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Posted

If your going to get blood work and your thinking on TRT lines, dont stop at those two, get a proper panel.

Get the full baseline readings.

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Posted

I'm also interested in the cost per month for you older 60+ guys and whether you use gels or injection....and sources in Thailand..(Chiang Mai would be helpful).

 

My goal is primarily better results in the gym as i'm not going near hardcore steroids due to all the sides.

 

I'm trying fenugreek pills at the moment to raises testosterone which of course is at the weakest end of the results scale...

 

Just commited to hitting gym long-term now.

Posted
On 7/7/2025 at 9:33 PM, Elektrik said:

Looking for a clinic or hospital to do full bloodwork for Men primarily free and total testosterone etc., thanks

 

 

Your location would be a good idea.

SMH

Posted
On 7/7/2025 at 9:33 PM, Elektrik said:

Looking for a clinic or hospital to do full bloodwork for Men primarily free and total testosterone etc., thanks

Any hospital

Posted
12 hours ago, freedomnow said:

I'm also interested in the cost per month for you older 60+ guys and whether you use gels or injection....and sources in Thailand..(Chiang Mai would be helpful).

 

My goal is primarily better results in the gym as i'm not going near hardcore steroids due to all the sides.

 

I'm trying fenugreek pills at the moment to raises testosterone which of course is at the weakest end of the results scale...

 

Just commited to hitting gym long-term now.

Bioidentical pellets are better...get poked every 3-6 months.

 

Posted

If you're in BKK and contemplating TRT, I recommend speaking to Transcend Clinic in Times Square on Suk Rd. The other provider I've used for some bloods is Excel Male but Transcend costs less and seemed less transactional. 

 

They offer 3 blood packages and in my case (I took middle package) included 2 no-rush consultations with the doctor, who I found very good. He knows his stuff and speaks great English. A proper blood panel is necessary for anyone contemplating TRT - one or two markers on their own are not sufficient.

 

The only thing I would mention about Transcend is the doc advocated use of an AI (arimidex) to deal with high E2 (which I have an issue with). Some providers strongly disagree with using it, including mine in the UK and feel is counter-productive.

 

I've been on TRT in the UK with both public and now private providers since 2018 and used Transcend for a quarterly blood panel since I was in BKK for the winter. So I certainly wasn't a novice when I went in there and could judge if doc knew what he was talking about (many doctors don't as far as TRT goes...).

 

My present regime is T cypionate & HCG - I inject daily but many don't need to do that. I do so due to high E2 and prolactin issues. Everyone has different biofunction. 

 

The regime I follow is generally regarded as being the optimal treatment regime in modern TRT, though compounded T cream is a strong or possibly better alternative to cypionate for some. HCG is optional but TRT will shrink your nuts a lot and make you infertile. Even if that doesn't matter, the view is that it still contributes to well-being by not shutting your normal reproductive function down, even if it is diminished from when you're younger (the brain detects exogenous T and tells your nuts to quit making sperm, basically).

 

The public health system in the UK doesn't prescribe HCG alongside T, hence why I went to a private provider eventually (my doc also was ignorant about modern TRT despite being a consultant....go figure).

 

Enthanate is an alternative to cypionate tho not as well regarded. DON'T bother with gels, Nebido etc. - they don't work well/consistently in many cases. Been there, done it. Pellets are certainly not recommended in modern TRT either. 

 

 

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Posted
On 7/10/2025 at 8:23 AM, Freddy42OZ said:

 

 

Your location would be a good idea.

SMH

I live in Cambodia but travel to Thailand via Bangkok, so primarily Bangkok, thank you.

Posted
9 hours ago, MarkyM3 said:

If you're in BKK and contemplating TRT, I recommend speaking to Transcend Clinic in Times Square on Suk Rd. The other provider I've used for some bloods is Excel Male but Transcend costs less and seemed less transactional. 

 

They offer 3 blood packages and in my case (I took middle package) included 2 no-rush consultations with the doctor, who I found very good. He knows his stuff and speaks great English. A proper blood panel is necessary for anyone contemplating TRT - one or two markers on their own are not sufficient.

