Initial prescribed dosage of 200mg Test Cyp every 3 weeks?

[Norgaladon]

Hello,

I was recently diagnosed with Hypogonadism and my endocrinologist started me on TRT with an initial dose of 200mg once every 3 weeks.

Everything that I have been reading on these forums says that this will inevitably cause the "roller coaster" effect and may elevate my E2. Is this normal for an "initial" dosage that the Dr. will use as a benchmark to find out the correct dose for me? Or should I talk to the Dr. about possibly changing the initial dosage to avoid the negative side effects that it will likely cause?

Here are my latest test results related to the Hypogonadism:

LH = 9.4 mIU/mL
FSH = 7.7 mIU/mL
Cortisol - AM = 4.3 ug/dL
Testosterone, Serum = 297 ng/dL
Free Testosterone(Direct) = 6.0 pg/mL
T4,Free(Direct) = 1.04 ng/dL
Triiodothyronine,Free,Serum = 2.7 pg/mL
Prolactin 10.8 ng/mL
ACTH, Plasma = 9.1 pg/mL

Iron and RBC related tests for Iron deficiency anemia (my other diagnosis):

Ferritin, Serum = 28 ng/mL
Hematocrit = 42%
Hemoglobin = 13.2 g/dL
MCV = 76 fL
MCH = 23.8 pg
MCHC 31.4 g/dL
RDW = 16.1%

My main concern is that 200mg all at once and then wait for three weeks will cause me to feel better for maybe the first week and then miserable for the next 2 weeks.

Any advice would be appreciated!

 

[casanovaaa]

200mg of test per week sounds more like it for trt, did he give you any hcg?

 

[AverageMan]

200mg once every 3 weeks is a very bad protocol. You will peak and cash - most likely feel miserable toward mid/ end of week 2. Also it takes 30 days of injections to saturate your system. As a result, Your first injection of 200 mg of cyp will not register that high on blood work.

I would find a different dr. This guy is setting you up for failure

 

[Entourage_Doc]

Ouch. every 3 week administration will undoubtedly cause a roller coaster effect. Need to inject every 7-10 days at the very longest

Dr. B

 

[Mycelium]

Here is a reference for the doctor including weekly doses and blood levels.

weekly injections of 25, 50, 125, 300, or 600 mg of testosterone enanthate for 20 wk. Energy and protein intakes were standardized. The administration of the GnRH agonist plus graded doses of testosterone resulted in mean nadir testosterone concentrations of 253, 306, 542, 1,345, and 2,370 ng/dl at the 25-, 50-, 125-, 300-, and 600-mg doses, respectively.

Reference study linked immediately at the start of this thread

https://www.steroidology.com/forum/anabolic-steroid-forum/153723-300mg-vs-600mg-testosterone.html

 

[LateStart]

My understanding/experience suggests YES to all above ^^^^^
Please listen to these guys. A lot of experience has posted on this thread already.
Best of luck with another doc bro. Grab one on this site or shop around town......whichever makes you more comfortable but either way get some help. God bless

 

[scorob777]

Here's a graph of what 200 test cyp looks like at every 3 weeks injection.

View attachment 567058

Notice the peaks and valleys, not good in terms of how you'll feel for the benefits of test, and also not good in terms of what your estrogen and DHT profiles will look like.

You go from a peak of 13.8 to a trough of 6, which means you'll feel ok maybe 20% of the time, uneasy maybe 40% of the time, and like total shit 40% of the time.

You'll read it hundreds of times if you read this forum, so I guess you already know - but go for 2x per week or at most every 5 days. Your blood levels will smooth out and you won't experience the horror show dips.

And push your doc for more than 66 mg/wk test C - something around 100 mg/wk cyp should be a minimum to start out, then you can dial in from there.

 

[Mycelium]

There may be a wide range of natural testosterone levels but as an individual we maintain a certain range. A fraction compared to the entire spectrum. Our bodies naturally adjust daily to maintain our level. Testosterone replacement that causes our levels to fluctuate across a huge portion of the range over weeks isn't natural and not how our bodies work.

I believe it is a huge factor behind developing gels and creams that are applied daily. Their result on the large scale have been disappointing but small daily doses to mimic natural hormones withing normal ranges.

Frequent x lower dose injections are still the best option in my opinion. If injected testosterone, hCG and aromatase inhibitors were than dangerous we would know by now. The substances have been around for decades.

We are just dudes on the internet but logic, reasoning and research prove our case. If you are well informed, have a good understanding of TRT and have references like trials, studies and experiments your hypothesis is sound. If you can show a reference for every statement you are making it makes the doctors and his/her education argue against the doctors and finding of the reference. The reference for the test doses I gave is a quantified measurement of controlled doses, suppressed natural testosterone and even standardized diets. I'm not saying those doses give those blood levels. Doctors measured those levels after giving those doses.