Nope, Canada
Ah, nvm then. Not sure if they ship they far north or not
Man the problem is cannot do it properly cheap. Its very likely you will fuck yourself up without the assistance of a good physician. And this is tour health and life. Better dont go cheap. Find at least 500 dollars for a consultation with a doc that will give you instructions how to make the try properly according to your readings. TRT IS NOT simple its not easy and can be very dangerous.
At this point I’m despirate though, really can’t take any more of feeling this way. I have my doctor’s appointment tomorrow and I’m just gonna tell him that I truly need the replacement T and that right now my life is being ruined. I really hope I get it.
Дyou do not seem to understand. Even if you get it with the crappy and cheap doctor you will get crappy results. You may even become worse with a bad protocol
Yeah I’ve done enough research to know what I’d think to be a good starting point. Probably something like 75mg test cyp every 3.5 days. Obviously I’d need to get much more bloodwork done first there might be more to consider but I cant imagine that would make things worse.
They will ship anywhere. Its illegal though. Black market. We arnt talking about some telemedical situation. We are talking about multiple felony situation. If you choose to go that route just do some Google searches for forums. That’s all I’m gonna say. My experience is that it’s a quick reliable way of sourcing test without customs but each has risk/reward. I personally go through a legit Dr and just wanted to make sure I had an ample plan b supply if the legit route failed someday
Apologies for a long post here:
So I had symtoms of low T for the last couple years - low libido, no morning erections, some ED, depression, anxiety, sore muscles, fatigue, weak facial hair. I had my levels checked and total T came back at 10.26 nmol/L with range being 8-32. Bioavailable T came back low at 1.9 with range being 2.5-10.
My doctor suspected lifestyle was the cause. I had been working out regularly and doing regular cardio/decent diet at the time, still doing the cardio now but less weight lifting. He is strongly against TRT and I don’t think I can convince him.
I haven’t had any symtom relief. I will be having bloods taken again soon and if that doesn’t get an answer from my doctor I think I’m going to try self prescribing to see if it helps.
I should also mention all of these symtoms started when I woke up one morning with bad left testicular pain. The pain has subsided since but still lingers. I suspect varicocele as when my sack is loose I can feel a mass of veins above my left teste that isn’t there on the right. The left is also about 20% smaller than the right.
I will be getting ultrasound to confirm varicocele but the urologist was saying that he likely wouldn’t recommend surgery unless it is very painful or causing fertility issues.
So given that my testicular problem will likely not be fixed (the pain isn’t that bad so I don’t really mind it honestly) and my doctors are most likely not gonna give me TRT, I think I’m gonna have to try to do it myself. I’ve done a ton of research so here is what my plan would be:
140mg test eth split twice weekly subq
After 8 weeks check bloods for possible high E2 and if absolutely necessary take aromasin (, not sure what dose of that I should take)
If test is too high at 8wk, lower dose accordingly.
Avoid taking AI and only use if experiencing high E2 sides.
If I start noticing teste atrophy, start 250 iu HCG on days of injection and see how I feel/how they respond.
Try to dial in testosterone to the point where I feel good and then once I reach it stay there.
And if after 3months I’m not having any symtom relief then I may decide to come off. If coming off, taper test down, and ramp up HCG to 2000iu weekly, when off test completely start Clomid 12.5mg per day for 60 days. Recheck bloods after to see where I’m at naturally.
I know this was a long post, but what do you guys think? I really appreciate any advice, and honestly I’ve really been trying to do everything I can to raise T naturally for the last 4 months with no symtom relief at all. I really think due to the physical problem with my teste that it can’t be naturally optimal level.
Thanks guys.
You need a lot of labs before undertaking TRT, there could be thyroid problems. I don’t see a problem, your levels are low enough according to the UK guidelines (<12 nmol/L) for TRT.
Your dosage is a little on the high side, if having estrogen sides on twice weekly dosing, you may need injections EOD or every day.
Thyroid is fine TSH was at .94 range was something like .5-4.5 if I remember correctly. Any opinions on the HCG possible dose and my “if necessary” PCT? Those are the areas I’m most uneducated on. Also doc checked a bunch of other stuff, it all was normal. I can post full bloodwork if you want
My shgb was basically smack dab in mid range. See above reply for other info
If your SHBG was midrange, it soon will not be. TRT will decrease SHBG is just about everyone.
You’ll be fine with 140mg weekly. Once or twice weekly injections will be fine as well. Obviously, it would be better if you could find a doctor with some experience with TRT to work with you.
Stay off of AIs if at all possible. I would also avoid hCG until you want to conceive.
Before starting, obtain the following labs, if you haven’t already:
lipids
CMP
CBC
FSH
LH
prolactin
IGF-1
DHEA-S
E2
VitD
PSA
TSH
free T4
free T3
Good luck.
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Keep injecting the life force of man and take care that your hematocrit doesnt go too high. Cyp twice a week is ok.
Also take care that you dont have ass cancer (=have low PSA). T and DHT are food for the ass boogeyman. Maybe if you are confident have a dr put a finger in there as a precaution to check that prostate.
24yr old. Been feeling some classic low T symtoms for a year or so. Got my levels checked Three months ago and came back borderline low at 294ng/dl (converted to ng/dl from nmol/l). Doctor blamed lifestyle which I’ve improved as much as I can.
Still having weak erections and low libido, some minor depression and anxiety too. New labs from this week are as follows:
SHGB: 35.3nmol/l (13.5-71.0)
Bioavailable testosterone: 4.62nmol/l (2.5-10)
Testosterone total: 20.46nmol/l (8-32)
TSH: 1.9 mIU/L (.35-4.3) - this one I find weird because my original TSH from 3 months ago was .96 how could it have doubled so quick?
