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So what dictates your TRT dose.??

Gunsmith

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how many hours did you get your blood drawn after you sub-qed 20 mgs?

About 10-12hr , I took my shot after showering on a Monday evening (9-10 general) had blood drawn when the lab opened the following morning (8-9)
I only shoot IM , I don’t inject anything sub-Q anymore
 

Love_to_Bodybuild

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About 10-12hr , I took my shot after showering on a Monday evening (9-10 general) had blood drawn when the lab opened the following morning (8-9)
I only shoot IM , I don’t inject anything sub-Q anymore

Why?
 

Gunsmith

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Why don't I Inject sub-Q??
For some reason every Time I Inject anything sub-Q I end up with a big welp that itches. I've only ever injected water base sub-Q like HGH , HCG , IGF , insulin. Also any time a get a splinter or ingrown hair it gets infected instantly it seems so I never wanted to risk Injecting anything that would not dispense very fast so I just Inject IM , there is no downfall as it's absorbed faster.
 

Fit2Serve

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without reading all of the post just kinda main question..

my self prescribed trt dose is based on keeping mestrogen levels in healthy levels and don't need an ai.
for me 250mg of test e weekly keeps my estrogen in acceptable range and puts my test levels at @1100
-F2S
 

Love_to_Bodybuild

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Why don't I Inject sub-Q??
For some reason every Time I Inject anything sub-Q I end up with a big welp that itches. I've only ever injected water base sub-Q like HGH , HCG , IGF , insulin. Also any time a get a splinter or ingrown hair it gets infected instantly it seems so I never wanted to risk Injecting anything that would not dispense very fast so I just Inject IM , there is no downfall as it's absorbed faster.

I've gotten a couple before. One I went to my doctor about

I find test people is a no no. Test e and c is fine. Usually the lower the dose for sub q the better. Ten to twenty MGS is fine. I've even gone down to five mgs before
 

Knight9

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I wouldn't inject anything subQ unless it was from the pharmacy/human grade...and even then .25-.5mL probably.
 

saudades

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So we hear alot of guys saying they are on prescribed TRT and doses run from 100-400mg a week.

So my question is what is used to dictate your TRT dose??

In my mind you want a dose that brings your levels up into the upper end of the natural range say 1000-1200. I'm sure that there are Drs that will prescribe doses much higher that bring your levels well above that but just because a Dr prescribed it doesn't mean it right.

So asking you guys that have a script for TRT
1)what is your dose
2)what are your test levels for said dose.
3) what kind of de prescribed it.??
For me personally my urologist prescribed 150mg/wk based off of taking that does for 4 weeks and having blood drawn on Thursday morning with the injection being given on Monday morning and this has my test level in the mid 700's
I have since started taking 20mg a day (140mg/wk) and that has my levels in the low 900's after taking it that way for 4 weeks. My Dr said he would like to see my levels a little lower but said that since it is technically in range and I'm not taking more than prescribed he's ok with it

There are a few factors that decided it for me:
1. Test results
2. Symptom resolution
3. Doctor willingness/knowledge/theories

I'll explain in a bit, but first:

1) Dose is 400mg/week, split twice weekly (I've been on this dosage for about 8-9 years and have been on TRT for 21 years this June)
2) Test at the trough has ranged from 600-900
3) Urologist originally prescribed to me, but I also have a hormone specialist and blood doctor monitoring me

In my experience, doctors don't often know WHEN the test should be done and don't explain that. Then when you get the test done, if you happened to do it one or two days after your injection, the levels have risen past 1000-1200, and the doctor freaks out when they really shouldn't. In the past, I've done that and ended up having my dose lowered, and then I still felt like crap because the trough would bottom out way below the range. To keep test levels up where you are able to resolve symptoms means that your level at the trough shouldn't be dipping down past the lower average or below low end of the range. This is how it was explained to me by one doc who actually knew about and had experience in treating via TRT. We know that the levels will peak initially, there's no way around that no matter the dose. What you have to do is take the dose, then monitor to see where your levels go at the trough. If you're test below the lower average (bell curve) or below the low end of the range at the trough, then it's better to increase the dose. The second factor of symptom resolution comes into play here. If you still don't feel as good though your trough level tests at say 500-600, you need to try a slightly higher dose. If your symptoms then resolve with the trough level being 800-900, then you've hit where you need to be. Doctors in the know have said that they want their patients to test at about 800-900 at this point. Now, the peak for a dose that will come down to that level at the trough is understandably going to be high. Your doctor has to be willing to let that peak go up. Usually those who know what they're doing understand that the peak will be high, and they know that it is going to be okay as long as we're monitoring for other factors that can be affected and control them such as cholesterol, blood pressure, etc. Depending on these other factors, perhaps you still might have to slightly adjust the dose back a bit to what makes sense for you health wise but still keep symptoms under control, or you do what you can to control those other factors.

