7 weeks into trt..
- 12-02-2013, 11:11 PM
7 weeks into trt..
Hello, 7 weeks ago I was able to talk my family physician into prescribing me TRT. I'm 42, 5'9" and weighed in at 225 (all time high). My test was at 369. A year ago my test was at 395 but my vit. D was low so he had me start taking 1000mg a day. It didn't help my energy levels much,so we're trying trt.
He wanted to start me on a topical but I wanted Test Cyp. I started with 200mg/week for 2 weeks and now I'm on 100mg/week. My test is currently 660. My doc wants to keep my dosage the same. I'm down to 215lbs and have more energy than in years...I'm thinking I'd like to get up in the 900-1000 range...not sure if the doc will go along with it tho.
What do you guys think? Should I push to get my dosage upped,or just let it ride another 6-8 weeks and see how it goes? Sorry for rambling...thanks,Scott
- 12-03-2013, 12:26 AM
- 12-03-2013, 06:00 AM
When was testosterone measure in relationship to shot?
Where are e2 and shbg levels
Would not suggesting adding other unnecessary variables in till all basis are covered and steady for 6-8 weeks. This is the number one thing which pisses me off with doctor's patients I am trying to get back to hormone balance or other wise. I have dismissed clients and told doctors the same. Trust me if they are messing aroind I will find out from blood work or other diagnostic means.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.
12-03-2013, 09:07 AM
I, unfortunately ,don't know where my E2 and SHBG levels are. I didn't request that they check them. I'm quickly realizing that my physician isn't exactly specialized in this area. I'm going to have to step up my efforts to learn more about this. I have an appointment with my doc next week to discuss this process...I guess the first thing I'll need to do is order a more comprehensive blood work up,and see where I'm at.
12-03-2013, 09:52 AM
Most Drs won't get you in the 1000 range. 700 is a good range especially for your age though. Keep with the normal dose you are on and have e2 checked when you go back.
MAKE SURE TO HAVE E2 CHECKED WHEN YOU GO BACK.
Have hemoglobin levels checked too but this early there shouldn't be any problems in that area at all.
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12-03-2013, 11:13 AM
It talkes a long time to get to the right level you need to do labs every 8 to 10 weeks see how your feeling and if not good up the dose go to 125 mgs retest in 8 to 10 weeks and repeat adding more if you need 150 mgs / week try doing the shot 2x's / week at 75 mgs / shot. Bottom line is your trying to get your TT levels up into the upper 1/3 of your labs range or when you feel better what ever comes first. Higher is not better levels of 1000 or more tax your Adrenals and can lower your cortisol levels and mess with your Thyroid due to the high levels and the amount of Estradiol E2 your body will make.
Some of us eat up the T as fast as we take it I need to do 80 mgs E3D of Depo T and I do 250 IU's of HCG the day before my Depo T shot E3D and I take Aromasin to keep my E2 in the sweet spot. I do my shot now subQ was shooting into my thigh. SubQ works much better keeping me more even and helps to keep E2 level and lower. My labs for TT are 750 Free T is at the top of the range and my Bio is in the upper 1/3 of my labs range doing this. My SHBG is between 15 to 20 so I need to keep my E2 between 15 to 20 I feel better at 15 the lower ones SHBG the lower one needs to keep E2 levels.
After your all tuned up your body will start to undo any damage done by having had low T and you start to feel better and stronger a little everyday.
Get this newer book out after being on TRT 32 yrs reading this book I even learned a thing or two best book I ever read about low T in men.
12-03-2013, 06:01 PM
What is that old term- chasing the dragon?
You just mention that you are feeling better, have more energy, and have lost weight all in in short period of time- plus have very good test levels at 660 day of injection. Why would you want to mess with that? You don't know free t, e2, or other numbers and think 900-1000 will be better. Don't chase numbers and be excited to have what you do now.
oh, just my .02 before anyone gets pissed off- again.
12-03-2013, 08:26 PM
Symptoms should improve as u get to proper levels
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.
