Help with Current TRT Dosage, Possible Side Effects

Just don’t do the shot before you see him next. Your bloods will show lower total T and he’ll shut up.

I still don’t get the bubble thing you’re talking about? How is a bubble going to give you enough extra to make much of a difference?

I pray that my levels are under control now I can’t deal with this fucker anymore. I understand it’s a liability for him if something is flagged over on the charts but hes going out of his way to pull my script. I started shit when he wouldn’t prescribe me more then one vial every 2 weeks and he insisted that I stay on 200mg every 2 weeks… Even after I told him I felt like I was on an emotional roller coaster he didn’t care and said it takes time and played it off. . He’s been after me ever since, because I called him out on not giving a shit about his patients, or how they feel in the network ap which gets revived by the medical practice… This is completely true he just didn’t want to hear it. So I caused some heat for him and now he is prescribing me insulin pins and whatever but I have to comply and So my pin schedule is Monday at 8am, and Thursday at 8pm. I scheduled labs for 6pm which was the latest appointment.

Can you take a much lower dose or skip that dose completely before the labs? What’s the issue

Partially I want to know my levels and I also want to level off and coast knowing where I am at. I am all ready tired of changing my dosage because it makes me feel rough for a week or 2 afterwords. I am dealing with hernia repair surgery and I am only 2 weeks out from that today. I should probably just go to 50mg 2x a week to be safe. I can skip tomorrow and reschedule for monday morning if I need to … . Do you think that after a week and a half my levels will be down from 1500+ to under 800 with taking 60mg 2x a week subcutaneously? If I skip a dose and come in super low he is gonna question me also. I might just have to go to 50mg tomorrow at 8pm then instead of taking my 8am monday shot just get labs at like noon or early afternoon…

Yep there’s always a way to fuck you at the drive through… I hear ya… I looked at some of my older labs and it was a much higher allowance. I just can’t believe within a month the allowance high was 950 then it was 836 total T. I am sure it’s partially due to liability, and all the bad rep of people who are dying of heart attacks and strokes. They don’t care how we feel it is just about them not being sued. I still have no idea how 200mg a week is the common protocol. God I was miserable on that dosage.

@dextermorgan - I think I get it… I was prescribed the same harpoon needles to begin with and there was a lot of wasted test suck in the needle after the plunger was fully depressed.

Not sure if the measurements in the syringe take the waste into consideration when calibrated… But I think by turning the syringe and pointing it needle up and drawing in a little extra air, when you point the syringe needle down there is a bubble on the other side of the test now between the test and end of plunger that pushes the extra test out that would normally be stuck in the needle after the plunger is fully depressed.

Am I rite @jaybourbon?

I am just going to do 50mg tomorrow at 8pm and re schedule my Monday blood work for around noon. My normal shot schedule is Monday 8am and Thursday 8pm. So I will be going in at least 4 hours after my usual shot time. I hope that will be safe. I can also schedule it later in the evening but I dont want to jack with my levels too much either.

You are absolutely right Mr! It took me a while to find this information, and I thank another member “dbossa” for making a very informative video on the subject.
His quote “Watch from 17:25 and I’ll show you how to inject an accurate dose”

He also responded after saying “With an 18 gauge 1/2” it’s giving me an extra 0.06ml. If you’re using a 1.5" needle expect that number to increase. It won’t be necessarily triple but it will be close. That’s why it is important to draw all the oil into the syringe to see how much is actually there. So measure the oil in the needle plus 0.1ml. Then draw all the oil into the syringe to see how much you have over and above 0.1ml and then you’ll know how much the needle contains. This way you will adjust your daily dose accordingly.“” Credit to dbossa… Follow my post here Help w/ Measuring Accurate Dosage

Oh I see you’re using giant needle/syringes. That makes sense.

Yes the 18gx1.5in were prescribed to me to draw, and the 25g 1.5 to inject. I was getting a ton of extra T in that huge needle and the reservoir when I drew it all out after I measured my dosage then pulled the extra from the needle and tip into the syringe before I changed them out. So big mistake there.

Crap… I’m using 30 gauge 1/2 needles and am supposed to be injecting 42mg EOD. I just pull up to one mark past the 20 (I’m using 200mg/ml concentration) on my syringe and inject.

It sounds like I’m injecting more than 42mgs… I have to watch that video. Thanks!

@bcostigan41
I’m not following what you’re saying. With a 30g 1/2 inch needle using a 1cc syringe pulling up .21ml how would you be doing more than 42mg (using 200mg/ml concentration)?

