200 mg test per week and 200 mg nandrolone per week. No AI due to osteoporosis. My most recent labs came back with test over 1500 level. While the clinic that I am with Now is OK with those numbers, I am seeing a bone doctor, or DO, who wants to take over my Trt protocol. Specifically, they want me to drop the nandrolone and only use 200 test per week. didn’t know how far in advance i would need to be discontinued before my next bloodwork. My results aren’t over 1500. I am skeptical about turning over my Trt protocol to this doctor. Because they consider even 8 to 900 too high.
200 mg test per week and 200 mg nandrolone per week. No AI due to osteoporosis. My most recent labs came back with test over 1500 level.
The therapeutic dose of ND for joint/bone pain is 50-100 mg/week, not 200.
Having low T/low estradiol is detrimental to bone health.
Having healthy T and estradiol levels is needed to prevent osteoporosis.
You are on a whopping dose of androgens.
200 mg T + 200 mg ND/week is overkill.
Would not even consider 400 mg/week of androgens HRT!
Most men who are on TRT 100-200 mg T/week are using therapeutic doses of ND 50-100 mg/week which is all that is needed to treat joint/bone pain.
Look up the Lipshultz study.
200 mg T/week is going to easily have most men's trough FT levels very high/absurdly high adding in another 200 mg/week androgens is ridiculous.
When using ND with T it is critical that your blood work is done using the most accurate assays TT (LC/MS-MS) and FT (Equilibrium Dialysis or Ultrafiltration) otherwise your levels will be skewed when using the standard immunoassays.
I am skeptical about turning over my Trt protocol to this doctor. Because they consider even 8 to 900 too high.
Hate to burst your bubble here but you need to tread lightly on this one.
If we are talking trough levels especially when injecting twice weekly (every 3.5 days) let alone once weekly a trough TT 800-900 ng/dL would be high as most men would still be hitting a high/very high trough FT level and more importantly peak TT/FT levels will be much higher!
Sounds like you have been caught up on those bro forums.
Unfortunately, we have many of those individuals still lurking here.