This is how my doctor has approached it, and with my dose, my symptoms are resolved with a trough testing on average at about 900. My other factors like blood pressure and hematocrit are monitored, and sometimes I have a phlebotomy done to bring HCT down or my iron if that tests high (I have hemochromatosis), but it's a minor discomfort and something I'm willing to do to keep my symptoms resolved.
 

Sides

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There are a few factors that decided it for me:
1. Test results
2. Symptom resolution
3. Doctor willingness/knowledge/theories

I'll explain in a bit, but first:

1) Dose is 400mg/week, split twice weekly (I've been on this dosage for about 8-9 years and have been on TRT for 21 years this June)
2) Test at the trough has ranged from 600-900
3) Urologist originally prescribed to me, but I also have a hormone specialist and blood doctor monitoring me

In my experience, doctors don't often know WHEN the test should be done and don't explain that. Then when you get the test done, if you happened to do it one or two days after your injection, the levels have risen past 1000-1200, and the doctor freaks out when they really shouldn't. In the past, I've done that and ended up having my dose lowered, and then I still felt like crap because the trough would bottom out way below the range. To keep test levels up where you are able to resolve symptoms means that your level at the trough shouldn't be dipping down past the lower average or below low end of the range. This is how it was explained to me by one doc who actually knew about and had experience in treating via TRT. We know that the levels will peak initially, there's no way around that no matter the dose. What you have to do is take the dose, then monitor to see where your levels go at the trough. If you're test below the lower average (bell curve) or below the low end of the range at the trough, then it's better to increase the dose. The second factor of symptom resolution comes into play here. If you still don't feel as good though your trough level tests at say 500-600, you need to try a slightly higher dose. If your symptoms then resolve with the trough level being 800-900, then you've hit where you need to be. Doctors in the know have said that they want their patients to test at about 800-900 at this point. Now, the peak for a dose that will come down to that level at the trough is understandably going to be high. Your doctor has to be willing to let that peak go up. Usually those who know what they're doing understand that the peak will be high, and they know that it is going to be okay as long as we're monitoring for other factors that can be affected and control them such as cholesterol, blood pressure, etc. Depending on these other factors, perhaps you still might have to slightly adjust the dose back a bit to what makes sense for you health wise but still keep symptoms under control, or you do what you can to control those other factors.

This is how my doctor has approached it, and with my dose, my symptoms are resolved with a trough testing on average at about 900. My other factors like blood pressure and hematocrit are monitored, and sometimes I have a phlebotomy done to bring HCT down or my iron if that tests high (I have hemochromatosis), but it's a minor discomfort and something I'm willing to do to keep my symptoms resolved.

This seems like an intelligent way of approaching things, and I am impressed if you have no negative symptoms at 400mg per week. Do you use an AI with that or otherwise control estrogen? Take anything for high blood pressure or other side effects?

Also, at 400mg per week, one would think your trough would still be at supraphysiological levels, rather than at 600-900. As you are injecting twice per week, when you are testing at the trough is that 3-4 days after your last injection?

If it's working for you, keep doing it!
 

bad rad

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2) Test at the trough has ranged from 600-900

I thought it was just me but I get, at best, 5x my dose blood levels. I've seen as low as 3x, ie, 200mg leaves me at 600 ng/dL. I don't get a lot of issues either like high hemocrit and such. It's always low. I respond weird to meds, guess my Mom did a lot of drugs.
 

Sides

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Is fill the syringe the wrong answer?

That supposedly was the philosophy of old time bodybuilders like Jeff King, never waste a syringe. If you have a 3ml syringe, make sure all 3ml are filled.

That philosophy worked much better for me when I was younger. Can't get away with that now that I'm in my 50's...
 

muscle96ss

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I wouldn't inject anything subQ unless it was from the pharmacy/human grade...and even then .25-.5mL probably.

Why would subq be more dangerous than IM? Wouldn't it be the other way around? If you get infected, its a lot easier to deal with if its under the skin as compared to inside the muscle.
 

nothuman

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Unfortunately, my dose is based on what won’t drive my hematocrit up to 60 and hemoglobin up to 20 😞
 

Knight9

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Why would subq be more dangerous than IM? Wouldn't it be the other way around? If you get infected, its a lot easier to deal with if its under the skin as compared to inside the muscle.
Dangerous? I'm not saying it is..but I am saying that depots at or larger than .5mL or gear that has too much BA/BB can leave uncomfortable welts and is probably better off avoided IMO.
So I'd use real pharm grade and limit the volume in one depot if electing to do sub-q.
 

gradeaphysique

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So we hear alot of guys saying they are on prescribed TRT and doses run from 100-400mg a week.

So my question is what is used to dictate your TRT dose??

In my mind you want a dose that brings your levels up into the upper end of the natural range say 1000-1200. I'm sure that there are Drs that will prescribe doses much higher that bring your levels well above that but just because a Dr prescribed it doesn't mean it right.

