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Link Posted: 5/23/2017 11:30:07 AM EDT
[#1]
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Originally Posted By Huskercoop:
Thanks for the replies. Any Tulsa area Dr's to recommend if I need to switch?
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The doctor I go to gets training from this company.  Each doctor will offer their own treatment and have their own plan/requirements.  I'm happy with my doctor though.

http://worldlinkmedical.com/directory/
Link Posted: 5/23/2017 4:00:03 PM EDT
[#2]
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Originally Posted By KaiK:


200 mg is going to shut your natural production down for sure. I hope he didn't just give you that one shot and then he is going to let you crash.
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The doc put me on 260 mg per week starting April 28, and as of now, he won't let me self-inject that large of a dose.  I think he is going to pull labs again on me next week to see how I am responding to the thyroid medication and TRT.  I was kind of confused because at first he said he wanted to pull them after a month, then he said that he wanted to pull them in the first quarter to see if I needed any adjustment to my medications.

All I know is this is the best I have felt in YEARS.  I wish I had not dicked around with so many specialists over the past 16 months.
Link Posted: 5/23/2017 4:17:44 PM EDT
[Last Edit: PantherArms762] [#3]
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Originally Posted By gunz4me:
The doc put me on 260 mg per week starting April 28, and as of now, he won't let me self-inject that large of a dose.  I think he is going to pull labs again on me next week to see how I am responding to the thyroid medication and TRT.  I was kind of confused because at first he said he wanted to pull them after a month, then he said that he wanted to pull them in the first quarter to see if I needed any adjustment to my medications.

All I know is this is the best I have felt in YEARS.  I wish I had not dicked around with so many specialists over the past 16 months.
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Holy shit.
Link Posted: 5/23/2017 4:22:10 PM EDT
[#4]
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Originally Posted By PantherArms762:


Holy shit.
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He told me 200 mg of testosterone was the standard "max" dose.  Was he shitting me?
Link Posted: 5/23/2017 4:26:30 PM EDT
[Last Edit: PantherArms762] [#5]
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Originally Posted By gunz4me:
He told me 200 mg of testosterone was the standard "max" dose.  Was he shitting me?
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Before I recently dropped my dose, I was taking 130mg/week (split into two doses every 3.5 days mind you) and my total T came back at 1264.
Link Posted: 5/23/2017 4:31:11 PM EDT
[#6]
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Originally Posted By PantherArms762:


Before I recently dropped my dose, I was taking 130mg/week (split into two doses every 3.5 days mind you) and my total T came back at 1264.
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Oh snap!  So I may have been pushed into anabolic territory.  No wonder I feel so good, lol.  
Link Posted: 5/23/2017 4:34:34 PM EDT
[#7]
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Originally Posted By SWIRE:

If you have low T, that is a life long problem and some type of treatment goes with it.  You can start testosterone injections and then stop but the problem will continue.  There is a tiny chance that clomid might kickstart your natural production and you will be "normal" afterwards.  If you are curious as to what is going on with your own body then I highly recommend you have a clomid trial, just so you have more information to go on.   You would want that before any T injection.  You can add HCG with the T injections and that pretty much gives you the best of everything, including maintaining fertility.  Studies have shown T plus HCG work to do that, my own labs show that, and someone else here recently posted that he is having a kid and was on that treatment.

Clomid is the easiest and cheapest treatment options but the side effects will eventually get to you.  I made it about 4 years on it before I had enough and switched to T plus HCG.
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Swire do you think if you're on 200 mg per week you need to cycle off once a year or so?
Is there any danger to your endo system staying on T constantly  
Link Posted: 5/23/2017 4:50:02 PM EDT
[#8]
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Originally Posted By gunz4me:
Oh snap!  So I may have been pushed into anabolic territory.  No wonder I feel so good, lol.  
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Originally Posted By gunz4me:
Originally Posted By PantherArms762:


Before I recently dropped my dose, I was taking 130mg/week (split into two doses every 3.5 days mind you) and my total T came back at 1264.
Oh snap!  So I may have been pushed into anabolic territory.  No wonder I feel so good, lol.  
Just go look at weights and you should have crazy gainz.  I bet you feel good.  Was the doc talking about any kind of e blocker?
Link Posted: 5/23/2017 6:50:17 PM EDT
[#9]
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Originally Posted By CaptainSkullet:


Just go look at weights and you should have crazy gainz.  I bet you feel good.  Was the doc talking about any kind of e blocker?
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I'm on one of those too because I take 1mg of Anastrozole every Monday and I take a DIM supplement daily.  I also hit the gym four times per week.  

I hope he holds off on labs for another month or two...
Link Posted: 5/23/2017 7:24:30 PM EDT
[#10]
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Originally Posted By KaiK:


200 mg is going to shut your natural production down for sure. I hope he didn't just give you that one shot and then he is going to let you crash.

Yes it's life long. Unless you want to feel like shit again.

Clomid made me feel weird. It works for some people. I didn't like the side effect that said it could cause blindness.
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Just the one shot until I go back in with my lab results. If he won't work with me I'll need to find someone else in Tulsa. I had a 314 and the range was 300 to around 900.
Link Posted: 5/23/2017 8:31:34 PM EDT
[#11]
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Originally Posted By gunz4me:
The doc put me on 260 mg per week starting April 28, and as of now, he won't let me self-inject that large of a dose.  I think he is going to pull labs again on me next week to see how I am responding to the thyroid medication and TRT.  I was kind of confused because at first he said he wanted to pull them after a month, then he said that he wanted to pull them in the first quarter to see if I needed any adjustment to my medications.

