My blood work and my prescription, thoughts?

[EnhancedToronto]

Hi all, new member here.

40 year old man from Canada. Here is my blood results and prescription I received from doctor, please tell me your thoughts. Thanks.

Total 8.6 nmol/
Free 261 pmol/l
Estradiol 127 pmol/l
Somatomedin-c 248 ug/l

Prescribed protocol:

• Delatestryl (Testosterone)
• Human Chorionic Gonadotropin

Testosterone: Inject 0.5 ml on Monday and Friday (Rotate sides each week)
HCG: 10ml Saline mixed with the 10,000 USP units that you will get from the pharmacy

• For HCG (Generic): Use 0.3ml of a 1ml syringe every Monday into the stomach fat using the 25g or 23g needle

 

[Systemlord]

Testosterone: Inject 0.5 ml on Monday and Friday (Rotate sides each week)

It should be Monday morning and Thursday evening for twice weekly protocol.

 

[EnhancedToronto]

Cheers that makes sense. Everything else look ok?

 

[JmarkH]

Do yourself a favor and get a 30 or 31 ga needle insulin syringe for the HCG.

 

[EnhancedToronto]

Do yourself a favor and get a 30 or 31 ga needle insulin syringe for the HCG.

Will do, reasoning?

 

[tareload]

Will do, reasoning?

Smaller hole. 23g needle not necessary for this aqueous injection. Similar to shooting a fish in a barrel with an M2 Browning.

27 or 29 g insulin pin is easy with the test injection as well. Over years all this will save you scar tissue.

 

[EnhancedToronto]

Smaller hole. 23g needle not necessary for this aqueous injection. Similar to shooting a fish in a barrel with an M2 Browning.

27 or 29 g insulin pin is easy with the test injection as well. Over years all this will save you scar tissue.

lol makes total sense, im a newb. Surprised the doctor would recommend a harpoon.

 

[tareload]

lol makes total sense, im a newb. Surprised the doctor would recommend a harpoon.

Amazon.com

Amazon.com

Amazon.com

Something like these (or what you can get in Canada).

 

[tareload]

Testosterone: Inject 0.5 ml on Monday and Friday (Rotate sides each week)

Confirm your test enanthate is 200 mg/ml.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/009165s034lbl.pdf

If so....why are you starting at 200 mg per week of testosterone ester?

 

[EnhancedToronto]

Confirm your test enanthate is 200 mg/ml.

View attachment 29074

https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/009165s034lbl.pdf

If so....why are you starting at 200 mg per week of testosterone ester?

I haven't picked up my script yet, waiting on call from pharmacy. Only received the above email of break down. I believe it is 200mg/1ml.

As for dosage, your guess is as good as mine, I'm not the doctor.

 

[JmarkH]

My state doesn't allow purchases from amazon without a prescription. I purchase from Diabetic Supply. My wife's doctor orders 25g for her b12 shots. I have her refuse them and I buy her 29g instead. I use them also for B12 MIC injections. I have no idea why her doc is such a dumbbutt.

 

[tareload]

I haven't picked up my script yet, waiting on call from pharmacy. Only received the above email of break down. I believe it is 200mg/1ml.

As for dosage, your guess is as good as mine, I'm not the doctor.

Too much to start without blood work showing you are outlier. Combining that test dose with hCG there is really good chance you will be running above physiologic range for FT/TT. If that is part of the plan then forget my comment but for TRT 200 mg/week is way overkill for most dudes.

 

[EnhancedToronto]

Amazon.com

Amazon.com

Amazon.com

Something like these (or what you can get in Canada).

Thank you!

 

[EnhancedToronto]

Too much to start without blood work showing you are outlier. Combining that test dose with hCG there is really good chance you will be running above physiologic range for FT/TT. If that is part of the plan then forget my comment but for TRT 200 mg/week is way overkill for most dudes.

He reviewed my blood work this is what he prescribed. Not sure what he's seen or what his plan is, but he said i'll be doing more blood in 1 month to see where I'm at, then he'll adjust it. Maybe my numbers suggested this starting dose, and a good jump start? No idea how it works,he's the doctor. Guess its timed to get huge, lol. Joking.

