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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Is my doctor being too cautious?
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<blockquote data-quote="Blackhawk" data-source="post: 146256" data-attributes="member: 16042"><p>Lowering dose can cause withdrawl symptoms. It may be that you just need to wait things out. I had to reduce dosage multiple times and have been through that repeatedly. Things tend to level off for me after 2-3 months when I am full stable on the lower dose. (edit: OK, I see you've been on 80mg for 3 months... time to reassess dosage and frequency).</p><p></p><p>80/week is a pretty low dose. And TT in the 500's is not ideal, but I don't know how to interpret your free T range*. Some guys do well on that kind of lower dose, But we each have sort of a cut off point on the lower end of dosage. I personally am on 84mg/week dosed EOD (Currently switching to ED). Below that I don't do well.</p><p></p><p>*(Can you post ranges with your labs? For me, the Free T reference is using a different scale than I am used to seeing.)</p><p></p><p>Your observation that your feel down a couple days before next injection and the day after points to needing more frequent injections. T cyp is not utilized immediately as it takes time for your body to cleave the T off thecypionate ester, hence the lag after injection, and it is likely you use and clear enough after several days that your levels drop before next injection. Weekly dosage is notorious for causing this roller coaster effect. I personally would not hesitate to go to E3.5 or E3D or even EOD.</p><p></p><p>I agree Aveed is undesirable. too long acting to be able to make adjustments in dosage. In the US cypionate seems to be the standard, and internationally enanthate probably more common and similar in half life, but if you read this forum, there's also a trend towards proprionate to help mimic diurnal characteristics, though it means EOD or daily shots. If you are on Cypionate or Enanthate I'd stick with it, and work with increasing dose and frequency, though only one change at a time, wait 6-8 weeks, retest and reassess before other changes. I'd choose more frequent injections to start.</p><p></p><p>I am also wondering if you have ever been assessed for free T3 Free T4 and RT3. Just relying on TSH is not comprehensive Thyroid assessment, and targeting a TSH of 2.5 could be sub par in terms of optimization. The general trend is shooting for less than 2.0, and getting more detailed assessment if higher. Especially with your history of surgery, it may be worth studying this. Start with:</p><p></p><p><a href="http://www.tiredthyroid.com/" target="_blank">Tired Thyroid</a></p><p><a href="https://www.restartmed.com/" target="_blank">Dr. Westin Childs | Thyroid Supplements, Functional Nutrition & Articles</a></p><p><a href="https://www.youtube.com/channel/UCIHEc9PFnbcZdMj7FwMCYSg/videos" target="_blank">Dr. Westin Childs</a> (youtube videos)</p><p><a href="https://stopthethyroidmadness.com/" target="_blank">Stop the Thyroid Madness™ - Hypothyroidism and thyroid mistreatment</a></p></blockquote><p></p>
[QUOTE="Blackhawk, post: 146256, member: 16042"] Lowering dose can cause withdrawl symptoms. It may be that you just need to wait things out. I had to reduce dosage multiple times and have been through that repeatedly. Things tend to level off for me after 2-3 months when I am full stable on the lower dose. (edit: OK, I see you've been on 80mg for 3 months... time to reassess dosage and frequency). 80/week is a pretty low dose. And TT in the 500's is not ideal, but I don't know how to interpret your free T range*. Some guys do well on that kind of lower dose, But we each have sort of a cut off point on the lower end of dosage. I personally am on 84mg/week dosed EOD (Currently switching to ED). Below that I don't do well. *(Can you post ranges with your labs? For me, the Free T reference is using a different scale than I am used to seeing.) Your observation that your feel down a couple days before next injection and the day after points to needing more frequent injections. T cyp is not utilized immediately as it takes time for your body to cleave the T off thecypionate ester, hence the lag after injection, and it is likely you use and clear enough after several days that your levels drop before next injection. Weekly dosage is notorious for causing this roller coaster effect. I personally would not hesitate to go to E3.5 or E3D or even EOD. I agree Aveed is undesirable. too long acting to be able to make adjustments in dosage. In the US cypionate seems to be the standard, and internationally enanthate probably more common and similar in half life, but if you read this forum, there's also a trend towards proprionate to help mimic diurnal characteristics, though it means EOD or daily shots. If you are on Cypionate or Enanthate I'd stick with it, and work with increasing dose and frequency, though only one change at a time, wait 6-8 weeks, retest and reassess before other changes. I'd choose more frequent injections to start. I am also wondering if you have ever been assessed for free T3 Free T4 and RT3. Just relying on TSH is not comprehensive Thyroid assessment, and targeting a TSH of 2.5 could be sub par in terms of optimization. The general trend is shooting for less than 2.0, and getting more detailed assessment if higher. Especially with your history of surgery, it may be worth studying this. Start with: [URL='http://www.tiredthyroid.com/']Tired Thyroid[/URL] [URL='https://www.restartmed.com/']Dr. Westin Childs | Thyroid Supplements, Functional Nutrition & Articles[/URL] [URL='https://www.youtube.com/channel/UCIHEc9PFnbcZdMj7FwMCYSg/videos']Dr. Westin Childs[/URL] (youtube videos) [URL='https://stopthethyroidmadness.com/']Stop the Thyroid Madness™ - Hypothyroidism and thyroid mistreatment[/URL] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Is my doctor being too cautious?
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