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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
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<blockquote data-quote="madman" data-source="post: 238838" data-attributes="member: 13851"><p>Lab work is critical!</p><p></p><p>Not a dealbreaker going from 80--->100 mg T but still a bum move on your NP's part!</p><p></p><p>Most are started on 100 mg T/week.</p><p></p><p>The unlucky ones are started on much higher doses especially when being treated by many of those pay-out-of-pocket run-of-the-mill T-clinics.</p><p></p><p>Overmedicated from the get-go and these are usually the same individuals that end up struggling in the long run.</p><p></p><p>If anything seeing as you were already 4-5 weeks in you should have stuck it out another week and had labs done to see where such dose had your trough TT, FT, and estradiol level along with other important blood markers such as SHBG and CBC.</p><p></p><p>Keep in mind that when starting trt or tweaking a protocol (increasing the dose) hormones will be in FLUX during the weeks leading up until blood levels have stabilized (4-6 weeks) due to the half-life of the ester (TC/TE).</p><p></p><p>During this time most will experience what we call the HONEYMOON period (</p><p>euphoric state, increased energy, libido/erections) due to testosterone levels rising and the increase in dopamine/AR lighting up).</p><p></p><p>Unfortunately, this state of bliss is temporary and short-lived as the body will eventually adapt.</p><p></p><p>If your FT levels are healthy along with other hormones then you should feel good overall.</p><p></p><p>Do not get caught up in trying to chase/mimic the honeymoon phase as you will never achieve such.</p><p></p><p>When it comes to libido let alone erectile function they are multi-factorial and it is not a given that having healthy testosterone levels will cure all that ails you.</p><p></p><p>Much more going on than just having high testosterone levels.</p><p></p><p>It is also common to experience ups/down during the transition as the body is trying to adjust.</p><p></p><p>Even then once blood levels have stabilized (4-6 weeks) it will still take time for the body to fully adapt to the new set-point and this is the critical time period when one should gauge how they truly feel overall regarding relief/improvement of low-t symptoms.</p><p></p><p>Every protocol needs to be given a fighting chance (12 weeks) before claiming that it was a success or failure.</p><p></p><p>Your dose should not be increased at the 6-week mark unless blood work shows that your trough FT levels are too low (far from common).</p><p></p><p>Otherwise, you will be chasing your tail endlessly tweaking your protocol every 4-6 weeks until the cows come home.</p><p></p><p>Patience is key.</p><p></p><p>Also, keep in mind that testosterone has a tonic effect on the CNS which can easily make one feel amped up.</p><p></p><p>Too many men get caught up in that neanderthal mindset that more T is better.</p><p></p><p>Most are overmedicated running absurdly high trough FT levels and this is at steady-state.</p><p></p><p>The body was never meant to function optimally in such a state.</p><p></p><p>Most men on trt are injecting 100-200 mg T/week whether once weekly or split twice weekly, M/W/F, EOD, or daily.</p><p></p><p>The majority of men can easily hit a healthy/high FT level by injecting 100-150 mg T/week.</p><p></p><p>Far from common anyone would need 200 mg T/week although all those bum ass forums and gootubers would have you believing such!</p><p></p><p>Keep in mind that although some men do well injecting once weekly most are injecting more frequently.</p><p></p><p>The downfall of injecting once weekly is that there will be a significant difference in peak--->trough as peak T levels will be absurdly high post-injection/during the first few days only to be followed by much lower levels come week's end (depending on the dose).</p><p></p><p>This can have a negative impact on energy, mood, libido, erectile function, and recovery.</p><p></p><p>Most prefer injecting more frequently as you will be clipping the peak--->trough which will result in more stable blood levels throughout the week.</p><p></p><p>You are almost 6 weeks in at your new dose (100 mg T/week) and are due for blood work.</p><p></p><p>Now you can see where such protocol (dose T/injection frequency) has your trough TT, FT, and estradiol levels along with other important blood markers SHBG, DHT, PSA, and CBC which includes RBCs/hemoglobin/hematocrit.</p></blockquote><p></p>
[QUOTE="madman, post: 238838, member: 13851"] Lab work is critical! Not a dealbreaker going from 80--->100 mg T but still a bum move on your NP's part! Most are started on 100 mg T/week. The unlucky ones are started on much higher doses especially when being treated by many of those pay-out-of-pocket run-of-the-mill T-clinics. Overmedicated from the get-go and these are usually the same individuals that end up struggling in the long run. If anything seeing as you were already 4-5 weeks in you should have stuck it out another week and had labs done to see where such dose had your trough TT, FT, and estradiol level along with other important blood markers such as SHBG and CBC. Keep in mind that when starting trt or tweaking a protocol (increasing the dose) hormones will be in FLUX during the weeks leading up until blood levels have stabilized (4-6 weeks) due to the half-life of the ester (TC/TE). During this time most will experience what we call the HONEYMOON period ( euphoric state, increased energy, libido/erections) due to testosterone levels rising and the increase in dopamine/AR lighting up). Unfortunately, this state of bliss is temporary and short-lived as the body will eventually adapt. If your FT levels are healthy along with other hormones then you should feel good overall. Do not get caught up in trying to chase/mimic the honeymoon phase as you will never achieve such. When it comes to libido let alone erectile function they are multi-factorial and it is not a given that having healthy testosterone levels will cure all that ails you. Much more going on than just having high testosterone levels. It is also common to experience ups/down during the transition as the body is trying to adjust. Even then once blood levels have stabilized (4-6 weeks) it will still take time for the body to fully adapt to the new set-point and this is the critical time period when one should gauge how they truly feel overall regarding relief/improvement of low-t symptoms. Every protocol needs to be given a fighting chance (12 weeks) before claiming that it was a success or failure. Your dose should not be increased at the 6-week mark unless blood work shows that your trough FT levels are too low (far from common). Otherwise, you will be chasing your tail endlessly tweaking your protocol every 4-6 weeks until the cows come home. Patience is key. Also, keep in mind that testosterone has a tonic effect on the CNS which can easily make one feel amped up. Too many men get caught up in that neanderthal mindset that more T is better. Most are overmedicated running absurdly high trough FT levels and this is at steady-state. The body was never meant to function optimally in such a state. Most men on trt are injecting 100-200 mg T/week whether once weekly or split twice weekly, M/W/F, EOD, or daily. The majority of men can easily hit a healthy/high FT level by injecting 100-150 mg T/week. Far from common anyone would need 200 mg T/week although all those bum ass forums and gootubers would have you believing such! Keep in mind that although some men do well injecting once weekly most are injecting more frequently. The downfall of injecting once weekly is that there will be a significant difference in peak--->trough as peak T levels will be absurdly high post-injection/during the first few days only to be followed by much lower levels come week's end (depending on the dose). This can have a negative impact on energy, mood, libido, erectile function, and recovery. Most prefer injecting more frequently as you will be clipping the peak--->trough which will result in more stable blood levels throughout the week. You are almost 6 weeks in at your new dose (100 mg T/week) and are due for blood work. Now you can see where such protocol (dose T/injection frequency) has your trough TT, FT, and estradiol levels along with other important blood markers SHBG, DHT, PSA, and CBC which includes RBCs/hemoglobin/hematocrit. [/QUOTE]
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