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TRT-doc or self admin, doses thoughts

Reload

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I'm scripted Perrigo Test C 200/wk.
53 y/o now. 10mg/day (SQ) keeps my total consistently in the 750-800 ng/dL range.
My doc uses 193-740 as his reference value so I'm consistently topped out.
Wake up with a tent almost every am. Great work outs. Maintain a fair majority of my size.
Strength isn't what it used to be but I'm still pushing 800+ in the leg press and pulling 500+
from the floor. I may add a little GH in from time to time. Sleep/recover better on it but nothing
miraculous. I respond well to micro doses so consider myself lucky.
 

marssel

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Yep. When I was on 2x/week injections, I was doing 130mg Monday and Thursday, so 260mg/week. The last two bloodtests I had on that dose showed levels between 530 - 620 (inject ~9:00am Mon, blood drawn ~9:00am Thursday before next scheduled inject).
Howd you feel at 620, still feels like under 1000 with how muscular we are and how hard we train low normal doesn’t cut it imo.
 

prodaf

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That akin to saying nobody needs more than 2K Cal daily. There are lots of factors that influence blood levels. Like another member I have mTBI related to my career. My TRT doc couldn't figure out why my serum levels were so low on 200mg/weekly until I disclosed the mTBI issues. He said that's common to see low response to TRT due to mTBI.
ok i agree with that if it s a particularity
 

marssel

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ok i agree with that if it s a particularity
What is mTBI, sorry I’m unfamiliar I could google it but I want your story
 

fisther69

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What is mTBI, sorry I’m unfamiliar I could google it but I want your story
Traumatic brain injury.

Mine was caused by combat. But it can be caused by nothing physical at all..overwhelming stress for long periods of time can cause it.

Mine causes hell on my adrenal system. It’s not so bad with nerve blocks, but untreated it can be a real bitch.

I just finally found a doctor after 10 years that didn’t call it the “suicide disease”
 

marssel

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Yea I’m a Marine I’ve always heard it as CTE or TBI never mTBI hence the confusion. Yea if you served a tour or any where hot you’re gonna have head issues I don’t know very many vets not fucked up in some way but that’s the job you just find out after not on the front end and even now with all the knowledge if you’re breaching or calling in any support close by you’ve got headaches for life. Still beats having not served, not everyone feels that way but I do. Stay hard brother.
 

Pericles

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My plan includes blood work.
The problem I was having with self admin is I get crazy and think to much. I need more I need less. I paid money for this so I listen.

Also test hits people different. One persons level can be higher on one dose than another.

My dose is a lot higher than everyone else’s on this thread with my levels in similar range
You don't need more. You would be surprised how much you don't need if you train properly and eat right. 200 or less seems to be the number for most.
 

bad rad

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Yea I’m a Marine I’ve always heard it as CTE or TBI never mTBI hence the confusion. Yea if you served a tour or any where hot you’re gonna have head issues I don’t know very many vets not fucked up in some way but that’s the job you just find out after not on the front end and even now with all the knowledge if you’re breaching or calling in any support close by you’ve got headaches for life. Still beats having not served, not everyone feels that way but I do. Stay hard brother.
mTBI usually refers to repetitive bouts of lower grade injuries vs a penetrating injury. The accumulative damage adds up.
 

CollinDC

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200mg/cyp a week split Mon/Thurs puts me a 975 ng/dl
 

marssel

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mTBI usually refers to repetitive bouts of lower grade injuries vs a penetrating injury. The accumulative damage adds up.
“breathers syndrome”. I know guys who just used frags and a lot of 50 work that know there shit is off. I can remember opening that 50 up in small rooms and not being able to walk right for days laying down and the room spinning like you’re drunk. At JWTC an officer in the cadre threw an arty sim next to my head fucked up my hearing a head for days a fucking arty sim. Same class we were using 9mm upper receivers and a SSgt took off his neck kevlar and at range (iron sights) I couldn’t see that and I was holding center mass at profile somehow I was 4-6 inches high and shattered his fucking throat. Dude has wife and kids at time to this day that still bothers me. We had more issues in training than in the field but we were lucky I guess. I trained my guys good so ya know I can say that 110. What branch?
 

