Does this sound right? testosterone replacement therapy (TRT) ?

[Bryanchristopher]

Does this sound right? TRT ?

Hello all,
I am a 41 yom. 6ft 200lbs. Started my testosterone replacement therapy (TRT) journey with all the common symptoms of fatigue, irritability etc. Was in Doctors office for a cold or something when I first mentioned this. The Doc said he wanted to check something. (My T level) My level came back low 200. He checked again to be sure and it came back at 198 After months of dialing it in with an awesome Doc who is all about testosterone replacement therapy (TRT) and fairly knowledgable I got my levels up to 720. This is on 200mg Cypionate every 10 days. Tried 100mg every five but got massive back acne. Anyway on my last check the Doc looked at Test level=720. DHEA=normal range and estradiol =48. The Doc said my Estradiol was on the high end of the normal range and so he lowered me to 150 mg Test every ten days. He said with my levels at 720 the 150mg every 10 should be enough to maintain my test level and lower my estradiol somewhat. Does this sound right to you guys? Thanks for the help.

 

[1693]

I would have rather kept the dose at 20mg per day and maybe tried some DIM and some zinc to lower the estradiol and if that failed then an AI....

I would have thought you'd have more bacne pinning every 10 days rather than every 5.....

 

[Bryanchristopher]

What is DIM

I would have rather kept the dose at 20mg per day and maybe tried some DIM and some zinc to lower the estradiol and if that failed then an AI....

I would have thought you'd have more bacne pinning every 10 days rather than every 5.....

What is DIM? I am new to all this man? I'm trying to read everything I can but am still learning. Thanks for the reply

 

[1693]

What is DIM? I am new to all this man? I'm trying to read everything I can but am still learning. Thanks for the reply

dimfaq.com/

 

[Megatron28]

Pinning smaller doses more frequently usually reduces estradiol -- of which acne is a symptom. A lot of the guys here pin every 3.5 days or every 5 days. Not many go longer than every 7 days. But if 10 days is working well for you why change it? If you aren't on any sort of a roller coaster stick with it.

Only catch is your doc is taking your test dose down to manage estradiol. Most guys like having their trough Total Test levels come in around 800. You will be much lower than that with his new proposed protocol. I would rather try more frequent dosing and Aromatase inhibitor (AI) management if it were me.

If you are going to go through all the trouble of doing testosterone replacement therapy (TRT) you might as well getting the benefit of having T levels that are near the top of the normal range.

Regarding the estradiol of 48 do you know which lab test was used? The regular or sensitive one? The regular lab test generally results in inflated results. We just saw one guy come in some 20-25 points higher.

 

[Bryanchristopher]

Reply to Megatron

Pinning smaller doses more frequently usually reduces estradiol -- of which acne is a symptom. A lot of the guys here pin every 3.5 days or every 5 days. Not many go longer than every 7 days. But if 10 days is working well for you why change it? If you aren't on any sort of a roller coaster stick with it.

Only catch is your doc is taking your test dose down to manage estradiol. Most guys like having their trough Total Test levels come in around 800. You will be much lower than that with his new proposed protocol. I would rather try more frequent dosing and Aromatase inhibitor (AI) management if it were me.

If you are going to go through all the trouble of doing testosterone replacement therapy (TRT) you might as well getting the benefit of having T levels that are near the top of the normal range.

Regarding the estradiol of 48 do you know which lab test was used? The regular or sensitive one? The regular lab test generally results in inflated results. We just saw one guy come in some 20-25 points higher.

Thanks for all the info man! Not on any kind of roller coaster at all. I'm feeling better and better as it goes. I have been fine every 10 days and will talk to my Doc about more frequent injections to lower the estradiol. My first go round of injecting every 5 days resulting in the backne was my fault. I was getting excited about feeling so much better and was upping my amount of Test on my own and not staying on a consistent weekly amount. As far as the lab test used I do not know but will find out. Thanks to everyone who replied with all the info. It is greatly appreciated!!

 

[Megatron28]

You might just want to stay on the every 10 days then and add an Aromatase inhibitor (AI) if needed. But find out which type of estradiol assay was done. If it wasn't the Sensitive Assay, there is a good chance you are in the sweet spot of 20-30 that so many guys prefer for E2.