Daily Testosterone prevent polycythemia ?

Mr MJ · Feb 11, 2018

My question is in using daily injections of testosterone to eliminate polycythemia. I have been on full T replacement for 14 years and I have been on all of the different delivery methods out there. My current regimen is: 30mg T Cyp EOD with 200mg HCG EOD. I use a 27g needle with shallow IM in Delts , glutes all rotating as Nelson demonstrated it here.
This protocol eliminated the need for Arimidex as my E2 now stays around 30. Morning wood is pretty consistent but libido is off and on. My problem is regarding polycythemia. I can usually go about 5 weeks then my levels start to climb. I get migraines and high BP when levels are high necessitating the need to donate. My ferritin always stays around 28 with supplementation. Free T levels are usually mid range and SHBG is around 20. I read about daily injections of T that for some, daily injections eliminated the need for therapeutic phlebotomys altogether. I saw where Vince went to daily injections and that eliminated donating for him. What are some of the shot protocols, syringe sizes, dosages etc....that have worked to help with this. I am discouraged to say the least. I hate always having to donate and the thought of stopping TRT is not an option but could actually be a reality.
Thanks

Michael.

HealthMan · Feb 11, 2018

Mr MJ said:
My question is in using daily injections of testosterone to eliminate polycythemia. I have been on full T replacement for 14 years and I have been on all of the different delivery methods out there. My current regimen is: 30mg T Cyp EOD with 200mg HCG EOD. I use a 27g needle with shallow IM in Delts , glutes all rotating as Nelson demonstrated it here.
This protocol eliminated the need for Arimidex as my E2 now stays around 30. Morning wood is pretty consistent but libido is off and on. My problem is regarding polycythemia. I can usually go about 5 weeks then my levels start to climb. I get migraines and high BP when levels are high necessitating the need to donate. My ferritin always stays around 28 with supplementation. Free T levels are usually mid range and SHBG is around 20. I read about daily injections of T that for some, daily injections eliminated the need for therapeutic phlebotomys altogether. I saw where Vince went to daily injections and that eliminated donating for him. What are some of the shot protocols, syringe sizes, dosages etc....that have worked to help with this. I am discouraged to say the least. I hate always having to donate and the thought of stopping TRT is not an option but could actually be a reality.
Thanks

Michael.

I tried daily injections to control my HCT and it did exactly the opposite. Also my testosterone levels dropped (despite using a higher weekly dosage) So now I am back to injecting 2x a week and I am feeling great again. Not sure about my HCT yet (it was showing signs of stabilizing before i tried daily injections). I do take grapefruit extract daily and it felt like it was helping to control HCT but the jury is still out for me

Systemlord · Feb 11, 2018

Where are your TT levels? Your E2 could be to high for you when considering your SHBG level, Dr. Crisler and Dr Saya hinted that low SHBG guys have a ton of free estrogen when their E2 levels are within range, not that we really know what those ranges are.

You might try some calcium d-glucarate and DIM, Dr. Crisler states it helps with libido as it lowers free estrogen.

More here --> https://www.excelmale.com/forum/showthread.php?10375-E2-levels-for-low-SHBG-guys

HealthMan · Feb 11, 2018

Systemlord said:
Where are your TT levels? Your E2 could be to high for you when considering your SHBG level, Dr. Crisler and Dr Saya hinted that low SHBG guys have a ton of free estrogen when their E2 levels are within range, not that we really know what those ranges are.

You might try some calcium d-glucarate and DIM, Dr. Crisler states it helps with libido as it lowers free estrogen.

More here --> https://www.excelmale.com/forum/showthread.php?10375-E2-levels-for-low-SHBG-guys

DIM indeed helps with my libido. My SHBG is low 20s

Vince Carter · Feb 11, 2018

AS far as Polycythemia for me, no, my HCT/HGB are pretty well out of control and require 56 day donations with daily shots but my low SHBG/astronomically high Free T are probably to blame.

Vince Carter · Feb 11, 2018

Systemlord said:
Where are your TT levels? Your E2 could be to high for you when considering your SHBG level, Dr. Crisler and Dr Saya hinted that low SHBG guys have a ton of free estrogen when their E2 levels are within range, not that we really know what those ranges are.

You might try some calcium d-glucarate and DIM, Dr. Crisler states it helps with libido as it lowers free estrogen.

More here --> https://www.excelmale.com/forum/showthread.php?10375-E2-levels-for-low-SHBG-guys

Thank you for bringing that subject up.

Mr MJ · Feb 12, 2018

Vince Carter said:
Thank you for bringing that subject up.

My TT levels are around 600 and E2 is 32 SHBG is 20s. I have used DIM before but with little success. Dr Crisler stated that I am a high converter of estrogens. When I did SUBq it allowed me to eliminate arimidex - I had to stop it because of joint and bone issues. I did have more energy when my TT levels were around 1000.

Vince · Feb 12, 2018

When first going to daily injections, results won't happen overnight. It will take months. I believe daily will help to lower both HCT and E2. I like using a easy touch 29g 1/2" syringe for my injections, it's so small of a needle you can hardly feel it. I like to inject first thing in the morning, a lot of times I'll inject even before I urinate.

Mr MJ · Feb 12, 2018

Vince said:
When first going to daily injections, results won't happen overnight. It will take months. I believe daily will help to lower both HCT and E2. I like using a easy touch 29g 1/2" syringe for my injections, it's so small of a needle you can hardly feel it. I like to inject first thing in the morning, a lot of times I'll inject even before I urinate.

Thanks- I have used the 29g syringes before but did you backfill? I believe this is mylast option as I can't stop TRT. How did you arrive at your inital starting dosage for everyday?

Michael,

Vince · Feb 12, 2018

I I originally started with 22 mg of T daily, then lower it to 20 mg daily and my testosterone levels were through the roof. Presently I'm injecting 16 mg testosterone cypionate daily, I haven't tested my levels yet. Hoping they'll be good.

Here's a copy of my labs at 20 mg daily.
https://www.excelmale.com/forum/showthread.php?12800-I-took-a-peek-at-my-Labs

Mr MJ · Feb 12, 2018

That is amazing! Your hematochrit has stabilized. I bet you feel better and your ferritin levels have come back up. I think I am going to give this a try. I bet I have given about 20 gallons of blood over theyears... Michael.

Vince · Feb 12, 2018

Mr MJ said:
That is amazing! Your hematochrit has stabilized. I bet you feel better and your ferritin levels have come back up. I think I am going to give this a try. I bet I have given about 20 gallons of blood over theyears... Michael.

That was a main reason I started doing daily injections, I was so tired of donating blood every 8 weeks. Donating blood just got old for me, the blood center continues calling me asking me to donate but I haven't donated now for a year Hallelujah.

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