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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Basic erection questions
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<blockquote data-quote="Cataceous" data-source="post: 200457" data-attributes="member: 38109"><p>In addition to dropping the AI I would experiment with lower doses of testosterone. With lowish SHBG you likely don't need so much. I think you could reduce the cypionate to as little as 12 mg daily without becoming hypogonadal. There's a decent chance you'd feel better dosing somewhere between this and your current 22 mg. Just give things lots of time to settle between changes.</p><p></p><p>For further perspective: If you had average SHBG then with your current free testosterone your total testosterone would be over 900 ng/dL, according to the Vermeulen calculator. And if the average guy your age had your SHBG of 16 nMol/L then his total testosterone would be about 500 ng/dL. You're sitting 50% higher than that. What if this level is unnatural for your body? This and the loss of upstream hormones are two of the most common reasons why guys have problems with TRT.</p><p></p><p>Regarding nocturnal erections, they do seem to be an indicator of when things are working right. They can also be surprisingly sensitive to minor perturbations. I recently tried adding a mere 1 mg nandrolone (NPP) to my daily protocol and was surprised at the disruption caused by such a seemingly minor change, including a major reduction in nocturnal erections. This makes the whole system more sensitive than I would have suspected. The takeaway is that trial and error are necessary components of TRT dosing.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 200457, member: 38109"] In addition to dropping the AI I would experiment with lower doses of testosterone. With lowish SHBG you likely don't need so much. I think you could reduce the cypionate to as little as 12 mg daily without becoming hypogonadal. There's a decent chance you'd feel better dosing somewhere between this and your current 22 mg. Just give things lots of time to settle between changes. For further perspective: If you had average SHBG then with your current free testosterone your total testosterone would be over 900 ng/dL, according to the Vermeulen calculator. And if the average guy your age had your SHBG of 16 nMol/L then his total testosterone would be about 500 ng/dL. You're sitting 50% higher than that. What if this level is unnatural for your body? This and the loss of upstream hormones are two of the most common reasons why guys have problems with TRT. Regarding nocturnal erections, they do seem to be an indicator of when things are working right. They can also be surprisingly sensitive to minor perturbations. I recently tried adding a mere 1 mg nandrolone (NPP) to my daily protocol and was surprised at the disruption caused by such a seemingly minor change, including a major reduction in nocturnal erections. This makes the whole system more sensitive than I would have suspected. The takeaway is that trial and error are necessary components of TRT dosing. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Basic erection questions
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