quick trt questions

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  1. I'm excited for you guys that have thought this through and are about to embark on the TRT life. If you've checked off all other variables and it comes down to this, it is a life changer. Mood, confidence, mental clarity, body composition, libido, etc...

    It's like being 20 again, but with all the knowledge of a 40 year old. Ever joke about wanting to go back? Well...


  2. So guys, I'm seeing my doc later today...he's gonna have the results from my recent bloodwork. My question is, what age is considered too young to go on trt? After all, you pretty much have to be on it for life once you start, right? I'm almost 43 btw.
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  3. Quote Originally Posted by Ninjo View Post
    So guys, I'm seeing my doc later today...he's gonna have the results from my recent bloodwork. My question is, what age is considered too young to go on trt? After all, you pretty much have to be on it for life once you start, right? I'm almost 43 btw.
    When you need it, it's a condition like any other other conditions and age doesnt really matter. In reality as one gets past 40 is more likley to suffer is not a age written in stone though.

  4. Quote Originally Posted by Ninjo View Post
    So guys, I'm seeing my doc later today...he's gonna have the results from my recent bloodwork. My question is, what age is considered too young to go on trt? After all, you pretty much have to be on it for life once you start, right? I'm almost 43 btw.
    I started at age 45. I started having low T symptoms at around 40. I wish I would have started sooner, but couldn't find a doctor who would treat me.

  5. If it's needed after running through all possible issues causing it- then it is never considered too young.
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  6. Thx for the replies fellas! ?

  7. So my total test came back as 221 which the doc says is considered low normal. He wants to put me on test enanthate and see how it goes.

  8. Did he run any thyroid tests (T3, T4, TSH), eliminate lifestyle variables, etc?

  9. Quote Originally Posted by Ninjo View Post
    So my total test came back as 221 which the doc says is considered low normal. He wants to put me on test enanthate and see how it goes.
    I would consider 221 as below normal, especially when age adjusted. A chart I have from a study which shows average total testosterone by age in healthy men does not show anything as low as 221. The lowest is 376 for the 85-100 year old group. The 35-44 age group shows an average of 668. The thing to remember, which doctors don't seem to remember is that any lab range is based on the usual or "normal" range for most patients. This includes sick as well as healthy people, and considering that most people who have lab work done are not healthy or they wouldn't be having lab work done, lab ranges tend to be the "normal" for unhealthy people. Not the optimal ranges for healthy people.

  10. Quote Originally Posted by kisaj
    Did he run any thyroid tests (T3, T4, TSH), eliminate lifestyle variables, etc?
    Yup, thyroid numbers were all within normal range.

  11. Quote Originally Posted by BJE
    I would consider 221 as below normal, especially when age adjusted. A chart I have from a study which shows average total testosterone by age in healthy men does not show anything as low as 221. The lowest is 376 for the 85-100 year old group. The 35-44 age group shows an average of 668. The thing to remember, which doctors don't seem to remember is that any lab range is based on the usual or "normal" range for most patients. This includes sick as well as healthy people, and considering that most people who have lab work done are not healthy or they wouldn't be having lab work done, lab ranges tend to be the "normal" for unhealthy people. Not the optimal ranges for healthy people.
    Great info, thx!

  12. 221 is definitely below normal. I don't know, call me a skeptic, but I don't think anyone should go on TRT after one test. I think several tests with a full review of everything by a specialist should be done. Rule out sleep issues, stress issues, etc. Just because if you don't, then TRT will work great at first, then you'll slowly go back to the original problems and by then you'll already have shut down your natural production.

    I'd hit up Matrix on here and let him give you a run down of all the tests they run.

  13. I got my first shot of test e yesterday (400mg). My doc wants me to repeat the same dosage every 2 weeks. However, wouldn't it be better in terms of establishing stable blood level concentrations if i instead dosed 200mg every week instead of 400mg every 2 weeks?

  14. 200 is a cycle, not TRT. Looks like to high of a dose to me. But yes, once a week would be MUCH better in regards to highs and lows.

  15. You should PM Matrix on this, he seems to realy know his stuff, might be abl to help you out...

  16. I'm just going to tell you that your doctor is insane. 400mg is going to wreck you from a hormone standpoint, add to that, he wants you to wait 2 weeks until the next surge. You want to go weekly at a minimum. Find a new doctor.

    200 a week is a very high TRT dose, but common. Better to start lower than higher. Like 50-75mg a week and then adjust up.

  17. Quote Originally Posted by Ninjo View Post
    I got my first shot of test e yesterday (400mg). My doc wants me to repeat the same dosage every 2 weeks. However, wouldn't it be better in terms of establishing stable blood level concentrations if i instead dosed 200mg every week instead of 400mg every 2 weeks?
    I am on test cyp at 100mg/week. I self inject 43mg every three days in order to avoid high peaks and low troughs. I had a testosterone test done yesterday a day after my shot. The level was 1335 with a lab range of males 20-49 years old 262-1593. That's a pretty broad range. Tomorrow, the morning of my next shot, I am getting it tested again before injection to see what my low level is. If it is pretty high I may lower my dose a little. He isn't checking free and bioavailable test, but I can use an on line calculator and insert my usual SHBG and albumin and estimate that free T is probably about 221 range 47-244 and bioavailable T is probably about 494 range 130-680.

