3 years in and need help!!

[Bryanchristopher]

Hello all,

I am a 42yom, 6ft 215b, 12-13% BF. Hard to believe when I look at my join date its been three years. I FINALLY found a DO who also runs a mens clinic and he is testing me regularly for total and free test, hematocrit, red blood cell count and estradiol( All in range) . I was rocking along good for a year or more when I noticed myself getting highly emotional. Guessing it was a raised Estradiol number I went in and got tested. My number was 57. Not too high but the Doc put me on half a pill of Arimidex the day after my shot. This took me down to 15 over a 30 day period. Funny thing when the doc tested my E level the 2nd time he also checked my T level. My number was 331. I am normally around 6-700 the morning of my shot.
I am currently running .60 ml / 200 mg Test Cyp weekly. I tried biweekly for about a year and felt no noticeable benefits so I went back to weekly. My doc wants to up my dose to .70 ml weekly due to the low number. Exact reading was 331 total 7.9 free. OK, so my question/issue is this. I am a firefighter who works 24 on 48 off. My sleep schedule is terrible. I'm at a busy station and I am up throughout the night on a regular basis. This is something that comes with the job. When I went in to get tested last time I had been up ALL night at work. I have read that the sleep deprivation the night before can lower test levels dramatically. Any thoughts before I up the amount. BTW, workout and diet is on point. Just got yearly physical results and they looked great. Thanks for reading. Fire away!

 

[Megatron28]

Sleep deprivation affects Natty Test levels. Your test is all coming from injections now so sleep won't really swing it.

Have you talked to your doc about adding in hCG to your protocol?

You may want to try taking the arimidex down to .25mg.

 

[Bryanchristopher]

Yes he mentioned HCG as an option if I wanted to try it. I had planned on dropping to a 1/4 tab like you said so my E doesn't get too low. Thanks for the reply man!

 

[Megatron28]

I highly recommend adding hCG to your TRT protocol. 250-500iu twice weekly.

 

[Bryanchristopher]

Hey Megatron,
Do you think the .70 ml per week is too high. My Doc said he usually starts at .5 and will go to .8 a week depending on the individual. Thanks for the help. I like my Doc but don't want to trust him implicitly. I guarantee I've read more literature and medical studies on it than he has just like most of the guys on this forum. Thanks again for the info man!

 

[Megatron28]

Typical TRT dosage is between 100-200mg per week. So yeah, that sounds fine give your blood work results.

100mg every 3.5 days puts my trough around 1000ng/dl for what it is worth.

 

[Bryanchristopher]

Ok thanks again!!

 

[cybrsage]

This is one of the reasons I love this place, ask a question with honesty and not looking for instant gratification and you will get all the help you need.

 

[johnfromeurope]

The thing is, you are 215lbs guy, and 120mg/week is absolutely too low of a dose. If you were 170lbs, then 120mg might be good, but for a 215 pounder, thats not enough. (215/170)*120mg=152mg, you need at least 150mg of test a week, thats 0.75ml.

 

[Megatron28]

The thing is, you are 215lbs guy, and 120mg/week is absolutely too low of a dose. If you were 170lbs, then 120mg might be good, but for a 215 pounder, thats not enough. (215/170)*120mg=152mg, you need at least 150mg of test a week, thats 0.75ml.

I don't think the body weight to dosage relationship is quite as simple as you are making it out to be. Many other variables come into play.

 

[johnfromeurope]

This is just an aproximation. I don't think its a linear function, but its close enough to make an aproximation. Yes, other variables come into play, but body volume/mass is one important variable.
The concentration of testosterone that comes back in bloodwork is nanograms per deciliter of blood. You can convert that in miligrams per liter of blood. Average human body volume is 66.4 liters, which equals to the weight of 148lbs. Now if you wiegh 170lbs, the volume of your body is 76 liters, and if you weigh 215lbs, the volume of your body is 96 liters. I'm not making these numbers up, you can calculate it there: Weight to Volume conversions for common substances and materials
And if the volume of your body is larger, its obvious that the volume of your blood is larger.
And its not the same if you put 120mg of testosterone in 4 liters of blood or in 6 liters of blood. Its easy math,

 

[Megatron28]

Except that you aren't just diluting the testosterone into the blood. There is a process to get it into and out of the blood. An important process.

Analogy: I can put 10 gallons of gas into two cars that both weigh the same and get very different mileage per gallon (MPG) results. Is weight a factor in MPG? Sure. But far from the only important factor.