I had borderline low test - i was at 299 out of the 300-1000 range. They started me on .7 ml test cypionate. As far as the concentrate, its the typical one used for TRT.
I had a blood test 5 days after my .7ml dose back in june and i was at 750 test. 50 e2(estrogen) and they lowered my dose to .5 and i had them prescribe arimidex since i noticed gyno.
At .5ml dose (5 days after dose), my test level was only 450. Frustrated and wanting to be closer to 1000, i went back up to .7 now that i’m on the Arimidex (half a 1mg pill 2 days after test dosage), but ive noticed the gyno get a little worse. Since i was on the inhibitor, i thought i could go back to .7
Is it normal to still get gyno at those dose levels? Guys who use the anabolic stuff go for way higher levels without being effected. I had some as a kid, so i feel like i’m more prone to it, but still. Its preventing me from reaching my test goal.
I’m into bodybuilding which is why i care so much about getting that level up.
You can’t just pick a number because it look good, you need proper testing to help guide you. SHBG will tell us how well and how long you hold onto your testosterone, lower SHBG men don’t typically do well on high normal levels, low SHBG men have a ton of free hormones.
Total score is the hormone that is bound to SHBG and is not bioavailable, Free T is the bioavailable hormone which your body responds. I seen guys get gyno even though E2 is lower, hormone imbalance is what causes gyno. Tamoxifen can block estrogen at the receptor, this is best used for gyno while Arimidex is used to block estrogen production.
Please do not describe T dosage in mls, we have no idea how much testosterone you’re injecting because no mgs are stated.
I inject 20mg EOD (80mg weekly) from a 100mg vial, if it were a 200mg vial I would be injecting 40mg EOD.
no i meant 5 days after the injection. 4 months into TRT. The blood tests are so infrequent its hard to “make a plan” as the next commenter says but my last blood test was when i dialed it back to .5 ml injection weekly - 5 days after my last injection, i tested at 450 testosterone. But at that level. my sex drive as still gone. That is my main reason for trying to get it above 700. When i was at/around the 700 level, i actually had interest in sex. But at the .5ml dose (AND HCG), i’m only getting up to 450 test. The nurse who controls the dosages is “happy” with the .5ml dose, which is why i’m asking you all. Its not doing shit if i have zero sex drive, but i’m afraid to go higher on my own because of Gyno.
If your doctor is happy with a total T of 450, it’s time to move on to someone who has a clue. It doesn’t sound like you’re working with people who know what their doing. A 450 Total T is that of very healthy man in his 70-80’s, president Trump is one of those men.
Your nurse is happy at the lower dosage and the fact you have no sex drive, amazing.
That sounds high… I don’t see that they tested for SHBC, doc never mentioned it. First i’ve heard of it, but it sounds like i need to read up on it and check my medication.
Your doctor is also ordering the wrong E2 labs test and missing the most important ones, SHBG. It means he doesn’t specialists in hormones and I suggest you search for one who does have a clue. The Roche ECLIA Methodology is designed for women, it will overstate your E2 is elevated, LC/MS/MS is for men and is more sensitive.
Your doctor is operating outside his area of expertise and it shows because he doesn’t understand how this game is played. Doesn’t even know what labs to order or what they implicate.
I ran into the same problems as you, none of my endocrinologists knew anything about TRT, I felt like I was educating them as they didn’t seem to have any idea what it is they should be doing and went to a private specialists who does know what he’s doing.
Endocrinologists and urologists don’t typically do TRT on a regular basis, their area of expertise is in other more profitable areas. TRT is a low profit generator. Pharma can’t patent testosterone, so there’s little attention to it.
Sports medicine and anti-aging is where the hormone specialists are located.
It’s pretty sad if what you’re saying is true, because ED and TRT is all they do, so they SHOULD know their stuff… But i don’t think they have any endocrinologists on staff. Just a few nurses.
I read there was 1 or 2 online practices that do phone consults and they just send you to lab-core. Would you recommend trying one of those? Or should i look for a local one. I don’t even know what i don’t know, so I may just find another place that will run their shop like these guys i’m using now.
Question about Tamoxifen. Is that commonly prescribed to TRT patients? Will this shitty doc write a script for it? They did zero homework on it, and only prescribed Arimidex because i asked for it by name.
I’m with Defy Medical, they have doctors that do TRT all day long. They can treat thyroid and many other medical conditions, think of them as both endocrinologists and urologists wrapped up into one. Tamoxifen is used when Arimidex isn’t enough or you have the beginning stages of gyno.
Thanks, i stumbled on their name a few months back and thought of switching but was waiting till my 1 year is up since i pre-paid for a year of meds. But after talking with you folks, i’m going to get a pro-rated refund and find another like defy (or maybe them).
