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6. Table of USDR Protocols


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Use these simple, alternative, medically proven, safe prescription and OTC treatments to complement reduce or eliminate expensive prescription drugs that limit therapies to treat symptoms.
You may find these both interesting and beneficial.


Alternative and holistic medical practitioners check an extensive batter of laboratory tests to diagnose potential disease states before symptoms manifest. The most practical testing is quite affordable (between $100 and $500) using our 60% discount--and you can order the tests before seeing the doctor in most states. We often order a Coronary Artery Calcium Score (C.A.C.S.) in men over 45 years of age and women at 65; earlier should he/she show diabetes, heart disease or chronic inflammation. Your physician will first compile and personally reviews your complete medical history, medical diseases, surgeries and injuries, medication and supplementation. Key laboratory testing may help your physician identify and treat the imbalances. As Lundfeld stated "This decline in endocrine function involves: A decrease of testosterone, dehydroepiandrosterone (DHEA), estrogens, thyroid stimulating hormone (TSH), growth hormone (GH), insulin-like growth factor-1 (IGF-1), and melatonin. This decrease is concomitant with an increase of LH and FSH. In addition sex hormone binding globulin's (SHBG)". Replacing these hormones to youthful serum levels may in some way reduce the risk of developing diseases. READ the N.E.W.$. reporting on breakthrough medical treatments on many of the topics listed below.


Alcoholism costs the United States $225 billion dollars, 88,000 deaths, 1.5 million auto-accidents and two-thirds of jail admissions. Alcoholism may become a preventable disease using a program of oral Antabuse®/disulfiram followed by implanted disulfiram pellets. All alcoholic men are testosterone deficient. Women are also low in androgens with elevated estrone and elevated SHBG. Treatment of these hormonal imbalances may be a key to improving their Quality of Life and their potential metabolic recovery.

A: A.I.D.S

There are 1.1 million people affected, annual cost is $23 billion in AIDs medication and medical care. Lifetime expenditure is estimated at $400,000. The FDA approved manufacturer, of Anavar®/oxandrolone, promises to not charge more than $15,000 per individual/ $30 per 20mg tablet; estimated at $10 billion dollars per year. POTENTIAL SAVINGS for AIDs patients include less costs and a better quality of life. See Deca-durablin®/ nandrolone AIDs articles using weekly injections. In the U.S., brand name nandrolone and oxandrolone are more easily available abroad and limited to select compounding pharmacies. AIDs patients are paying 10 times more for Anavar® while it is illegal for U.S. citizens to import Deca-durabolin®/ nandrolone. POTENTIAL SAVINGS of making nandrolone available should exceed $1 billion dollars/year.


EPO drug therapy such as Epogen®/erythropoietin for dialysis patients costs the U.S. $5 billion/year. 100mg of Deca-durabolin®/nandrolone given as an intramuscular injection weekly reduces the need for EPO [by 50%] and improves the quality of life. In developing poor countries, Deca-Durabolin®/ nandrolone replaced EPO as the first-line drug of choice. When nandrolone is combined with EPO, the dose of EPO routinely is halved. POTENTIAL SAVINGS $2.5 billion dollars in medication costs while realizing improved quality of life.


Arthritis costs cost $127.8 billion/year in the U.S; $80.8 billion in medical care and $47 billion in lost earnings. Reduction in use of pain and NSAIDs medication for osteoarthritis can occur with a mixture of anabolic steroids. Australian news [Hassager C. University of Copenhagen, Denmark, 2009] reports that "nandrolone is used to treat osteoporosis (loss of bone tissue)"; it stimulates type III collagen synthesis; possibly an uptake of synovial fluid in joints. Nandrolone has been shown to improve quality of life.


Asthma affects 25 million in the US, mostly black and hispanic minorities. Average annual cost is $3,300 per individual; U.S. cost is $53 billion. Schrader reported that intravenous ascorbic acid (Vitamin C) and magnesium were able to reduce the need for asthma medication and emergency room visits by half in a long-term study. Nebulizers of glutathione and DHEA-S have been used to improve breathing even in those with cystic fibrosis. Glutathione may, however, induce bronchiospasm in mild asthma patients--Majid Ali, M.D. recommends that the patients need to be well hydrated before therapy.


