Thanks to this thread, I was able to get this protocol prescribed by my PCP. My T levels are relatively low, high 300’s but I suffer from a muscular dystrophy called CMT. I physically look normal & live an active life but this disease slowly atrophies the muscles in my arms and legs, hence my skinny arms & legs.
I’m 36 and just started Test,HCG,Anastrozole this week and look forward to my follow-up lab results. We’ll see if TRT can combat the muscle loss from my CMT. Thanks for the help!
Quick question on injection sites for IM:
Is exact location of the injection really a big concern? Do I have to be super exact when injecting in glutes or quads, or as long as I’m in the muscle somewhere in those locations, I should be good?
I don’t think you have to be exact, but you do have to be concerned about sciatic nerve in glutes.
Here is one reference.
http://www.nejm.org/doi/full/10.1056/NEJM199106273242618
Dunno what concerns there are about quads. I am not a medical professional, but my research on the net indicates that the safest place for IM is ventrogluteal. This is because of the lack of nerves and blood vessels in the area.
FWIW, dorsalgluteal is still commonly used, although falling from favor for safety issues.
I don’t know why ventrogluteal has not become more widely used.
Actually surprising how pain free it is. Granted, only using a 1 inch 23 ga needle, but it’s about the same as a subcute injection and maybe less.
That and the safety factor make it a no brainer for IM. IMO.
Still, when I’m looking at say 20 years once a week, that’s more than a 1,000 holes punched in the muscle. So, I’m seriously considering subcute instead.
I’m confused on a part of KSMAN’s original post.
He said “one can inject in the quads [vastus lateralis] with #29 0.5ml 0.5” [50iu] insulin syringes." but then he talks about SC injections for testosterone.
Is it SC but in the quad area? or are you injecting in the quads/muscle with that short of a syringe?
Thanks for the help!
Found this in the Steroid forum, useful info on finding the VG site.
[quote]TCyp n love it wrote:
FWIW, dorsalgluteal is still commonly used, although falling from favor for safety issues.
I don’t know why ventrogluteal has not become more widely used.
[/quote]
I discuss using insulin syringes for IM and SC, its up to you. There are multiple ‘conversations’ here.
Insulin syringes cause less muscle damage that #23 etc. With the small volumes for frequent injections, 1/2" needles are long enough for IM. You have to remember that I was bucking the trend for #22,23 gauge needles 1.5" long. Also fighting against deep injections in your butt where you can’t see what you are doing and risking major nerve damage.
Reminder: Please do not place your case into stickies, create your own posts, see advice for new guys sticky to see what is important.
My sincere apologies if my postings have unintentionally cluttered this thread.
FWIW, this thread has been invaluable to me and I am following the regime included with the original posts, including subcutaneous testosterone cypionate twice a week.
Very few postings are as well done as the original post on this thread and I am thankful for having found it.
I shared it with my physician and he agreed with it and I have printed it out to give to others.
I have not had any luck with finding HGH. My doc wouldn’t even talk about TRT so I went to a male medical clinic and they gave me a test and it was 247 so they started me on treatment and my health was greatly improved, but 5 months later I am loosing that improved feeling and they don’t treat with HGH. Is there any doctor who does? I have heard so many great things about it. Why don’t any doctors seem to care about this. I am not a body builder and am only 50 not wanting to feel like I am 70. Any help would be appreciated.
Don’t find HCG on their website.
It is not clear if you were looking for HGH or HCG when you talked with the Clinic.
HCG is what is recommended on this site.
You need a prescription for HCG.
Please read the stickies. Your loss of improvements is very typical when E2 [estradiol] levels are elevated.
Please open your own thread and do not use stickies for your individual details.
ksman quick question and you might have covered it already I am brand new to the forums I posted already asking questions about gear and how I wanted to use TRT instead of buying it from a dealer and using it basically real quick just from doing some reads I am 25 and if all goes well with my appointment my TRT will be my first cycle. Is it worth it to make TRT a first cycle or wait till I actually need it. Thank you for your time.
Your question is not in the context of this sticky. Please create your own thread. Do not understand your question. TRT has nothing to do with cycles.
KsMan,
Thank you so much for this post and all of your insight.
Of all the research I have ever done on TRT, this has been the most informative piece.
Quick question though and I signed up specifically to ask you this:
What is your opinion on people who have had success on TRT without incorporating an AI like anastrozole?
There are many that say it is not necessary. Obviously blood work tells the story… But in your opinion is it possible to have a successful TRT protocol without incorporating an AI, or HCG for that matter?
Thank You,
JQ
KsMan,
One more:
I agree with you 100% on the benefits of DHT.
That being said, for those of us concerned about Hairloss do you have any suggestions besides Rogaine, Nizoral shampoo, and acceptance?
Thanks Again,
JQ
You can try those topicals. Result depends on your genetics.
Most require an AI to get near E2=22pg/ml. As you say, labs will tell. But if you feel crappy 6 weeks into TRT without AI, its probably E2 poisoning. The number of guys here on TRT with high normal TRT is quite small. But stats don’t mean anything, you are a population of one.
KSMAN, I’m not sure if you’re taking questions in the Steroid forum. Posted a quick question in there with your name as the heading. Wanted your expertise. Thanks.
There is a thread here called “KSman is here”
KSMAN,
Do you account for dead space in the syringe neck and needle when loading? I gave my first injection today and noticed that their is some wasted product.
For instance if I am giving 50mg per injection should I be loading a little extra?
The waste is more with EOD verse 2 weekly injections.
Thanks,
SMG