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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
My TRT Odyssey: Lab Results and More
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<blockquote data-quote="FunkOdyssey" data-source="post: 272479" data-attributes="member: 44064"><p>Dave Lee is not a doctor, he's a "health coach". I don't think that should diminish his credibility though. I think any smart person with access to enough patient data could become very good at managing TRT protocols. Contrast with the poor performance of those who have received the most formal education on this topic: your typical endocrinologist.</p><p></p><p>He belongs to the "estrogen is not worth managing or perhaps even measuring" camp, so there is no discussion of optimal E2 levels. DHT is only mentioned in the context of scrotal cream, where the DHT boost is credited for superior results in some men, and warnings against the use of 5-AR inhibitors.</p><p></p><p>His views on initiating treatment, the timing of reviews and protocol adjustments, and expectations for the onset of benefits are entirely consistent with what you'll see on this forum. For example, some excerpts from his TRT 101 book:</p><p></p><p><em>"I recommend initiating treatment with Testosterone Cypionate or Enanthate at a dose of 100mg - 200mg per week, split into a minimum of two injections, as a shallow, intramuscular injection."</em></p><p></p><p>First Review</p><p><em>"It takes at least 6-8 weeks for levels to fully build up in your system. Your first review is to make sure that you have not hyper (over) or hypo (under) responded to your treatment. Each practitioner has different targets they roughly aim for on blood work, based on what they see as producing the best results for their patients."</em></p><p><em></em></p><p><em>"Blood work is a guide to make sure you are in the ballpark and symptoms are key in making sure your TRT is optimal. Keep in mind that early into treatment, while levels may have saturated, you do not feel the full effects of TRT at this point, not even close.</em></p><p><em></em></p><p><em>This is why it is important to understand that at your first follow up, it is only expected that you will feel like you have taken a step in the right direction. If you’re 10-20% better than when you started, that’s a good sign. Remember, the main benefits of TRT take time, and the goal of this appointment should be to make sure you're close to the bullseye and then to give it time and let it settle. I advise my clients to wait at least 12-16 weeks after this appointment for their next follow up."</em></p><p></p><p>Second Review (4-6 months into treatment)</p><p><em>"In my experience, assuming there are no other health factors at play, this is where most TRT patients start “feeling” the majority of the benefits of TRT, particularly those who have been looking after themselves well. In my experience, TRT continues to snowball in benefits over a period of years (I am still noticing growing benefits after 6 years) as the majority of the benefits begin to “kick” in around the 6 month mark.</em></p><p><em>At this point, it is also reasonable to assess your dose, to decide whether it is worth trying a higher or lower dose."</em></p></blockquote><p></p>
[QUOTE="FunkOdyssey, post: 272479, member: 44064"] Dave Lee is not a doctor, he's a "health coach". I don't think that should diminish his credibility though. I think any smart person with access to enough patient data could become very good at managing TRT protocols. Contrast with the poor performance of those who have received the most formal education on this topic: your typical endocrinologist. He belongs to the "estrogen is not worth managing or perhaps even measuring" camp, so there is no discussion of optimal E2 levels. DHT is only mentioned in the context of scrotal cream, where the DHT boost is credited for superior results in some men, and warnings against the use of 5-AR inhibitors. His views on initiating treatment, the timing of reviews and protocol adjustments, and expectations for the onset of benefits are entirely consistent with what you'll see on this forum. For example, some excerpts from his TRT 101 book: [I]"I recommend initiating treatment with Testosterone Cypionate or Enanthate at a dose of 100mg - 200mg per week, split into a minimum of two injections, as a shallow, intramuscular injection."[/I] First Review [I]"It takes at least 6-8 weeks for levels to fully build up in your system. Your first review is to make sure that you have not hyper (over) or hypo (under) responded to your treatment. Each practitioner has different targets they roughly aim for on blood work, based on what they see as producing the best results for their patients." "Blood work is a guide to make sure you are in the ballpark and symptoms are key in making sure your TRT is optimal. Keep in mind that early into treatment, while levels may have saturated, you do not feel the full effects of TRT at this point, not even close. This is why it is important to understand that at your first follow up, it is only expected that you will feel like you have taken a step in the right direction. If you’re 10-20% better than when you started, that’s a good sign. Remember, the main benefits of TRT take time, and the goal of this appointment should be to make sure you're close to the bullseye and then to give it time and let it settle. I advise my clients to wait at least 12-16 weeks after this appointment for their next follow up."[/I] Second Review (4-6 months into treatment) [I]"In my experience, assuming there are no other health factors at play, this is where most TRT patients start “feeling” the majority of the benefits of TRT, particularly those who have been looking after themselves well. In my experience, TRT continues to snowball in benefits over a period of years (I am still noticing growing benefits after 6 years) as the majority of the benefits begin to “kick” in around the 6 month mark. At this point, it is also reasonable to assess your dose, to decide whether it is worth trying a higher or lower dose."[/I] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
My TRT Odyssey: Lab Results and More
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