Looking to start TRT (again). BW just came back, looking for advice

[zoltans4]

I was on TRT for a few years for low test, I don't remember numbers and such back then but I stopped earlier this year because I had really made health my goal. I got healthier and did a month and a half long PTC. 6 months later I was sure it wasn't better so I got blood work done.
location, cost and convenience have me doing my own therapy. My blood work does show my test is way low, and it reflects the slow gain of BF over the last few months.

Stats:
6'3 195
36yo
Intermediate at the gym currently as I have only been back training for a year now
Have done about 4 cycles, and had previous TRT

Here is my Quest lab work

Test Name Result Flag Reference Range Lab
FASTING:YES
LIPID PANEL
CHOLESTEROL, TOTAL 137 125-200 mg/dL 01
HDL CHOLESTEROL 48 > OR = 40 mg/dL 01
TRIGLYCERIDES 60 <150 mg/dL 01
LDL-CHOLESTEROL 77 <130 mg/dL (calc) 01
Desirable range <100 mg/dL for patients with CHD or
diabetes and <70 mg/dL for diabetic patients with
known heart disease.
CHOL/HDLC RATIO 2.9 < OR = 5.0 (calc) 01
NON HDL CHOLESTEROL 89 mg/dL (calc) 01
Target for non-HDL cholesterol is 30 mg/dL higher than
LDL cholesterol target.
COMPREHENSIVE METABOLIC PANEL
GLUCOSE 102 HIGH 65-99 mg/dL 01
Fasting reference interval
UREA NITROGEN (BUN) 21 7-25 mg/dL 01
CREATININE 1.14 0.60-1.35 mg/dL 01
eGFR NON-AFR. AMERICAN 83 > OR = 60 mL/min/1.73m2 01
eGFR AFRICAN AMERICAN 96 > OR = 60 mL/min/1.73m2 01
BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc) 01
SODIUM 139 135-146 mmol/L 01
POTASSIUM 4.3 3.5-5.3 mmol/L 01
CHLORIDE 104 98-110 mmol/L 01
CARBON DIOXIDE 30 20-31 mmol/L 01
CALCIUM 9.5 8.6-10.3 mg/dL 01
PROTEIN, TOTAL 6.8 6.1-8.1 g/dL 01
ALBUMIN 4.6 3.6-5.1 g/dL 01
GLOBULIN 2.2 1.9-3.7 g/dL (calc) 01
ALBUMIN/GLOBULIN RATIO 2.1 1.0-2.5 (calc) 01
BILIRUBIN, TOTAL 0.5 0.2-1.2 mg/dL 01
ALKALINE PHOSPHATASE 66 40-115 U/L 01
AST 22 10-40 U/L 01
ALT 23 9-46 U/L 01
ESTRADIOL, ULTRASENSITIVE LC/MS/MS
ESTRADIOL, ULTRASENSITIVE LC/MS/MS 10 < OR = 29 pg/mL 02
This test was developed and its analytical performance
characteristics have been determined by Quest Diagnostics
Nichols Institute San Juan Capistrano. It has not been
cleared or approved by FDA. This assay has been validated
pursuant to the CLIA regulations and is used for clinical
purposes.
IGF 1, LC/MS
IGF 1, LC/MS 202 53-331 ng/mL 02
Z SCORE (MALE) 0.8 -2.0 - +2.0 SD 02
1 of 3
This test was developed and its analytical performance
characteristics have been determined by Quest Diagnostics
Nichols Institute San Juan Capistrano. It has not been
cleared or approved by FDA. This assay has been validated
pursuant to the CLIA regulations and is used for clinical
purposes.
Z SCORE (FEMALE) DNR 02
CBC (INCLUDES DIFF/PLT)
WHITE BLOOD CELL COUNT 4.4 3.8-10.8 Thousand/uL 01
RED BLOOD CELL COUNT 5.12 4.20-5.80 Million/uL 01
HEMOGLOBIN 15.8 13.2-17.1 g/dL 01
HEMATOCRIT 46.8 38.5-50.0 % 01
MCV 91.3 80.0-100.0 fL 01
MCH 30.9 27.0-33.0 pg 01
MCHC 33.8 32.0-36.0 g/dL 01
RDW 13.8 11.0-15.0 % 01
PLATELET COUNT 159 140-400 Thousand/uL 01
MPV 9.0 7.5-11.5 fL 01
ABSOLUTE NEUTROPHILS 2904 1500-7800 cells/uL 01
ABSOLUTE BAND NEUTROPHILS DNR 0-750 cells/uL 01
ABSOLUTE METAMYELOCYTES DNR 0 cells/uL 01
ABSOLUTE MYELOCYTES DNR 0 cells/uL 01
ABSOLUTE PROMYELOCYTES DNR 0 cells/uL 01
ABSOLUTE LYMPHOCYTES 1131 850-3900 cells/uL 01
ABSOLUTE MONOCYTES 198 LOW 200-950 cells/uL 01
ABSOLUTE EOSINOPHILS 145 15-500 cells/uL 01
ABSOLUTE BASOPHILS 22 0-200 cells/uL 01
ABSOLUTE BLASTS DNR 0 cells/uL 01
ABSOLUTE NUCLEATED RBC DNR 0 cells/uL 01
NEUTROPHILS 66.0 % 01
BAND NEUTROPHILS DNR % 01
METAMYELOCYTES DNR % 01
MYELOCYTES DNR % 01
PROMYELOCYTES DNR % 01
LYMPHOCYTES 25.7 % 01
REACTIVE LYMPHOCYTES DNR 0-10 % 01
MONOCYTES 4.5 % 01
EOSINOPHILS 3.3 % 01
BASOPHILS 0.5 % 01
BLASTS DNR % 01
NUCLEATED RBC DNR 0 /100 WBC 01
COMMENT(S) DNR 01
DHEA SULFATE
DHEA SULFATE 152 106-464 mcg/dL 01
TSH
TSH 1.54 0.40-4.50 mIU/L 01
PSA, TOTAL
PSA, TOTAL 1.0 < OR = 4.0 ng/mL 01
This test was performed using the Siemens
chemiluminescent method. Values obtained from
different assay methods cannot be used
interchangeably. PSA levels, regardless of
value, should not be interpreted as absolute
evidence of the presence or absence of disease.
TESTOSTERONE ,FR(DIALYSIS) AND TOTAL(LC/MS/MS)
TESTOSTERONE, TOTAL, LC/MS/MS 350 250-1100 ng/dL 03
FREE TESTOSTERONE 52.3 35.0-155.0 pg/mL 03


