Doctor only does bloodwork @ my low.

[Nomad]

When I first sarted TRT I loved that the doctor was doing labs right before giving me my injections but now that I’m having side effects I want a more modern approach to TRT and have my blood tested at its peak.

Whenever I make suggestions I get the “Ive been treating patients for 20 years talk”

 

[Systemlord]

A doctor with an inflated ego is never a good thing and it doesn't sound like this doctor knows how to mitigate your symptoms, so much for “I've been treating patients for 20 years talk”.

We don't precisely know the moment in time when we peak, it's usually within 24-48 hours. The proper way to do things is test your trough, or your lowest point an hour before your next injection.

Unfortunately you don't have the necessary labs to design a proper TRT protocol. We need your baseline labs, Total T, Free T, Estrogen sensitive and SHBG. If your current doctor hasn't been testing these periodically, then he most definitely hasn't been doing TRT for 20 years.

Describe your TRT protocol in detail.

My protocol is 20mg EOD, anastrozole twice weekly to help keep estrogen from getting out of control.

 

[Vince Carter]

When I first sarted TRT I loved that the doctor was doing labs right before giving me my injections but now that I’m having side effects I want a more modern approach to TRT and have my blood tested at its peak.

Whenever I make suggestions I get the “Ive been treating patients for 20 years talk”

While your Dr isn't wrong but gives an arrogant response, he's not wrong for testing in the trough, that is the gold standard. Tests are never given in the peak though they can be informative.

 

[Nomad]

A doctor with an inflated ego is never a good thing and it doesn't sound like this doctor knows how to mitigate your symptoms, so much for “I've been treating patients for 20 years talk”.

We don't precisely know the moment in time when we peak, it's usually within 24-48 hours. The proper way to do things is test your trough, or your lowest point an hour before your next injection.

Unfortunately you don't have the necessary labs to design a proper TRT protocol. We need your baseline labs, Total T, Free T, Estrogen sensitive and SHBG. If your current doctor hasn't been testing these periodically, then he most definitely hasn't been doing TRT for 20 years.

Describe your TRT protocol in detail.

My protocol is 20mg EOD, anastrozole twice weekly to help keep estrogen from getting out of control.

My initial doctor started me at .6cc of test c 200 once a week and it brought me up to 494 total T so, he increased my dose to 1.2 240mg per week. I was on 240mg 1mg anastrozle and 500 HCG for about 2 months and felt great until day 4-5 after injection so I asked my doctor to switch to twice a week injections.

I started to get low e2 sides. (I’ve read e2 doesn’t spike as much with split dosing) so I consulted with my clinic. The new doctor took me off twice a week injections and called them useless and not something he would condone.

So, he put me back on once a week and cut my armidex from 1mg to .5mg a week and I started getting a gyno lump.

His course of action was to drop my testosterone to .9cc because I tested at 982 total t on day 7 and my e2 was 47.

I got him to increase my AI back to 1mg after throwing a stink. He thinks 47 is good, even though I felt great when my e2 showed less than 27.

I’m starting to regret TRT I had a total Natural T in the 600s right before I started treatment. However all of my low t symptoms went away after about two months of starting TRT.

I’m 33 years old.

I’ve been doing a ton of research and I don’t think dr. Crisler would’ve ever started me off with testosterone before trying everything else first.

 

[RLW]

If you were in the 600's before you started and you are only 33y old, why not stop TRT see where you end up? I don't think a good TRT doctor would have put you on Testosterone with those levels without making sure it wasn't something else causing your problems first.

 

[blackebob]

My initial doctor started me at .6cc of test c 200 once a week and it brought me up to 494 total T so, he increased my dose to 1.2 240mg per week. I was on 240mg 1mg anastrozle and 500 HCG for about 2 months and felt great until day 4-5 after injection so I asked my doctor to switch to twice a week injections.

I started to get low e2 sides. (I’ve read e2 doesn’t spike as much with split dosing) so I consulted with my clinic. The new doctor took me off twice a week injections and called them useless and not something he would condone.

So, he put me back on once a week and cut my armidex from 1mg to .5mg a week and I started getting a gyno lump.

His course of action was to drop my testosterone to .9cc because I tested at 982 total t on day 7 and my e2 was 47.

I got him to increase my AI back to 1mg after throwing a stink. He thinks 47 is good, even though I felt great when my e2 showed less than 27.

I’m starting to regret TRT I had a total Natural T in the 600s right before I started treatment. However all of my low t symptoms went away after about two months of starting TRT.

I’m 33 years old.

I’ve been doing a ton of research and I don’t think dr. Crisler would’ve ever started me off with testosterone before trying everything else first.[/Q
First what were the reasons you wanted to do TRT, symptons?