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Discussion on Testosterone Replacement Therapy

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  1. #1
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    New with a question....or 1000
    I'll try to be brief.

    Went to my PCP about 8 weeks ago with ED issues. She prescribed Cialis but also drew blood to run a couple of tests.(Did not mention what tests at the time). She did also ask me about libido, energy, etc. I answered her basically that hey I know I'm not 20 anymore (42) and libido I was thinking was probably low because of ED issues.

    Nurse called me back and said that bloods were okay except for T. Went to see doc and she said my total was 304 and free was 4.4 (range 0f 6.6-23). Sorry for not having proper unit nomenclature. Asked her what she thought.

    She was pretty cool and said "why not try TRT?". I asked her what if I didn't see a difference and she said I could stop and be back to "normal" is a short amount of time.

    Well I am 7 weeks in at 200mg every 14 days and generally feel a ton better. I get bloods in 3 weeks and get a follow up. Hope to weekly injections (self administered) to kind of even out.

    Oh yeah, the horrible anxiety is much better, "brain fog" is way less, general well being is better, and I don't feel like something in my life is just "missing".
    I would like to think weekly shots would help even more.

    Okay, my question. I feel the best about 5-6 days after my injection. I see everyone talking about 24-72 hrs for "peak". I just really don't feel any better/different until 5-6 days after my shot. Any thought?

    Thanks and this forum has already been a huge help. Lifetime treatment scarred the crap out of me............until I started feeling this much better. Funny, I really wasn't expecting much in the way of results.

    Thanks again.

  2. #2
    Novice Schweddy's Avatar
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    There is plenty of info here about weekly shots being preferable to every two weeks. I started at shots every two weeks and now inject weekly. For me the difference is very pronounced.

  3. #3
    Junior Bodybuilder Packgus's Avatar
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    your not taking any Aromatase inhibitor (AI) (anti estrogen)? any HCG?
    maybe your getting an estrogen spike along with your test spike in the first few days. that maybe the reason your not feeling so good in those first couple of days after shot.

    I hope your doctor is testing estrogen. I would ask

  4. #4
    Welcome Wagon rowdybrad's Avatar
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    I am assuming you are not getting hcg or arimidex with your treatment?

    If you are able to self administer, you can go with a shot every 5 days with 125mg or so, or you can go cashouts way and do 2 injects a week of 50 (i believe 84 hours apart) and it will not only keep your test and estrogen levels more stable, but will also keep the sides including aromatization (gyno, higher estradiol) lower so you may not need arimidex.

    Definitely look up cashouts posts on the subject in case I misspoke, he has tests to back it up. I also prefer to self inject because I am a puss and when I inject in my glute, I can inject slowly and it is painless. The doc will shove that shit in and it hurts lol.

  5. #5
    Welcome Wagon rowdybrad's Avatar
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    same time pack lol

  6. #6
    Junior Bodybuilder Packgus's Avatar
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    lol ya rowdybrad.....great minds think alike

  7. #7
    Novice Envious1320's Avatar
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    Wow man cool that your doc got you on track right away but I too have to chime in out checking out cashouts protocol. That is what I am hoping to follow once I get my a doc on my side(my total test is 296 and I am 30)

  8. #8
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    At this point no hcg or anything for estrogen/conversion control.

    As far as the HCG goes would it be reasonable to not add it in if atrophy or fertility is not a concern? It seems as though if I really don't need it for the above two reasons it just complicates the issue.

    I don't know if it is possible, but my goal would be to feel like I do 5-6 days after the shot for a longer span of time with only testosterone cypionate.

    The good thing is the doctor will be drawing blood right at the time where I feel the best. Maybe I should do my own blood work 2-3 days after my shot just to see whats going on.

    I have a lot to discuss with my doctor I guess. I do not think she is by any means an expert on testosterone replacement therapy (TRT) but she seems pretty reasonable and listens. I will proceed cautiously.

    Thanks for the responses as well. I definately think I need to go with more frequent injections.

  9. #9
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    Have you thought about saliva tests for T instead of blood? Far less invasive, obviously, and apparently very accurate. I think Frustrated1 mentioned them. If they work you could get a highly accurate idea of how your T levels are tracking.

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