Getting my doc to prescribe more

I started trt two months ago at a dose of 90ml. This is through a private, paid TRT clinic. It feels okay. Zero side effects and some slight improvements. I would definitely like to up my dose. After reading many reports online, I’d like to try 150.

My question is: what do you guys recommend I do on my next blood work? I pin twice weekly and I could either pin 24 hours before my blood test (usual routine), or wait an extra day until after I test. Would I have a better chance of getting a higher dose with a lower test result or would it look suspicious?

Any other advice on how to go about requesting a higher dose is greatly appreciated as well. Thanks in advance

You should be pinning after your bloodwork. You never pin prior. You want to go in at trough.
Monday-pin
Thursday-bloodwork AM/pin in the evening.
You could also skip the monday pin and let you levels drop more but your only two months in. Your body is not even used to what you are taking yet.
TRT is not about having high number(unless that’s what you want) it’s about symptom relief.
If you just want a script for more test get bloods done on your own a few weeks prior to doc bloods per the schedule above and see where you are. Then decide if you wann ago in for doc bloods in the same way or skip the dose prior to bloods to have a lower trough.

Is that 90mg per week or per injection? If per week that is a low dose compared to most, if per injection that’s 180mg a week which is a fine dose. I am assuming you’re injecting subQ if doing twice weekly. People tend to metabolize the testosterone better when injected IM but IM you tend to do once weekly or it’s a pain in the butt (literally) and if Test Cypionate weekly is fine for most guys in terms of peak and trough. I agree blood testing should be done at trough unless you’re doing a solitary total T check 24-48 hours after injection (which we do sometimes at our clinic for guys to confirm where they are at peak). A panel should be done at trough though

Thank you very much. This is a total of 90 per week, injected into the glute muscle twice weekly. I don’t mind the injections and it feels better than when I started on one weekly shot.

I am in Canada and it seems we tend to start low here. I understand and I agree with the reasoning. But if think if I am tolerating it we’ll at the two and a half months, it would be wise to up the dose. The doctor may want to work up a bit slower, but I’d like to get that ball rolling at least.

Interesting. My clinic has hundreds of guys that we treat and the vast majority are in the 150-200mg a week range with 1 IM injection weekly (all test Cypionate) I would say 2 shots IM per week is excessively cautious approach especially on such a low dose.

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That’s very good to know. I was the one that requested twice a week after reading online. I suppose if I get tired of doing the shots, I will go back to once weekly.

Truth is, there is very little Canadian specific information out there. I know another friend of mine is a 280lbs man with a test number just under 300 and he was only prescribed 80ml weekly.

I am going to request 150 and see what the doctor says. Who knows, there may be no resistance to the idea.

Just to prevent the continuance of this error… you should be saying mg for dosage. ml is a volume

Thank you I was unsure and appreciate that.

I would agree with that protocol. I would also ask, what is the desired goal of taking more Test? More isn’t always better, and often times adding in HCG can make the same dose feel better for guys. Labs should always be check total T, free T, E2, and shbg. You can do things to attack those numbers, achieve better hormone balance, and feel better overall.

Fair question. I was pretty low for my age to begin with. 33 male tested at 240. I have always lifted weights hard and eaten mostly pretty well.

In the last couple years, my energy and sex drive really dropped off. I was hoping to see an Increase in both. Sex drive has increased zero and energy maybe, but barely perceptibly. Hoping a higher dose would yield better results.

I have noticed a difference in recovery and muscle building / fat storage. Truth is I would like to see if a higher dose helps more with this as well.