More than 500,000 U.S. women have a hysterectomy each year at a cost of $9.5 billion dollars. Add the half billion dollars in pre-operative use of Lupron®/luprolide acetate. One-third of hysterectomies are due to recurrent uterine bleeding; many are releated to leiomyomata (fibroids. When questioned at the April 2014 American College of Obstetricians and Gynecologists Annual Meeting, the editor reports that the mixture of anabolic steroids used to treat and reverse endometriosis (as described in his presentation)could have other uses; it could reduce bleeding cases scheduled for hysterectomy and reduce the use of luprolide acetate resulting in savings of $3.5 billion dollars/annually.


The key to use of BHRT is to target the doses to physiologic reference ranges administered in a daily dose relieving menopausal symptoms in peri/menopausal women. This cannot be done without measuring the FSH/LH, estradiol, testosterone and Sex Hormone Binding Globulin. Compounded estradiol cream costs $80 per month; Premarin® and Estrace® cost in excess of $200 per month.Compounded testosterone costs $80; Androgel® costs $400 per month.


Women who have been treated for breast cancer either are menopausal or usually become menopausal due to chemotherapy. They may suffer with intense hot flushes and are banned from using significant doses of estrogen replacement due to fear of increased recurrences. High SHBG was found in cytosol estrogen receptor positive patients. Europeans recognize that stanozolol does not raises estrogen levels; they use it for cancer prophylaxis and recognize that this SHBG lowering drug therapy can be combined with non-aromatizable nandrolone to alleviate the post-oophorectomy/ chemotherapy menopausal symptoms.


Breast cysts occur commonly when there are fluctuations of hormones in teens and pre- and post-menopausal women. Aspiration is often done first. Aspiration is a simple office procedure, and hormone therapy (oral contraceptives, danazol, mixed androgen injections) will suppress further cyst formation. The Editor has seen that applying topical Lugol's iodine solution may shrink the cyst in a matter of a few days; however, she still needs to see the doctor for evaluation and treatment.


Cholesterol is a symptom, not a disease. Anyone call order this laboratory test on-line. Screening blood lipids is recommended by the US Preventive Service Task Force only every 5 year after 35 years of age in men and 45 years of age in women. John Hopkins physicians state that a normal Coronary Artery Calcium Score, a $150 test, almost always eliminates any need to treat with a statin. Furthermore, a C.A.C.S. score of zero need not be repeated for 10 years and could reduce routine cardiology testing and screening for coronary artery disease and visits significantly. More than two-thirds of patients on statins do not qualify based on the Rose Criteria (1991); their C.A.C.S. is less than 100 or they are older than 70 years of age. Cost savings of $2 billion dollars in medications and redundant cardiology testing may be realized. The February JAMA 2014 lead article stated that the ACA and AMA agreed that simple statins are considered appropriate therapy: adding on additional drugs were deemed unnecessary.


In 2008, the annual costs for Crohn's Disease and for Ulcerative Colitis were between $7,000 and $14,000, individually. This estimate is $6 billion dollars in 2007 of which pharmaceutical costs are greater than 50%. These individuals are often noted to be deficient in DHEA and testosterone. A mixture of anabolic steroids can be prescribed, and when needed, human growth hormone. These may reduce or eliminate the need for Remicade®/ infliximab, Imuran® and high dose steroids; many report an improved quality of life and some the ability to return to work.


Depression is the symptom of many endocrine deficiencies: thyroid, adrenal, diabetes, menopause, andropause (low-T) and low levels of growth hormone and vitamin D. The Editor suggests drawing a H.I.S. or H.E.R. panel and first correcting the biological hormonal deficiencies. This also includes steps to bring the Sex Hormone Binding Globulin into normal range. In Germany, 5-HTP, GABA and especially SAM-e is prescribed in lieu of Prozac-like drugs. Of note, depression in peri- and postmenopausal women responds better to testosterone and estrogen than estrogen alone.