All I know is this is the best I have felt in YEARS.  I wish I had not dicked around with so many specialists over the past 16 months.
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Wow that's a fucking big dose. That really needs to be split up into 2. Or you will be basically juicing for a few days.
Link Posted: 5/23/2017 8:33:04 PM EDT
[#12]
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Originally Posted By Huskercoop:


Just the one shot until I go back in with my lab results. If he won't work with me I'll need to find someone else in Tulsa. I had a 314 and the range was 300 to around 900.
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Yeah your doctor is an idiot, sorry.
Link Posted: 5/23/2017 8:49:23 PM EDT
[#13]
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Originally Posted By PantherArms762:
Holy shit.
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Originally Posted By PantherArms762:
Originally Posted By gunz4me:
The doc put me on 260 mg per week starting April 28, and as of now, he won't let me self-inject that large of a dose.  I think he is going to pull labs again on me next week to see how I am responding to the thyroid medication and TRT.  I was kind of confused because at first he said he wanted to pull them after a month, then he said that he wanted to pull them in the first quarter to see if I needed any adjustment to my medications.

All I know is this is the best I have felt in YEARS.  I wish I had not dicked around with so many specialists over the past 16 months.
Holy shit.
Wow, for real.  Thats a monthly dose for lots of poor guys.
Link Posted: 5/23/2017 8:57:50 PM EDT
[#14]
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Originally Posted By PantherArms762:
It'll take a week or two to get used to. I use a full face mask cause I always resort back to breathign through my mouth.

Now it's like Pavlovian. Strap on the mask, deeeeep breath, sloooowww exhale. Fuckin dream time. Comatose until alarm. And sometimes an hour after.

I got a nice stiff pillow so I can sleep on my side without the smoosh of the pillow pushing my mask off.

Won't sleep without it now.

Ask questions!
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Originally Posted By PantherArms762:
Originally Posted By killswitch:


Ok, ordered. Not sure how it will all work out but I Guess I'll find out won't I.
It'll take a week or two to get used to. I use a full face mask cause I always resort back to breathign through my mouth.

Now it's like Pavlovian. Strap on the mask, deeeeep breath, sloooowww exhale. Fuckin dream time. Comatose until alarm. And sometimes an hour after.

I got a nice stiff pillow so I can sleep on my side without the smoosh of the pillow pushing my mask off.

Won't sleep without it now.

Ask questions!
I don't have much time on the machine yet but I could see how for lots of people it could make a big difference.  I'm hoping I don't end up needing the humidifier because that thing doubles the size.  But right now I'm trying to figure out how to exhale wearing the nose pillows mask.  It's kinda suffocating.
Link Posted: 5/23/2017 9:26:44 PM EDT
[#15]
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Originally Posted By SWIRE:
Clomid is an estrogen blocker but it only blocks the body from using it, meaning it builds up in your blood stream.  Even though the traditional estrogen receptors can't use it the body some how still sees it.  The science on the negative feedback loop isn't complete, otherwise clomid with testosterone should keep natural production going but it doesn't.  Estrogen drives the negative feedback loop and even though the receptors are blocked it is still "seen" when supplemental T is involved.  Just like HCG mimics LH, which products testosterone, yet sperm count increases even though no additional FSH was provided.

High E and low E will cause ED issues.  High E will cause mood swings and increase emotions.  Even though you might have a decent T level, you can still have ED issues and get emotional.  Maybe the clomid decreases drive or maybe experiencing those things all the time just causes drive to go away, I'm not sure, but the loss of interest was real.  Over the years clomid seemed to become less effective.  A higher dose just brought on higher side effects.  

As bad as all that was/seemed, it still was better than what I experienced with Low T and no treatment.  When I made the switch I went a month with no treatment.  Everything I described above continued but then I also become tired, depressed, lost all motivation, and was just going through the motions of daily life.  i had stuck with clomid mainly for fertility reasons but put that concern on hold when I made the switch.  I then did a lab about 6 months into T and HCG and found that combination did maintain my fertility.

T injection twice a week plus HCG is the most controllable and stable option.  It isn't the easiest and cheapest but you will feel the best and can adjust the dose/results easily.  Clomid is basically a take 50mg daily and you get what you get treatment.  
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Originally Posted By SWIRE:
Originally Posted By stanc:
Originally Posted By SWIRE:
Clomid is the easiest and cheapest treatment options but the side effects will eventually get to you.  I made it about 4 years on it before I had enough and switched to T plus HCG.
What side effects caused you to discontinue clomid, and how bad did they get?
Clomid is an estrogen blocker but it only blocks the body from using it, meaning it builds up in your blood stream.  Even though the traditional estrogen receptors can't use it the body some how still sees it.  The science on the negative feedback loop isn't complete, otherwise clomid with testosterone should keep natural production going but it doesn't.  Estrogen drives the negative feedback loop and even though the receptors are blocked it is still "seen" when supplemental T is involved.  Just like HCG mimics LH, which products testosterone, yet sperm count increases even though no additional FSH was provided.

High E and low E will cause ED issues.  High E will cause mood swings and increase emotions.  Even though you might have a decent T level, you can still have ED issues and get emotional.  Maybe the clomid decreases drive or maybe experiencing those things all the time just causes drive to go away, I'm not sure, but the loss of interest was real.  Over the years clomid seemed to become less effective.  A higher dose just brought on higher side effects.  

As bad as all that was/seemed, it still was better than what I experienced with Low T and no treatment.  When I made the switch I went a month with no treatment.  Everything I described above continued but then I also become tired, depressed, lost all motivation, and was just going through the motions of daily life.  i had stuck with clomid mainly for fertility reasons but put that concern on hold when I made the switch.  I then did a lab about 6 months into T and HCG and found that combination did maintain my fertility.

