Just Started TRT

**DHew** · 08-18-2016, 08:46 PM

I started TRT at a local clinic 3 weeks ago. Free and total test were very low. Everything else was within normal range. The doc has me on a enth/cyp blend, 200mg per week. Does that seem high? No one else here seems to be on a dose that high. He let's me take the 10ml bottle home and just self inject. I have a one month follow up next week. I also take .5mg of adex. EoD.

I do injections once a week. When I cycle, I inject more frequently depending on the ester, but on a dose like this I really can't tell a dif. Between 3.5d splits vs 1 week splits.

**almostgone** · 08-19-2016, 09:18 AM

That's a high starting dose, IMHO, but others may have different thoughts on the matter. I would think the better approach would be to start at a more moderate weekly dosage (or E3.5D if.you prefer), pull labs @ around the 10-12 week mark and then adjust dosage. Also, wouldn't have thought they would have instantly doled out the AI @ .5mg EOD of anastrozole prior to seeing if it was needed. However, 200mg/ week may well require an AI.
Perhaps IMT, Kel, or one of the other guys will chime in with a more in depth post.

**kelkel** · 08-19-2016, 10:42 AM

It's a higher dose but not unheard of.
BW should be at around the 6 week mark if possible. Be sure to request a sensiteve E2 assay, not standard estradiol, imho.
.5 adex eod will crash your E2 without question. It's an amount used on a large cycle, not TRT. In most cases an AI is not even added into the protocol until the first BW. But in your case at 200 per week odds are you'll need a little, just no where near that amount. On the once per week protocol you may only need the AI the day of or day after injection. Only BW will reveal what you actual need.

With a higher dose comes the possibility of more issues so stay on top of your E2 and hematocrit. More is not always better on TRT. Also, what was the actual cause of your TRT? Did the doctor find out or simply see low Test numbers and prescribe it without making an effort to remedy it?

**DHew** · 08-19-2016, 08:47 PM

In regards to causation, I'm not entirely sure. I'm 31 years old. Kinda young I suppose for trt. I was reading about the side effects last month, and thought I exhibited them so I got tested.

Total: 32
Free: 2.8

All other values were within acceptable levels. Liver panel, cbc, est., everything else normal.

So he threw me on the regime described above. I thought that adex dosage was high too, I'm going to back down on it and save the extras for a cycle.

**kelkel** · 08-19-2016, 09:09 PM

Well, some of the main culprits would be thyroid, prolactin, cortisol, pathologies, varicoceles, trauma. Do you happen to know if LH & FSH were tested? And if so, what the readings were?

Honestly if he's prescribing that much adex I'd guess he really doesn't understand hormones. Make sure you do.

**DHew** · 08-19-2016, 09:14 PM

I'd have to dig up the paperwork, but I know they were within standard ranges. I don't recall the specific values though. I understand hormones some. Been a member of this board for over 20 years, so I know where to go when I have questions, great place.

**DHew** · 08-19-2016, 09:15 PM

As far as trauma, I had several spinal cord injuries in my cervical vertebrae area in 2014, never really thought about it, but maybe that? I ended up getting 6 fused vertebrae from it.

**DHew** · 08-19-2016, 09:16 PM

Over TEN years, not twenty...

**kelkel** · 08-19-2016, 09:37 PM

Originally Posted by DHew

Over TEN years, not twenty...

Either way, long time members are always good to have around! If you can dig them up post them. We'd like to have at them for sure. Remember, if you use Labcorp sign up for their on-line service so you'll have access to all your BW.