Sustanon 250 - Commencing TRT

[bigben66]

Hi all,

So I just got my 1st script to commence testosterone replacement therapy (TRT) - the urologist has put me on Sustanon 250 1ml every 3 weeks

I am aware that Sustanon has a half life of about 15 days, so I know that I will crash big style on the 3rd week...

I fully understand that he has to start somewhere, but I don't feel that 83mg per week is gonna hit the spot - I would like to think he would reduce this to pinning every 2 weeks, which would mean 125mg per week (I would look to either inject this weekly or preferably every 3.5 days)

He wants me to get bloods done after 4 weeks, meaning they will be taken a week after 2nd injection...

My question is... Shall I just get the Sustanon and not take it?
Will he able to tell I haven't taken it by my blood tests...?

Any users have any experience of Sustanon for testosterone replacement therapy (TRT) purposes?
It seems to be the testosterone replacement therapy (TRT) drug of choice here in the UK...

Any thoughts would be appreciated guys... I need to get this sorted, it's now or never!

BigBen

 

[bigben66]

Bump for input...

 

[Mprtz]

I'd inject some but dog the dose to make sure he ups it.

 

[Megatron28]

Take it. Just inject it once a week instead of every three weeks. 83mg/week is a little low. Most docs would start you at 100mg/week. We're not talking a day and night difference here though.

Yes, he will know if you don't take it at all. Your LH and FSH will not be shut down unless you take it. Can't fake that.

 

[CanAmBrah]

Or do the prescribed 83ml per week and see where you are. If it's low, tell him you want to up it to 100 or more. No rush, you've started down the road to well being now.

 

[bigben66]

Take it. Just inject it once a week instead of every three weeks. 83mg/week is a little low. Most docs would start you at 100mg/week. We're not talking a day and night difference here though.

Yes, he will know if you don't take it at all. Your LH and FSH will not be shut down unless you take it. Can't fake that.

I'll need it to be low for him to increase it to 125mg per week (250 every 2 weeks)...

He's left it up to me to get bloods done, would it be worth getting them done before the 2nd injection when I'm at my lowest?

 

[ceo]

with the faster acting esters, at such a low dose, Sustanon (sust) is a poor choice for testosterone replacement therapy (TRT). Ask him for Test Cyp with once weekly injections to keep blood levels stable.

Basically, as it stands, your doc is trying to manipulate your blood work. He's telling you to get bloods drawn a week after your injection, but 2 weeks before your next injection??

That's completely asinine. Goes to show that most docs don't know wtf they're doing when it comes to testosterone replacement therapy (TRT). Your blood should be drawn the day before or day of your next injection, just before you take your next injection. Then you will see what your levels truly are.

 

[bigben66]

Well I can do that, no problem...

I'll take the first injection a week later and then get bloods drawn at the end of week 3 and 1 day before 2nd injection.

I agree that Test Cyp would be a better form of Test for testosterone replacement therapy (TRT) - but I don't think that is used here in the UK - everyone I've spoke to has mentioned being put on Sustanon (sust) 250... strange I know, but we appear to be way behind the US with our protocols...

So, I'll book my bloods for a late afternoon slot, hammer the gym beforehand and hopefully my levels will be low enough to warrant reducing me to fortnightly injections...

Any other thoughts?

with the faster acting esters, at such a low dose, Sustanon (sust) is a poor choice for testosterone replacement therapy (TRT). Ask him for Test Cyp with once weekly injections to keep blood levels stable.

Basically, as it stands, your doc is trying to manipulate your blood work. He's telling you to get bloods drawn a week after your injection, but 2 weeks before your next injection??

That's completely asinine. Goes to show that most docs don't know wtf they're doing when it comes to testosterone replacement therapy (TRT). Your blood should be drawn the day before or day of your next injection, just before you take your next injection. Then you will see what your levels truly are.

 

[DrHouse]

Try not to tell the doctor what you think you need. They want to be the information provided. Just describe symptoms of crashing from low dosing, even if you aren't having them.

He may decide your blood work is irrelevant if he's an Endocrinologist? Most general practitioners don't really know enough basic information or just don't care for you to get labs in the morning but I've had Endos tell me go first thing in the morning. If you can get by without afternoon blood drawn, your levels will probably be tanked.

Megatron had a good point. You can't fake the blood work dealing with FSH and LH but I think I would collect the Sus and not even take it. Just tell him you have been and describe crashing symptoms. He may possibly up your dose to a more ideal level weekly based on that. Just don't push your luck.

I know in the states, or at least the people I know, they have to go get the shot at their doctors office. I have heard of people getting exempt from this and was just curious if you're able to inject yourself or do you have to go to the office for the shot?

 

[Megatron28]

I'll need it to be low for him to increase it to 125mg per week (250 every 2 weeks)...

He's left it up to me to get bloods done, would it be worth getting them done before the 2nd injection when I'm at my lowest?

Wy not just inject the prescribed dose weekly and see where it shakes out? You haven t even taken your first shot yet and you are already trying to game the system. You aren't going to build any trust with your doc that way.

 

[bigben66]

Try not to tell the doctor what you think you need. They want to be the information provided. Just describe symptoms of crashing from low dosing, even if you aren't having them.

