Please comment on my first TRT Protocol:

[BackToRegular]

After asking if the doc could split my dose into twice a week here is the protocol he recommended:

Sunday evening: 75mg Test C taken intramuscularly
Monday morning: .25mg HCG taken sub-Q
Tuesday: 0.5mg Anastrozole
Wednesday morning: 75mg Test C taken intramuscularly
Thursday morning: .25mg HCG taken sub-Q
Friday, Saturday: off

A little about me: 35y, 6’3”, 205lb, ~10%bf, low free T, high SHBG, mid range Estradiol.

How would the experts here rate this protocol? Am I at risk for crashing my E2 by starting Anastrozole the first week? Is it better to start an AI once high-estrogen symptoms present themselves?

 

[ncsugrad]

You’re assuming high estrogen is any sort of an issue whatsoever, even if you do end up having it. Mine is 73, I know plenty with higher than that. Give it time, those “issues” usually go away on their own

I’d start with T only. 150mg/week is fine. I’d do 50mg 3x a week but you can try twice a week too.

I wouldn’t start with HCG Unless you’re actively trying to conceive

 

[BigBamBoo]

I would hold off on the AI and wait to see if you have symptoms.

i started with twice weekly and felt best on EOD. But everyone if different.

i am also a high SHBG guy....70+.

Good luck.

 

[Bryan_K77]

If you’re legit 10% body fat, estrogen conversion is even less of an issue. Hate seeing guys get started on an ai, terrible medical practice. Even if estrogen comes back out of range, you likely won’t have any symptoms anyways

 

[Chrander]

Hi.

I know trt is a large commitment, but why does not men prefer a less is more protocol. Too much hassle having to inject x that day and x amount of that compound that day.. I rather spend 5 minutes injecting 56iu Nebido every Sunday. That is the only compound I use. When having children I start using other medication alongside Nebido.

Have a great day.

 

[Vince]

You’re assuming high estrogen is any sort of an issue whatsoever, even if you do end up having it. Mine is 73, I know plenty with higher than that. Give it time, those “issues” usually go away on their own

I’d start with T only. 150mg/week is fine. I’d do 50mg 3x a week but you can try twice a week too.

I wouldn’t start with HCG Unless you’re actively trying to conceive

It would be nice to see your pre trt labs. My first trt protocol was 70 mg of testosterone cypionate twice a week along with 500 IU of HCG. I injected both on the same day. No AI. It did work great for me.

 

[BackToRegular]

It would be nice to see your pre trt labs. My first trt protocol was 70 mg of testosterone cypionate twice a week along with 500 IU of HCG. I injected both on the same day. No AI. It did work great for me.

Thank you, what would be helpful to see in my labs? My SHBG ranged from 53.4-57.2 nmol/L from 4 blood tests.
Also did you use a single injection with both the test and HCG?

 

[BackToRegular]

If you’re legit 10% body fat, estrogen conversion is even less of an issue. Hate seeing guys get started on an ai, terrible medical practice. Even if estrogen comes back out of range, you likely won’t have any symptoms anyways

Thanks, didn't realize estrogen was less of an issue for lower body fat. By May I yearly target in the 7% range.

 

[BackToRegular]

I would hold off on the AI and wait to see if you have symptoms.

i started with twice weekly and felt best on EOD. But everyone if different.

i am also a high SHBG guy....70+.

Good luck.

Thanks, was your high SHBG before or after treatment?

 

[ncsugrad]

It would be nice to see your pre trt labs. My first trt protocol was 70 mg of testosterone cypionate twice a week along with 500 IU of HCG. I injected both on the same day. No AI. It did work great for me.

Not sure if you meant this to me or the OP?

The basics for me, pre TRT, was:

Total T, 862 [264 - 916]
Free T, 6.3 [8.7 - 25.1]
TSH, 2.64
LH, 3.1
Estradiol, 13.1 [8 - 35]
SHBG, 151 [17 - 56]

 

[BigBamBoo]

Thanks, was your high SHBG before or after treatment?

It was 70+ Before TRT and right around 70 on TRT.

 

[Vince]

Thank you, what would be helpful to see in my labs? My SHBG ranged from 53.4-57.2 nmol/L from 4 blood tests.
Also did you use a single injection with both the test and HCG?

Yes, I used both in a single injection. I watched Nelson's video many times over, with him injecting both in the same syringe.

 

[Vince]

Not sure if you meant this to me or the OP?

The basics for me, pre TRT, was:

Total T, 862 [264 - 916]
Free T, 6.3 [8.7 - 25.1]
TSH, 2.64
LH, 3.1
Estradiol, 13.1 [8 - 35]
SHBG, 151 [17 - 56]

No, the reply wasn't meant for you. It's nice that your estrogen is so low. Hopefully you can lower your shpg.

 

[ncsugrad]

Why is low estrogen a good thing? I thought e2 helped with cardiovascular health, bone health and libido.

 

[fifty]

How do you dose 75mg test? What is .25mg hcg?

 

[Vince]

Why is low estrogen a good thing? I thought e2 helped with cardiovascular health, bone health and libido.

Both HCG and DHEA will increase it. It should stay in range.

 

[ncsugrad]

There seems to be different beliefs on that topic. Some push more of a ratio than a value, etc. Some say stay in range. Some say stay 20-25. Some say let it go and it ends up wherever it ends up. Something tells me I won’t change your mind on this :lol:

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