My gosh, I love it when people can have a discussion in which they don't have the same position yet everything is focused on the facts, rather than getting nasty. There, I loved on ya Halfwit! Uh...in a friendly way.
Back to your previous post, I do understand it takes weeks to get stable levels. Plugging all this into a spreadsheet really helps make that obvious. What's funny, is I have every shot I've ever taken (hcg, Test) in a spreadsheet, every blood test result in that same spreadsheet, every dose of anastrazole. Some say to-may-to, some say to-maw-to...and some say OCD, I say analytical.
Since there is disagreement on the half-life (and I would think the actual operational half-life varies person to person, and varies within that person dependent on several things) I have that value in a cell that is then used in the rest of my formula.
When I switched from t-cyp to t-prop, I added another value for half life and another column for t-prop injections. Both the cyp and prop have a daily decay rate, as well as separate ester weights. All of which combines for a value in the column that is labeled "daily aborbed T". When I stopped my t-cyp injections, I used the spreadsheet to calculate t-prop injections that would increase over time to keep my T levels the same. At the 4 week point, almost all the t-cyp was absorbed, and I was then using t-prop injections that predicted the same amount of absorbed T as the t-cyp previously.
Blood tests before the change from t-cyp showed total T of 1123 and blood tests at the 4 week point showed total T of 1170. Close enough.
None of that is meant to contradict your statement that serum levels can be predicted from the half life, or from the shot amount. But the residual amounts from previous injections can be tracked over time with the half life taken into account, and the amount of T absorbed predicted based on that.
As to why the peak occurs around 48 hours later, I would assume the peak occurs as a function of absorption and clearance rates. Perhaps for the doses we're using that peak is around 48 hours from injection. Makes sense.
But I still believe the T absorbed from the very first shot is going to follow a half-life absorption curve just like all the T injected. If it doesn't, then why does the absorption rate change over time? If it does, then the T that goes into the blood in the first 24 hours from 100 mg is probably (removing ester) between 3 and 5 mg. Compare that to what a healthy male produces, and for someone with very low levels I think that will be felt.
Oh yeah, I always love an intellectual debate. I actually enjoy being proven wrong as it means I still have much to learn.
Okay, my points that I was unable to get to on my phone:
Timeline of response to therapy after testosterone replacement
The clinical response to testosterone supplement is variable. Generally, it takes 4–12 weeks to restore the serum testosterone concentration to physiological range, depending on the initial concentration of the hormone as well as the type of formulation used. Serum testosterone is usually measured to monitor response to therapy and achievement of a eugonadal state (generally considered to be reflected by a serum testosterone concentration between 400 and 700 ng).58 However, a recent study has suggested that it may sometimes be inaccurate because of abnormal fluctuation of other circulating androgens.(75) Improvement in sexual desire and function as well as mood and energy occurs early in the course of treatment, approximately within 3–6 weeks.(76–78)
One can begin to see improved muscle mass and strength, reduced adiposity, and an increasing hematocrit within 3 months which reaches its maximum at around 12 months.(77) The lipid profile begins to improve in 3–4 months, with maximum effect attained in 12 months for total cholesterol and 22 months for triglyceride, high density lipoprotein, and low density lipoprotein. A decline in fasting blood glucose and HbA1c may be observed after 3 months with further decrease after 12 months.(79–82) Effects of testosterone on bone mineral density take longer to appear. It may take 6 months to see the initial effect and may take 36 months or longer to reach the maximum benefit.(26,64,83,84) Patients with meta
bolic syndrome experience maximum benefit in waist circumference, fasting blood glucose, and blood pressure within 12 months.(79,85) It is important to monitor blood glucose concentrations in diabetic patients and titrate down anti-diabetic medications if necessary, as TRT improves glycemic control and may precipitate hypoglycemia.
Source - (They list each one in parenthesis)
I sound all smart again, right? Then I find this gem that conflicts with some of the data above:
I normally would have discounted it, but it is from the Endocrine Association, so I kind of have to take it seriously.
Source
Ahh, but of course we find another conflicting tidbit here:
Results:
Effects on sexual interest appear after 3 weeks plateauing at 6 weeks, with no further increments expected beyond. Changes in erections/ejaculations may require up to 6 months. Effects on quality of life manifest within 3–4 weeks, but maximum benefits take longer. Effects on depressive mood become detectable after 3–6 weeks with a maximum after 18–30 weeks. Effects on erythropoiesis are evident at 3 months, peaking at 9–12 months. Prostate-specific antigen and volume rise, marginally, plateauing at 12 months; further increase should be related to aging rather than therapy. Effects on lipids appear after 4 weeks, maximal after 6–12 months. Insulin sensitivity may improve within few days, but effects on glycemic control become evident only after 3–12 months. Changes in fat mass, lean body mass, and muscle strength occur within 12–16 weeks, stabilize at 6–12 months, but can marginally continue over years. Effects on inflammation occur within 3–12 weeks. Effects on bone are detectable already after 6 months while continuing at least for 3 years.
Source
So while I have LOTS of articles showing how it takes a very long time (well, it feels like a long time for us when hypogonadal), there are always a plethora of articles contradicting them. I honestly believe this makes it difficult at best to present a strong case in either direction as the experts themselves can't seem to agree. Even worse, I keep finding OLD references regarding topics such as prostate cancer (proven to be E2 related), improper dosing schedules (4 weeks for 200mg, really?!) and other tidbits left over from the era where the medical community decided that AAS does nothing but make one angry.
So, I guess I'm going to have to call this one a
draw. I cannot disprove (I really thought I could until I used non-biased search parameters to be fair) nor prove the exact time-frame in which TRT can impact a hypogonadal male. I do still believe a LARGE portion (I went through it too!) of the initial benefits are largely placebo, but must concede that there is the possibility for drug action kinetics.
I have found it. I am having problems downloading the software on my laptop to scan right now. What would you like to see, and I'll post it. I ran a shotgun of everything...just about everything that we have in chemistry. Also have cbc.
I would like to know your LH/FSH values and TSH if you have it. I'm curious if another theory I read about is true or not. As I don't know many that pulled a blood test literally right after starting TRT - this is a unique opportunity for me to see if I can learn something or not.