T injection twice a week plus HCG is the most controllable and stable option.  It isn't the easiest and cheapest but you will feel the best and can adjust the dose/results easily.  Clomid is basically a take 50mg daily and you get what you get treatment.  
Clomid isn't actually a blocker per se. It partially shields the estrogen receptors in the pituitary from seeing the E. Those receptors are what triggers the hormones that make the boys produce T, some of which turns to E which feeds the receptors and, much like a thermostat, regulates the T production cycle. Lots of things can cause high or low E including too much T, too much or too little arimidex, and other problems. When my E gets too low, my joints hurt like heck. When too high, I get moody.

One thing that folks should be watching for, whether on T or Clomid is their SHBG. Having a high SHBG can cause ED and some other problems even if your T and E levels are within the normal range. Didn't know that until mine came back high this last blood test. Haven't gotten back with the endo yet to figure out how to manage that as it's a lot trickier than T or E to manage. Been on the Clomid for 4 years now and this is the first time something's been out of whack.

My observation on T shots is that they can be more effective than Clomid at getting your T up to the high range of normal. However, managing that is pretty important. You'll need to monitor your T, your E, SHBG, and HCT to get a good handle on your "optimum" dosage.
Link Posted: 5/24/2017 2:04:33 AM EDT
[#16]
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Originally Posted By SWIRE:
Clomid is an estrogen blocker but it only blocks the body from using it, meaning it builds up in your blood stream.  Even though the traditional estrogen receptors can't use it the body some how still sees it.  The science on the negative feedback loop isn't complete, otherwise clomid with testosterone should keep natural production going but it doesn't.  Estrogen drives the negative feedback loop and even though the receptors are blocked it is still "seen" when supplemental T is involved.  Just like HCG mimics LH, which products testosterone, yet sperm count increases even though no additional FSH was provided.

High E and low E will cause ED issues.  High E will cause mood swings and increase emotions.  Even though you might have a decent T level, you can still have ED issues and get emotional.  Maybe the clomid decreases drive or maybe experiencing those things all the time just causes drive to go away, I'm not sure, but the loss of interest was real.  Over the years clomid seemed to become less effective.  A higher dose just brought on higher side effects.  

As bad as all that was/seemed, it still was better than what I experienced with Low T and no treatment.  When I made the switch I went a month with no treatment.  Everything I described above continued but then I also become tired, depressed, lost all motivation, and was just going through the motions of daily life.  i had stuck with clomid mainly for fertility reasons but put that concern on hold when I made the switch.  I then did a lab about 6 months into T and HCG and found that combination did maintain my fertility.

T injection twice a week plus HCG is the most controllable and stable option.  It isn't the easiest and cheapest but you will feel the best and can adjust the dose/results easily.  Clomid is basically a take 50mg daily and you get what you get treatment.
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Originally Posted By SWIRE:
Originally Posted By stanc:
Originally Posted By SWIRE:
Clomid is the easiest and cheapest treatment options but the side effects will eventually get to you.  I made it about 4 years on it before I had enough and switched to T plus HCG.
What side effects caused you to discontinue clomid, and how bad did they get?
Clomid is an estrogen blocker but it only blocks the body from using it, meaning it builds up in your blood stream.  Even though the traditional estrogen receptors can't use it the body some how still sees it.  The science on the negative feedback loop isn't complete, otherwise clomid with testosterone should keep natural production going but it doesn't.  Estrogen drives the negative feedback loop and even though the receptors are blocked it is still "seen" when supplemental T is involved.  Just like HCG mimics LH, which products testosterone, yet sperm count increases even though no additional FSH was provided.

High E and low E will cause ED issues.  High E will cause mood swings and increase emotions.  Even though you might have a decent T level, you can still have ED issues and get emotional.  Maybe the clomid decreases drive or maybe experiencing those things all the time just causes drive to go away, I'm not sure, but the loss of interest was real.  Over the years clomid seemed to become less effective.  A higher dose just brought on higher side effects.  

As bad as all that was/seemed, it still was better than what I experienced with Low T and no treatment.  When I made the switch I went a month with no treatment.  Everything I described above continued but then I also become tired, depressed, lost all motivation, and was just going through the motions of daily life.  i had stuck with clomid mainly for fertility reasons but put that concern on hold when I made the switch.  I then did a lab about 6 months into T and HCG and found that combination did maintain my fertility.

T injection twice a week plus HCG is the most controllable and stable option.  It isn't the easiest and cheapest but you will feel the best and can adjust the dose/results easily.  Clomid is basically a take 50mg daily and you get what you get treatment.
Thanks for the info. If ED and mood swings are the only issues, I'm relieved. I thought perhaps the side effects were really serious.
Link Posted: 5/24/2017 8:18:05 AM EDT
[#17]
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Originally Posted By stanc:

Thanks for the info. If ED and mood swings are the only issues, I'm relieved. I thought perhaps the side effects were really serious.
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I've heard people say that a potential side effect is blurred vision. I have yet to see any actual evidence that this is the case or even remote chance of kind of thing. In all the studies I've read, Clomid seems to be very effective and safe for long-term use. So, I don't know where the bad vision thing is coming from. If somebody has a link to something actual that I may have missed, feel free to post so we can take a look at it. Informed decision is best decision.
Link Posted: 5/24/2017 10:20:53 AM EDT
[#18]
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Originally Posted By planemaker:
I've heard people say that a potential side effect is blurred vision. I have yet to see any actual evidence that this is the case or even remote chance of kind of thing. In all the studies I've read, Clomid seems to be very effective and safe for long-term use. So, I don't know where the bad vision thing is coming from. If somebody has a link to something actual that I may have missed, feel free to post so we can take a look at it. Informed decision is best decision.
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Originally Posted By planemaker:
Originally Posted By stanc:

