1. #1

    Just started TRT, My Story, your thoughts please!

    Back in July 2017 I went to an Urologist for a Urinary track infection. During the exam I inquired about whether they did Low T testing, discussed my symptoms and or if I needed to go to a Mens Health clinic, which I did not want to do. The Dr assured me they did TRT Therapy, so I was sent across the hall to the Lab for blood tests.

    A few days later I was emailed the results which were.

    Component Results

    Component Your Value Standard Range
    Testosterone,Total 349 ng/dL 348 - 1,197 ng/dL
    **Effective July 17, 2017 the reference interval for**
    Testosterone, Serum Males >18 years old will be
    changing to: Adult Males: 264 - 916
    Comment: Comment
    Adult male reference interval is based on a population of lean males
    up to 40 years old.

    Component Your Value Standard Range
    Sex Horm Binding Glob 42.2 nmol/L 19.3 - 76.4 nmol/L


    So it is debatable whether I was marginally low on the old reference interval, or not low on the new reference interval.

    My doctor emailed me and said he would discuss starting me on TRT after having a PSA test to rule out possible Prostrate cancer. I was already scheduled to return in 6 weeks so that’s when I had the PSA test done. That test came back as a 1.0 or normal. Shortly after that I went to Florida to do hurricane recover for a utility company so it was only recently that I went back to the dr for the TRT follow up.

    My Doctor gave me a paper prescription for the Testosterone which I took to the local CVS Pharmacy and got filled for just $10.00 copay and the syringes were about $10.00. Not too bad I thought.

    My Doctors nurse gave me instructions on how to do the injections then I started watching videos on youtube.

    I am only on my 2nd week. I am doing .5ml or 100mg every 7 days for 4 weeks then follow up blood work to be done. I did not feel anything pro or con after the first week. Just took my second injection tonight as I type this.

    I used an 18 gauge 1.5 inch need to draw, and 25 gauge 1 inch need to inject.

    My first injection was in the Glute with minor pain on the injection. I tried my second injection in the deltoid and much prefer that. No pain at all in the deltoid. I never felt the needle go in.

    I did not aspirate in the deltoid as the doctor told me it was not necessary to aspirate in the deltoid.

    I am 58 years old, mildly overweight, mild hypertension.

    I am not a body builder and do not lift weights. I am a lineman for a utility company so I do work hard every day.



    I will follow up with my blood work after getting it done. My doctor scheduled my blood work to be on the 4th morning at 10am after the 4th injection.

    Very Happy that I found this forum. I would appreciate anyone thoughts as I am a little bit nervous about all of this.

    Thanks,

    Lee

  2. # ADS
    Purchase From Our Affiliates
    Join Date
    Always
    Posts
    51
    Help Excelmale

    Defy
     

  3. #2
    Junior Member
    Join Date
    Nov 2017
    Posts
    73
    Also I was curios as to how many injections are in the vial. It states it is a 10ml vial so .5ml per injection would seem like 20 shots? Is that right or am I confused?

  4. #3
    Member
    Join Date
    Feb 2017
    Location
    Denver CO
    Posts
    1,087
    Hello Lee welcome to the forum. Sounds like you are on your way to feeling better.
    I only have one question when you draw with such a large needle is it empty when you switch to the injection needle?
    If not that is a lot of wasted T over time.

  5. #4
    Junior Member
    Join Date
    Aug 2017
    Posts
    82
    You can draw with the 25G needle and inject as well.

    One thing that sticks out is going back in 4 weeks to check blood work. If you're using Test Cyp, it takes at least 6 weeks for blood levels to normalize based on the half life of the Test. If you check after 4 weeks, you really won't know how the current protocol is working.

  6. #5
    Junior Member
    Join Date
    Nov 2017
    Posts
    73
    Quote Originally Posted by TheDude View Post
    You can draw with the 25G needle and inject as well.

    One thing that sticks out is going back in 4 weeks to check blood work. If you're using Test Cyp, it takes at least 6 weeks for blood levels to normalize based on the half life of the Test. If you check after 4 weeks, you really won't know how the current protocol is working.
    Yes it is the cypionate.

    I will try that with next weeks injection. I wasn't wasting the medicine. After drawing I would pull the needle out of the bottle and then pull back on the plunger some and pull what was in the 18 gauge needle into the syringe before switching needles. I couldn't tell it made much difference on the quantity.

    As for the 4 versus 6 weeks testing, what can I do except follow the doctors instructions? But based on everything I have read, your right about the 6 weeks it seems. I will ask the doctor for clarification on that on follow up visit. Thanks for the reply.

