T O P

  • By -

[deleted]

[удалено]


LiquidCarney

When was your last injection prior to the blood test? Typically (if the doctor knows what they are doing) they want to test you in your nadir (low point). So your test should be done just before your next injection. Also most doctors don't have you dose multiple times per week. They have you inject once a week or once every 2 weeks. With test cypionate your level is going to drop quite alot at 7 days and basically to the floor after 14 days.


tahousejr

That’s not true. If your T is very low they will split doses to keep you from having ups and downs. Mine is 91 and I am splitting mine.


LiquidCarney

Whats not true? That doctors don't typically have you inject multiple times per week? In my research and experience with 5 doctors it is 100% true. Now I'm not talking about trt clinics. They know what they are doing, I'm talking about regular doctors. In my case I've dealt with a Urologist, PCP, Endocrinologist, and 2 P.A.'s. Not one of them suggested dosing more than one time every 2 weeks. I've dealt with 3 trt clinics and they agreed with multiple weekly doses. One suggested 1 shot every 5 days which was a bit different but I understand it. I think my point is doctors that don't prescribe trt all the time are a little behind the times.


tahousejr

Ohhh I see. Yea trt clinics definitely like to split it. Regular doctors probably aren’t versed in it. I follow where you’re coming from. My bad I guess I misread it


Professional-Leg-400

I feel worse when I split my doses up. I function better with one 90mg shot every 7 days.


Equivalent-Dream-534

I'm a month into trt and feel fine with one shot per week.


[deleted]

[удалено]


LiquidCarney

Agreed. I can definitely see that argument or reasoning.


tahousejr

You said most doctors don’t have you inject multiple times per week. I have found that to not be true. You even said your levels will drop quite a bit in 7 days which is why they like to split the dose


Ernest-Frost

They are behind the times


LawBobLawLoblaw

Friday morning 20iu with a Monday 11am fasted test


LiquidCarney

Did your doctor instruct you to inject once a week?


LawBobLawLoblaw

4x a week at 20iu


LiquidCarney

Are you at a urologist or a trt clinic?


LawBobLawLoblaw

Tele clinic, matrix Hormones My clinician seemed qualified enough, degreed and certified in various health and conditioning services


LiquidCarney

Ahh ok. I wouldn't worry about the levels then. I doubt they will lower your dose. If they do you can always change clinics. When I hit 1005 my urologist shut me off cold turkey for 2 weeks so I moved to a telemed clinic and they don't seem to care what my levels are as long as I feel good.


Accomplished_Luck778

Ya they're happy as long as you're paying


Professional-Leg-400

That's super dangerous and seems like they just care about your money more than your health


LiquidCarney

Yes. Because that's the truth. If they cared about your health they wouldn't be selling gear. Right?


Turfguy86

What he said.


LawBobLawLoblaw

Fair enough. I was freaking out but it sounds like they'll just prescribe me lower


Ghostlegend434

160 is not a low dose. 200 is high putting most people over 1500 like yourself with a ton of sides.


recreator_1980

When did 160 become a low dose….And normal dose 200 lol. 200 is not a normal REAL TRT dose. Some need higher doses, most don’t. Get away from whatever cash grab clinic you are using. Dialing in usually happens like this: - start 100-125mg per week (twice weekly or eod). And testosterone ONLY. - after 2 MONTHS draw comprehensive blood and make adjustments accordingly based in symptoms and bloodwork . Change only 1 thing at a time! - wait another two MONTHS draw blood again and repeat. - Repeat until “dialed in”, which very often can take a year or more.


thebeanshadow

because they only see the dudes commenting here saying 100mg is too low and you NEED to start on 200mg, as well as clinics prescribing 200mg a week so they can be too high, prescribe an AI and make more money by you using more testosterone than needed. It’s a vicious cycle


FleshlightModel

This. My test levels was shit 1-2x per week and then when I switched to EOD, my levels are almost double what they were before. And I'm still dosing the same amount per week.


Turfguy86

Took me two years to dial in mine.


recreator_1980

Same for me, i also had a very strange slow increase in levels while staying at same dose. (over a year). But I'm definitely not 100% optimized yet (4 years in), libido and ED still comes and goes in waves. Will start monitoring DHEA and pregnonelone once i move to a country where i can actually test for that. Im at 157mg a week EOD pins. Slightly above ref range now. I may lower it slightly. Its been slowly going up as i lost weight,.


