TRT Protocol Suggestion - Is my doctor nuts?

[philcheese]

So, after going back to my general practitioner with the same symptoms of low energy and zero libido since late 2015 I finally got my doctor to order a blood panel for free testosterone. This guys office doesn't have the greatest track record for following up with me so I had to actually call them back after more than a week looking for the results. Turns out they came back and I was at 6.6 ng/dl. The nurse that called me back then informs me that the doctor wants to put me on a gel and that my prescription will be ready in the morning.

I do a little research and decide that I'm not comfortable with potentially solving a low libido issue only to be paranoid about part of my body coming in contact with my wife. Which leads me to calling the nurse back and telling them that I'm interested in considering injections. I'm not afraid of needles. I jab my dog with blood thinners three times a day. I don't mind learning the drill. When she takes that ask back to the doctor and comes back with one single 200mg injection once a month. I might have audibly scoffed into the phone. This is apparently their go to dosing and it "works for most people".

Suggestions? I'm thinking I just need to get a copy of my labwork and ask for a referral to the nearest doctor that actually does TRT regularly. I don't want to just settle for trying the gel.

 

[Slhardee]

Definitely be patient and advocate for injections. Without being rude, explain that the research you have done demonstrates the suggested protocol of once a month injections of 200 mg is a recipe for disaster. That would equate to less than 50 mg per week with extreme highs and lows.

Try to reeducate the Doc in a polite way and explain that you would like to do injections twice per week at a dose closer to what your size and weight require. Suggest to start at 80 mg per week which would be two 40 mg injections twice per week. This is a rather low-dose but it's better to start low and adjust from there.

Please post your recent bloodwork and the ranges of your recent bloodwork and make sure you follow up with blood work after you start your protocol. Proper blood work is the only way you will get dialed in and have the real effective benefits of TRT.

 

[IMT staff]

Gels suck.

 

[Roush]

Gels suck.

works ok as lube, but when your wife clit gets huge and voice deepens, its best to just go back to the Ky jelly

 

[jojo25jj]

200mg/month is senseless! Yout T will be one week ok and after that 3 weeks in the basement.
It semms most doctors don't have any idea about TRT.
200mg is regulary the amount for one week.

 

[Megatron28]

It sounds like you weren't happy with your doctor to begin with and this protocol is a clear sign that he has no idea what he is doing when it comes to TRT. He didn't even run the proper blood work on you.

I would go find another Primary Care doctor and start the process of determining if your have Hypogonadism and which kind. Have you read the stickies in the TRT Forum?

 

[daleb]

the bare minimum starting trt does is 100mg/week. anything less in dose or longer in duration is not sufficient and will leave you with lower numbers than you have naturally. A lot of guys like to split that up in to 50mg/3.5 days. which is acceptable also. So, dont do this. get them to prescribe you 100mg/week for 6 weeks, then run bloodwork. You can break that down on your own to 50mg/3.5 days. They dont need to know about that. As far as my doc knows I inject 400mg every 2 weeks. But really i inject 30mg every day using a 30g insulin syringes.

 

[daleb]

"Quote Originally Posted by IMT staff View Post
Gels suck.
works ok as lube, but when your wife clit gets huge and voice deepens, its best to just go back to the Ky jelly"

probably one tube you dont wanna keep in the bedroom nightstand. reminds me of that news article of the gal that kept a bottle of crazyglue in her nightstand. mistook it for a bottle of eye drops. ouch.

 

[eagle110]

show the doc you can your own injection, and get a script. , then do 50 ml.every week,..., better than 200 once a month,...

So, after going back to my general practitioner with the same symptoms of low energy and zero libido since late 2015 I finally got my doctor to order a blood panel for free testosterone. This guys office doesn't have the greatest track record for following up with me so I had to actually call them back after more than a week looking for the results. Turns out they came back and I was at 6.6 ng/dl. The nurse that called me back then informs me that the doctor wants to put me on a gel and that my prescription will be ready in the morning.

I do a little research and decide that I'm not comfortable with potentially solving a low libido issue only to be paranoid about part of my body coming in contact with my wife. Which leads me to calling the nurse back and telling them that I'm interested in considering injections. I'm not afraid of needles. I jab my dog with blood thinners three times a day. I don't mind learning the drill. When she takes that ask back to the doctor and comes back with one single 200mg injection once a month. I might have audibly scoffed into the phone. This is apparently their go to dosing and it "works for most people".

Suggestions? I'm thinking I just need to get a copy of my labwork and ask for a referral to the nearest doctor that actually does TRT regularly. I don't want to just settle for trying the gel.