First 2 Weeks on testosterone replacement therapy (TRT) (HELP!)

[biochem]

First 2 Weeks on TRT (HELP!)

Went to the doctor and came back with this blood results several months ago:

Testosterone,Total, S: 219 ng/dL
Testosterone, Bioavailable: 101 ng/dL
Testosterone, Free, S:8.1 ng/dL
Cortisol:7.5 mcg/dL
Prolactin(S): 8 ng/mL
LH(S):1.9 IU/L
FSH(S): 6.0 IU/L
Sex Hormne Bind Glob:17 nmol/L
Growth Hormone(S):0.04 ng/mL
Insulin-Like Growth Factor 1, S:254 ng/mL
Corticotropin(P):11 pg/mL
Estradiol,S: 20 pg/mL
Hemoglobin:14.9 g/dL
Hematocrit:45.7 %
Erythrocytes:5.07 x10(12)/L
Sodium, S:139 mmol/L
Potassium, S:4.1 mmol/L
Calcium:9.5 mg/dL
Glucose(P):84 mg/dL
Cholesterol(S):125 mg/dL
Triglycerides(S):91 mg/dL
HDL Chol(S):44 mg/dL
LDL, Calculated:63 mg/dL
TSH, Sensitive, S:2.0 mIU/L

Doctor decided to put me on Testosterone Cypionate @ 250mg/dL every 2 weeks. I struggled with acne the first week and didn't feel much different besides my face being more oily. My latest lab work came back @ 1010 ng/dL (1 week after the injection) .Unfortunately I feel as though my doctor isn't very knowledgeable when it comes to testosterone replacement therapy (TRT). He refuses to get my Estradiol and my Free Testosterone checked as he feels as though the Total Testosterone is all that matters. I asked him about cutting back my dosage to 125mg/dL on a weekly basis instead of every two weeks. I will be getting a second blood test done tomorrow (2 weeks after the initial injection) and it will only be Total Testosterone. What are my next steps?

Edit: Forgot to mention: 6'0, 180, 14% body fat, 24 years old

Update: Doctor want's to lower dosage to 200mg/dL every 2 weeks and says getting Estradiol checked is only for steroid abusers and it's a complete waste of time for me.

 

[THE-DET-OAK]

Your next step should be to call the number below

Or find a better doc in your area, which may be very tough.

1 injection every 2 weeks is not a good idea. That has to change first.

 

[Youngblood43]

Your next step should be to call the number below

Or find a better doc in your area, which may be very tough.

1 injection every 2 weeks is not a good idea. That has to change first.

Agreed. Id say u need a better doctor. 1 injection every 2 weeks isn't going to give u very stable levels IMO

 

[Megatron28]

Split your injection in half and start doing it once per week. The acne is likely caused by high estradiol levels. Get your estradiol checked out. Use privatemdlabs and get the female hormone panel. Do a search on this website for this to get more info about it.

Now that you have started testosterone replacement therapy (TRT) injections I would not spend the money to get free T checked; but others may have different opinions.

So either get your doctor to start working with you or find a new one.

 

[biochem]

Your next step should be to call the number below

Or find a better doc in your area, which may be very tough.

1 injection every 2 weeks is not a good idea. That has to change first.

I can always inject myself with 125mg/dL every week and tell my doctors I'm still doing the 250mg/dL every 2 weeks. From what I've researched that seems like a pretty standard dosage for TRT.

 

[biochem]

Split your injection in half and start doing it once per week. The acne is likely caused by high estradiol levels. Get your estradiol checked out. Use privatemdlabs and get the female hormone panel. Do a search on this website for this to get more info about it.

Now that you have started testosterone replacement therapy (TRT) injections I would not spend the money to get free T checked; but others may have different opinions.

So either get your doctor to start working with you or find a new one.

Thank you for the information. I think I also read somewhere that joint pain is associated with high estradiol levels too?

 

[THE-DET-OAK]

I can always inject myself with 125mg/dL every week and tell my doctors I'm still doing the 250mg/dL every 2 weeks. From what I've researched that seems like a pretty standard dosage for TRT.

You sure could, but that is just the first step in a long learning process that can be expedited exponentially by using the forum sponsor, the value in having a guide at your disposal can not be undervalued.

 

[biochem]

You sure could, but that is just the first step in a long learning process that can be expedited exponentially by using the forum sponsor, the value in having a guide at your disposal can not be undervalued.

Well I already have the prescription for testosterone, what more can be solved by speaking with IMT?

 

[THE-DET-OAK]

I am not going to twist your arm, as I said it took me years to learn what I know, it would be impossible to sum it up in a post.

whatever you decide, we wish you the best.

 

[biochem]

I am not going to twist your arm, as I said it took me years to learn what I know, it would be impossible to sum it up in a post.

whatever you decide, we wish you the best.

No, I'm being completely genuine. I legitimately would like to know what I am a candidate for. I don't want to just call you guys up and waste your time with questions and then not support you financially. I have plenty of questions but I don't know if I'm the candidate that should be speaking with you-- as I already have a prescription.

 

[THE-DET-OAK]

there is no way for me to even begin to tell you what direction our company would suggest you would go in with the very limited information you can display here. Full medical history with stats would be a start.

