I currently do two injections per week approximately 3.5 days apart. For my second set of tests Doc wants me to double normal dose (.5cc) to a full 1cc and get tested 7 days after injection. How is this representative of the T levels I'm walking around at? He mentioned that we want to get outside the T cyp half-life, which is fine, but that's not representative of my injection protocol. Just wondering.....
Is this test protocol correct?
- Thread starter StuD
- Start date
Vince Carter
Banned
That's wrong. Double your dose? You need a new Dr and listen to Vince there about staying the course for 6-12 weeks.
M
MarkM
Guest
I agree with Vince and Vince Carter. Terrible protocol change advised by your doctor. Doubling the dose is crazy and testing 7 days after a change is a complete waste of money because you won;t reach a steady state for at least 40 days.
This is what your Doctor needs to learn
https://www.excelmale.com/forum/thr...st-underrated-aspect-of-trt.10305/#post-68590
https://www.excelmale.com/forum/thr...st-underrated-aspect-of-trt.10305/#post-68590
Not sure if I was totally clear. Only doubling dose once 7-8 days before testing after 10 weeks of following protocol and then back on same protocol.
Trying to wrap my head around this. I will be testing in a steady state because I'll be 10 weeks into the standard protocol. There would not be a new steady state to reach as it doesn't matter if you do two injections in an 8 day period or one.....as long as total cc's are the same, correct?
Funny after reading this I can actually see his rationale.....maybe
Since the amount of medication is in steady state after 40 days and I'm doing the testing at 10 weeks, doubling the dosage and testing 8 days later will not change to total amount of medication in my system compared to 2 injections with half the dosage (my standard protocol). The last dose of medication will simply have time to go through one half-life before I'm testing. Does this make sense?By the way, not trying to defend Doc per se, I just want to be armed with reasonable information when I ask him about this.
Vince Carter
Banned
Well it's wrong, that's just the facts. Now if that's how you and your Dr decide what's best for you then by all means carry on but it's contrary to what we know to be the proper way to go about this.
I would like to be armed with the correct information if possible. From what I've gathered here proper testing protocol would be to do the first injection of the 2x week schedule and right before the planned second injection 3.5 days later have my blood tested, preferably am.
M
MarkM
Guest
It doesn't have to be the 2nd injection of the week. Since you are on a E3.5D protocol your injections are split evenly. So you can have your blood test prior to either of the two injections. When testing hormones it is best to have the blood drawn first thing in the morning so I'd be there for the draw when the lab opens in the morning.
I inject E3.5D too. I inject Monday AM and Thursday PM. Since I need to draw blood in the AM because of hormone testing I always do it first thing Monday AM. That's just how I do it.
Most doctors will test your trough levels. To test trough you have to draw blood just before your next injection. Simple as that. What do the results mean? They will tell you what is your lowest testosterone levels and that is important because you are treating low T so from a treatment perspective your lowest value is a very important information. But remember that while on TRT you will always have a peak and a trough. Depending on your SHBG and injection frequency the difference between both will be larger or smaller. It is also helpful to know your peak. So that you know in what range you are and that will help you adjust protocol if necessary to manage things like side effects, etc.
Half life is a good concept but you need to know your SHBG and have blood work done to determine how fast your body is getting rid of the testosterone and how your levels are affected. So the theory you presented to try to explain your doctor guidance is flawed.
I realize it doesn't have to be the second injection, I was simply describing an example of how I might test and be in a trough. I'm going to question Doc as to his motives. I can't find a rationale for the protocol he suggested. I should have mentioned that this will be my second 10-week testing, he did not ask me to test this way the after the first 10 weeks of TRT.
I agree, I can't find support for his suggestion. I did get SHBG tested at the end of the first 10 weeks of TRT and was mid-range. His suggestion to test was different from what he recommended for testing at the end of the second 10 weeks. Will discuss with him soon.
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Yes, it was evaluated when the initial injection protocol was developed. Not to oversimplify, but was he is asking me to do this time around will mean that I am actually walking round with more T in my system than I otherwise would be; 7 days after injecting 1cc > 3.5 days after injecting .5cc.
Systemlord
Member
This is what happens when there's no standard of care model for TRT, every doctor does things radically different than the next, this doctor is so far off base it's downright silly!
You should not waste anymore time with this doctor, he's compass is all knocked out. Your doctor seems a little confused and it's not hard to understand why, no standard of care for TRT.
You should not waste anymore time with this doctor, he's compass is all knocked out. Your doctor seems a little confused and it's not hard to understand why, no standard of care for TRT.
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