr.'s in fact and get your head around the idea that HRT or TRT is for life, and the longer you are on it, the harder the fall will become. For example when you put exogenous compounds into your body, such as Testosterone, your body realizes it doesn't need to produce it naturally. Your endogenous levels of Test, as well as all the other important hormones such as LH, FSH, Estradiol Sensitive, Prolactin (which effects Dopamine) and SHBG, etc.. will start shutting down and your HTPA will be all out of whack. It takes more than a few creams/pellets to take care of HRT/TRT efficiently. I say do NOT do it unless it's absolutely necessary. Wait until you get your blood panels back and like I said make an informed decision because it's usually for long term.
You may not have to worry about producing semen for having more kids, and HRT/TRT doesn't, contrary to popular belief, make it impossible for a man to have children. However, please take it from me that HRT isn't as easy as 1-2-3.
Lets say for example you get some transdermal Test cream (which is a PITA because it's messy and you have to apply it daily, in addition to the fact that when you wash your clothing it has to be separate from your wife/GF's or anyone who doesn't want damn Test because it can become active just by a slight touch), you are taking the risk of a less efficient mode of transfer with a greater likelihood of miss-dosing.
Now, when you apply exogenous Test, like I mentioned, you have to understand that your HTPA will go out of whack and basically stop producing Leutenizing Hormone, which in turn suppressed natural Test production in addition to FSH. The body's androgen pathways are very complex and when you tug on one of your body's hormones it has a chain reaction to all the rest. HRT is probably just as complicated as someone who is trying to asses Thyroid diseases.
So, role-play here for a moment, your blood panels come back and you're Test is way low so your Dr. recommends going on HRT/TRT, now you have to remember it's for life, and if not, your body will have a very hard time readjusting to it's natural production levels, if it ever does - it's a long way to fall! You can break your body fairly easily when you mess with your hormones. It has, not only, a physical, but also mental impact. Now, you decide to go with it and get a prescription for intramuscular injections of Test 1x/week or 1x/10 days (depending on the suspension), and you're like - ok this is great I have more energy and sense of well-being, and I'm hornier and I have more confidence and I can see my abs again! Then what happens is, your endocrinologist, or whomever your Dr. is (hopefully an Endo in this case), might suggest, doing bloodwork again every 4-6 weeks. Naturally, most Testosterone that's prescribed is Test Enanthate or Test Cyp. Where, Cyp. being more common because the half-life is longest, however not far from Enanthate. Note: You'd still have to do the same procedural blood testing regardless if you did injections, transdermal, or implantation.
- Now, having exogenous Test being pumped into your body for a few weeks before your next check-up, and so keep in mind Test E. or Test C. takes about 4-6 weeks before even kicking in, and so being patient is key, and the first results may not clarify your body's responses just yet. Along the way, you'll have issues with an increase in Estradiol/Estrogen production, which will in turn stimulate more Prolactin to be released, which can cause gynocomastia and all sorts of other unwanted symptoms like feeling like a 16-year-old girl on her period (no seriously, you'll be more emotional, but that bad, and try waiting until you quit TRT then see if the 16-year-old reference still stands), fatigue and many more.
- Ok so your Test is stable, but your LH, FSH, Estradiol, Prolactin is out of whack (too high or too low). Too much estradiol and you feel crappy. Too little estradiol and you have no libido or energy; feel crappy. LH/FSH/HydromaxG/HCG are essential to keep things in balance. How do we do this? Well, we supplement those too! Now finding an actual regimen, or balance in all those necessary additions to your Test replacement is a very long, and sometimes treacherous, journey. Is it worth it? Sure is, IF YOU NEED IT AND YOU CAN FIND A KNOWLEDGEABLE Dr.
- HCG - You've probably heard about it from all those crazed women who do the "HCG diet". Well, it's also the hormone that women produce when they get pregnant, that's what the pregnancy tests reads in their urine, the HCG levels. So how does this relate to HRT? It's very important to have HCG included in an HRT regimen because it's an analog to LH, in men, which is very important to keep your nuts plump, healthy, and relatively active. If you don't supplement with HCG at minumum 3-5x/week you run the risk of developing those horrible raisin nuts that every Bodybuilder is known to have, apparently. (Except the ones who use HCG/HydromaxG).
- HydromaxG - What's that you ask? Well it's a more bioavailable and short-acting version of HCG, however it has the same function in addition to some other good affects. HydromaxG is very difficult to find and expensive, and has to be supplemented even more often than HCG, almost daily. These compounds are administered subcutaneously.. Now, HydromaxG doesn't have to be used alone, and usually it works best when administered in concert with HCG. The reason why I say HydromaxG should be included in any men's HRT program is because not only does it stimulate LH, but it helps to keep FSH elevated as well. Where HCG doesn't affect FSH; HydromaxG is really one of the only ways to keep FSH stable.
- Estradiol - In more detail, estradiol-sensitive, is highly tethered to your Testosterone levels. So that means when your Test rises, so does your Estradiol/Estrogen. When this happens the only way to keep Test up and bring Estradiol back into therapeutic levels (which can vary per man, usually between 10-90 ppm), is to supplement with oral estrogen balancing drugs, which there are quite a few of. There are two types of estrogen related drugs. One is a SERM or "Selective estrogen receptor modulator" which will keep estrogen from binding to their respective receptors. However, if you get a huge spike in Estrogen before administering these when necessary, they will do little to help bring your actual Estrogen levels down; more for maintenance when you've found a balanced state. Popular drugs in this category are Clomid (Clomphine Citrate - you may know this is a drug for women with breast cancer, although they take an exuberant amount compared to what you'd need) and Nolvadex (Tamoxiphene Citrate), these two SERMS can be very benefitial in keeping Estrogen out of breast tissue, which you definitely don't want, as mentioned above, about the risk of gynocomastia. The other form of anti-estrogen is exactly that, an anti-estrogen. These act as suicide inhibitors and there are multiple different drugs and types. What they do is effectively reduce the serum concentrated estrogen. This is a great way to start your therapy if you notice an estrogen spike, and it may only need to be administered orally as little as 1x/week. The two most common being Aromasin (Exemestane) and Arimidex (Anastrozole).
- Estrogen left out of check can relate to an increase in Prolactin levels, which is overall unhealthy, and can play a big role anywhere from skin condition, to depression, and poor sleep. Basically prolactin and dopamine are tethered. When you've got a decrease in Prolactin your Dopamine levels rise, and vs-versa. Dopamine is very important!
There's so much more, and I'll post an article I wrote on Thyroid as well. Just please think about this endeavor before you jump right into it.
Note: The transdermal approach has been around for a while, and it's just annoying, personally. The implant is very new and hasn't been tested as much, so I can't speak for it's efficacy. The intramuscular injections trample all because it's very accurate and safe. They are very easy to perform with practice, it doesn't hurt at all when injecting long-estered oil compounds like Test E. and Test C.
In addition, if you go on TRT you may have blood results that show high Hemoglobin and low Ferritin levels. You can supplement with a chelated iron (plant-based) at around 25mg/day and ramp up your dose to 150-200mg/day until you achieve desired Ferritin levels. If you need to do this, go slow on your ramping over the course of a couple weeks because iron supplementation can cause constipation. It can take upwards of a month or more to achieve balanced levels of Ferritin and your Ferritin should be in the 70-90 range to be healthy. This is more related to the thyroid.
!<--------- Thyroid article I wrote, long --------->!
This is for the people who don't respond well to thyroid treatment and appear to have hypothyroid symptoms despite being on thyroid replacement with normal blood test results.
As we know, T4 is the main hormone produced by the thyroid gland (supplemented with drugs like Synthroid ), and it's basically biologically inactive until the body removes an iodine atom, respectfully converting it into T3. Thyroid hormones are made up of many things, iodine being one of them and the numbers we use (T3, T4, etc.) represent how many iodine atoms are present in the molecule. Right, now your probably asking yourself, "Why should I care about iodine atoms?" In response, I'll just say that you shouldn't, however, you should be aware that the supplementation of which thyroid hormones you chose will greatly impact your ability to achieve a successful replacement protocol, stay symptom free, and actually utilize the drugs you are bombarding your body with.
