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Home > Archive > Impotence Support > January 2005 > Questions for Ernest Nolan about Testosterone pellet implants.
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Questions for Ernest Nolan about Testosterone pellet implants.
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| Larry M. 2005-01-13, 7:07 pm |
| Hi Ernie,
I am thinking about switching from bi-weekly Testosterone injections
to Testosterone pellet inplants. I have a few questions/concerns about
the procedure that I would like to ask you about if you have time to
answer them for me.
1.) How many pellets are implanted at one time?
2.) How large are the pellets? (BB size, Aspirin size?)
3.) Where abouts on the body do they insert the pellets (arm, thigh,
stomach, back)?
4.) How far apart are the pellets placed from each other?
5.) Exactly how do they insert the pellets under the skin
(large needle, incision)?
6.) How painful is the procedure? I know pain is subjective but on a
scale of 1-10 with 10 being extreme pain how would you rate it?
7.) Do they give you any kind of anesthetic before they do the
procedure?
8.) After the pellets are implanted can you feel them under your skin?
If so, do they feel hard or soft to the touch? Is the area where
they are inserted painful to touch?
Thanks,
Larry M.
| |
| ernestnolan 2005-01-14, 2:07 am |
| Hi,
OK by the numbers.
1. The formula for the dosage is:
Subtract 15 pounds from your total weight and the for each 10 pounds
remaining you get one pellet. As I weigh more than 230 I get 20 pellets
total, 10 at a time as he reloads the trocar for the second 10.
2. The pellets are a little larger than a grain of wheat but not as big as a
large grain of rice and about the same diameter, These are the 75mg size,
but there are 200mg pellets also. Other sizes may be used as well, but fewer
of the larger pellets will be used to make up the 1350mg that lasts me 4
months. Most endocrinologists provide only about 1/2 or even less which
prevents the patient from reaching the high normal level of 800-1000. You
have to shop around to get an endocrinologist that will give you enough.
Many doctors are new to hormons and the pharmacy reps tell them the doses
for patches and such. To my surprise Bartor Pharmacal suggests about 1/2 the
dosage Dr. Gambrell, Augusta, GA uses.
3. The injection site is below the belt on your side behind the hip joint.
It is below the skin in the fat.
4. Some of the new doctors installing only 6 may use a scalple and tweezers
and maybe a stitch. This is not the correct way to install them. There are
inserted 10 at a time and rammed out of the end of the tool into the fat.
The pellets are a couple of inches away from the tool entry point so they
can't work out later as some installed with a scalple might.
There is no pain as local anethesia is used and after a week the tenderness
under the skin goes away too. No further involvement till the next trip 4
months later. The slow release of the hormone usually prevents any shock
which may cause the converstion of T to E2.
5. The tool used is a Trocar. About 1/2" wide and maybe 1/8" thick with a
sharp chisel tip. After the skin is numb the tool is literally shoved thru
the sking by skilled hands to avoid damage to bones and abdominal walls and
such. The only thing you feel is tugging and pushing which initially was an
unwelcome surprise but it was over in seconds. The tool has a hole thru the
length which may be 4 to 5 inches the dia. of the pellets. A special shape
helps the pellets fall in the tube and a metal plunger shoves the crystaline
pellets out into the fat. The trocar can be partially withdrawn and more
pellets placed in a slightly different area but my doctor leaves it in place
and pushed the next 10 into the same location making the lump under the skin
something you can feel for seveal months till it is nearly gone.
6. Ooops, got some of the pain mentioned above. You may feel a slight
burning when the anesthesia is injected under the sking. Several shots are
used to insure no pain when the tool is pushed into your hide. My skin is
tough like horse hide and he has to work to get the tool installed. The wife
has now recollection of what I'm talking about as her skin cuts more
easily. He routinely give me a prescription for penisiline and prednisone to
prevent swelling which are inexpensive but I never need them.
7. There is a saline injection that precedes the numbing shots. Slowly given
to keep from tearing up the area.
Could be something like Latocaine but that isn't it I'm sure.
8. The pellets are under the skin about 1/2" so you can not feel individual
pellets thru the skin. They are a hard lump and if you press, you might even
hear them grind against each other. Best to leave them alone so they
dissolve well. Don't bruise the area. Bruising prevents the dissolving from
being efficient I think says it best.
God luck finding a doctor with enough decades of experience treating
andropause so you can get the benefit. Hollywood used to fly in from CA when
it wasn't available there in the 60' & 70's. Bob Hope was one mentioned.
There is a web site with doctors listed but most are probably for women
only.
ernestnolan
"Larry M." <nospam@nospam.com> wrote in message
news:lpjdu0t645dhjcvgg1l1o3k6gq6bnfsgv9@4ax.com...
> Hi Ernie,
> I am thinking about switching from bi-weekly Testosterone injections
> to Testosterone pellet inplants. I have a few questions/concerns about
> the procedure that I would like to ask you about if you have time to
> answer them for me.
>
> 1.) How many pellets are implanted at one time?
>
> 2.) How large are the pellets? (BB size, Aspirin size?)
>
> 3.) Where abouts on the body do they insert the pellets (arm, thigh,
> stomach, back)?