    For me at least it seems that 100mg test cyp is plenty. Of course if I had been dosing once a week the peak would have been higher. I'll add that I have been on TRT for over two years, so I can assume that my natural production is pretty much shut down.

  18. Quote Originally Posted by kisaj View Post
    I'm just going to tell you that your doctor is insane. 400mg is going to wreck you from a hormone standpoint, add to that, he wants you to wait 2 weeks until the next surge. You want to go weekly at a minimum. Find a new doctor.

    200 a week is a very high TRT dose, but common. Better to start lower than higher. Like 50-75mg a week and then adjust up.
    Really?! It's THAT high a dose in your opinion? Great

  19. Don't be nervous, I didn't mean it to sound like the end of the world.

    400mg is a cycle dose, not a TRT dose, and even then, people will split it into 2 x 200mg doses a week because it is so much to take at once. Going to whatever sky high test level that is taking you at to where you'll be in 2 weeks is not a good trip. When I started, my doc decided to try 200mg every 2 weeks and I couldn't handle it- it was a bad idea. I'd be an emotional wreck for 3-4 days and then feel good for 3-4 days and then start feeling the come down. By the time the 2nd week rolled around, I was right back where I started before the shot. Not good. The goal is to stay high normal with the least amount of fluctuation. That's why a lot of guys now inject small amounts twice a week.

    I'm by no means an expert, but I spent a lot of time running tests and trying different amounts/intervals over the course of a year before getting it right.

  20. Quote Originally Posted by kisaj View Post
    Don't be nervous, I didn't mean it to sound like the end of the world.

    400mg is a cycle dose, not a TRT dose, and even then, people will split it into 2 x 200mg doses a week because it is so much to take at once. Going to whatever sky high test level that is taking you at to where you'll be in 2 weeks is not a good trip. When I started, my doc decided to try 200mg every 2 weeks and I couldn't handle it- it was a bad idea. I'd be an emotional wreck for 3-4 days and then feel good for 3-4 days and then start feeling the come down. By the time the 2nd week rolled around, I was right back where I started before the shot. Not good. The goal is to stay high normal with the least amount of fluctuation. That's why a lot of guys now inject small amounts twice a week.

    I'm by no means an expert, but I spent a lot of time running tests and trying different amounts/intervals over the course of a year before getting it right.
    Oh okay, cool....I'll ask my doc if I can split the dose from here on in so I'm dosing 200mg/wk instead of 400mg every two weeks...if I experience fluctuations in how I'm feeling, I'll try to take 100mg twice a week but that might be tough cause the test is 200mg/ml.

    Thanks for all your help.

  21. Quote Originally Posted by Ninjo View Post
    Oh okay, cool....I'll ask my doc if I can split the dose from here on in so I'm dosing 200mg/wk instead of 400mg every two weeks...if I experience fluctuations in how I'm feeling, I'll try to take 100mg twice a week but that might be tough cause the test is 200mg/ml.

    Thanks for all your help.
    Just do .5ml to get 100mg test.

  22. Quote Originally Posted by BJE View Post
    Just do .5ml to get 100mg test.
    It's not the math that's the problem (LOL)....it's more like I'm not that experienced with measuring this stuff out and thought it might be hard to eyeball 0.5ml on the syringe...but I guess it's not that big of a deal. So, 100mg twice a week is better than 200mg once per week? Sorry for all the dumbass questions.

  23. No problem.

    It's actually really easy. My come in 10unit increments. 50 units is 100mg.
    Last edited by kisaj; 09-19-2012 at 08:26 PM. Reason: already answered

  24. Quote Originally Posted by Ninjo View Post
    It's not the math that's the problem (LOL)....it's more like I'm not that experienced with measuring this stuff out and thought it might be hard to eyeball 0.5ml on the syringe...but I guess it's not that big of a deal. So, 100mg twice a week is better than 200mg once per week? Sorry for all the dumbass questions.
    The syringes I use are marked at each hundredth of a ml so accuracy is easy. I use 1/2" 30g insulin syringes. Though the needle is fairly short I don't have much fat so I get it into the muscle quite well if not very deep. This needle is so thin that it is virtually painless. A good thing when injecting frequently. I inject every three days.

  25. Quote Originally Posted by kisaj View Post
    When I started, my doc decided to try 200mg every 2 weeks and I couldn't handle it- it was a bad idea. I'd be an emotional wreck for 3-4 days and then feel good for 3-4 days and then start feeling the come down. By the time the 2nd week rolled around, I was right back where I started before the shot.
    What kind of symptoms did you get from high T? I've been noticing a lot of anxiety and a generally buzzy feeing the day after injection. Not what I was expecting from high testosterone. I don't think this is an E2 issue since I know what my high E2 symptoms are, breast/nipple pain.
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