Founder and Medical Director of Transcend Clinic in Bangkok, Dr. Panu Sivarapornsakul, MD, is board-certified by the American Board of Anti-Aging and Regenerative Medicine (A4M/ABAARM) and holds a Diploma in Sexual Medicine. He has over six years of experience in men’s hormone therapy, men’s health, sexual medicine, regenerative medicine, and performance enhancement.
Feeling no better on TRT usually isn’t treatment failure. Here’s how we check blood test timing, dosing interval, estradiol, prolactin, hematocrit, SHBG, and non-hormonal causes before changing your dose.
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Why a short testosterone cycle tends to backfire when levels are already low — how it shuts down natural production, why recovery isn’t guaranteed, and what works instead.
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Total, free, and bioavailable testosterone each measure something different. Here is what each test shows, why SHBG can make a normal total misleading, and when the free or bioavailable fraction is worth ordering.
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Growth hormone plays an important role in muscle maintenance, fat metabolism, bone health, exercise capacity, and general well-being. For a fuller explanation of what growth hormone does in the adult body, see our companion article, Growth Hormone in Adults: What It Is and Why It Matters. When growth hormone activity is significantly lower than expected,…
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When people hear the term growth hormone, they often think only about childhood growth and height. However, growth hormone continues to play an important role throughout adult life. In adults, it helps support muscle mass, body composition, metabolism, bone health, physical performance, and general well-being. What Is Growth Hormone? Growth hormone, or GH, is a…
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Tesamorelin is a peptide best understood by what it does at the most basic level: it prompts the body to release its own growth hormone (GH). Rather than supplying growth hormone from outside, it works upstream—signaling the pituitary gland to do the job itself. Here’s a clear, balanced look at how it works and what…
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Clomiphene raises testosterone in men by stimulating the body’s own LH and FSH, preserving fertility and testicular size unlike TRT. How it works, who it suits, dosing, and side effects.
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Many patients come to us wanting to build muscle—whether for better health, improved performance, or just to feel stronger. But muscle growth doesn’t happen by accident. It’s a process influenced by several key factors that work together. Here’s a breakdown of what really matters: Resistance Training Muscles grow when they are challenged. Resistance training—using weights,…
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