Now then, when we talk about T4, we're talking about the storage hormone and it can stay active in the body for weeks, where T3 only lasts for days. (T3 actually deiodinates into T2, and then into T1, which have their own metabolic activities, but we'll stick to discussing T3, because it's the most vital. T3 is what's needed for the body's chemical reactions to progress at the right speed, and lack of results in hypo- symptoms). Most people on thyroid replacement are given T4 to start with and this is probably the worst approach, due to what we to call "thyroid resistance". Where T4 fits into the grand scheme of things, in relation to the "resistance" factor, is when the "wrong" iodine atom is removed from the molecule, thus effectively creating a mirror image of T3 that's not actually bio-active. When this T3-mimic, lets call it, fits into the T3 receptor it blocks T3 from acting on the body, and despite proper blood levels of TSH, T3, and T4, you'll still have hypothyroid symptoms. We call this wrong conversion "Reverse T3" (RT3). Most doctors don't check for this "Tissue Resistance to Thyroid Hormone" and as a result will claim it's very rare.
There are ways to correct this issue though, and that's the purpose of this thread, now that we've been educated on RT3. To start with, lets make sure you're being diagnosed correctly. You should have a ratio of about 20:1 Free T3 (FT3) to RT3. If it's less than that, you have an RT3 problem. If you only have a T3 reading (opposed to FT3) than your ratio should be about 10:1 T3 to RT3.
You can correct elevated levels of RT3 by preventing more from being made! If you stop the production of RT3, eventually your levels will decay. So, now that we know how RT3 is produced, we can go about killing it's manufacturer, T4, both endogenous and exogenous (natural and supplemented). To do this, start supplementing with T3 alone, and after about 6 weeks your body's level of RT3 should diminish and you'll start feeling better, however it takes upwards of 12 full weeks for the receptors to clear. I wouldn't recommend taking more than 125mcg of T3 throughout this clearing process. Also, be prepared to drop the amount of T3 you are taking when resistance clears, sometimes it can happen overnight, where you only need 1/2 of what you were supplementing with at the time of high resistance. Base your dose on symptoms of hypo-.
OK, so what causes RT3? Lets start by saying, it's not a bad thing as the body naturally produces it, but when the ratios of FT3 to RT3 sinks too low, that's when you'll have symptoms of hypo- despite replacement efforts. There are a variety of reasons the ratio can become unbalanced, a few of the following being most to blame.
Low Iron
Imbalance in Cortisol (too high or low)
Low B12
Extreme dieting (Lack of food, shouldn't be a problem here)
Type-1 Diabetes
Graves Disease
Low Iron:
Iron deficiency is shown to reduce T4-T3 conversion rates, increase RT3, and block the thermogenic properties of thyroid hormones. Symptoms of low iron can be the same as adrenal fatigue, anxiety, panic, uneven heart beats etc... These may already be present and, and surprising, when they worsen after a person is treated for their hypothyroid condition.
Iron forms part of the mechanism that transports thyroid hormones into cells, and can lead to the pooling of thyroid hormones in your blood while being metabolically hypo, which will skew Free T3 blood results. (This is part of the reason RT3 levels should be checked). This is another sort of thyroid resistance, and you can't just add more T3 to overcome it, you need to address the root problem.
You can measure your Ferritin (storage iron) and if it's below 70 you may end up with an intolerance issue. It's kind of a "catch-22" because low thyroid makes it hard to hang onto iron and low iron makes it hard to treat thyroid. Now, here's where it gets really confusing, sometimes Ferritin can be at a good level, yet there's still low iron in the body, and this is mainly because inflammation can cause false high's in Ferritin.
Some notes on iron testing. If you're Ferritin is in the 70-90 range, you should also check the saturation %, it should be between 35%-45% and any lower than 35% and you need more iron. (This can be checked by a full iron panel, Ferritin w/ TIBC). Iron serum should be at least 90. If your TIBC and UIBC are low, don't take too much iron, maybe 27mg daily, and as long as the % saturation and serum are good, you should be OK to treat thyroid.
Supplementing with iron should be done slowly over a week or two to allow your digestive system to adjust. Too much iron can cause constipation, and you want to ramp up your dose to 150-200mg a day split in 2 doses. Also, by taking a couple grams of Vitamin C with your iron supplement it will assist with absorption.
