Starting TRT in Japan – 250mg Every 2 Weeks. Experiencing Bloating – Advice?

Tonyved

New Member
Hi everyone,

I’m 47 years old, living in Japan, and working for the U.S. government. About a year ago, I had my total testosterone tested through the VA, and it came back at 399 ng/dL. Despite reporting classic low T symptoms, I was told the level was “within range,” so no treatment was initiated.

Fast forward to two months ago—I had my free testosterone tested locally in Tokyo, and it came back at 11.3 pg/mL. Based on that result, I was referred to a urologist, who here in Japan is typically the one who handles TRT.

Three weeks ago, I re-tested, and my free T had dropped to 8.2, a 22% decline in just a few weeks. The urologist expressed concern and started me on TRT immediately, injecting 250 mg of testosterone enanthate in the shoulder two days ago. He plans to continue with biweekly injections (every 2 weeks).

I requested additional labs for total T and SHBG, which he drew after the injection. I’ll receive those results in two weeks.

Currently on Day 2, and I’m experiencing significant bloating. After doing quite a bit of research, I’ve found that many in the TRT community advocate for weekly dosing (e.g., 100–125 mg/week) to maintain stable levels and reduce estrogen-related sides.

So I’m wondering:

Has anyone here had long-term success on 250 mg every 2 weeks?

Did your bloating resolve as your body adjusted?

Are there any strategies to reduce bloating in the short term (supplements, timing, diet)?

Also I was born with both testicles undecendent and got the corrective surgery at 5 which is too late. I believe I may have always had low T but now it is finally catching up to my body.

I’d really appreciate any insights from those with experience on this protocol or similar symptoms. Thanks in advance.
 
Hi everyone,

I’m 47 years old, living in Japan, and working for the U.S. government. About a year ago, I had my total testosterone tested through the VA, and it came back at 399 ng/dL. Despite reporting classic low T symptoms, I was told the level was “within range,” so no treatment was initiated.

Fast forward to two months ago—I had my free testosterone tested locally in Tokyo, and it came back at 11.3 pg/mL. Based on that result, I was referred to a urologist, who here in Japan is typically the one who handles TRT.

Three weeks ago, I re-tested, and my free T had dropped to 8.2, a 22% decline in just a few weeks. The urologist expressed concern and started me on TRT immediately, injecting 250 mg of testosterone enanthate in the shoulder two days ago. He plans to continue with biweekly injections (every 2 weeks).

I requested additional labs for total T and SHBG, which he drew after the injection. I’ll receive those results in two weeks.

Currently on Day 2, and I’m experiencing significant bloating. After doing quite a bit of research, I’ve found that many in the TRT community advocate for weekly dosing (e.g., 100–125 mg/week) to maintain stable levels and reduce estrogen-related sides.

So I’m wondering:

Has anyone here had long-term success on 250 mg every 2 weeks?

Did your bloating resolve as your body adjusted?

Are there any strategies to reduce bloating in the short term (supplements, timing, diet)?

Also I was born with both testicles undecendent and got the corrective surgery at 5 which is too late. I believe I may have always had low T but now it is finally catching up to my body.

I’d really appreciate any insights from those with experience on this protocol or similar symptoms. Thanks in advance.

Bad move here!

Unfortunately there are numeorus doctors (endos, uros and GPs) still dishing out those outdated T protocols 200 mg every 2 weeks.

Many still lack the understanding of the PKs (pharmacokinetics).

Injecting 200 let alone 250 mg esterified TE or TC every 2 weeks to treat low-t symptoms let alone long-term is a horrible protocol due to the PKs.

Very few men would reap the full beneficial effects (mentally/physically) of having healthy FT levels on such protocols due to the extreme swing in hormones.

Such protool (dose of T/injection frequency) will have your TT and more importantly FT levels sky-high off the hop as in peak (8-24 hrs) post-injection and during the first 2-3 days and although T levels will be lower come weeks end (day 7) many are still hitting a high-end/high FT top it off that by day 12-14 levels will be much lower which can have a negative impact on energy, mood, libido, erectile function and recovery.

Rollercoaster ride anyone!

Downfall when injecting every 2 weeks let alone once weekly is there will be a big difference in peak--->trough post-injection and blood levels will not be as stable throughout the week.

The big swing in peak--->trough can easily have a negative impact on energy, mood, libido, erectile function and recovery due to the rollercoaster effect.

Although once weekly would be more advantageous there will still be a big difference in peak--->trough and blood levels will not be as stable throughout the week which for many can still have a negative impact on energy, mood, libido, erectile function due to the weekly swings.

Much more common to start on twice-weekly and although there will still be a difference between peak--->trough it will not be as extreme as blood levels will be more stable throughout the week especially when injecting strictly sub-q which can have a positive impact on how one feels overall throughout the week.

Most men on TTh are injecting 100-200 mg T/week whether once weekly or split into more frequent injections as in twice-weekly, M/W/F, EOD or daily.

The majority of men can easily hit a healthy/high trough FT injecting 100-150 mg T/week especially when split into more frquent injections.

As i always say yes there are some outliers who may need the higher-end dose 200 mg T/week but it is FAR from COMMON as in RARE!

Regarding the bloating there is more to the story than just blaming elevated estradiol.

Look over the threads in post #3

 
Address : SK Building A, 6-2-18 Nishi-Shinjuku, Shinjuku-ku, Tokyo 160-0023





* Dr Shigeo Horie is Professor and Chairman of the Department of Urology at Juntendo University's Graduate School of Medicine, Japan. He graduated from the University of Tokyo in 1985, and conducted his clinical fellowship at the UT Southwestern Medical Center in Dallas. He initiated the first Men's Health clinic in Japan, and is currently the President of the Japanese Society of Men's Health. He is a founding member of the Androgen Society. He has published 200+ peer-reviewed papers.

1746333784873.webp

















 

Online statistics

Members online
1
Guests online
131
Total visitors
132

Latest posts

Back
Top