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<blockquote data-quote="CoastWatcher" data-source="post: 81451" data-attributes="member: 2624"><p>Their approach to TRT isn't one that makes a great deal of sense. </p><p></p><p>They started with a loading dose, so to speak, and then began tapering down. Why? The body seeks stability...week over week manipulation of the dose administered means that serum levels (which are in flux simply because exogenous testosterone is in play, shutting down your natural axis) are going to be measured at the end of a roller-coaster ride of dose changes. T-mills do this because their patients don't know any better and a whopper of a dose means they may "feel" something more quickly and be impressed. But at six weeks you'll have a snap shot of...multiple changes. Not a picture reflecting a stable protocol.</p><p></p><p>What was your SHBG value? A good doctor takes a look at that, along with total and free testosterone and determines how often and how much testosterone should be injected. The typical starting protocol is an injection every 3.5 days, twice a week, with anywhere from 50-80mgs of testosterone in each injection. SHBG influences this - patients with lower scores typically require smaller and more frequent injections than patients with higher values. If you have low SHBG big, single doses will frustrate your efforts and could certainly spike your estradiol. If things have been stable for six weeks it is far easier to modify the various elements. Increase the number of injections, decrease or increase the amount of testosterone per injection, add an AI, or modify the amount already taken. </p><p></p><p>I certainly wish you great success, but it frustrates me when I see someone not getting the care they deserve. On top of the few points I've made about your protocol, it doesn't seem that your being seen as a partner in your care. You've not been given lab results, which limits your understanding of what your clinical picture is, and you have to take time and drive to the office every week for a shot. I know there is a better option for you.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 81451, member: 2624"] Their approach to TRT isn't one that makes a great deal of sense. They started with a loading dose, so to speak, and then began tapering down. Why? The body seeks stability...week over week manipulation of the dose administered means that serum levels (which are in flux simply because exogenous testosterone is in play, shutting down your natural axis) are going to be measured at the end of a roller-coaster ride of dose changes. T-mills do this because their patients don't know any better and a whopper of a dose means they may "feel" something more quickly and be impressed. But at six weeks you'll have a snap shot of...multiple changes. Not a picture reflecting a stable protocol. What was your SHBG value? A good doctor takes a look at that, along with total and free testosterone and determines how often and how much testosterone should be injected. The typical starting protocol is an injection every 3.5 days, twice a week, with anywhere from 50-80mgs of testosterone in each injection. SHBG influences this - patients with lower scores typically require smaller and more frequent injections than patients with higher values. If you have low SHBG big, single doses will frustrate your efforts and could certainly spike your estradiol. If things have been stable for six weeks it is far easier to modify the various elements. Increase the number of injections, decrease or increase the amount of testosterone per injection, add an AI, or modify the amount already taken. I certainly wish you great success, but it frustrates me when I see someone not getting the care they deserve. On top of the few points I've made about your protocol, it doesn't seem that your being seen as a partner in your care. You've not been given lab results, which limits your understanding of what your clinical picture is, and you have to take time and drive to the office every week for a shot. I know there is a better option for you. [/QUOTE]
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