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I am a 34 y/o male, type 2 diabetic and just started TRT. The doc has me on 1ml/200mg test-cyp once a month. From what I've researched this is not the best way to dose and will most likely send me on a hormonal roller coaster ride. My test came in at 280. Is this low frequency of a dose normal?
No, your Doc does not understand the half-life of Test Cyp. By day 5-6 one half of the drug has left your system. By day 10 or so there is none left in your body. Hence the hormonal roller coaster effect. If you are self-injecting you could do weekly amounts. What is your full TRT protocol? Regardless, you should immediately locate a new "male" Doc who understands TRT. The one you have is hurting you. Others will chime in with further questions. Post your latest blood work results if you have them....
API summed it up very well. your doc is treating you blindly, obviously he has no knowledge of what the drug is and how it works.
I wouldnt even bother starting TRT at that dose. Keep doing research and find another doc.
Please find another doctor right away. You will feel terrible about a week after your shot. You need to have a shot no later than once per 7 days. Most recommend a shot every 3.5 days. For me, my doctor only does 1 per 7 days.
You guys confirmed what I've learned, ill post my blood as soon as my copy gets here via snail mail. I called the office and inquired about getting on 200mg every 14 days. Would this be more reasonable? The pharmacist said one shot should last 40 days. WTF apparently the knowledge of what a half life is was lost in early elementary science class
Every 14 days is better than every 30, but you really should go no longer than 7 days in between injections. Your going to have some serious ups and downs.Quote:
Originally Posted by sweatymoo
1 shot a month of T cyp. that's just stupid. borderline malpractice unless you are a special case. just completely throwing out knowledge of testosterone pharmacodynamics.Quote:
Originally Posted by sweatymoo
Are you,and some of you other guys, having the Dr pin you? With all the Dr and clinics out there I couldn't imagine settling for a Dr that wouldn't let me self administer my TRT. If not, why not just split up the dosage yourself?
I personally find that a doctor who insists on the patient coming into the office for a routine injection is a total waste of medical resources. seems more than dubious. imagine if they did that with diabetics who needed to inject insulin!Quote:
Originally Posted by rustyjames
I have my nurse wife pin me... A few guys at the gym said to do half and half but that seemed even worse, a half ML every two weeks? Would that still be better than once a month? I called my doc and he said that's the way "we" start off then check how it's going after a few months. I hate to sound so naive but well I am. And I really appreciate all the feed back
I first started at this exact protocol 200mg every 14 days. My T level was 225. After 8 weeks of this, I did BW right BEFORE my next shot. T level was at 175 and felt like a festering turd. So, while every 14 days is better than every 30, try to inject at least every week if not 2X a week. You don't want on that rollercoaster.
Quote:
Originally Posted by sweatymoo
Just split that 200mg and do 100mg every week. If he doesn't change the dosage from once a month. Then to be honest it would be better to do 50mg a week. It's a weak dose but it will be more stable. In the mean time find a new doctor.
if a doctor wanted to do testosterone cypionate at once per month, I would quite simply find a new doctor. this guy IS NOT AN EXPERT IN MALE TESTOSTERONE REPLACEMENT.
I would find it fascinating to find out the last time, book, or class he took on the topic of TRT was. it wouldn't suprise me for a second if it was over 5 or even 10 years ago.
Tell your doc that times have changed and that we even have the wheel now..... he needs to modernize his TRT protocol.
Give him a print out of this thread and it's web address and then move on to another better informed doc.
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Let me know if this is to far off subject but would an estrogen blocker assist?
^ThisQuote:
Originally Posted by HRTstudent
Sure, if your E2 level is too high. Do you have it's lab?Quote:
Originally Posted by sweatymoo
I'm interested to hear if TRT will improve your diabetes and how much...it often does.
I've heard it could improve, but then again that was coming from dr "once a month"
My lab work should come in the mail after the weekend
I would just do 50mgs a week! Way better route. R u on HCG? If not buy some. Helps a ton on low dosage IMHO! I'm on only 100mgs once a week and feel great! Best of luck.
-Heat
50mgs? Or .25 Ml? It's a 200mg vial you can't take just 50mg.. HCG is that an over the counter? Anyone else heard of taking HCG?
Yes, HCG is a part of plenty of people's trt as well as cycles and pct. Read the sticky above about it. Bottom line, HCG keep your boys functioning.
U can take 50mgs once a week or 25 twice a week. Just do the math. Tell the Dr. U want HCG to keep ur boys and or maybe have more kids. Bottom line if u can afford it I would call the sponsor. There protocol is the only way I would go!
I filled out the info thanks man
I have been on TRT since 10/12 and My DA Dr. scriped me 200 mg EOW I followed info from this forum and injected 25 or 50 mg every 3.5 days and after 2 mths E2 was 68 with normal high being 29 Test went to 468 He refused me an AI or HCG , next 2 mths I went Sub Q and added HCG off Internet and it dropped to 398 and E2 went up to 70Quote:
Originally Posted by Trific
I am on high dose of opiates ( 60 mg of oxycodone ) and after advise from other forum members I went to 500 mg of Cypionate a week and 300 mg of Prop a week and 200 mg of NPP a week . Finally begged Dr. and got an AI still no HCG from Dr. !
The next 2 mths I went back to IM injections and added HCG per Forum advise and next BW Dr. did not check Test but did check DHEA and I started Micronized DHEA and a 3 mth ago on high dose of Test as listed I was at:
BW a month ago.
