No. 6 weeks minimum on injections. You will be swinging all over in that short of time. Make adjustments on that short of time you would be going off false readings and more than likely false feelings.
Got it.
Honestly if you already got pushback you may not get this doc to get you to where your feeling good. Like system said get you in the middle of the range and your good to them.
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I figure you’ll need somewhere between 120-140mg at the most once weekly, 50-60mg twice weekly. The reason for more testosterone when injecting less frequently is because you do not allow levels to decline before your next injection whereas injecting more often will see levels decline by a smaller amount.
There are not many men who require 200mg weekly to score within the reference ranges unless they are hyper metabolizers and or hyper excreters. We have a few of those guys here needing 50mg every 2 days, otherwise levels decline fast.
Your dose has nothing to do with your levels pre-treatment. You are not supplementing anything, you are replacing entirely. What you dose depends on your blood levels WHILE ON, and to an extent how you feel. You might be a lot happier at a total T of 600 than at a total of 900. Or vice versa. Your doc should be hesitant, you come off like you re trying to juice legally - not trying to fix a medical problem.
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It’s simply a suggestion and a starting point.
Get a good legit doc not one who wants to give low t levels back to you in a 50mg dose per week.
Until then you are going to suffer dealing with a doc who is not seeming to be well versed in trt.
For how long were you taking clomiphene before you did the test?
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Your dose has nothing to do with your levels pre-treatment. You are not supplementing anything, you are replacing entirely.
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I’ve heard specifically that pre-treatment levels do affect. SBGH being one of the levels. Specifically, I’ve heard that the amount of SBGH (high or low) affects your dosage + frequency.
That’s fine, let’s say I feel good at 600. But I’ve gone my whole life feeling “not good” so how do I know the feeling at 600 is “good”? I’d much rather start at the best (800 - 1100 range) and go from there. And how do I know that this is the “best”? It’s because its where most people say they feel the best and also where Defy says they treat their patients. Defy has helped hundreds if not thousands I believe so I will take them at their word.
I’m not in this to tinker around for months and months (by the way, this has been ongoing 2 years if you read the post). I want to get to the “best” levels and then go from there. If it works, I’ll stay. If it doesn’t work, I’ll adjust my protocol.
My doc, which you do not know, is not a trt endocrinologist. And he is the only endocrinologist in network. So I will go with him first. My doc is a fertilization specialist that can help with hormones and trt. But I am okay with that-- there are enough resources for me to know what I’m doing. If there weren’t resources, I’d gtfo.
If I were to guess, he’s probably helped 10 or 15 patients with trt in the last few years (as opposed to 100s of patients get pregnant). I am okay with that because there is tons of resources online and enough to know as much if not more than the doctor. That is fine with me, because I am confident in my research abilities and ability to parse info and lots of data.
So when he prescribes me 50 mg / week and people on here say that I will feel like shit, and perhaps worse than when I started without trt, then I will push back. He is hesitant because all he’s ever done most likely is prescribe 50 mg / week and average Joes do not push back and take the 50 mg / week and feel like shit and there’s not much to do.
I am 100% trying to fix a problem. Did you see my T levels were 170 at one point? However, I see no need to hover around 500 - 600 total testosterone when I could start at 800 - 1100 and go to 500 - 600 if need be.
Due to price point, it may be beneficial for me to see him rather than Defy. I appreciate you and Highpull. If it wasn’t for you, I would have started at 50 mg / week.
I had been taking Clomiphene for about 2 years. At one point, my T levels on Clomiphene were high 400’s. Although, as you saw, my T levels were mid 300’s in this last test.
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You are making an assumption here. You are assuming what the “best” levels are. That’s stupid, just as stupid as starting at 50 mg a week. I am telling you that it will take time t dial in. Your SHBG can change as much as 500% a day, your blood test is a snapshot, a picture that you take at the same time of day and under the same conditions each time so as to make a better comparison. That blood test number moves around quite a lot over the course of a day. Defy does not cookie cutter dose like you are suggesting, they tailor things to the individual, and they adjust slowly over time from the starting point. If it was as easy as foreknowing the correct levels and just jumping to them, then everyone would do that. Moron.
Yes, I’m going to assume that the best levels are between 800 - 1100 because, as I already said, most people say that’s where they feel the best and that’s where Defy told me specifically is where they get their patients.
I’d rather start there and then go down if necessary.
By the way, my SHBG was 36 in 2017 and 28 now in 2019. Pretty consistent.
Your SHBG was probably both of those things today, actually. Happy hunting.
By the way, @highpull, care to comment on hardartery’s conversation?
You think I don’t understand? Obviously I mean 36 at time of test and 28 at time of test. Obviously it changes. But to have it significantly similar like it is here means most likely my SHBG is around these ranges.
Edit: Ps. Shouts out to you if you end your next post with a derogative.
No, it actually doesn’t. You get your blood drawn while fasted first thing in the morning, right? So what you are comparing is your level first thing in the morning fasted, to first thing in the morning fasted. That leaves out a whole lot of the day and a whole lot of variables. That level is a rollercoaster, not a steamroller. So yes, the fact that it is that high under the same given conditions each time would indicate that you PROBABLY need a higher dose to achieve sufficient free T. That is not an absolute. You may, in fact, not react that way at all. But you won’t know until you try, so low and slow man. It’s easy to add a little more as you go, backing it down takes longer and the bigger the dose the bigger the reaction.
Be careful with yourself, Seriously. You can accidentally make things a whole lot worse real fast if you’re not careful.
PS: I had already written this before your PS showed up, so I forgot to add the derogatory.
I see what you’re saying. As I did say before, this has been ongoing. With my first experience looking into T 4 years ago. So if I can start from the top and go from there, I will. Because small adjustment every 6 weeks… well; nah.
In the first test in 2017, I was tested early morning fasting. Second test pm non-fasting.
Your SHBG will likely drop over time with the TRT. You are never done adjusting, the adjustments just get further apart.
And doctors are wary of TRT because of public perception of steroids. He or she has to worry about guys that are really after it for non-medical reasons. You are careful with a license that took up 10 years of your life to get and ridiculous debt for med-school
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You don’t ever talk about total test. If you want to look uneducated on trt throw out total numbers as the range one should reach.
Free t is the goal. Most are good 20+ a guy with 500 and low shbg can reach 20 while a guy with high shbg might hit 8.
You have no clue how your body will respond with high free t. You might have high bp and hct or rbc issues and must lower. You might be at 25 and never feel good until that goes to 35.
Everyone is unique. For you it’s not money that you need to save. It’s time and sanity. Your case is somewhat complicated and only a trt doc can properly dial you in.
Spend a few hundred and switch. It’s 100-200$ a month after.
Priorities are fudged if you are penny pinching on health. I understand if you are diet poor and cannot find The cash, but most folks have money saved and can pull from that stash when shit gets real.
Did anything work over the last few years? Same doc all along?