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Messages - Hydranted

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2
Received my CPAP machine last night from the Hospital which is a RESMED 10 with a full face mask to start.

So last night was my first night using CPAP, my first observations are that it gave me a slightly dry throat, so some adjustment of humidity and temperature levels maybe need to get rid of that.

I think I still need to get the pump pressure dialled in properly, currently sitting on 11cm of mercury (well I think thats what it is, I better read the book lol).

Quite a different feeling for your respiration when its running as you would expect, for me its quite pleasant as it seems to reduce the breathing effort and my lungs fill with much less effort though on exhalation there is a little back pressure which just feels different rather than being intrusive.

On waking I am not sure I am much more refreshed that when I use my TSD however I am still recovering from a mild flue from last week which leaves me feeling a little sinusey However this is only after 8 hours of broken sleep (Baby feeding at night). Hopefully after a week of this and getting the pressure better dialled in I will feel a lot better.

I have very positive feelings for the outcome of using the CPAP and I expect improvements to take a little time as the body heals and gets better rest.

Will keep you posted.


Thanks for the update.  Sounds like it went pretty well on the first night, far better than most initial experiences.

It also sounds like you have some pretty realistic expectations, which is really important when it comes to CPAP.  Not everyone is going to wake up feeling like a million bucks after CPAP, I know I usually don’t.  However, when I go without mine, I feel absolutely terrible. 

Did you get the Airsense 10 that allows for use of APAP as well?  If so, I’d highly recommend trying that out.  I much prefer APAP over CPAP.  Gives you some wiggle room so you don’t have to get your pressure setting exactly right in order to be comfortable.

Pro tip: if you want to explore APAP, change your pressure setting, or access any of the advanced settings, press and hold the “home” button and the dial simultaneously.  Now you don’t have to go see your doctor and pay a copay just to make a minuscule change to your pressure.

3
No need to fret folks, T cypionate isn’t going anywhere.

It will always be available from big pharma and (in various formulations) from many compounding pharmacies. The FDA is now placing pressure on compounding pharmacies for producing products with a “substantially similar” commercial equivalent (such as T cyp 200mg/ml). It is up to each respective compounding pharmacy to dispense products that they feel offer a uniquely different alternative to the commercially available product(s). This may mean compounding in a different carrier oil (grapeseed oil for example), a blend (90% cyp/10% prop for example), etc, etc.

It is up to the INFORMED doctors to continue to demand these alternative products from the compounding pharmacies and to apply counter-pressure to the FDA to keep options open for patients. An example here is doctors prescribing compounded T cyp with grapeseed oil can put a “qualifier” on their RX such as “grapeseed oil for reduced viscosity and less injection irritation”. This is another reason why patients need to seek out well-informed and up-to-date physician care.


That is good news, Dr. Saya. It is very irritating that the FDA (and other govt. agencies IMO, but I'm ranting) keep finding ways to justify their existence, while hurting the very citizens who pay their salaries. I use 28g needles to inject subq, and it takes awhile to draw, but it does work with Test Cyp. I'd hate to have to change that up.
Thanks again for the clarification!




The viscosity of your medication isn’t really a feature that’s specific to the actual drug.  The carrier oil is what determines how viscous a given injectable is. 

So even if testosterone cypionate went away (it won’t), testosterone enanthate or another suitable replacement would still be easily drawn into your syringe assuming that the choice of carrier oil didn’t prevent this.

4

So my CPAP has been ordered. They wanted to come out this Wednesday but I had to wait until Monday due to work. I am getting the Respersonics DSX500 Dreamstation. From what I understand this is a solid machine.

I am a side sleeper, any recommendations on a good quality mask?


The Phillips Dreamwear nasal mask is great for side sleepers.  It's been my go-to mask since discovering it ~6 months ago.

https://www.amazon.com/Phillips-Dreamwear-nasal-mask-kit/dp/B0774YRVFY/ref=sr_1_5?ie=UTF8&qid=1519741627&sr=8-5&keywords=phillips+dreamwear+cpap+mask

5
Testosterone, Hormones and General Men's Health / Re: Empower Pharmacy
« on: February 27, 2018, 07:25:38 am »
I could be wrong. We have United. The only thing I could find on it was these links:

https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Main%20Menu/Tools%20&%20Resources/Policies%20and%20Protocols/Medicare%20Advantage%20Policy%20Guidelines/Testosterone_Replacement_Therapy.pdf

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/drugs-pharmacy/PA_Med_Nec_Striant.pdf

 Between that and the difficulty in getting a regular doc to do TRT, I just went with Defy. I am happy with them so far.


I only skimmed them, but those links only seem to describe the process for approval of pellets or transdermal options. 

For what it's worth, I have United Healthcare and they didn't bat an eye about covering my 10ml vials of testosterone.  Didn't even require me to come off testosterone and provide baseline bloodwork.  I switched from a clinic to a more traditional doctor, and the switch was seamless for me.

6
Testosterone, Hormones and General Men's Health / Re: cypionate dose
« on: February 24, 2018, 06:25:48 pm »
Thanks for the reply.


