TRT is not working

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Hello Folks,

I have been diagnosed with low T one And half year ago, I was prescribed TRT, sustanon 100 once in a month I did not start the treatment considering its sides. I was suffering from all Low T symptoms but after a long Time I finally decided to start the TRT but not as prescribed by doctor actually I met with Two doctors and one of them prescribed sus 100 once in a month and another one prescribed cernos 1gram (undeca) once in three months. As I researched on internet and found the perfect dose must be 150 mg once in a week and I started the same, first week I had shot of 100 mg after that I have been taking 150 mg every week and tomorrow on Sunday I am going to take my sixth injection but I am very disappointed to note that TRT has not provided any benefit to me my libido is non-existent, no erection always fatigue no motivation. Firstly, I thought I am taking fake sustanon because it hurts too much for five days after injection, I don’t know what is the reason behind it (if anyone can help me in this regard that would be great) and when I got my T level checked this week it was 7.22 ng/mL and now I think, sus must not be fake and I have to bear that pain if no remedy was found.

My question is why TRT, even slightly, is not working to me, is there anything I can do to get it working?

My blood work

Before TRT :

Test Total = 1.32 ng/ml (2.6 to 10)
E2 = 30.83 pg/ml (10-50)
TSH = 0.022 µIU/mL (0.550 – 4.780)
Free T4 = 1.600 ng/dl (0.800 – 1.800)
Prolactin = 55.67 Ng/mL (2.1 – 17.7)
Hemoglobin = 13.6 g/dl (13-17)
PCV Haematocrit) = 41.0 % (40-50)
LH = 3.35 mIU/ml (1.5 – 9.3)
FSH = 3.66 mIU/ml (1.4 – 18.1)
Glucose fasting blood sugar = 93 mg/dl (74-106)
HBAIC – Glycosylated = 5.0 % (<6)
Estimated Average Glucose = 96.8 mg/dl
Glucose post prandial (PPBS) = 97 mg/dl (<140)
Cholesterol total = 127.0 mg/dl (<200)
Triglycerides = 100 md/dl (<150)
HDL =31 mg/dl (40.0 – 60.0)
LDL = 72.69 mg/dl (<100)
VLDL cholesterol = 20.0 mg/dl
25 Hydroxy Vitamin D = 7.57 ng/ml (30-100)
PSA = 0.589 ng/ml (0.00 – 4.00)
Bilirubin total = 0.70 mg/dl (0.2 – 1.3)
AST / SGOT = 52 IU/L (17-59)
ALT /SGOT = 103 IU/L (21-72)
Alkaline phosphatase = 93 U/L (42 – 98)
Protein total = 7.3 g/dl (6.3 – 8.2)
Albumin = 4.4 g/dl (3.5 – 5.0)
Globulin = 2.9 g/dl (2.0 – 3.5)
A/G ratio = 1.52 (1-2)
GGT = 36 U/L (12-58)

After TRT :

Test Total = 7.22 ng/ml (2.6 to 10)

I only got Testosterone checked to verify whether I am injecting fake test or not, as there is good value I think it shows I am using good test now I have to get checked E2, Haematocrit I will update on the same soon.

I have another question I have High prolactin can it cause low libido and ED? As My doctor says only test is responsible for that.

Any help is greatly appreciated.
 
Defy Medical TRT clinic doctor
You need to know your SHBG level as well. Guys with really low SHBG typically are "under-responders" to TRT, which is a fancy way of saying that they may not feel much different on TRT than they did before, even when their blood work shows ideal levels. I know what I am talking about as I fall into this category myself.
 
For some men it takes a while to respond to testosterone. Are you in good health?

Boy am I learning that the hard way. I always hear about guys starting TRT and by the 6 month their almost symptom free and building muscle, 6 months came and went and still recovering from a workout at the gym 1 week ago. It hasn't even been one week since I started injecting EOD and by the 5th day my muscles are even more sore than they were before and haven't felt this good on TRT since I started.

I wonder if there are guys out there who have mid level SHBG who take longer to respond to TRT in the same way a low SHBG guy does?
 
Boy am I learning that the hard way. I always hear about guys starting TRT and by the 6 month their almost symptom free and building muscle, 6 months came and went and still recovering from a workout at the gym 1 week ago. It hasn't even been one week since I started injecting EOD and by the 5th day my muscles are even more sore than they were before and haven't felt this good on TRT since I started.

I wonder if there are guys out there who have mid level SHBG who take longer to respond to TRT in the same way a low SHBG guy does?

Glad to see that you have went to a EOD schedule. My SHBG isnt quite as low as yours, but EOD has sure made a difference for me as well. I am now starting to manipulate my AI doses, I found that taking it the day after every injection gives me mild anxiety. Sticking to Mon/Wed/Fri for my AI worked much better
 
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Glad to see that you have went to a EOD schedule. My SHBG isnt quite as low as yours, but EOD has sure made a difference for me as well. I am now starting to manipulate my AI doses, I found that taking it the day after every injection gives me mild anxiety. Sticking to Mon/Wed/Fri for my AI worked much better

You were the motivating factor for why I chose to go EOD, I figured if someone with slightly higher SHBG can notice a difference on an EOD protocol then perhaps so can I. No AI here and hopefully never need one.
 
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