 

The only thing I would mention about Transcend is the doc advocated use of an AI (arimidex) to deal with high E2 (which I have an issue with). Some providers strongly disagree with using it, including mine in the UK and feel is counter-productive.

 

I've been on TRT in the UK with both public and now private providers since 2018 and used Transcend for a quarterly blood panel since I was in BKK for the winter. So I certainly wasn't a novice when I went in there and could judge if doc knew what he was talking about (many doctors don't as far as TRT goes...).

 

My present regime is T cypionate & HCG - I inject daily but many don't need to do that. I do so due to high E2 and prolactin issues. Everyone has different biofunction. 

 

The regime I follow is generally regarded as being the optimal treatment regime in modern TRT, though compounded T cream is a strong or possibly better alternative to cypionate for some. HCG is optional but TRT will shrink your nuts a lot and make you infertile. Even if that doesn't matter, the view is that it still contributes to well-being by not shutting your normal reproductive function down, even if it is diminished from when you're younger (the brain detects exogenous T and tells your nuts to quit making sperm, basically).

 

The public health system in the UK doesn't prescribe HCG alongside T, hence why I went to a private provider eventually (my doc also was ignorant about modern TRT despite being a consultant....go figure).

 

Enthanate is an alternative to cypionate tho not as well regarded. DON'T bother with gels, Nebido etc. - they don't work well/consistently in many cases. Been there, done it. Pellets are certainly not recommended in modern TRT either. 

 

 

 

Where do you get your cypionate and price ? 

 

Can i ask your doses and how you take the cypionate Intramuscular or subcutaneous?

Posted
5 minutes ago, Hummin said:

 

Where do you get your cypionate and price ? 

 

Can i ask your doses and how you take the cypionate Intramuscular or subcutaneous?

I have been using Sustanon 250. A prescription is not need in Cambodia and can be bought in a pharmacy. I have supplier here that sells a box of 10 ampules for $50, it is made in India by Deus medical. I currently inject every ten days with excellent results. I started on seven days for about two months and moved to every 14 days then changed to the current ten days, around 12 days the amount of testosterone slips.

Posted
4 minutes ago, Elektrik said:

I have been using Sustanon 250. A prescription is not need in Cambodia and can be bought in a pharmacy. I have supplier here that sells a box of 10 ampules for $50, it is made in India by Deus medical. I currently inject every ten days with excellent results. I started on seven days for about two months and moved to every 14 days then changed to the current ten days, around 12 days the amount of testosterone slips.

And how high is our T reading at peak? I inject every 17 - 25 days for 250mg enenthate depending on how much I work out or not, I normally get a boost at 14 days if Im very active 

Posted
1 minute ago, Hummin said:

And how high is our T reading at peak? I inject every 17 - 25 days for 250mg enenthate depending on how much I work out or not, I normally get a boost at 14 days if Im very active 

I have been getting my test done on day of injection, my total T was 800. I realized i forget to mention free T or bio-available they did not provide it, thats why when i go to Thailand i want to find a more expansive service. Transcend looks on on their website.

Posted
1 minute ago, Elektrik said:

I have been getting my test done on day of injection, my total T was 800. I realized i forget to mention free T or bio-available they did not provide it, thats why when i go to Thailand i want to find a more expansive service. Transcend looks on on their website.

At every seven days total T was 1300.

Posted
2 minutes ago, Elektrik said:

At every seven days total T was 1300.

Well, 800 is normal for a guy below 50, 1000 is considered very high, and i wouldnt be surprised your estrogen is equally high as well, as it should be.

Posted
10 hours ago, Hummin said:

 

Where do you get your cypionate and price ? 

 

Can i ask your doses and how you take the cypionate Intramuscular or subcutaneous?

Hey there Hummin,

 

My provider is in the UK. I spend part of my year in SE Asia (this year was late Jan to early May and I expect to be back in mid October until end of year) and rest of my time in UK. So the cypionate and HCG was prescribed and dispensed for me here in UK. I used the clinics in BKK because I wanted to get my bloods done while I was away. 

 

I pay for a TRT package deal here in the UK - all meds and consumables , quarterly bloods (42 markers), video calls etc. Costs me £245 a month which isn't cheap per se the doctor knows what he's doing and is on TRT himself. In contrast, my NHS endocrinologist was seriously deficient in knowledge imo and that's not isolated.  

