Low Dopamine and ADHD on TRT

Ive been circling around this for a while now. When I started(2020) TRT it was remarkable. I could inject 200mg a week. Sometimes 250-300 a week. Last year it all started spiraling down hill. I didnt notice that it was the trt, so I changed up numerous other things I was doing. Sex drive went down, soft erections. However, when I stopped injecting for over a week, erections came back, my mind was clear, and I could focus and be normal. However, lack of strength kept me from the gym due to no injections.

I thought estrogen, but estrogen was fine every time it was tested. So i lowered my dosage from 125 once a week, to 100, and not Im at 60mg, cause this is the level that helps me stay focus, and I have a job where I need to concentrate and be focus. My reason for TRT is I have a pitutary tumor, which also affects dopamine. My concentration had been so bad, I was diagnosed with ADHD a few weeks ago, which came as no surprise since I was diagnosed as a child, but my parents never put me on meds. I somehow have been managing it, and TRT i believe has brought it back with a vengeance. My question is what can I do?

I want my dosage back up because I was building muscle, and at 60mg, im just stuck not building anything. Im going back on cabergoline as well, since its a dopamine against. It’s no doubt that trt has increased dopamine disruption in my system, and now I’m on day 6 no testosterone, and i feel wonderful. I wrote this in like 20 seconds, where it would have taken me a couple of hours to write this, and I probably would never respond. Just curious has anyone had this issue or knows anyone with a similar situation?

TRT increases the release of dopamine. Cabergoline will boost dopamine, too much may push prolactin down too far having negative consequences.

I have ADHD and TRT has improved my symptoms. Testosterone has a calming effect.

This happens when you use TRT to circumvent a medical problem that lead to low-T and don’t address it, the same issues return after a while. Low-T is a symptom, not a causal factor in your health decline.

Some men don’t do well with one large injection, which will spike the hormones high and may cause problems.

Have you ever broken up your shots into smaller dosages, rather than one large one?

I feel better a once a week. I’ve tried EOD, and ED. Once a week worked best. Not sure what you meant when you said I used TRT to fix a medical problem. I have a pituitary tumor, and I’m hormone deficient. I’m on GH, Thyroxine, Testosterone and occasionally hydrocortisone. All of my levels were low pre-treatment. Testosterone tested twice coming in at 190 and 170 the second time. I used TRT to replace what I wasn’t making.

My type 2 diabetes lead to the low-T, not the other way around. Testosterone doesn’t lower all by itself. T2D lowers the testosterone. I’m using TRT to cure my T2D, by losing the excessive body fat that caused the T2D, which lowered the testosterone.

Low-T is caused by acquiring medical conditions which lower it. So what I’m saying is whatever underlining medical condition “caused” your low-T is still causing problems. You tried to go around the original medical problem (pituitary tumor) by going on TRT, and it worked for a little while.

I feel confident in saying that if you didn’t have a pituitary tumor, you wouldn’t have low T. If that’s the case, it’s the pituitary tumor causing your issues, not the TRT.

I didn’t try to go around the medical problem, the pituitary tumor is the problem and hormone replacement is the treatment for that problem. Feel free to google that.