TRT Tips to increase its effectiveness

Hi, I’m new to the forum, I’m Italian and I don’t know if you know this but in Italy we are still very behind when it comes to testosterone therapy, there are some doctors here who don’t prescribe it to you even if your testosterone is at 200, and if you can get it prescribed they give you a minimum dose by making you have injections every 15 days or sometimes even months later, in short even doctors in Italy still understand a lot about testosterone and derivatives.
anyway, let’s get to the point, I’m 25 years old, after using anabolics in blast and cruise for more than two years when I stopped my testosterone was low, so I decided to get into trt.
I am currently taking 125mg of testosterone intramuscularly once every 3/4 days, therefore 250mg per week, being underground testosterone (not from the pharmacy) I am probably taking less, around 180/200mg; furthermore, once a week I inject 50mg of primobolan because I feel it very well, being an ectomorph I don’t have good androgenic receptivity, but I feel primobolan even in small doses.
now despite this, the first few weeks of trt were going well, my libido had risen a lot and I had more energy, now after about two months my libido has dropped a bit and I feel a bit tired, my main goal is ’ have good libido and energy, how can I optimize my trt so as to have good energy and good libido consistently?
I would like to specify that my estrogen levels are not high, and if it helps you I have a very low GH (growth hormone) level I think (around 1,200) in a range from 0,000 to 10,000, I don’t know if this can affect libido or energy.

Your dosage is excessive for a TRT dose, rarely do men need anything near 200 mg. I would lower your dosage to 50 mg every 3.5 days. You basically sailed right past your optimal hormone levels those first few weeks.

TRT can’t compensate for less than favorable genetics. The sooner you except this the better off you’ll be. It’s not so much you have poor androgenic receptivity, it’s your very fast metabolism that has a tendency to run higher than other body types, preventing significant muscle mass increases.

ok I’ll go down to 100mg of testosterone and 50mg of primobolan per week.
I have long since accepted the fact that I have less predisposition to gain muscle mass, what I try to do with TRT is to increase my libido and generally have a high blood testosterone level, I have no intention of increasing muscles, I just want a healthy libido and energy, but lately I’ve had erectile dysfunction despite the testosterone I inject, how is this possible?

Testosterone increases aldosterone produced in adrenal glands, which enters the kidneys, and tells the kidneys to absorb more sodium and sodium, carries water. This leads to fluid retention.

This occurs, especially after dosing changes!

If you’re exercising and eating healthy, that excessive fluid retention will become intracellular.

A lot of people seem to think it’s high estrogen.

Testosterone and any androgen (steroids, etc) decrease sodium excretion in the kidneys, which causes the water to retain water to dilute sodium.

It’s not uncommon for men on cycles to report diminished sexual performance and low libido. When they come off the cycles, everything goes back to normal.

A percentage of men using anabolic steroids have erectile dysfunction issues.

Right now you’re not on TRT, you’re on performance enhancement therapy.

ok, so if I lower my weekly testosterone dosages to 100mg should I go back to having a good libido?
Furthermore, do you think it would be useful to also integrate chorionic gonadotropins to keep the testicles active and trophic? If so, at what dosages?

Libido is multifactorial, having a healthy libido is more than just about having healthy youthful hormones, neurotransmitter imbalances, disturbances can cause low libido.

If low hormones, or in this case excessive hormones is the cause for the low libido, then yes, once you get your hormones into your optimal range, libido should be present.

This may not happen right away though, the body must acclimate to the new hormone level.

It’s pointless, don’t even bother! HCG is the only thing that will treat testicular atrophy while on exogenous testosterone.

How do you know? Did you test it?

Huh? How have you measured this?

Blood work for TT/SHBG/e2/PRL/Thyroid, address each markers as needed. First thought is your 250mg dose is about double what you actually need.

Nah you probably just measured it at the wrong time. What was IGF-1 levels?

the products I use at the moment are from clandestine laboratories, it would be crazy to think of receiving pure products in these circumstances, I have never had these products analyzed, but once I had the chance to try pharmacy testosterone and with a minimum dose ( 50mg) I felt a much stronger effect than 100mg of testosterone undergroung.
regarding my androgenic receptivity, I’m not sure about the fact that I have little androgenic receptivity, but I have this feeling because when I was doing bodybuilding some guys took less drugs from me and trained less but had greater gains, I took 500mg of testo and 300mg of boldenone and I almost looked like a natural. Things changed when I started using products with greater affinity with the androgen receptors, such as trenbolone or primobolan, think that on my body and on my energy 100mg of primobolan are much more effective than 250mg of testosterone, this is why I integrate primo into my trt, furthermore I am a person who already at 250/300mg of testosterone per week begins to aromatize and have gynecomastia, with 50mg of primobolan I can maintain estrogens under control.

I attach my latest analyses, could you advise me what are the optimal levels of the various hormones that I should try to have?


I know that my cortisol levels are often high too, but I don’t really know what it depends on, I’m usually not in periods of high stress but my cortisol levels are often high, so I tried to do the test ACTH and these are the results, the doctor told me they are fine, what do you think about ACTH and cortisol?

I had high cortisol levels pre-TRT, on TRT no more high cortisol. If you take too much testosterone it could go the other way.