Been to a urologist specialist today, he seemed like a pretty good doctor and informative, he reviewed all of the blood work, examined testicles, bladder, kidneys etc. Said everything is fine, he was surprised that the testicles are pretty big. but the testosterone is very low. he did said that it could cause health issues, he prescribed the following:
testosterone injection fluid 250 mg/ml (undecanoate) fl 4 ml. No: 30 Milliliter.
1 injection per 10 week on 8:00, intramuscular.
I told him about my prescription from US is 2 injection per week and it is recommended to take no more than 100-150mg a week. but he recommended the above and said the above testosterone is different and i only need 1 injection per 10 weeks and it will work, any thoughts about this? or about what i should suggest him to adjust?
As for red-blood cells being high, he said its not high and he don’t think it will cause problems… but said he need to keep seeing me every 4 months. prostate check is also a must he said.
As for HCG and Estrogen Blocker, he said in Netherlands test is not used with HCG, it has to be either HCG or testosterone. he said there is exceptions and he can discuss this with his professor and get the permission, but he said he need to see my prescription from US showing that i was prescribed testosterone with HCG and estrogen blocker.
Right now he only prescribed me the testosterone above, No HCG, No Estrogen Blocker… pretty useless plan i guess?
and told me that in 6 months i might become infertile, said its best to freeze some now for future. But i kept telling him that HCG could help preventing that, and estrogen blocker will keep the estrogen low in case some testosterone got converted to estrogen.
Nebido is problematic, your levels will start out high and will be low before your next injection. Nebido also gives a young man the hormone profile of an old man. It’s a one size fits all approach, ask for Ethanate or Sustanon.
He was saying that in Netherlands TRT protocol is without hcg and that’s the problem. he is going to discuss this with his professors to get a permission, he asked me to email him the dosage of the HCG.
Don’t forget about an AI, HCG will increase estrogen production. Sounds like you found a good doctor. You could inject twice weekly, three times and even 250iu EOD as well. Whatever works best for you.
The retarded protocol here in europe doesn’t allow the use of both HCG and not even AI in TRT. My doctor did his best and couldn’t get authorization. finally i ended up getting them from the US. I also got my hands on some Clomid too for future use.
I had the option to choose between Nebido 1000, Sustanon 250. or Test Cyp grapeSeed Oil 200mg from US. i decided to give Nebido a try, i know the common problem with it, which is starting the high and then low before the next injection, the doctor assured that he can optimize that and play with the schedule of next injection, said generally it is taken each 10 weeks, but he can play with the time if i needed it sooner.
So i thought giving it a try, I had the first injection on Friday, i felt it right away, tons of energy and confidence on first day, but at night i could not sleep well. i woke up like 3 times during the sleep. the next day i was super sick with fever, chest pain, flu like symptoms, lack of energy. still feeling crappy today the third-day.
Not a good start. I don’t think i am looking forward for the second injection, probably it’s best to do Test Cyp which is the standard, most common test in the US, i don’t trust these european brands to be honest. generally they know nothing about testosterone here.
How long should i wait before I can switch to Test Cyp or Sustanon?
What’s happen is your pituitary is shutting down, perfectly normal. We call it the TRT honeymoon phase and in about 4-6 weeks you should start feeling good again. I would wait until your next injection, Nebido is the worse choice you could have made and Test Cyp is the most popular of options available.
Thanks for the valuable info mate. I will talk to the doctor about switching when its the time for second injection, would you do Cyp or Sustanon if you were to choose?
I switched to Test Cyp 200MG 2 weeks ago, i divided the injection into 2 injections a week, meaning 100MG twice a week (200MG a week total), Monday morning and 3.5 days after, Thursday Night.
.25 arimidex twice a week (.50 total), 24 hours after taking each injection.
400IU HCG twice a week (Sat and Sunday Mornings).
Nattokinase 2,000, Once a day, for blood thinning.
It has been two weeks so far into this protocol. Since last week i feel waves of dizziness, usually start in the afternoon, very light but a bit annoying, some light nausea feeling too.
Some good improvement in ED, and energy is slightly higher.
That’s an insane dosages schedule for super low SHBG, it will fail. You will be converting a lot of testosterone into estrogen the longer you remain at these high dosages, the worse it will get. The correct protocol for low SHBG men is micro doses EOD or every day to minimize estrogen. Low SHBG men have a ton of free hormones, that means free estrogen.
Low SHBG men can’t tolerate massive fluctuations from infrequent dosing, the swings will get wider (deadzone) and soon no relief will be felt with each new injections.
The reason is do to cost, NHS does have a budget and doesn’t have unlimited funding.
So here is a new test from about 10 days ago, T level is very high now (feels good tho), but i was a bit worried so i decided to decrease the dosage from 200mg Test Cyp a week / EOD to 20mg EOD.
Donated blood last week after seeing the high blood count report. I feel slightly better in general after starting trt but recently noticed my face is a bit bloated while my body looks very normal. Is it something related to the low potassium/iron as per the test report? started taking potassium and iron pills already, E2 is normal as well (taking 1MG anastrozole per week divided into 7 dosages). here is the test result:
