Doc ups TRT dosage...input?

[liftin4life]

So I took my first TRT shot 2 weeks ago. 200mg Test Cypionate. When the Dr. did my bloodwork to see how the shot was doing..it was only 550ng/dl.

So...she's upping me to 150mg/wk instead of the 200mg every 2.


Now I have cypionate AND enanthate. If I'm doing a weekly shot does it make that much difference?

ALSO...since the ester weight takes up more space on cypionate (less test) BUT it has a longer half-life....WHICH ester will yield a higher serum testosterone level 24 hours after injection???? Enanthate?

 

[Heavy_Lifter]

ALSO...since the ester weight takes up more space on cypionate (less test) BUT it has a longer half-life....WHICH ester will yield a higher serum testosterone level 24 hours after injection???? Enanthate?

For all practical purposes, the release rate depends ONLY on the ester, not the amount of testosterone in the depot. SO the compound with the shorter half life would give the highest test levels 24 post-injection.

Personally, if I was your doc I would not have upped the dose after only the first shot ... lucky you I guess .

 

[Ashop]

So I took my first TRT shot 2 weeks ago. 200mg Test Cypionate. When the Dr. did my bloodwork to see how the shot was doing..it was only 550ng/dl.

So...she's upping me to 150mg/wk instead of the 200mg every 2.


Now I have cypionate AND enanthate. If I'm doing a weekly shot does it make that much difference?

ALSO...since the ester weight takes up more space on cypionate (less test) BUT it has a longer half-life....WHICH ester will yield a higher serum testosterone level 24 hours after injection???? Enanthate?

For TRT I think you will find most men under 55yrs will do best on 200-400mg every week.

 

[liftin4life]

For TRT I think you will find most men under 55yrs will do best on 200-400mg every week.

I guess I'll see what I'm at for this next lab test. The Dr. wants me around 700's. So...we shall see.

Okay..so 24 hours before my next Dr's appointment I'll use the cypionate so my serum level will be lower...and the script will be upped.

 

[Moen]

You naughty naughty boy

 

[liftin4life]

You naughty naughty boy

Muah ha ha! ;-)

 

[PHIL HERNON]

Yes

I told you she was too conservative. 200mg per week is standard.

 

[Jerkyboy]

I get HRT with 200mg per week and its still NOT enough. I have to supplement with at least 2-4ml of this per week to feel half-way normal.

FYI:

It doesnt really matter where your levels are doing the TOTAL TEST (test).
A good MD would know its much more important how much FREE TESTOSTERONE and Estrogen levels you have, AND how you feel.

Say you have 1000ng/dl of total test in your system and you still feel weak, moody, having erection dysfunction, no interest in the opposite sex or having sex, and are gaining fat and losing muscle.. then a more complete test should be done and other variables explored. If nothing else the dose can and should be raised HIGHER than 200mg per week.

Just because the average for 20,000 grown men was 200 - 1000 ng/dl, doesnt mean you are an average male.

So dont let them fool you into thinking that they cant prescribe you anything more than what it takes to get you between 700-1000, they can. And if your estrogen levels are at the high end of the scale (and you mention estrogen side effects) they should prescribe Arimidex or Aromasin to get this towards the low end of the scale.


Of course, you may need to get a 2nd and 3rd opinion from other MD's if yours doesnt want to do what you ask of him/her. It is well within their power and legality for them to do what I have explained.

 

[liftin4life]

I get HRT with 200mg per week and its still NOT enough. I have to supplement with at least 2-4ml of this per week to feel half-way normal.

FYI:

It doesnt really matter where your levels are doing the TOTAL TEST (test).
A good MD would know its much more important how much FREE TESTOSTERONE and Estrogen levels you have, AND how you feel.

Say you have 1000ng/dl of total test in your system and you still feel weak, moody, having erection dysfunction, no interest in the opposite sex or having sex, and are gaining fat and losing muscle.. then a more complete test should be done and other variables explored. If nothing else the dose can and should be raised HIGHER than 200mg per week.

Just because the average for 20,000 grown men was 200 - 1000 ng/dl, doesnt mean you are an average male.

So dont let them fool you into thinking that they cant prescribe you anything more than what it takes to get you between 700-1000, they can. And if your estrogen levels are at the high end of the scale (and you mention estrogen side effects) they should prescribe Arimidex or Aromasin to get this towards the low end of the scale.


Of course, you may need to get a 2nd and 3rd opinion from other MD's if yours doesnt want to do what you ask of him/her. It is well within their power and legality for them to do what I have explained.

Well I guess it's normal for her to up it, then test....up it, then test...until she finds out what is good.

However, she said she didn't want me over 800ng/dl b/c that's "dangerous and might lead to prostate problems and high PSA levels"

I disagree because all she has to do is...AH HAaaaa, check my PSA!? What a novel idea?!

