Hi, I’ve been on trt for 4 months and all of the sudden I my heart started pounding out of nowhere (felt like an adrenaline rush) 4 days later after my last shot (125 mgs) of test e, right arm went numb and my left side of my back was hurting really bad to the point i couldn’t lay down on that side for a week, (literally thought I was gonna die) also everytime I would use my left arm I would immediately feel dizzy, all that lasted about a week and a half, I proceeded to continue the treatment but now I’ll do 75 mgs instead and It happened exactly the same time as before but mild it went away the next day, so I Injected again but trying to see if a low dose would help so I shot 25 mgs and my heart rate went up again but now within 15 minutes.
I’ve done two Electrocardiograms and heart was great, checked thyroid testosterone and lipids since my doc told me he only needed those, said they were good but I dont trust him at all.
But since it started I’ve been feeling the next Symptoms
-Hunger
-Craving of sugar (I never craved chocolate milk before srs) and I rarely eat a lot of sugar
-Im hungry 15 min after finishing a meal
-Moody mostly anger
-I once woke up with nausea
-Headache and dizziness after my heart rate went back to normal
-Sudden pinch on my left tricep when HR was high
No high BP just High HR
Diet
High protein, moderate carbs and fats
Age
23 years old
Height
6’1
Weight
165
Training
Workout 4 times a week
I don’t smoke or do drugs
I would immediatelly split my dosage into small every day dosages.
I started TRT on ED protocol, but once before that I tried injecting 80mg at once and got crazy adrenaline rush and even panic attacks.
No matter esters and half lives I think some people just cannot handle much at once.
If I were you I would try injecting 15-20mg daily. Maybe 15 is better in your case now.
Is it possible you are allergic to the oil? Can you get test with different oil?
This can be basically everything ranging from a T triggered panic attack through atrial fibrillation, immunologic reaction to the oil, an acute coronary syndrome or an acute pulmonary oil embolism.
You want to take this serious and get a thorough medical check up. The least you want to get is an ecg event recorder and lab work included troponin and D dimer after such an event.
And please call the ambulance if you feel the type feel pain you describe along with a feeling of I am going to die.
You are definetely hypo and seriously. Forget about the flawed lab ranges. TSH above 2.0 is most likely going to cause issues and you are double.
On the other hand there is one more thing: TRT alone can jump TSH after starting temporarily, but this should not be accompanied with low FT3. So don’t listen to the endos, but find a doctor who really knows about thyroid and testosterone optimization
TSH is too high, T3 is obsolete, fT3 is the free “active” thyroid hormone and no rT3 testing. The latter can block fT3 at the receptor. You’ll find that a lot of thyroid doctors (especially outside the US) are behind the times and have allowed themselves to become complacent in keeping up with current testing and treatment protocols.
It sounds like your testosterone and estrogen levels are elevated, but without lab testing we are unable to pinpoint the problem with any degree of certainty. This isn’t the first time I’ve seen men having problems after a couple of months on TRT, the reason could simply be your levels have been steadily increasing with every injection and now testosterone and estrogen levels are higher than there were at any time previously.
Your problems could also be that your thyroid is the weak link and maybe your thyroid was already on the brink and TRT which increases metabolic rates exposed yet another poorly functioning endocrine gland. The normal ranges defined by sick care is 0.5-4.5 uIU/mL, the optimal ranges for TSH in “healthy individuals” is 1.0-1.5 uIU/mL.
On the other hand, upper TSH reference limit is (assay-dependent) usually around 4.2-4.5 mU/L. There is also an argument that significant number of patients (up to 30%) with TSH above 3.0 mU/L have an occult autoimmune thyroid disease.
Recent laboratory guidelines from the National Academy of Clinical Biochemistry indicate that more than 95% of normal individuals have TSH levels below 2.5 mU/liter.
It has become clear that previously accepted reference ranges are no longer valid as a result of both the development of more highly sensitive TSH assays and the appreciation that reference populations previously considered normal were contaminated with individuals with various degrees of thyroid dysfunction that served to increase mean TSH levels for the group.
Thank you all for repying and giving your two cents.
After doing a some research on this forum, I’ve seen quite a few members have had this problem before and I found that it could be a couple of things.
-Not enough Iodine
-High estrogen (As it can also cause rapid hearbeat)
Using half inch needles to inject quad (apparently there is a bigger chance of hitting capillaries or blood vessels as they sit on the surface of the muscle I’ve might be getting some enter my blood stream too rapidly)
Low dhea
So tomorrow I’m doing bloodwork again check everything up, I just ordered arimidex and a multivitamin with Iodine and 1.5 inch needles to inject glutes intead of quads.
