My advice? Switch to ED injections gradually moving to 200mg per week. This low-dose nonsense is just that—nonsense. Your FT should be 35 - 45 NOT 15 - 25..lol. The top Clinicians/Providers with vast REAL-WORLD clinical experience (Dr. Keith Nichols, Dave Lee, Ryan Root, Dr. Rand McClain, Dr. Todd Lee) ALL say more or less the same thing: Less is not more. More is more.
The issue is all the outliers and wannabe forum gurus hang out on these forums in an endless echo chamber of circle jerk validation spewing their confirmation bias. MOST men doing well on TRT are using 200mg per week and are too busy kicking ass at life to spend time on these forums whining and trouble shooting b/c they simply locked in at an appropriately high dose gave it a FULL 2 - 3 months without tinkering so their body could reach homeostasis and never looked back.
So to reiterate SLOWLY work your way towards ED injections 200mg per week. Save AI as an absolute last resort. Give ED injections and potentially even DIM, Zinc and CDG a chance to improve your e2 metabolization. Also, Pregnenolone and DHEA will drop over time. So you also need to consider supplementing with HCG + Preg and DHEA to keep your neurosteroids online. Keep it simple. Lock in.
And then STAY OFF all the TRT forums and Reddit. I took YEARS longer to get dialed in b/c I kept following the advice of all the broken outliers and and forum gurus. Most men ACTUALLY successfully on TRT are not wasting time on forums. It's the blind leading the blind 90% of the time. Trust me.
Your FT should be 35 - 45 NOT 15 - 25..lol. The top Clinicians/Providers with vast REAL-WORLD clinical experience (Dr. Keith Nichols, Dave Lee, Ryan Root, Dr. Rand McClain, Dr. Todd Lee) ALL say more or less the same thing: Less is not more. More is more.
MOST men doing well on TRT are using 200mg per week and are too busy kicking ass at life.
You are what we call a typical sheep, generic clone you know the one of many brainwashed by that more T is better mentality bulls**t!
CLOWN!
Top clinicians/providers LMFAO!
What these same guys that only treat a minuscule slice of the TRT pie LMFAO!
Any of the top experts in the field can blow holes through some of the s**t these guys spew!
You rookie!
Go push your nonsense elsewhere as you are clearly out of your league here!
I can name off numerous top experts in the field that have been treating 1000s of men over decades with VAST clinical experience and YEARS of RESEARCH in the field.
Throw my doctor in there too who has 20+ years under his belt and would be considered one of the top uros in Canada specializing in testosterone therapy!
They would eat this up quick!
Abraham Morgentaler
* what's important to understand though is that the concept of testosterone therapy in theory is designed to replicate youthful levels of testosterone to help people who are deficient in this hormone, the goal isn't to make them into supermen and the real question is why do people want to go above normal if at all, much of the concept of treating up lets say a 1000 let's say our normal upper limit, in the anti-aging community or age management community there are some people who believe the there's an optimal level of testosterone that may be 1200 or 1500 or even I've heard 1800 and the basis for that is WEAK!
You know the man who would be considered the father of testosterone and has made huge contributions in the field of testosterone therapy and men's health let alone has treated 1000s of men over decades!
Would be considered one of the top heavyweights when it comes to (research/clinical experience) in the field of hormone replacement therapy!
My advice? Switch to ED injections gradually moving to 200mg per week. This low-dose nonsense is just that—nonsense. Your FT should be 35 - 45 NOT 15 - 25..lol.
ED injections working his way up to a whopping 200 mg T/week LMFAO!
Strat low and go slow we say and. titrate slowly if need be and hate to burst your bubble but the majority of low-T symptoms will be relived/improved hitting a healthy (high-end/high) trough FT as in the upper 1/3rd anyone in the know would tell you this!
Again the majority of men on T-therapy would never even need 200 mg T/week to achieve such!
PIPE F**KNG DREAMS!
A trough FT 35-45 ng/dL WTF!
Based on what testing method the known to be inaccurate direct IA, cFTV, Equilibrium Ultrafiltration or the gold standard Equilibrium Dialysis?
Do you even understand FT let alone the testing methods?
As of now the top-end is 25 ng/dL and it would not even make a s*t lick a difference if it was 30 or 40 or 50!