 

[tareload]

get huge, lol.

Huge blood pressure, bloating/aldosterone, RAAS, hematocrit, long term wear and tear on the ticker, etc.

Hope you don't run into all this. Figured I would mention since you asked.

 

[EnhancedToronto]

Huge blood pressure, bloating/aldosterone, RAAS, hematocrit, long term wear and tear on the ticker, etc.

Hope you don't run into all this. Figured I would mention since you asked.

That's exactly why I came here, to get some outsider information, as sometimes people who do TRT, study it are sometimes more inclined them doctors.

Appreciate the insight, again he said just run this for 1 month and well adjust to get you in the 'higher end of optimal'. I could always scale back the dosage he gave me and just tell him what i ran once I do labs in a month. I guess I could try that too, if you think that's smarter.

This particular doctor from my research and speaking to him, doesn't seem to want to push me much higher then 700 range. But out the gate, just from my research 200mg a week probably will shoot me over 1000 which is confusing.

 

[tareload]

Alot to chew on all linked in one post.

Hello, 57 year old about to start TRT and have questions - Excel Male Health Forum

Hello all, a little background.......I have been in a bad marriage for 37 years and have been through at least 5 traumatic family events & losses, so I assume I have been depressed for a while now but never dealt with it. I am now seperated and on depression, anxiety & insomnia meds...

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[tareload]

But out the gate, just from my research 200mg a week probably will shoot me over 1000 which is confusing.

Yep.

SHBG and free testosterone also critical in the discussion. But without more info all I can say is 200 mg/week out of the gate is real dumb.

 

[tareload]

'higher end of optimal'

Red flag. Have no idea WTF this means LOL. Higher end of optimal?

I guess be glad you got the Rx and then make the best decisions for yourself.

 

[madman]

Hi all, new member here.

40 year old man from Canada. Here is my blood results and prescription I received from doctor, please tell me your thoughts. Thanks.

Total 8.6 nmol/
Free 261 pmol/l
Estradiol 127 pmol/l
Somatomedin-c 248 ug/l

Prescribed protocol:

• Delatestryl (Testosterone)
• Human Chorionic Gonadotropin

Testosterone: Inject 0.5 ml on Monday and Friday (Rotate sides each week)
HCG: 10ml Saline mixed with the 10,000 USP units that you will get from the pharmacy

• For HCG (Generic): Use 0.3ml of a 1ml syringe every Monday into the stomach fat using the 25g or 23g needle

This starting protocol is overkill!

Big pharma Delatestryl is 200 mg/mL.

.5 mL (100 mg esterified T) twice weekly let alone hCG off the hop to boot.

The best piece of advice is to always start low and go slow.

T only protocol as we want to see how your body reacts to testosterone and it would be a bum move to jump out the gate head first.

The use of hCG can be added later if need be.

Following such protocol prescribed by this doctor will surely have your FT let alone estradiol level through the roof!

Most men on trt are injecting 100-200 mg T/week whether once weekly, twice-weekly, M/W/F, EOD, or daily.

Most can easily achieve a healthy let alone high FT level on 100-150 mg T/week, especially when split into more frequent injections.

Far from common anyone would need the higher-end dose of 200mg T/week.

If anything I would cut your starting dose in half and inject 100 mg T split into twice-weekly injections (50 mg T every 3.5 days/84hrs).

Then blood work will be done at 6 weeks to see where your trough TT, FT, estradiol, SHBG, and other critical blood markers such as CBC and PSA sit!

Forget using the 25G let alone 23G to inject.

Stick with an LDS insulin syringe (fixed needle) 27-31G with various needle lengths depending on whether you are injecting your testosterone shallow IM or strictly sub-q.

I would go for the 30-31G for the water-based hCG.

Principles of Testosterone and hCG Injection Technique - Excel Male Health Forum

Selecting the Devices There are many different syringes and needles, suiting many different procedures. It is important to choose the needles and syringes carefully according to the type of injection to be administered. For example, the length and gauge of the needle and type of syringe must...

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