First blood test. Considering test + HGH. Advice please.

It can’t hurt to start there. There’s every chance Tesa would bring you to the very high end of physiological IGF range, something those using ~4iu rHGH are lucky to achieve, many needing more, with fewer sides and no diabetogenic concerns or dealing with timing of dose or food (makes no difference because of how it works, unlike rHGH). And it’s arguably the safest way to get a big boost in GH/IGF.

I don’t see your age, but I’ve you’re over 30, retaining the natural pulsation of GH release (a few minutes at a time) is much more effective than rHGH at getting rid of the visceral fat you’ve accumulated,
(No matter your overall body weight, IGF decline post 25yrs redistributes fat into visceral depots), over a 4-6 month 2mg/day Tesa cycle. That will Improve your metabolic health significantly (you’ll see it on lipid and inflammation markers, it’s not subtle).

After maxing out the visceral fat reduction, you can decide if you want to “graduate” to rHGH, for stronger anabolic and general anti aging effects, at the cost of more careful management (timing, food, blood glucose monitoring), increased sides, and higher risk.

As a bonus, the visceral fat loss will increase GH to IGF conversion efficiency, so in a sense the Tesa will “prep” your body for rHGH, allowing a lower, safer, less side effect inducing rHGH dose to give you a higher more anabolic muscle building IGF level.
I always thought sermorelin was better for visceral? I’ve never tried either just ran hgh in the past. Have natural igf of 220 at 31 years old but 0 gh serum and a partial empty sella. Lipids could use some work as apo b is elevated as well as alt. Tesa also has a positive affect on lipids? Probably going on ezetemibe in Decembers doc appointment as pita isn’t approved in Canada yet. Already on Ramipril and nebivolol
 
I always thought sermorelin was better for visceral? I’ve never tried either just ran hgh in the past. Have natural igf of 220 at 31 years old but 0 gh serum and a partial empty sella. Lipids could use some work as apo b is elevated as well as alt. Tesa also has a positive affect on lipids? Probably going on ezetemibe in Decembers doc appointment as pita isn’t approved in Canada yet. Already on Ramipril and nebivolol

Because there’s no limit to rHGH dose, you can definately exceed Tesa’s vat reduction. 18iu rHGH was shown to double the VAT loss of Tesa over the same 6 month standard period.

But Tesa at 2mg is effortless and (essentially) safe. Comparisons to rHGH doses are tricky, but based on data, to achieve the same VAT reduction over 6 months would need 3-6iu on average. Even that somewhat modest dose needs effort to manage and is very likely to cause sides.

Sorry to hear about Pita, that’s a shocker..

Pravastatin is the closest statin to Pitavastatin in terms of low side effects, muscle protection, low risk of diabetes.

Some provinces may require you to “fail” another statin first. I only found BC does for sure. The others may not.

If you do need to try another first, I’d tell my doc I’d like to just try something to lower cholesterol then. accept the prescription for whatever they recommend, and call in a week complaining of muscle pain. Just nonspecific “my legs get really sore going up stairs / treadmill” whatever. It’ll be unsurprising to them, it happens with other statins, they may want to lower dose first, do it for a week or so and contact them again to say it’s a little better but still sore. and then ask if you can try pravastatin.
 
Because there’s no limit to rHGH dose, you can definately exceed Tesa’s vat reduction. 18iu rHGH was shown to double the VAT loss of Tesa over the same 6 month standard period.

But Tesa at 2mg is effortless and (essentially) safe. Comparisons to rHGH doses are tricky, but based on data, to achieve the same VAT reduction over 6 months would need 3-6iu on average. Even that somewhat modest dose needs effort to manage and is very likely to cause sides.

Sorry to hear about Pita, that’s a shocker..

Pravastatin is the closest statin to Pitavastatin in terms of low side effects, muscle protection, low risk of diabetes.

Some provinces may require you to “fail” another statin first. I only found BC does for sure. The others may not.

If you do need to try another first, I’d tell my doc I’d like to just try something to lower cholesterol then. accept the prescription for whatever they recommend, and call in a week complaining of muscle pain. Just nonspecific “my legs get really sore going up stairs / treadmill” whatever. It’ll be unsurprising to them, it happens with other statins, they may want to lower dose first, do it for a week or so and contact them again to say it’s a little better but still sore. and then ask if you can try pravastatin.
Noted thank you. From reading your posts I figured ezetemibe was the best option considering I will ask my doc for that instead he’s lenient in allowing me to choose.
 
Noted thank you. From reading your posts I figured ezetemibe was the best option considering I will ask my doc for that instead he’s lenient in allowing me to choose.

Ezetimebe is great, should be in the water imo lol. It’s a “freebie” lowering LDL, essentially without concern of any side effects . It’s best combined with statins, but certainly better than nothing.
 
Ezetimebe is great, should be in the water imo lol. It’s a “freebie” lowering LDL, essentially without concern of any side effects . It’s best combined with statins, but certainly better than nothing.
Thanks my friend. Love reading your posts. I wanna run tesa but up here seems a lot more expensive than gh for 2mg a day
 
Thanks my friend. Love reading your posts. I wanna run tesa but up here seems a lot more expensive than gh for 2mg a day

It is more expensive, but only because rHGH has gotten so cheap. If you with rHGH for cost effectiveness, calculate assuming you’ll be using 4iu/day.
 
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