My previous dosage was about 200-250mg per week.

I was thinking of starting with Sust250 at 250mg a week only. I could get T cyp and do the same there if that would be better.
From research I think I just want to start with that and then do BW in about 6-8 weeks to see if I need any AI or HCG


any help and feedback would be appreciated!!

Please let me know if you can't read the copy paste lab work I can simply block out the top and attach the pdf

[75 Dogs]

I guess I don't understand why you got on in the first place. Was it just numbers or were you also having symptoms of Low T? You indicate now (besides the numbers) that you may be all good except for a little higher body fat.

I'm definitely not criticizing, but you are aware TRT is supposed to be for life, right? My thinking is if you got to a place where you were healthy, you shouldn't try to get off TRT and let your body try to make itself right again...instead you found the formula for yourself and you should stick with that basically forever.

I don't know if this adds anything to the conversation or helps you at all, but you said any feedback would be appreciated.

[kelkel]

What was the causative factor for initially going on TRT? What actually caused the low T in other words?
Making health your goal should have meant to remain on TRT if you actually suffer from low T.
Why can't you find a doctor in your area to get on a supervised protocol?
Sustanon is not for TRT. Test C or E is.
200 or 250mgs per week is normally way to high a dose, especially if health is the ultimate goal.

[charger69]

What was the causative factor for initially going on TRT? What actually caused the low T in other words? Making health your goal should have meant to remain on TRT if you actually suffer from low T. Why can't you find a doctor in your area to get on a supervised protocol? Sustanon is not for TRT. Test C or E is. 200 or 250mgs per week is normally way to high a dose, especially if health is the ultimate goal.

Kelkel- i was diagnosed with TRT and Dr. Prescribed sust and dhea. This was in Another country Never took the step to start TRT. Now trying to get prescribed in US.

[zoltans4]

I had low T symptoms and numbers, so I was put on trt (sustanon ), then switched to cyp later because I got bad spasms from sustanon at the time. Low T initial cause want determined, only that it may have been linked to trauma I had in early 20s
I wasn't at the time very healthy, so when I made a bunch of health changes I wanted a new blood work baseline, I also moved so....
Now that I have that I am going back on, not much for Endo doctors in the middle of new Mexico, so I am taking care of it myself.

