bshank's TRT Log and Journal

bshank

New member
TL:DR: I'm starting TRT and this is my log. If my log seems outdated post a reply and I'll give an update(though I intend to keep it updated myself).

Why I am I starting TRT? The number one reason is that my libido is pretty much non-existant these days which is causing some major issues in my marriage. I also am hoping this will help with depression and I wouldn't say no to it helping me lose fat/gain muscle(which has become increasingly more difficult). For years I have been trying to treat the depression/diminishing libido. My GP kept putting me on antidepressants which, without a long story, we can just say have not worked. He also checked other things(but not hormones, oddly) and everything else seemed ok. A year or two ago I read about Low-T and noticed my symptoms lined up pretty well... but I'm fairly young(31 now) and my doc didn't seem to be all about it and, since I am afraid of needles, I didn't pursue it myself. With things getting worse and having no other treatment options available I decided to get tested and sure enough my T was low. Anyways, my point is that I didn't decide to start doing TRT lightly.

I've done a lot of research on my own and the one thing I found most helpful is folks who kept a log of how their treatment was going. There were not many of these that stayed updated past a short period of time and so I have decided to keep a public log of my experience so that maybe it will help someone else out in the future. It will also give me something to look back on and evaluate my own improvements(or lack of).

I am only including the bare minimum lab results.


LAB RESULTS:
Testosterone: 360 Range: 348 - 1197 ng/dL
Estradiol: 23.9 Range: 7.6 - 42.6 pg/mL

My Stats:
Age:31
Height 5ft 10 inches
Starting Weight: 219 lbs

Diet:
I don't really have details to share but I have been on a maintainable fat-loss diet for a few months. I allow myself 1 cheat meal a week but I don't bother with it unless I either get a craving or circumstances put me in a situation where I need to eat out. I'm pretty good with the food is for fuel only mentality.

Exercise:
Unfortunately very recently(the day after my blood test) I was in an accident and now have a herniated disc in my lower back and one in my neck(and some other injuries). This means I can't do much weight lifting for who knows how long. That being the case I am currently doing stretches, planks and pull-ups(mostly negatives) 3 times a week. As my therapy continues I plan on adding more body weight exercises then move to machine isolation at the gym and eventually back to doing squats, deadlifts and presses. Currently I can't even rack the weight in my home gym =/.

I just started walking for exercise again and intend to do at least 10 miles a week.

Goals:
1. Increased libido
2. Better, more stable mood and outlook on life(IE, no more or severely lessened depression)
3. Lose fat and build more muscle(which should help prevent future back injuries).

I will try to touch on the above 3 in each of my updates. I will also note any other changes.

It should be noted that fat loss/muscle gains were a goal before I started TRT but it will be interesting to compare results after starting TRT. I've lost 20lbs after a couple of months pre-trt but in my head it seemed really slow versus the effort I was putting in. The math on calories in vs out just didn't seem to add up. I kept that to myself but my wife, with no prompting from me, mentioned she thought my progress seemed slow based on my diet and exercise regiment which leads me to believe the deficiency wasn't just in my head. That being the case I am hopeful TRT will help speed that along as well. I have some pictures but I am fat and hairy and don't intend to share those until I have a less embarrassing after photo.

Starting Treatment Plan:
200mg of T once a week
50 units of HCG twice a week
1mg of Anastrozole twice a week

Also, hello everyone!
 
Last edited:
7/30/2014 Day 1

Weight: 219

Nothing really to report seeing as I did the first injections only an hour ago. I'm pretty excited to be applying a possible solution to some problems I've been stuck with for a long time(over 10 years... and im only 31). In future posts I'll actually touch on if I see any improvements and focus on the ones that affect my goals.

The injections were a bit rough since I have an irrational fear of needles but I managed to pull through. I did the Test in my leg and the HCG on my belly(it's subcutaneous(sp)). The first time i stuck the test in I got about half way down and felt a weird pinch so I pulled out and tried a different spot without issues. I think a few more times of me nervously injecting and it will be a breeze.
 
Welcome and congrats on taking the first step. Hopefully it will be a life changer for you as it has been for many of us.

Make sure your thigh injection is in the right spot, relatively high and to the outside. I have never hit a nerve there. Tried it lower once and promptly hit one.
 
Week 0.5
Just did second HCG shot into my belly

Libido: No change
Mood: It might be a little better. I would be hesitant to say it's directly from TRT and might just be that I am hopeful things are changing.
Body Recomp: 219 so no real change. While I wasn't expecting a change due to TRT I should mention that I've been at 218.5-219 for over 3 weeks now. My calculated BMR is 2100. Obviously my working rate is higher since I don't lay in bed all day plus I have been walking and some not-to-strenous exercise(remember, back injury). My calories come in around 1500-1800 atm. Basically what I am getting at is I don't think I should cut my calories much more so we will just have to see what happens in the coming weeks. It sounds like a good experiment. :)

Other:
1. There is a very slight dull ache in my balls. Most of the time I wouldn't notice it unless I am actively thinking about it and it's minor enough that even if I could do things like run at the moment it would not interfere. It looks like this can happen on HCG... I'm not sure if T will cause it alone. It's minor enough that even if it never went away it wouldn't be an issue.

2. While I had zero visible bruising it felt like I had a bruise in my quad for a few days. Apparently this isn't super uncommon for people starting out, especially in the quads. When I got a better handle on injecting and I am not afraid of twisting I may cycle through my quads and my glutes but for now I am sticking to quads. HCG shot in my belly had zero pain.
 