Thanks for the info. If ED and mood swings are the only issues, I'm relieved. I thought perhaps the side effects were really serious.
I've heard people say that a potential side effect is blurred vision. I have yet to see any actual evidence that this is the case or even remote chance of kind of thing. In all the studies I've read, Clomid seems to be very effective and safe for long-term use. So, I don't know where the bad vision thing is coming from. If somebody has a link to something actual that I may have missed, feel free to post so we can take a look at it. Informed decision is best decision.
I've been on Clomid since last fall. 50mg every other day. My test went from the mid 300's to the lower 700's as of a month ago. I will be 53 next month. 6'4" 290. I've lost 35 lbs since February. My overall mental and physical health has improved greatly. No problems with ED or blurred vision yet. Most importantly, my wife has noticed a big difference in me. Especially my libido. I find myself chasing her around the house all the time and waking up with a stuffy every morning, when that was not happening last year. YMMV I guess.
Link Posted: 5/24/2017 11:07:56 AM EDT
[Last Edit: SWIRE] [#19]
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Originally Posted By Thugbuster:
I've been on Clomid since last fall. 50mg every other day. My test went from the mid 300's to the lower 700's as of a month ago. I will be 53 next month. 6'4" 290. I've lost 35 lbs since February. My overall mental and physical health has improved greatly. No problems with ED or blurred vision yet. Most importantly, my wife has noticed a big difference in me. Especially my libido. I find myself chasing her around the house all the time and waking up with a stuffy every morning, when that was not happening last year. YMMV I guess.
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Originally Posted By Thugbuster:
Originally Posted By planemaker:
Originally Posted By stanc:

Thanks for the info. If ED and mood swings are the only issues, I'm relieved. I thought perhaps the side effects were really serious.
I've heard people say that a potential side effect is blurred vision. I have yet to see any actual evidence that this is the case or even remote chance of kind of thing. In all the studies I've read, Clomid seems to be very effective and safe for long-term use. So, I don't know where the bad vision thing is coming from. If somebody has a link to something actual that I may have missed, feel free to post so we can take a look at it. Informed decision is best decision.
I've been on Clomid since last fall. 50mg every other day. My test went from the mid 300's to the lower 700's as of a month ago. I will be 53 next month. 6'4" 290. I've lost 35 lbs since February. My overall mental and physical health has improved greatly. No problems with ED or blurred vision yet. Most importantly, my wife has noticed a big difference in me. Especially my libido. I find myself chasing her around the house all the time and waking up with a stuffy every morning, when that was not happening last year. YMMV I guess.
I had the drive but no function.  Imagine having the drive where you are chasing her around then trying to put cooked spaghetti through a key hole.  I believe that could be used as some level of torture.  Even Viagra wouldn't help it.   As planemaker said though SHGB, E2, T...etc all need to be in balance.  Clearly something wasn't with me and I had a ton of labs done and still couldn't figure it out.
Link Posted: 5/24/2017 12:35:04 PM EDT
[#20]
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Originally Posted By SWIRE:
You are thinking of HCG.  Clomid won't do any of that or anything at all if you are taking testosterone.  Clomid breaks a negative feedback loop if you aren't taking T and it ramps your natural production of hormones into over drive.  T pretty much shuts down all natural production and sends a stronger signal then clomid does. 
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Originally Posted By SWIRE:
Originally Posted By ARH:
Originally Posted By DOG556:
While on TRT is there any benefit to also taking Clomid?
It will keep your balls working and prevent atrophy.
You are thinking of HCG.  Clomid won't do any of that or anything at all if you are taking testosterone.  Clomid breaks a negative feedback loop if you aren't taking T and it ramps your natural production of hormones into over drive.  T pretty much shuts down all natural production and sends a stronger signal then clomid does. 
I have some more reading to do.
Link Posted: 5/24/2017 4:52:48 PM EDT
[#21]
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Originally Posted By KaiK:


Yeah your doctor is an idiot, sorry.
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Able to tell me why seriously? Still looking for another Tulsa doctor but no luck.
Link Posted: 5/24/2017 6:13:07 PM EDT
[#22]
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Originally Posted By Huskercoop:


Able to tell me why seriously? Still looking for another Tulsa doctor but no luck.
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He just gave you 1 injection. It's going to shut your natural T production down and make you crash. You will feel like shit in a few days.
Link Posted: 5/25/2017 11:09:13 AM EDT
[Last Edit: CaptainSkullet] [#23]
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Originally Posted By KaiK:
He just gave you 1 injection. It's going to shut your natural T production down and make you crash. You will feel like shit in a few days.
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Originally Posted By KaiK:
Originally Posted By Huskercoop:


Able to tell me why seriously? Still looking for another Tulsa doctor but no luck.
He just gave you 1 injection. It's going to shut your natural T production down and make you crash. You will feel like shit in a few days.
Half life (the amount of time it takes to reduce the conentration to 50% of its starting level) of test cyp is about 8 days.  Meaning that in 8 days you will be at 100mg or so in the system which is around the "normal" trt dose.  A few days after that you will be back in the 80 year old man range.  

The other problem with that big of a shot is your body will naturally convert some of that test to estrogen.  That could also lead to some unhappy side effects as well.

