Hi guys, I am a 23 year old male who is currently doing TRT. I started off with a testosterone level of between 200-300 and have been getting 200mg of testosterone injected weekly for a few months now. I just got my blood work done and it looks like my level is now at 540. I'm glad it has gone up but since I've been doing 200mg a week for awhile now, shouldn't it be a lot higher? Should I ask to have my dosage increased?
Should I have my dosage increased?
- Thread starter mbmiles88
- Start date
Megatron28
Moderator
I am guessing that is your trough. On 200mg/week your peak is probably well over 1200. You could check and see what you peak is.
You might like splitting your dose into 100mg every 3.5 days. This would even you out some. Less of a roller coaster.
More importantly, how are your estradiol numbers looking? Are you using an AI?
Are you taking HCG?
How are you feeling on your current protocol?
You might like splitting your dose into 100mg every 3.5 days. This would even you out some. Less of a roller coaster.
More importantly, how are your estradiol numbers looking? Are you using an AI?
Are you taking HCG?
How are you feeling on your current protocol?
Thanks for the input. I just found out the other day that my estrogen numbers are a little high so the doctor wants to put me on medication for that. Until this point though, I have taken nothing for that and no HCG. I feel fine but obviously if my level is only at 540 I would like to get as high as possible.
Megatron28
Moderator
What was your estradiol at? And what is he putting you on/dose?
That I am not sure of. Why, does that have anything to do with what dose of testosterone I should be on?
Megatron28
Moderator
Testosterone aromatizes into estradiol.
Virginian
New member
Test of 540 sounds low for 200 mg/week even if it is a trough. 200mg/week is a large dose, probably as high as you want to go.
I inject sub-cutaneously (easy, painless, effective for small trt doses) about twice a week. I estimate that 100mg/week keeps me in a range of roughly 1000 to 1200 ng/dL. I have just started to reduce my dose because 100mg/week is more than enough.
Everyone metabolizes it differently. 200mg a week put me at a peak of 600.
So what's your trough then? Essentially you could probably be on 300-400mg a week and be very close to physiological range...I find this hard to believe unless you come back and tell me you weigh 600lbs.
I inject every 3.5. My trough only dips to upper 400's. I'm 6'7" and 280. Might be hard for you to believe but it's true. I have labs showing it. Also my E2 stays around 27 without an AI at that dose.
Megatron28
Moderator
How high is your estradiol?
I agree BUT it's clear that 200mg/week is a rather high dose for TRT. Also with those high doses it's no secret that other issues will likely arise like high hamatocrit and E2 levels and the necessity for AI use.
The only reason doctors start with such high doses instead of starting low and titrating up after blood work results is because they don't really know about TRT. No other explanation.
Megatron28
Moderator
A "standard" TRT dose is 100-200mg of testosterone per week.
27 without an AI.
I agree that for many 200mg a week is a large dose. But clearly there are folks where that isn't the case. I was told I'm a hyperexcreter. And my E2 is perfect without an AI and my hematocrit hovers around 43. My reason for commenting on this thread is that like the OP my body seems to under-respond to normal doses. I think it's a good reminder that there is no single approach that works for everyone. That's where the experience of a good dr or great group like IMT becomes especially important and valuable.
Megatron28
Moderator
Bruno: I usually don't recommend this, but you might want to consider running a "blast" for about 12 weeks. Several guys have found that this "wakes up" your testosterone receptors. This would mean that you would get higher TT levels on the same test dose. If you want to explore this, start a thread in the AAS section. It would also be wise to get IMT's help/advice in doing this so it is done properly.
Interesting. I'll have to touch base with Todd and Daniel about this. I appreciate you mentioning it.
I agree. And you make excellent points. However, I stand by my editorial comment on inept doctors who lack the proper knowledge and training and make a poor attempt at TRT - and clearly do harm to their patients. Starting a patient on a dose as high as 200mg/week is unforgivable - especially at his age. I'd be curious to know what kind of diagnostic testing he ordered before treatment. Without knowing this, it was just by pure chance that it worked out for the OP.
By the way, what is OMT?
I think we are on the same page here. Most doctors have virtually no knowledge about proper TRT protocols and end up doing more harm than good. I was put in a position where I had to educate myself to avoid my primary care doctor from screwing up both myself and potentially harming my two baby girls (stupid gel recommendations).
IMT is the sponsor of this forum and they are very knowledgeable about TRT protocols. If you don't have a competent doctor, it'd be the first place to look. They've helped me tremendously and you won't get the runaround like many doctors give you. I have no stake in that comment, just my honest experience after seeing both sides of things.
Nice that your E2 level is stable. What is your protocol?
Similar threads
