Low T, anxious about testosterone replacement therapy (TRT) with nebido

samz

New member
Low T, anxious about TRT with nebido

Hi guys!
I'm 32 years old and have low T. I followed my T levels over many years and they were always borderline low (around 250-300ng/dl).
In my case it's low LH. My testicles are okay and also a brain MRI was normal. I also had a LH stimulation test which was normal.
My endo couldn't explain why my T is low. But he also doesn't know very much about testosterone replacement therapy (TRT) which became clear from what he said.
But the problem is that since I'm in Germany there are not many endos in the first place and usually endos here specialize on diabetes.
They know very little about testosterone replacement therapy (TRT) and only do the standard shit like: Gel, Ethanate, Nebido. That's all they offer.

Now my endo started me with t-gel which didn't work. The gel didn't deliver stable and high results. It really pissed me off.
I asked my doc if there was no other option besides testosterone, like injecting HCG. He said he does not do that.
In America this seems to be very common but in Germany no doctor does Human Chorionic Gonadotropin (HCG) treatments!

And this means that my only options left now are:
T-Ethanate 250mg/every 2-3 weeks or Nebido every 10-12 weeks.

To be honest I'm not keen on any of them. I cannot go to a doctor for injections every 2-3 weeks. Self-injecting isn't allowed by my endo.
I also don't think I could do this. And 250mg every 2-3 weeks causes huge peaks and I also don't want them. I am afraid that getting a huge peak
and then having low levels towards the end of the 3 weeks will cause unstable moods which I don't want at all!

But nebido on the other hand is a damn big injection, it's 4ml afaik. This is already damn scary. And once you've got it in your system you cannot get it
out. What if you get side effects and then have the stuff in your body for the next 2 months?

I'm really scared of this. I don't know what to do now. My natural T levels are around 10nmol/l which is borderline low.
With these levels I dont feel good. I am very skinny and still fat. I cant even do 1 regular pushup.

But at the same time I'm really scared of side effects of T injections. What if I for example lose my hair? This would also totally depress me.
And I dont want to take propecia. This stuff has a bad rep and can also mess you up.

Another issue is testicle shrinkage. Under the gel my testicles already shrank. I asked my endo and he said this cannot be. :rolleyes2
I also dont want my balls to shrink together and under T injections they would definitely shrink probably even more than under the gel.

I wish I could just get Human Chorionic Gonadotropin (HCG) mono therapy but nobody here does this.

What would you suggest me? Anyone here who has been on nebido?

I also read reviews of nebido online and they also didn't sound very good. A lot of users reported all kinds of side effects like heavy acne, becoming hairy
like an ape, depression, joint pains and so on. This is also scary.

And I even read that T injections can cause heart attacks and that in a group where patients were being tested and got t-injections 1 patient died from a supposed heart attack! :eek:
I thought that low T is bad for the heart. And now it sounds as if testosterone replacement therapy (TRT) is bad for the heart as well. :(
 
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Hi guys!
I'm 32 years old and have low T. I followed my T levels over many years and they were always borderline low (around 250-300ng/dl).
In my case it's low LH. My testicles are okay and also a brain MRI was normal. I also had a LH stimulation test which was normal.
My endo couldn't explain why my T is low. But he also doesn't know very much about testosterone replacement therapy (TRT) which became clear from what he said.
But the problem is that since I'm in Germany there are not many endos in the first place and usually endos here specialize on diabetes.
They know very little about testosterone replacement therapy (TRT) and only do the standard shit like: Gel, Ethanate, Nebido. That's all they offer.

Now my endo started me with t-gel which didn't work. The gel didn't deliver stable and high results. It really pissed me off.
I asked my doc if there was no other option besides testosterone, like injecting HCG. He said he does not do that.
In America this seems to be very common but in Germany no doctor does Human Chorionic Gonadotropin (HCG) treatments!

And this means that my only options left now are:
T-Ethanate 250mg/every 2-3 weeks or Nebido every 10-12 weeks.
You're missing an option: Find another doctor. Nebido as IMT Staff mentioned is GARBAGE. I don't know how the hell people can expect you to have good results when your hormones go UUUUUUUuuuuuuuuuupppppp---dddddoooooowwwwNNNNNNN---CRASH. You're not an amusement park ride, so why would you want a rollercoaster? Test E injections every 3.5 days (4 if you're not picky) is optimal for MANY men, and if your doctor can't do better than read the ancient directions that come with a vial of test, he's not qualified to treat you.
To be honest I'm not keen on any of them. I cannot go to a doctor for injections every 2-3 weeks. Self-injecting isn't allowed by my endo.
I also don't think I could do this. And 250mg every 2-3 weeks causes huge peaks and I also don't want them. I am afraid that getting a huge peak
and then having low levels towards the end of the 3 weeks will cause unstable moods which I don't want at all!

