TRT

[w8lifter65]

having allot of trouble around here getting put on TRT. 46, test is very low, under 100 but the Dr's in this area are just very against it. One endo wanted to start a long testing process starting with an MRI to see if there was a tumor of sorts that was casuing the low test(is that a common test for endo's to perform in this situation?).

anyway I've gone round and round with several docs and no resolution after 2 years so I'm taking this into my own hands, feeing like this is getting old. I plan to stay on a low dose, maybe 200 a week, is there anything else I should be doing/taking other than regular blood work?

thanks.

 

[coolrise]

Good luck, Bro

 

[Nemain]

In today's world endo's are covering their arses, and taking each client with precautions and covering each step in their process with a fine tooth comb.
If you legitimately have low test, and I'm not referring low-end levels, If total test,bio-test and free test levels all show trouble or even unavailable on the sheet than allow the Dr's to do their work. At times they are beginning the process for you, however many people get impatient during this phase. At these course the docter's are preparing things, or even gathering some required family histories for other diseases and illnesses. If you need TRT, than let the game take it's course in the processes.
If you are not happy with these Dr's , than there's many great ones online, just summit your blood-work and other info, and your referral sheets, than they will determine if you qualify.

 

[BillHilton]

I share your pain. I am 48. In my podunk town and within an hour drive there are no docs willing to consider trt. "Your testosterone is normal for a man your age." WELLLLL, I don't want the t levels of a decaying body!

A woman can just flash a quick smile and get all the estro (and even test) she wanted -- that's politically correct for some reason.

There is a nice post in the articles section on hcg -- you migth want to read that.

Some people out there talk about low dose clomid as trt or in conjunction with exogenous T. You might want to research that.

 

[w8lifter65]

I share your pain. I am 48. In my podunk town and within an hour drive there are no docs willing to consider trt. "Your testosterone is normal for a man your age." WELLLLL, I don't want the t levels of a decaying body!

A woman can just flash a quick smile and get all the estro (and even test) she wanted -- that's politically correct for some reason.

There is a nice post in the articles section on hcg -- you migth want to read that.

Some people out there talk about low dose clomid as trt or in conjunction with exogenous T. You might want to research that.

thx bill I'll check that out.

I have placed an order for T.

 

[Trainwreck80]

I feel your pain. I've been on TRT for years. My suggestion, find a decent endocrinologist even if you have to drive several hours to a large city and try to find out the cause. Regardless of whether or not your going to go on test, either by a doc or on your own, figure out why. It may be an easy fix or it may tell you something that you need to watch out for. When I was searching for the cause the endo did a bunch of blood tests first: iron and ferritin, IGF to look for acromegaly, LH and FSH, total and free test, estradiol to see if estrogen is keeping your levels down, and prolactin to see if that is the culprit. They all were ok so I got the MRI and found a cyst on my pituitary gland in my brain. I'm still on testosterone but now I know what's going on in my head and can monitor it to make sure it doesn't cause more problems and monitor the other hormones the pituitary controls to make sure it doesn't affect those too. I have regular MRIs now to keep an eye on it.

This process should take a month at most after your first appointment, not 2 years. Take a month or two and try to figure out the cause. After that, do what you want. That's my advice after being through it all.

Good luck.

 

[infinity1]

having allot of trouble around here getting put on TRT. 46, test is very low, under 100 but the Dr's in this area are just very against it. One endo wanted to start a long testing process starting with an MRI to see if there was a tumor of sorts that was casuing the low test(is that a common test for endo's to perform in this situation?).

anyway I've gone round and round with several docs and no resolution after 2 years so I'm taking this into my own hands, feeing like this is getting old. I plan to stay on a low dose, maybe 200 a week, is there anything else I should be doing/taking other than regular blood work?

thanks.

My first endo tried to get me to get an MRI-apparently they are looking for tumors on the pituatary gland. Like some of the other posters said-try to find someone who will help you without all of the bs-even if you have to drive-its well worth it. If you do decide to do to on your own-you may need an AI like Aromasin 8-12 mgs per day and maybe hcg at 250 ius twice a week-but those things depend on bloodwork and if you are getting any estro related sides. Best bet is a dr who will help by prescribing what you need-and obviously he/she will run the appropriate bloodwork as well.

 

[newyork]

try a pain management specialist....they usually prescribe TRT as well as pain meds cuz opiates cause low test...its worth a shot if u havent had any luck otherwise...good luck bro...

 

[makingchanges]

Id say wait it out! do what they say.. I went through the samething (scans and bloodwork) and even started with the crappy ass gel.. so I just rolled with it and did what I was told. It will pay off. Like stated before if you really need it you will eventually get it. just be patient with it its worth the wait I think!

 

[w8lifter65]

decided not too wait, like I said it's been 2 years multiple docs/endos appointments that have led no where.

Ordered test, did my first shot, easier than I thought it would be. going to run a weekly dose of 1cc/200mg.

SHould I take a break after the first vile?

Is it ok to run just test with nothing else?

I'm looking to add some muscle and just feel all around better from the low test.

Do I even need a break or just go year round?

Is 1.5 inch needles needed; that thing was LONG thought I'd hit bone soon.

 

[alpha6164]

decided not too wait, like I said it's been 2 years multiple docs/endos appointments that have led no where.

Ordered test, did my first shot, easier than I thought it would be. going to run a weekly dose of 1cc/200mg.

SHould I take a break after the first vile?