I want 800-1000 range b/c I've heard some people are naturally around 1000 anyway. Being slightly above average=normal in some cases for some people. How does she know I'm not one of those people? I want the benefit of the doubt here. If I'm going to be shut down...what difference does it make? (As long as estro is in check).

 

[Conan21]

Liftn4life

Well I guess it's normal for her to up it, then test....up it, then test...until she finds out what is good.

However, she said she didn't want me over 800ng/dl b/c that's "dangerous and might lead to prostate problems and high PSA levels"

I disagree because all she has to do is...AH HAaaaa, check my PSA!? What a novel idea?!

I want 800-1000 range b/c I've heard some people are naturally around 1000 anyway. Being slightly above average=normal in some cases for some people. How does she know I'm not one of those people? I want the benefit of the doubt here. If I'm going to be shut down...what difference does it make? (As long as estro is in check).

I agree with you 100%

the problem is steroids have a bad taboo about them. Most doctors are weary of even giving them out. if you are at 300 total test and feel like shit they want to justify it that you are in the normal range.

If they end up giving them to you, they want to give you just enough to get you in this "range" and give you no more. They want to cover their own ass and really don't care what you think or feel.

IMO, that is wrong. I think we should all have a say in what we do to our body. a doctor should give guidance and recomendations but a patient should have some power when it comes to their own body. Unstand the risks, monitor your health, but you make and live with the decision.

You have to search around for a cool doctor or clinic that will work with you. In doesn't hurt to find a doctor that is/was involved in weightlifting.

my one friend went to a Jack ass endo before and he advised him to 200 mgs every 3 weeks!!!!!

 

[liftin4life]

I agree with you 100%

the problem is steroids have a bad taboo about them. Most doctors are weary of even giving them out. if you are at 300 total test and feel like shit they want to justify it that you are in the normal range.

If they end up giving them to you, they want to give you just enough to get you in this "range" and give you no more. They want to cover their own ass and really don't care what you think or feel.

IMO, that is wrong. I think we should all have a say in what we do to our body. a doctor should give guidance and recomendations but a patient should have some power when it comes to their own body. Unstand the risks, monitor your health, but you make and live with the decision.

You have to search around for a cool doctor or clinic that will work with you. In doesn't hurt to find a doctor that is/was involved in weightlifting.

my one friend went to a Jack ass endo before and he advised him to 200 mgs every 3 weeks!!!!!

Damn, that's low as hell. I just did my 150mg shot last night. I'm already getting the "I'm cocky as hell b/c I think with test" syndrome. Haha...you know the voice that says "I can break him in half" about someone that is a foot taller and 100lbs more than you. HAHA...then my mind says "dude...hold up...don't get hurt" and the test section of my brain backs off. HAHA..it hasn't impaired my judgement but it's influencing me in a fun way.

My Dr. is turning out to be very cool. She checked my liver enzymes and did a cortisol suppression test and both came back normal. Before she was concerned I had somehow influenced my low test by prohormones 8 months ago at normal dosages (haha right...to a 51ng/dl test level? umm no). But anyway she seems to be cool now that my liver is showing normal...and I don't think she's thinking that way anymore.

I get to inject myself and insurance is paying 100% so this is ideal. I just want to make sure she keeps me in the right range. Of course once the dosage is stable I could always do a lower shot before the next test and make her happy...then up it during the 3-6 months away from her labwork.

 

[liftin4life]

Random hard-ons??

Damn...that 150mg shot was pretty powerful. (for my system I guess). I've been hanging out with this hot girl and I have trouble keeping it DOWN now! Even when I was younger...around 18 or so...I would never get turned on while standing up...it would only be sitting down and then I'd want to stay sitting down. NOW...I can be walking and I NEED to sit down! ANY physical touch from her (arm around me..holding hands)...and it's over. No joke...it's somewhat annoying. Better than the past 3 months of it not working at all. I guess I'm not really complaining I'm just shocked at the difference this stuff has made!

Aside from that, my workouts are just...amazing! Strength is up in everything, pumps are out of this world, and shirts and pants legs are tight!

YAY for TRT!

 

[DOGMA]

Fast for 24 hrs and dont train for 3 day's prior to your test and I can you will surely test low. At least your body wont be releasing any.

 

[liftin4life]

Fast for 24 hrs and dont train for 3 day's prior to your test and I can you will surely test low. At least your body wont be releasing any.

Well it was only releasing 44-51ng/dl anyway so that won't make much of a difference in my case. I was thinking more along the lines of....

...inject 120mg of cypionate instead of 150mg enanthate. The test will be taken about 23 hrs after injection.

Any further suggestions?? I have to do it in about 9 hours!