I got 1/2 ml 0.5 ml insulin syringe. How to correlate 5,10,15,.... 50 marking to 0.35 ml. Is 35 units equivalent to 0.35 ml?

thanks.
I have heard from one medical worker that 35 units on an insulin syringe is not = .35ml.  But I am pretty sure that is what everyone uses.  I know I do.


35 units is equal to 0.35 milliliters.

Perhaps this person was referring to using different types of insulin (U-100 v. U-40) in the syringes.  That makes things a little more confusing.

7
I'm a big proponent of using hCG along with testosterone.  It's certainly not mandatory, and there are some very rare cases where hCG doesn't doesn't "agree" with someone for one reason or another, but for most of us it's a very welcome addition to our protocols.

It's generally very well tolerated as long as reasonable doses are used, and maintaining testicular size and function is important to some of us.  I don't see much reason not to use hCG if those are important to you.  Again, hCG isn't mandatory in order to be successful on TRT.  It's just preferred by some of us.

I wouldn't worry too much about needing to add an AI if you choose to use hCG.  You're unlikely to experience any significant issues with your estradiol if your hCG dose is low.  If it does end up increasing your estradiol beyond your liking, it's usually very easy to tweak your HRT protocol a little bit so it becomes a non issue.  You'd have to be pretty unlucky for a low dose of hCG to cause you any issues though.

8
Testosterone, Hormones and General Men's Health / Re: cypionate dose
« on: February 22, 2018, 02:56:04 pm »
Very doable in any 1ml syringe.  If you really want to be exact, you can use .5ml insulin syringes.

9
We typically see the opposite occur...standard test reading falsely high when compared to the sensitive test.  However, it's not unheard of to see results like yours.

As always it's a good idea to repeat the test just to confirm (no blood test is perfectly accurate 100% of the time), but you should be trusting LC-MS/MS testing over immunoassay testing.

10


Interesting to see the mixed results with CPAP/APAP machines. I am not quiet sure what a APAP is, Google stated it is Automatic, as in automatic adjustment of pressure?

When it comes to insurance I hope mine will pay for a decent machine, not some old torn down thing that needs a kick start to get it running. I heard that the Resned Model 10 and the Phillips Dreamstation are the Ferrari's of the machines.


With your machine on the APAP setting, you set high and low pressure parameters, and the machine adjusts it based on your needs while you sleep.  Much more comfortable than the constant pressure from CPAP for me.  It makes it MUCH easier to dial in the correct pressure that you need.

I use the Resmed Airsense 10 with the APAP option.

11
CPAP, more specifically APAP, has absolutely improved my quality of life.  When I was diagnosed, my AHI was only 15 if I recall.  Not too terrible when compared to other, much more extreme, cases that others deal with.

Definitely took some getting used to.  I would rip my mask off during the night for the first month or two.  Eventually I got used to it, and now my machine an I are inseparable.  I love it, and look forward to putting it on at night. 

It's all about finding the best mask for you.  There are a lot of bulky/uncomfortable masks on the market, but there are also quite a few good ones as well.  The technology has come a very long way in recent years.

Can you recommend a comfortable full face mask?


I like the Resmed Airfit F10 for full face, although I rarely use a full face mask anymore.  I'm a side/stomach sleeper so I like to use my Phillips Dreamwear mask instead.  I've got 4 or 5 different masks that I rotate through.

12
CPAP, more specifically APAP, has absolutely improved my quality of life.  When I was diagnosed, my AHI was only 15 if I recall.  Not too terrible when compared to other, much more extreme, cases that others deal with.

Definitely took some getting used to.  I would rip my mask off during the night for the first month or two.  Eventually I got used to it, and now my machine an I are inseparable.  I love it, and look forward to putting it on at night. 

It's all about finding the best mask for you.  There are a lot of bulky/uncomfortable masks on the market, but there are also quite a few good ones as well.  The technology has come a very long way in recent years. 

13
30-45 pg/ml

14
The effects are largely overblown.  Yes, there is some research showing that Arimidex can have deleterious effects on lipid profiles, but if I recall the study was done on patients taking 1mg/day for long periods of time (somebody please correct me if I'm wrong about that).

Arimidex isn't great for lipids but in the doses men on TRT are using, it's not a significant concern unless the patient has a pre existing case of hyperlipidemia.

The effects get perpetuated across bodybuilding forums but what most of these men fail to admit/realize, is that the large doses of steroids are what is affecting their lipid profiles.  It is a fact that anabolics, when taken in large doses, will drive HDL down and LDL up.  The effects of their AI use are a drop in the bucket compared to this.

As for supplements, Cholestoff is a popular one. 

15



Yes definitely.  If I don't wear my CPAP for some reason, I feel like a complete space cadet all day.  Head in the clouds.

How come you chose CPAP over APAP and some of the other alternative out there?


My machine is able to do either APAP or CPAP.  Whenever I talk about it I just refer to it as my CPAP machine, mostly because that's the term that people are more familiar with. 

For me, APAP is definitely the better option.



Got it - interesting.  Didn't know they had two modes or whatever.




Not all machines have the option to toggle between CPAP and APAP.  To be honest I had my machine for over a year before I figured out that mine did.  I got bored one day and started looking through some of the advanced features, and there it was.  Total game changer.

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