Men's Health Forum: This is a discussion on Please help with TRT questions within the Anabolic Steroids forums, part of the extensive steroid information at MESO-Rx; I need major help from those of you here that have some insight or have personally gone through this yourselves. ...
I need major help from those of you here that have some insight or have personally gone through this yourselves. I have felt that my Test levels have been steadily declining over the course of the past few years. I have had a long list of symptoms that I can attest to the low levels: depression, lack of muscle quality, increased body fat that I cannot move, lack of stamina in the bedroom, no energy, always tired, low cognitive function.
My Total Test is 1.8 ng/mL and Free Test is 5.91 pg/mL (I'm not sure what the conversions are but I'm assuming the should read 180 and 591 respectively) I have an appointment lined up at the end of this week and talked only to the nurse today. She told me that my doc offered up Androgel or injections of depo-Testosterone (Test Cyp, right?) I was told that he wanted to start with one monthly injection of 200mg. To me, this seems like a low dose solution. Also, I need to know what, if any, ancillaries are necessary and how to go about asking for them. I want to maintain my testicular health but my overall goal is to be energetic and get back the physique that I had not too long ago.
My current stats are: 40 years old, 6'1", Weight fluctuates between 220-225, bodyfat approx. 20%. I just want to know what I am looking at, how long do I stay on, or will I ever get off. If I stay on for life, am I going to need more than just the TestC injections or will I need to be re-evaluated and change drugs. Any and all expertise and help from all of you out there is much needed. Thanks for your help in advance
wow, I did read that right, 200mg a month will not due for you, it should be more like 200-300mg a week. I know a few that are on that schedule. As far as other things, I'd also mention Armidex, which hopefully he'll prescribe at 1mg a day. Its a really good anti-estrogen, most people on replacement take this because test can aromatize. I would go for the inj over the gel any day.
Also just a side note, some of your symptoms are related to low T levels, but have them do a complete blood work up and have your thyroid levels measured along with your adrenal's. Maybe make an emergency lab appt to get those tests done before you are meeting with your Dr.
All dr's will prescribe a bit differently, all depends on how he responds to the treatment, his body and body type. Usually here at the hospital we have found weekly inj's are the best. Some guys require 100mg a week, and some require 300mg a week, each person is different, each body responds differently. What the research here being done has been seeing more dr's up front prescribing Armidex with test to cut estrogen, and keep estrogen conversion low, because with age also runs a higher risk of gyno. Most people are on maitainence doses of E.O.D. We have one case where this guys was on 3mgs of armidex a day, and 300mgs of test a week, Now he is only on 1 mg of armidex a day, but still at 300mgs of test a week, and he only weighs 10lbs more than this guy. But we also have other patients on test only. Point being everyone responds differently to treatment, but i think this guy will agree that after he starts treatment 200mg's a month that won't be enough. His prescribing dr will know better than any of us, since he will be monitoring him.
But still, BrianS take my earlier advice and get those other tests done as well. Let us know how things go with the dr.
Amonthly injection of testosterone is a Typical pussy-ass urologist type prescription for stupidity. Urologist are not interested in TRT. They are strongly opposed to hormone modulation simply because they have seen what androgens can do to body with a cancerous prostate. And there is not enough data in to convince them otherwise. If you are really lucky you can find one with good detection skils and even better cutting skills. This is what they do. If your doc is not a urologist, then he is relying on one for advice. Most docs, even internal medicine docs, will not even write injectible test unless you are already on it.
What you are being subjected to, is the Urologist run your ass off and out of here trick. That dose is designed to cause nothing but dissapointment and discouragement, without really hurting you too badly in the process. Gel or cream will only wind up the same in the very quick end. Worthless. I mean, I could understand these types of protocol if one were completely shut down and making no hormone at all. But for someone only on the low end it is ludicrous.
Thank you guys a lot for the quick responses. My appt. is this Friday a.m. and will know more then. I just need some idea as to what to go into it asking for. I will most definately get back on here and discuss with you what went on.
Thanks again
We don't do shots every month or even every 2 weeks this is dam old go to All Things Male - Center for Men's Health and read TRT: A Recipe for Success and in this are labs you need. First find out why your low then do shots every week start low 100 mgs / wk. and in 6 to 8 weeks do labs you need to get your Total T levels up into the upper 1/3 of your labs range then go up by how you feel. Later you can add in HCG to keep your testis working and hold you more leveled before your next shot. Even in the AACE Guidelines it states on page 11 to do shots every 7 to 10 days. http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf
Please help with TRT questions 
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