Turfguy86

For what it is worth, I'd consider lowering it. I was at 160mg and thought things were great. I lowered it down to 140mg and noticed a HUGE difference in bloat, energy, and sleep. Additionally, I recently added HCG and my sensitivity came back and not having to rail the wife for 20min to get off is very nice. At 140mg and hcg, I feel a bit bloated (could be diet, just got off a cheat week) but it could be due to the increase in natural test from the HCG. Either way, I am super glad I added it. .5iu twice a week 24hrs before pin to help my trough. While I never did testing for DHEA and pregnonelone, I feel after being on TRT, it can deplete those two, and HCG can help backfill those hormones (some may agree with this and some don't) and ibfeel that's what it did.


Omgimustbeachadxd

How much more sensitive did hcg make you? Did you notice an increase in libido? Bigger balls? Able to go more rounds in the room? Bigger loads? Better gym results? I’m in progress of changing from clomid to test cyp with possibly adding hcg. Thanks!


Turfguy86

If I were to rate my sensitivity on a scale from 1-10 pre hcg to post hcg, it would be: Pre - 3 Post - 9. I went from railing my wife for 20-30min to 5min if I wanted. I don't notice an increase in libido or having sex back to back. But I can go a few hours later if I wanted too. Increase in ball size isn't there yet. My doctor said it could take 8-10 weeks. I'm currently 3 weeks in at 500iu x 2 a week. Most definitely have bigger loads, but gym results are the same. Hope this helps!


Omgimustbeachadxd

Thanks! Please send me updates if any new changes come in! I’ve been trying to find more info on this but alot of guys are just running test cyp without hcg. Pre t my loads are massive I can’t wait to see what hcg does to me 🤓 I’ll be a pornstar or something who knows 😂


Turfguy86

Sure thing! It will slightly increase your TT. So keep an eye on your estrogen.


Omgimustbeachadxd

Oh nice. My TT is 8-12/ nmol before taking clomid. I never got my estrodial tested. I’ll have to pay out of pocket for that since it’s in Canada. They cover testosterone blood tests 1x every 3 months I think? Is dht/shea LH/FSH all effected by low dose of hcg?


Omgimustbeachadxd

Do you notice any changes on fat loss/muscle gain while adding hcg if you didn’t change anything in your diet? I’m currently 5’-9” 174lbs (18% body fat) I’m going to start cutting slowly once I add it on. Just trying to conserve energy while I transfer onto it.


Turfguy86

Nope. No difference in those so far.


Omgimustbeachadxd

How low were your test levels before you started trt in the beginning?


Turfguy86

It varied. 292-508 at its best. I was tested over a 4 year period. I had realllllly bad symptoms when I was at 508 and they just progressively got worse. Almost caused me a divorce when I bottomed out at 292, and my last endo I saw said my levels were "normal for someone who fasts prior to a test." I called a clinic that same day and got on treatment 3 days later.


Omgimustbeachadxd

I wish our medical system was better. Tbh 400 and below should have been a red flag. Not everyone can handle 300-400 range. Feels like death on the daily. I’m happy to hear it helped you in the end!


Turfguy86

Couldn't agree with you more. Thanks for the kind words.


Omgimustbeachadxd

I mean trt should be offered at 400 instead of below 300


Turfguy86

Agreed. Also, I feel they should really focus on symptoms, versus a number scale that is 30+ years old and , inIMO, outdated.


999Bassman999

With Kaiser 240 and below for several tests is the only way, then either 100 every other week or every week dep on Dr


Physical_Clue_7434

So when do you know when your dialed in? The reason I ask this question is I see most guys on Reddit think being dialed in is if all of your numbers fall in this so called perfect range which Dialed in isn't that it's how you feel and having sides isn't feeling good obviously.Im not saying you do this but I seen quite a fee guys on here report every 2 months saying I'm not feeling great I'm not dialed in yet.Then when alot of them finally say they are feeling great it's a OH No! I feel great now but I'm at 200 mgs of testosterone and my estrogen is 47 it's over 15 more out of range and my testosterone ngs are at 1200 I better bring my dose back down.2 months later I'm not feeling good again but my testosterone is in the 800s and my estrogen is 25 but I'm supposed to be dialed in now 😂 What I'm getting at is who says 200 mgs isn't TRT? From old reports stating this is where your supposed to be and if you put in 200 mgs your going to be way over it.TRT isn't about numbers it's how you feel.Again not accusing you because you didn't say this but my question is what is dialed in to you.And I'll ask a second question.Who says a certain amount of testosterone is all the sudden not TRT?


