Dr. Crisler

[clarkster]

What is Dr. Crisler's TRT protocol? I've been searching here and other places online and many people mention his name and what they're currently using in their TRT, but curious to see if there are many variations to his TRT.

[SEOINAGE]

sounds like basic test cyp eod subq. HCG everyday something like 100 iu. Not sure on ai but that would be based on individual. And he recommends transdermals if they work for you. That's all I have for you.

[VTX1800]

Agreed, from what I've read he speaks highly of transdermals but makes the point they work really well for some men and others...not so much. That's where the cyp comes into play.

[suprarob]

I use a transdermal for an Ai,Arimidex . Seems to work fine.

[HRTstudent]

Everyone is different, and he appreciates this fact.

Having said that, he has mentioned that he has great success with transdermal testosterone and daily, low dose HCG injections. He does use AI's when necessary.

He also uses injects of course... I believe he actually uses injects on himself because he is a "fast metabolizer" of testosterone .

[suprarob]

Everyone is different, and he appreciates this fact.

Having said that, he has mentioned that he has great success with transdermal testosterone and daily, low dose HCG injections. He does use AI's when necessary.

He also uses injects of course... I believe he actually uses injects on himself because he is a "fast metabolizer" of testosterone.

Does this mean a "slow metabolizer" of test should use transdermal test?

[HRTstudent]

Does this mean a "slow metabolizer" of test should use transdermal test?

It's not that simple really.

But a slow metabolizer would do much better on transdermals than a fast metabolizer. I aromatize fast and have low SHBG which is a great situation in which I would strongly urge against transdermal use due to it's rapid peak and precipitous dropoff.

[2Sox]

What is Dr. Crisler's TRT protocol?

Pump this into Google and you'll get the entire PDF by John Crisler. It's all there:

My Current Best Thoughts on How to Administer TRT for Men, A Recipe for Success.

[2Sox]

It's not that simple really.

But a slow metabolizer would do much better on transdermals than a fast metabolizer. I aromatize fast and have low SHBG which is a great situation in which I would strongly urge against transdermal use due to it's rapid peak and precipitous dropoff.

I don't know if I'm fast or slow but I did great on transdermals. My energy level went up no long after I applied Androgel (I could clean the house from top to bottom!) in the morning. That could be the "rapid peak" you speak about. But it remained pretty constant until the next application. I leveled off towards the evening but there was no "precipitous dropoff" as you mention.

[HRTstudent]

I don't know if I'm fast or slow but I did great on transdermals. My energy level went up no long after I applied Androgel (I could clean the house from top to bottom!) in the morning. That could be the "rapid peak" you speak about. But it remained pretty constant until the next application. I leveled off towards the evening but there was no "precipitous dropoff" as you mention.

Sounds like transdermals worked quite well for you. No need to fix what isn't broke!

[2Sox]

Sounds like transdermals worked quite well for you. No need to fix what isn't broke!

In theory, I completely agree. Problem was that my urologist refused to treat with HCG and didn't check estradiol levels in his monthly blood work. And he didn't prescribe ai's. He did use clomid in younger men but that left me out. I didn't like this or being left in the dark about my estrogen levels - although I likely didn't have an issue with them. Likely he would consent to include a test for them if I insisted, but why bother at this point.

The only choice I found myself with was a men's clinic that does it all - but with shots. So I went with it. I'd like to go back to the steady release of gels eventually as soon as I'm able to find where to get ai's, if I need to administer. I already have a source for HCG.

I'm thinking about the entire situation at this point. I might just go back to the gels with my urologist in a few weeks, self administer the HCG and have my own E2 levels checked. At least it's all covered by insurance - with a small co-pay for the gel.

[clarkster]

Pump this into Google and you'll get the entire PDF by John Crisler. It's all there:

My Current Best Thoughts on How to Administer TRT for Men, A Recipe for Success.

Thanks 2Sox. This would be great if it was a sticky.