My family doctor just recently prescribed me but I haven't started taking it yet testosterone cypionate 100 mg per ml but the protocol is 1.5 ml every two weeks just wondering what you guys thoughts are on this I'm 45 years old my last reading was a 7.2 which is around 200. testosterone level. Is this going to be enough to start me off because originally I was on the gel and I wasn't having much resultswith it
Systemlord
Member
A horrible protocol, you need to find a more knowledgeable doctor to guide your treatment!
This protocol will put you on a hormonal roller-coaster, the first week your levels will be supraphysiological and by the second week you'll be hypogonadal.
This large difference between peak and trough can make TRT much less effective and cause symptoms and or problems with hemoglobin and hematocrit.
The endocrine Society recommends 75 to 100 mg weekly.
You should be injecting at a minimum 100 mg weekly and sometimes split up more often to reduce side effects.
Other options may exist that your doctor may not be aware of, like Jatenzo taken orally twice-daily. The recommended starting dosage for Jatenzo is 237 mg twice-daily.
A new oral testosterone undecanoate therapy comes of age for the treatment of hypogonadal men
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T
tareload
Guest
Dude just split the dose and do 75 to 100 mg per week (once or twice weekly injections) to start. Blood work and then reassess.
Pharma 200 mg/ml is available so you can reduce volume per injection.
Pharma 200 mg/ml is available so you can reduce volume per injection.
Systemlord
Member
@maran7 only has 75 mg weekly to work with.
He also needs to consider using insulin syringes so he doesn't waste medicine.
T
tareload
Guest
It is @maran77 and sure Doc has Rx for 75mg/week but inject every 2 weeks. We don't know how many milliliters he has physically in his possession. Talk to the doc and mention 3 to 7 day IM elimination half life and you would like at least to inject weekly.
If you can get leash for 100 mg/week then there you go, no self treating. Otherwise 75 mg/week and try it out. A reasonable starting dose per week.
Systemlord
Member
It's better than the alternative! @maran77 could even split it up twice a week which would be even better.
I got a 450 to 500 ng/dL trough on 75 mg weekly injections way back in 2017.
T
tareload
Guest
Yes, see post #3.
Systemlord
Member
I'm trying to drive my point home. Sometimes an echo in the room is a good thing.
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Blackhawk
Member
Some of us do quite well on 75mg and less per week. Though on a cyp/prop blend, I am currently on daily shots equivalent to 8mg/day, 56mg/week T cyp.
I know my N=1 is not the usual, but based on my rough entry with T cyp injections at too high a dose, and having to lower dose until I got it low enough, If I was to start over I'd start on 75/week in 2-3 doses per week, or every other day using 5/16" 30g insulin syringe for grapeseed oil, or 29-27g for cottonseed oil carrier.
37.5mg 2x/week
25mg 3x/week
Every other day 21mg. I personally do better on smaller more frequent injections.
I know my N=1 is not the usual, but based on my rough entry with T cyp injections at too high a dose, and having to lower dose until I got it low enough, If I was to start over I'd start on 75/week in 2-3 doses per week, or every other day using 5/16" 30g insulin syringe for grapeseed oil, or 29-27g for cottonseed oil carrier.
37.5mg 2x/week
25mg 3x/week
Every other day 21mg. I personally do better on smaller more frequent injections.
T
tareload
Guest
Drive away. I will stay in my lane LOL!
Systemlord
Member
Print this out and or email this to your doctor.
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Ok I'll email it with the link so if I did the 75ml a week that's still low eh
Blackhawk
Member
It may be fine for you, or you may need more. Another form of T, Xyosted in pre-dosed auto injectors comes in 50, 75 and 100mg doses intended for weekly administration. The recommended starting dose is 75mg/week:
Low Testosterone In Men | About XYOSTED® (testosterone enanthate)
Meet XYOSTED®, the easy to use, virtually pain-free injector used to treat hypogonadism in adult males with low or no testosterone. See Boxed Warning, Important Safety Information, and Full Prescribing Information.
www.xyosted.com
A lot of guys start higher and then have to reduce dosage due to high Hematocrit. Testosterone inhibits hepcidin which is an inhibitor of red blood cell production. For some men, when the inhibitor is inhibited, the red blood cell production goes too high. High hematocrit means your blood is too thick due to too many red blood cells. This causes wear and tear on the cardiovascular system and makes us more susceptible to clotting problems, stroke, and high blood pressure. Look around this forum, you'll see this here all the time because men start with too much. Once the problem occurs, the standard treatment is phlebotomy... having blood removed from your veins, to reduce the amount of red blood cells, and lowering dose.
At this point your choice whether to start higher with the possibility of having to reduce, but also know reducing can be misery. For me there are actual withdrawal symptoms. starting lower may not get you all the way there, but you run less risk of high hematocrit. After 6-8 weeks and getting labs, you may decide to increase dose. Or the opposite can occur, if you start on 100mg (Pretty safe anway) you may need to reduce, or who knows, even increase if it doesn;t get you there.
Just know that more is not necessarily better.
Thanks for the response I looked up that product but I live in Canada so I don't think it's available to me the Xyosted. It's hard in this group to know what's good with the believe like or you know it's hard to go against my doctor so I'm just feeling maybe like to 75 mg a week will be good you know I just I keep hearing negative responses about it or the the way he prescribed every two weeks I know it's not good so I sent them an email and see how he responses to it. He initially had me on the testosterone gel but it wasn't doing anything for me in 6 weeks I barely went up one point and I was on50 mg applied to the skin daily. I also have a consult with a private clinic on on Monday so I'm going to get there see what they have to say as well I just have a feeling my doctor may be a little bit on a touch
Blackhawk
Member
I was not suggesting to pursue xyosted, only using as a recommended example of 75 as starting dose.
Systemlord is correct in all cases. Your Dr is an uninformed idiot. Micro-dosing with insulin needles every other day or every 2 days is better. It keeps your levels on a straighter line than the roller coaster of ever other week. Plus if your T level is 200, That 150 every 2 weeks won't do much. You should be on 150 every week. My T level was 300 and I'm doing about 45 units Mon/Wed/Fri sub-q with an insulin needle. T levels are now around 875.
I'm going through the private clinic route and they said the same..so now in a few days just waiting for meds I'm gonna be on test cyp 120mg a week to start. Now I have to do decide if I'm gonna do it once a week to inject or 2 times a week. I'm told the ventro glute is best? Which is right on front of quad I believe.now I'm just trying to educate myself on size of needle to use..I'm not a big guy I'm only like 188 lbs and my legs are generally thin..(genetics) what are ur thoughts ?
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