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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Please help me read my first post-TRT test results
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<blockquote data-quote="Cataceous" data-source="post: 236499" data-attributes="member: 38109"><p>The problem here is that your doctor isn't even allowing time for symptoms to resolve before raising your dose to well above what's physiological. This initial blood test should be used to titrate the dose such that your levels are physiological throughout the dose cycle. Splitting the dose to twice weekly is a step in the right direction. However, what your doctor doesn't seem to understand is that your average total testosterone level may be around 800 ng/dL on 100 mg TC per week. A 60% dose increase could put your average level over 1,200 ng/dL. This is approaching double what I believe should be targeted by those in the early stages of TRT. A better strategy goes by the moniker "low and slow". This means you start with modest, or even seemingly low doses, and only increase the dose if symptoms of hypogonadism persist after a reasonable evaluation period. Starting too high can lead to unnecessary side effects, and lowering the dose is often uncomfortable for a long enough period that many give up. Below are some anecdotes from those who discovered that dosing lower is better.</p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/anyone-combine-injections-and-cream-how-do-you-feel.22766/#post-195436[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/numb-penis-anorgasmia-during-sex-low-cortisol-high-prolactin-on-trt.21461/post-230059[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/for-those-who-are-struggling-on-trt.25592/[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/anyone-combine-injections-and-cream-how-do-you-feel.22766/post-195136[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/anyone-combine-injections-and-cream-how-do-you-feel.22766/post-196305[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/hello-60yo-starting-trt.23181/post-198852[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/have-you-ever-decreased-your-dose.6430/post-34989[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/hello-60yo-starting-trt.23181/post-198831[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/trt-patient-feeling-better-after-lowering-my-prescribed-dose.15352/[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/dose-change-side-effects.23289/post-199912[/URL]</p><p>[URL unfurl="true"]https://www.excelmale.com/forum/threads/first-labs-after-starting-trt-wow.23483/post-212984[/URL]</p></blockquote><p></p>
[QUOTE="Cataceous, post: 236499, member: 38109"] The problem here is that your doctor isn't even allowing time for symptoms to resolve before raising your dose to well above what's physiological. This initial blood test should be used to titrate the dose such that your levels are physiological throughout the dose cycle. Splitting the dose to twice weekly is a step in the right direction. However, what your doctor doesn't seem to understand is that your average total testosterone level may be around 800 ng/dL on 100 mg TC per week. A 60% dose increase could put your average level over 1,200 ng/dL. This is approaching double what I believe should be targeted by those in the early stages of TRT. A better strategy goes by the moniker "low and slow". This means you start with modest, or even seemingly low doses, and only increase the dose if symptoms of hypogonadism persist after a reasonable evaluation period. Starting too high can lead to unnecessary side effects, and lowering the dose is often uncomfortable for a long enough period that many give up. Below are some anecdotes from those who discovered that dosing lower is better. [URL unfurl="true"]https://www.excelmale.com/forum/threads/anyone-combine-injections-and-cream-how-do-you-feel.22766/#post-195436[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/numb-penis-anorgasmia-during-sex-low-cortisol-high-prolactin-on-trt.21461/post-230059[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/for-those-who-are-struggling-on-trt.25592/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/anyone-combine-injections-and-cream-how-do-you-feel.22766/post-195136[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/anyone-combine-injections-and-cream-how-do-you-feel.22766/post-196305[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/hello-60yo-starting-trt.23181/post-198852[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/have-you-ever-decreased-your-dose.6430/post-34989[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/hello-60yo-starting-trt.23181/post-198831[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/trt-patient-feeling-better-after-lowering-my-prescribed-dose.15352/[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/dose-change-side-effects.23289/post-199912[/URL] [URL unfurl="true"]https://www.excelmale.com/forum/threads/first-labs-after-starting-trt-wow.23483/post-212984[/URL] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Please help me read my first post-TRT test results
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