12-04-2013, 08:54 AM
12-04-2013, 09:32 AM
Sure man. Sorry to sound frustrated in my post, but when I read or hear that someone is getting the benefits that are expected from TRT, I can't imagine wanting to mess with it. You are lucky and poking around here will show how hard of a time some guys have getting to where you got very quickly.
I wish you all the best. Once you get TRT dialed in, it is fantastic.
01-08-2014, 11:53 PM
I'm now experiencing a lot of bloating/water retention. I am back up to 225lbs and am feeling sluggish quite often..I called my doctor to request another blood work up to check my E2 ...I'll find out tomorrow for sure,but they said it might not be covered under insurance...I don't understand how it couldn't be...
Is my E2 level the main thing I should be looking at right now?
01-09-2014, 09:58 AM
Well, it is something you should be looking at. It is a long journey to get just right on TRT and even then we are still always hyper aware of changes. I have been on for a little over 3 years and it took the entire first year to get things straightened out.
01-21-2014, 05:50 PM
Just got a call from my Doctor's nurse. My total test was 548, free 123.5, and estradiol 38.2. She told me normal range for E2 was 0-39 so i was normal..... Then proceeded to tell me that I'm getting older and should expect that the changes in my body are happening for a reason, said I might have to go to a Eurologist. I have an appointment in 2 weeks with the Doctor. Very frustrating so far, BTW I'm still taking 100mg test cyp weekly. Blood test was done the day before my injection.
01-21-2014, 06:22 PM
01-21-2014, 06:45 PM
01-28-2014, 03:18 PM
Well I have my appointment with my doctor on Thursday. I have a feeling he's going to try and refer me to another doctor, Euroligist, or Endocrinologist. The problem is I live in Cedar Rapids, Iowa, and cannot find any doctors that deal with TRT regularly. I'm going to try and get him to prescribe me an E-blocker like Aromasin. I'm hoping that my excessive water retention and lack of energy is from High E2 38.2. I'm going to also start doing 70mg injections every 4 days to try and help with the end of the week crash I've started experiencing. I'm definitely worse off then when I started 13 weeks ago. If I can't get my doctor to continue to work and learn with me I'm going to have to try to quit TRT. Hopefully not tho.
Any Idea what kind of dosage of a E2 blocker prescription I should be looking at? I know it's hard to say not knowing what drug it is.
01-28-2014, 04:39 PM
01-28-2014, 09:56 PM
01-28-2014, 10:02 PM
01-28-2014, 10:04 PM
But honestly, I am NOT a licensed professional and shouldnt be regarded as one. There are several other factors that contribute to sex drive/erectile function and there are several other hormones that get affected by exogenous T. Some examples? Thyroid, prolactin, dopamine, cortisol, estrogen, GH, IGF, and the list goes on. Ur body has a natural pulse of all these hormones so injecting exogenously throws everything off. It takes patience to get it right too. Expect to play with dosages for 6-12 months before finding a sweet spot. The key is to play with the dosages and record the results.
01-28-2014, 10:05 PM
01-28-2014, 10:07 PM
01-28-2014, 10:09 PM
01-28-2014, 10:11 PM
01-28-2014, 10:18 PM
01-29-2014, 12:00 PM
This is a list of state laws for the US regarding purchasing syringes without a prescription.
STATE Require a prescription: YES/NO
Alaska: Yes (Some pharmacies may sell without a RX)
Arizona: No (Even though permitted, some pharmacies may require a RX)
California: No (Even though permitted, some pharmacies may require a RX)
Colorado: No (Even though permitted, some pharmacies may require a RX)
Connecticut: Yes (Residents may get a 10-day supply of syringes without a RX)
Distric of Columbia: Yes (If you have a diabetic ID you can purchase syringes without a RX if purchased with insulin)
Flordia: Yes/No (Some counties may require a RX for syringes; most do not)
Idaho: No (Photo ID may be required)
Illinois: No (You do need a RX to purchase more than 20 syringes at one time)
Indiana: No (You must sign a register for purchase of syringes)
Kansas: Yes/No (most pharmacies will sell syringes if they are being purchased with insulin, regular (R) insulin does not require a RX)
Maryland: No (You must sign a register)
New Hampshire: No
New Jersey: Yes (The requirement for a RX may be waived with photo ID)
New Mexico: No
New York: No (Pharmacies can dispense up to 10 syringes at their discretion w/o Rx but you must be atleast 18 years old)
North Carolina: No
North Dakota: No
Oklahoma: No/Yes (some local areas may require Rx for syringes)
Rhode Island: No
South Carolina: No
South Dakota: No
Texas: No/Yes (some regions may require Rx)
Utah: No/Yes (Some pharmacies will require Rx for syringes and some pharmacies may refuse to sell syringes after 10 p.m. even if you have a prescription on file)
Washington (state): No
West Virginia: No
NOTE: These laws do not reflect individual pharmacy policy and it is at the discretion of the pharmacist who they sell syringes to. Just because it is legal to purchase syringes without a prescription in your state does not mean you can't be prosecuted for possession of drug paraphernalia.