He may decide your blood work is irrelevant if he's an Endocrinologist? Most general practitioners don't really know enough basic information or just don't care for you to get labs in the morning but I've had Endos tell me go first thing in the morning. If you can get by without afternoon blood drawn, your levels will probably be tanked.

Megatron had a good point. You can't fake the blood work dealing with FSH and LH but I think I would collect the Sus and not even take it. Just tell him you have been and describe crashing symptoms. He may possibly up your dose to a more ideal level weekly based on that. Just don't push your luck.

I know in the states, or at least the people I know, they have to go get the shot at their doctors office. I have heard of people getting exempt from this and was just curious if you're able to inject yourself or do you have to go to the office for the shot?

No, he's fine with me self-injecting... and to be fair he does seem like the kind of doc to sit, listen and take on board what I have to say... he has mentioned 'topping up' my test levels with gels or patches if this is unsuccessful, but I told him I didn't want to use those again as I didn't absorb well previously and I was petrified about transferring anything to my 5yr old daughter...

 

[bigben66]

Wy not just inject the prescribed dose weekly and see where it shakes out? You haven t even taken your first shot yet and you are already trying to game the system. You aren't going to build any trust with your doc that way.

Fair point, I could always go along with his plan, and if my blood tests come back showing an improvement, take it from there...
I've been reading these boards for a long time now though - and I've yet to see anyone have any success with a dose as low as 83mg per week...

 

[Megatron28]

Fair point, I could always go along with his plan, and if my blood tests come back showing an improvement, take it from there...
I've been reading these boards for a long time now though - and I've yet to see anyone have any success with a dose as low as 83mg per week...

So do the 83, get the labs and get bumped up when you come in low.

 

[CanAmBrah]

What was your starting test measured at, btw?

 

[bigben66]

What was your starting test measured at, btw?

Here's the original blood test results...

Serum testosterone - 9.3 nmol/L (Range 9.4-37.0 U)
Serum oestradiol - 112 pmol/L (Range 40-161 - Median 84)
Serum LH level - 5.4 mIU/ml (Range 1-9)
Serum FSH level - 6.2 mIU/ml (Range 1-14)

Symptoms... loss of libido, ED, aching joints, fatigue later in the day

 

[Alpin]

Here's the original blood test results...

Serum testosterone - 9.3 nmol/L (Range 9.4-37.0 U)
Serum oestradiol - 112 pmol/L (Range 40-161 - Median 84)
Serum LH level - 5.4 mIU/ml (Range 1-9)
Serum FSH level - 6.2 mIU/ml (Range 1-14)

Symptoms... loss of libido, ED, aching joints, fatigue later in the day

looks like the UK has a decent high end of normal range for T.
Our best lab here is 31.4 Nmol/L
Are those your baseline Natty Pituitary hormones or were you on clomid therapy with this Urologist?
I have the exact same Natty T level as you....but mine were enhanced with 0.25 mg ADEX E3D.
They'd probably be in the tank without ADEX.

 

[bigben66]

looks like the UK has a decent high end of normal range for T.
Our best lab here is 31.4 Nmol/L
Are those your baseline Natty Pituitary hormones or were you on clomid therapy with this Urologist?
I have the exact same Natty T level as you....but mine were enhanced with 0.25 mg ADEX E3D.
They'd probably be in the tank without ADEX.

These bloods were taken 5-6 weeks after a Clomid/Nolva PCT for a Test cycle... so I guess these are as Natty as they get...
Apart from a few OTC supplements and a quick 1 week course of DIM to lower the estrogen level a bit...

 

[bigben66]

looks like the UK has a decent high end of normal range for T.
Our best lab here is 31.4 Nmol/L
Are those your baseline Natty Pituitary hormones or were you on clomid therapy with this Urologist?
I have the exact same Natty T level as you....but mine were enhanced with 0.25 mg ADEX E3D.
They'd probably be in the tank without ADEX.

The urologist did say he'd like to see my levels back up to around 15... I was a bit disappointed to hear this, I'd have hoped we'd be aiming for at least mid range...

 

[Spunkey71]

Just remember that it takes time and some trial and error to get dialed in, after a few weeks your bloods might show some improvement and at that point you and your doctor can discuss your options such as increasing your dosage. You never know, you might be pleasantly surprised and find that the prescribed dosage is enough to get your levels high enough that you see great improvement in your overall wellbeing and quality of life.


Good Luck!

 

[Alpin]

The urologist did say he'd like to see my levels back up to around 15... I was a bit disappointed to hear this, I'd have hoped we'd be aiming for at least mid range...

15 ?????
No....No Way!
Tell him no deal!
That's 432 ng/dl T.T.
That level of T is for Andropausal males.
Bro, I can honestly say even with great T levels that a major player in feelings of well being is adequate sleep.
Get a sleep study done.
I had 20-23.6 Nmol/L T.T. and with Highly Severe Sleep apnea...
it literally sucks all the energy, libido, well being out of you.
I had 18 Nmol/L(on Human Chorionic Gonadotropin (HCG) therapy) and a testosterone replacement therapy (TRT) clinic doc told me it's low in his practice.
one thing is we don't know how old you are???