my focus has been reduced to almost nothing at work. I can’t dig deep into anything at work, I can barely read more than a sentence of a document or email. My doc isn’t the most responsive, and after not having filled my prescription last week, I missed my does ont eh weekend, felt pretty crappy for a day or 2, but my concentration has come back and I’m ontop of my work game a little more. I’m unfortunately not looking forward to Saturday night to go out to bars and hit on girls like i’ve been doing since getting on the TRT. But work has been a nightmare, struggling to get things done and dealing with the consequences of not being able too. Doesn’t sound like anyone else here has hte answer, and the people here are more knowledgeable than my doctor.
Hi @EPTrailColo, I also live in CO. Vail to be more specific. Your protocol is pretty unique. I’ve never seen so many mixes of drugs. I was pretty OK with all of it until I read "Tomorrow I will start Testosterone Cypionate 200/mg/ml + DHEA 10mg… " then I knew you were heading for trouble. I know you will probably give this doc a try but just know these are not standard protocols so if it does not workout and you end up feeling like shit. You might want to checkout a better clinic. When that time comes look me up I can offer a better option.
Negative. I have yet to find a man who has estrogen issues if free t is high along with it. I know a dozen men that have e2 up to 80-100+ and free t 30+ and they are healthy with everything like libido and energy. Dozens more who thought estrogen was the culprit of all issues. They listened to logic and everything got better.
If He’s new he needs to test thyroid to see if that’s below 4.5 or so. Or jsut give it time. The body is adapting and weird things happen until a few months in and we feel great.
That’s if you are new.
My low thyroid caused concentration issues for a very long time. I wonder if you have any issues with exhaustion or fatigue. If so thyroid will help a to .
It helps and I notice a difference when I pop a pill after many days of not using it.
Hi hrdlvn. I’m over in Granby. What kind of trouble would you expect with my scripts? It’s a sincere question.
Granby, Wow beautiful country I do a bit of lake trout fishing over there in the winter.
200mg/wk is a shit load of T for a person going on TRT. 100 or even 120mg/wk is plenty.
Anything over that will give you a ton of bad side effects. High E2 High HCT requiring blood donations, High prolactin. They will probably need to put you on an AI for high E2. Honestly, it is just a away they can charge you more for the bad sides they caused. Ask for 120mg/wk of T cyp only and give that 6 months. Clean up your diet and get your butt to the gym 3-4 times a week. It is really that simple. I hope you will give this a try. From a fellow Western sloper. Best of luck to you.
Don’t listen to this guys nonsense. He’s scared shitless of everything and has zero evidence To back up any of his claims. Trust me I’ve asked him to use logic and he runs from every debate. You do not want to take suggestions from anyone who cannot explain why or open their mind to learn new possible truths. That’s not how we should Operate when it comes to trt.
So many men need more testosterone in today’s environment with toxins and edcs. Including the fact that we want to raise our levels until we feel right. And the other half of men on Trt don’t take enough.
This concentration thing is new to me. I have not once heard of it. Are you sure the wording is correct? Have you checked your thyroid??? Maybe getting on trt pushed your thyroid over the top. I don’t know. But blaming estrogen and your dose is something else. Take 100 and your free t and estrogen will stay low. You will run around without much health benefit from trt. This is the brain, heart, CV and other benefits we want form TRT. You want to live longer and not have issues with your body correct? Don’t block estrogen.
Estrogen blocking came from body building days and now everyone associates any trt symptom to estrogen. This is crazy imo.
Here’s the catch. Not one … NOT ONE… study backs estrogen claims up. The literature supports estrogen causing the positive benefits in men.
Go watch the videos I keep telling folks to watch. (Lifting dermatologist on YT) Join the fb group and we have several docs active there who help men. They alll do not take ai. From an experienced vet doc who has been doing trt and giving trt for decades to a Texas endo , and my docs Dr. Nichols and Scott Howell at toer1hw.com
Here is why we don’t give blood due to Hematocrit. Unlike the man above there are actual answers.
> Preformatted textTestosterone therapy causes erythrocytosis. This is an increase in red blood cells due to increased production of erythropoietin by the kidneys.
the same occurs when a cyclist takes EPO or procrit to raise RBCs, which produces increased O2 carrying capacity.
Patients with chronic lung diseases such as COPD also experience erythrocytosis as a compensatory mechanism for inadequate oxygenation.
