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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
Testosterone Therapy (TTh) - How To Treat - Abraham Morgentaler
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<blockquote data-quote="madman" data-source="post: 276665" data-attributes="member: 13851"><p>Has treated thousands of men over the decades!</p><p></p><p>Rarely used a f**KING AI to boot!</p><p></p><p>Again not too fond of AIs or 5ARis due to the importance of testosterone metabolites estradiol and DHT.</p><p></p><p>Commonly prescribed T doses are 100-140 mg/week.</p><p></p><p></p><p><strong><em>*restoration of <u>robust youthful levels</u></em></strong></p><p><strong><em></em></strong></p><p><strong><em><strong>*<em>So we start at 0.5 and if that's not good enough we go to 0.6 (120 mg) and 0.7 (140 mg) and <u>occasionally but NOT VERY OFTEN we go above that</u></em></strong></em></strong></p><p><strong><em><strong><em></em></strong></em></strong></p><p><strong><em><strong><em><strong><em>*Optimal results often require <u>T values in the upper range of normal (T 600-900 ng/dL)</u></em></strong></em></strong></em></strong></p><p></p><p></p><p>[ATTACH=full]41956[/ATTACH]</p><p></p><p>[ATTACH=full]41959[/ATTACH]</p><p></p><p></p><p></p><p></p><p><strong><em>@6:34-7:02</em></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong>*<em>So we start at 0.5 and if that's not good enough we go to 0.6 (120 mg) and 0.7 (140 mg) and <u>occasionally but NOT VERY OFTEN we go above that </u></em><u>Dose T/week</u></strong></p><p></p><p></p><p></p><p></p><p><em><strong>The starting dose is about 100 mg/week.</strong></em></p><p><em><strong></strong></em></p><p><em><strong>If they're going to be giving it to themselves or coming into the office every week we start with 100 mg but you can move up.</strong></em></p><p><em><strong></strong></em></p><p><em><strong><u>Rarely do we go lower but some people will</u>.</strong></em></p><p><em><strong></strong></em></p><p><em><strong>100 mg is 0.5 CC each CC is 200 mg per CC or per mL.</strong></em></p><p></p><p><strong><em>So we start at <u>0.5 and if that's not good enough we go to 0.6 (120 mg) and 0.7 (140 mg) and occasionally but not very often we go above that</u>.</em></strong></p><p></p><p></p><p></p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/threads/a-primary-care-approach-to-the-evaluation-and-treatment-of-male-hypogonadism.29635/[/URL]</p><p></p><p></p><p>2024 and still singing the same old tune!</p><p></p><p></p><p><strong><em>*However some men won't achieve adequate response until <u>total T in upper levels of normal 650-1000 ng/dL</u></em></strong></p><p></p><p></p><p>[ATTACH=full]42053[/ATTACH]</p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/threads/controlling-the-polycythemia-effect-associated-with-trt.29985/[/URL]</p><p></p><p><strong><em>*<strong>The goal of this study was to <u>minimize the polycythemia effect associated with TRT while maximizing the benefits of treatment</u>.</strong></em></strong></p><p></p><p><em><strong>*In this study, patients’ TT levels stabilized between 605–1051 ng/dL. <u>The majority of patients were still experiencing symptoms of testicular hypofunction when their TT level was<605</u> </strong></em></p><p><em><strong></strong></em></p><p><em><strong>*Additionally, the <u>side effects started to outweigh the benefits of treatment when TT levels were >1051</u>. The side effects observed at higher TT levels included acne, aggression, erectile dysfunction, difficulty losing weight, elevated E2 levels, hair loss, and increased body hair. Hair loss with TRT did not occur with appropriate dosing and management unless the patients had a family history of hair loss. In these cases, hair loss tended to accelerate, following their family history of male pattern baldness. Similarly, patients were more likely to experience acne if they had a personal history of acne or naturally oily skin</strong></em></p><p><em><strong></strong></em></p><p><em><strong>*<u>Regardless, maintaining relatively consistent and appropriate TT and E2 levels minimized all side effects and helped patients achieve the best results on treatment</u>. Therefore, the data collected in this study <u>suggest that the ideal range for a patient’s total testosterone level</u>, drawn after four consecutive weeks of injections and exactly seven days after the previous injection, is <u>605–1051 ng/dL</u>. <u>Note that this is a much narrower range than the currently suggested ranges, including 348–1197 ng/dL</u> [1]</strong></em></p><p></p><p></p><p><strong><em>*<strong>Based on the data collected from sixty total patients who reached stabilization on TRT (30 previously on TRT and 30 never on TRT), the <u>average TC weekly dosage at stabilization for those previously on TRT was 147 mg, and the average weekly TC dosage at stabilization for those never on TRT was 149.3 mg</u>. <u>Therefore, it is recommended to start patients with 140–150 mg TC injections weekly (ideally every seven days) for the first four weeks of treatment (accounting for the thirty-day elimination time)</u>. Testosterone levels should then be remeasured at the half-life (seven days post-injection) for accuracy. We recommend that dosing adjustments be made in 10–20 mg increments, and only after four consecutive injections of the same TC dose. <u>TT levels stabilized at 780.1 ng/dL on average (range: 605–1020 ng/dL) for those previously on TRT and 794.53 ng/dL on average (range: 641–1051 ng/dL)for those never on TRT</u>. <u>The range of 605–1051 ng/dL was then used to create a testosterone treatment flowchart, and when tested for accuracy held true</u>. <u>Based on these results, the recommended target range for a total testosterone level is 605–1051 ng/dL</u>.</strong></em></strong></p></blockquote><p></p>
