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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
probably being prescribed sustanon-250 every 3 weeks; options?
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<blockquote data-quote="Aki" data-source="post: 135428" data-attributes="member: 14084"><p>Thanks for the replies, gents.</p><p></p><p>So I had my appointment yesterday and here's the situation so far:</p><ul> <li data-xf-list-type="ul">the doc is starting me off straightaway on <strong>250 mg every two weeks</strong> (instead of every three weeks). He wants me to do a total of three shots, and get labs done the day before the third shot, so if I take my first shot today/tomorrow I should be seeing him again in around 4 weeks time to review.</li> <li data-xf-list-type="ul">he hinted that he might go higher if needed (or dial it down).</li> <li data-xf-list-type="ul">He wrote me a prescription for three ampules all at once. <strong>So I should be able to divide it up and take lower doses at higher frequency, by self-administration (but I won't do that just yet)[*].</strong></li> <li data-xf-list-type="ul">for labs, he has only requested I get total testosterone done on the day before shot #3, but I plan to get SHBG and estradiol done too. (LH and FSH seems pointless, but probably I'll do all of them because I can get them for free.)</li> </ul><p></p><p>The good thing about this doctor is that he listens to what you have to say, doesn't talk down to you, and is humble enough to admit non-awareness or lack of experience of specific things. His protocols do seem to be rather conventional though, and it appears sustanon-250 is his "go-to treatment". I still do not know what other options are available here; but if things do not look good after the first set of shots, I'll ask him to consider other options if available (gel or subcutaneously injectable testosterone etc.) And finally - if nothing other than sustanon-250 is available - it seems quite feasible to be able to increase the frequency of the shots at lower dosage.</p><p></p><p>[USER=38109]@Cataceous[/USER] I'm sort of aware of the conventional wisdom about SHBG levels and shot dose/frequency, although it didn't occur to me to talk about it when I was having my consultation (and I only read your reply later). From various labs I've done over the years, my SHBG tends to be around <strong>14-16 nmol/L</strong> if I've been off the clomid for sufficiently long, but if I've been on a low daily dose of clomid for long enough it <strong>creeps up to around 30[**]. </strong></p><p></p><p>Since I've been off the clomid for 4-5 months now, <strong>I <em>expect</em> (from past experience) by now it'll have settled down at the ≈15 nmol/L.</strong> (My last set of labs, done over 2 1/2 months ago, already had my SHBG at 24 nmol/L down from 30 nmol/L.)</p><p></p><p>---</p><p></p><p><span style="color: rgb(41, 105, 176)"><strong>So if my understanding/recollection is correct, with very low SHBG and a low-frequency/high dose shot, I should be worried about steep T-level fluctuations between successive shots, and also about a possibly large rise in estradiol? [***]</strong></span></p><p></p><p><span style="color: rgb(41, 105, 176)"><strong>If sticking to HRT for sufficiently long raises my SHBG somewhat, that should be good, I think? My mental model of SHBG is that it's like a buffer in the sense a higher value will smooth out the T-level fluctuations. </strong></span></p><p></p><p>---</p><p></p><p></p><p></p><p>[*] My plan is to go along with his treatment for the first three shots and if I experience issues consistent with low SHBG, rise in estradiol, etc. or a subjective lack of benefit, I will bring it up with him. [USER=13107]@user_joe[/USER], hopefully it won't come to prison. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>[**] SHBG seems to be at the heart of it all and notoriously difficult to control.</p><p></p><p>[***] I recollect when the first I did the sustanon-250 (albeit once every three weeks) at the end of it my estradiol had risen considerably. Unfortunately I had not done SHBG though, either prior or after (didn't even know what it was back then) but my assumption is it might've been low.</p></blockquote><p></p>
[QUOTE="Aki, post: 135428, member: 14084"] Thanks for the replies, gents. So I had my appointment yesterday and here's the situation so far: [LIST] [*]the doc is starting me off straightaway on [B]250 mg every two weeks[/B] (instead of every three weeks). He wants me to do a total of three shots, and get labs done the day before the third shot, so if I take my first shot today/tomorrow I should be seeing him again in around 4 weeks time to review. [*]he hinted that he might go higher if needed (or dial it down). [*]He wrote me a prescription for three ampules all at once. [B]So I should be able to divide it up and take lower doses at higher frequency, by self-administration (but I won't do that just yet)[*].[/B] [*]for labs, he has only requested I get total testosterone done on the day before shot #3, but I plan to get SHBG and estradiol done too. (LH and FSH seems pointless, but probably I'll do all of them because I can get them for free.) [/LIST] The good thing about this doctor is that he listens to what you have to say, doesn't talk down to you, and is humble enough to admit non-awareness or lack of experience of specific things. His protocols do seem to be rather conventional though, and it appears sustanon-250 is his "go-to treatment". I still do not know what other options are available here; but if things do not look good after the first set of shots, I'll ask him to consider other options if available (gel or subcutaneously injectable testosterone etc.) And finally - if nothing other than sustanon-250 is available - it seems quite feasible to be able to increase the frequency of the shots at lower dosage. [USER=38109]@Cataceous[/USER] I'm sort of aware of the conventional wisdom about SHBG levels and shot dose/frequency, although it didn't occur to me to talk about it when I was having my consultation (and I only read your reply later). From various labs I've done over the years, my SHBG tends to be around [B]14-16 nmol/L[/B] if I've been off the clomid for sufficiently long, but if I've been on a low daily dose of clomid for long enough it [B]creeps up to around 30[**]. [/B] Since I've been off the clomid for 4-5 months now, [B]I [I]expect[/I] (from past experience) by now it'll have settled down at the ≈15 nmol/L.[/B] (My last set of labs, done over 2 1/2 months ago, already had my SHBG at 24 nmol/L down from 30 nmol/L.) --- [COLOR=rgb(41, 105, 176)][B]So if my understanding/recollection is correct, with very low SHBG and a low-frequency/high dose shot, I should be worried about steep T-level fluctuations between successive shots, and also about a possibly large rise in estradiol? [***][/B][/COLOR] [COLOR=rgb(41, 105, 176)][B]If sticking to HRT for sufficiently long raises my SHBG somewhat, that should be good, I think? My mental model of SHBG is that it's like a buffer in the sense a higher value will smooth out the T-level fluctuations. [/B][/COLOR] --- [*] My plan is to go along with his treatment for the first three shots and if I experience issues consistent with low SHBG, rise in estradiol, etc. or a subjective lack of benefit, I will bring it up with him. [USER=13107]@user_joe[/USER], hopefully it won't come to prison. :) [**] SHBG seems to be at the heart of it all and notoriously difficult to control. [***] I recollect when the first I did the sustanon-250 (albeit once every three weeks) at the end of it my estradiol had risen considerably. Unfortunately I had not done SHBG though, either prior or after (didn't even know what it was back then) but my assumption is it might've been low. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
probably being prescribed sustanon-250 every 3 weeks; options?
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