You might be onto something with your theory. I would add one more category. The guy with some other hormonal imbalance that goes untreated. Many guys with thyroid issues feel no better on TRT. Or guys with adrenal fatigue.Great idea for a thread. Currently, I would rate my TRT experience as a 2.
My levels were "low normal" starting out (mid 300s TT). Age 40. The issues I wanted to address with TRT, such as sexual function, muscle mass, general level of motivation, mood have mostly remained unchanged. I would argue that sexual function has been worse overall on TRT so far, However, I would argue that penile health is better - nocturnal erections, etc. Muscle mass very little change, same as motivation/mood. I definitely felt like a million bucks during the honeymoon period of TRT. Now, I often feel like feeling "good" is actually more of a function of not feeling off. When I feel "good" overall, if I'm being honest with myself it's almost like I feel the same as I did pre-TRT, which begs the question...why bother?
Right now it's "not bad" but is it worth the time and money, sticking myself with needles all the time and having to think about traveling with them, watching E2 and HCT, frequent blood tests, and most importantly, the long-term risks/unknowns?
Another gripe about TRT is that nobody knows what the hell is going on. Even the top docs in the field are frequently unable to get guys dialed in. I started with an endo, who was basically like "100mg 1x per week and that's either going to work or it won't and that's all there is to it". So of course I moved on, to a naturopath who insisted on compounded cream as the topical provides a "healthier and more natural cycle". However, he also didn't know why I would even want to test E2 and thought it was possible to "supplement T". Interestingly, I felt best on that protocol so far but that could have also been related to the stage I was in on my TRT journey. So I moved on again, this time to one of the top docs and pay out of pocket now, and at this point I'm feeling like either it's taking too long to get dialed in and I'm not there yet, or TRT simply isn't working/worth it for me.
I've been on for 8 months now and think about quitting all the time. But I'm trying to be patient and see it through to make sure that I've tried various options, methods, injection schedules to really get the most benefit from it before quitting since I've already come this far.
Oddly enough, I think one of the things I'd miss about TRT is reading up on this forum all the time and being my own personal science experiment. It's fascinating.
A half-baked theory that I have is that there are two kinds of people who seem to thrive on TRT. One would be men of any age who for some medical reason, were truly hypogonadal and had levels in say the 200s and under before starting. These guys often had extreme symptoms pre-TRT - struggle to get out of bed, no energy to do anything physical at all, severe brain fog. TRT is a game changer for them.
The other group that does well on TRT seems to be older men who likely had normal to high normal levels in their youth, but are now simply on TRT due to age-related decline. Take for example Mountain Man above, whose levels at 62 were similar to mine when I was 38.
I'd like to see a lot more examples of "low normal" guys who went on TRT to improve/optimize and succeeded in doing so long-term.
I wanted to do a poll on what members experience has been overall with trt, especially long time patients.
Choices:
1-poor
2-fair
3-good
4-fantastic
5-not sure[/QUOTE
I am a 14 year vet on HRT and have tried it all. Went through 4 doctor changes over the years and now use ED injections with awesome results and no AI. I use 14 mg shallow IM with 175 HCG 3X week. Test is around 700 with free at 14.5 and E2 is stable at 22. I have learned that our bodies do change as we age and never just believe a Dr's recommendations - read , study and learn and relearn. There are too many attitudes and egos when it comes to the medical profession. We are our own best judge of how we feel. What may work for one may be a disaster for another. How do you know unless you try? That is why I think this forum is awesome. Individuals post and relay their knowledge and experiences here for us to process. Wisdom gained is more powerful than ignorance repeated. In my opinion this website is by far the best one of it's kind in the world ! - and no I wasn't paid to say that. MrMJ.
I've been on trt for about two and a half years now. I would rate my experience at 3.5.
Right before starting my testosterone was just above 200. I'm 48yo.
My life improved dramatically. I lost 50lbs in about a year. My energy levels came back. I can build muscle easily again.
The brain fog has lifted. I was experiencing unreasonable emotional mood swings, that's back to normal (no AI anymore as a result of every day injections and my e2 is right at 25 nowdays). Libido and function back to nearly 100%, sometimes 110%. Blood sugar dropped from pre-diabetic to well within normal. I could go on and on.
After about six months of trt my wife threw her arms around me crying and said, "I've got my husband back!"
The only negative for me is high hct and hgb combined with lowish ferritin. Otherwise, I'd give it a 4.