The first thing I would do is consider HCG, as others have pointed out straighten out your dosage schedule, look at vitamin D levels to make sure that you not only have proper amounts but also that your getting the proper conversion.

Also read the forum as much as possible, there is a ton of experience and knowledge here, put your questions out there and let others chime in as well. lots of stuff you can do.

 

[biochem]

Update: Doctor is putting me weekly testosterone cypionate injections @ 80mg/dL every week and now decided to check estradiol. Is 80mg/dL a joke or am I exaggerating the dosage lowering?

 

[Smoke84]

From what I've read, 30 is supposed to be considered optimal, but every man differs, but 80 does seem quite high. I've read papers from another famous men's health professional that talk about men having great results with their E2 in the mid 40s. A good question is this - how do you feel? You probably feel like shit, so lowering the dosing makes sense, especially since your SHBG is low, meaning there may be some type of pre-diabetic state you're in. Your numbers are actually very similar to mine. I haven't started yet, but I've been researching testosterone replacement therapy (TRT) to death for the last year now (I'm extremely anxious to get started, dealing with the bs with doctors who don't want to give me T). Anyways, you're going to want two doses a week, probably 125 mg , so two shots of 62.5mg each per week. The multi-dosing a week will help prevent the highs and lows that you get from injections that occur far apart (like this every two weeks bs). What is probably happening, is because you have low shbg, a lot of the T you are receiving is quickly converting to free estrogens, since it has nothing to bind to.

A lot of body builders think low shbg is a good thing when it's actually a sign of something very bad. Anyways, hope this helps!

 

[THE-DET-OAK]

From what I've read, 30 is supposed to be considered optimal, but every man differs, but 80 does seem quite high. I've read papers from another famous men's health professional that talk about men having great results with their E2 in the mid 40s. A good question is this - how do you feel? You probably feel like shit, so lowering the dosing makes sense, especially since your SHBG is low, meaning there may be some type of pre-diabetic state you're in. Your numbers are actually very similar to mine. I haven't started yet, but I've been researching testosterone replacement therapy (TRT) to death for the last year now (I'm extremely anxious to get started, dealing with the bs with doctors who don't want to give me T). Anyways, you're going to want two doses a week, probably 125 mg , so two shots of 62.5mg each per week. The multi-dosing a week will help prevent the highs and lows that you get from injections that occur far apart (like this every two weeks bs). What is probably happening, is because you have low shbg, a lot of the T you are receiving is quickly converting to free estrogens, since it has nothing to bind to.

A lot of body builders think low shbg is a good thing when it's actually a sign of something very bad. Anyways, hope this helps!

Its not the same for everyone man, those little doses 2x a week will not work for everyone.

This has become a popularly parroted phrase lately, it all stems from one place, a doctor that treats men for low testosterone due to head trauma. This usually alleviates there depression, anxiety amongst other psychological symptoms.

Treating a man that is out of shape and has accumulated high amounts of visceral fat is completely different. Saying that everyone needs to be on the same dose and schedule is a very cookie cutter approach. What matters is alleviating symptoms and those symptoms are going to be different in everyone.

And then you talk about SHBG but those are his pre testosterone replacement therapy (TRT) numbers and its low because his testosterone is low. So why exactly are we telling him to lower his dose when he just started?

 

[Mr P]

Went to the doctor and came back with this blood results several months ago:

Testosterone,Total, S: 219 ng/dL
Testosterone, Bioavailable: 101 ng/dL
Testosterone, Free, S:8.1 ng/dL


Cortisol:7.5 mcg/dL
Prolactin(S): 8 ng/mL
LH(S):1.9 IU/L
FSH(S): 6.0 IU/L
Sex Hormne Bind Glob:17 nmol/L
Growth Hormone(S):0.04 ng/mL
Insulin-Like Growth Factor 1, S:254 ng/mL
Corticotropin(P):11 pg/mL
Estradiol,S: 20 pg/mL
Hemoglobin:14.9 g/dL
Hematocrit:45.7 %
Erythrocytes:5.07 x10(12)/L
Sodium, S:139 mmol/L
Potassium, S:4.1 mmol/L
Calcium:9.5 mg/dL
Glucose(P):84 mg/dL
Cholesterol(S):125 mg/dL
Triglycerides(S):91 mg/dL
HDL Chol(S):44 mg/dL
LDL, Calculated:63 mg/dL
TSH, Sensitive, S:2.0 mIU/L

Doctor decided to put me on Testosterone Cypionate @ 250mg/dL every 2 weeks. I struggled with acne the first week and didn't feel much different besides my face being more oily. My latest lab work came back @ 1010 ng/dL (1 week after the injection) .Unfortunately I feel as though my doctor isn't very knowledgeable when it comes to testosterone replacement therapy (TRT). He refuses to get my Estradiol and my Free Testosterone checked as he feels as though the Total Testosterone is all that matters. I asked him about cutting back my dosage to 125mg/dL on a weekly basis instead of every two weeks. I will be getting a second blood test done tomorrow (2 weeks after the initial injection) and it will only be Total Testosterone. What are my next steps?

Edit: Forgot to mention: 6'0, 180, 14% body fat, 24 years old


Update: Doctor want's to lower dosage to 200mg/dL every 2 weeks and says getting Estradiol checked is only for steroid abusers and it's a complete waste of time for me.

Call IMT man you won't regreat it