But nebido on the other hand is a damn big injection, it's 4ml afaik. This is already damn scary. And once you've got it in your system you cannot get it
out. What if you get side effects and then have the stuff in your body for the next 2 months?
You nailed it my man. Your doctor is not doing you any favors and not allowing a grown man take his hormones into his own hands is just asinine. Luckily testosterone itself shouldn't give you any appreciable side effects as long as you keep your estradiol in check. When you increase your testosterone, your body will increase your amount of estrogen (estradiol most notably) in an attempt to maintain homeostasis. This is even worse when you get a HUGE spike of T, as it will in turn create a spike of estrogen. That is what causes many sides like acne/emotional rollercoasters/elevated blood pressure/et cetera. Injections twice a week helps to keep these spikes from happening, lowering your estrogen and helping you to stay nice and even.
I'm really scared of this. I don't know what to do now. My natural T levels are around 10nmol/l which is borderline low.
With these levels I dont feel good. I am very skinny and still fat. I cant even do 1 regular pushup.

But at the same time I'm really scared of side effects of T injections. What if I for example lose my hair? This would also totally depress me.
And I dont want to take propecia. This stuff has a bad rep and can also mess you up.

Another issue is testicle shrinkage. Under the gel my testicles already shrank. I asked my endo and he said this cannot be. :rolleyes2
I also dont want my balls to shrink together and under T injections they would definitely shrink probably even more than under the gel.
If you have the genetics for male pattern baldness, it's going to happen regardless. Testosterone just speeds this process up. I agree, DHT inhibitors like propecia have their own sides, so you really have to ask yourself which is more important to you. Another great example of your doctor being clueless - atrophy can and DOES happen on exogenous testosterone as your body stops making it on its own. Human Chorionic Gonadotropin (HCG) can help with this, but I find it to be mostly an aesthetic issue and is really up to the individual on how important it is. I've been on testosterone replacement therapy (TRT) for going on 4 years now and while they are most certainly closer to my body, I'm not sporting raisinettes either. I do have to supplement with other hormones as I don't take HCG, but that choice is up to you.
I wish I could just get Human Chorionic Gonadotropin (HCG) mono therapy but nobody here does this.

What would you suggest me? Anyone here who has been on nebido?

I also read reviews of nebido online and they also didn't sound very good. A lot of users reported all kinds of side effects like heavy acne, becoming hairy
like an ape, depression, joint pains and so on. This is also scary.
HCG mono therapy is hit or miss from what I've seen. Only a very small population in hypogonadal men seem to have success with this as it does not work for primary hypogonadal males and even then, the amount of testosterone you make with a faked LH signal will vary. I still think there isn't a better alternative to testosterone injections, but that is my opinion. Remember, those sides are very likely caused by the lack of the medical community's knowledge on how estrogen can effect us. Well, hair is from testosterone - but we're not talking a TON of new back hair making you look like King Kong on a bad day. Then again, I'm a sasquatch - so I can't really tell to be honest. :p I don't think Nebido is even legal here in the US yet, so I don't know how many guys you'll get with Nebido experience on this board.
And I even read that T injections can cause heart attacks and that in a group where patients were being tested and got t-injections 1 patient died from a supposed heart attack! :eek:
I thought that low T is bad for the heart. And now it sounds as if testosterone replacement therapy (TRT) is bad for the heart as well. :(

The amount of people that have died from AAS (talking levels FAR greater than those in TRT) could likely be counted on one hand. The problem is that the media always loves sensationalizing deaths where steroids are involved. Yes, it can enlarge your heart at HUGE doses over extended periods of time - but you're simply replacing your lost levels. If you're susceptible to a heart attack naturally, I don't see how you would be at a greater risk by having those same levels come from a vial and syringe. Low T can and WILL kill you as testosterone is responsible for so many crucial processes in the male body. Diabetes, heart disease and many other problems can arise if you allow your levels to remain low for several years. I don't even want to get into the psychological issues like anxiety and RLS that can come from a hormone imbalance as I've suffered from all of them. (Minus heart disease thankfully)

I really hope you can find a better doctor as you seem to have a genuine issue that needs proper medical care. Just remember, you can always interview doctors before you hire them. I'd start off asking them what their thoughts about estrogen are. If they're clueless or tell you it's a non-issue - time to move on. Sure, you might be lucky in not ever needing an Aromatase inhibitor (AI) to reduce estrogen, but simply ignoring it is bad medicine.

