TRT 3 months with Gel questions and more

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    TRT 3 months with Gel questions and more


    Here's my case - 44 - 195lbs - longtime lifter. Doc says I've done ALOT with a little - meaning I'm very fit looking/muscular despite having low T.

    ON TRT since 12/11. Prescribed Testim gel. Initial Test scores - 4.4 free 213 total - Free range 5.0-40 and Total range 291-739
    2/28/12 scores 11.0 free 456 total
    3/7/12 scores 7.4 free 382 total E2 level at 23.7

    I've had no change in my "routine" yet - I seem be to be fluctuating in available Test - as I suspected due to my overall feeling of well being fluctuating.

    Doc is considering upping my dose of Testim - or changing me to Androgel 1.62% or Fortesta 2% -

    Does anyone have ANY feedback that could help me make a decision?

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    Quote Originally Posted by BassMan2
    Here's my case - 44 - 195lbs - longtime lifter. Doc says I've done ALOT with a little - meaning I'm very fit looking/muscular despite having low T.

    ON TRT since 12/11. Prescribed Testim gel. Initial Test scores - 4.4 free 213 total - Free range 5.0-40 and Total range 291-739
    2/28/12 scores 11.0 free 456 total
    3/7/12 scores 7.4 free 382 total E2 level at 23.7

    I've had no change in my "routine" yet - I seem be to be fluctuating in available Test - as I suspected due to my overall feeling of well being fluctuating.

    Doc is considering upping my dose of Testim - or changing me to Androgel 1.62% or Fortesta 2% -

    Does anyone have ANY feedback that could help me make a decision?
    I started out on Testim(5g one tube) and after a few weeks my total test level was in the 100's. Once my natural production was shutdown one tube wasn't enough to make up the difference. Considering your current levels it looks like you would do well with upping the Testim to 2 tubes a day (if you are currently using one).
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    Quote Originally Posted by BassMan2 View Post
    Here's my case - 44 - 195lbs - longtime lifter. Doc says I've done ALOT with a little - meaning I'm very fit looking/muscular despite having low T.

    ON TRT since 12/11. Prescribed Testim gel. Initial Test scores - 4.4 free 213 total - Free range 5.0-40 and Total range 291-739
    2/28/12 scores 11.0 free 456 total
    3/7/12 scores 7.4 free 382 total E2 level at 23.7

    I've had no change in my "routine" yet - I seem be to be fluctuating in available Test - as I suspected due to my overall feeling of well being fluctuating.

    Doc is considering upping my dose of Testim - or changing me to Androgel 1.62% or Fortesta 2% -

    Does anyone have ANY feedback that could help me make a decision?
    Looking on the outside doesn't mean crap on whats really going on the inside. I blow away 99% of the population in how I look, but if they only knew what I was dealing with on the inside at the cellular to keep my self functioning is another part. Testosterone is just a small part of the equation to optimal health. Dr's need to look out side it and from your Dr looking at blood presented he needs to go back to the drawing board about proper education on how to moniter TRT. He missing DHT, DHEA-S, e2 , and few other crucial tests to show the over all picture. As I have learned as so many other Dr's I have worked with. More is not better, but optimizing what is there by examining other factors is the proper route. Looking at information presented now you got about 15% of the total equation.
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    Quote Originally Posted by The Matrix View Post
    Looking on the outside doesn't mean crap on whats really going on the inside. I blow away 99% of the population in how I look, but if they only knew what I was dealing with on the inside at the cellular to keep my self functioning is another part. Testosterone is just a small part of the equation to optimal health. Dr's need to look out side it and from your Dr looking at blood presented he needs to go back to the drawing board about proper education on how to moniter TRT. He missing DHT, DHEA-S, e2 , and few other crucial tests to show the over all picture. As I have learned as so many other Dr's I have worked with. More is not better, but optimizing what is there by examining other factors is the proper route. Looking at information presented now you got about 15% of the total equation.
    I understand what my Doc is missing. My Doc is now reading Dr. Crisler's write up - that I handed to him. If I can't get my Doc to run all the tests I will attempt to find another one. I did have a regular blood workup done - at the start of all this - but it did not include all the the tests needed for TRT.

    My Doc told me he treats 4 other guys in my situation - so I think he's a little motivated to learn more/do more than listen to the drug reps.

    In the mean time, I'm taking Testim - 1 tube a day... and was sent home with info sheets on Fortesta and Androgel basically asking me to go learn about them - cause the doc doesn't know crap.
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    Quote Originally Posted by BassMan2 View Post
    I understand what my Doc is missing. My Doc is now reading Dr. Crisler's write up - that I handed to him. If I can't get my Doc to run all the tests I will attempt to find another one. I did have a regular blood workup done - at the start of all this - but it did not include all the the tests needed for TRT.

