Post TRT - Libido is DEAD :(

So why do you say you cannot handle higher levels of testosterone. You believe it is because when you went through puberty you had low levels of testosterone to begin with?

I "handled" higher levels for some years, but came to realize the harm they caused was outweighing the good. I loved the boost in athleticism, but the persistent headaches along with impaired libido and sexual function pushed me to keep experimenting. I would guess I had normal testosterone through life until hypogonadism hit in my 50s. What guys like you downplay is that even a TT of 800 ng/dL is unnaturally high for most men, especially when that level is constant 24/7. If my healthy youthful levels entailed a daily peak of 600 ng/dL, then that is not low, but average.

You are now studiously silent on your claim that lower levels didn't work for you. Are they true or a confabulation?

When it did first started I did have lower numbers and they did not work for me as I'm sure you know.
 
I "handled" higher levels for some years, but came to realize the harm they caused was outweighing the good. I loved the boost in athleticism, but the persistent headaches along with impaired libido and sexual function pushed me to keep experimenting. I would guess I had normal testosterone through life until hypogonadism hit in my 50s. What guys like you downplay is that even a TT of 800 ng/dL is unnaturally high for most men, especially when that level is constant 24/7. If my healthy youthful levels entailed a daily peak of 600 ng/dL, then that is not low, but average.

You are now studiously silent on your claim that lower levels didn't work for you. Are they true or a confabulation?
I thought you said you had anxiety issues, are you saying that's not true now? I also thought you said you still have libido issues?

I'm sure you know or should know that cycling raising cortisol and inducing inflammation, which can suppress testosterone levels. Maybe that's why you had to go on trt?

 
I have always said that if you prioritize musculature over general health then higher doses are the way to go. That's not supporting your case. The average guy would rather just feel good and not risk the side effects. At a minimum, he should experience healthy normal levels so he has a point of reference in case he eventually wants to try higher levels and things go bad.

I don't know how you can dismiss dozens of studies involving hundreds of thousands of men, which support dosing to physiological levels. The burden of proof that non-physiological levels are better overall is on you. The studies already show, and you acknowledge, that the side effects burden increases, which is a de facto indication that higher levels are not better overall. If a hypogonadal guy comes along and says "I want big muscles, health be damned." then let him start high. For everybody else, starting at physiological levels is the rational and evidence-based approach.
Increased Muscle mass within reason is a huge benefit to health - dose dependent
Increased Bone density within reason is a huge benefit to health - dose dependent

Consider the number of elderly who fall and break something due to being weak and frail that end up on their deathbed. Just those two alone are huge benefits, and again are dose dependent

Reduced fat mass is also a huge benefit to health. Also dose dependent

IGF 1 levels… IGF-1 matters beyond muscle — it plays a role in tissue repair, collagen synthesis (supporting joint and connective tissue health), and metabolic regulation. At 50 mg/week, IGF-1 stimulation is modest. At 100 mg/week, it’s meaningfully higher.

Improvements to A1C and other metabolic markers are very beneficial for overall health. Also dose dependent.



So no… it isn’t just “sure if you want to get jacked take larger doses”. I stand by my (repeated) statements that benefits at 100-120 are better for most guys than doses of 50-75 and I also stand by my statements that the safety of those doses is well-established.
 

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