Why because those outliers you know the men hitting that top-end FT 25 ng/dL would fall in the 95th percentile!
Better yet this is a short-lived daily peak to boot!
Not 24 hrs post-injection on dailies, 48 hrs post-injection EOD, 84 hrs post-injection twice-weekly, 72 hrs post-injection M/W/F and sure as hell not 7 days post-injection.
LMFAO!
As of now there is no standardized ED assay (device/procedure) or a f**king harmonized reference range for FT as this is still in then works.
Even then once it happens I would put money on it that the top-end as in 95th percentile will be 25-30 ng/dL.
No one told you that one of those so called experts you named still uses/relies on Equilibrium Ultrafiltration for testing FT?
Bet you did not know that it is prone to overestimating FT!
Need to get on that ED if you want to know where FT truly sits especially in cases of altered SHBG!
Claiming everyone needs to be injecting 200 mg T/week let alone hitting a trough FT 35-45 ng/dL across the board (daily vs twice-weekly vs once weekly) get the f**k outta here son!
Of course there will always be those outliers who would need the higher-end dose 200 mg T /week but they are far and few as in f**king rare!
Again anyone in the know would telll you this!
Experts you claim LOL you would mean the top dogs in the f**king game you know Morgentaler,
Khera ,
Lipshultz, Zitzmann, Traish, Anawalt, Mulhall) you know the ones that have been treating 1000s of men over decades.
You know the ones that have vast clinical experience and years of research behind the belt!
Everyone of them would tell you that the majority of men will do well on 100-150 mg T/week which would easily allow one to hit a healthy/high trough FT 15-30 ng/dL and more importantly relieve/improve every f**king symptom of low-T plain and simple.
Hope you understand that some do cater to their patients but it in no way means high doses across the board are needed not a chance!
You lack the understanding of how exogenous T works!
T is a threshold hormone!
Main point here being start low and go slow titrate the dose if need be until the threshold is crossed (bloodwork + symptoms).
Symptoms improved while at the same time minimizing/avoiding sides, keeping blood markers healthy and maintaining long-term health is key here!
Crossing the threshold turns the lights on but cranking the dimmer switch past that doesn't make them shine brighter. It's a ceiling effect, not a linear dose-response.
Especially when it comes to libido and erectile function.
Last thing you want to be doing here is hammering the s**t out of your CNS and dopamine!
The majority of symptoms will be improved once you achieve a healthy FT which for most would be aiming for a healthy/high-end trough 15-25 ng/dL nah we will give you 30 ng/dL LMFAO!
Again we are talking f**king trough FT here BRUH!
This trough FT 15-25 ng/dL is not across the board BRUH as one needs to be mindful of the trough/injection frequency.
World of difference between one hitting a high trough FT 25-30 ng/dL injecting daily vs twice-weekly vs once weekly!
Give your head a second shake son!
Yes some will choose to run higher levels but the main benefit you are going to get here when driving up your FT sky-high is better gains in muscle/enhanced strength and recovery.
No denying high FT levels 24/7 steady-state are optimal when it comes to packing on muscle/increasing strength that is why men abuse T/AAS!
And then STAY OFF all the TRT forums and Reddit. I took YEARS longer to get dialed in b/c I kept following the advice of all the broken outliers and and forum gurus. Most men ACTUALLY successfully on TRT are not wasting time on forums. It's the blind leading the blind 90% of the time. Trust me.
You definitely need to stay off the forums especially those kiddie one you frequent and throw goo tube in there too!
You should not be dishing out advice on T!
MOST men doing well on TRT are using 200mg per week and are too busy kicking ass at life to spend time on these forums whining and trouble shooting b/c they simply locked in at an appropriately high dose gave it a FULL 2 - 3 months without tinkering so their body could reach homeostasis and never looked back.
Most men doing well are not injecting 200 mg T/week this is pure f**king nonsense!
Kicking ass at life LMFAO you sound like Tony Robbins!
Maybe kicking ass in the gym!
Maybe sporting that fake build making one feel more manly LMFAO
Why do you think so many are gunning for that 200 mg T/week protocol?
Getting jacked BRUH!
Sure as hell not because it will have every man running around with a raging libido. and titanium erections to boot!
Everyone is caught up on the more T is better mentality!
I know guys with average or sub-par T levels and they would eat you up LOL!
