TRT concerns...

[manifesto]

I was diagnosed with hypogonadism about 1 month ago. My total T at the time was 101 ng/dl.

My primary care doctor started me on 200 mg Test Cypionate EOW with bloodwork in between.

I received a 200mg Testosterone Cypionate shot 1 week ago. I got blood work yesterday and my total testosterone was 440 ng/dl....

This is the second blood test showing a similar total T range in 400's.

My doctor is only testing total T right now. I am in the process of switching doctors, but stuck for now.

Shouldn't my testosterone be much higher with a 200mg dose of test cyp?

 

[kisaj]

Some things:
- You want to move to at least 1x weekly injections.
- Bloodwork in between injections is NOT necessary and is only serving to give the doctor more money requiring you to visit more. When first starting, it's not uncommon to get a follow up at 6-8 weeks and then it is generally quarterly or e6m.
- Total test really tells you nothing. At minimum you need Total, free test, SHBG, FSH, LH, thyroid, and CBC w/lipids. Good to have is e2 sensitive. Nice to have is DHEAs, progesterone, cortisol, and vit D.

You can't tell anything on where you will be at with only 1 shot. Increase the frequency, lower the dose to 100mg wk to start, and then retest in 6-8 weeks.

 

[manifesto]

Thanks @kisaj. I have an appointment tomorrow and I'm going to request to inject at home so I can do weekly injections.

I'm also going to ask for more thorough bloodwork. If he doesn't order it, I may end up going to a mens try clinic near my home...dont want to waste time sorting through doctor's who are clueless.

Especially since I still feel crappy, irritable, low energy, brain fog, anxiety attacks....you name it.

The rest of my bloodwork is perfect. Just havent had any in depth hormonal bloods drawn.

 

[AnabolicGuru]

Some things:
- You want to move to at least 1x weekly injections.
- Bloodwork in between injections is NOT necessary and is only serving to give the doctor more money requiring you to visit more. When first starting, it's not uncommon to get a follow up at 6-8 weeks and then it is generally quarterly or e6m.
- Total test really tells you nothing. At minimum you need Total, free test, SHBG, FSH, LH, thyroid, and CBC w/lipids. Good to have is e2 sensitive. Nice to have is DHEAs, progesterone, cortisol, and vit D.

You can't tell anything on where you will be at with only 1 shot. Increase the frequency, lower the dose to 100mg wk to start, and then retest in 6-8 weeks.

Yup, this is solid advice right here man

 

[manifesto]

I have a phone appointment with my family dr today.

Can I get a consensus on what additional bloodwork I should ask for...?

So far hes only tested Total T. I am not sure how open he is to ordering additional labs, but I am going to give it a shot.

Any advice is greatly appreciated.

EDIT: I should add.. I recently had the following bloodwork done as well. All in normal ranges.

TSH
AST, ALT
CBC
Vit D
Lipid Panel
Creatinine