28 Y/O Needing Advice on Starting TRT

Yea as long as your med is labeled with your name, pharmacy and doc name (this is your RX) you can take it anywhere but Australia. You can still take it there but you have to apply on the state website first and submit a letter of necessity from your doc. But as long as you do that you can take it there as well.

Hope this helps.

To clarify, I was given total t, but no range. My t is 424 which is 25 per cent lower than what I had last year

After one week on trt, injecting 62.5mg twice per week, I’ve increased my energy marginally and am overall happy due to it only being a short time period.

My question is on my second injection of the flute, quadrant 2, blood came out after injecting. It wasn’t much but there were 5 or 6 big drops. I didn’t cough afterwards, and I don’t have any pip other than a faint dull pain if I press the spot. Did I inject into a blood vessel or merely cross one getting to the muscle? Is this something to worry about? Do you aspirate the glutes?

For reference here are my levels before I started. I don’t know what was wrong with me but I was low on energy and had brain fog.

Testosterone (Total): 14.7 nmol/L (this is 424ng/dL, last year I was at 565 ng/dL and this is the only metric that was tested)
SHBG: 33 nmol/L
FAI: 44.5 %
Free Testosterone: 301 pmol/L
FSH: 2.1 IU/L
LH: 1.5 IU/L
Oestradiol: <50 pmol/L

Supposed ranged according to the test
Testosterone (Total): None given (isn’t that interesting?)
SHBG: 15 - 50 nmol/L
FAI: 15 - 100 %
Free Testosterone: 260 - 740 pmol/L
FSH: 1 - 12 IU/L
LH: 0.6 - 12 IU/L
Oestradiol: <160 pmol/L

You need to rethink your strategy here, you have low SHBG now and need to rethink your protocol. You need ED or EOD injections since SHBG is low. The same thing happen to me, SHBG was about the same as yours and declined to 16 after only 4 weeks, I found that daily injections brought it up to 22.

The moderate doses are good for guys with plenty of SHBG floating around and not always good for low SHBG men. Maybe I’m wrong, but you make it sound like you’re injecting using large harpoons, you should be using 27-29 gauge insulin syringes in the shoulder and quads, painless.

You crossed a vein, you didn’t inject into it. That’s a lot harder to do than guys think, and there wouldn’t be a question in your mind about it if you had, you would absolutely know.

Is 33 nmol/L considers low SHBG?

I misread his ranges as a follow up test, it’s why I hate doing posts on the phone. I still expect SHBG to decrease, it almost always does.

I’ve only started a short while ago, I will monitor my SHBG levels in the coming weeks and reassess. I am not sure what is considered low but I’ll look into that too. Either way, injecting EOD sounds like a real hassle that I’d like to avoid if possible. I’m fine with E3.5D, but I even considered test u to go to E7D.

You say that SHBG will decrease, is that such a bad thing?

Thanks, I must not have injected into a vein, rather through one. I feel fine. It was only 0.25ml anyway.

Low SHBG is associated with poor health, metabolic disorders and diabetes, SHBG bind sex hormones and insulin. I wouldn’t be surprised to see it closer to 20 on your next set of labs.

I’m one of those few men who see an increase in SHBG on TRT.

I will keep my eye on the SHBG, I’m getting bloods done next week.

Quick summary:
-28 year old man
-Feel great now in terms of energy and brainfog (the reason I began TRT)
-125mg per week of Test-E (injecting 62.5mg twice per week)
-No side effects so far that I know of, so now Arimidex or anything else has been used with my TRT

The tests are in the images below. Unfortunately my doctor forgot to test for E2 this time. From my point of view the only thing I need to look into is FSH and LH being so low, and if this matters for fertility going forward. Please let me know if any of these other metrics jump out at you.

When taking exogenous testosterone, FSH and LH will bottom out as the brain’s feedback mechanism recognizes there is plenty of test, so it stops the process of making LH and FSH. Your fertility will decrease. That doesn’t necessarily mean you are sterile. Plenty have conceived on AAS or TRT. However, if you are actively trying to conceive, you should add hCG.

In order to remain fertile you need to add HCG to your protocol. Once you’ve stabilized yourself on T you can try adding HCG to see how you will handle it.

Add FSH when HCG isn’t enough to get the job done.

Thanks for the feedback everyone. Looks like I have nothing to worry about, all of the other metrics are fine. I will continue with my protocol and continue to monitor.

Isnt FSH only in case of getting the job done?

No the leydig cells need stimulation, otherwise you might as well flush the FSH down the toilet.

Sorry bro, did not understand your point.

You talk about injecting always or only when trying to make a baby?

Just until to wife gets pregnant, then revisit it when it’s time for another kid.

And if you start TRT but will not make baby most probably in the next two years?