Cortisol too High/Low and Adrenals:
Well, low cortisol is another issue when it comes to thyroid treatment. It's another "catch-22" scenario, by being low in thyroid hormones it can actually cause adrenal stress. This is how it works, cortisol levels increase to make up for a lack in T3, and after prolonged elevated levels of cortisol the adrenals cease to be able to produce enough, thus resulting in adrenal apathy and constant decreased cortisol production. Now, there's a slew of symptoms related to adrenal fatigue, many shared by other hormone imbalances. Hypoglycemia and exercise intolerance being two common ones, as well as panic attacks, shakiness, difficult getting to sleep or staying asleep, uneven heart beats, strange temperature fluctuation, and inability to tolerate thyroid medications. The saliva test is the gold standard for cortisol measurement and isn't as skewed as a blood test (cortisol being a stress hormone, is more prone to fluctuate or spike when undergoing an invasive procedure such as a needle in a vain).
Adrenals and blood sugar:
Quote Originally Posted by oscarjones View Post
Remember guys Adrenals relate to your blood sugar as well. For example, "a chocolate addiction" can be a symptom of adrenal problems. Or, if you ever wake up in the middle of the night at around 3-4 AM it can be be due to low nocturnal cortisol. Basically, cortisol reaches very low levels to the point where it causes hypogly***ia.
Lets say you eat a sugary carb meal right before bed or very late in the evening, the instant high sugar (in a candy bar, let's assume) triggers a strong insulin response. If your adrenals aren't healthy they will not make enough cortisol, specifically at night, to raise your glucose after that big surge of insulin dropped it. When you have low blood sugar the body produces adrenaline, and it just so happens that around 3-4 AM is the body's normal time to have the naturally lowest glucose levels, partly due to fasting for 5+ hours.
So basically, to recap, the reason you wake up, hypogly***ia causes production of adrenaline. And cortisol is responsible for helping to keep blood glucose stable via gluconeogenesis, which is the body's way of metabolizing glucose from non-carb sources, such as proteins and lipids.
T3 tends to "use up" cortisol, and like iron, it's responsible for part of the mechanism that transports T3 into cells. Basal temperature is one of the ways to monitor your adrenal and thyroid function, it's the one you take first thing in AM before moving, when you first wake up, where oral temperatures are taken anytime during the day. Dr. Rind has a great website with a great example of metabolic temperature graphing, and gives a detailed insight on how to plot temperatures and determine metabolic health.
People with hypothyroid and adrenals are OK have steady but low temperatures, and people with possible adrenal fatigue and hypothyroid have significant variation in their temperature from day to day. Oral temps can be taken every 2 hours and should range between 0.2 degrees F each time.
An example of a healthy non-hypo individual is as follows:
5AM 98.2 (36.8)
10am 98.4 (36.9)
2PM 98.6 (37)
6PM 98.8-99( 37.1-37.2)
8PM 98.4 (36.9)
10PM 98.2 (36.8)
Adrenal apathy and therapy, like I mentioned is a different topic, and maybe I'll address that in another thread. This was just a small insight into the clinical reasons most thyroid patients fail to receive proper replacement protocols, and can be strung on for years in attempts to find a correct treatment and Dr. I hope it helps.
* Barnes, Broda O., M.D., and L. Galton <Hypothyroidism-The
Unsuspected Illness> (New York: Harper and Row, 1976).
* The Barnes Foundation, P.O. Box 98 Trumbull, CT 06611, (203)
261-2101.
* Puglio, P. "Hypothyroidism: The Relationship to Menstrual
Disorders," <Women's Health Connections>, Complimentary Issue II;
available through the Barnes Foundation.
* Shannon, Marilyn, M. <Fertility, Cycles and Nutrition> (Cincinnati:
Couple to Couple League, 1992).
Special credits to Dr. Holtorf, Dr. Lowe, and Dr. Rind
!<--------- My adrenal min-scrawl, which are also affected by HRT --------->!
Adrenals relate to your blood sugar as well. For example, "a chocolate addiction" can be a symptom of adrenal problems. Or, if you ever wake up in the middle of the night at around 3-4 AM it can be be due to low nocturnal cortisol. Basically, cortisol reaches very low levels to the point where it causes hypoglycemia.
Lets say you eat a sugary carb meal right before bed or very late in the evening, the instant high sugar (in a candy bar, let's assume) triggers a strong insulin response. If your adrenals aren't healthy they will not make enough cortisol, specifically at night, to raise your glucose after that big surge of insulin dropped it. When you have low blood sugar the body produces adrenaline, and it just so happens that around 3-4 AM is the body's normal time to have the naturally lowest glucose levels, partly due to fasting for 5+ hours.