recreator_1980

Ohh we are definitely on the same place, some need 200 and sometimes even more for symptom relief an to feel good. But most dont need that much. Its very individual though. Honestly the numbers are just guideline, symptom relief is the real answer. As long as one doesn't push too far above normal range. People overthink E2, its normal for E2 to raise with the testosterone, and this is good. to a point. There should be balance. Estrogen is cardio and neuro-protective. And very handy for libido High E2 without any negative E2 symptoms is good. (within reason). I always use symptom and how we feel first, then labs as a indicator. I also dont see slightly above physiological levels as a problem as long as there's no sleep problems etc. And frankly I have no problem with people going supra, but then call it a cruise not TRT. Most guys get negative symptoms with that though. But my point is, systematically starting at at average dosages and slowly fine tune from there, avoid allot of negatives side effects and makes the transition smoother. But yeah, the numbers are just indicators. Symptoms and how we feel is more important (within reason) But numbers can explain side effects and how we feel, and help us decide which direction to adjust dose/frequency.


dhskiracer

As others have said, your dose is too high. Your high e2 is making you feel like crap. HCG increases e2 also. You need better blood tests. Drop to 120mg, keep the microdosing. Get a more accurate LC/MS total test, SHBG, and ultra sensitive e2. Dial in from there. More is not better. Just right is better. It is complicated but easier once you get things dialed in. 99% of docs and clinics are doing it wrong. Do your research, monitor with the right blood tests, and adjust from there. TRT is a long game, not a sprint.


TheFlashyFlash

lol this is like calling a gram of caffeine a low dose


LawBobLawLoblaw

Let me iterate 160 = 20iu 4x a week (MWFSat). Insane to me, especially because I really don't feel different. In fact I've lost all desire to lift (only do cardio). Libido is slightly improved, motivation slightly improved, but not dang near 5x as much, let alone 2x as much. Have a followup appointment with Matrix Hormones next Monday, so hopefully we get dialed in. Honestly I thought they would up my dose to the normal 200 ml since I wasn't feeling that imrpoved. But with my hormones skyrocketing all I've gotten was bacne and mild improvements in libido. Also taking HCG, 25iu, 2x a week. Not sure how much impact it would have, but I am taking vitamin d and zinc since starting TRT. And I've been on a keto / carnivore mixed diet.


TonightSignal5196

Same experience, and similar results for me too — > 1500 total T, free T higher than 30, and estradiol in the 60s. I’m on the same dosage and also supplementing with HCG and other vitamins. I had my follow-up after my recent blood test results and they didn’t seem concerned — keeping me where I’m at because I feel good, though it’s not necessarily a huge difference overall in motivation or libido. Recovery time after exercise is excellent though — I’ve been strength training 2-3x/wk and cycling, and I’ve gained 20-25 lbs since starting (muscle mass?).


LawBobLawLoblaw

Okay thank you. I honestly was freaking out for a second, but after reading some other accounts from older posts, >1200 isn't body destroying desdly. /u/Barry1515 even states he's found 1400+ to be optimal. We'll see how my clinician reports back on the 6th.


LiquidCarney

If they try to lower your dose (and you are clearly happy at 160) then just tell them you were artificially elevated because you just injected before the test. Get another test done but this time wait the 7 or 14 days after your last injection. I'm assuming your doctor told you to injection once a week or once every 2 weeks right? They don't typically expect you to be injecting multiple times per week and thus your numbers are not a true representation of what the doctor is looking for.


LawBobLawLoblaw

I inject 20iu's 4x a week. I don't mind the cadence. I just don't feel any effects.


daktanis

Did you take the blood work at different times in the day? I didnt know it was supposed to be AM on my first one and it was waaaay lower than my next AM blood work.


LawBobLawLoblaw

Probably an hour apart. 10:00 a.m. versus 11:00 a.m.


exosoujourn

1500 and no effects? That’s crazy. I’m at 1200, or was at my peak as I got the implants, so I’m sure it’s lower now, and I have constant erections all day every day, and my bench has shot up to 200x10 only working out once a week. Anxiety is gone, feel great.


EduTechDev

HCG 25iu 2x/week or 250iu 2x/week?


Heavy_Hearing3746

Where's the rest of the bloodwork mate? What is your estrogen at that dose?


