Testosterone Cypionate dosage question

I am a 47 yr old male presently injecting 200mg of Test. Cyp. weekly with 1mg of Anastrozole twice weekly and .3ml HcG twice weekly. Pre-T supplementation I was at 275 total T and now I am at >1500 total T and >53 free T. My Estradiol is at 22. I have noticed a slight increase in libido and muscle mass, but no significant increase in energy or mood. My doc is open to increasing the T and his dosage protocol relies primarily on my symptoms (energy & mood) and not lab results (except, of course, estradiol and PSA results). My question is (and I know it's different for everyone) at what doseage of Test. Cyp. did mood and energy improve, especially for those in their mid-forties? Are there men out there doing 400, 600, 800mg, or more of Test. Cyp. on a permanent ongoing basis and having good results? My doctor does favor a high HcG cycle at least once a year, so when I refer to permanent ongoing Test. Cyp., I am including the HcG cycle.
Thanks

200 test weekly is basically classed as a small cycle . i think you need to drop it too 100 every week then that would hopefully make you drop you ai , (more is not always the answer )

You really need to consider reading some stickies and previous posts, there was one yesterday regarding high test levels over time an the negative consequences related to those levels. TRT is not a cycle, when you mentioned 400, 500 plus mg/ml of cyp your talking about those that are on cycle. TRT replacing testosterone because our bodies cannot produce it alone. The goal is get levels in normal ranges and Maintain those healthy levels. Most are on 100mg/ml per week and others(myself included) are on 200 per week and that truly is ALOT for TRT but we all respond differently to exogenous testosterone.

For the most part, your libido or sex drive will decrease as levels of test increase. LESS is BETTER. It's all about finding your magic number and maintaining that magic number. May take 6 months or 6 weeks, possibly much longer.

It's highly unlikely to find a patient on more than 200 mg/ml per week prescribed by a doctor. I'm sure there is some moron in a white coat puttin patients at risk but the vast majority won't prescribe high doses of cyp or any test of that matter. Try lowering your test dose to 100 per week ad see see where your BW stands. You may just find out that your energy an mood are elevated and you may feel much better. Like you mentioned, it's all about you an how YOU feel.

If you're already taking 200 mg per week then you should be titrating down if anything.

Keep in mind, "energy" is far more than just having testosterone at a sufficient level. I would look at nutritional deficits first and consider an elimination diet to get rid of food allergies such as gluten. That's your best bet to improving energy almost guaranteed.

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Originally Posted by devildog1967

200 test weekly is basically classed as a small cycle . i think you need to drop it too 100 every week then that would hopefully make you drop you ai , (more is not always the answer )

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My AI (Arimidex) has remained the same (1mg 2 X a week) since I started with compounded cream , which raised my total T to around 450. The switch to weekly injected 200mg Cypionate (>1500 total T) did not really spike my estradiol.

I've actually considered the allergy route and I have recently started allergy shots. They take about 6 months to really kick in. When my Dr. suggested increasing Cypionate above 200mg per week, I told him I'd rather wait and see if the allergy shots take care of the low energy. I am gluten sensitive and was gluten free for a couple of years at the time I started TRT, hoping to increase mood and energy. The inhalent and food allergy shots my be the answer, we'll see. Thanks for the info.

[QUOTE=VTX1800;6491533 It's highly unlikely to find a patient on more than 200 mg/ml per week prescribed by a doctor. I'm sure there is some moron in a white coat puttin patients at risk but the vast majority won't prescribe high doses of cyp or any test of that matter. Try lowering your test dose to 100 per week ad see see where your BW stands. You may just find out that your energy an mood are elevated and you may feel much better. Like you mentioned, it's all about you an how YOU feel.[/QUOTE]

I appreciate the advice, but the remark about the doctor is simply untrue and offensive. My doctor is local and has been practicing hormone replacement therapy for 20+ years, first women and several years ago added men as patients. He is very conscientious and runs a battery of blood tests at least twice a year to monitor any possible adverse effects.

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Originally Posted by greystoke777

I appreciate the advice, but the remark about the doctor is simply untrue and offensive. My doctor is local and has been practicing hormone replacement therapy for 20+ years, first women and several years ago added men as patients. He is very conscientious and runs a battery of blood tests at least twice a year to monitor any possible adverse effects.

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His insult stems from the fact that you are already over the ranges for testosterone, way over, and yet he wants to add more...

The test either isn't the problem or hasn't taken full effect yet. at 300mg a week you'd have levels 3x a natural healthy man. Although this sounds enticing its not healthy.

The only reason to prescribed more then 200mg ew is if your levels are still low. This is not the case.

300 a week is a cycle lol, @ that level you prob hit 2k+ all day long and get to enjoy the benefits of high red blood count, extra bloating, and higher then normal blood pressure, and if your lucky ED.

Just because someone does something for 20 years does not = they have a clue and are up to date on things.

Nice to see all the Doctors on this forum dispensing medical advice. Apparently you, Ryanmcd knows far more than my doctor. Can I send him your contact info so that he can consult with you...?

