Hello from NC

[madman]

Again, I didn’t literally mean it stops at three months and doesn’t go up after that. The main point is that just because it goes up a few points within the first three months that trajectory of increase would not sustain. The most rapid rise occurs early on, and for most guys it will have stabilized over the course of the next few months. This is especially true for younger guys.


But as usual you try to shit all over anyone who says something you can even remotely misconstrue with the worst possible interpretation. No wonder so many people lurk here instead of posting… probably worried you’ll blow a gasket as usual if they say something you can nitpick and find something to freak out about.

* Erythrocytosis tends to occur in the first 6 months of treatment, peaks within the first year of therapy

Anyone in the know is still testing hematocrit 12 months in after starting therapy!

The first 6 months is critical and the biggest increase will be seen during that time but it can still increase further within the first year.

It is far from a given that where your hematocrits sits 3 months in let alone 6 months in is where it will end up!

LMFAO!

Again you have no clue where the OPs hematocrit would end up 6-9 months in let alone at the one year mark on 140 mg T/week!

Even then seeing an increase early on he was already not far off from 54% and chances are he would have pushed it past 54% eventually if he stuck with that dose long enough.

He never even stayed on 140 mg T/week long enough before experimenting with lower doses let alone before his doc made him drop his dose.

Top it off his hematocrit was already on the higher-end/high pre-TTH most likely due to his OSA and he should have never been started on 140 mg T/week from the get-go!

If his OSA was addressed from the get-go he would have been able to avoid pushing. it up too high.

Again you clearly burned yourself plain and simple!

You need to renege on that one choose your wording wisely next time even then you will still probably have no clue what you are talking about!

Sure you want to keep an eye on things like hematocrit, but the increase usually doesn’t increase beyond the initial small bump people see at the beginning of treatment. In other words, if it had increased a few points in the first 3 months there’s no reason to think it would continue to increase over time. It’s just your body adjusting to its new environment.

I will make it easier for you to understand!

* there’s no reason to think it would continue to increase over time. It’s just your body adjusting to its new environment.

Pure nonsense!

Again he never put the time in on 140 mg T/week.

Guess what he stated in post #16 went over your head too!

My complaint to my urologist was hey, libido was part of the reason I started TRT and it's gotten worse not better at x-dosage, certainly I was referring to the honeymoon phase where a breeze would have me standing tall. So he said ok go back up to 140 mg and use aromasin to control estrogen, pretty sure his reasoning for starting me on an AI was me having anxiety, and lack of libido as well as just general irritability. It was certainly an odd appointment he didn't give much by the way of instruction on when to use AI or if my blood work comes back at this amount then use it. It was just an ok here ya go type thing.

Yet you seemed to be dead set that 140 mg T/week is where its at you know that protocol that unfortunately he never stayed on long enough before experimenting with lower doses on his own let alone before his doc made him drop his dose!

I could run circles around you and some of those sheep you surround yourself with on here.

Making this way too easy here!

No wonder so many people lurk here instead of posting… probably worried you’ll blow a gasket as usual if they say something you can nitpick and find something to freak out about.

LOL same ol sob story spewed by the herd.

Nothing to chew on here!

Like I said bring your A game son!

 

[Phil Goodman]

* Erythrocytosis tends to occur in the first 6 months of treatment, peaks within the first year of therapy

Anyone in the know is still testing hematocrit 12 months in after starting therapy!

The first 6 months is critical and the biggest increase will be seen during that time but it can still increase further within the first year.

It is far from a given that where your hematocrits sits 3 months in let alone 6 months in is where it will end up!

LMFAO!

Again you have no clue where the OPs hematocrit would end up 6-9 months in let alone at the one year mark on 140 mg T/week!

Even then seeing an increase early on he was already not far off from 54% and chances are he would have pushed it past 54% eventually if he stuck with that dose long enough.

He never even stayed on 140 mg T/week long enough before experimenting with lower doses let alone before his doc made him drop his dose.