My .02c :)
 
Hi guys, thanks for your replies. Sorry for not replying sooner. I have so much stuff going on atm it's not funny.

The issue is there simply is NO doctor left I could go to! I'm not kidding. You have no idea what I have been thru over the years. I have been to all endos in my region even to university professors they turned out to totally suck. I also tried many urologists and they were either scared of testosterone replacement therapy (TRT) or didnt have a clue either.
I'm in Germany and for years I could not even find one endo who was even willing to put me on TRT!
I was always told that my levels are still normal. I am so damn sick of these endos. I also tried urologists but quickly had to find out that they have even less a clue about hormones.
When I was about to give up I found an endo who even though he doesn't understand testosterone replacement therapy (TRT) very well too was at least willing to put me on TRT.
We tried gel first it didn't work.
Then he said I can either get Testosterone Enanthate injections every 3 weeks 250mg. But I am scared of this for various reasons:

-it causes huge peaks at first and unstable levels and towards then end you're already below normal again, I do not want these rollercoasters especially since I suffer from depression,
I also worry that huge T peaks increase the risk of side effects like hair loss, acne, aromatization.

-and of course having to go to the doc for injections every 2-3 weeks is also totally annoying, self-injecting is not an option my doc told me that he doesn't do this

Now the other option would be Nebido. But I am also afraid of Nebido because what do you do if you're on it and then get side effects then you cannot simply get off it but the stuff is in your for 3 months.

And what's even more concerning is something I read at another health forum where a pretty famous US doctor Mariano wrote about Nebido that it wasn't allowed in the US cause it contains castor oil which can cause microembolisms and anaphylactic shocks!

Now I'm totally discouraged and scared. I mean I was already afraid of injections because of the fear of the doctor injecting into a blood vessel. But after reading this stuff about nebido I feel like there is NO way for me to take this. I'd probably get an anxiety attack right away.
I feel so pathetic now. What do I do?

To me it seems as if even though I needed testosterone replacement therapy (TRT) the thing is basically already over. I don't have the options which people in the US or UK have who have open-minded doctors who offer them different treatments like hcg or who can do self-injections in smaller doses and higher frequencies.
Here in Germany you only have 3 options, the doctors all go by the old books: Gel, Testosterone Enanthate or Nebido.

I really didn't know that Nebido is so different and so problematic. I thought it's simply a bigger injection which causes more pain and that's it.

I also asked my endo if it's possible to learn how to self-inject and he said NO he said he does not do this cause if anything happens then he gets the blame, period.

I mean I could get the injections from my GP but he also wouldn't do any wild stuff like injecting me every 4 days.

I feel so hopeless now again. I mean every time there seems to be a little hope it turns out to be no real hope. If I at least had a good doctor who could help me. :(
 
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Hi guys, thanks for your replies. Sorry for not replying sooner. I have so much stuff going on atm it's not funny.

The issue is there simply is NO doctor left I could go to! I'm not kidding. You have no idea what I have been thru over the years. I have been to all endos in my region even to university professors they turned out to totally suck. I also tried many urologists and they were either scared of testosterone replacement therapy (TRT) or didnt have a clue either.
I'm in Germany and for years I could not even find one endo who was even willing to put me on TRT!
I was always told that my levels are still normal. I am so damn sick of these endos. I also tried urologists but quickly had to find out that they have even less a clue about hormones.
When I was about to give up I found an endo who even though he doesn't understand testosterone replacement therapy (TRT) very well too was at least willing to put me on TRT.
We tried gel first it didn't work.
Then he said I can either get Testosterone Enanthate injections every 3 weeks 250mg. But I am scared of this for various reasons:

-it causes huge peaks at first and unstable levels and towards then end you're already below normal again, I do not want these rollercoasters especially since I suffer from depression,
I also worry that huge T peaks increase the risk of side effects like hair loss, acne, aromatization.

-and of course having to go to the doc for injections every 2-3 weeks is also totally annoying, self-injecting is not an option my doc told me that he doesn't do this

Now the other option would be Nebido. But I am also afraid of Nebido because what do you do if you're on it and then get side effects then you cannot simply get off it but the stuff is in your for 3 months.

