Restarting TRT after surgery advice

[ctenosaura]

I havnt been here in a long while but I’ve been on Depotest for almost 9 years now.
Well, 2 months ago, at age 59 I had a total hip replacement. The surgeon told me to go off the testosterone for 3 weeks prior and 8 weeks post surgery because it increases my risk for blood clots.
Well it’s 8 weeks post surgery and I thought I’d get bloodwork done to see where I’m at being off so long. (See attached)
My question is should I resume my .75 mg every week or take a smaller doses and work back up to the .75?
https://imgur.com/a/YxXe06Y

[Iranon]

I'm in my early 50's, had gyno surgery last June. I went off TRT two weeks prior to surgery and six weeks after (total of eight weeks off). First off you should follow your Doctors advice. For my type of surgery six weeks off was probably more than enough, but I am not an expert on a hip replacement or it's recovery window.

[Cylon357]

I'm with Iranon re following the docs advice, though tbh, I don't see HRT levels of test causing a problem.

With that said, this might be an opportunity to incorporate a SERM in the gap between now and when you start your trt back up. I had surgery while I was on clomid with no issues, and my t levels were at or near top of range. Might just be a waste of a SERM, though.

Maybe throw in some longjack and DAA in there too. I'm just spit balling here.

Note that my medical license does not exist.

[Cylon357]

Oh snap I actually read your question now

Just jump back on at your previous dose.

[Cylon357]

BTW, your numbers didn't look all that bad for having been off almost 3 months.

[kelkel]

I think it's ridiculous to make you go off testosterone . Fear mongering. They're concerned about test making your blood thicker. Well damn, how about pre-op blood work to determine exactly where your numbers are and if needed donate blood. It's all liabilities.

Agree with Cylon. Numbers are surprising for your situation. Be interesting to see where they would go if off a few more months.

[bullshark99]

That was my thought^^^, do you even need HRT anymore
What I wouldn’t do to give the weekly needle up after 12 yrs…..

[ctenosaura]

Thanks for your input. Even though I’m in the 300 range, and havnt used HCG in over a year because I can only get sources underground, (and who knows what I was injecting in my body). I do notice notice that my sex drive is lower and when I weight train, I don’t get pumped. Strength a little lower too. My levels prior to going off were in the 700-800 range using .75mg of Depotest a week.

[SampsonandDelilah]

I think it's ridiculous to make you go off testosterone . Fear mongering. They're concerned about test making your blood thicker. Well damn, how about pre-op blood work to determine exactly where your numbers are and if needed donate blood. It's all liabilities.

Agree with Cylon. Numbers are surprising for your situation. Be interesting to see where they would go if off a few more months.

Exactly, it’s the surgeon covering his ass via malpractice. Thick blood is exactly their concern…check your hematocrit. Under 50 and I wouldn’t have any concerns at all. I’m not a doctor nor do I pretend to be but I have a few surgeries since being lm TRT (almost 9 years now) and that’s always been the conversation.

Best of luck

[ctenosaura]

In case any is interested or cares lol, I got bloodwork at Kaiser the next day and got my testosterone levels measured there also. My primary only orders the minimum hence why I spend the extra $150-$200 at Quest. Not sure what the
LC MS/MS means?

https://imgur.com/a/T4P3fTG

[kelkel]

The deviation between your originally posted BW and Quest is normal. Test is produced diurnally in our bodies so time of day, amount of sleep and so on all matter.
LC-MS/MS is the testing methodology used. Most labs default to the ECLIA methodology. LC-MS is less succeptable to interference which is why guys who run nandrolones as an adjunct to their TRT use the LC-MS version. Otherwise with the ECLIA version it will give a false elevated reading.

[wango]

I havnt been here in a long while but I’ve been on Depotest for almost 9 years now.
Well, 2 months ago, at age 59 I had a total hip replacement. The surgeon told me to go off the testosterone for 3 weeks prior and 8 weeks post surgery because it increases my risk for blood clots.
Well it’s 8 weeks post surgery and I thought I’d get bloodwork done to see where I’m at being off so long. (See attached)
My question is should I resume my .75 mg every week or take a smaller doses and work back up to the .75?
https://imgur.com/a/YxXe06Y

Only option not mentioned is risk of infection from injections. Bacteria have a way of making their way to the components, infecting that area and could cause the removal of the components all together. It’s very ugly. Although not as much as a protocol now, you would also take antibiotics prior to any dental work from now on. Initially, my surgeon also preferred I take antibiotics prior getting any tattoos. BTW, I’ve had each hip replaced. When it comes to these replacements, at this time, they almost are fool proof and you have to deliberately go out of your way of f’ing them up. Post surgery there is a lot of healing going on with increased platelet formation and clotting factors elevated. Why throw in elevated hematocrit at that time? The replacement is meant to last a lifetime, 8 weeks is a tick of the clock. You’ve likely had restrictions in movement for 6 weeks (depending on the surgical approach), 2 more weeks is nothing.

[ctenosaura]

Yes Wango, everything you said is correct. I wasn’t clear on the fact that it has been 8 weeks. I also didn’t think about infection from injection. I’ll be alcohol swabbing better from now on. I just took my first dose two days ago and the full .75.