    Lee

  7. #6
    Member
    Join Date
    Feb 2017
    Location
    Denver CO
    Posts
    1,087
    I agree and would not argue with your doctor. Continue getting smart on TRT later you can ask questions to try and guide your treatment. Coming across as an internet expert could hurt your relationship with your doc.
    The cyp users around here have a standard way to test (morning blood draws before your shot to get the trough of your T lvl) that offers the best feedback as to where your lvls are. There is a lot more to it than that but this is the basics.

  8. #7
    Junior Member
    Join Date
    Aug 2017
    Posts
    82
    Quote Originally Posted by FeelingLost View Post
    I agree and would not argue with your doctor. Continue getting smart on TRT later you can ask questions to try and guide your treatment. Coming across as an internet expert could hurt your relationship with your doc.
    The cyp users around here have a standard way to test (morning blood draws before your shot to get the trough of your T lvl) that offers the best feedback as to where your lvls are.
    I wouldn't consider it arguing with the doc. If the doc isn't aware of the half life of Test Cyp and when blood levels will normalize, that would be alarming to me. I think that's how many end up here. They are afraid to question their doctor and continue with terrible care until it gets so bad they end up here to find what real care looks like.

  9. #8
    Member
    Join Date
    Feb 2017
    Location
    Denver CO
    Posts
    1,087
    I see nothing wrong with taking a peak of where the TT lvl is in 4 weeks. This is his first protocol. The doc guessed at a number to inject. Why not take a quick look? Sure the other harmones won't be lvl'd out yet but I think the doc is just being careful.

  10. #9
    You're certainly on a reasonable protocol, and - unlike so many of us - it happened with the first doctor you consulted; that's cause for a certain amount of celebration. Did your doctor run the other, necessary tests to capture the full picture?
    I am not a physician. Comments offered here are for discussion purposes only. Please consult your doctor before initiating, changing, or stopping any therapy.

  11. #10
    With your SHBG level you just might be able to get away with injecting once a week, just note how you feel on the last few days before injection. Labs can be useful but how you feel is most important. I was originally using 25 gauge syringes and recently moved to 27 gauge 1/2 in my shoulders, painless and am not wasting any medicine.

  12. #11
    Junior Member
    Join Date
    Nov 2017
    Posts
    73
    Well just damn, I got to start over. Turns out the CVS Pharmacy gave me the wrong prescription. It was a glass vial in a plastic pill bottle. The label on the plastic pill bottle was correct, but the glass vial of injectable medicine inside it was not Testosterone so the past 2 weeks I have been injecting Vitamin B-12. I notice it this morning when I read the label on the plastic pill bottle and it said the drug was a pale yellow color and what was coming out of the bottle was Bright RED. So I took it back to CVS Pharmacy and they admitted their mistake and replaced it with the correct drug.

    I didn't notice it before now because the glass vial had a Generic name of Vitamin B12 that I looked up on the internet.

    Figuring no one would believe this I had my camera phone recording my conversation with the CVS Pharmacist and it will be on youtube shortly lol.

    Always check your drugs before leaving the pharmacy. Actually I did, and it had the correct info on the plastic pill bottle the glass vial came in. I never considered looking at the glass vial as it had a generic name and Mc per MG #s all over it so I assumed it was correct.

    So now I have the correct medicine and took my first injection of 100mg. So here we go starting over.

    I will post the youtube link if anyone wants to see my conversation with the pharmacist about this.

    Lee

  13. #12
    Member
    Join Date
    Feb 2017
    Location
    Denver CO
    Posts
    1,087
    Holy shit ee that is scary. Thank god it was just B-12.

  14. #13
    Junior Member
    Join Date
    Nov 2017
    Posts
    73
    Quote Originally Posted by FeelingLost View Post
    Holy shit ee that is scary. Thank god it was just B-12.
    Imagine this mistake in reverse. A woman goes in to get a Vitamin B12 prescription and she is given my Testosterone by mistake lol.

    Below is the youtube links to my 2 conversations with the Pharmacists. Both videros are very short like 1 minute each.

    Enjoy lol!

    https://www.youtube.com/watch?v=OzLKgG1iJ0g (part 1)

    https://www.youtube.com/watch?v=HQy4gFNrffM (part 2)

  15. #14
    Imagine had you been injecting insulin and not being a diabetic, dangerous! You're really lucky!

  16. #15
    I'd escalate this up the line with CVS...as far as you can. That is professional incompetence.
    I am not a physician. Comments offered here are for discussion purposes only. Please consult your doctor before initiating, changing, or stopping any therapy.

  17. #16
    Junior Member
    Join Date
    Sep 2017
    Posts
    34
    I'm a pharmacist and you really should report that to the board of pharmacy for your state. The rph's response is just pathetic. No empathy whatsoever. Mistakes happen, (especially with these billion dollar chains turn Rx's into burger and fries orders) but I didn't hear any accountability being taken by them.