Diabetes costs the U.S. almost $300 billion dollars annually. Harvard's EL Ding established that all diabetic adult men are hypogonadal (low testosterone). D. Kapoor used 200mg testosterone injections every two weeks to improve glycemic control by almost 2%. Bayer pharma group used Nebido® (long-acting testosteroner injection) to lower Hgb1c by 2% over one year. Lowering glycogenated hemoglobin (hemoglobin A1c) by 2% reduces complications of diabetes by 70%, poentiallysaving men from dialysis, amputations, blindness, heart attacks and strokes. Estimated cost savings $5 billion dollars annually. Better control can be achieved by mixing two additional anabolic steroids in the weekly testosterone injections. A reduced dosage schedule may be applicable for women. Metformin remains the first drug of choice. All diabetic suffer with vitamin (A, D, B12, choline) and mineral deficiencies.


Dysmenorrhea refers to menstrual pain that interferes with family life and work/school. It affects 2.5 million women in the United States. The pain is caused by spasms that narrow the cervical (womb) opening. After treatment with NSAIDs (ibuprofen) and oral contraceptives, a new study suggest intravaginal sildenafil (Viagra®). If the pain persists, a laparoscopy is used to detect endometriosis. Transection of the utero-sacral nerves, a surgery developed by the Editor, may offer temporary pain relief (proving the pain is not psychosomatic) but the effectiveness long term is not established. The new treatment protocol developed of a mixed androgen injection for endometriosis may be effective before surgical intervention or standard therapy.


The key to desire and arousal is the man's free androgen index. This is more than just his total testosterone; it is total testosterone divided by the transport protein, Sex Hormone Binding Globulin (SHBG). Normal young men have a ratio of 1.0; 50 year-old men average only one-third. While testosterone creams and gels can temporarily raise testosterone, the body soon responds by making more SHBG. We use testosterone creams with an estrogen blocker and add a capsule that blocks the ability of the body to make SHBG. Then, adding a sildenafil/Viagra®-like tablet with oxytocin may recreate the sexual excitement experienced as a young adult. Women can use one-half of this patented tablet and one-fifth the dose of testosterone. More men are self-injecting themselves and finding the testosterone and mixture of anabolic steroids injections to easy. They save almost $400 per month with testosterone injections versus Androgel® ($402 Androgel per month; $44.50 Testosterone 2000mg for 10 weeks).


and Dysmenorrhea/ menstrual pain. More than 500,000 women have a hysterectomy in the U.S. each year at a cost of $9.5 billion dollars and the preoperative use of luprolide acetate adds an additional cost of half of a $1 billion dollars. One-third of hysterectomies are due to endometriosis, bleeding, and pelvic pain. The use of a mixture of anabolic steroids could reduce these cases by almost half and reduce the use of Lupron®/luprolide acetate resulting in total savings of $2.5 billion dollars. Read the Editor's presentation at the Annual Meeting of the American College of Obstetricians and Gynecologists 2014 in Chicago.


The use of nutraceuticals, L-carnitine (Caritor®), Coenzyme Q10, DHEA and minerals have been shown to improve ejection fraction. Human Growth Hormone, testosterone and the other anabolic steroids have allowed our case report who was refused heart transplant at 39 years of age to live a normal life for almost 25 years. His ejection fraction increase from 15 to 45% (normal) as measured by cardiologists. This combined approach, added to standard medication, may provide a beneficial adjunct to not only 1000 annual heart transplants but the millions in failure at home.


Sleep disturbances due to increased sympathetic activity is present in CFS patients only at night. This results in significant derangement of sleep leading to imbalances of all the bio-identical hormones. Case reports show that many men and women have returned to normal function after multiple bio-identical hormone treatments.


RM Bennett, M.D., Professor and Chairman at the University of Oregon identified that women with fibromyalgia had lower levels of Somatomedin-C (insulin like growth factor-1); the marker for human growth hormone(hGH). Nine months of hGH therapy resulted in significant improvement in 75% of volunteers. The cause, however, of low hGH is poor sleep. This needs to be addressed from a multifactorial and hormonal perspective. Our Case Reports show that replacement of all the other bio-identical hormones to physiological mean levels is necessary.

G: G.E.R.D.

