So, my doc wants blood work done right before I inject my 3rd injection of 100mg. I'm curious as to what to expect on the blood test. Will I be in full shutdown in just two weeks? I had to explain to the doc that we'll be replacing my test completely, because using test will completely suppress my hpta function. She was looking at it from a, we're adding to, perspective. What I'm concerned about is that the blood work won't be accurate, because I won't be completely suppressed, and I've been adding test, so the numbers will be falsely high, a trough reading, but still high for the trough. I basically want to get the correct test dose (as much as needed, and possible, to get me to high end of the normal range), so I don't want the dosing staying at 100mg if the number won't be accurate before the 3rd week of administration.
Doc wants blood's done after two weeks on TRT (before third injection)
- Thread starter Havasu
- Start date
halfwit
I like turtles.
If anything, I'll bet it comes back low. You should be suppressed by now; which can be verified with an lh/FSH panel.
My .02c
FSH and LH will be on the blood work that I'm getting done. I've asked for Total Test, free test, free direct, estradiol sensitive. LH, FSH, TSH, an we're monitoring b12 as well. I'm going to ask that DHEA and Pregnenolone be added as well.
So after just one 100mg injection last Friday, you think I'm shut down already?
I'm only injecting once a week right now, because by the end of the week, before I do my next injection I wanted the trough to be lower while we are setting the dosing. I figure splitting the injections into two, will keep the peaks lower, and the troughs higher, and that's what I want in the long run, and will switch to.
I haven't started HCG yet, because that will raise test levels, and I want my Test levels set by the Test, not the HCG. What protocol do you recommend in the long run? I've read about Dr. Crisler's method which is starting at 100mg 1x a week, on day 5 and 6 you use 250iu hcg each day. He adds in an AI last as to not skew results as he's dialing in. The idea makes sense to me, because by the time test is peaking in 48-72 hours of the injection you've hit the half life of the hcg, and it's effect is dropping. The reasoning is not over inflating estradiol by having Test, and HCG aromatizing at the same time. I'm also going to add in 50mg of micronized pregnenolone, and 25mg of micronized dhea ed to start. I've read adding those can be very beneficial, but not to start the doses too high.
If I were to inject twice a week, it doesn't appear that method would work. More AI would be needed in theory, because the HCG and Test would be overlapping with test injections over 3.5 days.
Thoughts?
So after just one 100mg injection last Friday, you think I'm shut down already?
I'm only injecting once a week right now, because by the end of the week, before I do my next injection I wanted the trough to be lower while we are setting the dosing. I figure splitting the injections into two, will keep the peaks lower, and the troughs higher, and that's what I want in the long run, and will switch to.
I haven't started HCG yet, because that will raise test levels, and I want my Test levels set by the Test, not the HCG. What protocol do you recommend in the long run? I've read about Dr. Crisler's method which is starting at 100mg 1x a week, on day 5 and 6 you use 250iu hcg each day. He adds in an AI last as to not skew results as he's dialing in. The idea makes sense to me, because by the time test is peaking in 48-72 hours of the injection you've hit the half life of the hcg, and it's effect is dropping. The reasoning is not over inflating estradiol by having Test, and HCG aromatizing at the same time. I'm also going to add in 50mg of micronized pregnenolone, and 25mg of micronized dhea ed to start. I've read adding those can be very beneficial, but not to start the doses too high.
If I were to inject twice a week, it doesn't appear that method would work. More AI would be needed in theory, because the HCG and Test would be overlapping with test injections over 3.5 days.
Thoughts?
Last edited:
halfwit
I like turtles.
I thought you had done two injections; which is one half to one quarter of the time needed to build serum concentration. Your body knows something is 'wrong' 48 hours after your first shot, and ceases production from the pituitary gland.
I've read that it can move faster than that, but I've also seen kids bounce back quickly after only one shot too. In either case, your doctor needs to do some homework or refer you to a doc that actually understands how the human HPTA works.
Dreaded Pirate Roberts
Administrator
Sound great. Make sure he is testing estrogen and prescribing HCG and your golden.
Yeah I'm guiding the doc on some of this. She said she's never prescribed HCG for TRT, doesn't deal with e2 control, etc. My second injection will be tomorrow. The blood test will be the following Friday morning before my third injection.
I'd go to another doc, but this is the only endo within a couple hundred miles. I live in Lake Havasu City, AZ. The nearest places to have more options would be Las Vegas, or Phoenix. Both 2.5 hours away. Makes it pretty impossible for regular visits that are needed early on in TRT.
I'm probably going to have to get the HCG myself. So far I've seen no budging on them seeing the benefits of HCG, although I'm thinking about bringing in some literature from Dr. Crisler to have her read. Maybe reading it from another Doctor will change their mind. With UGL's and places like RUI I can get the ancillaries I need. Getting a test prescription is the golden ticket, and I've gotten that taken care of. I'm very surprised with all the unwillingness to prescribe Testosterone that I read about I got a Doc that is willing to treat me when I'm low normal, and built the paperwork to deem it medically necessary and hypogonadal to get my insurance to cover it. I feel very lucky in that regard. And the Doc has been responsive to be requesting having certain things monitored on the blood tests. Maybe I will get her to come around on the HCG and AI once she sees blood's if the test gets dialed but E2 isn't.
That's what I'm hoping for. I mean if my levels were great, I guess then I'm set, great. However, from what I've ready 100mg ew won't get you to high normal, or hovering around the top of the normal scale.