Last but not least, my testosterone could have been old as hell, I bought it at walmart (same brand) instead of the pharmacy I used to get it from (they ran out) so Im gonna buy more tomorrow from another place.
You should be using 1/2 insulin syringes and without problems, I’ve never heard of anyone running into problems using insulin syringes.
These issues your having could be your body is trying to reach homeostasis and these infrequent injections are making it impossible. These infrequent injections can cause big swings in levels and some guys just don’t tolerate well once your body starts acclimating to TRT.
The same thing happened to me injecting 75mg weekly cypionate for 15 weeks, I was perfectly fine and then things changed and now I’m in a very different place needing injections daily to reach homeostasis.
Dida you also experience rapid heartbeat?
If so, I guess I should just do it more frequently then? And Yeah that’s true
I had ran out of test and could only inject about twice in a whole month. It wasn’t as frequent as before, I would do once/twice a week.
What was the solution in your case?
should I just persist and let everthing to adjust?
Labs are drawn and desicion are made based off those labs. I would also run a more comprehensive thyroid testing checking fT4, fT3, rT3 and both sets of antibodies.
You can try splitting up your dosages 50mg twice weekly until you have your labs in hand. This might actually correct your problem because these smaller doses produce smaller spikes in hormones and I believe it’s this that might be causing the rapid heart rates.
I found I feel best on 7mg daily (49mg weekly), each time I lowered the dosage I felt better, but my case is more rare. It was like lowering the dosage had the opposite effect and it had felt as if I had actually increased the dosage.
Nonsense. Complete and total. My TSH normally runs 2-2.5. Went to 4 when I went on TRT, came back down with time. Has nothing to do with his symptoms in any way, and won’t help them any more than splitting that shot up will.
I feel great, even sleep has improved,
I do feel my heart racing, and of course there is always a feeling of wtf is going on, but going out and just hanging out with friends and family I noticed that Im more alert, actually enjoying doing it, before I was ok like whatever, and before trt I was just too tired to even engage in a conversation, how weird.
Im gonna do what you did, lower the dose to 7-10 mgs and see if it works out that way, I’m gonna give you updates eod to see how its going.
If I reading this correctly you are going to inject 10mg daily, it’s not at all a bad idea, just know it’s a lot of shots per week and just be sure you’re comfortable because most guys new to TRT usually push back at the idea.
You have to use insulin syringe if you’re going to inject daily or else you will end up wasting medicine within the deadspace (Luer Lock) of these larger syringes which trap .1 ml of Test, so 10 shots is more than enough for an entire week of medicine lost.
Yeah, I inject my quads with half inch slin needles anyway, so that wont be a problem, if side effects still show up after that then I’m done.
I’m optimistic about the idea that microdoses will work out, but I still wanna know why, yet I’ve been feeling better after that 25 mgs shot i took 3 days ago than with any other dose before in the 4 months I’ve been on the treatment.
How long you’ve been doing microdoses?
And do you think it is gonna be like that forever?
The positives are that 250 mgs will last more than a month and probably no side effects.
Your thyroid could be unable to handle TRT, so don’t give up, it just means you might need to address your thyroid to resolve the heart rate issues.
I was on EOD protocol long before the daily protocols, I stopped TRT to figure out other health problems which turned out to be vitamin C & D, potassium and iron deficiency. I got the dosing correct on all and am about to restart my 7mg daily protocol.
I’m wearing a device which measures glucose and my endo wanted me to withhold TRT until the 18th of Dec., he doesn’t want alter the results because TRT can improve glucose within days. So Wednesday is the day I restart TRT and am going right back to 7mg daily enanthate.
When did you get the ecgs done timewise in relation to the peak of the symptoms?
What you describe sounds like a transient ischemic event. You want to get an ecg during the peak of the symptoms/event (can only the caught by an event recorder or by a 24h holter ecg). Getting the ecg done later when the symptoms have subsided won’t show anything. A test to rule out pulmonary embolism (D dimer) needs to be done within about 12 hours of the event.
The first one was done three days after with a elevated heart rate.
The second one was done after I noticed the left side if my jaw hurted and I was having trouble catching my breath and thought I was having a heart attack, Nothing showed up, so I would say it was done at its peak.
I was afraid that It could have been a stroke since I was dizzy and i had a headache.