Four in ten Americans suffer with G.E.R.D. One hundred million prescriptions cost the U.S. $14 billion dollars. This is based on a common misconception that patients with G.E.R.D. have too much acid. The truth is that the stomach needs a pH (acid) level of 2 to close the upper sphincter to the esophagus. Taking 1-2 Betaine HCl capsules at the start of the meal, supplements and 2 digestive enzyme capsules at the end of the meal is natural: better digestion, less G.E.R.D. The pharmaceuticals block acid production and open the lower sphincter to the small bowel; normal digestion is interrupted. If the gallbladder is absent or dysfunctional, ox bile is added. This saves prescription medications for the much smaller, non-responsive population and upwards of $5 billion dollars in medication costs, notwithstanding the F.D.A. warnings about long term use of these medications.


The uneven distribution of stomach cancer in North Wales compared with the distribution of land fills with high organic matter content. JA Myers [Metabolic Aspects of Health 1979] postulated that trace mineral deficiencies are linked to overuse of tillable soil. Some researchers suggest selenium deficiency may play a significant part in some regions of the world. The Chinese "findings indicate that vitamin and mineral supplementation of the diet of Linxian adults, particularly with the combination of beta carotene, vitamin E, and selenium, may effect a reduction in cancer risk in this population."


Our case reports confirm that the increased incidence of hypertension in the darker races correlate with very low levels of vitamin D. After treatment with 10,000 iu of vitmain D3 drops in the mouth nightly, gingko biloba 120mg four times per day can be very helpful. Now, with the availability of sildenafil 20mg(Viagra®) for pulmonary hypertension, this medication can be take nightly and, together, may significantly lower mild-moderate blood pressure. Of course diet, exercise, quit smoking and good sleep are of primary importance.


Recent research has identified that our exposure (96% of the population) to environmental toxins (called Endocrine Disrupting Chemicals/ EDCs) such as percolates, plastics and phthalates will artificially lower TSH and raise T4 to normal range. Experimentally, the basal metabolic rate is affected by these toxins making the accuracy of standard measurements for the first time, in question.


The ability to become aroused and maintain an erection starts with adequate levels of 'free' testosterone in the male. Obesity and low testosterone predict erectile dysfunction. High levels of estradioland SHBG are associated with poorer sexual function. The use of PGE synthetase inhibitors (like Viagra®/sildenafil)can improve sexual function, but not arousal. The generic sildenafil 20mg(Revatio®) costs less than $1.00 each. When crushed and absorbed under the tongue, it works as well as 100mg of Viagra®.
WOMEN can use the sublingual sildenafil (as Berman/Berman gave women 50mg of Viagra®/sildenafil). But, again, women need adequate levels of free testosterone as well.


Insomnia is a disorder than affects more than 60% of men and women over age 50 years. Over-the-counter treatments include Nyquil PM, melatonin, GABA and benadryl. Commonly prescribed medications such as Lunesta®/eszopiclone, Ambien®/zolpidem and benzodiazepine (Xanax®/alprazolam) interfere with normal stage 4 and REM sleep. The best prescription medication for normal sleep in gabapentin, but after 4 days many develop tolerance. A medication often used off-label that does not suppress REM sleep is Desyrel®/trazadone in doses of 25mg (1/2 tablet) or less. Seroquel®/quetiapine fumarate (25mg or less) Despite Seroquel®/ quetiapine's sedative properties, current data do not appear to support its use as first-line treatment for sleep complications. Restoril®/temazepam act negatively, like benzodiazepines on sleep. These prescription medications need the decision making process of your healthcare professional.


Although Abilify seems to be the choice of general practitioners for A.D.H.D. children, the missed underlying diagnosis may well be personality disorder.Seroquel®/quetiapine "may be efficacious in the treatment" and be ten times less expensive.


Restasis®/ cyclosporine is prescribed for 'dry eyes'. It is a chemotherapy agent causing tearing which treats the symptoms. A treatment/cure may be short term use of nandrolone in hyperosmolar or buffered eye drops given locally two to three times per day". The effect of the anabolic steroid to 'heal' the cornea is noted in the Case Report.


