Are these your levels after 2 months of 200mg every 2 weeks, or after five weeks of 200mg/week?
If the former, you would benefit from more frequent injections. At low SHBG, most people do well with ED or EOD injection protocols.
If the latter, you should stick it out another few weeks until you hit 8 weeks before calling it a dud.
Also, what’s your E2?
No, never felt befter. Only effect is strong arm, like if I was contracting them all the time
After 200mg/week
My e2 is 49
I’d stick with it another 3 weeks at least. Compare how you feel from 200mg/every 2 weeks to 200mg/week. Most likely you’ll need daily injections if you still don’t feel any different after 8 weeks. Also, your SHBG is really low, which often means inflammatory problems. I’d get fasting glucose and A1C labwork to check for diabetes.
What did you check? TSH is not enough. I’d check thoroughly as low SHBG people often have low thyroid levels.
OP, are you doing subq or IM? Also is the injection from a pharmacy or underground?
200mg every two weeks except absurd frequency brings you to a relatively small dosage of 100mg per week. Many people here need twice that dose to get to decent levels
Once more…
Look at the pharmacokinetic behaviour of T. Spike 12 to 24h after injection and then it gradually decreases to reach starting levels 10 to 14 days after injection.
you seem to be a fast metabolizer because after 7 days (trough levels) the injected T seems to have metabolized already leaving no T in your system to build up of many cycles.
Anyhow, you average T is higher then before TRT, likely something about 700 ng/dl, and thats why your muscle feel stronger.
To reduce these spikes and to get more stable levels split your dose into 3 injections per week a 65 to 70mg per injection.
This will bring your trough levels somewhere to 550 to 650ng/dl with peak levels of around 800 ng/dl.
If this more stable levels dont improve the symptoms increase the dose.
But anyhow I have the feeling that low T is not your problem.
You ignore to post your thyroid levels incl ref ranges. It woulx help if you did post them as low SHBG is frequently associated with hypothyroidism.
How his t level is not the problem when he has almost no increase in the blood work since starting TRT?
Let him dose regularly, get a stable free t of 20-25 and then he can think there is another problem
Because he obviously doesnt feel any difference/improvements in the first part of the week at which T levels are supraphysiological to high normal.
I think this was the intention of @highpull question above.
Maybe he needs to maintain decent t levels for more than 2-3 days per week to feel the effect
Yes, that is correct.
Yes maybe, therefore the proposal to inject more frequently.
(btw seems like the first case that I know of were everybody recommends the same with regard to injection frequency, congrats @matias21cabrera - you united T nation
)
How? It went from 400 to 445
Well, actually the day of the injection I feel my erections a little bit harder, but still its like 40% of a normal one.
Free T3: 2.68 (1.88-3.18)
Free T4: 1.08 (0.70-1.48)
Im starting with daily injections today, will update
If you feel your erections are harder after an injection and you inject daily, you will notice harder erections more often and keeping your levels elevated will allow the healing process to begin.
Because you’re testing at the lowest point. The days between when you inject and the lowest point or “trough” you will be higher than that.
You’ve already gotten good advice, follow it.
Yes, definitely the day of injection I feel erections harder, not enough tho. But I will try ED injections
Why could it be that my arm muscles feel so strong but no other effects and FT not higher?