And what's even more concerning is something I read at another health forum where a pretty famous US doctor Mariano wrote about Nebido that it wasn't allowed in the US cause it contains castor oil which can cause microembolisms and anaphylactic shocks!

Now I'm totally discouraged and scared. I mean I was already afraid of injections because of the fear of the doctor injecting into a blood vessel. But after reading this stuff about nebido I feel like there is NO way for me to take this. I'd probably get an anxiety attack right away.
I feel so pathetic now. What do I do?

To me it seems as if even though I needed testosterone replacement therapy (TRT) the thing is basically already over. I don't have the options which people in the US or UK have who have open-minded doctors who offer them different treatments like hcg or who can do self-injections in smaller doses and higher frequencies.
Here in Germany you only have 3 options, the doctors all go by the old books: Gel, Testosterone Enanthate or Nebido.

I really didn't know that Nebido is so different and so problematic. I thought it's simply a bigger injection which causes more pain and that's it.

I also asked my endo if it's possible to learn how to self-inject and he said NO he said he does not do this cause if anything happens then he gets the blame, period.

I mean I could get the injections from my GP but he also wouldn't do any wild stuff like injecting me every 4 days.

I feel so hopeless now again. I mean every time there seems to be a little hope it turns out to be no real hope. If I at least had a good doctor who could help me. :(

Tell him your wife, mother or sister or someone is a nurse and can do the injections for you. Then you could just do them yourself instead.

Get the Test E but inject at least once a week. Every three weeks is too infrequent.
 
Hi,
I don't think he would do that but even if he would then who would show me how to inject myself?

With my anxiety of injections I really don't think I could do that. I mean I'd get an anxiety attack right away.
I even have a hard time sticking a needle in my finger to measure blood glucose!
And then the whole fear of embolism and hitting a vein. I really don't think I could do that. :(

I also once called the manufacturer of testoviron and asked them if you have to inject the whole 250mg
at once once the glas vial is open and I was told yes cause it doesn't stay fresh. It doesn't come in a container like cypionate where you can stick the needle in and draw stuff out and the rest is protected.
 
Hi,
I don't think he would do that but even if he would then who would show me how to inject myself?

With my anxiety of injections I really don't think I could do that. I mean I'd get an anxiety attack right away.
I even have a hard time sticking a needle in my finger to measure blood glucose!
And then the whole fear of embolism and hitting a vein. I really don't think I could do that. :(

I also once called the manufacturer of testoviron and asked them if you have to inject the whole 250mg
at once once the glas vial is open and I was told yes cause it doesn't stay fresh. It doesn't come in a container like cypionate where you can stick the needle in and draw stuff out and the rest is protected.

You are going to have to work past your irrational fears or you will always need your doc to inject for you. But you will have much less control over your treatment if you always depend on him.

Maybe you should try gels again using a stronger dose. That might be a better choice in your case given your anxieties.
 
My fears are one issue but if my only endo doesn't even allow self-injections then what do I do!?
I mean it's not like I can do this on my own and get the testosteron and my own and teach me to inject.

I tried 2 gels and different doses they simply sucked and also dried out my skin I was really sick of the gels. They are not really a solution + I had totally high DHT on gels!
 
You can learn to self inject on Youtube or from a friend perhaps. Know any diabetics who can show you. And tell him you know a nurse who can inject you.

What issues were you experiencing with high DHT while on gels? Too many spontaneous erections? :-)

Other than dry skin, what other problems did you have with gels. Were you taking an Aromatase inhibitor (AI) and testing your estradiol levels while on the gels? Don't get me wrong -- I think injections are superior to gels, but if you can't inject you don't have too many other options available.
 
My fears are one issue but if my only endo doesn't even allow self-injections then what do I do!?
I mean it's not like I can do this on my own and get the testosteron and my own and teach me to inject.

I tried 2 gels and different doses they simply sucked and also dried out my skin I was really sick of the gels. They are not really a solution + I had totally high DHT on gels!
Man, the hoops you're having to jump through are just ridiculous to say the least. I agree with Megatron in that you should say you have a nurse for a girlfriend/wife/friend that is willing to do injections for you and then you take the time to learn how to do it yourself. It's really quite easy once you get past the initial scariness of it and you'll feel fantastic! I also think you may need to educate your doctor on the proper dosing protocol for testosterone enanthate as the half-life is closer to 8 days, which would leave you feeling like utter garbage at the end of week two. Take some time and read up on Dr. Crisler and his protocols to give you a better idea on how to approach him about this.