That’s it for hormones, also a test within the CBC called MCHC came back low at 314g/L with range being 315-350. Not sure what that means.
So I’m wondering, why do I still have libido issues and weak erections. Is it possible that the body takes time to adjust to the higher testosterone levels? Three months ago I was at 1.9 bioavailable testosterone which was low out of range, I don’t really feel any better now than I did back then in regards to libido/erections. And what about my TSH? how could it have possibly doubled in 3 months? I’m getting prolactin checked and will know more in a week or two about that as we haven’t checked that yet.
Any thoughts?
The problem is sick care doctors see things differently, unlike your parents, your doctor doesn’t give a shit about you being in an optimal state of health, it’s not how our healthcare system works, it’s only about what your doctor thinks insurance companies will approve and pay for treatment.
The medical system is into prescribing drugs, you have erection trouble, viagra or cialis is prescribed without much of a fight, you have depression, SSRIs are prescribed without much of a fight, back pain opioids and you have low hormones, it can’t be that or your levels are low but not that low nonsense that we often hear.
What’s happening is the game is rigged against you, you scored previously below range on bioavailable T and the one time you score barely in range, your doctor blames it on lifestyle, only I see men doing everything right and still have low testosterone, but your doctor fails to recognise the toxic environment we line in, PCB’s, endocrine disrupting chemicals, processed foods, pesticides in our produce and the toxic air we breathe everyday.
In the next 40 years I doubt anyone will have natural hormone levels, by then man will be infertile, I’m sorry but your doctor is living with his head buried in the sand.
You qualify for TRT, there is no argument, the real reason is your age which is why TRT was not prescribed, if you were a 50 year old, he would be singing a different tune. The truth is most doctors believe what they were taught, TRT causes prostate cancer and if by some chance you get prostate cancer before 30, your doctor could open himself up to a lawsuit.
You’re most likely not getting TRT from a managed healthcare doctor for this reason, you turn 50 and TRT is easily prescribed because if you were to get prostate cancer, well it’s common for 50 year olds to get prostate cancer and therefore there is no liability.
I cannot speak to your TSH because I see no thyroid hormones, whoever did your testing is more than likely an outdated dinosaur who doesn’t know how to properly test thyroid status.
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I agree it’s really unfair how the system works. But this time I tested 4.62 bioavailable T and the range is 2.5-10 so there has been an improvement, just not really an improvement in symtoms. I’m gonna keep trying to do better with maybe supplementing vit D and boron and magnesium, more exercise, lose the rest of the weight I have which would bring my BMI down another 4 points possibly. I think I can get my bioavailable T up to maybe 6 ish, still not ideal but hey it’s worth a shot to see if I can get symtom relief right? The main thing that I’m really thrown off by is why did my TSH double within three months? And what’s up with the MCHC thing being low? Any idea what that means? Honestly if I can’t get symtom relief naturally I can do TRT self prescribed so no worries in the end I’ll most likely get relief one way or another. What do you think about all that systemlord?
It’s not an improvement, it’s a natural daily fluctuation, tomorrow your levels will be either where they were previously or a little higher, but will bounce around between below ranges and low normal. Most men do not feel that their symptoms are all gone until levels are at the top of the ranges.
I don’t know how else to put this, but your best levels are pathetic for a man your age. An improvement doesn’t even remotely come close to describing your situation. Your levels are at my fathers levels and he is 87 years old with diabetes, so you’re comparing yourself to an 87 year old with type 1 diabetes.
This is what your doctor is doing, do you really want this man in charge of your health.
There must be some sort of improvment though, because how could my levels have doubled through a daily fluctuation? I agree my levels are still pathetic but I have no choice but to try to continue trying to improve naturally, and if that won’t work than self prescribed I’ll go. I still have some excess body fat that I can lose through doing regular cardio, I can put on some muscle in the gym. Those things should help my levels right? I have improved my diet a bit but it can be better. Don’t get me wrong I’m not afraid of TRT by any means but I think giving it a bit longer through the natural attempt could be worth a shot. I’ll probably end up self prescribing in the end but hey I gotta say it was the last resort. And if I’m seeing an improvement of about double where I was three months ago, I understand that some of this is due to fluctuations but it can’t be all due to that right? What do you think systemlord? I really appreciate any advice and don’t mean to sound repetitive. It’s worth trying to lose the weight and clean diet a bit more right?
The problem is you need adequate testosterone to build muscle and lose fat, you’re effectively trying to climb out of a hole in the ground and you’re almost out of the hole when another opens up beneath you.
My private doctor told me of a study were two groups of men where one group of men given TRT and told not to exercise and the other group of men were not given TRT and told to exercise, the former group who were on TRT with no exercise lost inches around the waist and gained muscle and the latter group of men never lost weight and gained no muscle.
In fact some gained weight because exercise stressed out the body which was in an energy deficit which then increased Reverse T3 which blocks the main active thyroid hormone so they the body could reserve what little energy it had otherwise you would eventually die.
Low testosterone and exercise is hard on the body and you are working off adrenaline and this is hard on the body producing excess cortisol, the stress hormone. You probably could increase testosterone maybe a little through diet and exercise, but it won’t be enough to get you optimal or where there are zero symptoms.
You can’t play the weight loss game if you don’t have the hormones to support weight loss.
Your fighting two fronts, your hormones and socialized medicine where if your breathing and alive, you’re fine.
Dr. Lawrence D. Komer Burlington, Ontario runs a men’s and women’s TRT/HRT clinic, it’s is cash pay and not apart of the socialized medicine.