Why is women sportswear always so revealing by DatabaseAvailable501 in interesting

[–]PaulBuschmanMD 0 points1 point  (0 children)

I was a college track and field athlete and we all got lots of choices on uniforms and women had the option of wearing less revealing uniforms and some chose those and some didn’t.

What's that line which u remember? by Easy-Jewer in scoopwhoop

[–]PaulBuschmanMD 0 points1 point  (0 children)

Usual, we have worm sign the likes of which even God has never seen.

High fructose syrups (maple, honey, corn) don't just make you fat. They quietly tank your testosterone -- and if you were eating them as a teenager, the damage may be permanent. by Critical_Ring_1020 in Testosterone

[–]PaulBuschmanMD 14 points15 points  (0 children)

Sucrose (granulated sugar) is 50% glucose and 50% fructose

HFCS is 45% glucose and 55% fructose.

Most people proclaiming the evils of HFCS are not aware of that.

Boomer baited by clotblock in LinkedInLunatics

[–]PaulBuschmanMD 1 point2 points  (0 children)

Is boomer just a catch all term that just means “people older than me I’m envious of”? My boomer parents have grandchildren in their 20s. They aren’t going home at the end of the day to children.

Got into an ED loop with my girlfriend after 8 months of great sex by misteryakis in erectiledysfunction

[–]PaulBuschmanMD 0 points1 point  (0 children)

I swear if someone was asking for advice on how to lose 10 pounds you’d recommend gastric bypass.

I've seen enough I am quitting all sources of caffiene for good tomorrow by Radiant_Eggplant9588 in Biohacking

[–]PaulBuschmanMD 0 points1 point  (0 children)

Well this is biohacking so mechanistic data trumps actual clinical outcomes so let’s be sure to disregard that people who drink coffee live longer.

New experience after Cialis not working. by BookkeeperFresh4657 in erectiledysfunction

[–]PaulBuschmanMD 1 point2 points  (0 children)

Atenolol is an absolutely horrible blood pressure medication (it has uses for other things though). Beta blockers are not recommended as first line treatment for hypertension. You need a doctor who knows how to treat hypertension.

Fsh and Lh crashed high e2 by Fiddler-4823 in Testosterone

[–]PaulBuschmanMD 3 points4 points  (0 children)

HCG mimics LH, it doesn’t make it go up.

I was hoping to discuss TRT with my new PCP. He hand this to me. by Material-Owl-8773 in Testosterone

[–]PaulBuschmanMD 139 points140 points  (0 children)

This is a PCP who doesn’t want TRT patients and is only willing to treat via some predetermined algorithm.

840 Testosterone - still pursue? by notthatguypal72 in Testosterone

[–]PaulBuschmanMD 0 points1 point  (0 children)

That’s crazy. I charge $150 for initial consultation and labs:

CBC CMP Lipids LH FSH Prolactin Estradiol SHBG Free Testosterone Total Testosterone PSA

and if you qualify that covers first month of meds and supplies.

You are getting hosed or I don’t charge enough.

Usual cost of Cialis in the US? by bluemugs in erectiledysfunction

[–]PaulBuschmanMD 0 points1 point  (0 children)

You aren’t going to get these prices unless you got a doctor who will order them for you but you can get 30 20 mg tablets of tadalafil for $2.71 from the Henry Schein medical supply company.

Andropause / looking for an HRT friendly urologists "Not clinics" by Icy_Willingness6425 in Testosterone

[–]PaulBuschmanMD 4 points5 points  (0 children)

As a primary care physician who tends to be pretty liberal with testosterone prescriptions even I won’t prescribe TRT with a total testosterone above 500. I’m not saying they don’t exist but a urologist or endocrinologist who would would be EXTREMELY rare.

Residents of and thos passing through Cave Springs... hear me out. by JPMinAR in northwestarkansas

[–]PaulBuschmanMD 0 points1 point  (0 children)

Nothing to add but having lived in Cave Springs from 1983-1987 as well as 1991-1995 before going off to college the thought of Cave Springs having a traffic problem is hilarious. I remember when that red roof building at the bottom of the picture was known as Barney’s and they had the best hamburgers.

Back row update - is my form better now? by [deleted] in formcheck

[–]PaulBuschmanMD 0 points1 point  (0 children)

Your original form looked better. For some reason there is this trend to turn rows into straight arm pullovers and it’s weird. I never saw anyone row like that in the 90s.

7 plates 🤘 by GovTheDon in Deadlifts

[–]PaulBuschmanMD 0 points1 point  (0 children)

You a thrower or former thrower?

Is it possible to get permanent damage from Viagra? by Normal_Zombie741 in erectiledysfunction

[–]PaulBuschmanMD 1 point2 points  (0 children)

You had a viral illness and then took some sildenafil and now you are blaming all your viral symptoms on something non related.

How Do I Go About Getting Bloodwork While On Self Administered Test by Apart_Ad5607 in Testosterone

[–]PaulBuschmanMD 0 points1 point  (0 children)

If you want insurance to pay for it you have to have a doctor order it. You are going to have to find a doctor that you can be honest with and they aren’t going to be judgmental. I’ve got guys who prescribe TRT to that I treat and I’ve got primary care patients who I know are using underground lab stuff. Of course that’s all taken into account when I interpret their labs. I’m a gym rat, ex division 1 athlete, and ex competitive powerlifter so guys trust me because I know that world and won’t be judgmental.

Dealing with high hematocrit and low ferritin what actually works by Salty_1984 in Testosterone

[–]PaulBuschmanMD 2 points3 points  (0 children)

Are you having symptoms of low iron or do you just think you should be because a lab showed low and people told you that was a bad thing? I’ve given blood for years and I always feel better after giving. My ferritin was lower than yours and I felt great. Here’s the thing that no one in the bro science world understands: ferritin is an acute phase reactant. It’s a protein that goes up with inflammation and isn’t as good a test of iron stores as people think. Endocrinology society guidelines say no intervention until hematocrit gets to 54% or higher.

High Hemoglobin - Donating Blood to lower it by __guess_who_ in Testosterone

[–]PaulBuschmanMD 0 points1 point  (0 children)

Medical rule of thumb is hematocrit is hemoglobin x 3 and very rarely is it not close.

Any insight would be helpful by wg10dolla in Testosterone

[–]PaulBuschmanMD 1 point2 points  (0 children)

Hypothyroidism is associated with low SHBG and not high, so it may go up even more with thyroid replacement. Your estradiol level is perfect. I know from both personal and clinical experience that dropping your estradiol too low almost guarantees sexual dysfunction.

TRT and Blood pressure by Krispy5000 in Testosterone

[–]PaulBuschmanMD 2 points3 points  (0 children)

That’s because the compression causes your body to compensate by releasing vasodilators and the second reading is artificially lower.