Hello…. Looking for advise

[Nandomart]

Hello everyone,
45 years old, 5 11” about 215 lbs
Had an appointment with my Uro and he did some lab work and informed me that my testosterone was on the low end.

Hematocrit= 45.8
Normal range: 40.0 - 51.0 %

PROLACTIN = 10.85​

Normal range: 3.0 - 20.0 ng/ml

LH-URO = 7.28​

Normal range: 0.7 - 7.9 mIU/mL

FSH-URO = 1.61​

Normal range: 1.5 - 12.4 mlU/m

Estradiol = 16.10​

Normal range: 0 - 60.7 pg/mL

Total TESTOSTERONE LEVEL = 322​

Normal range: 300 - 1,000 ng/dl

PSA = .43​

Normal range: 0 - 4.0 ng/mL

I was prescribed the following:

1 mil or 100 units weekly test cypionate


.75ml hcg
Inject subcutaneously weekly
(Reconstitute with 6ml bacteriostatic water and refrigerate after mixing) not sure what that means….

Anastrozole 1 mg weekly


I haven’t started the regiment. I’ve been doing my research and I was wondering if you all could provide me with advise.

Should I split the dosage on the test from 1 shot to 2 shots?

How about the hcg?

Should I split the anastrozole?

To be honest I’m nervous about starting the regiment, I have been lacking motivation,brain fog and I have been more fatigued.

 

[Systemlord]

Should I split the dosage on the test from 1 shot to 2 shots?

TRT is all about trial and error, you find what works best for you and report back.

How about the hcg?

HCG isn’t for everyone, for some it’s necessary and not for others. Some men can’t tolerate it beyond the first few doses.

Should I split the anastrozole?

You may be in for a world of hurt, this drug is powerful and can render your estrogen undetectable after the first dose.

Most men don’t need anastrozole. It doesn’t seem you found a competent provider. Mixing the bodybuilding world with TRT is commonplace.

Three different substances, this is going to complicate the dialing in process. Sides could come from three different sources.

It’s best to start TRT in isolation, your body needs testosterone, give it testosterone. Keep it simple.

 

[Nandomart]

Thanks for the advise, my provider was Dr. Lipshultz. I consulted with him after lurking in the forum and seeing that he was highly recommended.

 

[madman]

Hello everyone,
45 years old, 5 11” about 215 lbs
Had an appointment with my Uro and he did some lab work and informed me that my testosterone was on the low end.

Hematocrit= 45.8
Normal range: 40.0 - 51.0 %

PROLACTIN = 10.85​

Normal range: 3.0 - 20.0 ng/ml

LH-URO = 7.28​

Normal range: 0.7 - 7.9 mIU/mL

FSH-URO = 1.61​

Normal range: 1.5 - 12.4 mlU/m

Estradiol = 16.10​

Normal range: 0 - 60.7 pg/mL

Total TESTOSTERONE LEVEL = 322​

Normal range: 300 - 1,000 ng/dl

PSA = .43​

Normal range: 0 - 4.0 ng/mL

I was prescribed the following:

1 mil or 100 units weekly test cypionate


.75ml hcg
Inject subcutaneously weekly
(Reconstitute with 6ml bacteriostatic water and refrigerate after mixing) not sure what that means….

Anastrozole 1 mg weekly


I haven’t started the regiment. I’ve been doing my research and I was wondering if you all could provide me with advise.

Should I split the dosage on the test from 1 shot to 2 shots?

How about the hcg?

Should I split the anastrozole?

To be honest I’m nervous about starting the regiment, I have been lacking motivation,brain fog and I have been more fatigued.

I was prescribed the following:

1 mil or 100 units weekly test cypionate


.75ml hcg
Inject subcutaneously weekly
(Reconstitute with 6ml bacteriostatic water and refrigerate after mixing) not sure what that means….

Anastrozole 1 mg weekly


As good as Lipshultz is this is a typical cookie cutter protocol which would most likely be a whopping starting dose of 200 mg T/week with an AI thrown in to boot!

Shame he would start you on such!

The whopping starting dose with hCG thrown in to boot is going to have your FT and estradiol sky-high hence why the AI was thrown in.

Tread lightly when it comes to use of an AI let alone the need for one!

Ts metabolites estradiol and DHT are needed.

Having healthy levels of estradiol is critical!

