TRT /Hcg Regimen - Is This Reasonable?

[Kb29247]

Hi Nelson I am new to trt and have been on trt for 5 weeks. My doctor put me on 200 ml every 2 weeks because I was low total T. I am 39 years old. He did not test anything other than total T and I was at 285. Since being on it I have had a hard to sleeping. I go to sleep but wake up around 2am and struggle to sleep. I changed and started taking 100ml every week to see of it would help my sleep because I never had sleep issues before trt. After doing this each week I still struggled with sleep the first few days after taking injection. By the 6th or 7th day I would mentally feel better and sleep better. It's very strange it's like I have opposite results vs what most say about it. I was afraid my doctor may not be the most experienced so I changed doctors to knees that I heard was experienced in this area. I just met with him this week. I had blood test from his office last week but apparently my results were not in yet. So I met with him and told him what I was on and what my experience was. He talked very little which makes me nervous. He just prescribed the following to me and said I should be around 900 total T and my first doctor only wanted me at 500 total T.

He put me on
testosterone Cyp. 1cc or 200ml each week
Anstrozole- 1 pill 2x week Sunday and Wednesday
HCG - 1/2cc 2x per week Sunday/Wednesday

I plan to start this on Sunday. The reason I come to you is I heard this is high and wanted your opinion and I have read some folks against using Anstrozole in that high of an amount.
I so far have not felt issues with Estrogen unless if it is what is causing me to not be able to sleep.

At this point I have only done 100ml per week of testosterone. I have had erectile issues before trt and still do so far.

So does what he has prescribed to you look good? I do not plan on having any more children either but I guess he typically prescribes HCG. Said it would help with the erectile issues.

 

[CoastWatcher]

Hi Nelson I am new to trt and have been on trt for 5 weeks. My doctor put me on 200 ml every 2 weeks because I was low total T. I am 39 years old. He did not test anything other than total T and I was at 285. Since being on it I have had a hard to sleeping. I go to sleep but wake up around 2am and struggle to sleep. I changed and started taking 100ml every week to see of it would help my sleep because I never had sleep issues before trt. After doing this each week I still struggled with sleep the first few days after taking injection. By the 6th or 7th day I would mentally feel better and sleep better. It's very strange it's like I have opposite results vs what most say about it. I was afraid my doctor may not be the most experienced so I changed doctors to knees that I heard was experienced in this area. I just met with him this week. I had blood test from his office last week but apparently my results were not in yet. So I met with him and told him what I was on and what my experience was. He talked very little which makes me nervous. He just prescribed the following to me and said I should be around 900 total T and my first doctor only wanted me at 500 total T.

He put me on
testosterone Cyp. 1cc or 200ml each week
Anstrozole- 1 pill 2x week Sunday and Wednesday
HCG - 1/2cc 2x per week Sunday/Wednesday

I plan to start this on Sunday. The reason I come to you is I heard this is high and wanted your opinion and I have read some folks against using Anstrozole in that high of an amount.
I so far have not felt issues with Estrogen unless if it is what is causing me to not be able to sleep.

At this point I have only done 100ml per week of testosterone. I have had erectile issues before trt and still do so far.

So does what he has prescribed to you look good? I do not plan on having any more children either but I guess he typically prescribes HCG. Said it would help with the erectile issues.

Welocme to Excelmale. You have received very, very poor medical care, and it continues to be substandard. You did not have an adequate pre-TRT workup. The following should have been tested: total and free testosterone, FSH, LH, SHBG, estradiol/sensitive, CBC, CMP, PSA, TSH, t3, t4, rt3, thyroid antibodies, DHT, DHEA, and prolactin. To initiate therapy on the basis of a single total testosterone reading is absurd. Your total testosterone confirms hypogonadism, but leaves many other questions unanswered.

Your initial protocol was was doomed to failure. Testosterone injected every two weeks, no matter what the dose, will not restore your levels. It simply clears your body too quickly; at the end of the two-week period you'll have nothing left in your system, your estradiol is likely to have spiked, and you will feel miserable. Smaller, more frequent injections over the course of a week bring success. A good, typical, starting protocol is 50mg every 3.5 days.

Anastrozole - a good drug, but do you need it? Were your levels tested via the sensitive LC, MS/MS method? If not, why was one prescribed? It's not, by any means, a drug that should be routinely prescribed in the absence of elevated levels and symptoms. Furthermore, even if you needed it, the dose you have been is prescribed outlandishly high. Two milligrams a week is a ticket to misery. Please - don't fall into that trap.

You need better doctors. You deserve quality care. Find a doctor who will test your levels properly, and who understands contemporary androgen replacement.

 

[Vince Carter]

At least you have a DR that is working with you and prescribing, we at EM can help you use these things appropriately, which is what you're NOT getting from this Dr. Listen to my friend CoastWatcher.

 

[Vince]

I agree with both Vince Carter and Coastwatcher. You should inject every 3 1/2 days, try to avoid an AI, only use if really needed. Most only use .25 dose but only after symptoms and proper labs show high E2.

 

[Kb29247]

Guys it is awesome to find support like this. You have all given great advice. I am going to take my dosage today as you suggested and split it up over 3.5 days and not take the AI until I feel symptoms.

My next biggest concern would be sleep. For some reason since I started trt it makes it hard to get sleep and when I do not sleep good it causes some anxiety. Will my body adjust? I have started taking melatonin but I hate to make that a daily habit and sometimes it doesn't work. Is there any blood test that will show what is effecting my sleep?

The second issue is Ed and morning wood is not happening. I am hopeful that the HCG and this higher dose will solve it.

Thanks again for helping guys that are new to this.
Thanks Keith

 

[CoastWatcher]

Guys it is awesome to find support like this. You have all given great advice. I am going to take my dosage today as you suggested and split it up over 3.5 days and not take the AI until I feel symptoms.

My next biggest concern would be sleep. For some reason since I started trt it makes it hard to get sleep and when I do not sleep good it causes some anxiety. Will my body adjust? I have started taking melatonin but I hate to make that a daily habit and sometimes it doesn't work. Is there any blood test that will show what is effecting my sleep?

The second issue is Ed and morning wood is not happening. I am hopeful that the HCG and this higher dose will solve it.

Thanks again for helping guys that are new to this.
Thanks Keith

Patience is the key to finding success on a TRT protocol. In a very real sense, you are starting all over on a new protocol. Erectile issues are frequently among the last issues that resolve. It would probably be fair to say that the majority of us here at EM support our protocol with Cialis or one of its cousins.

You really need additional testing as was discussed. You can obtain them, cheaply, on your own at www.discountedlabs.com. Regular testing is critical.

 

[CoastWatcher]

Never take an AI based on symptoms alone. Anastrozole should ONLY be added to a protocol when an elevated estradiol level has been captured via the sensitive, LC/MS, MS, lab test and in the presence of symptoms. Symptoms are a key, the key, component of the successful TRT protocol, but it is far too risky a step to think hormonal navigation can be managed in the basis of subjective feelings.

 

[Vince]

I also had sleep issues when first starting TRT and took high dose melatonin. Eventually I started sleeping great and stopped using melatonin. TRT may not help with morning wood, there are many good threads on buying inexpensive ED meds.

 

[Kb29247]

Vince that is so very good to hear. The lack of sleep had me really nervous so hopefully my body will adjust as well.