Blood work

[pureblood]

Hi Folks,
I'm still new here and still trying to dial in my trt, So I hate to always be the new guy with nothing to contribute but I'm kinda fumbling my way through things at the moment.
Just got my 6 week bloodwork back and my Dr. had me on 200mgs cyp a week, but my number came back at 518 at a trough level so he wants to bump me up to 240 mgs/wk. I was under the impression that 200/wk was the max and anything more was cycling. Am I wrong? Overall I feel better, sex drive went from terrible to much better, but also using Cialis daily.
My protocol at the moment is test 2x's wk-hcg 250 at 2 x's wk, no A.I

 

[CoastWatcher]

Hi Folks,
I'm still new here and still trying to dial in my trt, So I hate to always be the new guy with nothing to contribute but I'm kinda fumbling my way through things at the moment.
Just got my 6 week bloodwork back and my Dr. had me on 200mgs cyp a week, but my number came back at 518 at a trough level so he wants to bump me up to 240 mgs/wk. I was under the impression that 200/wk was the max and anything more was cycling. Am I wrong? Overall I feel better, sex drive went from terrible to much better, but also using Cialis daily.
My protocol at the moment is test 2x's wk-hcg 250 at 2 x's wk, no A.I

No, you're not cycling at that level. You're injecting 100mg twice weekly, is that what I understand? And you've been told to go to 120mg twice weekly?

 

[pureblood]

No, you're not cycling at that level. You're injecting 100mg twice weekly, is that what I understand? And you've been told to go to 120mg twice weekly?

Yes Coastwatcher thats it in a nutshell

 

[CoastWatcher]

And your SHBG, low? How low?

 

[pureblood]

And your SHBG, low? How low?

Not sure, they didn't test for it, just test, and e2 levels

 

[CoastWatcher]

Not sure, they didn't test for it, just test, and e2 levels

They have never tested your SHBG level? Even prior to treatment? Low SHBG requires more frequent, small injections. If your SHBG is really low, jacking up your total testosterone may not be in your best interests. I wonder about the care you're getting.

 

[pureblood]

No SBHG was checked in the initial blood work, it was o.k.(trying to find a copy of my bloods as we speak). I'm already doing 2x's a week with no problems so I can switch to ed with a slin pin too. Just wasn't sure if 240mgs/cyp was out of the healthy range for trt.......and yes I wonder about the care I'm getting too, which is why I'm trying to learn around here lol. I'm paid for currently, but at the end of my contract, I'll be calling Defy.

 

[CoastWatcher]

No SBHG was checked in the initial blood work, it was o.k.(trying to find a copy of my bloods as we speak). I'm already doing 2x's a week with no problems so I can switch to ed with a slin pin too. Just wasn't sure if 240mgs/cyp was out of the healthy range for trt.......and yes I wonder about the care I'm getting too, which is why I'm trying to learn around here lol. I'm paid for currently, but at the end of my contract, I'll be calling Defy.

Low SHBG calls for smaller, frequent doses of testosterone, not larger and larger doses. I have no idea if that is an issue, but you are at the very top of typical TRT doses at 200mg per week with midrange values. To push another 40mg a week at you, when it is reasonable to think you are clearing your dose too quickly, well, that makes no sense. It seems they aren't considering you as an individual, simply fitting you into a cookie-cutter mold. This is concerning.

 

[Sean Mosher]

I inject 250mg weekly.
Seemed initially like a lot to me too, but my latest levels came back great (814ng/dl or so I believe).
Only "issue" I've ever had, like many on this board, was high hematocrit, but I donate to address that and it works.

 

[CoastWatcher]

I inject 250mg weekly.
Seemed initially like a lot to me too, but my latest levels came back great (814ng/dl or so I believe).
Only "issue" I've ever had, like many on this board, was high hematocrit, but I donate to address that and it works.

Your post proves that we're all different. But pureblood's care raises some important questions.

 

[pureblood]

Low SHBG calls for smaller, frequent doses of testosterone, not larger and larger doses. I have no idea if that is an issue, but you are at the very top of typical TRT doses at 200mg per week with midrange values. To push another 40mg a week at you, when it is reasonable to think you are clearing your dose too quickly, well, that makes no sense. It seems they aren't considering you as an individual, simply fitting you into a cookie-cutter mold. This is concerning.

Yes I tend to agree. Unfortunately I'm paid up for another 6 months before I can try Defy, so I'm trying to make do...Also my SBHG was 17 on initial blood work, with a 10-80 range.
Do you think I'd be better off going with more frequent shots? If I'm only using a 29g 1/2 pin I'd be fine with it.
Thanks for your time, I appriciate it.

 

[ERO]

At the very least cut your dose in half and inject twice a week. More often would likely be even better - say EOD.

 

[CoastWatcher]

At the very least cut your dose in half and inject twice a week. More often would likely be even better - say EOD.

Whatever choice you make, stick with the decision for at least six weeks. It will take that long for serum levels to settle. ERO's observation on EOD dosing is worth considering. I inject on a daily basis, SHBG is simply something that has to be dealt with. All the best.