>
> 4.) How far apart are the pellets placed from each other?
>
> 5.) Exactly how do they insert the pellets under the skin
> (large needle, incision)?
>
> 6.) How painful is the procedure? I know pain is subjective but on a
> scale of 1-10 with 10 being extreme pain how would you rate it?
>
> 7.) Do they give you any kind of anesthetic before they do the
> procedure?
>
> 8.) After the pellets are implanted can you feel them under your skin?
> If so, do they feel hard or soft to the touch? Is the area where
> they are inserted painful to touch?
>
> Thanks,
>
> Larry M.
>
>
| |
| ernestnolan 2005-01-19, 2:07 am |
| Hi,
OK by the numbers.
1. The formula for the dosage is:
Subtract 15 pounds from your total weight and the for each 10 pounds
remaining you get one pellet. As I weigh more than 230 I get 20 pellets
total, 10 at a time as he reloads the trocar for the second 10.
2. The pellets are a little larger than a grain of wheat but not as big as a
large grain of rice and about the same diameter, These are the 75mg size,
but there are 200mg pellets also. Other sizes may be used as well, but fewer
of the larger pellets will be used to make up the 1350mg that lasts me 4
months. Most endocrinologists provide only about 1/2 or even less which
prevents the patient from reaching the high normal level of 800-1000. You
have to shop around to get an endocrinologist that will give you enough.
Many doctors are new to hormons and the pharmacy reps tell them the doses
for patches and such. To my surprise Bartor Pharmacal suggests about 1/2 the
dosage Dr. Gambrell, Augusta, GA uses.
3. The injection site is below the belt on your side behind the hip joint.
It is below the skin in the fat.
4. Some of the new doctors installing only 6 may use a scalple and tweezers
and maybe a stitch. This is not the correct way to install them. There are
inserted 10 at a time and rammed out of the end of the tool into the fat.
The pellets are a couple of inches away from the tool entry point so they
can't work out later as some installed with a scalple might.
There is no pain as local anethesia is used and after a week the tenderness
under the skin goes away too. No further involvement till the next trip 4
months later. The slow release of the hormone usually prevents any shock
which may cause the converstion of T to E2.
5. The tool used is a Trocar. About 1/2" wide and maybe 1/8" thick with a
sharp chisel tip. After the skin is numb the tool is literally shoved thru
the sking by skilled hands to avoid damage to bones and abdominal walls and
such. The only thing you feel is tugging and pushing which initially was an
unwelcome surprise but it was over in seconds. The tool has a hole thru the
length which may be 4 to 5 inches the dia. of the pellets. A special shape
helps the pellets fall in the tube and a metal plunger shoves the crystaline
pellets out into the fat. The trocar can be partially withdrawn and more
pellets placed in a slightly different area but my doctor leaves it in place
and pushed the next 10 into the same location making the lump under the skin
something you can feel for seveal months till it is nearly gone.
6. Ooops, got some of the pain mentioned above. You may feel a slight
burning when the anesthesia is injected under the sking. Several shots are
used to insure no pain when the tool is pushed into your hide. My skin is
tough like horse hide and he has to work to get the tool installed. The wife
has now recollection of what I'm talking about as her skin cuts more
easily. He routinely give me a prescription for penisiline and prednisone to
prevent swelling which are inexpensive but I never need them.
7. There is a saline injection that precedes the numbing shots. Slowly given
to keep from tearing up the area.
Could be something like Latocaine but that isn't it I'm sure.
8. The pellets are under the skin about 1/2" so you can not feel individual
pellets thru the skin. They are a hard lump and if you press, you might even
hear them grind against each other. Best to leave them alone so they
dissolve well. Don't bruise the area. Bruising prevents the dissolving from
being efficient I think says it best.
God luck finding a doctor with enough decades of experience treating
andropause so you can get the benefit. Hollywood used to fly in from CA when
it wasn't available there in the 60' & 70's. Bob Hope was one mentioned.
There is a web site with doctors listed but most are probably for women
only.
ernestnolan
"Larry M." <nospam@nospam.com> wrote in message
news:lpjdu0t645dhjcvgg1l1o3k6gq6bnfsgv9@4ax.com...
> Hi Ernie,
> I am thinking about switching from bi-weekly Testosterone injections
> to Testosterone pellet inplants. I have a few questions/concerns about
> the procedure that I would like to ask you about if you have time to
> answer them for me.
>
> 1.) How many pellets are implanted at one time?
>
> 2.) How large are the pellets? (BB size, Aspirin size?)
>
> 3.) Where abouts on the body do they insert the pellets (arm, thigh,
> stomach, back)?
>
> 4.) How far apart are the pellets placed from each other?
>
> 5.) Exactly how do they insert the pellets under the skin
> (large needle, incision)?
>
> 6.) How painful is the procedure? I know pain is subjective but on a
> scale of 1-10 with 10 being extreme pain how would you rate it?
>
> 7.) Do they give you any kind of anesthetic before they do the
> procedure?
>
> 8.) After the pellets are implanted can you feel them under your skin?
> If so, do they feel hard or soft to the touch? Is the area where
> they are inserted painful to touch?
>
> Thanks,
>
> Larry M.
>
>
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