Hope this helps someone!
01-29-2014, 12:24 PM
Also important to note that there are very reputable shops online that truly dont care where you live, lol. They just ship it to you regardless and its all within the states so no customs checks...
01-29-2014, 06:13 PM
01-29-2014, 08:21 PM
01-30-2014, 12:54 PM
Hey Guys... this "20" on the E2 that you guys cite. is it from Quest Labs? My last bloods(Quest) were from mid-Novemeber 2013 and it revealed mine was 28. Had new bloods drawn last week , going back in next week to get copies and discuss results with Dr. I have occassion REM sleep wood but not consistant, some ED ,clicky joints, sensitive nipples(but no GYNO) and low sex drive etc. Have Adex and use 1/4 of 1 Mg a coupla times a week. Any suggestions? No longer on TRT injections, Only did about 8 weeks worth last Summer 100 mg test cyp weekly. Think it drove up My E2 too high, My lowest Total T was 600, but free and bio were in the Gutter, well below bottom of lab range.
01-30-2014, 01:08 PM
01-30-2014, 06:03 PM
I felt good in the mid 20s and even better at 15. There is a point of diminishing returns and that doesn't mean that you would feel spectacular at 5. You need some estrogen, but it is largely individual, imo.
01-30-2014, 10:36 PM
01-31-2014, 11:09 AM
01-31-2014, 11:09 AM
01-31-2014, 11:26 AM
Thank you El Rock and that is excellent info as well ! One more question... I know even men need a certain amount of estrogen, for various health benefits , but certainly mine has to be a lil "elevated" as Symptoms are still the clicking, popping joints, sensitive nipples, ED and not much Morning wood, unmotivated, etc.. Is this Quest test for E2 even accurate ? My last one was 28 and I saw all of you guys ref ranges etc.. Thanks again for all of your replies. and
01-31-2014, 11:31 AM
I did the sensitive test with the range of 3-40 (I think). Someone here mentioned the actual test number that you want for more accuracy. For the life of me I can't think of who that was, though. Napalm maybe?
01-31-2014, 03:07 PM
ok Thank you and I will seek that out. I have seen Napalms posts as well and I have seen mixed reports about which freakin lab, which exact test etc.. But I still think its an E2 problem, esp that i also developed a strange underarm scent , dont think it would happen if it was too low ?
01-31-2014, 03:16 PM
Funny you mention that. When I first started, my doc had me on 200mg a week, my e2 was sky high and I would stink. I'd go to the gym and in 10 minutes be killing myself with my own scent. Got everything under control and I smell like roses now.
02-01-2014, 12:15 PM
Ok yeah isnt it crazy? Well glad you got it under control now! My E2 HAS to be elevated... then. My treatment WAS and I was desperate and still am, But my Dr Had me on Test CYP 100 mg weekly for several weeks, when my initial Total Test was still @ 600. Just the Bio and Free were low. So Im sure this converted to High E2, as I have ALL the sypmtoms. I discontined the injections months ago and my Total T was almost 1100 and E2 was at 28! But this test must be skewed. He did RX me ADEx 1 mg which I have been taking 1/4 tab every few days. Seems my scent is diminshing some. Other symptoms still persist, but occassional REM sleep wood. I am going back next week to get my last bloods results.
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