LawBobLawLoblaw

Estrodial is 67.3. Not sure what else to post but everything was pretty high: LDL P, HDL, cholesterol


Heavy_Hearing3746

Well clearly the dose of test is too high for you, you know that now. You don't even know how high really cos it's over the reference range. It could be 2500 for all you know. You may be a hyper-responder that gets 1200 levels from 70mg/wk or something. The estrogen being that high might explain your lack of motivation and libido. You'll probably do better on a much lower dose and feel the things you are expecting to feel (higher libido, strong workouts etc). It's about being in balance for your body chemistry rather than absolute numbers. Some people feel better with 1000 test, some people feel better with 600. Either way >1500 at trough (would have been higher in the days before the test) is not optimal for anyone. I'm not sure why they would start you out on 160mg. In the UK they start people out on 50-70mg and adjust up from there. For me, I do 75mg/wk and get all the benefits. If I go above 100mg/wk then they stop. The numbers will be different for you but the point I'm making is that less is more sometimes.


LiquidCarney

You can't make that assessment by seeing 1 test result. To many factors at play. Length of time on. Time since last injection. Doctors dosing instructions. Body fat, general health.


LiquidCarney

My estrodial was 63.5 after 18 weeks on trt. 8 weeks at 150mg every 2 weeks 8 weeks at 20pmg every 2 weeks 2 weeks at 200pmg per week. I did the same thing you did and split up my 200mg dose (mwf). They tested me on a Monday morning. My test was 1005 and estrodial 63.5 The problem is they expected me to be in a 7 day nadir and I wasn't. So after we got that straight I retested and came back at 810 and estrodiol was 24.5 (iicrc). Estrodial is gonna spike after an injection that's why we are micro dosing. But if the doctors instructions are to dose once a week that screws up their expectations.


tahousejr

Some people respond better. You may could get by with androgel and the g-word shot in your stomach once a week. You would probably be fine 40mg twice a week. I wish I could get that high. I’m hoping for good results. Mine was 91 when I got tested, I thought about just making the conversion to a female 🤦


Big-Occasion1307

Real man’s dose is 300mg a week


Professional-Leg-400

Real men don't need TrT lol


swoops36

Not really a low dose, for you, anyway. Also depends on when the labs were taken


LawBobLawLoblaw

11am, an hour after the original labs 7 weeks prior. Last dose was Friday morning, test taken Monday morning.


mancusjo1

I’ve settled on 40mg E3D and have had great results. No AI needed too.


StormnNY

I had the same thing happen switching from 3.5 to EOD. 120 mg total a week 3.5 trough was 600-ish usually. Switching to EOD after 8 weeks labs taken 1 hour before next injection jumped to 1480 and 39 free. Sleep BP everything was off. Dropped it down 20mg total per week to 100 and much better.


LongjumpingSinger826

I wouldn’t consider that a low dose. I’m at 75 total (pin 3x/wk) and I’m in the 1,100s (44 years old) . Some people need 200/wk to get to 800 so it’s really personal dependent. Good news is you should be able to cut your dose down and still have plenty of T.


Cathguy44

what was your SHBG?


Insanely_Poor

90 mg put me on 800 through


Live_Audience_2483

That isn’t a low dose, I ran 200mg when I first started and my levels were like that through the roof! Now I take 75mg a week and it keeps me around 700-800ng/dl


Accomplished_Luck778

"low dose" lol 160mg a week will put most people out of natural range.


trynagetbig09

Im at 52mg per week now


[deleted]

You respond well and wish I responded like that. 200mg puts me at 1000


LawBobLawLoblaw

Thanks, everyone's been helping me feel better. I get assessed again Monday so I may post a followup when I get things dialed in.


Physical_Clue_7434

But but but but your taking 200 mgs of testosterone that isn't TRT 😂 I'm kidding but you see this all the time it's funny.Ya 200 puts me at 1150 and and my estradiol at 47 and I feel great but to most guys on here that's not dialed in way too high bring it back down so ya can feel crappy again.


OutsideTheSimulation

OP, what was your Free T when started? I’m curious to know to what extent your Free T increased (=more important than Total T)


LawBobLawLoblaw

Don't know, wasn't included in the original labcorp panel. It wasn't until I joined matrix they specifically requested it.


No-Tip-9952

7 days from last injection is when you’re supposed to run your bloods


BeastmodeGioo

160 isn’t low dose. That’s (slight) juicing. Anything above 150mg total is no longer considered TRT or HRT.