KaiK is right that you need to keep looking for a better doc.
Link Posted: 5/25/2017 11:37:24 AM EDT
[#24]
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Originally Posted By CaptainSkullet:


Half life (the amount of time it takes to reduce the conentration to 50% of its starting level) of test cyp is about 8 days.  Meaning that in 8 days you will be at 100mg or so in the system which is around the "normal" trt dose.  A few days after that you will be back in the 80 year old man range.  

The other problem with that big of a shot is your body will naturally convert some of that test to estrogen.  That could also lead to some unhappy side effects as well.

KaiK is right that you need to keep looking for a better doc.
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Or if not, inform yourself and lead him in the direction YOU want to go. Find a good starting protocol, as any one of us could give you as well as the internets and then go to him and say this is what I would like to do.

Some Dr's know they're not cutting edge and appreciate someone taking the time to inform themselves and some will tell you to go fuck yourself.

Only one way to find out.
Link Posted: 5/26/2017 4:34:27 PM EDT
[#25]
Need some advice.   I have been on T for close to three months, 100mg IM weekly.  My T before starting was 484 tested first thing in the morning.

I started feeling better when I started TRT, put on weight, muscle, etc.  Libido was crazy.

Now, I'm still feeling good, not as fired up as before though, still lifting but the libido is suffering and ED issues have surfaced.

Had bloodwork done Tues morning and I inject on Tuesday afternoons so the results below are seven days after my last injection:

Testosterone, Total, LC/MS 560.1 ng/dL

Free Testosterone(Direct) 15.6 pg/mL

Estradiol, Sensitive 32.0 pg/mL

Sex Horm Binding Glob, Serum 28.5 nmol/L

I thought my T would have been higher and the high E level seven days after an injection has me thinking this is causing the ED issues.

Thoughts ?
Link Posted: 5/26/2017 5:20:50 PM EDT
[Last Edit: K2QB3] [#26]
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Originally Posted By garbageman:
Need some advice.   I have been on T for close to three months, 100mg IM weekly.  My T before starting was 484 tested first thing in the morning.

I started feeling better when I started TRT, put on weight, muscle, etc.  Libido was crazy.

Now, I'm still feeling good, not as fired up as before though, still lifting but the libido is suffering and ED issues have surfaced.

Had bloodwork done Tues morning and I inject on Tuesday afternoons so the results below are seven days after my last injection:

Testosterone, Total, LC/MS 560.1 ng/dL

Free Testosterone(Direct) 15.6 pg/mL

Estradiol, Sensitive 32.0 pg/mL

Sex Horm Binding Glob, Serum 28.5 nmol/L

I thought my T would have been higher and the high E level seven days after an injection has me thinking this is causing the ED issues.

Thoughts ?  
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Did you have ED issues before you started TRT?

Very similar to what my first labs looked like after six weeks on 100mg, (572) except my doc used the non-sensitive E2 test which read 52. Your E2 would come down with smaller, more frequent injections. E2 follows test so a 7 day trough should be close to a peak for E2 I think. I don't think 32 should cause ED, a lot of guys feel better around there, but everyone is different. Might be too high for test being that low.

After talking to my doc and her consulting with another and getting back to me they raised my dose to "not to exceed" 140mg/week T and 1mg/wk anastrozole, schedule up to me.  Still working that out.

I'm taking 20mg/day sq with no AI right now, I tried half an anastrozole last week being paranoid about that E2 reading. My joints starting bothering me over the weekend, and I didn't have morning wood for a couple days, joints still hurt a little bit but almost gone now after 8 days so I'm thinking I'll try to tune the T dose so I don't need it.

BTW, the nurse who I talked to first about my labs got it all wrong, told me wrong values for everything, but not really wrong, like she was trying to influence me to just continue and not see the doc, who was awesome...very odd.
Link Posted: 5/26/2017 5:38:43 PM EDT
[#27]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By Xyster7212:
Got my initial labs back from the new doc:

https://www.AR15.Com/media/mediaFiles/105576/labs1-212072.JPG
https://www.AR15.Com/media/mediaFiles/105576/labs2-212073.JPG
https://www.AR15.Com/media/mediaFiles/105576/labs3-212074.JPG

I'm currently doing 100mg/wk, split into 2 shots spaced 3.5 days apart. This blood was taken 24hrs after a shot.

Any thoughts? Aside from telling me to drink less and spend more time in the sun
View Quote
Quoted for reference.

I had a meeting with my new doc to discuss these labs. She said the T looks great, doesn't want to change a thing - at 24hrs after a 50mg shot, I'm at 1107ng/dl total, 17.5 pg/ml free.

She thinks that my fatigue is being caused by a few things:
-TSH is high, and T3 free is low. She thinks my thyroid is underperforming a bit.
-DHEA Sulfate is too low
-Folate/folic acid is low
-Vit D is very low
-Homocysteine Plasma is high, C-reactive protein is low - those supposedly indicate inflammation

She's not sure what the root cause is, but she suspects it might be a deficiency in folate and Vit D. I'm now on a bunch of vitamins to try to bring those levels up, and we're doing labs again in 6 weeks.

Just goes to show that T is only part of the picture, I suppose.
Link Posted: 5/26/2017 6:40:38 PM EDT
[#28]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By K2QB3:


Did you have ED issues before you started TRT?

Very similar to what my first labs looked like after six weeks on 100mg, (572) except my doc used the non-sensitive E2 test which read 52. Your E2 would come down with smaller, more frequent injections. E2 follows test so a 7 day trough should be close to a peak for E2 I think. I don't think 32 should cause ED, a lot of guys feel better around there, but everyone is different. Might be too high for test being that low.

After talking to my doc and her consulting with another and getting back to me they raised my dose to "not to exceed" 140mg/week T and 1mg/wk anastrozole, schedule up to me.  Still working that out.