[Marsoc]

I was on TRT for a few years for low test, I don't remember numbers and such back then but I stopped earlier this year because I had really made health my goal. I got healthier and did a month and a half long PTC. 6 months later I was sure it wasn't better so I got blood work done.
location, cost and convenience have me doing my own therapy. My blood work does show my test is way low, and it reflects the slow gain of BF over the last few months.

Stats:
6'3 195
36yo
Intermediate at the gym currently as I have only been back training for a year now
Have done about 4 cycles, and had previous TRT

Here is my Quest lab work

Test Name Result Flag Reference Range Lab
FASTING:YES
LIPID PANEL
CHOLESTEROL, TOTAL 137 125-200 mg/dL 01
HDL CHOLESTEROL 48 > OR = 40 mg/dL 01
TRIGLYCERIDES 60 <150 mg/dL 01
LDL-CHOLESTEROL 77 <130 mg/dL (calc) 01
Desirable range <100 mg/dL for patients with CHD or
diabetes and <70 mg/dL for diabetic patients with
known heart disease.
CHOL/HDLC RATIO 2.9 < OR = 5.0 (calc) 01
NON HDL CHOLESTEROL 89 mg/dL (calc) 01
Target for non-HDL cholesterol is 30 mg/dL higher than
LDL cholesterol target.
COMPREHENSIVE METABOLIC PANEL
GLUCOSE 102 HIGH 65-99 mg/dL 01
Fasting reference interval
UREA NITROGEN (BUN) 21 7-25 mg/dL 01
CREATININE 1.14 0.60-1.35 mg/dL 01
eGFR NON-AFR. AMERICAN 83 > OR = 60 mL/min/1.73m2 01
eGFR AFRICAN AMERICAN 96 > OR = 60 mL/min/1.73m2 01
BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc) 01
SODIUM 139 135-146 mmol/L 01
POTASSIUM 4.3 3.5-5.3 mmol/L 01
CHLORIDE 104 98-110 mmol/L 01
CARBON DIOXIDE 30 20-31 mmol/L 01
CALCIUM 9.5 8.6-10.3 mg/dL 01
PROTEIN, TOTAL 6.8 6.1-8.1 g/dL 01
ALBUMIN 4.6 3.6-5.1 g/dL 01
GLOBULIN 2.2 1.9-3.7 g/dL (calc) 01
ALBUMIN/GLOBULIN RATIO 2.1 1.0-2.5 (calc) 01
BILIRUBIN, TOTAL 0.5 0.2-1.2 mg/dL 01
ALKALINE PHOSPHATASE 66 40-115 U/L 01
AST 22 10-40 U/L 01
ALT 23 9-46 U/L 01
ESTRADIOL, ULTRASENSITIVE LC/MS/MS
ESTRADIOL, ULTRASENSITIVE LC/MS/MS 10 < OR = 29 pg/mL 02
This test was developed and its analytical performance
characteristics have been determined by Quest Diagnostics
Nichols Institute San Juan Capistrano. It has not been
cleared or approved by FDA. This assay has been validated
pursuant to the CLIA regulations and is used for clinical
purposes.
IGF 1, LC/MS
IGF 1, LC/MS 202 53-331 ng/mL 02
Z SCORE (MALE) 0.8 -2.0 - +2.0 SD 02
1 of 3
This test was developed and its analytical performance
characteristics have been determined by Quest Diagnostics
Nichols Institute San Juan Capistrano. It has not been
cleared or approved by FDA. This assay has been validated
pursuant to the CLIA regulations and is used for clinical
purposes.
Z SCORE (FEMALE) DNR 02
CBC (INCLUDES DIFF/PLT)
WHITE BLOOD CELL COUNT 4.4 3.8-10.8 Thousand/uL 01
RED BLOOD CELL COUNT 5.12 4.20-5.80 Million/uL 01
HEMOGLOBIN 15.8 13.2-17.1 g/dL 01
HEMATOCRIT 46.8 38.5-50.0 % 01
MCV 91.3 80.0-100.0 fL 01
MCH 30.9 27.0-33.0 pg 01
MCHC 33.8 32.0-36.0 g/dL 01
RDW 13.8 11.0-15.0 % 01
PLATELET COUNT 159 140-400 Thousand/uL 01
MPV 9.0 7.5-11.5 fL 01
ABSOLUTE NEUTROPHILS 2904 1500-7800 cells/uL 01
ABSOLUTE BAND NEUTROPHILS DNR 0-750 cells/uL 01
ABSOLUTE METAMYELOCYTES DNR 0 cells/uL 01
ABSOLUTE MYELOCYTES DNR 0 cells/uL 01
ABSOLUTE PROMYELOCYTES DNR 0 cells/uL 01
ABSOLUTE LYMPHOCYTES 1131 850-3900 cells/uL 01
ABSOLUTE MONOCYTES 198 LOW 200-950 cells/uL 01
ABSOLUTE EOSINOPHILS 145 15-500 cells/uL 01
ABSOLUTE BASOPHILS 22 0-200 cells/uL 01
ABSOLUTE BLASTS DNR 0 cells/uL 01
ABSOLUTE NUCLEATED RBC DNR 0 cells/uL 01
NEUTROPHILS 66.0 % 01
BAND NEUTROPHILS DNR % 01
METAMYELOCYTES DNR % 01
MYELOCYTES DNR % 01
PROMYELOCYTES DNR % 01
LYMPHOCYTES 25.7 % 01
REACTIVE LYMPHOCYTES DNR 0-10 % 01
MONOCYTES 4.5 % 01
EOSINOPHILS 3.3 % 01
BASOPHILS 0.5 % 01
BLASTS DNR % 01
NUCLEATED RBC DNR 0 /100 WBC 01
COMMENT(S) DNR 01
DHEA SULFATE
DHEA SULFATE 152 106-464 mcg/dL 01
TSH
TSH 1.54 0.40-4.50 mIU/L 01
PSA, TOTAL
PSA, TOTAL 1.0 < OR = 4.0 ng/mL 01
This test was performed using the Siemens
chemiluminescent method. Values obtained from
different assay methods cannot be used
interchangeably. PSA levels, regardless of
value, should not be interpreted as absolute
evidence of the presence or absence of disease.
TESTOSTERONE ,FR(DIALYSIS) AND TOTAL(LC/MS/MS)
TESTOSTERONE, TOTAL, LC/MS/MS 350 250-1100 ng/dL 03
FREE TESTOSTERONE 52.3 35.0-155.0 pg/mL 03


