If you have formed fibrous tissue, the only thing that will resolve that is surgery. If it is relatively new and still ‘spongey’ SERM therapy could reverse it. Tamoxifen at 10-20mg/day appears clinically effective in cases of gyno that have not undergone irreversible fibrosis. Narula, H., Carlson, H. Gynaecomastia—pathophysiology, diagnosis and treatment. Nat Rev Endocrinol 10, 684–698 (2014). https://doi.org/10.1038/nrendo.2014.139

Are there different drugs for different competitions? Does the compounds used by athletes in Men’s Physique differ from the Classic Physique and Open?

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I am never really satisfied with my physique or appearance anymore. I just feel i have hit a plateau all the time and there is no progress. The weight marker just doesn’t move or am i just overthinking everything?

For those who use Performance Enhancing Drugs (PEDs), maintaining vigilant health monitoring throughout the year is crucial. This is especially true during different phases of your regimen—whether you're on testosterone replacement therapy (TRT), cruising, or engaging in more intense ‘blasting’ phases where stress levels peak. Here’s a structured approach to keeping tabs on your health, ensuring you track the right biomarkers to safeguard your well-being. We will explore key health markers you should monitor, the frequency of testing, and why these indicators are vital. 1. Bloodwork: Minimum Essential Markers: Sex Hormone Panel: Essential for monitoring hormonal balance. This includes: - Testosterone (free and total, LC/MS assay) - Estradiol (sensitive, LC/MS assay) - Progesterone - Prolactin - SHBG (Sex Hormone Binding Globulin) Thyroid Panel: Critical for metabolic health. Include: - TSH (Thyroid Stimulating Hormone) - Free T3 - Free T4 - Reverse T3 Insulin Sensitivity: To gauge metabolic function: - HbA1c - HOMA-IR (or fasted insulin and fasted blood glucose) Prostate Health: Monitor for early signs of prostate issues: - PSA (Prostate-Specific Antigen, free and total) IGF-1: Important for growth and metabolic function. Lipid Panel: Evaluates cardiovascular risk: - HDL, LDL, triglycerides, VLDL, total cholesterol, LDL subfractions Blood Panel: Provides a comprehensive view of your blood health: - HCT, HMG, MCH, MCHC, MCV, RDW, red cell count, MPV, platelet count, white cell count, immature granulocyte count Kidney Function: Monitors renal health: - eGFR, urea, creatinine Liver Function: Assesses liver health: - ALT, AST, bilirubin, BUN, albumin, GGT Metabolic Panel: For overall metabolic balance: - Calcium, potassium, carbon dioxide, protein (ferritin), sodium Vitamin D: Essential for bone health and immune function: - Vitamin D (25-hydroxy) Inflammatory Marker: Helps identify chronic inflammation: