Need some advice.

[criggs]

I'm a 38 year old who's first testosterone test came back at 230 with a reference of 348-1197. Was put on testosterone. Cyponiate at 200mg a month. After 1 month I asked to be on bi weekly 100mg injection and the doctor agreed to it. 4 months into treatment my doctor wanted to recheck lvls because she said I was on a low dose. Test came back at 133 with same reference.
Doctor was out when my next shot was due so I went to another doctor and she upped my dosage to 200mg every 2 weeks.
Next Monday I have an appointment with my Dr and I'm going to ask to start doing weekly injections of 100mg. Btw the 2nd test was done at the end of my 2 weeks when I was due for my next shot. When I first started Injections I started feeling better and erections improved, but in the past month has declined considerably. I'm guessing due to my testicles shutting down.
Any advice would be appreciated, I'm. Wondering about the dosage I need to be on and the frequency of injections.

Thx

 

[Gene Devine]

Everything you need to know about TRT for men is in this website.

You need to be on weekly, if not twice weekly, injections.

Monitor Estrogen.

Post your most recent blood work with ranges if you can.

 

[Nelson Vergel]

Crigs

I am so sorry to hear that you were first prescribed a sub-optimal dose. I am so amazed about how many doctors fail to follow even package insert label information!! It is almost malpractice in my opinion.

I am glad you are switching to 100 mg per week of testosterone injections. Let us know what your next lab results are. Some men require 100-200 mg per week depending on how they metabolize testosterone and quality of life. Some feel better with 50-100 mg twice per week.

Have your doctor test for total and free testosterone, chemistries (which includes hematocrit), and estradiol by ultrasensitive test as a minimum.

 

[Vettester Chris]

Criggs, you're working with physicians that don't understand how the peak and half life works with your medication. Even the 2 week thing is going to be a downer. If you can get the 1x per week protocol going, great! If you can split that up to 2x per week, better yet!

As Gene mentioned, we need to see all of your labs. Your erection situation could be a variety of things, possibly E2 driven. Labs will tell the truth, post them up if you can. HCG will promote some endogenous production of test, and help keep testicular activity healthy. As also mentioned by Gene, ALL the topics you are inquiring about can be found on this forum. Invest some time to do some research here and it will pay you back more than you can imagine.

 

[James]

200 mg, once a month! Wow, amazing a Dr would follow an infrequent schedule like that. Read the stickies, learn half life and see what he says about weekly injections. If doc says no, probably time to find someone new. The 1st doc I spoke with wanted to do monthly shots. The 2nd doc said he would prefer that I do 2 shots per week (with a smaller dose), but said he would agree to once a week and see how I feel. I'm doing 1 per week.

 

[criggs]

The for the advice, will do. Just glad to find some place to be able to to talk and ask questions about trt.

 

[Gene Devine]

The for the advice, will do. Just glad to find some place to be able to to talk and ask questions about trt.

You should know:

Testosterone injected peaks at about 72 hours in serum and has a half life of about 6 days. This means by day 6 half of the drug is metabolized...think where it is at day 18!

And you were injecting once a month...just crazy.

Your Doc doesn't know what he is doing.

 

[criggs]

Went to Dr appointment agreed to weekly injections, and the labs that were recommended here. She asked me if I had been doing research on it, and I said I might as well get educated since I will be taking trt for life. So thx for the info!

 

[Gene Devine]

Went to Dr appointment agreed to weekly injections, and the labs that were recommended here. She asked me if I had been doing research on it, and I said I might as well get educated since I will be taking trt for life. So thx for the info!

Well at least she is will to learn from what you learn.

Tell her about our site and forums so she can start to learn as well.

And you are right, this is for life so you need to learn as much about it as you can...good stuff man

 

[criggs]

Got some test results back from last week, total Testosterone was 497.27 on a reference range of 240.27-870. Free test was 12.0 on a range of 2.3-10.3. I had asked for an e2 test but she ran a hormone binding test which came back at 25.4...Not sure about range on that one but nurse said it was perfect. That was at 120mg of test per week...after I took that test I moved up to 140 mg a week, figure I'll stay there for a few months and then retest, should put me at the higher end of the range, but may make my free test high...any advice would be appreciated and testing was done on the day I take my shot, but before I got it...

 

[James]

Got some test results back from last week, total Testosterone was 497.27 on a reference range of 240.27-870. Free test was 12.0 on a range of 2.3-10.3. I had asked for an e2 test but she ran a hormone binding test which came back at 25.4...Not sure about range on that one but nurse said it was perfect. That was at 120mg of test per week...after I took that test I moved up to 140 mg a week, figure I'll stay there for a few months and then retest, should put me at the higher end of the range, but may make my free test high...any advice would be appreciated and testing was done on the day I take my shot, but before I got it...

Free test looks strong. Most importantly, how do you feel? A super high TT number isn't necessarily a good thing for every guy. I tend to feel better at the lower range of normal, other men feel best a little higher.

 

[criggs]

Felt better before my body quit making test and I bottomed out at 119..but have had a lot of stress since then, found out wife was cheating and going through a divorce with 2 kids, so I'm sure that has an affect on it.

 

[James]

"Felt better before your body quit making test," meaning before starting TRT? Sounds like you definitely have some stress in your life.

 

[criggs]

After trt but before body shut down production, it was also before the stress started.