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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
I Haven’t Slept in 4 years. What to Do?
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<blockquote data-quote="Cataceous" data-source="post: 191700" data-attributes="member: 38109"><p>I've been there, getting four hours of sleep a night and feeling pretty miserable. I've chipped away at the problem over the years, to the point where I now get 6-7 hours of pretty good quality sleep and feel decent during the day. Here's what the protocol includes, roughly from strongest to weakest:</p><p></p><p>• First-gen antihistamine. These actually work well for me, but the link to dementia of these anticholinergics makes me uneasy, so I try to minimize use. Unfortunately they are still essential. Currently I take 25 mg diphenhydramine. Doxylamine is maybe even more effective. A trick for extending the duration of action is to place the medication in an enteric capsule, which are available on Amazon, <a href="https://www.amazon.com/PurecapsUSA-Fillable-Acid-Resistant-Enteric-Capsules/dp/B078883XD5/" target="_blank">example</a>. I think this provides up to an extra hour, and may work with other meds too. Alternatively, hydroxyzine has a considerably longer half life, while working similarly. It could be worth looking at. I found it was too long-acting, causing next day fuzziness. It is available through AllDayChemist.</p><p></p><p>• Time-release melatonin. 750 mcg. For me, higher doses are not better, and may even be less effective. </p><p></p><p>• Progesterone. I inject 600 mcg nightly. OTC transdermal versions are available on Amazon. Higher doses are more effective, but for long-term use I'm more comfortable keeping serum levels mid-range. I think this adds about an hour to quality sleep. It also improves mood. It may be most helpful to those who start with low levels.</p><p></p><p>• Ipamorelin. 200-300 mcg. It's not quite as effective as when I started it, but I think it's somewhat useful. IGF-1 should be monitored. It may be better if cycled.</p><p></p><p>• Diurnal testosterone variation. I already knew that injecting testosterone at night was bad for my sleep. So a reasonable extrapolation is that lower levels at night may be helpful. Natural men do see lower levels then until the early-morning rise. I now use a blend of testosterone propionate and testosterone enanthate, injected each morning. This somewhat mimics a natural rhythm in serum testosterone, and helps at least a little with sleep.</p><p></p><p>• L-tryptophan. At most a few hundred milligrams, about 1/16 teaspoon in my case. This is more for help falling asleep.</p><p></p><p>• Glycine. I take a teaspoon of this. The effect is pretty subtle, so I'm not really sure how useful it is.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 191700, member: 38109"] I've been there, getting four hours of sleep a night and feeling pretty miserable. I've chipped away at the problem over the years, to the point where I now get 6-7 hours of pretty good quality sleep and feel decent during the day. Here's what the protocol includes, roughly from strongest to weakest: • First-gen antihistamine. These actually work well for me, but the link to dementia of these anticholinergics makes me uneasy, so I try to minimize use. Unfortunately they are still essential. Currently I take 25 mg diphenhydramine. Doxylamine is maybe even more effective. A trick for extending the duration of action is to place the medication in an enteric capsule, which are available on Amazon, [URL='https://www.amazon.com/PurecapsUSA-Fillable-Acid-Resistant-Enteric-Capsules/dp/B078883XD5/']example[/URL]. I think this provides up to an extra hour, and may work with other meds too. Alternatively, hydroxyzine has a considerably longer half life, while working similarly. It could be worth looking at. I found it was too long-acting, causing next day fuzziness. It is available through AllDayChemist. • Time-release melatonin. 750 mcg. For me, higher doses are not better, and may even be less effective. • Progesterone. I inject 600 mcg nightly. OTC transdermal versions are available on Amazon. Higher doses are more effective, but for long-term use I'm more comfortable keeping serum levels mid-range. I think this adds about an hour to quality sleep. It also improves mood. It may be most helpful to those who start with low levels. • Ipamorelin. 200-300 mcg. It's not quite as effective as when I started it, but I think it's somewhat useful. IGF-1 should be monitored. It may be better if cycled. • Diurnal testosterone variation. I already knew that injecting testosterone at night was bad for my sleep. So a reasonable extrapolation is that lower levels at night may be helpful. Natural men do see lower levels then until the early-morning rise. I now use a blend of testosterone propionate and testosterone enanthate, injected each morning. This somewhat mimics a natural rhythm in serum testosterone, and helps at least a little with sleep. • L-tryptophan. At most a few hundred milligrams, about 1/16 teaspoon in my case. This is more for help falling asleep. • Glycine. I take a teaspoon of this. The effect is pretty subtle, so I'm not really sure how useful it is. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
I Haven’t Slept in 4 years. What to Do?
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