UNDERDOSED TRT clinic Cypionate?!

[2kdime]

Can you guys give me any ideas on this?

Prescribed by an ENDO, 100mg a week of Cypionate. Trough readings of 650ng/dl or so

Went with a WELL KNOWN online TRT clinic due to not believing my ENDO was versed on the matter

Prescribed 200mg a week with them, script was mailed to me from a compounding pharmacy in Florida.

TROUGH readings are now mid 400's at DOUBLE the dose?!

Even running an AI with them now and my test levels are lower?

Is it possible theres a little scam going here or am I missing something?

Thanks for your alls help!

Trevor

 

[Jimstigator]

1) What was wrong with initial dose? 650 isn't ideal, but isn't horrible for trough. That means your peak after injection was probably pretty nice. It would have likely been an excellent dose for you if you could do it as two injections a week, each 50mg

2) What ester/oil is the stuff from the compounding pharmacy in? Test cypionate can be injected weekly whereas test propionate needs QD or EOD to keep levels up. Injecting test prop once a week would yield very high peak and very low trough.

3) Running an AI has no impact on testosterone levels when you inject. Changing your testosterone level will impact estrogen levels, but changing estrogen levels will not really impact testosterone levels (when introducing exogenous testosterone). The exception is some downstream effects of estrogen on SHBG which could change your free T levels a bit. There is a correlation between the two when it comes to how you feel.

-Jim

 

[Jimstigator]

Oh, you said its cyp in the subject. HUM! Seems odd. Maybe call to confirm that's the ester being used, then complain?

-Jim

 

[2kdime]

It's still Cypionate but I believe in a different oil, I'll have to check the carrier oil when I get home.

I only mentioned the AI as I would have thought it'd have kept my levels a little higher while it prevents some of the aromatization. I wasn't prescribed an AI before.

 

[Havasu]

I'm no expert, but if your dose doubled and your trough is lower, and the trough was taken on the same day after injection as before, AND around the same time as before, then something must be wrong with that Test. If all things are equal and the outcome is different then something isn't equal in my opinion.

Can you request that they send a script to a compounding pharmacy in your area? I live in a smaller area, and figured I didn't have any compounding pharmacies in my area. I was wrong. Hell, some of the grocery store pharmacies are compounding. It just means they can make it from scratch there at the pharmacy, to a custom dosing if need be.

Have you brought this up to the TRT Clinic? I would. I'd tell them that this makes no sense to you, your trough reading was higher before, with a lower dose. But make sure that your previous levels were taken on the same day after injection as they are being taken now.

 

[2kdime]

I was able to get my regular doctor to prescribe the same stuff, so I'm done with the clinic.

Funny, I emailed them asking about it.

No reply from them......

 

[halfwit]

3) Running an AI has no impact on testosterone levels when you inject. Changing your testosterone level will impact estrogen levels, but changing estrogen levels will not really impact testosterone levels (when introducing exogenous testosterone). The exception is some downstream effects of estrogen on SHBG which could change your free T levels a bit. There is a correlation between the two when it comes to how you feel.

-Jim

I liked your points, but this one is incorrect. If estradiol is converted from testosterone, and you reduce the amount of conversion - there is more testosterone in the system.

I get what you were trying to say, but felt it necessary to clarify the point. You are right though; his AI use wouldn't lower it, and can be taken out of the equation.

Looks like you found a shady lab OP. Sucks that we can't even trust compounding pharmacies explicitly. That or some chuckle head mucked up the concentration. Either way, sounds like you found a solution.

 

[Alpin]

Ya...
big pharma Test all the way.

 

[2kdime]

I just hope that this isn't a common occurence with this clinic and pharmacy.

I mean, 3 months worth of test, hcg, and arimidex was 650 doll hairs.

Be pretty crappy if it's happening often

I just don't see any other answer to this...

 

[Megatron28]

Why not have them write a prescription and you fill it at your favorite local pharmacy? Having them mail the medications to you seems shady.

 

[Megatron28]

I just hope that this isn't a common occurence with this clinic and pharmacy.

I mean, 3 months worth of test, hcg, and arimidex was 650 doll hairs.

Be pretty crappy if it's happening often

I just don't see any other answer to this...

I hope you realize that this should cost about $100 from a reputable pharmacy in the US.

 

[Mprtz]

Does the pharmacy start with an 'H'?

 

[2kdime]

The thing is, all local doctors, specialists mind you in my area, do the Testo pellets or shots in office.

1 endo was willing to do shots at home for convenience but didn't prescribe an anti E, even when gyno set in. I asked for an Estradiol test and he didn't even know how to request it.

Believe me, if I had thought my regular doc would have prescribed this, I'd have gone that route. But I was referred to the endo by my doctor after my LH came back in the toilet.

Now that I've been diagnosed, and prescribed certain dosages. Hes fine continuing it.

For those of you that may not have looked at the TRT clinics, that price is about right with most of them. And for whatever reason some people may have, the clinics may be their preferred option. But no longer mine.

 

[2kdime]

Yeah it starts with an H

 

[Megatron28]

The thing is, all local doctors, specialists mind you in my area, do the Testo pellets or shots in office.

1 endo was willing to do shots at home for convenience but didn't prescribe an anti E, even when gyno set in. I asked for an Estradiol test and he didn't even know how to request it.

Believe me, if I had thought my regular doc would have prescribed this, I'd have gone that route. But I was referred to the endo by my doctor after my LH came back in the toilet.

Now that I've been diagnosed, and prescribed certain dosages. Hes fine continuing it.

For those of you that may not have looked at the TRT clinics, that price is about right with most of them. And for whatever reason some people may have, the clinics may be their preferred option. But no longer mine.

Go back to the doc that would let you self inject and just purchase an AI from RUI. Easy peasy.

 

[2kdime]

And then pay for my own blood work through the online deals? Order research chemicals and not get Rx grade? I'd rather not.

I'll go through my regular doctor now, and have all my BW covered by insurance, as well as all my scripts.

 

[Megatron28]

Why wouldn't your blood work be covered under doctor prescribed TRT?

 

[Alpin]

Why not have them write a prescription and you fill it at your favorite local pharmacy? Having them mail the medications to you seems shady.

The TRT ppl he deals with don't write scripts for mainstream pharmacy stuff. It's all compounded pharmacy medication.
and mailed to your door!!!
Gotta Love America...
lol

 

[Mprtz]

If it's a Florida compounding pharmacy starting with an H and located in a town of the same name, I've never had any problem with their products, have been using them since starting TRT.

 

[2kdime]

The Endo I was using doesn't know how to test for Estrogen! I told him the lab test number to use and he said he couldn't do it. And the TRT clinic makes you pay them for BW, or get your own done. Whether that be through your own doctor or through someone like Privatemd

Had developed gyno on the test and. he said he couldn't do anything about it.

I told him to hit the road.

Could he test for other important factors in TRT maintenance BW, sure. But not Estrogen? Not interested in playing with dosages to get me feeling my best? No HCG? No AI? Dude rubbed me wrong so I moved on.

Never the less. I've got my prescriptions covered by insurance, and prescribed through my General doctor.

The issue here is not who I should or shouldn't use.

It's discussing possible causes of lower test numbers on a higher dose from a cash only TRT clinic that other guys are using too.