So asking you guys that have a script for TRT
1)what is your dose
2)what are your test levels for said dose.
3) what kind of de prescribed it.??
For me personally my urologist prescribed 150mg/wk based off of taking that does for 4 weeks and having blood drawn on Thursday morning with the injection being given on Monday morning and this has my test level in the mid 700's
I have since started taking 20mg a day (140mg/wk) and that has my levels in the low 900's after taking it that way for 4 weeks. My Dr said he would like to see my levels a little lower but said that since it is technically in range and I'm not taking more than prescribed he's ok with it
Seems like ego for most and this type of forum
 

alfresco

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I go by how I feel and my blood tests.

60mgs every 4 days. Total T = ~1,000. Would like a bit more but it's a no go. I am good
with that . . . it is what it is.

Been on 600mgs every 10 days. Did that for maybe 6 months. Was great getting 'there'
but once there, felt like shite. Clearly stronger and bigger (for me), same waist pant size
so I was not fat. T level never topped 1,400 even on the highest dosage. But . . .
eventually my blood started to look bad, lots of yellow flags so back down I went. No big
deal. Felt way better and I was not always looking for a place to sit down.

All my TRT was, is, doctor prescribed. Yes, even at my highest dosage. (She would give
me all I wanted as long my blood were good. She was not too concerned with my elevated
T levels but knew I would hang myself with my own shoe laces given enough time.
True she was.)

Short story long, I could care less if I am the biggest guy in the room. I just want to be
healthy, be able to do whatever I want to do strength and endurance wise, and want to
look good with no clothes on . . . for my wife of course ;)
 

Flex500

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For me I have a rx at 200mgs/week dose and I love my primary care doctor but endocrinology is not his forte. I have a friend who is an endo (I work in the medical field) so I pick his brain and adjust things as I see fit but I like having the ability to get my hands on a higher dose as I am rx'd. But this is what I actually do and it's essentially breaking up the year into thirds:

1. I need to stay on at least a dose where I am functional (sexually and otherwise) and feel good which I can accomplish on 60-90mgs a week

2. I believe for overall health staying on the lowest dose (see above point) for at least 4 months a year will contribute to longevity greatly so for 4 months I stay on 60-90mgs a week (usually three shots of 20-30mgs each). This puts my total test around 600-750. Free test is always high-normal level

3. To turn on the muscle building a bit but to still embrace longevity I like to spend another 4 months of the year with total test around 1000 so I will bump my dose to 150mgs a week which I do 50mgs mon, wed, fri.

4. I spend the last 4 months of the year with test levels 1100-1600 and this is accomplished by upping my dose to around 200mgs a week where I'll do three shots of 70mgs a week. I will also add in something like 200mgs of primo or mast a week.

This allows me to do things in "waves" where, for 8 months of the year, I am in a normal or "high normal" range. Right now I'm literally on 60mgs of test a week which will continue through July.
 

Knight9

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I go by how I feel and my blood tests.

60mgs every 4 days. Total T = ~1,000. Would like a bit more but it's a no go. I am good
with that . . . it is what it is.

Been on 600mgs every 10 days. Did that for maybe 6 months. Was great getting 'there'
but once there, felt like shite. Clearly stronger and bigger (for me), same waist pant size
so I was not fat. T level never topped 1,400 even on the highest dosage. But . . .
eventually my blood started to look bad, lots of yellow flags so back down I went. No big
deal. Felt way better and I was not always looking for a place to sit down.

All my TRT was, is, doctor prescribed. Yes, even at my highest dosage. (She would give
me all I wanted as long my blood were good. She was not too concerned with my elevated
T levels but knew I would hang myself with my own shoe laces given enough time.
True she was.)

Short story long, I could care less if I am the biggest guy in the room. I just want to be
healthy, be able to do whatever I want to do strength and endurance wise, and want to
look good with no clothes on . . . for my wife of course ;)

It makes little sense that 600mg e10d wouldnt get you past 1400, but 60mg twice e8d gets you do 1000.
I'd really like to do an experiment one things get closer to normal. I'll adopt a 100-200mg e4d type of injection protocol and I will go in and get tests each day.
Inject, test day 1, test day 2, test day 3, test day 4 before injection. -Perhaps something like that. I am very interested to see if everything is mostly linear. (test/free test/e2/etc)
 

Knight9

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Personally, for me 300mg 1x a week and levels at 1379 was very good for me. I'd be willing to explore 1150-1200 range if I can nail that and evaluate how I feel.
200mg once a week does not do it for me. 100mg 2x weekly doesn't do it for me either(levels 723). 125mg e4d is better but still not satisfactory with levels (levels 974).

I have a sneaking suspicion that 300x1 and 150x2 would yield practically similar levels with less sides..but want to see what 80-100mg 3x a week does. If I can't execute on these, I might try an ed protocol.
 

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