been on trt 3 years, need more now?

[Paddy]

Ive been on trt for 3 years. I responded really well to trt. Sexual functioning, muscle gain, energy boost all came quickly after starting. After getting dialed in from 160mg to 140mg/week, 2 injections a week, things went swimmingly for a while. My T on my labs averaged right around 1000. However, my last couple of labs had my T coming in at 700 and 800.
My libido is low. Still functioning sexually but just not the drive that I had. Also Ive noticed that I haven't been sleeping well lately, wake up several times a night and haven't had morning wood for a few months. MY QUESTION: is it unusual for a guy to need more testosterone after a while?
Thanks.
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[BradWI]

I'm basically the opposite. Unchanged protocol - year 1 was 600-688. Year 3 is 968-1051.

Free 22.22 ng/dL to now 33.69.

 

[Systemlord]

Total T is the inactive portion of testosterone, Free T is where the rubber meets the road, SHBG levels influence the Total and Free T.

There no way to determine if what we are dealing with is suboptimal Free T or Free T that is too high creating E2 excess, which can cause mental and sexual sides.

You will not be on the same dosage forever, you body changes and may need a dosage increase/decrease in the foreseeable future. You might be able to go several months or years on the same dosage before needing a dosage adjustment.

 

[SilverSurfer]

I'm basically the opposite. Unchanged protocol - year 1 was 600-688. Year 3 is 968-1051.

Free 22.22 ng/dL to now 33.69.

Have you lost weight (fat) or gained in lean mass/muscle weight?

 

[BradWI]

Have you lost weight (fat) or gained in lean mass/muscle weight?

Yep. Down from 242 lbs to 188 lbs. Lift 6 days a week now too.

SHBG 14-> 54 over that period.

 

[SilverSurfer]

Yep. Down from 242 lbs to 188 lbs. Lift 6 days a week now too.

SHBG 14-> 54 over that period.

Obviously, that’s why your numbers have improved while your protocol remains the same. Your situation isn’t reflective of what the OP asked.

 

[BradWI]

Obviously, that’s why your numbers have improved while your protocol remains the same. Your situation isn’t reflective of what the OP asked.

For that to be logically true, he would have to have gained weight.

 

[M.J]

I had problems sleeping used to wake up a few times at night, thought it was related to my trt, turns out I was low in ferritin. All symptoms are gone now after supplementing with iron.

 

[fifty]

Interesting. Surprised that isn’t normally tested for.

 

[Vtail]

I had problems sleeping used to wake up a few times at night, thought it was related to my trt, turns out I was low in ferritin. All symptoms are gone now after supplementing with iron.

What was your ferritin level when you had trouble sleeping? And what was the level when sleeping improved?

 

[M.J]

What was your ferritin level when you had trouble sleeping? And what was the level when sleeping improved?

Search the forum for:
Sleep apnea/insomnia on TRT can time fix it? advice needed


I was 12 ng/ml had all kind of issues, now I am around 20 ng/ml and i am 90% sleeping normal now but I feel I can still improve it as I am still below range, taking iron daily now

 

[Vince]

Sleep apnea/insomnia on TRT can time fix it? advice needed

 

[Cataceous]

For [reduction in serum T with same dose] to be logically true, he would have to have gained weight.

Or reduced his SHBG, which happens to be a common occurrence on TRT. The testosterone dose drives free testosterone. Total testosterone ends up where dictated by free T and SHBG.