My previous dosage was about 200-250mg per week.

I was thinking of starting with Sust250 at 250mg a week only. I could get T cyp and do the same there if that would be better.
From research I think I just want to start with that and then do BW in about 6-8 weeks to see if I need any AI or HCG


any help and feedback would be appreciated!!

Please let me know if you can't read the copy paste lab work I can simply block out the top and attach the pdf

Ok so let's start with what does your training / workout sessions look like.
No offense but aside from your globulins count And your goblin count and your gamma rays cell count lol

How's does your diet and your intensity look. I would start there before a cycle. Then again I'm 30'and considering my first cycle as well.

[charger69]

I agree with Marsoc. First get your diet dialed in. Without that, all of your gains will fade away once you stop your cycle.
IMO, you do not wait until bw at week 6 to determine AI and hCG . Both of these should be started at the beginning and you adjust AI based on bw. Remember AI is prevention.

[zoltans4]

Why do you guys think I'm cycling?
I would be taking at least 500mg for a cycle, we are talking about trt.

My diet is on point, I've been on an all organic IIFYM plan for 9mo now. I've lost 7%bf this year. I do a split at the gym 3 days a week and sports/plyo/rehab 3 days a week.

What I am doing with trt is getting my test out of the toilet, you can see from the rest of the blood work how good my diet is

[charger69]

Why do you guys think I'm cycling? I would be taking at least 500mg for a cycle, we are talking about trt. My diet is on point, I've been on an all organic IIFYM plan for 9mo now. I've lost 7%bf this year. I do a split at the gym 3 days a week and sports/plyo/rehab 3 days a week. What I am doing with trt is getting my test out of the toilet, you can see from the rest of the blood work how good my diet is

I thought you were cycling because you said that you did PCT. people on TRT do not use PCT. I am confused about what transpired. You stop TRT and test was good?
I am still inclined to think that your diet still needs work. You did not provide your bodyfat but your stats are what caused the diet comment. I didn't say you were not eating the right food...there was no mentioning of food or frequency.... I just do not think that you are eating enough.. The bf loss also fits in with my comment. Once again, this is a long distance eval based on your incomplete stats.