I’d suggest to stop relying on Apple Watch sleep monitoring :
Poorly documented, heavily relying on Resting Heart Rate : I got many instances of false sleep stages while I was wide awake because my resting heart rate is low…
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I question all of these sleep trackers. I have a Biostrap and some nights it seems like nonsense. Some days I wake up feeling like crap and it says I slept OK (for me) and vice versa. “Oh, my band said I didn’t sleep great? Well I guess I’m supposed to feel crappy today.” I think that happens for me sometimes.
I bought a Fitbit and am going to run a comparison for a week or so. Deep sleep amount is what matters to me mostly as it always seems low per my band, but most trackers don’t seem to be very accurate on this, especially differentiating true deep sleep vs REM.
I may trash all of it. Sometimes it’s just too much data and all I really need to know is - do I feel good or not today? I don’t need a band to tell me that.
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I have noticed my Apple Watch would register me sleeping when I swear I was awake during that time frame.
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Absolutely! I guess it uses data from HR sensor, accelerometer, microphone to infer sleeping stage… That’s why laying still in a quiet place and being relaxed, near usual sleeping time is falsely considered sleeping.
No accurate data as far as I know about Apple’s algorithm or model (not surprising), but the accuracy is very far from that of a sleep clinic.
The same applies for Apple’s ECG with one single miserable derivation…
It’s mostly accurate though, 80% to be exact.
I’ll keep 8 weeks in mind as a target.
Well written guide! Thank you for sharing!
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I may try 150mg weekly, split into two 75mg doses. I’ll be happy to dial it up or down from there if needed. I feel like 150mg is a lot more reasonable than starting at 200mg right away.
Did first one last night. Didn’t realize the mental game that is played with self-injection. The injection itself was painless but boy the buildup and anticipation are mental struggles to push through. Next one will be a breeze in comparison, but that first one was something mentally. 
Week 1: Experiencing symptom improvement. I feel more energy throughout the day. I wake up with more of a ‘bounce’ to get started with the day; where previously I had to crawl out of bed to get to the shower. I feel more tuned in in whatever activities I’m engaged in (i.e. performance at work and time at home with the family). Workouts produce a euphoric sensation that I haven’t felt before. Just an overwhelming since of joy and power during lifts. If this is a trend, then I like the direction its going. I’m already feeling the effects that I wanted in the first place. Plus some bonuses! No visible changes physically as of yet.
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Capitalize on these feeling to find goals or focus on some of them to give life a meaning. This euphoria is transient, you’ll get used to it soon. Most of it is probably placebo-effect. Just like antidepressants, that might help you get out of down state, but will never be the panacea.
What you describe is just the subjective depiction of getting out of a depression : “feeling more energetic”, “feeling more tuned in”, “sense of joy”, “euphoric sensation”, “feeling the effects”…
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If this is a sense of normalcy, then I’m all about it. I feel like I’ve been able to give more to my family and myself. I’m excited to see where the trend goes from here.
I’ve always been goal-oriented and have struggled with connecting with what my mind wants to do with the body to execute. Now it’s almost instant each time. Reaching goals and executing the day-to-day is getting easier. This really seems like what was missing for me.
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I felt like a God the first week on Jatenzo, I never felt like that again in the years that followed.
Don’t expect it to last, you’ll be disappointed!
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I appreciate the feedback. I’m just thrilled it’s addressing my concerns. I’ve been searching for years for ways to help with my symptoms. Turned out there was a common denominator, testosterone. I feel like I’m living life optimized. I’m looking forward to the weeks to come.
Week 3: Noticing evidence of improved insulin sensitivity. I’m adding muscle and losing body fat with ease; without any changes to diet. Body fat losses are mostly around midsection. Symptom improvement noticed from Week 1 are either unchanged or improved slightly. I have not gone backwards in any form whatsoever. My body and mind are responding really well to TRT. I may start including pictures in posts if there is interest.
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Sure thing! I’ll post them along with the Week 4 update.
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Week 4: Feeling better week by week. Just improved symptoms as previously reported. Comparison of before TRT (like right before!) and current.
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Glad to hear of your very positive experience on TRT. I had abnormal sleep cycles pre-TRT as well, but I was never diagnosed with narcolepsy.
Is it possible you were misdiagnosed with narcolepsy, instead of low testosterone?
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Thank you! This has turned out to be a common denominator that addressed all the things I wanted it to!
I was diagnosed from a sleep study where I was entering REM way too fast, both at night and napping during the daytime studies. I’ll continue to address narcolepsy individually, however TRT is making my quality of life SO much better than before. It’s like I have a reliable baseline that is no longer dependent on how well I sleep or other external environmental factors that affect.
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I just love how TRT supplements the current treatment plan. I 100% feel better on it than without it.
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