I really don't see any other options for you at this time. Good luck, the end result is definitely worth all this heartache - I promise. :)
 
Hi,
I didnt feel anything under the gel not even when I had a DHT of 1000 which was really high.
AI? Are you kidding? I would never get this! This isn't used here where I live. Only women get this.
All the stuff from Chrisler and other testosterone replacement therapy (TRT) docs doesn't really help me. I can read as much as I want.
When I go to my endo he simply says no. That is the whole problem! You guys don't know how bad a place
Europe is when it comes to having hormone issues. Endos here have no damn clue and urologists neither.
If I only had a doctor but without doctor it's hopeless.

Btw, diabetes people inject into the stomach fat not into the muscle. But T injections are into the muscle which is
much different. Injecting into the stomach fat would be no big deal at all I could do that but not into the muscle (ass or thigh).
 
Hi,
I didnt feel anything under the gel not even when I had a DHT of 1000 which was really high.
AI? Are you kidding? I would never get this! This isn't used here where I live. Only women get this.
All the stuff from Chrisler and other testosterone replacement therapy (TRT) docs doesn't really help me. I can read as much as I want.
When I go to my endo he simply says no. That is the whole problem! You guys don't know how bad a place
Europe is when it comes to having hormone issues. Endos here have no damn clue and urologists neither.
If I only had a doctor but without doctor it's hopeless.

Btw, diabetes people inject into the stomach fat not into the muscle. But T injections are into the muscle which is
much different. Injecting into the stomach fat would be no big deal at all I could do that but not into the muscle (ass or thigh).

I understand the difference between subQ and intramuscular injections. But if you can do one you can do the other. It is basically the same process.

Can you find a private doctor that may not be as bound to the EU rules?

What were your Total Test levels why on gel? Sorry if you already posted this, but it is an old thread. And did you ever test estradiol while on gel? That is what causes most guys' problems.

Keep hanging in there. Keep looking for the right person to help you. One thing some guys here do is try going to a local pharmacy and asking the pharmacist if he could recommend a doctor that prescribes Test injections. They would know which doctors are writing the scripts. Might be worth trying.

And hopefully you can work past your fears of doing self-intramuscular injections. Or try subq test injections in your belly. It works for many guys. Search the forum and you will see.
 
Hi,
I didnt feel anything under the gel not even when I had a DHT of 1000 which was really high.
AI? Are you kidding? I would never get this! This isn't used here where I live. Only women get this.
All the stuff from Chrisler and other testosterone replacement therapy (TRT) docs doesn't really help me. I can read as much as I want.
When I go to my endo he simply says no. That is the whole problem! You guys don't know how bad a place
Europe is when it comes to having hormone issues. Endos here have no damn clue and urologists neither.
If I only had a doctor but without doctor it's hopeless.

Btw, diabetes people inject into the stomach fat not into the muscle. But T injections are into the muscle which is
much different. Injecting into the stomach fat would be no big deal at all I could do that but not into the muscle (ass or thigh).
Actually, as I am both a diabetic and on testosterone replacement therapy (TRT) - I do know the difference between the two as I do take both subQ and IM injections by myself. Yes, subQ is easier and requires less patience - but it's all the same process really. You're putting a piece of steel into your body and depressing a plunger filled with a substance.

I wish I had something else to tell you, but you are right - I have no honest idea how bad the testosterone replacement therapy (TRT) situation is over there aside from the values being far more stringent on even having it prescribed. I really do hope that you're able to find a resolution in this.
 
I dont know if subq testosterone injections is really safe and accepted by doctors. Are there long term studies on safety?
SubQ would be way less scary cause there you dont have the issue with the blood vessels, right? But again, none of this helps me at all with no doctor to support me! :(
I have been to all endos where I live. Going to endo number 7 would make no sense he would suck as much as all the others before.

I had my E2 measured when I was on the gel it wasn't abnormally high. Dont know the level now but E2 really wasn't the issue.
My T levels under the gel simply didn't really go up and I was already using a high dose. My LH went down and my nuts shrank anyway. I think that my nuts are still smaller even now where I have been off the gel for 6 months. I had a blood test done 3 months ago and my T was back to borderline normal that is how it has always been all those years yay!
This means I can choose between testosterone replacement therapy (TRT) and borderline shitty normal.