So basically, to recap, the reason you wake up, hypoglycemia causes production of adrenaline. And cortisol is responsible for helping to keep blood glucose stable via gluconeogenesis, which is the body's way of metabolizing glucose from non-carb sources, such as proteins and lipids.
P.S. I hope you actually read all this because it took me a while to type it up! Hahaha.
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Thank you for the information. I'm finding that the lure of revitalization is even greater in me than penis size. But I promise I will try hard to find the best answer for myself.Vetiver;576829 said:
I'm going to go order some herbal supplements and whatnot to have them on hand.
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Update? Any gains?
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3 weeks in for me.8incyclops;577494 said:
I suspect that each case is likely different because, well, it's your own platelets and growth factors. I have read a bit more about PRP and its use with sports injuries and there are quite a few ways to supplement the healing response, as well as ways to deter it. I kinda lucked into doing the right things, COQ10, Vitamins, protein, cardio work.
I am quite satisfied so far, it's only been positive for me. I am working it at least 25% harder than before. For whatever reason it takes more abuse with no problems. Not so much improvement EQ wise (eh, could be better), but overall strength is like I could pull a truck with it so I am going with the flow. I do my regular pumping and extending sessions but somehow I didn't think that optimal, so I have supplemented my routine with quite a lot of jelq and my own method of hi flow clamping.
My primary concern was that it would fuck up my junk, or set back my routine. Thankfully that didn't happen.
Gains? Girth gain is accelerated for sure, it is really soaking up my more intense routine. Length gain (via extending) is too close to call, just slowly moving up. My plan is to work the expansion for both girth and erect length (meaning extra length because head is bigger etc) and not overly concentrate on extending. I've been keeping it pretty well pumped throughout the week to get this girth cemented.
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toucHydromaxyjunk;577506 said:
Great update hoping you will get some size out of this
How much girth have you increased by?
Are you going to do it again? It lasts 12 weeks right?
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Right after the injections there was some slight swelling, and for the next week or two a heavy feeling even when flaccid. I measured it at 6" erect girth mid shaft last week. The last time I measured was in January and it was 5-3/4" which seemed pretty typical. Due to my agressive routine it has improved since then. Girth changes a lot for me due to what exercises I have been doing throughout the week.8incyclops;577507 said:
The thing I enjoy is the better fullness at mid shaft, and that I can work that area harder than before. Somehow it just eats it up without getting sore.
With my last consult I asked about how long it lasts and about the 3 month peak I keep hearing. Dr said that it takes a while for the cells to grow and fill in the matrix, a couple of months to even longer.
He said I could get more shots at 6 week intervals as a boost. It's tempting. If it was a pill I'd do it again no problem, but it's fucking needles. Hate needles.
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toucHydromaxyjunk;577578 said:
Cool Hydromaxmm with the right equipment one could do this themselves.
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i'm going to revoke its membership from the 6" girth club for the time being. Unpumped it ranges from 6-1/4" to 5-3/4" before and after mid shaft with a semi-chub.toucHydromaxyjunk;577578 said:
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Have you guys also noticed any scar reduction? If you had any in your penis irregular hardness in the penis
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Not sure what I'd be looking for, and I made the mistake of googling so now I have to go get some eye bleach.8incyclops;577659 said:
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Are you going to get another shot?TB4;577706 said:
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8incyclops;577785 said:
My pump was given to me by the clinic and it doesn't have a name brand stamped anywhere on it.
That and I have just now started noticing slight girth improvements, especially when flaccid. Still no big differences when erect. It's still early.
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I didn't get a pump with my procedure. They probably sell them though, but I have heard that some places charge like $200 or something ridiculous.8incyclops;577785 said:
I use a Bathmate X40. I also have a X-40 but I'm not ready for it yet plus it sucked my balls in one too many times. I pump only briefly once a day for maintenance.
For girth I am doing a form of clamping.
As an extender I use a custom ABS printed base (it is wider so my ligs can fit through) along with SG parts.
I actually do see a small improvement in EQ. Not as much as I'd hoped but when I get to a 10 erection it is slightly more excited and feels better.
Main improvement for me has been an improvement in sensitivity. Secondarily there is an extra feeling of mass to it, like right around the middle. An example, typically when I pump there is a bit of an hourglass shape around mid shaft until the expansion kinda catches up. Since the shot it kinda pumps up evenly. That's the reason I had to switch from my slightly smaller X-40 pump, because it got much more gator bite.
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