Can you edit your first post and add in the ranges used in the blood test? That way we can see where you fall on the scale. Thanks!
 
Hiyo, forgive my ignorance but what information do you need aside from my T and estradiol? The lab report had a ton of stuff on it and since a lot of it probably isn't relevant so I don't want to type it up. Also, I am keeping on eye on your thread too, btw!
 
There is normally a range that goes along with the result an XX - XX set. That way we can see where you fall in the range. For example, my tests show this:

Testosterone: 708 ng/dL Range: 241-827 ng/dL
 
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I added the ranges to my original post. Also noticed that my LH seems on the low but neither of the two doctors I saw mentioned it.

LH 1.8 Range: 1.7 - 8.6 mIU/mL
 
Week 2
The second IM test injection wasn't any easier. :bawling:

Libido: My thoughts have been straying toward sex more. Mrs. bshank is out of town but even if she was home I don't think the drive is enough to make me act upon it yet. Even so, it's a nice start.
Mood: I would say my mood has been improving. It's hard to blame it on a placeabo effect at this point. With a lot of normally stressful things going on at the moment I'm handling everything well and staying in a pretty level mood. Nothing revolutionary in my life but I feel like I would be broody, irritable and stressed out if various events in my life happened a month ago.
Body Recomp: Well, the day after my last HCG post I went down to 217.2. This morning I am up to 220.4 which is the highest I have been at for like a month and a half. My diet has been great so I am thinking I am seeing some water-weight gain which is apparently a common side-effect. I'm playing a long game so I am ok with some water-weight gain for now.

I also was able to start doing some push-ups and suspension training which gave me something more like a real workout so that's good(this is more of a back injury recovery thing, not TRT).

Other:

The dull ache in my nads seems to be gone.
 
Starting Treatment Plan:
200mg of T once a week
50 units of HCG twice a week
1mg of Anastrozole twice a week

Thanks for doing this journal. I may be starting TRT very soon and have been trying to learn as much as I can. Concerning your treatment plan- are you injecting 2- 50 units of HCG per week (100 total), and taking 2 mg of Anastrozole a week? Or are you halving the doses. Just curious. Also, do you take the HCG and test on the same day? or did it not matter.

Thanks again for doing this. It is very informative.
 
Also- I know this is a touchy subject, but with your lack of libido, have you ever looked into the porn/masturbation angle as a possible cause? If not you should check out Your Brain On Porn- it is a real eye opener
 
are you injecting 2- 50 units of HCG per week (100 total), and taking 2 mg of Anastrozole a week? Or are you halving the doses.
I take 50units of HCG each injection and 1mg of AI at the time of injection. This means 100units/2mg per week.

Also, do you take the HCG and test on the same day? or did it not matter.
I do my test and HCG on the same day since that is what my doc gave me for a schedule. I think this is the norm and, in my opinion, more convenient. I imagine if there is a valid reason to do them on separate days then it is part of the dialing in process.
 
Also- I know this is a touchy subject, but with your lack of libido, have you ever looked into the porn/masturbation angle as a possible cause? If not you should check out Your Brain On Porn- it is a real eye opener

It's a touchy subject but figured it would be better to keep a record of it since I think libido issues is one of the main reason people start looking into TRT. I certainly googled the hell out of it. Fire away with any of the questions on it as I'm not ashamed.

When libido first started to decrease(while I was still dating my now wife) I thought that I was just getting desensitized to sex via porn so I stopped watching it altogether. I eventually stopped jerking it as well since the moments I felt the urge were getting further apart and I wanted to save those urges for the real thing. It didn't really help though I think it was still a valid path to pursue instead of jumping on medical treatment options first.
 
You're not really "low" or hypogonadal with 360 Test levels. Why TRT and not HCG or some clomid to kick start that low LH?
Have you had kids already?
I didn't feel all that bad at 360. ...lot of guys on here were in 200's and some below that hence why they made the smart move to TRT.
Has the doc even ordered a sleep study?
 
Bshank

If you think 360 TT is hypogonadal, I'd hate to see how you feel with real hypogonadal levels.
I was at 170-265 at one point. It ain't no walk in the park.
 
You're not really "low" or hypogonadal with 360 Test levels. Why TRT and not HCG or some clomid to kick start that low LH?
I guess because that's what the doc recommended. I may not be hypgonadal but there could be a strong argument that for my age I am "low".

Have you had kids already?
No, and it's never happening. A vasectomy is in the near future anyway.

I didn't feel all that bad at 360. ...lot of guys on here were in 200's and some below that hence why they made the smart move to TRT.
If I felt fine the number 360 would be meaningless to me and I wouldn't even think about TRT. However I have a lot of issues that line up with symptoms of low T. As I mentioned above I have spent a considerable amount of time trying treatment options. This includes stuff prescribed by my doc as well as more 'natural' remedies.

Has the doc even ordered a sleep study?
None of the doctors I have seen(4 i think) in the years I have been dealing with this have ordered a sleep study.
 
Bshank

I been in the TRT Game for 10 years. My advice is to EXHAUST the underlying cause as best you can. Having not done a sleep study is a pretty big deal when you mention alot of the symptoms in previous posts.
I felt like crap at 663 TT and had very severe sleep apnea and never even knew it.
I was put on TRT with levels way higher than yours all the while havibg a highly severe form of sleep apnea.
You can hit 1200 (like I did) and still feel sluggish if you have sleep apnea untreated.
 
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