I'm taking 20mg/day sq with no AI right now, I tried half an anastrozole last week being paranoid about that E2 reading. My joints starting bothering me over the weekend, and I didn't have morning wood for a couple days, joints still hurt a little bit but almost gone now after 8 days so I'm thinking I'll try to tune the T dose so I don't need it.

BTW, the nurse who I talked to first about my labs got it all wrong, told me wrong values for everything, but not really wrong, like she was trying to influence me to just continue and not see the doc, who was awesome...very odd.
View Quote
No ED issues before.  Now it's hard to get there and sometimes it goes up and then back down.
Link Posted: 5/27/2017 1:59:03 PM EDT
[Last Edit: EXPY37] [#29]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By K2QB3:


Did you have ED issues before you started TRT?

Very similar to what my first labs looked like after six weeks on 100mg, (572) except my doc used the non-sensitive E2 test which read 52. Your E2 would come down with smaller, more frequent injections. E2 follows test so a 7 day trough should be close to a peak for E2 I think. I don't think 32 should cause ED, a lot of guys feel better around there, but everyone is different. Might be too high for test being that low.

After talking to my doc and her consulting with another and getting back to me they raised my dose to "not to exceed" 140mg/week T and 1mg/wk anastrozole, schedule up to me.  Still working that out.

I'm taking 20mg/day sq with no AI right now, I tried half an anastrozole last week being paranoid about that E2 reading. My joints starting bothering me over the weekend, and I didn't have morning wood for a couple days, joints still hurt a little bit but almost gone now after 8 days so I'm thinking I'll try to tune the T dose so I don't need it.

BTW, the nurse who I talked to first about my labs got it all wrong, told me wrong values for everything, but not really wrong, like she was trying to influence me to just continue and not see the doc, who was awesome...very odd.
View Quote
Strange, I'm taking abt the same amt of T SQ and my T levels are well over 1000.

Are you sure what you are injecting is T? Especially since the nurse is acting a little 'funny, that would set my alarm bells off...

E at 32 is good, abt the same as mine, I only use a fraction of a tab of Arimidex every couple weeks.

If I take a bit too much I have the same ache symptoms for a few days.
Link Posted: 5/27/2017 2:04:18 PM EDT
[#30]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By EXPY37:



Strange, I'm taking abt the same amt of T SQ and my T levels are well over 1000.

Are you sure what you are injecting is T? Especially since the nurse is acting a little 'funny, that would set my alarm bells off...

E at 32 is good, abt the same as mine, I only use a fraction of a tab of Arimidex every couple weeks.

If I take a bit too much I have the same ache symptoms for a few days.
View Quote
We're on GHRP's and I always request the vials un-reconstituted, because you never know what's in there otherwise.
Link Posted: 5/27/2017 2:07:43 PM EDT
[#31]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By EXPY37:



Strange, I'm taking abt the same amt of T SQ and my T levels are well over 1000.

Are you sure what you are injecting is T? Especially since the nurse is acting a little 'funny, that would set my alarm bells off...

E at 32 is good, abt the same as mine, I only use a fraction of a tab of Arimidex every couple weeks.

If I take a bit too much I have the same ache symptoms for a few days.
View Quote
I was only at 450 taking 100 mg a week and at 650 taking 180 mg a week. People are different.
Link Posted: 5/27/2017 2:31:17 PM EDT
[#32]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By KaiK:


I was only at 450 taking 100 mg a week and at 650 taking 180 mg a week. People are different.
View Quote
Yep. I'm sure it's good T. I've felt fantastic pretty much from the first injection, except for the anastrozole... just slowly dialing it in and bringing a doc who doesn't really know TRT along.

I'm thinking 140mg/wk is going to be really close for me though, feeling a big difference and 572 was a 7 day trough.

I like the daily protocol even if it is overkill, drawing such small amounts goes fast.

Has anyone else had trouble getting 10ml vials of test? It's way cheaper that way but my pharmacist won't dispense more than 90 days. I might have to ask my doc to change the way my script is written.
Link Posted: 5/27/2017 3:51:27 PM EDT
[#33]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By K2QB3:
Yep. I'm sure it's good T. I've felt fantastic pretty much from the first injection, except for the anastrozole... just slowly dialing it in and bringing a doc who doesn't really know TRT along.

I'm thinking 140mg/wk is going to be really close for me though, feeling a big difference and 572 was a 7 day trough.

I like the daily protocol even if it is overkill, drawing such small amounts goes fast.

Has anyone else had trouble getting 10ml vials of test? It's way cheaper that way but my pharmacist won't dispense more than 90 days. I might have to ask my doc to change the way my script is written.
View Quote View All Quotes
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Discussion ForumsJump to Quoted PostQuote History
Originally Posted By K2QB3:
Originally Posted By KaiK:


I was only at 450 taking 100 mg a week and at 650 taking 180 mg a week. People are different.
Yep. I'm sure it's good T. I've felt fantastic pretty much from the first injection, except for the anastrozole... just slowly dialing it in and bringing a doc who doesn't really know TRT along.

I'm thinking 140mg/wk is going to be really close for me though, feeling a big difference and 572 was a 7 day trough.

I like the daily protocol even if it is overkill, drawing such small amounts goes fast.

Has anyone else had trouble getting 10ml vials of test? It's way cheaper that way but my pharmacist won't dispense more than 90 days. I might have to ask my doc to change the way my script is written.
Some   pharmacists have the peon in power syndrome     sometimes it's an insurance thing   my insurance company insists on mail order  and won't let me refill until I'm almost out  

it's  less of a PITA just to get a good ex coupon and pay cash   plus for some reason they seem to not give a shit about how much I might have left when I'm  paying cash.
Link Posted: 5/27/2017 3:54:41 PM EDT
[Last Edit: garbageman] [#34]
My brother is injecting 100mg/week IM and his T hit 800.  

