One year into TRT, doc raised dosages again, experiencing back pumps

[barack_obama]

So I've been on the current regime (previously tried topical applied testosterones with negligible results) of TRT now for 8 or 9 months with my dosages going up every couple of months because my levels were still ridiculously low. I'm 29 and I have an atrophied pituitary due to a frontal head injury and hypogonadism. In addition to the pituitary/hypogonadism I have low functioning adrenals likely caused by the pituitary issues.

I started at 100mg/wk IM of test cyp and all it did was shut down my natural low functioning test production and seem to replace it with low levels still while taking various cortisol replacements (prednisone, hydrocortisone, and something else that sounded like fluco-something). My Endo now has me on 300mg/wk IM test cyp and I'm also taking hydrocortisone usually between 25 and 45mg a day depending on feeling (for the low functioning adrenals). My levels are now staying between 400ng/dl (just before shot) and 850ng/dl(1.5 day after shot) total test and 100 and 200pg/dl free test.

I am experiencing back pumps now that I'm on this dosage - may or may not be related. My lower back feels like I've been doing deadlifts after doing the dishes or walking up a couple flights of stairs. It isn't really painful, just more of an uncomfortable pump for what I feel I should be feeling for those low levels of activity. I want to mention this to the doc, but at the same time, I am now living a new life I haven't had in nearly 10 years since my injury. I don't want to risk lowering dosages. Any advice, tell the doc?

So for scouring the forums I've come up with more water, taurine, and potassium as possibilities to reduce the pumps but I haven't done much into reading why these help though that will come soon.

[kelkel]

So for scouring the forums I've come up with more water, taurine, and potassium as possibilities to reduce the pumps but I haven't done much into reading why these help though that will come soon.

Good start above. If you inject yourself you could simply reduce the dosage for a period of time and see how you feel? At 300mg per week you must be a hyper excreter and metabolize your test rapidly. More frequent injections can help, such as splitting it into two shots per week. It will also help with your E2. Which hopefully you have a handle on?

[Juced_porkchop]

Good start above. If you inject yourself you could simply reduce the dosage for a period of time and see how you feel? At 300mg per week you must be a hyper excreter and metabolize your test rapidly. More frequent injections can help, such as splitting it into two shots per week. It will also help with your E2. Which hopefully you have a handle on?

Great advice^^^

[barack_obama]

Sadly, my current endo hasn't taken an interest in my estrogen levels. When I'd had them taken with my primary doc (who refused treatment of testosterone when my levels were 104ng/dl total) my estrogen levels (total) were 107pg/ml and the reference range states 130 or less, but doesn't specify male or female and I have a suspicion that isn't a good level for a male. My most recent estrogen levels were around 50pg/ml but that was when I was taking test at 100mg/wk and my test levels were around 130ng/dl. The doc hasn't tested again since. I believe I am developing some gynecomastia and have sent a message through my patient portal. He responded and said he'd look at it on our next visit which isn't for another 3 months. Should I pitch a fit, or just hold off for another 3 months?