This product is specifically designed for men (or women) who are seeking to optimize their overall well-being and quality of life. It's particularly beneficial for those experiencing symptoms associated with low testosterone levels. These symptoms can include feelings of lethargy, a decrease in libido, and a reduced sense of drive or motivation. If you find yourself facing these challenges, our product may be a suitable choice to help you regain your vitality and enhance your daily performance.
You will be prescribed TRT for either subcutaneous or intramuscular injections. Your medication will be provided along with syringes and alcohol swabs. Your doctor will determine dosage and frequency, which is often 1-2x per week.Alongside the injectable testosterone, you should take enclomiphene sublingually, which means placing it under your tongue for absorption. It's recommended to take the enclomiphene daily.
Injectable TRT has minimal effects on liver enzymes, but since enclomiphene is mainly metabolized in the liver, patients with preexisting conditions affecting the liver should monitor the enzyme levels. Elevations in liver enzymes, the prototypical sign of liver toxicity, were not seen with native testosterone.
Yes! If you have bloodwork from the last 6 months that shows Total Testosterone, SHBG (or free testosterone), LH, PSA, and Hematocrit (HCT), you can upload your results during the sign up process.
MannaMD accepts Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).Using your HSA/FSA is easy. Simply use your HSA/FSA card as you would any other debit or credit card when providing your billing information.HSA/FSA plans vary on what services they are willing to cover. If you are uncertain whether your plan covers MannaMD's services, check with your plan administrator.
Side effects may include acne, change in libido, hair loss, increase in blood pressure, increase in hematocrit and hemoglobin, increase in PSA. PSA increases are negligible, minimal effect of blood pressure, and hematocrit increases are the lowest out of all forms of testosterone.For those who are prone to hair loss, dutasteride can be requested from your provider. Dutasteride is a potent 5-alpha reductase inhibitor that prevents the conversion of testosterone to DHT, which is the main culprit in androgenic alopecia (male pattern baldness). An additional benefit of using dutasteride in combination with oral testosterone, is the increase in total testosterone without changing the dose of the oral testosterone.
Free testosterone measurement is a result of SHBG, and albumin, so increasing total testosterones will result in an increase in free testosterone given the other variables stay the same.
Individual results may vary; TRT injection results are usually seen in the first few weeks. Enclomiphene’s effects on testosterone and suppression mitigation can be seen within 28 days. Oral enclomiphene citrate raises testosterone and preserves sperm counts in obese hypogonadal men, unlike topical testosterone: restoration instead of replacement.