Considering Self-Prescribing TRT If Doctor Won't Help. Opinions?

Be careful about associating things too soon. You can make them become a reality in your head. Chances are B12 has nothing to do with your libido and you took something new and need to get used to it like everything else.

1 Like

That’s what I’m thinking too. It shouldn’t affect it. Perhaps it’s just another fluctuation.

Week 3 down.

So far I’m happy with my progress. Libido seems to be ramping up a bit and morning erections have come back and are fairly strong. Anxiety is definitely going down but is still present, not nearly as bad as before. Depression has improved. Confidence and assertiveness are up. Attention span seems to be increasing but could definitely still be much better. As far as I’m concerned though, for only 3 weeks this is great progress. Really hoping my libido gets much higher but it is nice to notice it’s improving.

No high E2 sides so far. Not really noticing much bloating but I am up 6 lbs since starting.

Go to balance my hormones and ask them to help you find a doc. Go to the boards and ask for doctor referrals in your region.

In my area there’s not much options. Still looking into it I have an appointment on the 30th that seems promising.

Don’t wait keep researching. It might end up being shit. Put your health first and that means be aggressive in finding the right doctor. Most will low dose and not allow enough to resolve symtoms .

Noticing some pretty significant pain in injection site a day after. Injections are completely painless during. How long before my muscle gets used to this?

What’s dose and size of needle and site. So it only hurts when you touch it?

Just like soreness when moving. Quads 1/2in 29g

How much are you injecting

75mg. E3d

Okay. Iron results are in, and I’m deficient.

Iron - 5.89umol/L (9-31)
UIBC - 47.7 umol/L (12.5-55.5)
TIBC - 53.59umol/L (43.4-76.5)
%Saturation - 11% (14-55)
Ferratin - 39.1ug/L (22-300)

So my doctor has recommended 150mg elemental iron EOD.

Other tests done are as follows:

25-Hydroxy Vitamin D - 82.2nmol/L (no range given)
Vitamin B12 - 301pmol/L (138-652)
Calcium 2.55nmol/L (2.2-2.6)
Phosphorus .91nmol/L (.74-1.52)

Do you guys think my doc should’ve recommended anything else? What kind of benefits should I expect from taking iron? Could this have been the reason my T was low or caused any of my low T symtoms?

Already taking 600mg magnesium glycinate, 1000mcg vit b12 sublingual
5000iu vit D

My doc says I should go down to 2000iu vit D.

@dextermorgan, @systemlord, @hardartery

Looking at everything as a whole, your iron deficiency doesn’t look severe enough to cause low testosterone, your binding capacity isn’t even at the top of the ranges, when the body is desperate for iron, the TIBC will be at the top of the range.

This is appropriate for someone with iron deficiency, but once levels are elevated and maintenance dosage will be needed.

You will have more energy when you correct the iron deficiency. Your body needs energy, it needs iron, even viruses and diseases require iron to grow.

High body fat percentage will probably need more vitamin D, I need 5000iu vitamin D daily to keep levels above 30.

I’d take the 150mg and then retest in 3 months and see where you’re at. I don’t know if taking more vit D than needed causes harm.

Your Calcium translates to 10.22 mg/dL. That’s actually high. With no range I don’t know where your Vitamin D sits. You have been supplementing D and B12 though. Do you have any other previous labs showing Calcium and vitaminD? Personally I would want to get a lab done of Calcium and PTH (ParaThyroid Hormone). A parathyroid problem will drain your Vitamin D, raise your Calcium, and cause a ton of ripple effects across everything else. It will also kill you, slowly. It killed Garry Shandling among others.

@hardartery it only says 25-49.9nmol/l = vitamin D deficiency possible. I’m at 82.2. no upper limit of range is listed. Not sure why my calcium is high I haven’t supplemented it, don’t drink a crazy amount of milk either. So I should retest calcium and check parathyroid hormone eh? I’ll get that done.

Hoping to see some good benefits from solving this iron problem.

@systemlord @dextermorgan really appreciate the input and advice guys.

Calcium is largely controlled by PTH, and a little by calcitonin from the thyroid. You can’t get high calcium from supplementing, how much you take in doesn’t correlate directly. It’s controlled by PTH converting Vitamin D from it’s inactive form to it’s active form (mostly). What you don’t need you piss out. But if your PTH levels are too high and you have enough Vitamin D available your Calcium level goes too high and causes calcification of soft tissues, osteoporosis, kidney failure, heart attack…

Okay. Really appreciate the information, can’t thank you guys enough. I’ll have to get my PTH checked to rule out an issue there.

One month in now. I’ve gained 10lbs but don’t look fatter. Anxiety has reduced by about 50% as well as depression. Libido is still meh but I’m starting to think it might also be because I stopped my ADHD meds, I was on Vyvanse 50mg daily and I’ve heard that it causes very high libido so perhaps I’m just comparing normal to what I was on the Vyvanse. Erections have improved but could still be better, I think that’s because my inguinal hernia I read a study where all patients had improved erections after hernia repair. I’m definitely more confident, have less brain fog, and am more assertive.

So far I’m pleased with the results of going on TRT. Hoping to see more improvements as time goes by.

@systemlord @dextermorgan

Is it possible that correcting my iron deficiency could improve sexual functioning?