Is it ok to run just test with nothing else?

I'm looking to add some muscle and just feel all around better from the low test.

Do I even need a break or just go year round?

Is 1.5 inch needles needed; that thing was LONG thought I'd hit bone soon.

That is pretty much way to high of a dose for TRT. You want your total test levels to be in the 800-1000 range. More than that and you will start fighting other issues such as prostate hypertrophy, too much estrogen, bad cholesterol profile etc. Most of my patients reach the 800-1000 with just 0.5cc (200mg/cc) a week. Sometimes 0.625cc. But 1 full cc of 200mg a week will just be way to much and your E2 levels is going to go pretty high.

You should reduce to 1/2 cc once a week and after four weeks get your total test and E2 levels checked 3rd-4th day after your last injection. Then based on those levels you can adjust from there.

 

[w8lifter65]

That is pretty much way to high of a dose for TRT. You want your total test levels to be in the 800-1000 range. More than that and you will start fighting other issues such as prostate hypertrophy, too much estrogen, bad cholesterol profile etc. Most of my patients reach the 800-1000 with just 0.5cc (200mg/cc) a week. Sometimes 0.625cc. But 1 full cc of 200mg a week will just be way to much and your E2 levels is going to go pretty high.

You should reduce to 1/2 cc once a week and after four weeks get your total test and E2 levels checked 3rd-4th day after your last injection. Then based on those levels you can adjust from there.

thanks!!! I will drop it to half. Can it bumped up to what I'm doing now a couples times a year to pack on some mass and then back down to the maintenance level you recommend?

cholesterol should be ok, I'm on lipitor, genetics, I've been on it for years, even with a perfect diet, it will still jump up if I don't stay on the lipitor.

 

[alpha6164]

thanks!!! I will drop it to half. Can it bumped up to what I'm doing now a couples times a year to pack on some mass and then back down to the maintenance level you recommend?

cholesterol should be ok, I'm on lipitor, genetics, I've been on it for years, even with a perfect diet, it will still jump up if I don't stay on the lipitor.

As a physician i dont like to give advice on the internet about "packing muscle" however, i can tell you that doing 200mg a week is not going to be in the range of "packing muscle."

 

[w8lifter65]

As a physician i dont like to give advice on the internet about "packing muscle" however, i can tell you that doing 200mg a week is not going to be in the range of "packing muscle."

then a couple times a year, It'll be a "bit" more.

Is there anything I need to do following that or just move back
to the TRT level dose?

 

[ftworthguy]

Get some anti E for those higher dose periods to fight gyno. I'm on 100mg/week and when I go above 200mg/week I start showing the high estrogen signs.

 

[alpha6164]

then a couple times a year, It'll be a "bit" more.

Is there anything I need to do following that or just move back
to the TRT level dose?

Since you are not trying to rebound your natural test levels, there is no PCT. You just go down to your 100-125mg/week and you will be good. Also another trend is to split up the weekly dose into two but obviously half the amount. Your total weekly dosage does not change but you will find that giving lets say 50mg twice a week, it gives you actually slightly higher total test levels and will have lower E2 levels because not a single shot of 100mg of test is hitting the system so less % conversion to estradiol (E2), estrone (E1) and estriol (E3). Yes it sucks two take two shots vs one but if it reduces your E2 from 40 to 20 and you dont have to use an AI then why the heck not.

 

[slash02]

I've been doing some research on TRT as well and have found that there are outfits out there that are more willing to help you even if you are in the low normal range. Mind you these are not endo's and they are not covered by insurance, but they don't seem to be much more than ordering from a UG lab. I guess the benefit is that you would have a script and pharm grade hormones. I may eventually do this since it does seem to be very difficult to find a endo/primary care doctor that will treat you correctly. The one place that seems to get good reviews looks like they would only need recent bloodwork and a physical sign off from your doctor before they accept you into the program and get you started. Do some searching, there are options out there. The one I am thinking of is a sponsor on some of the other boards I frequent.

 

[w8lifter65]

Get some anti E for those higher dose periods to fight gyno. I'm on 100mg/week and when I go above 200mg/week I start showing the high estrogen signs.

what should I be getting and what signs begin to show?

 

[ckrappraisal]

I just recieved my test results today and after being off everything for almost a year my test levels are 417. Neeldess to say I'm not happy about it, been feeling the symptoms of lower test for some time as my libido has been down, tired exc.

I'm 32 years old and in decent shape.

Would you guys consider trt with these numbers?

 

[alpha6164]

I just recieved my test results today and after being off everything for almost a year my test levels are 417. Neeldess to say I'm not happy about it, been feeling the symptoms of lower test for some time as my libido has been down, tired exc.

I'm 32 years old and in decent shape.

Would you guys consider trt with these numbers?

Even though based on Labcorp or Quest range that number is considered "normal" it sure as hell it is not. That is like saying, being old, wrinkled, decrepit at 70 is "normal" then we dont want normal. When ranges of labs were established they will take samples of population at different ages that dont have other diseases to skew numbers and come up with ranges. So it is obvious that majority at 50 are going to have low T, and those numbers are now accepted as normal for that age group. But we know that men will definitely start have libido, fatigue and lean mass loss at test levels below 600. So that is pretty much what i use as my lowest cut off at my practice for patients AS LONG AS THEY ARE SYMPTOMATIC.

If you have a total test level of 520 and have no complaints then why mess with things, but more than usual they will be symptomatic.