I dont even know how much of my issues are due to low T. I mean I basically look like an overweight version of mr.burns.
I can count my ribs on the chest and still have much fat on the stomach, tits and the worst is the legs. I have fat on the outside of the thighs like a woman. I also have no strength. I cannot even do one real pushup. Years ago I tried to gain muscle mass. I trained in the gym for over 1 year and my best bench was 50 kilos, bar included. it's really unbelievable. i thought i have klinefelter but a gene test ruled that out.
 
I dont know if subq testosterone injections is really safe and accepted by doctors. Are there long term studies on safety?
SubQ would be way less scary cause there you dont have the issue with the blood vessels, right? But again, none of this helps me at all with no doctor to support me! :(
I have been to all endos where I live. Going to endo number 7 would make no sense he would suck as much as all the others before.

I had my E2 measured when I was on the gel it wasn't abnormally high. Dont know the level now but E2 really wasn't the issue.
My T levels under the gel simply didn't really go up and I was already using a high dose. My LH went down and my nuts shrank anyway. I think that my nuts are still smaller even now where I have been off the gel for 6 months. I had a blood test done 3 months ago and my T was back to borderline normal that is how it has always been all those years yay!
This means I can choose between testosterone replacement therapy (TRT) and borderline shitty normal.

I dont even know how much of my issues are due to low T. I mean I basically look like an overweight version of mr.burns.
I can count my ribs on the chest and still have much fat on the stomach, tits and the worst is the legs. I have fat on the outside of the thighs like a woman. I also have no strength. I cannot even do one real pushup. Years ago I tried to gain muscle mass. I trained in the gym for over 1 year and my best bench was 50 kilos, bar included. it's really unbelievable. i thought i have klinefelter but a gene test ruled that out.

Have you tried getting recommendations from pharmacists for doctors that prescribe test injections for testosterone replacement therapy (TRT) patients? Maybe they know one. You just need to find one reasonable doctor out there.
 
Hi Samz,
You might just ignore the negatives you heard about nebido and give it a try....a 4mL injection every 8-12 weeks would not be a big deal. Plenty of guys love it and there are guys in the US waiting for it to be approved so they can try it....so they are basically jealous of your choices.

If you could get over your injection fear or get a friend to do it and you could some how get some test e you could then inject every 3.5 days a small amount and since it is small you can do it SQ like in the love handles if you want, a lot of guys do.

You might also look at the "a4m.com" web site as there are some antiaging docs in Germany listed that might help you.

You probably can get an Aromatase inhibitor (AI) and HCG yourself if you chose.
 
Hi,
in Germany we don't have compound pharmacies where you can just ask and see if they have doctors who they produce testosterone creams for. In Germany you can choose between a few different gels, Nebido or testoviron.
Nebido would be good cause it doesn't create these huge peaks which testoviron creates. But I'm scared after reading the stuff from Dr.Mariano. I mean if nebido wasn't allowed in the US because of embolisms then this sounds very serious! This isn't something to take lightly.
And what happens if you're allergic to the castor oil in it? I mean this stuff lasts 3 months. Does this mean that it takes 3 months until the oil is out of the body? :eek2:

I talked to my doc and he said I should first try testoviron and see what happens. But I'm afraid that these huge peaks will increase the risk of side effects. What if I get skin problems or aggression or I develop a gyno? The peaks will definitely also make the E2 go up a lot. The question is how high the E2 will go in the first days after the injection and what side effects could be caused by it. :sad:
 
I also worry what if simply injecting some T isn't even going to do much?
I mean there are so many more variables involved which I definitely do not have the option of even addressing here where I live.
What about SHBG for example or DHEA? I mean why does my endo even measure stuff like DHEA when he doesn't ever say anything about it? Then you can as well not measure it at all.

I really don't think that my endo would know what to do if SHBG gets too high. I bet he would probably say that you cant do anything about it.
 
Sounds like you are trying to talk yourself out of starting testosterone replacement therapy (TRT) via injections. That's ok if you aren't quite ready yet. It isn't for everyone. You might be more comfortable emotionally with maintaining your borderline low Testosterone levels than experiencing the anxiety of starting a new medical treatment that isn't a sure thing in your case given your concerns and lack of options. Maybe you can re-evaluate the decision again in a few years to see if you feel different emotionally and physically.
Going on testosterone replacement therapy (TRT) needs to feel like the right decision deep down inside you.
 
You also need to find the right doctor to partner with in testosterone replacement therapy (TRT). It seems like your search still continues.
 
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