Finally got my visit with the endo today. My test went up to 553 it has been 10 days since my last 200mg. She said that my urolgy doc gave me too much of a dose (200mg every 10 days). First she wanted me to switch back to androgel and said that i did not give it the proper amount of time to work. I was worried about my hair thinning out even more than it is now is the reason i switched to injections. She said that my body could of reacted to the test and is the reason i put on 7 pounds in such a short time. She decided to give me 100mg every week. She said to come back in three months. She will not let me do the injections myself either,even though i was doing them myself with the other doc. She also said that my estrogen was in the middle. Regular test.
My questions for guys is.
Is my body reacting to the test? should i switched to the gel.
Yes, it's quite normal to see some appetite increase and weight gain, not to mention that part of your gain is probably water ... She didn't mention that part did she?
is three months too long for a check up?
Well, it doesn't look like any of this has been going by the book ... After starting injections, your 1st labs should be 6 weeks. After that, 3 months is good to do for the first year, then after you have things dialed in, I like 2x per year.
Is my dose typical for a starting point?
Yes, I like the 100mg every week protocol for where you are at. It's hard to gauge where you sit if you had your lab taken 10 days after your injection. Me personally, I like to see where it is at during the peak level. If you do too, then have them run labs approx. 3 days after your last injection next time you go for BW
is injections better? Why is she pushing the gel on me?
For me, I think injections are the better route to go. I did Gel when I first got on HRT, and found it to be unstable after about 5 months, but that was just my experience. I think part of it is due to its excess conversion of DHT opposed to injections. Either way, it's a mess, and I personally don't want any confusion to what and what's not being absorbed. As for as the doctor's biased preference ... Seems that more doctors that ARE NOT comfortable with prescribing HRT will go the gel route over injections. I think you will find various stereotypes regarding their mindset with injections, and additionally, I think you will find the pharmaceutical reps have done a better sell job with the mainstream family doctors like the one you're seeing. My female PCP was the exact same way ... Although, I've slowly got her to start taking notice over the years to how effective my HRT program has evolved. However, that convincing has come at full out of pocket expense by me 
Do i need to look into a A.I.?
It isn't if you need to look into an AI, what you need to look at is your E2 estradiol. As you gathered, T will convert to E. Too much conversion leads to an unhealthy increase, which then will need to be managed with an AI. So, having your doctor tell you that it's in the "middle" isn't sufficient. You need the actual score with the range. If it's a sensitive E2 lab based on a Lab Corp range (3-70), then more than likely you will want to maintain somewhere between 20 -to-40. Low 30's is my "sweet spot" if you call it, but everyone is different. Don't let this get out of control.
Reply With Quote
Originally Posted by marleyman