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Originally Posted by greystoke777

Nice to see all the Doctors on this forum dispensing medical advice. Apparently you, Ryanmcd knows far more than my doctor. Can I send him your contact info so that he can consult with you...?

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You shouldn't be sarcastic in a thread when you're the one looking for help. Look if the lab ranges are 348-1197 for testosterone and you're over 1500 already at 200mg a week, meaning you're already higher then 99.9% of natural men who feel just fine, why would going up to +2000 make any difference. Your estrogen will rise and then you will have to start taking more aromatise inhibitors and it will be much more then it's worth. Besides you can suffer so many symtpoms being into the supraphysiological range.

A good hrt protocol is one that optimizes testosterone levels (while keeping them in range), hcg 2-3x a week, without the use of an ai. If you are well into your hrt protocol, your testosterone levels aren't the problem, or maybe they are even by being too high.

Most on this board are doing 100-120mgs a week of test and have optimized there protoclols to feel great. You should supplement with micronized dhea and pregnenolone at 50mgs a day and see if that helps your mood. Other then that you look like you'll need further blood work to find the cause of your problem.

Mood could be so many things bud.

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Originally Posted by greystoke777

My AI (Arimidex) has remained the same (1mg 2 X a week) since I started with compounded cream , which raised my total T to around 450. The switch to weekly injected 200mg Cypionate (>1500 total T) did not really spike my estradiol.

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Your test levels are over 1500. If you feel your Dr knows what he is doing and don't want to hear legit criticism, this is probably not the forum for you. To your dismay, 100% of all knowledgable members here are going to tell you your levels are at the range of what you would see via a cycle, over twice the TRT range, possibly more.

And to answer your question, I myself am currently taking 80mg per week and feel great :-p

Good luck

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Originally Posted by greystoke777

Nice to see all the Doctors on this forum dispensing medical advice. Apparently you, Ryanmcd knows far more than my doctor. Can I send him your contact info so that he can consult with you...?

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Nope but I spent the money and went to the top 2 doctors in the US to get me setup and they both said the same thing and it was not 300 a week. I say run with it and post your results in a year and see how everything is going ;)

Also sounds like your E2 is high by how bitchy this post is.

Also all you have to do is read this one line to tell your doc has no clue, he's doing a AAS cycle on you "My doctor does favor a high HcG cycle at least once a year"

I appreciate the legitimate advice and info, it's the uncalled for and unhelpful snarky comments that I find irritating. That said, I do appreciate the feedback overall.

Before making any adjustments can you please post your most recent blood work here in this thread complete with ranges?

I would not be one bit surprised that you don't have the libido you, or that burst of energy you're looking for due to the highly elevated Testosterone serum levels.

Dr. Crisler says it all the time; when serum levels are this elevated many things go wrong some being tanked libido, poor erection quality and no orgasm intensity among a host of other things.

But I do concur with the other fellows, you need to lessen your dosage not increase.

Post your labs please and we'll jump in where needed.

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Originally Posted by greystoke777

I appreciate the legitimate advice and info, it's the uncalled for and unhelpful snarky comments that I find irritating. That said, I do appreciate the feedback overall.

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Snarky? Cause someone mentioned there's probably some moron doctors out there increasing dosing to more than 200 mg a week w test levels that are at 1500. Lol.

1500 is over the top range. If youre taking 200 mg/wk and you're over the top range, you don't add more- you cut back. That's not a snarky comment. It's a statement of truth.

That's like drinking more alcohol to sober up.

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Originally Posted by greystoke777

I appreciate the advice, but the remark about the doctor is simply untrue and offensive. My doctor is local and has been practicing hormone replacement therapy for 20+ years, first women and several years ago added men as patients. He is very conscientious and runs a battery of blood tests at least twice a year to monitor any possible adverse effects.

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Not gonna win with this comment. The amount he has you on is running you high as heck. And 2 blood tests a year is silly.

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Originally Posted by greystoke777

Nice to see all the Doctors on this forum dispensing medical advice. Apparently you, Ryanmcd knows far more than my doctor. Can I send him your contact info so that he can consult with you...?

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Why even come here then? The main guys on this site no soo much its kindacreepy

I would say at least get a second opinion if you doc wants to up your T dosage with a total T of over 1500. That's not a common position. My urologist considered dialing back my T when my free test was only two points above the top of the range with my total at 800, and I take 100 mg a week test cyp.

I applaud your doc for focusing on the results and your experience, but moving into dangerous dosage territory probably means he is limited in his understanding. When you only have a hammer in your toolbox, everything looks like a nail... sounds like his only tool is more T. I would get a second opinion if it were my health at stake.

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Originally Posted by gdevine

Before making any adjustments can you please post your most recent blood work here in this thread complete with ranges?

I would not be one bit surprised that you don't have the libido you, or that burst of energy you're looking for due to the highly elevated Testosterone serum levels.

Dr. Crisler says it all the time; when serum levels are this elevated many things go wrong some being tanked libido, poor erection quality and no orgasm intensity among a host of other things.

But I do concur with the other fellows, you need to lessen your dosage not increase.

Post your labs please and we'll jump in where needed.

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Yep I went on 80 - 150 a week on shots, 150 I felt the worst and was at 1200 on my 7th day.