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<blockquote data-quote="BBaller" data-source="post: 29914" data-attributes="member: 12251"><p>Looking through your posts, I can see that the quality of care may be of some concern, and I also would be alarmed that there seems to be an over-eagerness to adjust the protocol on the fly. </p><p></p><p>As much as I have researched and feel reasonably well informed about TRT, there is a reason I rely on a medical professional with clinical experience: I know the limits of my knowledge, and am willing to give them the benefit of the doubt if they advise a patient, conservative approach. Over-reacting to subjective experience (or even regular bloodwork) can be a dangerous rabbit hole since hormones work on a longer scale than many other interventions. It takes time to see things develop, and I would rather have a doctor who knows and has likely seen cases like mine before, when and if trouble-shooting is necessary.</p><p></p><p>My honest opinion, based on what you've shared, is going to echo what others have suggested: slow down a little bit and give yourself and your body time to adapt. This is a marathon, not a sprint, so no need to make hair trigger decisions unless you have reason to believe you're in imminent danger.</p><p></p><p>As for my protocol- so far nothing much to report roughly 6 weeks in: physically I experienced some water retention, which I wrote about in the forums, though that may be leveling out recently. Energy levels are still mixed. Assertiveness may be up slightly and in certain contexts. Libido and sexual performance, thankfully, were not issues previously and seem to remain strong to date. </p><p></p><p>Strength was down for the last few months and my gym motivation and consistency have also been mixed. Currently training 1-3x/week depending on my schedule and wherewithal. I'd like to be training 3-4x/weekly again. My energy for basketball, my primary physical outlet, remains strong- I usually play 5-10+ hours per week.</p><p></p><p>Focus and concentration were an issue for me; hard to say where they're at now, since much of it was work- and stress-related, and hormones and physical systems I think can be highly multi-factorial. I intentionally engineer my life to reduce stress and avoid work that is unpleasant, so how much of my increased focus has to do with hormonal stabilization, and how much to simply reaping the fruits of better choices is hard to say. My working conception is that both of these feed into one another, and can enhance or exacerbate issues.</p><p></p><p>With respect to TRT, my mindset is to take a long-term approach. However much I'd like the therapy to help me get yoked, be bad-ass and become supremely charismatic and confident, my prudence compels me to restrain extraordinary expectations and remain as patient and objective as I can be. Those personality, physical and productivity changes may happen, and TRT may be an adjunct, but I'll still have to take the time and do the work.</p></blockquote><p></p>
[QUOTE="BBaller, post: 29914, member: 12251"] Looking through your posts, I can see that the quality of care may be of some concern, and I also would be alarmed that there seems to be an over-eagerness to adjust the protocol on the fly. As much as I have researched and feel reasonably well informed about TRT, there is a reason I rely on a medical professional with clinical experience: I know the limits of my knowledge, and am willing to give them the benefit of the doubt if they advise a patient, conservative approach. Over-reacting to subjective experience (or even regular bloodwork) can be a dangerous rabbit hole since hormones work on a longer scale than many other interventions. It takes time to see things develop, and I would rather have a doctor who knows and has likely seen cases like mine before, when and if trouble-shooting is necessary. My honest opinion, based on what you've shared, is going to echo what others have suggested: slow down a little bit and give yourself and your body time to adapt. This is a marathon, not a sprint, so no need to make hair trigger decisions unless you have reason to believe you're in imminent danger. As for my protocol- so far nothing much to report roughly 6 weeks in: physically I experienced some water retention, which I wrote about in the forums, though that may be leveling out recently. Energy levels are still mixed. Assertiveness may be up slightly and in certain contexts. Libido and sexual performance, thankfully, were not issues previously and seem to remain strong to date. Strength was down for the last few months and my gym motivation and consistency have also been mixed. Currently training 1-3x/week depending on my schedule and wherewithal. I'd like to be training 3-4x/weekly again. My energy for basketball, my primary physical outlet, remains strong- I usually play 5-10+ hours per week. Focus and concentration were an issue for me; hard to say where they're at now, since much of it was work- and stress-related, and hormones and physical systems I think can be highly multi-factorial. I intentionally engineer my life to reduce stress and avoid work that is unpleasant, so how much of my increased focus has to do with hormonal stabilization, and how much to simply reaping the fruits of better choices is hard to say. My working conception is that both of these feed into one another, and can enhance or exacerbate issues. With respect to TRT, my mindset is to take a long-term approach. However much I'd like the therapy to help me get yoked, be bad-ass and become supremely charismatic and confident, my prudence compels me to restrain extraordinary expectations and remain as patient and objective as I can be. Those personality, physical and productivity changes may happen, and TRT may be an adjunct, but I'll still have to take the time and do the work. [/QUOTE]
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