Individuals that live at high altitudes also experience erythrocytosis in response to being in an environment with low O2 concentrations. Doctors usually don’t have these patients donate blood for the natural physiologic response, erythrocytosis, caused by high altitude or COPD.
So why do we TRT users have to and are told we might get a stroke if HCT was the deciding factor behind when to give blood?
Furthermore , It is understood that only RBCs are increased & clotting factors are not increased in these patients and therefore not at risk.
The confusion occurs when practitioners that do not specialize in HRT confuse erythrocytosis ( secondary polycythemia ) with Polycythemia Vera. PCV is a dangerous genetic blood clotting disorder in which RBCs, WBCs, and Platelets are ALL elevated. PCV increases blood viscosity & puts patients at risk for blood clots/stokes.
That is the difference and why you need a trt specialist and not some Shmuck who cannot use logic, google and his education to dig into this topic for his patient population.
Instead they are just lazy and take the word of others before them.
This was information given to me by Angie Nichols over at tier1hw.com in response to another man asking about this.
I am struggling a bit with the concentration thing at work since starting TRT.
Before TRT I was taking Adderall but I stopped about 2 weeks ago. I was still having issues before I stopped though, without the Adderall they seem worse. I have taken Adderall once since I stopped, expecting it to solve the problem and it didn’t. Still had the issues.
That said I feel my issues could be related to being distracted, rather than directly from the TRT. This happens to me every now and again where I can become disinterested in my work, particularly if I have a new interest outside of work. In this case, my new interest it TRT and improving my overall health.
So I am having the issue but I’m not yet sure if it’s really from TRT or more from everything else going on.
Just of curiosity on what protocol keeps you dr Nichols?
Im eagerly expecting my consultation with him next week to advise me whether I need TRT or not and to design some game plan.
Not claiming to be an expert, but a friend of mine started with one of the leading TRT clinics Defy and they put him on 160mg split in two weekly injections + HCG.
Some people need a lot more than 100mg. And as much as I’ve read estrogen spikes can be well controlled with smaller and frequent dosing. And a steady estrogen level in good ration with free testosterone should not be a problem.
For prolactine I don’t know how it stands, but I think it is raised from HCG. I know what is to have high prolactine currently I take caber
I’m at 3 clicks am and Pm with dhea Preg and thyroid.
For me thyroid is the be all. Without thyroid nothing works and I’m depressed, suicidal and ducking fatigued like a cow sick of
grass.
That reminds me, I really need to get my free T3 and reverse T3 checked.
The cream has desiccated thyroid?
What was your t3 before you started?
I started trt without thyroid pills and it didn’t work for 3-4 months.
Dr nichols told me to start thyroid becusse of my tsh. Immediately after taking my first pill it all game together. I felt great within 30-1 hour after first pill.
Until then trt didn’t do shit
Interesting @enackers
TRT hasn’t done much for me at all different types of levels and protocols.
I’ve been on armour thyroid for about a week and getting a bit more energy, but also a little anxiety and racing heart… even on a really small dose (30mg/day)
I’m hoping that the racing heart and anxiety will go away once I’m used to the medication and maybe retest and try a higher dose.
Hoping it helps with arousal/libido.
It does go away. If you feel nervous you have to much thyroid usually.
You might need more free t if your dose is low. Especially if thyroid is making you nervous which is a sign of to much.
Did you have fatigue before trt? And on trt? How long on trt and what’s dose?
I’ve always felt like I can’t hang. Like go for drinks after dinner, etc. Tired out fast.
My T4 and T3 are in range, but right at the bottom, so I convinced Dr. to try a little armour. Starting dose is 30mg split twice a day, which is pretty low.
Since its such a low dose, I’m wondering if it’s just my body getting used to it. I JUST started it about a week back.
You could just be sensitive to thyroid medicine, I find I’m overly sensitive to medications in general.
I’m even sensitive to caffeine.
There’s like no winning this battle!
I JUST want to feel arousal and sex drive when I’m with my sexy-as-hell girlfriend!!! So damn annoying. I’m chomping Viagra like crazy. This can’t continue.
You need to try 1 grain am and Pm. Or 2 grains of Armour am and 1 pm like me.
You sound like me: take thyroid. It cleared up my fatigue; my depression, anxiety and more.
Thyroid is also great for metabolism and fat loss. Without thyroid the trt jsur doesn’t make a large impact.
Take a full pill in am tomorrow and for a few days. It might take a week to make an impact.