Lactation difficulties have been thought to be psychological but new research/patent may point to a hormonal deficiency of pituitary release of oxytocin. A new product/ stanozolol cream, is hypothesized to increase stimulation from the nipple to the spinothalamic reflex center resulting in increased oxytocin release and improved milk letdown. No changes are noted inthe mother's sera when the cream is applied for 5 minutes and washed off. One study with domperidone showed modest increase in milk production, but the F.D.A. has issued warning not to use this medication, noting increased sudden cardiac death and ventricular arrhythmia in mothers and high sodium levels in the neonates.


Hormonal derangement is consistently noted in lupus erythematosis. there was evidence that DHEA had a modest, but clinically significant impact on health related quality of life in the short term. McGuire also noted the modest benefits of DHEA but added that danazol also may be helpful and estrogens are to be avoided.

The data with anabolic steroids is mixed. The animal model did well but the only one reference reported that women tolerated the therapy for up to 16 months. Our case report responded well to testosterone and nandrolone and stanozolol; then reduce her injections to monthly of testosterone and stanozolol alone.


Single bio-identical estradiol) is available as the Minivelle® patch, Estrace®/estradiol tablet and cream, adding natural progesterone (Prometrium®) in those women with a uterus, ERT should be an absolute for most peri- and menopausal women. As the W.H.I. showed in the second arm, the increase risk of cancer came from the progestin. In reference to increase in thrombotic phenomenon,the reader is referred to our Webpage about fibrinolysis. Stanozolol which is an androgen component of the mixed androgen injection and metformin (used to reduce carbohydrate absorption) effectively prevent for most, any thrombotic risk.


The Editor has published key medical journal articles establishing that migraine near/during the menses is hormonal and most often can be prevented by keeping hormone levels stable. Option One: Stable higher estradiol(estradiol patch), estradiol pellets, and estradiol injections. Option Two: low estradiol levels (danazol, mixed androgen injection, testosterone pellets). The tension component responds to trigger point injections, and for a few, Botox®.


The patent filling describes the use of a topical agent that stimulates a spinal thalamic excitatory response from and to the clitoris before sexual stimulating beings. Secondly, Berman and Berman describe the use of sildenafil in women to encourage arousal and lubrication. The Editor has combined 20mg of sildenafil and oxytocin in a sublingual tablet that offers both partners potentially an improved responsiveness. Most important is the systemic replacement of testosterone for the woman. If there is vaginal pain, a 3% testosterone cream with or without a topical anesthetic can be effective.


The most recent studies suggest an association between endogenous estrogen and cartilage turnover and radiographic osteoarthritis (worsened Osteoporosis); respectively, there is correlations between serum testosterone and cartilage volume (improved Osteoporosis). Testosterone replacement has been shown to prevent, slow and reverse to some extent decreased bone density. Osteoporosis should be an entirely preventable disease. Women need replacement of not only estrogen but testosterone. Deca-Dutrabolin®/Nandrolone is associated with increase bone mineralization, diminished vertebral pain and increased mobility. are of direct importance in the development and/or maintenance of bone mineral density; and 2)testosterone and/or low levels of dihdydrotestosterone appears to be sufficient for BMD development and/or maintenance.

P: PMS: Premenstrual Syndrome

While PreMenstrual Syndrome (PMS) and (PMDD) are classified by the DMS-V as psychiatric diseases, Deeny's matched control studies shows an overwhelming response of patients' symptoms to low dose danazol/ hormonal therapy. It is logical that if the PMS/ PMDD symptoms respond to hormonal manipulation, then the disease's origin is hormonal. Most gynecologists are familiar with low dose danazol 200-300mg daily for 25 days per month. The Editor prefers to advise the women that this is a hormonal derangement, not a psychological manifestation, based on response to treatment with danazol.


Oxandrolone is an effective adjunct to facilitate weight restoration in patients with COPD-associated weight loss. Weight gain is primarily lean body mass. Oxandrolone was relatively well tolerated and, therefore, should be a consideration in the comprehensive management of patients with COPD and weight loss.
For those with asthma and moderate disease, refer to the article by Schrader utilizing IV ascorbic acid and magnesium. Nebulizers of DHEA-s is an innocuous at home treatment.