Doc did give me permission to up my dosage to 150 which I did once about two/three weeks ago  but I went back to 100 because of the ED/libido problems as I thought 150 was giving me the problems but now I'm not sure.

I will talk w/ doc about adding HCG and maybe Arimidex.  I know an E of 32 is not that high but maybe my body does not like it that high.
Link Posted: 5/27/2017 3:55:06 PM EDT
[#35]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By EXPY37:



Strange, I'm taking abt the same amt of T SQ and my T levels are well over 1000.

Are you sure what you are injecting is T? Especially since the nurse is acting a little 'funny, that would set my alarm bells off...

E at 32 is good, abt the same as mine, I only use a fraction of a tab of Arimidex every couple weeks.

If I take a bit too much I have the same ache symptoms for a few days.
View Quote
32 to you might be golden but to him it might trigger e2 symptoms 
Link Posted: 5/30/2017 6:44:02 PM EDT
[Last Edit: garbageman] [#36]
Not sure what's going on.   Had labs done a week ago.  100mg week IM.  

T came back at 560, estradiol at 32.  So far today I have vomited seven times but the thing that concerns me is the fact I am crying after vomiting.

WTF?   32 isn't that high but could it be causing the nonsensical tears?

I'm supposed to inject today but I'm concerned it will raise my E even higher

ETA:  been on T for three months
Link Posted: 5/30/2017 6:57:48 PM EDT
[#37]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By garbageman:
Not sure what's going on.   Had labs done a week ago.  100mg week IM.  

T came back at 560, estradiol at 32.  So far today I have vomited seven times but the thing that concerns me is the fact I am crying after vomiting.

WTF?   32 isn't that high but could it be causing the nonsensical tears?

I'm supposed to inject today but I'm concerned it will raise my E even higher

ETA:  been on T for three months
View Quote
Are you emotional crying or are your eyes just watering after vomiting?
Link Posted: 5/30/2017 7:51:44 PM EDT
[#38]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By dogsandhogs:


Are you emotional crying or are your eyes just watering after vomiting?
View Quote
Emotional.   wife says welcome to the wonderful world of estrogen
Link Posted: 5/30/2017 8:32:16 PM EDT
[#39]
I'm looking for some help.  I went to a Low T center and got tested, 194. I've been taking weekly shots for 8 weeks now, up to 200mg a week. They tested me last week and my T is up to 954. The problem is I don't feel a real difference.  Whats going on? Why don't I feel it? They took blood for a retest because the Doc and I both agreed it doesn't seem right. I'm a big guy, 6'4" 300 lbs. 55 years old. I've been a widower for 1.5 years and want to get back to living now. Any suggestion and help will be appreciated.
Link Posted: 5/30/2017 9:35:42 PM EDT
[#40]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By Southtek:
I'm looking for some help.  I went to a Low T center and got tested, 194. I've been taking weekly shots for 8 weeks now, up to 200mg a week. They tested me last week and my T is up to 954. The problem is I don't feel a real difference.  Whats going on? Why don't I feel it? They took blood for a retest because the Doc and I both agreed it doesn't seem right. I'm a big guy, 6'4" 300 lbs. 55 years old. I've been a widower for 1.5 years and want to get back to living now. Any suggestion and help will be appreciated.
View Quote
Probably that part in red there.
Link Posted: 5/30/2017 9:55:57 PM EDT
[#41]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By garbageman:


Emotional.   wife says welcome to the wonderful world of estrogen
View Quote
May or may not be estrogen level or even Testosterone:Estrogen ratio.

Some things are emotional triggers for normal people, some people weep when they sing, others when they orgasm...and some others when they vomit. The trigger is related to whatever is a release of or breakdown of emotional control barriers. Maybe vomiting is your trigger?

That said, I agree an Estrogen level of 32pg/ml isn't particularly high, but it might be the right level for you to be emotional. If so, there are options to control Estrogen levels. Driving the level too low has negative consequences, too. Work with your doctor and good luck.
Link Posted: 5/31/2017 7:09:05 PM EDT
[#42]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By KaiK:
Probably that part in red there.
View Quote View All Quotes
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Discussion ForumsJump to Quoted PostQuote History
Originally Posted By KaiK:
Originally Posted By Southtek:
I'm looking for some help.  I went to a Low T center and got tested, 194. I've been taking weekly shots for 8 weeks now, up to 200mg a week. They tested me last week and my T is up to 954. The problem is I don't feel a real difference.  Whats going on? Why don't I feel it? They took blood for a retest because the Doc and I both agreed it doesn't seem right. I'm a big guy, 6'4" 300 lbs. 55 years old. I've been a widower for 1.5 years and want to get back to living now. Any suggestion and help will be appreciated.
Probably that part in red there.
Yeah.  Do you know what your estrogen level is?  Regardless, dropping some weight is probably the key.  Fat makes estrogen; fat makes you feel bad.
Link Posted: 5/31/2017 7:28:24 PM EDT
[#43]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By dogsandhogs:


Yeah.  Do you know what your estrogen level is?  Regardless, dropping some weight is probably the key.  Fat makes estrogen; fat makes you feel bad.
View Quote
Also the diet you eat that makes you fat makes you feel bad.
Link Posted: 6/1/2017 4:25:09 PM EDT
[#44]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By Southtek:
I'm looking for some help.  I went to a Low T center and got tested, 194. I've been taking weekly shots for 8 weeks now, up to 200mg a week. They tested me last week and my T is up to 954. The problem is I don't feel a real difference.  Whats going on? Why don't I feel it? They took blood for a retest because the Doc and I both agreed it doesn't seem right. I'm a big guy, 6'4" 300 lbs. 55 years old. I've been a widower for 1.5 years and want to get back to living now. Any suggestion and help will be appreciated.
View Quote
My experience with the local Low T Center was that they compensate for lack of knowledge in the intricacies of TRT by mega-dosing people.  The PA always specifies the amount a patient will get when he leaves the exam room and most of those I heard were over 200mg.   