    My Doc told me he treats 4 other guys in my situation - so I think he's a little motivated to learn more/do more than listen to the drug reps.

    In the mean time, I'm taking Testim - 1 tube a day... and was sent home with info sheets on Fortesta and Androgel basically asking me to go learn about them - cause the doc doesn't know crap.
    Still hormones are only 30% of the equation there is the other 3/4 or so which Dr's are missing. I work along with MD to help educate and fine tune which complements HRT, but goes beyond. Majority of Dr's Ideal with have people at optimal hormone levels but still symptoms are linkering which HRT will not address plain and simple. at 44 yes you need TRT, but there are multiple factors which need to be explored out side of it..
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    Quote Originally Posted by The Matrix View Post
    Still hormones are only 30% of the equation there is the other 3/4 or so which Dr's are missing. I work along with MD to help educate and fine tune which complements HRT, but goes beyond. Majority of Dr's Ideal with have people at optimal hormone levels but still symptoms are linkering which HRT will not address plain and simple. at 44 yes you need TRT, but there are multiple factors which need to be explored out side of it..
    Thank you for you posts - I agree with you and am trying to learn myself... while educating my Doc at the same time. He's likely going to bump me to an Endo.
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    Quote Originally Posted by BassMan2 View Post
    Thank you for you posts - I agree with you and am trying to learn myself... while educating my Doc at the same time. He's likely going to bump me to an Endo.
    Where are you located I be glad to PM you some good Dr's names
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    Im in Vancouver Washington - also near Portland Oregon
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    Great job on pushing past your limits. Just goes to show that effort will always prevail. Keep it up
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    Thanks for the encouragement! It's been difficult but over the last 4 years or so, I've managed to increase my max lifts after each birthday! Thanks to Deads, Squats, Cleans, and heavy bench using 5x5. I'll be attempting a 350lb BP and DL this month.....hopefully.
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    Update: Went to an Endo. Got some more complete lab work done. So far so good. Free test was still low at 9.3. Upped my Testim to 2 tubes a day, And feel much better.

    However, 2 tubes of testim a day is not only a royal pain in the ass, it's messy, it's not compatible with an active lifestyle, and its VERY Expensive. $800 expensive a month.

    So after a week of doubling up, I'm scheduled to start injections tomorrow. 100mg per week.

    Due to the Test Cyp shortage, I've got these little 1ml vials of 200mg Test, and I'm supposed to get 2 doses out of this one dose container. I will be coming up short on dose 2. (this info appears to be confirmed by the manufacturer.)

    Also looks like I've got 18 g 1.5" needles to draw with and 22g 1.5" needles to inject with. Does that sound right? what should I be asking for?
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    Quote Originally Posted by BassMan2
    Update: Went to an Endo. Got some more complete lab work done. So far so good. Free test was still low at 9.3. Upped my Testim to 2 tubes a day, And feel much better.

    However, 2 tubes of testim a day is not only a royal pain in the ass, it's messy, it's not compatible with an active lifestyle, and its VERY Expensive. $800 expensive a month.

    So after a week of doubling up, I'm scheduled to start injections tomorrow. 100mg per week.

    Due to the Test Cyp shortage, I've got these little 1ml vials of 200mg Test, and I'm supposed to get 2 doses out of this one dose container. I will be coming up short on dose 2. (this info appears to be confirmed by the manufacturer.)

    Also looks like I've got 18 g 1.5" needles to draw with and 22g 1.5" needles to inject with. Does that sound right? what should I be asking for?
    22 gauge to draw 29 gauge 1/2 inch to shoot with what myself and many others are using with no issues. 800 dollars on hrt per month makes me sick about drug companies profiting.
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    Quote Originally Posted by BassMan2
    Thanks for the encouragement! It's been difficult but over the last 4 years or so, I've managed to increase my max lifts after each birthday! Thanks to Deads, Squats, Cleans, and heavy bench using 5x5. I'll be attempting a 350lb BP and DL this month.....hopefully.
    Got contact out there many have gone too from here pm me..
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    OK I'll PM you.
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    Quote Originally Posted by BassMan2 View Post
    OK I'll PM you.
    yep same one as I listed before...
    I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
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    Just for what it's worth... I used an 18g to draw and ended up with a 23g 1.5" to inject into my quad. Absolutely no pain at all. It was WAY easier to do than I ever imagined.
  

  
 

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