Eod dosing and blood work timing

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Mmoose

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Hi everyone, just a quick question for the knowledgebase.
living in Canada and going to a pretty well respected trt clinic, but heard something that doesn't really make sense to me about blood draws. On an eod dosing schedule I usually get blood work done the day of my next injection, before injection and was told this was wrong. To find my trough I should wait 4 days and get tested (inject on monday, tuesday off skip wed injection, thurs off and go friday before my injection).
Is this correct or is doc trying to post lower numbers on purpose? Is there even a trough on an eod schedule?
 
Defy Medical TRT clinic doctor
You have a trough on ANY injection schedule. I think your Dr is purposely looking for lower numbers or is just ignorant to how this is properly executed.
 
For an American Dr I might think possibly that there's a private insurance angle in showing a lower number, to keep insurance paying for the meds.
 
Mmoose said:
Hi everyone, just a quick question for the knowledgebase.
living in Canada and going to a pretty well respected trt clinic, but heard something that doesn't really make sense to me about blood draws. On an eod dosing schedule I usually get blood work done the day of my next injection, before injection and was told this was wrong. To find my trough I should wait 4 days and get tested (inject on monday, tuesday off skip wed injection, thurs off and go friday before my injection).
Is this correct or is doc trying to post lower numbers on purpose? Is there even a trough on an eod schedule?
Click to expand...

I can see where your doc is coming from.
You have this 40 days until you reach steady state on T cyp. thing going on.
Then many think your last T shot peaks 24 hours after taken so how could that possiblly be a trough?
You doc is probably thinking the steady state lvl is more important than the peak from your last shot.

We all know our T lvl goes up and down during the day from the body dumping it to our latest shot coming on.
If it didn't we would not have to keep injecting.

Guessing when you are at your lowest is pretty much impossible.
You just have to pick a time and say that is what I am going to use every time I measure my lvl.

If you'd like to know more about steady state give this a read. Oh, and welcome to the forums.

Medication in system doubles when it reaches it's steady state (5 half lives of that specific medication). So if you took 100mg of test cyp/ week, the milligrams in your body would constantly be increasing until roughly 40 days go by. That means at 40 days, you will have 200mg in your system, not 100mg anymore. So if you don't feel anything that great even after a few weeks on a specific dosage of testosterone, just be patient. Your total testosterone should constantly be increasing from day one until day 40. So with test cyp, only make dosage changes after 40 days of being on that specific dosage and frequency. This is why people always say it takes testosterone sometimes 3-6 weeks to “kick in”. It has to do with your receptors getting acclimated to these new testosterone levels, but it also has to do with the fact that maybe that 100mg in your system when you started didn't really make you feel that great or raise your testosterone levels high enough, but after 40 days (5 weeks), you now have 200mg in your system and your total testosterone should now be doubled from when you first started, and this amount of milligrams in your system might be just what you needed to feel good and get your numbers where they should be. Just think about it, 5 weeks is right there in-between 3-6 weeks. It makes perfect sense that people start feeling it around then, this is exactly when your body reaches a “steady state” on testosterone cypionate.
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Last edited:
Mmoose said:
Thanks, appreciate the feedback, awesome forum with members taking the time to give advice!
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To get an accurate picture regardless of your injection protocol you need 6 weeks on that specific protocol to reach steady state than have blood work done at trough.

Mind you when injecting more frequently such as daily, EOD, M/W/F than your levels will be much more stable than once weekly injections.

As far as troughs are concerned when injecting once weekly there will be a much bigger difference between peak/trough as oppose to injecting more frequently.

Especially when one is injecting daily or EOD as blood levels will be more stable and there will be less variance between peak/trough (peaks will not be as high and troughs will not be as low) even though there will still be fluctuations.

If you have reached your steady state using the EOD injection protocol (M/W/F/Sun/Tues/Thurs/Sat---> repeat) than as an example say injection is done Monday 9am than have blood work for trough done on Wednesday morning just before your injection at 9am.
 
Skipping injections would not be giving you a trough.....just piss poor advice/understanding on your so called best Clinic in our True North Strong and Free!

What clinic is this?
 
madman said:
Skipping injections would not be giving you a trough.....just piss poor advice/understanding on your so called best Clinic in our True North Strong and Free!

What clinic is this?
Click to expand...

I agree with madman's advice, I wouldn't skip an injection. I would just do Labs as normal, on injection day before you inject.
 
Mmoose said:
I agree, this Dr is usually on the ball and this sounded totally wrong to me. It's the clinic in Aurora.
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Aurora Illinois I presume, Nelson has a friend who's a doctor in Illinois. I'll have to look up his name and post it.
 
Mmoose said:
Hi everyone, just a quick question for the knowledgebase.
living in Canada and going to a pretty well respected trt clinic, but heard something that doesn't really make sense to me about blood draws. On an eod dosing schedule I usually get blood work done the day of my next injection, before injection and was told this was wrong. To find my trough I should wait 4 days and get tested (inject on monday, tuesday off skip wed injection, thurs off and go friday before my injection).
Is this correct or is doc trying to post lower numbers on purpose? Is there even a trough on an eod schedule?
Click to expand...

What type of protocol are you on?

Compounded testosterone?

Are you paying out of pocket.....clinics can be $$

I am prescribed through my urologist and our provinces O.H.I.P (Ontario Health Insurance Plan) covers it.
 
Mmoose said:
Thanks Vince, Dr. Is Probably worried about getting audited.
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If you are paying out of pocket highly doubtful your levels on labs whether within the set physiological range would make a difference.

Now if you trt prescription is covered by our provinces medical plan O.H.I.P (thank god we have this in Canada) than insurance will be strict in making sure that your testosterone levels fall within the set lab range.

A lot of these so called WELLNESS clinics are putting men on high doses of testosterone (200mg/week) from the get go!
 
My protocol is 105 mg test cyp per week, I inject 30 mg eod.
pay $900/year for services and my medicationa and blood tests are covered by my work benefits. Know it's expensive but I do feel better and am thankful for that.
 
Vince Carter said:
You have a trough on ANY injection schedule. I think your Dr is purposely looking for lower numbers or is just ignorant to how this is properly executed.
Click to expand...

I'm thinking your doc is doing it on purpose. Im in Ontario Canada too bud. I've had a discussion with my Nurse Practitioner about this. It's for auditing purposes. I'm on TRT bioidentical cream though 100mg twice a day and some DHEA. She gets me to skip my morning doses the day I get my labs drawn in the am. She doesn't want supra-physiological lab results from taking meds the same day.
 
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