I would try eod and try IM but not both changes at the same time. EOD seems like it may be the fix you need.
I just wanted to update this. To recap -> My first labs after starting TRT were:
Total test: 317
Free Test: 7.3
Estrogen: 2.9
SHGB: 24.2
The protocol was:
.25ml cyp 200m/ml 3 x week m/w/f
hcg 500iu 2 x week m/f
anastrozole 2 x week
After that I had my consult and he changed my protocol to:
.3ml cyp 200m/ml 3 x week m/w/f
hcg 500iu 2 x week m/f
My estrogen was super low, so I stopped taking the anastrozole all together. I have been on this protocol for about 60 days now and my recent labs came back as this:
TT: 468
Free T: 11.1
estrodial, sensative: 18.1
I am still a little suprised at the TT being only at 468. I am currently taking everything subq. I might try and switch to IM injections to see if that helps at all. Just wanted to know your guy's thoughts on this..
** Edit: I know Vince mentioned to trying moving to EOD inj. Do you think that would help? like .25ml EOD? That should put me at a similar dose.
Also, I forgot to mention, I am finally starting to feel a little better. After years being in the low 200s, it is nice to start to feel a little normal.
So is 1/2" needle is long enough for IM injection? I am not on TRT yet but I am on Clomid now. IM injection does not require long needle?
I think my body fat is about 24%. So if I decide to inject on my shoulder 1/2" should be long enough?
I'd absolutely go IM if I were you and see if it helps.
I think my body fat is about 24%. So if I decide to inject on my shoulder 1/2" should be long enough?
When I started TRT I was 33% body fat and hit muscle with a 1/2" syringe everytime, I've done SQ before so I know when I'm going into muscle.
If I inject into the belly, there is no way I'll hit muscle.
How do you know if you're getting to muscle or not? I do subq and tried in my thigh a couple of times recently. I literally couldn't feel a thing, either in my leg or hand that injected. 1/2", 30 gauge. I'm around 18%. I liked it better than subq in the belly, but I could do either.
Getting air bubbles from aspirating in muscle? Uhhh
Do you fast before your blood draw?Hey I just wanted to give you guys an update. It has been a couple minutes since I have switched from subQ to IM. One other change I made was adding back in the anastrozole. After a few weeks of IM my body order was horrible so I figured my estrogen was high.
Since switching My labs were as follows:
SubQ -
TT: 468
Free T: 11.1
estrodial, sensative: 18.1
IM -
TT: 860
Free T: 23.3
TT: 468
Free T: 11.1
estrodial, sensative: 23.3
I have another follow up call tomorrow with the PA. As of right now, I have been feeling great. My mood has increased, I have more motivation, and overall a better feeling about myself. I am still on HCG 500 iu x 2 week.
Do you fast before your blood draw?
Predict estradiol, DHT, and free testosterone levels based on total testosterone
This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.
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A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.
Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.
The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.
Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.
DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038