Been on 150mg for a couple months now, and overall, feeling great. Confidence, energy, libido, and strength are up. I had my 3 month with Dr Saya the other day, and did say I sincerely wish all of this could be better, and I think there’s reasonably room for improvement. That said, he said I could go up to 200mg and see how I feel.
On 150mg, my TT was about 715, FT 30, and E2 30 (rounded).
I did want to give HCG one more shot before talking to him, and that was last week. After waking up in night sweats, losing my libido, and finding myself in brain fog, I decided it’s not for me, at least not now. But I did goof a bit, and increased my T dose this week after our conversation out of excitement.
I want to make sure I don’t start jumping all over like I did when I started TRT, because I felt horrible back then. So far I haven’t noticed anything different from raising the dose, but then again, my libido hasn’t returned either (7 days since last HCG injection).
What would you guys do going forward to find my optimal dose? Drop back to 150 and then work up? Stay at 200 for the next 6 weeks and see how I feel with that? Something else?
I am a bit confused though as you seem to be doing well so I don’t understand where this idea to tinker with the dosage is coming from.
The idea to restart HCG sounds like the wrong move because I don’t see how more estrogen is going to benefit you, it’s not like there is an estrogen deficiency or a situation where it is in excess.
Maybe you’re just a perfectionist or maybe you’re just bored.
Doing well but wondering if I can do better. No harm in trying if you ask me.
Wanted to try HCG again because lots of guys do like it, and it’s possible that in the past I mixed up HCG side effects with other things going on. In fact, I was going to try it again about 2 weeks ago, and was glad I didn’t, because something else had me on edge for a few days. I would’ve blamed the HCG.
I’ve gone from a TT of 500 to 700 and noticed a dramatic improvement, I think it’s fair to be curious what 900 would do. Admittedly, my FT was in the gutter when I started though, and now it’s much more reasonable.
First off you need to understand what you feel is not the meaning of optimize. You want to protect, defend, improve the body. Such as lipids, bone density, heart health, and so much more.
Your free t is up there and that’s great. If you are not injecting daily this free t is at its peak? Like a day or two after injecting?
If so, then I would do 200 and split to eod or daily at the least. This will ensure stable levels and give the body a consistent base to operate from.
3 months you feel good. It gets better at 5-6 months and then again around 8-9 and again at a year. It only continued to improve. At about year 1.5 years you have probably realized all the benefits you wanted from trt. Everything from blood pressure to mental health should be spot on.
Again if 150 is a once weekly shot; the 30
Is not s good indicator. Your levels will drop consodersbly before the next shot. By doing daily you will be optimized with consistent levels.
Lastly; I would add DHEA and melatonin before bed, and Preg in the morning. Go slow and run labs 4 weeks after starting to see pre and post levels to ensure you aren’t going too crazy high. Preg converts to dhea as well. I would start with 5mg pills on the dhea and smallest on Preg. Every few weeks increase by adding 5. Again keep levels topped off and don’t let them get too low.
Look up the benefits of melatonin. Very beneficial for the body. Anti cancerous to the tenth power.
Dhea is great for sleep and stress relief. It competed with cortisol. If that’s the right wording.
Preg is great for memory and focus and much more.
Add taladafil daily and you are in the track of optimizing your health friend.
I hope you are eating right and working out properly?
So Dr Saya said up your TRT dose but keep your AI the same or not at all with a E2 of 30 rounded? Good luck with that. Look you want to run 200mg/wk fine but you need to keep your E2 in check. What is your SHGB? How much anastrozole have they prescribed for 150 mg/wk?
dr Saya and Defy are also moving again from all the AI/E2 nonsense…
I’ve talked to him about that. He recommends AI only in cases of really bad symptoms and short amounts of time.
I inject daily, and I do my bloods in the morning, right before injection
I have considered DHEA and pregnenolone, but my DHEA levels are top of the range now. I’m planning to try preg next month if the rest is going smoothly
Getting my eating and workout routine back on track, they were top notch but slipped while starting TRT due to all the ups and downs. Need to get my salt intake down I think though
Exactly. Someone quotes a doctor and don’t even know the full extent of his views.
He has a long post about estrogen on excel male where he pretty much says men never need an ai and he only gives it because men expect it. If only we could run bone density scans, endothelial lining tests, heart and brain health for men on an ai and without we would see the difference.
E2 usually doesn’t cause issues once the initial 3-4 month phase of initial trt. At least for me I haven’t seen anyone who continued complaining about e2 symptoms once they switch to daily and ride out the ups and downs when new on trt .
HCG is known to cause symptoms in men that’s why most neglect using it. It’s not the estrogen it’s the chemical that doesn’t sit well with some / allot of men
Dr. Saya’s position is he is seeing men with some HPTA suppression when estrogen is in the 40’s in men not on TRT. Clomid blocks estrogen in the brain to increase LH unhindered, otherwise the increase in estrogen in the brain would decrease LH causing HPTA suppression.
The only type of guy who has a naturally high estrogen (35>) not on TRT is one who is severely obese, has a hormonal imbalance (Finasteride) or is gene related.