[QUOTE="madman, post: 276665, member: 13851"] Has treated thousands of men over the decades! Rarely used a f**KING AI to boot! Again not too fond of AIs or 5ARis due to the importance of testosterone metabolites estradiol and DHT. Commonly prescribed T doses are 100-140 mg/week. [B][I]*restoration of [U]robust youthful levels[/U] [B]*[I]So we start at 0.5 and if that's not good enough we go to 0.6 (120 mg) and 0.7 (140 mg) and [U]occasionally but NOT VERY OFTEN we go above that[/U] [B][I]*Optimal results often require [U]T values in the upper range of normal (T 600-900 ng/dL)[/U][/I][/B][/I][/B][/I][/B] [ATTACH type="full" alt="1709319378400.png"]41956[/ATTACH] [ATTACH type="full" alt="1709323332107.png"]41959[/ATTACH] [B][I]@6:34-7:02[/I] *[I]So we start at 0.5 and if that's not good enough we go to 0.6 (120 mg) and 0.7 (140 mg) and [U]occasionally but NOT VERY OFTEN we go above that [/U][/I][U]Dose T/week[/U][/B] [I][B]The starting dose is about 100 mg/week. If they're going to be giving it to themselves or coming into the office every week we start with 100 mg but you can move up. [U]Rarely do we go lower but some people will[/U]. 100 mg is 0.5 CC each CC is 200 mg per CC or per mL.[/B][/I] [B][I]So we start at [U]0.5 and if that's not good enough we go to 0.6 (120 mg) and 0.7 (140 mg) and occasionally but not very often we go above that[/U].[/I][/B] [URL unfurl="true"]https://www.excelmale.com/threads/a-primary-care-approach-to-the-evaluation-and-treatment-of-male-hypogonadism.29635/[/URL] 2024 and still singing the same old tune! [B][I]*However some men won't achieve adequate response until [U]total T in upper levels of normal 650-1000 ng/dL[/U][/I][/B] [ATTACH type="full" alt="Screenshot (33423).png"]42053[/ATTACH] [URL unfurl="true"]https://www.excelmale.com/threads/controlling-the-polycythemia-effect-associated-with-trt.29985/[/URL] [B][I]*[B]The goal of this study was to [U]minimize the polycythemia effect associated with TRT while maximizing the benefits of treatment[/U].[/B][/I][/B] [I][B]*In this study, patients’ TT levels stabilized between 605–1051 ng/dL. [U]The majority of patients were still experiencing symptoms of testicular hypofunction when their TT level was<605[/U] *Additionally, the [U]side effects started to outweigh the benefits of treatment when TT levels were >1051[/U]. The side effects observed at higher TT levels included acne, aggression, erectile dysfunction, difficulty losing weight, elevated E2 levels, hair loss, and increased body hair. Hair loss with TRT did not occur with appropriate dosing and management unless the patients had a family history of hair loss. In these cases, hair loss tended to accelerate, following their family history of male pattern baldness. Similarly, patients were more likely to experience acne if they had a personal history of acne or naturally oily skin *[U]Regardless, maintaining relatively consistent and appropriate TT and E2 levels minimized all side effects and helped patients achieve the best results on treatment[/U]. Therefore, the data collected in this study [U]suggest that the ideal range for a patient’s total testosterone level[/U], drawn after four consecutive weeks of injections and exactly seven days after the previous injection, is [U]605–1051 ng/dL[/U]. [U]Note that this is a much narrower range than the currently suggested ranges, including 348–1197 ng/dL[/U] [1][/B][/I] [B][I]*[B]Based on the data collected from sixty total patients who reached stabilization on TRT (30 previously on TRT and 30 never on TRT), the [U]average TC weekly dosage at stabilization for those previously on TRT was 147 mg, and the average weekly TC dosage at stabilization for those never on TRT was 149.3 mg[/U]. [U]Therefore, it is recommended to start patients with 140–150 mg TC injections weekly (ideally every seven days) for the first four weeks of treatment (accounting for the thirty-day elimination time)[/U]. Testosterone levels should then be remeasured at the half-life (seven days post-injection) for accuracy. We recommend that dosing adjustments be made in 10–20 mg increments, and only after four consecutive injections of the same TC dose. [U]TT levels stabilized at 780.1 ng/dL on average (range: 605–1020 ng/dL) for those previously on TRT and 794.53 ng/dL on average (range: 641–1051 ng/dL)for those never on TRT[/U]. [U]The range of 605–1051 ng/dL was then used to create a testosterone treatment flowchart, and when tested for accuracy held true[/U]. [U]Based on these results, the recommended target range for a total testosterone level is 605–1051 ng/dL[/U].[/B][/I][/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
Testosterone Therapy (TTh) - How To Treat - Abraham Morgentaler
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