Your weight probably is contributing (I'm heavier so I've been there with high numbers but little benefit) but they also might be spiking your Estradiol.  I was on 250 with basically whatever Anastrazole I wanted to take and on occasion, I would feel like a young man but mostly I just felt so-so.  

I started with Defy and am now on my 6th week and something is definately off on my regimen so I got tested yesterday for total/free T and Estradiol.  We suspect an Estradiol issue but don't know if it's high (they think it's high but I'm not so sure) or low and I also suspect my T dose may not be high enough.  Without real numbers, it's going to be hard to dial in your prescription. 
Link Posted: 6/6/2017 12:43:27 AM EDT
[#45]
I've been prescribed 1500iu HCG/week along with my 200mg test/week, and have been splitting it into two doses per week the same day as my test injection

I see most people are taking their HCG 3 times per week. Should I be doing that instead?

Also I went from taking .25mg arimidex twice a week to .5mg twice a week just to test the waters and I've noticed a lot of muscle soreness but I am lifting 4-5 times a week. No other sides but I won't have bloodwork done until 2 weeks from now. E2 has never been tested before thanks to retarded doctors.

I'm 2 months into my new docs treatment and have noticed improvements all around. Much thanks to all the help I've read in this thread. Will update before and after blood labs going from 50mg/week to 200mg/week plus HCG.
Link Posted: 6/6/2017 1:00:02 AM EDT
[#46]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By DRJH1999:
I've been prescribed 1500iu HCG/week along with my 200mg test/week, and have been splitting it into two doses per week the same day as my test injection

I see most people are taking their HCG 3 times per week. Should I be doing that instead?

Also I went from taking .25mg arimidex twice a week to .5mg twice a week just to test the waters and I've noticed a lot of muscle soreness but I am lifting 4-5 times a week. No other sides but I won't have bloodwork done until 2 weeks from now. E2 has never been tested before thanks to retarded doctors.

I'm 2 months into my new docs treatment and have noticed improvements all around. Much thanks to all the help I've read in this thread. Will update before and after blood labs going from 50mg/week to 200mg/week plus HCG.
View Quote
1,500iu is quite a bit. 250iu three times a week, or 400iu twice a week is plenty to keep atrophy away. The only reason to run 1,500 per week is to maintain fertility while on Test Cyp. I've not seen any difference in three times a week over two.

When you lift 5 times a week, you'll be sore.
Link Posted: 6/6/2017 1:04:22 AM EDT
[#47]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By Huskercoop:
Just the one shot until I go back in with my lab results. If he won't work with me I'll need to find someone else in Tulsa. I had a 314 and the range was 300 to around 900.
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Originally Posted By Huskercoop:
Originally Posted By KaiK:


200 mg is going to shut your natural production down for sure. I hope he didn't just give you that one shot and then he is going to let you crash.

Yes it's life long. Unless you want to feel like shit again.

Clomid made me feel weird. It works for some people. I didn't like the side effect that said it could cause blindness.
Just the one shot until I go back in with my lab results. If he won't work with me I'll need to find someone else in Tulsa. I had a 314 and the range was 300 to around 900.
And 314 is 'normal range' says 90% of the Drs in the US. 
Link Posted: 6/6/2017 1:10:27 AM EDT
[#48]
Discussion ForumsJump to Quoted PostQuote History
Originally Posted By mnvwguy02:
May or may not be estrogen level or even Testosterone:Estrogen ratio.

Some things are emotional triggers for normal people, some people weep when they sing, others when they orgasm...and some others when they vomit. The trigger is related to whatever is a release of or breakdown of emotional control barriers. Maybe vomiting is your trigger?

That said, I agree an Estrogen level of 32pg/ml isn't particularly high, but it might be the right level for you to be emotional. If so, there are options to control Estrogen levels. Driving the level too low has negative consequences, too. Work with your doctor and good luck.
View Quote View All Quotes
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Discussion ForumsJump to Quoted PostQuote History
Originally Posted By mnvwguy02:
Originally Posted By garbageman:


Emotional.   wife says welcome to the wonderful world of estrogen
May or may not be estrogen level or even Testosterone:Estrogen ratio.

Some things are emotional triggers for normal people, some people weep when they sing, others when they orgasm...and some others when they vomit. The trigger is related to whatever is a release of or breakdown of emotional control barriers. Maybe vomiting is your trigger?

That said, I agree an Estrogen level of 32pg/ml isn't particularly high, but it might be the right level for you to be emotional. If so, there are options to control Estrogen levels. Driving the level too low has negative consequences, too. Work with your doctor and good luck.
An estrogen level of 32 is pretty good.  It's going to be a challenge to drop it below that without risk of crashing it.  Have to be very careful with that one. 
Link Posted: 6/6/2017 9:53:35 AM EDT
[Last Edit: KJCA3] [#49]
it was posted earlier in the thread is the only reason i asked.
Link Posted: 6/6/2017 11:09:24 AM EDT
[#50]
To keep this thread open, no posted links please. IM or email.
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