three questions about trt primary

[akiravp82]

Hey guys im still confused about three things, which a doctor hasnt been able to anwser me correctly, any input will be greatly appreciated.

1: Can a primary on TRT achieve TT levels of 800-900??

2: a primary on TRT, what can they except from there sex life? will it be normal?

3: i am 21 years old, and from the way things look like i think TRT is gonna be my option, from here on out from what i understand once i start im going to have to be on this for life, isnt TRT in the future going to cause me alot of health problems?

[corsaking]

you shouldnt worry especially if you are under medical supervision as you will be monitored throughout the treatment At various stages , you should get a full blood count;liver function test; psa (this measures the size of your prostate) so relax about it.
search on google for the benefits of testosterone and remember you will only be getting what your body cannot make. It will not be a bodybuilding dose and your body will be able to cope with it just as if it was being produced naturally

[EasyEJL]

and the answers to both 1+2 are yes

[JanSz]

Hey guys im still confused about three things, which a doctor hasnt been able to anwser me correctly, any input will be greatly appreciated.

1: Can a primary on TRT achieve TT levels of 800-900??

2: a primary on TRT, what can they except from there sex life? will it be normal?

3: i am 21 years old, and from the way things look like i think TRT is gonna be my option, from here on out from what i understand once i start im going to have to be on this for life, isnt TRT in the future going to cause me alot of health problems?

Primary means
your testicles have been asked to produce testosterone (LH>0 , FSH>0)
but they did not responded.
That often means that you will not make a sperm either.

At 21yo that decision should not be made lithely.

Make sure that you tested at least
TotalTestosterone
LH
FSH

============================== ====================
If you are primary, holding to testicles is mostly cosmetical.
But if you are not clear about Primary/secondary
it is very important to not put your testicles under any additional stress.

When starting TRT very often testosterone alone is used.
That causes testicles to shrink, that is a big stress.

One should always start any type of TRT with

250iu-HCG shots EOD, Every Other Day
That will keep your testicles protected.

When supplying external testosterone, it can be in form of shots or transdermal.

Decission about transdermal vs injectable should not be made based on doctor or patient (superficial) preferences.

Status of 5aR should be checked.
Level of DHT should be checked.

You are looking for a way of keeping your DHT in upper 1/4 range and not higher.

Some people have very low DHT, they benefit from transdermal delivery.

Other must use injections (like it or not).

Injections should be made just as frequently as one would put on test-gel.
No real difference there.

Compromising to EOD schedule also works.

Any less frequent injection schedule is counter productive.

=========

Do not be preoccupied with TotalTest levels during TRT.
The object of TRT is to get to the desirable levels of
BAT-BioAvailableTestosterone
and
FreeTestosterone

Total Testosterone is only a means to happy end.

Because of the above the desirable TotalTestosterone levels will depend on your
SHBG
levels (and practically nothing else.

There is all kind of tests that laboratories made available (just to confuse doctors and patients).

Your best bet is to (skip any fancy tests, they are nothing but trouble), always check:

TotalTestosterone
SHBG
Albumin

then look at this chart:
http://www.andropause.org.uk/nomo_tas.pdf

and figure your situation.

Assume that on that chart you want

FreeT(300-350)

============================== ===========================

There is more.

Good luck.


...

[akiravp82]

Hey thanks alot for the responses guys, another thing thats really freaking me out, ive been reading places online that once your on TRT for a long time it shuts down your bodys own natural testosterone then TRT stops working? whats the story with this?

[EasyEJL]

Hey thanks alot for the responses guys, another thing thats really freaking me out, ive been reading places online that once your on TRT for a long time it shuts down your bodys own natural testosterone then TRT stops working? whats the story with this?

thats a fictional story. you are on TRT BECAUSE your body's natural production is shut down. no evidence that TRT stops working ever.

[akiravp82]

EASYEJL are you secondary or primary? what treatment are you using and how is it working for you?

[EasyEJL]

I'm primary, on testosterone injections + hcg + arimidex. Works great, feel like i'm 17 again.

[akiravp82]

I'm primary, on testosterone injections + hcg + arimidex. Works great, feel like i'm 17 again.

hey sorry not trying to get to much into your business, just curious want to know how people are doing with this stuff, how old are you and how many years have you been on TRT? and where does your TT and free T stand at?? Thanks for the response man.

[EasyEJL]

well, i'm 42, been on less than a year, and don't recall exactly my TT and free, but they were both at high end of scale

[Gutterpump]

I'm primary, on testosterone injections + hcg + arimidex. Works great, feel like i'm 17 again.

Aren't you secondary? I remember once you had posted bloodwork after doing a PCT with sustain, and your test was in the 600's or 700's when previously your levels were low-normal, no?

[Gutterpump]

Status of 5aR should be checked.

How do you test 5aR activity without trial and error?
AFAIK, there is no test for 5aR deficiencies...unless I'm wrong?

Typically speaking, males with 5aR deficiencies (medically acknowledgable deficiency) - have female characteristics and have almost no activity with this enzyme, which is a true deficiency. I wish there was a way to test for slight deficiency or issues, or to know what can cause them.

[EasyEJL]

Aren't you secondary? I remember once you had posted bloodwork after doing a PCT with sustain, and your test was in the 600's or 700's when previously your levels were low-normal, no?

yeah, but it plummeted right back after. My current trt doc thinks i'm primary. Its possible he's wrong

[Gutterpump]

I would look into it if I were you.. if you were able to raise your levels with the equivalent to a SERM (sustain alpha, etc) and then they dropped after, then it appears you are able to stimulate the boys

[EasyEJL]

yeah, its definitely a possibility.

[Philec48]

Anyone test your LH and FSH before going on TRT? If not, then it may be painful to find out now (you would have to stop TRT for a time).

[EasyEJL]

miine were below bottom of scale

[Philec48]

If they were below the bottom of the scale with low testosterone, that would suggest secondary. Your pituitary for some reason doesn't want to send out the signal. Ever have a head injury? Have you had an MRI to check for a tumor?

[EasyEJL]

hmm no to either of those. Basically the doctor said it was a combination of my alcoholism + obesity that probably caused it

[akiravp82]

ive been reading on alot of forums like elitefitness, and they swear that once you start TRT you will feel good for a few years then once your natural testosterone gets shutdown, youll feel even worst then you first did, is this true? right not my testosterone reading is anywhere from 300-350