need advice on current TRT

[coach669]

I am 38 years old. I was diagnosed by my primary doctor with low test. The reading was 245. This was in September. I started with Androgel one pack a day 5mg. I felt really good after about 3 weeks. Then the doctor called and said my first blood test had my test getting too high. I think it was around 400. So he cut me to a dosing schedule of Sun, Mon, Wed, Fri. My level then stayed around 375. The doctor then said we could go up a little and told me to add every other Saturday. Well after about 5 weeks my level had jumped over 1000 and he told me to cut out the saturday dose. My problem is that after we cut the dose after the first 3 weeks I was on therapy my testicles have shrunk and my sex drive has went down. I have been on therapy since September. This is my primary doctor and I asked him about Nolvadex and he did not seem to know what this was. I was considering going to Oasis to see if maybe they would be more informed on treatment options. My insurance has been paying for treatment. I don't know if they will at Oasis. What should I do?

[Ufa]

I am 38 years old. I was diagnosed by my primary doctor with low test. The reading was 245. This was in September. I started with Androgel one pack a day 5mg. I felt really good after about 3 weeks. Then the doctor called and said my first blood test had my test getting too high. I think it was around 400. So he cut me to a dosing schedule of Sun, Mon, Wed, Fri. My level then stayed around 375. The doctor then said we could go up a little and told me to add every other Saturday. Well after about 5 weeks my level had jumped over 1000 and he told me to cut out the saturday dose. My problem is that after we cut the dose after the first 3 weeks I was on therapy my testicles have shrunk and my sex drive has went down. I have been on therapy since September. This is my primary doctor and I asked him about Nolvadex and he did not seem to know what this was. I was considering going to Oasis to see if maybe they would be more informed on treatment options. My insurance has been paying for treatment. I don't know if they will at Oasis. What should I do?

Before they perscribe anything there has to be a reson. Get your estrogen
level checked. If your total estrogen is over high end 130+ Your test
in aromatizing into estrogen. It means you need an aromatase inhibitor like the one you mentioned or arimidex -anastrozole by AstraZeneca. It will increase your test and reduce your estro. It is expensive unless you got insurance for drugs.

[toc67guru]

coach read SWALE'S RECIPE FOR TRT:-

SWALE's Best Thoughts on HRT

i don't know anything about oasis however swale has his androgel patients using 250iu of hcg every third day to address testicular atrophy.
androgel also comes in a pump dispenser and as far as i am aware 2.5mg sachets also.2 pumps equals 2.5mg dose.you could ask to go with 2.5mg/day rather than the every other day protocol.
androgel is designed to be absorbed over a 24 hour period.i feel missing a day is not the best option,instead a reduced dose every day would give you a similar weekly dose without taking 'off' days.

also UFA, coach669 mentions nolvadex which is a SERM and not an AI.

arimidex is an AI.

[Ufa]

I am 38 years old. I was diagnosed by my primary doctor with low test. The reading was 245. This was in September. I started with Androgel one pack a day 5mg. I felt really good after about 3 weeks. Then the doctor called and said my first blood test had my test getting too high. I think it was around 400. So he cut me to a dosing schedule of Sun, Mon, Wed, Fri. My level then stayed around 375. The doctor then said we could go up a little and told me to add every other Saturday. Well after about 5 weeks my level had jumped over 1000 and he told me to cut out the saturday dose. My problem is that after we cut the dose after the first 3 weeks I was on therapy my testicles have shrunk and my sex drive has went down. I have been on therapy since September. This is my primary doctor and I asked him about Nolvadex and he did not seem to know what this was. I was considering going to Oasis to see if maybe they would be more informed on treatment options. My insurance has been paying for treatment. I don't know if they will at Oasis. What should I do?

Coach still trying to figure out how your level's (test) got to 1000 with gel.
Did you take it before the blood test. For me the gel works great for a couple of hours. We all have different asorbtion rates. When I was on Gel I would
wait 48 hours after last dose for blood work. The place you mentioned you should definately at least call. They deal with these issues continually. I think they even have a toll free number.