Still going to sign up with lowtestosterone.com because I want a Dr. tat is knoswledgable to script me the proper amount of AR , AI, HCG to be balanced !
568 Test
28 E2 taking AI .50 2 x's a week
fasting Glucose 79 :) I was stage II Diabetic
I give blood every 2 mths and RBC is mid to lower range
lost 40 lbs of fat and gain 8 lbs still loosing fat and gaining muscle / lost 3 pants sizes in the waist from 38 Dockers to 33waist
Opiates kill Test levels and require larger dose to see results . DA Dr. is cluless as to the amount of AR I am on and . Last vist he made a comment " see I told you to be pacitent and the 200 mg EOW would work "and I just laugh and say yes you are a smart man ? WTF ? Looks like I will need more Cyp to reach ball park of 800 to 900 balanced , but I am going to maintain current dosage and see what my BW states in about a mth or he may possibly wait 2 more mths to check Test again ?
Clean diet target 75% protein and 15 % fat and 10% carbs + 1.5 gal of water a day ; tuff but can be done at 54 I feel a lot better and ppl do not know me who have not seen me in say 5 years ! I was ran over by a truck in 02 and all of my BW in all areas are mid level or accdeptable levels of low and high
ie.
I have always ran a sub normal body temp on all my phycials for the psat 35 years and now with 5 mg of Cialas am and 5 mg pm my natural body temp is 98.6* and the Cialas adds to vascularity and lowers Blood Pressure + cleans all your blood vains for a more positive cardiovascularity and vascular syatem I also have had DVT and my cloted led has stablized and does not swell like it did before Cialis and the use of TB-500 @ 1ml per week this is a tissue GROWING and REBUILDS tendons and injuries + additionally improves blood flow so exterior wounds and pulled muscels heal faster :)
Colesatroil a little high
Vitiman B is High by choice 1 ml of B12 every other week from every week should bring it back to mid range
14000 mg D3 daily puts my Vitiman D at mid range
100 mg Micronized DHEA and Progerolone DHEA mid range
Yes TRT Diet, Exercise totatly controls Dibetic condition for me and I look forward to each day :)
Hey all, you're input has been worth a million however my doc says once a month for now and finding a new doc is going to take a little bit.. My schedule sucks butt... I'm starting to feel like a bag of ass today and my nurse wife says it's because I'm "coming down" I did .5ml last Tuesday (a week ago) is this possible or could I have just gotten up on the wrong side of the bed this morning? Also would .25Ml once a ween at least keep me steady until I found an intelligent doctor?
I was scripted 1ml or 200 mg EOW ; from what I have found out in GA. this is standard for GP.'s and MD,'s ? I took .25 every 3.5 days and my test level went from 78 to 468 in 60 days . I followed the guide at the top of the forum for HRT / Anti Ageing and got the same dose suggested in phone conversations or even less from some female "HRT Specialist " so without a doubt lowtestosterone.com !Quote:
Originally Posted by sweatymoo
Test's half life is 5 days....there are guys that if they don't get their test "fix" every 5 day their ass starts dragging.....I bet there are some with low SHBG that need it even more often.
With your once a month pin you will probably start feeling worse than you did before you started TRT....so you might want to do something about it....maybe have your wife beg some test from a doc....
Your a better man thn me cause I would be drafting a letter to a damn medical board. Wht he is doing is crazy! I would rather do anything once a week thn once a month. It will keep u more stable. I would tell the Dr tht u have done extensive research and wht he is doing is malpractice by today's standards. Thts just me though I deal wth Drs all the time at work so I will voice my opinion and concern.
My buddy lowered his dose to .3ml once a week and this puts his level is just under 700, at .5ml he was over 1000. Everybody is different, But my guess is it would elevate your T level above the 280 that you are at now and If I were given the choice between .25ml once a week or to do nothing, well, for me that's a no brainer, I'd take the smaller dose while I looked for another dr or clinic.Quote:
Originally Posted by sweatymoo
What he said. I am currently doing every 7 days (saturdays) and Thursdays and Fridays I can tell my levels are dropping and look forward to Saturdays even more than usual lol. It's not terrible, but there is a noticeable difference and I would hate to think of going beyond the 7 days going into the trough, not to mention the high that would come during the first 72 hours after a shot of 200mg. That sounds like a roller coaster ride I'd rather sit out. Best of luck to you, and as everyone said if possible go more frequent low dosages until you can find a doctor better trained to assist you.Quote:
Originally Posted by Trific
Thanks guys, I just pinned 1ml and I'm making an appointment with the doc next week. My wife said I was on my period and needed the 1ml to get me through the weekend. I'm going to explain to the dr that he is an idiot (politely) of course. I know we're all beating a dead horse here so to sum this thread up.. Here's what I've gathered.. Input please.
Shoot for at a minimum: .5ml a week
Try to get on HCG
possibly an estrogen blocker as well
One last question.. Will I benefit from a DHEA supplement?
I cant thank you all enough. BTW
*^^^all the above sounds perfect and yes to the DHEA. I would have am AI on hand but would not use it unless needed. Bring some articles about HCG also the half life of Test C. Thn if he doesn't agree pin the whole bottle of test and kick his arse!
-Heat
Love it..... BAM you guys may have saved my life.. It's a shame I can't buy you all a beer!!!!