New to TRT - Looking for Advice and Direction

[spur]

Hi I am Male, 50 years old & on testoviron depot 250 injections twice a month ( thats what my doc prescribed for libido, fatigue, pre diabetic ) since january this year.

Can I take this long term to ensure that my T levels remain higher? Is twice a month enough? My T level was 316 before I started TRT. What about side effects like Increase in RBC, gynaecomastia, acne, hair loss if I were to increase the dosage to once a week? I have seen some strength gains in my barbell lifts, so my objective is to build strength & over all wellness.

Thank you for your input.

 

[CoastWatcher]

Hi I am Male, 50 years old & on testoviron depot 250 injections twice a month ( thats what my doc prescribed for libido, fatigue, pre diabetic ) since january this year.

Can I take this long term to ensure that my T levels remain higher? Is twice a month enough? My T level was 316 before I started TRT. What about side effects like Increase in RBC, gynaecomastia, acne, hair loss if I were to increase the dosage to once a week? I have seen some strength gains in my barbell lifts, so my objective is to build strength & over all wellness.

Thank you for your input.

Welcome to Excelmale. Your protocol raises some significant questions, but, first of all, can you please provide more context for your situation? Would you provide some more detail on what your symptoms were, and how long they were issues? What is your medical history? Drugs and supplements taken?

If you post pre-therapy lab results, with associated ranges, we can focus our discussion. At a minimum, your total and free testosterone, LH, FSH, SHBG, estradiol/sensitive, thyroid (TSH, t3, t4, rt3, antibodies) CBC, CMP, PSA, prolactin, and DHT. If all of those weren't measured, post what you have. Have you had your first follow-up labs run?

Finally, how are you feeling - beyond better lifts.

We we hope you'll be an active member.

 

[spur]

Hi Symptoms were weight gain despite a reasonably controlled diet & fatigue. I am on statin 10 mg for cholesterol. Have BPH for many years & I am on silodosin. Psa is 2.11. No major health issues, I don't smoke either. Stress test all okay.
December 2016 Blood report : Serum Testosterone : 317.06 ng/dl, prolactin 22.83 ng.ml, LH 3.62, PSA 2.11, HDL 40 mg/dl,LDL 79 mg.dl, VLDL 30 mg/dl, LD/HD ratio 1.9, TC/HDL ratio 3.7, TSH 2.53 mcIU/ml, Fasting blood glucose ( hexokinase)107 mg/dl
HbA1C ( glycosylated Haemoglobin) HbA1c 6.0%, estimated average glucose 125 mg/dl, Triglycerides (lipase) 152 mg/dl, serum cholesteraol(cholesterol oxidase) 149 md/dl
CBC : Haemoglobin 15.7 % gms% , Leucocyte count 9560 cells/c mm, Neutrrophils 58%, Lymphocytes 35 %, Monocytes 04%, Eosinophils 03%, Basophils 00%, CBC- RBC count 5.62 miln/cmm, packed cell volume( PCV) 47%, MCV 83.8fl, MCH 28 pg, MCHC 33%, 33%, Platelet Count 3.01 ( ref 1.5 - 4.5 ), Mean Platelet Volume 9 fl, Erythrocyte Sedimentation rate 04mm/hr, Red Cell Distribution width 13%.
Follow up will be in April or should I do that earlier?

 

[CoastWatcher]

Hi Symptoms were weight gain despite a reasonably controlled diet & fatigue. I am on statin 10 mg for cholesterol. Have BPH for many years & I am on silodosin. Psa is 2.11. No major health issues, I don't smoke either. Stress test all okay.
December 2016 Blood report : Serum Testosterone : 317.06 ng/dl, prolactin 22.83 ng.ml, LH 3.62, PSA 2.11, HDL 40 mg/dl,LDL 79 mg.dl, VLDL 30 mg/dl, LD/HD ratio 1.9, TC/HDL ratio 3.7, TSH 2.53 mcIU/ml, Fasting blood glucose ( hexokinase)107 mg/dl
HbA1C ( glycosylated Haemoglobin) HbA1c 6.0%, estimated average glucose 125 mg/dl, Triglycerides (lipase) 152 mg/dl, serum cholesteraol(cholesterol oxidase) 149 md/dl
CBC : Haemoglobin 15.7 % gms% , Leucocyte count 9560 cells/c mm, Neutrrophils 58%, Lymphocytes 35 %, Monocytes 04%, Eosinophils 03%, Basophils 00%, CBC- RBC count 5.62 miln/cmm, packed cell volume( PCV) 47%, MCV 83.8fl, MCH 28 pg, MCHC 33%, 33%, Platelet Count 3.01 ( ref 1.5 - 4.5 ), Mean Platelet Volume 9 fl, Erythrocyte Sedimentation rate 04mm/hr, Red Cell Distribution width 13%.
Follow up will be in April or should I do that earlier?

As I indicated in my last post, we need the ranges associated with each lab test. Every lab establishes its own ranges based on their own cohort studies; they are needed to frame the discussion. Please provide them. Do live outside the United States? You had no symptoms associated with libido or erectile function?

As for your protocol, Testoviron 250 is testosterone enanthate, 250mg/ml; correct? How many milligrams of testosterone are you actually injecting every two weeks? An injection every two weeks is a very poor protocol, no matter how much testosterone you are injecting. And, waiting three months for your first post-therapy labwork is not standard.

 

[spur]

Thank you for your reply. I live outside the USA ( India). Attached are my blood reports

Dated Jan 7, 2017. Thank you

 

[spur]

Hi would 100 mg/ml of testoviron injections once a week make for a better protocol? Also when should I take my next blood test? Thanks again for your comments.

 

[cja]

Hi would 100 mg/ml of testoviron injections once a week make for a better protocol? Also when should I take my next blood test? Thanks again for your comments.

Weekly injections DO make for a better protocol. you can go even further and break that 100mg into 50mg injected every 3.5 days, Monday morning - Thursday evening (example). As for when to take labs, others will chime in and help you with that question. I do believe you need to give it about 6 weeks between protocol changes though. This allows body to adjust.

 

[spur]

Thank you for your reply. My last blood test was early january & also I read here that more than 200 mg a week is not really suggested & therefore thought that a weekly shot of 250mg maybe overdoing it. The ampules available here are either 100 or 200 mg (1ml).