Recommendations for my dr prescribed but mostly self managed trt

[MJF]

I'm on trt with a dr prescribed dose of 150mg e10d. I don't like to go longer than 7 days so I do 100mg every Saturday. My doc doesn't like my levels to get too high. Once they were at 900 and he acted like he was about to freak out. He only tests for TT and does this every 3 months. When I'm just doing my normal trt, not blasting, I go for blood work Saturday morning before my injection so that is 7 days after my last one. My levels normally ride at 400 TT which makes him happy.

I was wondering a couple things. If after 7 days my level is 400, what approximately would my peak be? Granted each person responds differently. Other question is would there be any real benefit to splitting the dose into twice weekly injections. I know it will keep the levels mre stable, but any real benefit?

 

[Megatron28]

Anecdotally, I have seen drops of 100 points per day after an injection. YMMV.

Definite benefits to pinning twice a week. Less of a rollercoaster ride which makes E2 easier to manage. Your doc wold be happy too as your peaks would not be as high. Although you trough would be higher. In other words, the peak/trough range gets tighter.

 

[MJF]

So let's say I have a peak of 700-800 based on that. If I went to twice a week injections, that might get me to a pretty consistent level in the 500's. That's pretty good for 43 years old.

Let's say a person knows how to and is managing E2, but would like to keep their levels higher, say 900, with their trt. Long term, what would be the health effects of this? Enlarged prostate, yes. Maybe high blood presssure? High hematocrit, yes. So if they take a maintenance dose of cialis, and donate blood regularly, what other mitigations would be needed for this to work?

 

[Megatron28]

Why would you get an enlarged prostate with a TRT dose that puts you in the normal range and Estradiol is well managed?

 

[MJF]

I was just saying it's a possibility. I assume even a small dose of synthetic testosterone has the possibility to cause a problem. Maybe I'm wrong.

 

[PrinceDianabol]

I was just saying it's a possibility. I assume even a small dose of synthetic testosterone has the possibility to cause a problem. Maybe I'm wrong.

It's generally estradiol that causes the prostate issues.. although I'm sure test does have an effect too. As long as you keep things in range you shouldn't have an issue - remember, it doesn't matter where the test comes from... from a vial or from your sack, if your levels are the same there is no (real) difference. TRT is replacement dosing, so you should have the same levels as normal people. Eugonadal levels don't effect prostate.

 

[halfwit]

So let's say I have a peak of 700-800 based on that. If I went to twice a week injections, that might get me to a pretty consistent level in the 500's. That's pretty good for 43 years old.

Let's say a person knows how to and is managing E2, but would like to keep their levels higher, say 900, with their trt. Long term, what would be the health effects of this? Enlarged prostate, yes. Maybe high blood presssure? High hematocrit, yes. So if they take a maintenance dose of cialis, and donate blood regularly, what other mitigations would be needed for this to work?

I cannot think of any additional risks from having a higher testosterone than perhaps a slightly higher risk of heart enlargement. Everything else is easily mitigated, or just not directly linked to testosterone at all.

 

[PrinceDianabol]

I cannot think of any additional risks from having a higher testosterone than perhaps a slightly higher risk of heart enlargement. Everything else is easily mitigated, or just not directly linked to testosterone at all.

Is that a slightly higher risk with high-normal T levels? (e.g >1000ng/dl)

 

[halfwit]

Is that a slightly higher risk with high-normal T levels? (e.g >1000ng/dl)

Correct. Staying within physiological levels has been studied, but there has been little to no evidence of esterfied testosterone increasing cardiomegaly risks. The theory is that as anabolic function increases, so do the effects of hypertrophy on the heart. The only real beef I have with most studies showing cardiovascular risk (even at cycle doses) is that they mention platelet/RBC counts causing most issues - which is why we donate regularly.