He was on top of the world fr three months, so I expect that’s not his problem, although personally I prefer twice a week and think it’s probably better than once a week.
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Increasing your dose should do it. Most guys on TRT take 150-200mg once a week, probably 85-90%. I doubt 100mg would be enough for most guys. Get labs on your current protocol, blood drawn on the day of your injection, prior to it.
Total test
Free test
SHBG
E2
CBC
Lipids
CMP
DHEA-S
VitD
PSA
TSH
free T4
free T3
This happened to me in April, ears started ringing, anxiety on and off and blurred vision. The cause was iron, potassium, vitamin C and vitamin D deficiencies, looking back at my pre-TRT labs my iron was borderline deficient, 2.5 years later critical anemia hit me hard.
My ears didn’t stop ringing until I got iron, potassium, vitamin C and vitamin D to healthy levels. I had to stop the iron supplements do to iron overload and a week later I started getting the ringing in the ears again, it took my awhile to figure out vitamin C was mixed in with the glycinate to aid iron absorption and realized by complete accident I was also vitamin C deficient.
TRT can deplete minerals, vitamins and other hormones, especially older men. Excess red blood cells can cause tinnitus as well.
You need to test SHBG, this one is critical to choosing the appropriate protocol. A low value would men you need very frequent injections, mine is low and daily injections provides the best results, anything else increases side effects.
Weekly dosing isn’t optimal, levels peak in 48 hours and are lower 6 days later. By injecting this infrequently you’re having to overcompensate with more T to keep levels elevated between injections and this is increasing estrogen in the process.
Sometimes this process takes months of estrogen building a little bit each injection until it catches up with you. The same can be said for red blood cells, by overcompensating you are also increasing red blood cells.
My CBC labs across the board were lower injecting more frequently and estrogen had never been lower because I’m able to use less T to achieve the desired level by injecting very frequent with almost no decline in levels between injections.
The different between my peak and trough levels, my levels are nearly static.
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I’ve read numerous reports about once per week injection. If at the peak they are with around 1000ng/dl total T(assume this to be the average peak of the common TRT user) at the trough most report to fall to 600-500ng/dl. Im with these values now pre TRT and it sucks.
The idea of peaks, troughs and fluctuating hormones scares me to death only thinking about it.
Of course if pre TRT you had 200-300ng/dl maybe this will feel good enough, but no thanks
Most people do fine on once a week. The people that come to forums like this are the ones that have problems. I have two friends that have been on TRT for forever that feel great on 200mg once a week. Didn’t work for me unfortunately.
Some people just dont pay much attention to how they feel internally. I guess it will work for them.
I personally am very sensitive to everything, I cannot even incorporate enough magnesium in my supplements regime now(get very sleepy and groggy next day) so the idea that you have one level day one and different level of some hormone day 3 sounds terrible to me.
I guess you are also more sensitive and demanding to how you feel. I cannot imagine anyone to choose swings versus steady levels if he can perceive the significance of this…
P.S. Also according to dr Crisler people with higher SHBG can do better with rare injections. If most TRT users you know have such…
This is probably true, if I went on TRT and never had problems I would have never joined any forum, but in a way I’m glad I did because now I’m more up to speed on my own treatment.
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If you type @ the person’s name will pop up and you can tag them that way. I’m guessing that’s why there’s always a deleted post before your comment.
@dextermorgan yes, the damn reply functionality does not work properly.
I have issues with tagging you from the phone for whatever reason 
Reply functionality doesn’t work correct for me either most of the time. Same on other forums that use this format. Very frustrating.
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Where can we report that, didnt find such option ?
I have the same issue with an ampersand symbol. If I post it, my computer freezes.
I had two blood tests at one point. I was taking 250mg every two weeks of test enanthate.
First test: 3 days into the injection I had blood drawn. Total test was 1011ng/dl.
Second test: Months later. Blood drawn on last day of 2nd week before next injection. Total test was 460ng/dl.
I felt fine injecting once every two weeks. It wasn’t optimal I’m sure, but I had no nasty sides or problems like some are describing.
My endo originally prescribed 100mg test cyp every two weeks. I ignored that right away and went to 200.
Just fyi for what its worth to anyone reading.
I agree with DexterMorgan. I’ve been on TRT for two plus months now. I was injecting smaller doses every other day due to very low SHBG - advice given to me by Systemlord which I got approved by my Edno. I was feeling great up to ten days ago when I packed the wrong vial on a trip to the lake. I thought I could go without those every other day doses for a full week. I was wrong. So very wrong. I experienced that crash everyone else discuss. I felt better within two days of returning to the small TRT doses. Now I’m paranoid to miss any dose because that crash was very unpleasant. I also drank too much during that holiday week which worsened the feeling. Alcohol lowers the testosterone.
I feel compelled to say something here. This has nothing to do with whether or not people pay attention to how they feel internally or if they are sensitive. Some people are hypochondriacs. Some people like to imagine all of the details of how something is going to go for them if and when they actually try it. Some people don’t actually know what they’re talking about. Saying that you are groggy because you can’t get enough magnesium is ludricrous. Efficacy of dosage frequency is individual and really can’t be guessed at beforehand based purely on hearsay and imagination. Stop telling people things as absolutes, you don’t actually have any basis for speaking that way and they don’t necessarily know that you have no actual experience.
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There are clinical studies more than a decade ago (2005) showing these protocols creating estrogen dominance in men, any doctor prescribe them can only claim ignorance and TRT is not an area of medicine that doctor specializes in.
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@systemlord You’re referring to the 100 every two weeks created estrogen dominance in men?
Also to clarify I went to 200 weekly.
We men excrete testosterone via the kidneys more quickly than we excrete estrogen through the liver. Whether it 100mg or 200mg, it doesn’t matter.
The half life of estrogen in the bloodstream is longer than testosterone.
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Seems you’ve understand nothing about what I said about the magnesium. And telling me I imagine what I experience in my body…I can just call it stupid to be polite. With this logic all the people that have started TRT may have imagined their symptoms…this is what the mainstream doctor will claim
No, it’s not all imagined. Mainstream doctors serve a purpose, they don’t and can’t know everything and have to rely on guidelines for a number of reasons. I am pointing out that you are offering advice on things that imagine will happen if you actually do TRT. There a lot of things to consider in regards to mineral supplementation, and if you think magnesium insufficiency is making you sleepy, you need to do ome more reading and probably avoid whichever non-maintream doctor gave you the notion. I still can’t figure out why you are here on a TRT forum when you are not on TRT and do not actually know what is wrong with you.
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