Edit: just watched a snippet of the video. He’s using syringes with removable needles and a much larger diameter & length needle. If you’re using 30g 1/2 inch you likely don’t have removable ends so that the extra there wouldn’t apply to you and the 30g itself is so small that there isn’t enough in the needle itself to make much of a difference. If I’m wrong on something let me know as I’m just trying to understand.

Phew… I just did the math and if I were injecting that much extra, it would equate to 179mg per week. I mean, feel pretty good, but not that good.

Thanks man!

Update!

To those of you that have been helping and following my progress here’s the post bloodwork update…

I finally got my blood work done from that Dr who has been after me since day one. I ended up lowering my dosage to 50mg 2x a week in hopes to get my levels down to around 800 total T as well as lower my hemoglobin without having to give blood.
After 4 weeks of the lowered dosage at the half way point between shots my t levels were 1340, and hemoglobin was unchanged and still elevated even after drinking tons of water the day before and day of the test.
The Dr flagged me in the system for putting myself at risk of abusing the substance even though I’ve followed his bullshit fucking advice. He refused to renew my prescription and made a big issue over this saying that I have been going against his advice and protocol even though he told me to do 130mg a week prior to this test which would have put me off the charts. I still opted to go 100mg which was 30mg less then his recommendation, and still ended up at 1340 total T. He really fucked me good. I walked right into this one.
I knew this was coming and been too upset to care to respond sooner. Luckily so far he has not notified my insurance nor canceled the remainder of my lest 3 prescription fills.
There is a silver lining though. My primary care physician Dr is experienced in TRT and has agreed to continue to treat me after hearing the story of how this other Dr. has given me soo much grief.
She recommended that I go down to 49mg a week with 7mg daily subcutaneous injections. I still opted for 25mg 2x a week for convenience but I am leaning towards the daily dosages here down the road. She said that it’s crucial that I give blood and get my next blood work in asap, so that she can enter it, and correct the system flag on my health charts…
I’m scheduled to give blood this Monday morning and my blood work will be on Wednesday of next week testing my CBC, total and free test, prolactin, as well as a bunch of other stuff… Not sure she was going to order the estrogen lab she didn’t mention it. What is that reffered to again so I can request it?

So anyway… Today is a week after the lowered dosage and my muscles are aching like before I was on test. My hands and inner elbows are in a lot of pain and I’m not feeling like my muscles are repairing… Just aching everywhere. It’s awful. I almost forgot what this felt like. Granted I work with my hands, and have had a busy week so far but I haven’t ached like this in months and I’m still taking it easy because I’m on week 4.5 of a 20lb restriction after my hernia surgery. So muscles shouldn’t be feeling like I just did a 6 hour workout and then didn’t get enough sleep to repair them… So this is my new predicament,and why I’ve been afraid to lower my dosage. I know it’s going to take time to adjust but is this aching common when you drop dosage this much, or common to low testosterone in general? This was the main issue I started trt. I got do tired of the constant aching.
I’m having issues even holding my phone to type this right now from the pain. Feels like running up the stairs the day after a brutal leg workout in my hands, joints, and feet. This is why I’ve been so reluctant to drop my dosage. I didn’t experience this on the higher doses. Maybe it’s the stress I’ve been under not allowing my to rest properly… Feeling pretty hopeless today.

@johann77 you say that 1300 is supra physiological, that PCV means increased HCT and that 2 times per week injection is better than ED?

Halfway between shots when doing twice per week will more closely result in peak values (like 1.5 or 2 days after the injection) than in trough values. The limiting factor in his case seems to be the secondary effect of increased Hb and HCT rather than the T value itself. If erythrocytosis is no issue than 1300 at peak might be just fine. But thats for sure strongly dependent on each individuals response and expectations for TRT.
There is one study that suggests that its the injection frequency rather than the dose which predicts the risk for developing erythrocytosis.
As far as i understand it, in susceptable persons one needs to balance the risk for erythrocytosis (less risk with longer injection intervals) and high estrogen levels (less risk with shorter intervals).

But its just incredable how different people respond to the same treatment.

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Interesting. But I was under the impression that erycytrosis is more likely with longer injection intervals as well

I thought so as well. Here is the link to the study

I see one problem with this study. Seems the men on bi weekly had much larger dose

And ED was not investigated here. As much as I know ED injections cause least increase in blood cells and estrogens in MOST people, but there are definitely exceptions. Its so damn individual…