ProfessionalLabTesting

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200mg/w is not a TRT

For all intents and purposes, this is medically correct per the American American Association of Clinical Endocrinology (AACE), the American Urological Association (AUA), the American College of Physicians (ACP), and the American Society for Biochemistry and Molecular Biology (ASBMB). There are currently many physicians that will Rx more than the recommended amount of testosterone regardless of what any professional guidelines suggest. However, for the luck individuals currently being Rx'ed higher than suggested testosterone dosages I suggest that you all enjoy it while it lasts. In my years of being professionally involved in the field of healthcare and clinical lab medicine, I can already predict with a high degree of certainty what will eventually happen 5-10 years from now regarding the current medical scope of practice for Rx'ing testosterone as HRT.
 

Flex500

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scripted 200mgs/week which puts my TT ~1,300. I've reduced that to about 70-100mgs for half the year and the other half of the year anywhere from 100-150max. Once my TT starts inching over 1,000 I just see deleterious impacts to my bloods, most notably on lipids.

I know there are the posts that it varies and everyone is different but most people actually react fairly similarly. I mean that is how we determine standards of care overall by taking the large majority of the population under [insert therapy you are talking about here] and reviewing how they respond.

I imagine many of your docs will share the same. Most people taking 200mgs-250mgs a week are going to be well over 1,000 TT. I'm also not saying something terrible magically happens when you hit >1,000 TT but as a general guidelines most docs seem to want lower than that and most people are really going to be guaranteed to not have negative impacts to bloods on less then <900-1,000 TT.
 

Golden

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Working for symptom resolution for Trt seems to be more the current thinking than shooting for a specific number, especially with the more progressive Trt specialists. I’m not talking those places that they’ll prescribe you what you want if you pay enough either.
Saying x or y isn’t Trt doesn’t allow for a full spectrum of how people respond or any issues they may have being considered in their treatment
 

Flex500

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Working for symptom resolution for Trt seems to be more the current thinking than shooting for a specific number, especially with the more progressive Trt specialists. I’m not talking those places that they’ll prescribe you what you want if you pay enough either.
Saying x or y isn’t Trt doesn’t allow for a full spectrum of how people respond or any issues they may have being considered in their treatment

I do agree with this totally. Same goes the other way if someone feels great at 275 TT, no need to put him on therapy "just because". But I also think the "flexible based on symptoms" approach would still have almost any credible doctor wanting to keep you <1,000 as a general rule and they use most of their wiggle room to adjust dosing in places that keep your TT between 500-800 on average. Most people will feel good someone in that range and from the physician side you are likely to avoid most issues staying in that zone.
 

Sixfoottwo

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There are things I'm jealous of with you Americans. In my country there is no way a young guy will get prescribed trt. At least I don't know any. Hardly any GP who are willing to help out with bloodtests and stuff either. Luckily we can do a lot of it online
 

Sixfoottwo

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“breathers syndrome”. I know guys who just used frags and a lot of 50 work that know there shit is off. I can remember opening that 50 up in small rooms and not being able to walk right for days laying down and the room spinning like you’re drunk. At JWTC an officer in the cadre threw an arty sim next to my head fucked up my hearing a head for days a fucking arty sim. Same class we were using 9mm upper receivers and a SSgt took off his neck kevlar and at range (iron sights) I couldn’t see that and I was holding center mass at profile somehow I was 4-6 inches high and shattered his fucking throat. Dude has wife and kids at time to this day that still bothers me. We had more issues in training than in the field but we were lucky I guess. I trained my guys good so ya know I can say that 110. What branch?
Goddamn dude. You shot your SSgt? What branch of the military were/are you in?
 

marssel

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Goddamn dude. You shot your SSgt? What branch of the military were/are you in?
Marine Corps and not my SSgt guy from another unit leading his platoon I had mind, Corporal at the time. We trade our .556 upper receiver for a 9mm subsonic chalk round that’s like rubber and filled with chalk. We wear face masks and a Kevlar neck cover the whelp up and often bleed, one time I got shot by a sniper while lying down so it hit my back kidney area and I pissed blood, he shouldn’t have taken his safety gear off. It still bothers me but I did my job we strive to train as close to war as possible I assure you when chalk rounds are tearing up the jungle around you it is as close to live fire as it gets and the fact they hurt like hell makes it more legit. All that said one of his privates could just as easily have shot me but my guys were better we had cover and concealment and moved in a more tactically sound way. It sucks but if he’d had all his Pppe on it woulda been a moment I wouldn’t even remember happening. We went out the next day and did movements on fortified positions (and got chewed up) the rounds don’t go thru cammies but oddly they do sometimes split your under t-shirt I guess from the energy. But yea I shot him in the throat thigh I was aiming center mass but again they are chalk rounds.
 

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