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.
...