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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
What happened? Not the same
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<blockquote data-quote="Cataceous" data-source="post: 214177" data-attributes="member: 38109"><p>I'd be interested in seeing your numbers. For me, titrating downwards to more natural levels was only a step in the right direction, but would not by itself have resolved all of my issues, such as with libido and the management of estradiol and prolactin. That's why the resulting protocol is so complex; I'm trying to add back the important things that TRT messes up.</p><p></p><p>What you're saying is that you feel hypogonadal while taking more testosterone than the average guy in his 20s makes naturally. It's certainly possible. But it could also suggest that the issue is more about what TRT has messed up than about the level of testosterone. There are cases where guys feel better on supraphysiological dosing. I'm not vehemently opposed to that if all else fails. However, I think the safest progression for the typical hypogonadal guy is to start with a nasal gel to get a sense of whether higher testosterone is moving him in the right direction. In the best case all symptoms resolve and the treatment can be continued indefinitely. There may be some guys who feel like it helps but can't stand the delivery method or have other reasons to really want to move to conventional TRT. While I'd hope there's some awareness of the potential problems with HPTA shutdown, all I'm really asking for in these cases is that the low-and-slow approach be adopted. Make sure you know what it feels like to be at average levels before experimenting with more. Have a known situation to fall back on if higher levels create problems. Be cognizant of the fact that the consequences of long-term supraphysiological dosing are not known.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 214177, member: 38109"] I'd be interested in seeing your numbers. For me, titrating downwards to more natural levels was only a step in the right direction, but would not by itself have resolved all of my issues, such as with libido and the management of estradiol and prolactin. That's why the resulting protocol is so complex; I'm trying to add back the important things that TRT messes up. What you're saying is that you feel hypogonadal while taking more testosterone than the average guy in his 20s makes naturally. It's certainly possible. But it could also suggest that the issue is more about what TRT has messed up than about the level of testosterone. There are cases where guys feel better on supraphysiological dosing. I'm not vehemently opposed to that if all else fails. However, I think the safest progression for the typical hypogonadal guy is to start with a nasal gel to get a sense of whether higher testosterone is moving him in the right direction. In the best case all symptoms resolve and the treatment can be continued indefinitely. There may be some guys who feel like it helps but can't stand the delivery method or have other reasons to really want to move to conventional TRT. While I'd hope there's some awareness of the potential problems with HPTA shutdown, all I'm really asking for in these cases is that the low-and-slow approach be adopted. Make sure you know what it feels like to be at average levels before experimenting with more. Have a known situation to fall back on if higher levels create problems. Be cognizant of the fact that the consequences of long-term supraphysiological dosing are not known. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
What happened? Not the same
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