  18. #17
    Junior Member
    Join Date
    Nov 2017
    Posts
    73
    I guess its some my fault I didn't get the right medicine since I didn't read what was on the glass vial, but the glass vial came in a plastic pill bottle that had the correct information and prescription on it so I assumed it was the correct medicine. I have had problems with CVS before. I have picked up prescriptions and get home only to find the seal broken on the bottles ands half the pills missing. Now I have to count my pills before leaving lol. Attached are a couple of pictures showing the wrong Vitamin B12 and the correct TEST I was later given.

    The moral of the story is to check your meds before leaving the pharmacy. I know that sounds like common sense but my guess is so many people don't leaving your life in the hands of some incompetent pharmacist who may be having a bad day or on meds themselves. Those of you who are buying your stuff on the underground probably get better service that what I get trying to buy my meds legit lol.

    So I will report back in 4+ weeks with my labs since I had to start over.

    Lee
    Attached Images Attached Images   

  19. #18
    It's not your fault - you didn't dispense the incorrect drug; the licensed professional at CVS did. There should be consequences.
    I am not a physician. Comments offered here are for discussion purposes only. Please consult your doctor before initiating, changing, or stopping any therapy.

  20. #19
    Once I went in to CVS and got home and went to take the oxycodone for back and realized they gave me their in stock supply and they had my prescription as stock, the thing that gave it away was no prescription label. I returned it and never finish the bottle. I hated it because it wound me up like I was on Ritalin again.

  21. #20
    Junior Member
    Join Date
    Sep 2017
    Posts
    34
    Quote Originally Posted by Lee Panelas View Post
    I have had problems with CVS before.
    You should probably find a new pharmacy. When something like this is recurrent, it means they have bad management and it just trickles down from there. And if that pharmacist was the pharmacy manager, then run for the hills.

  22. #21
    Junior Member
    Join Date
    Nov 2017
    Posts
    73
    Starting my 4th week on 100mg Test C injections. I go Friday 12/8/2017 for new labs. Should have results emailed to me a couple of days after that.

    So far NOTHING, nada, zero, zilch. I can't tell that the 4 injections have done anything for me, pro or con. Still early yet though.

    I have to wonder what other medical conditions could possibly mimic all the same Low T symptons, as I may need to start looking for the next course of action.

  23. #22
    Member
    Join Date
    Feb 2017
    Location
    Denver CO
    Posts
    1,087
    Hello Lee, Sorry to read your TRT is not solving any of your issues. I am no expert here but I have read other look into the 4 times a day cortisol test.
    Some find answers here in the tire thyroid website http://www.tiredthyroid.com/
    I hope you will report the results from your blood test.
    hth

  24. #23
    Junior Member
    Join Date
    Nov 2017
    Posts
    73
    Quote Originally Posted by FeelingLost View Post
    Hello Lee, Sorry to read your TRT is not solving any of your issues. I am no expert here but I have read other look into the 4 times a day cortisol test.
    Some find answers here in the tire thyroid website http://www.tiredthyroid.com/
    I hope you will report the results from your blood test.
    hth
    Yes Sir, here it is.

    I had my Testosterone tested Friday and was emailed the results directly Sunday. That's a cool system to get it emailed that fast. I have not heard from the doctor yet obviously. They only tested total testosterone. The dr told me in advance that full labs wouldn't be done until after 3 months. This was just a check to see where I am at. This test was done 4 days after my 4th injection of 100mg every 7 days. Total T came way up. I have been injecting in the deltoids IM with a 1" pin. That seems to be working very well. Is this a little to high for TRT though? May need to adjust down some possibly? See what the doc says before making any changes though.

    Testosterone,Total 892 ng/dL 264 - 916 ng/dL
    Adult male reference interval is based on a population of
    healthy nonobese males (BMI <30) between 19 and 39 years old.

  25. #24
    Member
    Join Date
    Feb 2017
    Location
    Denver CO
    Posts
    1,087
    Hello Lee I would not change anything. How are you feeling? Is your over all mood any better? It is still really early in this game we call TRT.

    These are not my words I found them here on the forum and they really helped me understand how all this stuff works I hope they will help you.

    Testosterone Cyp (Half life 8 days) - Steady state in 40 days
    Arimidex (Half life 2 days) - Steady state in 10 days
    HCG (Half life 2 days) - Steady state in 10 days.

    Remember, 5 x half life of a medication = Steady state of that medication.

    Also remember, when you reach a steady state of a medication, you will have double the amount of milligrams in your system of the dose you are taking in-between each half life. This is kind of complicated, but it doesn't matter how you space out the dosages or how often you take it.

    For example, 1mg taken EOD, or 0.5mg taken everyday. It's still 1mg taken within one half life or Arimidex which is 2 days. So another example is test cypionate. Doesn't matter if you take 100mg once per week or split that into 50mg twice per week or 14mg everyday. As long as it's 100mg within one half life, which is 8 days for test cyp.

