Common Low T Questions

[Low Testosterone]

Q: How much testosterone will I be prescribed?
A: This is an impossible question to answer with a specific number. Many who call about treatment want to know this answer but a cookie cutter dosing plan is just that, cookie cutter and any physician or group that operates that way, you should run for your life. Some men will need a lot more than others and some men won't need much at all. Everyone is different, there are no one size fits all answers. However, we can say that less than 1% of all men will ever need more than 200mg/wk. There is rarely any logical reason for prescribing more than 200mg/wk. Remember, TRT is about optimal levels, don't worry so much about the dose. If you can get into the optimal range at a lower dose and be symptom free, that is successful TRT.

Q: How long does treatment last?
A: TRT is indefinite. If you truly have low testosterone there is no time that's a good time to discontinue treatment. In fact, discontinuing treatment only hurts you. When you discontinue, you simply go back to your prior low level state. There is no permanent cure for low testosterone, it can be treated but it cannot be cured. There are low t companies out there that prescribe TRT with off periods. They'll have the individual use testosterone for a few months and then have him follow a PCT. This is ridiculous and is nothing more than a marketing ploy. It allows them to say they offer something others don't. They're able to use phrases like "stop your cycle and stimulate natural testosterone production." Natural production, that sounds great, but keep in mind, if you have low testosterone you do not have the ability to naturally produce enough on your own. By going on and off treatment, you are only causing stress to your body. Let's also keep in mind, even on TRT it is very possible to keep natural testosterone production alive and well with the use of HCG . Some men will not respond to HCG, but many will.

Q: Is it OK for me to increase my dose?
A: No, it is not OK for you to increase your dose without talking to your doctor. This is a fantastic way to have your doctor drop you from treatment. "But I really feel like I need more testosterone." Talk to your doctor, get more blood work done if you feel this might be necessary, but do not make this decision on your own. If you start increasing the dose without your doctor's knowledge, you will run out early. You may or may not be able to get an early refill, this is sometimes allowed once but if it happens repeatedly you can guarantee your doctor will drop you and the pharmacy will blacklist you from any medication regardless of the doctor prescribing it.

Q: Can I get a prescription for Deca and Winstrol with my TRT?
A: Testosterone is the only anabolic steroid prescribed for TRT. No doctor is going to prescribe other types of steroids for TRT. Yes, you may find doctors that will prescribe those types of steroids to you, but not for TRT and 99.999% of the time it will be for very questionable reasons.

Q: Do I have to see the doctor in person?
A: To obtain a truly legal prescription for testosterone, you must see the doctor face to face at least once per year. There is absolutely no way around this rule. Yes, there are companies who bend this, but that prescription is not legal, not entirely and many of those physicians/clinics often find themselves in a massive amount of trouble down the road. Every single year several of these types of doctors/clinics are arrested and heavily fined, yet each and every year some other doctor/clinic thinks they'll be the one to get away with it. It never works, not in the long run.

Q: How long will it take to see results?
A: Once again there is no one size fits all answer. However, you're not going to inject testosterone once and start feeling like the king of the mountain. You should also not expect to "feel something" like you might with traditional drugs. For many men, they may notice an improvement in energy in the first couple weeks but 4-5wks is more common and a lot of men will start feeling pretty good at this stage. However, many will not feel that much different yet and will need to have their protocol adjusted. A good doctor will do their best from the start, but since everyone is different it can be very difficult to hit the nail on the head right from the get go. With a good physician that knows what they're doing, assuming you're following their guidelines, most men should feel much better and be enjoying a much higher quality of life 2-3 months into treatment. That may sound like a long time to wait but it's not. Always ask yourself this important question...would you rather spend 2-3 months getting it right, or would you rather continue living with low testosterone?

Q: I don't think this is working for me, I don't feel good at all.
A: This one is not a question but it's a comment that's sometimes made. Nine times out of ten this comment is made for one of two reasons, the individual is expecting instant results or they are not following the doctor's guidelines. Granted, the individual could have something else wrong with them such as adrenal fatigue, but nine times out of ten the comment is made for the aforementioned reasons. It's very common to see guys who are on treatment to have optimal testosterone levels on the high end and complain of fatigue and erectile dysfunction, why? Because they're taking an AI they don't actually need or taking a lot more than their doctor prescribed them thinking that's what they need and crushing their estradiol. This happens more often than you might think. It can also work in the opposite direction, the individual decides on his own to take twice as much testosterone as prescribed and estradiol levels go through the roof. Of course, when on TRT this individual will also run into the problem of running out very early. By the way, saying your dog ate your testosterone is not a good excuse.

Q: Should SHBG be checked during blood work?
A: It can be but it doesn't have to be. You can easily calculate SHBG as long as you have a reading for free testosterone and albumin.

Q: Do I need to give blood when on TRT?
A: You can, but you don't have to if you don't have to if your counts don't go too high and plenty of people on TRT remain at a safe level.

Q: Should HCG always be prescribed?
A: No, if you suffer from primary hypogonadism and your LH signal is through the roof, HCG isn't going to do much for you. HCG mimics LH, and such an individual isn't responding to massive amounts of LH to begin with, adding what is essentially synthetic LH isn't going to change this.

Q: How come I'm not losing body fat on TRT?
A: If you're consuming more calories than you burn you will not lose fat, TRT or no TRT and no amount of testosterone will change this.

Q: Can TRT help me lose fat?
A: Absolutely, testosterone is not a thermogenic but low testosterone slows down the metabolism, which is why most low level men gain body fat. Bring testosterone levels to the optimal range and increase the metabolic rate.

Q: I won't to get bigger and stronger, with this help me do that?
A: Walk into your doctor and say that and wave goodbye to your TRT

[powerlifterty16]

nice post man

[Kwn]

Where is this Q&A coming from?

[bass]

been here long enough and seen these questions asked a million times. excellent thread TR, I hope you will add to it as time goes, and it would make a great sticky.

[EverettCD]

Great post LowT. I agree with Bass, needs to be a sticky.

[Low Testosterone]

Where is this Q&A coming from?

These are common questions asked every day by people interested in or already on TRT. If you were to listen to our phone calls in our office every day, you would not have one single day where several of these questions weren't asked, which is why I listed them as common questions.