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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
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<blockquote data-quote="Blackhawk" data-source="post: 270373" data-attributes="member: 16042"><p>Might work fine for you, but this can be a painful approach. I personally would start low and progress higher if needed. Increasing tends to feel good (Up to a point), but withdrawal from dose reduction can be a real B&tch. I started on 150mg/wk in 2016, and reduced about ten times to 49/week, now doing 7mg daily. This is unusually low, and this last reduction seems to have put me feeling a bit low after about a 2 month period. I will ride it our for one more month as it takes me 2-3 months to fully adjust to reductions, but my blood levels are still robust. There are a few us here who do well at these truly physiological replacement doses. My Free T was 2.1 before therapy and on this tiny dose is 19.7ng/dL, range 5.00-21.00.</p><p></p><p>Remember that free T measured by Ultrafiltration or equilibrium dialysis and using vermuelen calculator are better references for your physiological testosterone. Total T is misleading, and Free T direct tests are highly inaccurate. See [USER=13851]@madman[/USER] 's posts on this.</p><p></p><p>In terms of combining esters, cypionate and enanthate are similar enough that you probably will get no extra benefit. A few of us are doing well/better on either a cypionate/proprionate or enanthate/propionate blend at tiny doses daily. The proprionate is shorter acting and for me the effect from tiny daily injections creating a bit of daily variation is a noticeable improvement over just cypionate alone.</p><p></p><p>In hindsight if I was starting all over again, I would start on 60mg/week divided into either daily or every other day dosing. This is pretty darm low, but the amount puts my free T over the top of "normal range", and is far beyond hypogonadal levels.</p><p></p><p>Of course this is not enough for many men, Some indeed need as much as 160mg/week. Starting that high is on the verge of putting you at risk for multiple complications. There are probably over 100 accounts of these problems on this forum, and new ones pop up seems more often than weekly sometimes.</p><p></p><p>Good luck!</p><p></p><p>Addendum:</p><p></p><p>Compounding other steroids with T is not a good idea. It means if you want to change something, your compounded vial is no longer useful. Better to just combine multiples in the syringe.</p><p></p><p>I do mix my own enanthate/proprionate blend from vials of each ordered through Defy, but started this in very small batches to be sure the ratio works well. Now mix 5ml at a time, then add HCG in the syringe. I also used nandrolone for a short while but it shot up my hematocrit. I am glad It wasn't compounded into my T. I would have had to throw it out and buy new T.</p><p></p><p>I've been with Defy since 2016 and am very happy with Dr Saya, but not the company itself. They are good at what they do, I just find the gatekeeping function of support staff to be unpleasant and unnecessary. They will prevent you from scheduling until you jump the hoops that they want you jump, and this is fraught with trouble if you are getting labs done through other channels ordered by other doctors. Part of their business model is to provide a comprehensive service, everything , labs, prescriptions etc, and if your needs are different, it gets to be a PITA. I am used to it and know what to expect, but the process is not smooth, there are always issues for them even when I have submitted everything requested. The reports etc are not in the same format they are used to through their own channels, and the support staff does not understand the doctor/patient relationship I have established with Dr Saya.</p></blockquote><p></p>
[QUOTE="Blackhawk, post: 270373, member: 16042"] Might work fine for you, but this can be a painful approach. I personally would start low and progress higher if needed. Increasing tends to feel good (Up to a point), but withdrawal from dose reduction can be a real B&tch. I started on 150mg/wk in 2016, and reduced about ten times to 49/week, now doing 7mg daily. This is unusually low, and this last reduction seems to have put me feeling a bit low after about a 2 month period. I will ride it our for one more month as it takes me 2-3 months to fully adjust to reductions, but my blood levels are still robust. There are a few us here who do well at these truly physiological replacement doses. My Free T was 2.1 before therapy and on this tiny dose is 19.7ng/dL, range 5.00-21.00. Remember that free T measured by Ultrafiltration or equilibrium dialysis and using vermuelen calculator are better references for your physiological testosterone. Total T is misleading, and Free T direct tests are highly inaccurate. See [USER=13851]@madman[/USER] 's posts on this. In terms of combining esters, cypionate and enanthate are similar enough that you probably will get no extra benefit. A few of us are doing well/better on either a cypionate/proprionate or enanthate/propionate blend at tiny doses daily. The proprionate is shorter acting and for me the effect from tiny daily injections creating a bit of daily variation is a noticeable improvement over just cypionate alone. In hindsight if I was starting all over again, I would start on 60mg/week divided into either daily or every other day dosing. This is pretty darm low, but the amount puts my free T over the top of "normal range", and is far beyond hypogonadal levels. Of course this is not enough for many men, Some indeed need as much as 160mg/week. Starting that high is on the verge of putting you at risk for multiple complications. There are probably over 100 accounts of these problems on this forum, and new ones pop up seems more often than weekly sometimes. Good luck! Addendum: Compounding other steroids with T is not a good idea. It means if you want to change something, your compounded vial is no longer useful. Better to just combine multiples in the syringe. I do mix my own enanthate/proprionate blend from vials of each ordered through Defy, but started this in very small batches to be sure the ratio works well. Now mix 5ml at a time, then add HCG in the syringe. I also used nandrolone for a short while but it shot up my hematocrit. I am glad It wasn't compounded into my T. I would have had to throw it out and buy new T. I've been with Defy since 2016 and am very happy with Dr Saya, but not the company itself. They are good at what they do, I just find the gatekeeping function of support staff to be unpleasant and unnecessary. They will prevent you from scheduling until you jump the hoops that they want you jump, and this is fraught with trouble if you are getting labs done through other channels ordered by other doctors. Part of their business model is to provide a comprehensive service, everything , labs, prescriptions etc, and if your needs are different, it gets to be a PITA. I am used to it and know what to expect, but the process is not smooth, there are always issues for them even when I have submitted everything requested. The reports etc are not in the same format they are used to through their own channels, and the support staff does not understand the doctor/patient relationship I have established with Dr Saya. [/QUOTE]
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