    So by 5 half lives of the medication, which would be 40 days for test cyp, you will have double the amount of medication in your system. Which would be 200mg. This part is pretty complicated, but just remember, whatever the dosage you are taking of a medication, after 5 half lives you will have double the amount of medication in your system compared to starting.

  26. #25
    Quote Originally Posted by Lee Panelas View Post
    Yes Sir, here it is.

    I had my Testosterone tested Friday and was emailed the results directly Sunday. That's a cool system to get it emailed that fast. I have not heard from the doctor yet obviously. They only tested total testosterone. The dr told me in advance that full labs wouldn't be done until after 3 months. This was just a check to see where I am at. This test was done 4 days after my 4th injection of 100mg every 7 days. Total T came way up. I have been injecting in the deltoids IM with a 1" pin. That seems to be working very well. Is this a little to high for TRT though? May need to adjust down some possibly? See what the doc says before making any changes though.

    Testosterone,Total 892 ng/dL 264 - 916 ng/dL
    Adult male reference interval is based on a population of
    healthy nonobese males (BMI <30) between 19 and 39 years old.
    I don't think your MD has a grasp on how TRT works... one injection weekly and then he orders labs after 4 weeks and it's TT only? This isn't making a lot of sense. Labs are too early at 4 weeks. It should be at 6 weeks minimum and doing labs 4 days after your shot make no sense either. Unless I'm missing something I don't think your going to get great results with protocols like this. I think the only time you would Rx a weekly shot is if you have very low E2.

  27. #26
    Junior Member
    Join Date
    Nov 2017
    Posts
    73
    Feeling Lost, Yes Sir, I would agree, not changing anything at this time. I have a follow up appointment on Wednesday the 24th of January, will go from there.

    Thanks, BTW, I enjoy reading all your posts. You seem like a really good person and I appreciate all your insight.

  28. #27
    The problem with injecting once weekly is your levels are swinging from day to day and labs values are the result of timing, think of a rollercoaster where go up, then you come down, that's what your hormones are doing. Labs become much more consistent when you're injecting more frequently, but for guys to manipulate high SHBG they must inject larger doses less frequently. I don't think your SHBG was high enough to begin injecting once weekly, you should be doing it twice weekly. However if you start injecting twice weekly you will have to lower your dose otherwise your levels will climb a few hundred points above range.

  29. #28
    Junior Member
    Join Date
    Nov 2017
    Posts
    73
    My doctor just called, said to stay on the same dosage schedule, go back in for full labs on 17th January, which is 1 week prior to my next appointment on the 24th of January.

    So that's where I am at for now. I don't want to inject twice a week. You guys that do that and or even more so inject daily have my respect for being willing to do that.

    Will follow up on the 24th of January. In the meantime I will continue to enjoy reading the forum.

  30. #29
    if you use 27 gauge its very easy to do twice a week.. you can preload it and it makes it the process even more convenient if you are busy

  31. #30
    Member
    Join Date
    Feb 2017
    Location
    Denver CO
    Posts
    1,087
    Quote Originally Posted by Lee Panelas View Post
    Feeling Lost, Yes Sir, I would agree, not changing anything at this time. I have a follow up appointment on Wednesday the 24th of January, will go from there.

    Thanks, BTW, I enjoy reading all your posts. You seem like a really good person and I appreciate all your insight.
    Thanks Lee I appreciate the kind words. We are all on this journey together if we can help one another out all will learn and hopefully get their faster.

    January 24th isn't that far away. Seeing all your numbers will be interesting I hope you will post them.
    I would let how you are feeling guide your way. If once a week is working for you its working. IF your E2 or prolactin starts getting high you should notice
    tender nipples, some water weigh gain, feeling extra sensitive when watching TV shows.

    25g 1" syringe !?! oh man I can see why once a week is enough. Needles have always bugged me.
    I'm using a 27g 1/2" and sticking it my fat around my navel. So far no pain I am happy.

Page 1 of 2 12 LastLast

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Started trt and now have ed.
    By Diablo666 in forum Testosterone Basics & Questions
    Replies: 3
    Last Post: 06-09-2017, 07:02 AM
  2. Started TRT - Now What?
    By HanksterAce in forum Workouts & Routines
    Replies: 8
    Last Post: 03-06-2017, 02:37 PM
  3. Just started TRT
    By Riderfan3169 in forum Introductions
    Replies: 16
    Last Post: 01-11-2017, 10:23 AM
  4. Just started my own trt need help
    By sanfur in forum Testosterone Basics & Questions
    Replies: 15
    Last Post: 06-07-2016, 07:07 AM
  5. Replies: 7
    Last Post: 04-16-2014, 05:51 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •