undecanoate

I am going through the process of getting TRT on the NHS. and the Dr has spoke to the endocrinologist about giving me Nebido injectible (undecanoate). Does is work well, or should I try and get them to give me something else?
Thanks

Simo said:

Does is work well, or should I try and get them to give me something else?

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It's not about weather or not it works well, it can, the problem is the restrictive NHS guidelines. If you inject Nebido every 10 weeks, and end up with low levels before your next injection, as many do, your doctor is unable to shorten the injection frequency in order to maintain therapeutic levels all the time.

Sustanon or enanthate, you'll run into the same problems, the injection intervals are too far apart.

The NHS is very bad at TRT, sending men running for the hills! The NHS cannot change treatment protocols to each patient's individuals needs. It's for this reason most get TRT through the private cash only clinics in the UK.

Endocrinologist's are on average the worst choice to manage your TRT! It seems most of the specialty TRT doctors are private cash only, whether in the US or the UK.

The very long half-life of Nedibo means it could take 6 months to reach steady blood levels. Compare that to cypionate, 4-6 weeks to steady states or oral testosterone undecanoate, Jatenzo, Orlando, and Kyzatrex, 7 days to steady state and you see my point why Nebido is the least prefered.

Systemlord said:

It's not about weather or not it works well, it can, the problem is the restrive NHS guidelines. If you inject Nebido every 10 weeks, and end up with low levels before your next injection, as many do, your doctor is unable to shorten the injection frequency in order to maintain therapeutic levels all the time.

Sustanon or enanthate, you'll run into the same problems, the injection intervals are too far apart.

The NHS is very bad at TRT, sending men running for the hills! The NHS cannot change treatment protocols to each patient's individuals needs. It's for this reason most get TRT through the private cash only clinics in the UK.

Endocrinologist's are on average the worst choice to manage your TRT! It seems most of the specialty TRT doctors are private cash only, whether in the US or the UK.

The very long half-life of Nedibo means it could take 6 months to reach steady blood levels. Compare that to cypionate, 4-6 weeks to steady states or oral testosterone undecanoate, Jatenzo, Orlando, and Kyzatrex, 7 days to steady state and you see my point why Nebido is the least prefered.

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Oh okay that's an eye opener... Will the NHS listen to me if I say I would prefer a different protocol do ya think? Think I'm going to have to find the cash to get it done right then.. So looking forward to feeling normal too.
Cheers for the info.

Simo said:

I am going through the process of getting TRT on the NHS. and the Dr has spoke to the endocrinologist about giving me Nebido injectible (undecanoate). Does is work well, or should I try and get them to give me something else?
Thanks

Click to expand...

I believe this is very individual but I made the switch to a generic version of Nebido years back. I am glad I made the change. I have gone from IM injections to sub-q injections and it is working very well.

BigTex said:

I believe this is very individual but I made the switch to a generic version of Nebido years back. I am glad I made the change. I have gone from IM injections to sub-q injections and it is working very well.

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I thinkl I might see how it goes and if it isn't working for me I'll switch to private. How do you feel in the last few weeks before your next dose?

Systemlord said:

It's not about weather or not it works well, it can, the problem is the restrive NHS guidelines. If you inject Nebido every 10 weeks, and end up with low levels before your next injection, as many do, your doctor is unable to shorten the injection frequency in order to maintain therapeutic levels all the time.

Sustanon or enanthate, you'll run into the same problems, the injection intervals are too far apart.

The NHS is very bad at TRT, sending men running for the hills! The NHS cannot change treatment protocols to each patient's individuals needs. It's for this reason most get TRT through the private cash only clinics in the UK.

Endocrinologist's are on average the worst choice to manage your TRT! It seems most of the specialty TRT doctors are private cash only, whether in the US or the UK.

The very long half-life of Nedibo means it could take 6 months to reach steady blood levels. Compare that to cypionate, 4-6 weeks to steady states or oral testosterone undecanoate, Jatenzo, Orlando, and Kyzatrex, 7 days to steady state and you see my point why Nebido is the least prefered.

Click to expand...

I tried the 10 week thing and actually had a pretty high T level when I went in to do blood work. I think it was about 989. I also had very good results when I went 750mg every 4 months. As I just mentioned using the same dosage of the 10 week injections split up to small in injections sub-q ever 5 days has worked even better. I agree the steady state thing is a problem. But you can also use small doses of propionate to fill in the gaps for the 1st 6 months. I used test base. I actually found that it took about 21 weeks (~5.35 weeks) to reach peak. If you are doing like I do and going 55mg every 5 days, you might drop it to 45mg and add test prop at 5mg every 3 days. I did 15mg of test base/d.

Simo said:

I thinkl I might see how it goes and if it isn't working for me I'll switch to private. How do you feel in the last few weeks before your next dose?

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Honestly I even went every 90 day, doing 1000mg the 1st week and had a high test level at the end and felt just fine. At that point in my life I enjoyed not have to do IM injections but once a month.

Simo said:

Will the NHS listen to me if I say I would prefer a different protocol do ya think?

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No, the majority of NHS doctors are robots! The problem is the NHS, not the doctors.

Simo said:

Think I'm going to have to find the cash to get it done right then..

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Balance My Hormones or The Men’s Health Clinic. These clinics have access to better treatment options, like cypionate and enanthate esters.

BigTex said:

I tried the 10 week thing and actually had a pretty high T level when I went in to do blood work. I think it was about 989. I also had very good results when I went 750mg every 4 months. As I just mentioned using the same dosage of the 10 week injections split up to small in injections sub-q ever 5 days has worked even better. I agree the steady state thing is a problem. But you can also use small doses of propionate to fill in the gaps for the 1st 6 months. I used test base. I actually found that it took about 21 weeks (~5.35 weeks) to reach peak. If you are doing like I do and going 55mg every 5 days, you might drop it to 45mg and add test prop at 5mg every 3 days. I did 15mg of test base/d.

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I'll remember that incase I have the same problem. What determines the dose you are given. is it you test levels. at the moment mine are at 38.9ng/dl>

Simo said:

I'll remember that incase I have the same problem. What determines the dose you are given. is it you test levels. at the moment mine are at 38.9ng/dl>

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Systemlord said:

Balance My Hormones or The Men’s Health Clinic. These clinics have access to better treatment options, like cypionate and enanthate esters.

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Ye I follow there channel and have gotten a couple of responces to some comments I made.. Just the money issue that is stopping me at the moment. cash is tight right now. but if it's the only way I'll have to sort it. sick of feeling like this.

Simo said:

What determines the dose you are given.

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It’s going to be a guessing game to determine what dose is right for you. It has nothing to do with your current levels.

Systemlord said:

It’s going to be a guessing game to determine what dose is right for you. It has nothing to do with your current levels.

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Oh okay. Iv just got to wait now. I was told if I don't get a app by the 24th May, to ring them up... NHS at it's finest.

Simo said:

I'll remember that incase I have the same problem. What determines the dose you are given. is it you test levels. at the moment mine are at 38.9ng/dl>

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I have been doing anabolics for about 44 years now. I know my sweet spot and it is all about where my serum testosterone levels are. For me it is over 900ng/Dl. Many may disagree but this has always worked for me. My last test in December '23 I was at 880ng/Dl.

BigTex said:

I have been doing anabolics for about 44 years now. I know my sweet spot and it is all about where my serum testosterone levels are. For me it is over 900ng/Dl. Many may disagree but this has always worked for me. My last test in December '23 I was at 880ng/Dl.

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Is that on just TRT? can I expect those levels when I have been on for while? I have been in a shitty position for nearly 2 year. No libido for over a year. I'm supprised my wife is still around lol, but thats not the worst of it. I can't wait to feel normal in some way.

Simo said:

Is that on just TRT? can I expect those levels when I have been on for while? I have been in a shitty position for nearly 2 year. No libido for over a year. I'm supprised my wife is still around lol, but thats not the worst of it. I can't wait to feel normal in some way.

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Yes, just for TRT. I saw a great article about libido. There is so much more tied to your libido than just testosterone levels. I will see if I can find it and post it later on. Your levels of blood testosterone are very individual and may depend on how much you take.

I was always taking testosterone because I was a competitive strength athlete. My mind and body were accustom to pretty high, blood testosterone levels. So that was my normal. Once I quit competing and started TRT I just could not accept how I felt with lower levels. I start feeling closer to normal on the high end of the scale. If not a little higher. So I push the envelop as long as the unwanted side effects are being controlled and I stay healthy. So in that aspect, I am very much different that most here.

BigTex said:

Yes, just for TRT. I ad a great article about libido. There is so much more tied t your libido than just testosterone levels. I will see if I can find it and post it later on. Your levels of blood testosterone are very individual and may depend on how much you take.

I was always taking testosterone because I was a competitive strength athlete. My mind and body were accustom to pretty high, blood testosterone levels. So that was my normal. Once I quit competing and started TRT I just could not accept how I felt with lower levels. I start feeling closer to normal on the high end of the scale. If not a little higher. So I push the envelop as long as the unwanted side effects are being controlled and I stay healthy. So in that aspect, I am very much different that most here.

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Well I'm here to learn as much as I can and have learnt alot already. If you post that article I'll read it because it really puts a strain on things when the desire isn't there. The other half gets it in her head that it's her no matter what I tell her. Now I know it's my test she is listening more but it still doesn't improve things much. Thanks for the info.

Here is the article

BigTex said:

Here is the article

Libido & Testosterone Replacement Therapy - The Men’s Health Clinic

A topic that is often discussed in Testosterone Replacement Therapy (TRT) is Libido. This is because there is a correlation between low testosterone and lowered...

themenshealthclinic.co.uk

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Cheers for that.

Here is a good posing