 

My current regime is 100mg cypionate weekly and 1000iu HCG weekly. I started on 3 times a week dosing but went to daily because I have had issues with high E2 and prolactin and the thinking is daily injections best mimic what your own body would naturally do without TRT i.e. you don't overload it. I inject subcutaneous in the belly fat area - .30 gauge needle for the HCG, .27 for the T. No need to go intramuscular at all imo - research I've seen suggests no benefit and subQ is painless pretty much. It's an easy routine to get into and doesn't leave injection scars. 

 

I seem to be a good responder to cypionate because some guys might inject 1.5 to 2* what I do. It's all about the bloods as to what you need, that's why they are so vital to understand. Last time I checked I was near 1200 raw T level and my free T was high as well. So I don't need any more imo. The issue I do have is high E2 and prolactin - I am a little bit overweight so I'm trying to focus on getting back in normal range. Conventional medicine would say cut back the T but the kind of figure I get is normal in modern TRT and many guys don't have the E2 issues I have. 

 

 As mentioned, I've hear compounded T cream (not gel which is crap for most people) can be very good or even better alternative. Not tried it, but I might do possibly later this year if my issues persist - my provider offers it. You put it on your balls once or twice a day with a click dispenser 😄. I might have some doubts about getting that in Thailand because it has to be specially made - I would want it done in a Western country tbh.

 

Btw, the cypionate and HCG vials are really small. The hassle for me is the needles but I'm gonna order them from Lazada or similar next time to save bringing them over.

 

Regards cypionate availability in Thailand......I recall asking the doc in Transcend BKK about it since I might spend more time there in future and he seemed to be suggesting that it wasn't easily available. Not sure why because Google search says it's legal? Saying that, when I asked about Arimidex, they couldn't prescribe that and I bought some at South Eastern pharmacy on Suk Rd for 3 or 4k baht. It may be a case of asking around - I wonder if it's possible to import it if it's online prescribed? Like I say, the package is tiny. I wouldn't go to the unlicensed body builder sites etc. because you have no idea what you're getting. 

 

Cheers

Posted
10 hours ago, Hummin said:

Well, 800 is normal for a guy below 50, 1000 is considered very high, and i wouldnt be surprised your estrogen is equally high as well, as it should be.

In modern TRT the "normal" ranges seen on blood panels don't necessarily apply, rightly or wrongly.

 

The conversion of excess T to estrogen depends on physiology, body fat, genetics etc i.e. some people are more pre-disposed than others. The AI is available and works but thinking on it is sharply divided. My provider, along with a number of others, don't advocate using it for various reasons, not least because it's said E2 is a very crude marker. 

 

Haemocrit ratio is something that does need to be carefully monitored - thickness of the blood. No doubts on that. I'm on the limit at 54 but I was when I used gel and had crap T readings.

 

So many variables involved with TRT. Ultimately it comes down to how you feel rather than just chasing numbers. You need a doctor who is on side with that. 

 

I will say I feel better since getting on the HCG (some do, some don't). Though my main reason was to try get my fertility and balls back 😄 Unfortunately, I stuck with the NHS for 6 years trying various things out and they wouldn't offer it unless I stopped TRT. Dual-therapy is normal in modern TRT.  They didn't offer cypionate either btw.

 

Btw - when I started injecting at 3 times a week I did my bloods at "trough" level (though theoretically I should have been fairly steady-state after 5 weeks or so). So I would do the draw prior to injecting on my longest interval day. Now I'm daily it's just before injecting on any given day, obvs.  

Posted
9 hours ago, Elektrik said:

I have been getting my test done on day of injection, my total T was 800. I realized i forget to mention free T or bio-available they did not provide it, thats why when i go to Thailand i want to find a more expansive service. Transcend looks on on their website.

Definitely recommending Transcend based on my experience. Dr Panu was the guy I saw. 

 

Enathanate would be a good alternative to cypionate or compounded cream. It's somewhat better rated than Sustanon by the providers I spoke to. Can't remember why, peaks and troughs were one thing I recall. 

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