Numerous studies speak to the improvement of Quality of Life with replacement of the bio-identical hormones. Specific mention is made of thyroid and sex hormones that include testosterone for men and estradiol for women. However, DHEA and other anabolics (testosterone and nandrolone for women as well as men) and Anavar®/oxandrin improve multiple aspects of healing.


More than 1.5 million Americans have Rheumatoid Arthritis. In the U.S. $4.6 billion is spent on Humira®/ adalimumab alone for Rheumatoid Arthritis. A combination of anabolic steroids could reduce the need for Humira®, methotrexate and other rheumatoid arthritis medications by 50% yielding savings of $2.5 billion while improving qualify of life.


The Editor reports on two cases of women with seizures around their menses. Niether had endometriosis and both that were successfully treated with 1)danazol alone, and 2)danazol and anti-epileptic medications. There was no evidence of cerebral endometriosis.
Herzog reported [in reference to seizures] "Successful open label trials using cyclic natural progesterone supplement, depomedroxyprogesterone and gonadotropin-releasing hormone analogues in women and using testosterone with or without aromatase inhibitor in men have been reported."


Vaginitis health costs are estimated at $500 million per year. There are more than 7.4 million new trichomonas infections each year. Treatment is broken down into three steps: (1)Self-treatments for recurrent vulvo-vaginal candidiasis (yeast) include Gentian Violet 1% applied to the upper third on a tampon or over-the-counter Monistat®. Step (2) includes prescription Metronidazole for trichomonas. Step (3) includes a pelvic examination by a health professional with PAP Smear and DNA testing to detect gonorrhea, HPV, chlamydia. Vaginal cultures are added for unresponsive cases.


DE Vaughan states that "thrombolytic agents (streptokinase, alteplase, Abciximab, urokinase) are proven to be efficacious in the treatment of acute thrombotic events..but.. they are not a viable option for long-term administration. There are numerous drugs available that indirectly increase fibrinolytic activity by reducing plasma levels of plasminogen activator inhibitor-1 (PAI-1), including ACE inhibitors, insulin-sensitizing agents, and hormone replacement therapy ((danazol, stanozolol) in women. At present, efforts are underway to develop and test synthetic, selective PAI-1 antagonists. The potential applications of PAI-inhibitors to thrombotic disorders (arterial and venous), amyloidosis, obesity, polycystic ovarian syndrome, and perhaps even type 2 diabetes mellitus. However, use in cardiovascular disease has yielded disappointing results. The addition of metformin [Editor: to an androgen such as stanozolol improved fibrinolytic activity by lowering PAI-1] and may be a subject of future study as well as compassionate use."


The Japanese suffered with contaminated blood products after World War II and developed a massive outbreak of viral hepatitis. They discovered that Glycyrrhiza Glabra, used as an intravenous therapy of 80-120mg multiple times per week offered some respite and some cures from both Hepatitis B and Hepatitis C. Flore reported that "Historical sources for the use of Glycyrrhiza species include ancient manuscripts from China, India and Greece. They all mention its use for symptoms of viral respiratory tract infections and hepatitis. Randomized controlled trials confirmed that the Glycyrrhiza glabra derived compound glycyrrhizin and its derivatives reduced hepatocellular damage in chronic hepatitis B and C. In hepatitis C virus-induced cirrhosis the risk of hepatocellular carcinoma was reduced....In vitro studies reveal antiviral activity agsints HIV-1, SARS, and other viral infections." The Editor has. used this to lower abnormal hepatitic markers (ALT, AST, GGT) even when the cause was not identified.
Other reports include use of glycyrrhizin for recurrence of hepatitis B and glycyrrhiza's role as an interferon stimulator.


Although not typically thought as useful for weight loss, there is a definiterole that Androgens Play in Weight Loss by building muscle and burning off fat. All the hormones including thyroid, adrenal, vitamin D and good sleep(growth hormone) play important roles. The off-label use of Victoza® (only approved for diabetes) caused patients to comment that the side-effects of severe headaches and some GI distress were distressing. It killed the appetite for days resulting in a pound weight loss in one week. Discuss side-effects with your physician.


Anavar®/Oxandrin improves long-term recovery of severely burned children.