Ts metabolites estradiol and DHT are needed in healthy amounts to experience the full spectrum of testosterones beneficial effects on (cardiovascular health, brain health, libido, erectile function, bone health, tendon health, immune system, lipids, and body composition).

You need to state the strength of your T but even then I would put money on it that its 200 mg/mL as no one in their right mind would throw in an AI with a starting dose of 100 mg T/week.

Even then most commonly used esters TC or TE would be the 200 mg/mL strength.

Common starting dose would be 100 mg T/week or better yet 50 mg T split twice-weekly.

Most men on TTh are injecting 100-200 mg T/week whether once weekly or split into twice-weekly (every 3.5 days), M/W/F, EOD or daily.

Even then the majority of men can easily hit a healthy let alone high trough FT injecting 100-150 mg T/week especially when split into more frequent injections.

Yes there are some outliers who may need the higher-end dose 200 mg T/week but it is far from common as in RARE!

Such dose is overkill for most let alone starting therapy.

Best piece of advice is to start low and go slow on a T only protocol as we want to see how your body reacts to testosterone and where said protocol (dose of T/injection frequency) has your trough TT, FT and estradiol let alone other critical blood markers RBCs, hemoglobin and hematocrit.

There will always be time to throw in the hCG or increase your dose if need be!

 

[Nandomart]

Madman I appreciate your feedback. I’m confused by your comment “You need to state the strength of your T but even then I would put money on it that its 200 mg/mL as no one in their right mind would throw in an AI with a starting dose of 100 mg T/week.”

Is this not the strength? “1 mil or 100 units weekly test cypionate”


If it isn’t where can I find that information?

Your concerns are why I haven’t started the protocol. I have had it for 2 weeks now. It’s a little discouraging that Dr. Lipshultz would prescribe these as a starting protocol based on you alls feedback so far.

I was under the impression that HCG would help maintain fertility but it seems that it may do more harm now vs just starting a just testosterone protocol.

 

[Systemlord]

It’s a little discouraging that Dr. Lipshultz would prescribe these as a starting protocol based on you alls feedback so far.

I'm surprised as well.

 

[madman]

Madman I appreciate your feedback. I’m confused by your comment “You need to state the strength of your T but even then I would put money on it that its 200 mg/mL as no one in their right mind would throw in an AI with a starting dose of 100 mg T/week.”

Is this not the strength? “1 mil or 100 units weekly test cypionate”


If it isn’t where can I find that information?

Your concerns are why I haven’t started the protocol. I have had it for 2 weeks now. It’s a little discouraging that Dr. Lipshultz would prescribe these as a starting protocol based on you alls feedback so far.

I was under the impression that HCG would help maintain fertility but it seems that it may do more harm now vs just starting a just testosterone protocol.

Is this not the strength? “1 mil or 100 units weekly test cypionate”


No that is the volume of the oily solution you will be injecting.

1 mL insulin syringe = 100 units.

If the strength of your TC is 200 mg/mL (most likely) then 1 unit = 2 mg TC.

1 mL (100 units) = 200 mg TC

TC comes in 100 mg and 200 mg/mL strength and 200 mg/mL strength is what is most commonly used!

It will be on the label of your TC package/vial.

Yes the main reason one would use hCG with exogenous T is to maintain fertility and prevent/minimize testicular atrophy.

Many do start exogenous T with hCG but the downfall here is you will have no idea how your body reacts to T only let alone where said dose will have your trough TT, FT and estradiol.

hCG will also drive up your T and estradiol.

If you run into any issues it will be hard to pinpoint whether is is the T or hCG.

 

[Nandomart]

You are correct it is 200 mg TC. Would you recommend starting by splitting the dosage or a single shot a week? If a single shot a week what day of the week do you recommend?

 

[Systemlord]

Would you recommend starting by splitting the dosage or a single shot a week? If a single shot a week what day of the week do you recommend?

I would recommend 50 mg twice weekly as this will get the majority of men to mid range or higher.

 

[madman]

You are correct it is 200 mg TC. Would you recommend starting by splitting the dosage or a single shot a week? If a single shot a week what day of the week do you recommend?

Drop the AI!

If you want to avoid the big swing in peak--->trough when injecting once weekly then the most sensible move would be starting on 100 mg T/week split into twice-weekly injections (50 mg every 3.5 days).

You will clip the peak-->trough and blood levels will be more stable throughout the week.

You will be injecting .25 mL (25 units) which would be 50 mg TC every 3.5 days!