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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Possible edema? Side-effect management?
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<blockquote data-quote="Cataceous" data-source="post: 198502" data-attributes="member: 38109"><p>I'd ask your provider why your starting dose was more than double the amount of testosterone that the average healthy young man produces naturally. You were averaging 15 mg per day versus the typical 6-7 mg. Your low SHBG means that total testosterone is expected to be on the low side for the dose, though free testosterone can be robust. The Tru-T and Vermeulen calculators both suggest above-average free testosterone with your previous SHBG. Chances are SHBG went lower still with the hefty doses of testosterone, meaning free testosterone was higher yet.</p><p></p><p>It's extremely frustrating to see this scenario repeated over and over: Excessive dosing and side effects. There is no good reason to start TRT this way. The default administration of an aromatase inhibitor is like an admission that "Yeah, we're overdosing you, which is going to create excessive estradiol, so here's another drug to preemptively deal with those side effects."</p><p></p><p>Everybody is just so ingrained with the idea that anything not above average is bad. We need to ditch this mentality when it comes to hormones. Your body is telling you that having above average free testosterone is not what it needs to function properly. Because you're off the TRT anyway, maybe consider some alternatives before getting back on. Enclomiphene and Natesto are two drugs that raise testosterone without shutting down your body's natural production. You would most likely be better off if you can resolve your symptoms with one of these instead of TRT.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 198502, member: 38109"] I'd ask your provider why your starting dose was more than double the amount of testosterone that the average healthy young man produces naturally. You were averaging 15 mg per day versus the typical 6-7 mg. Your low SHBG means that total testosterone is expected to be on the low side for the dose, though free testosterone can be robust. The Tru-T and Vermeulen calculators both suggest above-average free testosterone with your previous SHBG. Chances are SHBG went lower still with the hefty doses of testosterone, meaning free testosterone was higher yet. It's extremely frustrating to see this scenario repeated over and over: Excessive dosing and side effects. There is no good reason to start TRT this way. The default administration of an aromatase inhibitor is like an admission that "Yeah, we're overdosing you, which is going to create excessive estradiol, so here's another drug to preemptively deal with those side effects." Everybody is just so ingrained with the idea that anything not above average is bad. We need to ditch this mentality when it comes to hormones. Your body is telling you that having above average free testosterone is not what it needs to function properly. Because you're off the TRT anyway, maybe consider some alternatives before getting back on. Enclomiphene and Natesto are two drugs that raise testosterone without shutting down your body's natural production. You would most likely be better off if you can resolve your symptoms with one of these instead of TRT. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Possible edema? Side-effect management?
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