I have both legs and arms sets. You can’t use them interchangeably unless you are a bodybuilder with biceps like my quads. :slight_smile:

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Low-dose Naltroxin at 4.5mg is used for general inflammation mitigation and is considered off-label. I started it because I have Hashimoto’s and its suppose to help with that. I don’t know the actual mechanism that helped stop the PVCs: maybe the thyroid disease contributed, and so on. My prescription lapsed and the skipped beats started again.

TRT followup

I recently signed up with One Medical as a primary care service.

Interestingly, the doctor with which I work, said he can renew my Rapamycin prescription.
I think his decision, on this, follows from the length of time I’ve used Rapamycin without ill effects.

His actions confirmed this when I raised TRT. He became much more cautious.
Essentially he doesn’t want the responsibility of first prescribing TRT (he would likely renew if I already had a prescription).

He wants me to see an endocrinologist. This leads me to a question:

Does anyone here know an endocrinologist in NYC open to TRT for optimization of testosterone levels?

I know one can get online prescriptions, but I’d like to keep this doctor “onside” so I’ll honor his suggestions for now.

Recommendations appreciated.

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Wow… will sign off on rapamycin – a microbe produced substance. … but, no to testosterone a natural substance created in the body.

Shouldn’t be a problem this day and age… the positive benefits of maintaining high… but within normal T and now debunked side effects make it a no brainer.

All about medical liability assessment;-)

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Those levels are not in the normal range. Do what you want, but I am not buying that it is best for longevity.

  • LabCorp:
  • Adult males: 300 to 1,000 ng/dL
  • Quest Diagnostics:
  • Adult males: 300 to 1,000 ng/dL
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It is in normal range for my testing group… you get flags when you are too low or too high… over the range. I don’t understand dismissing the scale… which gets adjusted periodically. The scale is based on your company that screens LabCorp, Quest, Labdaq. Same for BMI, DEXA lumbar score… or LDL-C . Normal is within potential of human population. Above would be steroid level. Getting retested on Friday.

Like vitamin B-12, D and creatine… my GP wants me (and I do too) at highest possible within normal.

But, yeah I agree to each their own based on their body and health.

I would like to do metformin… but totally rejected by my body. Tried multiple times. Acarbose works.

Just like those on here who can’t do rapamycin. There is that 5% that just can’t. Glad I am not in that group. I want health with longevity. Cheers!

Fortunately… understanding HRT/TRT in men and woman has come a long ways. It is basically safe. Both Dr. Peter Attia and Matt Kaeberlein said HRT in men and women is a #1 out of 5 in health benefits.

Quote: Data is clear… in magnitude of effect. Safe for men and women under a physician’s care. It’s a #1.

Podcast - Peter Attia and Kaeberlein: Training Eating & Optimizing To Live Longer. End of program at point 1:02:48
Link: https://youtu.be/HkmF8VwU2EI

Also, blood test for Testosterone levels is measured in what a normal healthy range for a person. Above that range is steroid dosing. Under that range is adjusting within normal. For Labdaq that does my blood measurement normal range of testosterone is 199 - 1586. I am well under that in my test this week at 1177.7.

Yes - over 1586 you begin to move into above normal and steroid abuse level. Why you use a physician.


Blood test this week for sirolimus/ rapamycin/rapamune – estradiol and testosterone

My Estradiol level is also great 25.7 you need this hormone - but don’t want it too high. Which is why you do blood tests regularly and work with a physician - as Attia and Kaeberlein recommend.

Link: The Role of Estrogen in Men’s Health.

What estrogen level should a man have?
The normal estrogen level that a man should have depends on his age and medical history. A fully grown male usually has an estradiol level of 10-40 picograms per milliliter (pg/ml)

The presence of estrogen in a man’s body is extremely important, since they perform several important functions at once, including:

  • ensuring that muscle mass gain is processed in the correct way
  • preservation of bone strength
  • maintaining a stable nervous system and emotional state
  • maintaining the correct metabolism
  • prevention of the development of muscle and organ hypoxia even with strong physical exertion
  • prevention of the development of diseases of the cardiovascular system
  • maintaining the normal appearance of the skin

Hopefully with the better understanding HRT of achieving high normal testosterone with TRT for health - we stop scaring those who can benefit most from it as a healthy aging option. I was under the same illusion of - "IT WILL KILL YOU!! Until I discussed it with my physician and he explained that is not true for adjustment within normal. Been on TRT 5 years now. GREAT!!

As to my sirolimus number 17.3 normal range is 3-20 ng/mL
That was from 10 ounces of GFJ grapefruit juice 2 hours before a dose of 4 mg zydus/rapamycin taken with 5 ounces of GFJ with the pill . Labdaq blood test drawn was 2.5 hours after zydus/rapamycin dose.

It seems for most people 1 mg rapamycin = 3 ng/mL. Hence the normal range of 3.0 - 20.0 ng/mL Meaning you could take 7 mg and likely still be in the normal range.

Taking 4 mg with nothing should have given me a 12 ng/mL, but with the GFJ I was able to get the benefit as if I had taken 6 mg which would be about 18 ng/mL.

I want to take 6 mg rapamycin per week - so the GFJ saves me one 2mg pill. Which is great!!
I had assumed the GFJ would have a bigger effect - but hey - this is fine take 4 mg with GFJ - get a benefit of 6 mg.

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