Top it off his hematocrit was already on the higher-end/high pre-TTH most likely due to his OSA and he should have never been started on 140 mg T/week from the get-go!

If his OSA was addressed from the get-go he would have been able to avoid pushing. it up too high.

Again you clearly burned yourself plain and simple!

You need to renege on that one choose your wording wisely next time even then you will still probably have no clue what you are talking about!

Sure you want to keep an eye on things like hematocrit, but the increase usually doesn’t increase beyond the initial small bump people see at the beginning of treatment. In other words, if it had increased a few points in the first 3 months there’s no reason to think it would continue to increase over time. It’s just your body adjusting to its new environment.

I will make it easier for you to understand!

* there’s no reason to think it would continue to increase over time. It’s just your body adjusting to its new environment.

Pure nonsense!

Again he never put the time in on 140 mg T/week.

Guess what he stated in post #16 went over your head too!

My complaint to my urologist was hey, libido was part of the reason I started TRT and it's gotten worse not better at x-dosage, certainly I was referring to the honeymoon phase where a breeze would have me standing tall. So he said ok go back up to 140 mg and use aromasin to control estrogen, pretty sure his reasoning for starting me on an AI was me having anxiety, and lack of libido as well as just general irritability. It was certainly an odd appointment he didn't give much by the way of instruction on when to use AI or if my blood work comes back at this amount then use it. It was just an ok here ya go type thing.

Yet you seemed to be dead set that 140 mg T/week is where its at you know that protocol that unfortunately he never stayed on long enough before experimenting with lower doses on his own let alone before his doc made him drop his dose!

I could run circles around you and some of those sheep you surround yourself with on here.

Making this way too easy here!

No wonder so many people lurk here instead of posting… probably worried you’ll blow a gasket as usual if they say something you can nitpick and find something to freak out about.

LOL same ol sob story spewed by the herd.

Nothing to chew on here!

Like I said bring your A game son!

https://journals.physiology.org/doi/full/10.1152/ajpendo.2001.281.6.E1172

1. Bhasin et al. (2008) – Testosterone Dose-Response Study in Healthy Men


• Source: Bhasin, S., et al. (2008). “Testosterone dose-response relationships in healthy young and older men.” Published in a journal cited by Canadian Medical Association Journal (2017) (Web ID: 10).


• Findings: This RCT examined hematocrit changes in healthy young (19–35 years) and older men (60–75 years) receiving graded doses of testosterone enanthate (25, 50, 125, 300, 600 mg weekly). Hematocrit increases were observed within 1 month, with peak increases by 3 months (12 weeks). At a 125 mg dose, 75% of older men and 42% of younger men reached peak hematocrit by 12 weeks, indicating stabilization within 3–6 months for most participants. The study noted dose-dependent increases, with stabilization occurring earlier at lower doses.

https://academic.oup.com/jcem/article-abstract/93/3/914/2598663?redirectedFrom=fulltext&login=false

Coviello et al. (2013) – Testosterone and Erythropoiesis in Older Men


• Source: Coviello, A. D., et al. (2013). “Effects of graded doses of testosterone on erythropoiesis in healthy older men.” The Journals of Gerontology: Series A (Web ID: 10).


• Findings: This RCT studied older men (60–75 years, n=61) with mobility limitations receiving testosterone enanthate (25, 50, 125, 300 mg weekly). Hematocrit and hemoglobin increased significantly within 3 months, establishing a new erythropoietin/hemoglobin “set point” by this time. No consistent erythropoietin increase was observed after 20 weeks (5 months), confirming stabilization within ~3–6 months for most participants. The study highlighted that hematocrit plateaued as erythropoietin levels returned to baseline.





But even without sharing those studies, we can both see that I was actually correct in OP’s case. Like I said, he saw an initial jump of a few points, after which it stabilized. And that’s exactly what we should expect based on studies and countless anecdotal reports. So again, I was correct. But us sitting here arguing isn’t helping anyone(unless there are people who find it amusing), so at this point I’ll just say I accept your apology.