My theory and Proposed Protocol

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Scoot2300

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I am 47 years old and in good health. I don’t drink (stopped 17 years ago) and stopped smoking about 15 years ago. When I was 27, I had pretty much wrecked my back with heavy lifting at my factory job. I have 3 discs fused together with 6 titanium screws. The bone graphs were taken from my illiac crests and that seems to be the issue as I age. I mean, my surgeons told me I would probably need more surgery 11 years past my first surgery but the recovery was an entire year and the surgery was 11 hours of hell (I was fused anterior and posterior) and I simply will try anything before going under the knife again. Again, I’ve lifted weights, ate healthy and got into cycling about 10 years ago and have done well staying as healthy as I can and have done the best I could do. However, I was curious to know what my blood work showed as I was experiencing some mood, low energy, etc. so I engaged an anti-aging clinic. I got my blood work done as I was definitely on the lower side for free testosterone (was approved for that therapy as well) but my original inquiry with them was for Secretegogues. My theory is it his, by increasing my body’s production of GH, it would help to stave off any degeneration that is going to occur because the discs above bear the brunt of the fusion. So, I am on a Sermorelin and Ipamorelin stack and am 11 days in. I am fully committed to the 6 month trial of this but I am reading about bringing T levels up to assist in this theory I have about supporting my spinal health with increasing my T levels. There is very little scientific reading on this area but I’m thinking the risks are worth it because if I end up having to go back for surgery down the road, it could debilitate me where I cannot exercise enough to stay in shape and the increased T in my body will help. I’m willing to try just about anything to stave off further surgery. Thoughts? This is the proposed TRT:

Program Medications and Protocol
20 WEEK THERAPY PHASE
(3) 5ML Testosterone Cypionate 200mg/ml Vials
Protocol: .75ML /150mg once weekly. Intramuscular injection.
(40) 1MG Anastrazole Brand Name Tablets
Protocol: 1mg twice weekly. Oral.
(2) 10ml MIC PLUS Vial
Protocol: 1ml weekly. Subcutaneous injection.
(4) HCG 6000 Unit Vials
Protocol: 500 units once weekly. Subcutaneous injection.
4 WEEK CLEANSE PHASE
(1) HCG 12000 Unit Vial
Protocol: 1000 units daily. Subcutaneous injection.
(30) 50mg Clomiphene Citrate Capsules
Protocol: Two capsules daily. Oral.

I appreciate any thoughts you may have. Scott
 
Defy Medical TRT clinic doctor
Beyond Testosterone Book by Nelson Vergel
Your post is borderline for this forum. This forum is NOT about cycling, it is for TRT which is long term, i.e. life long. What you are doing is short term much akin to AAS, but in the context of your intention to prevent degeneration, the scheme is a bit of a black sheep. I think your concern is valid, but I am not so sure of the cyclic nature of what you want to do.

I have a few thoughts, but some of your post is out of my zone:

What are your "before" Labs? Please post the works. Have you had SHBG tested? T dosing at 1/wk does not work well for very many men.

If some of the recommendations you wrote came from the advice of the clinic you refer to, there are warning signs they may be doling out bad advice:

-Once a week dosing with no regard for SHGB to determine frequency
-IM only with large needles.
-Starting a high amount of anastrozole before seeing what E2 does on TRT
-Starting HCG right away

ESPECIALLY! Starting anastrozole it foolhardy, and the dose you suggests will 99% surely crash your estrogen. This is NOT GOOD FOR YOUR BONE HEALTH! YOU NEED ESTROGEN FOR HEALTHY BONES!!! You have no idea what your estradiol will do on Testosterone. AI should only be used after establishing a stable state on T cyp as needed. There are some guys here who end up needing only very small doses, but the ideal is to not use it at all unless symptomatic. I did use it for a while, and my dose was 0.06mg EOD. that's less than a quarter of a 1mg tablet per week.

If you are concerned about your bone health, plus you stated you are intersted in TRT for low mood and energy, perhaps you should actually start TRT first on a reasonable protocol before throwing such a heap of things at your body at once. There can be problems and side effects from every single thing you take, and if you do all at once, you will never know which was a problem.

IMO, depending on your labs it would be better to start TRT only, 80-100mg/week, dosage frequency depends on your SHBG. Minimum 6-8 weeks until labs... it takes this long just to reach steady state in terms of blood levels, but can take 2-3 months for body to actually adapt. Then re-asses T dose, consider HCG if testicular trouble, and assess E2 level, Hematocrit and Hemoglobin. Then slowly consider adding the other meds. Only add one thing at a time if possible and continue on long term lab schedule every 6-8 weeks until you reach the point you want. This can take many months, and for some of us getting long term TRT right can take a couple years.

If you are interested in a start low and go slow approach, you are in good hands here. And, maintaining good T and E2 levels long term are GOOD FOR BONE HEALTH.
 
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