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Thread: Back after a long time away... gonna type my issues out.

  1. #1
    alphaman is online now Member
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    Back after a long time away... gonna type my issues out.

    Hey there guys. I used to post here a lot. I will not be 40 for 4 months, but based on what I am posting about, Over 40 seemed like the best place. And although my chronological age is 39, the health meter thingy in the wellness program at work says I might as well be over 50 with my health stats.

    Used to work out a lot, did a couple cycles.

    A couple years before I stopped posting here, I started a new career. I have done well in that, and I have spent a lot of time developing my sons, but everything else in my life has been somewhat neglected and I am now...unhealthy.

    I have high blood pressure, I am over weight, I drink a bit, and I have Low T.

    I want to get back to feeling the way I did years back, and I want to be more healthy.

    I am 5’9”, 215lbs. Was 230, should be about 185.

    BP is 156/101. Been fighting being put on meds for years, have probably done a lot of damage as a result. Lot of heart disease and diabetes in my family. Always procrastinating, saying I am gonna get in shape and lower my BP naturally and it just hasn’t happened.

    My T was 220 when I had blood work done a year and a half ago.

    It is easy for me to put my head down, go to work, make money, take my boys to wrestling practice, come home drink a few cold ones, rinse repeat.

    And time just passes by.

    So....

    For some reason, lately I have really been thinking about resolving all of this. Maybe because I am approaching 40 and really want to be the best version of my self again before it’s too damn late.

    Want to go to a Men’s clinic and get a prescription, but am hesitant because I know test will probably raise my BP and I bet if I went to a clinic now, they wouldn’t give me a prescription because of my BP. Would probably say I have to resolve that first.

    So there is the situation.

    What should I do?

    Just go get BP meds and then go get a prescription for T?

    Or should I start working out and try to resolve my weight and BP naturally before getting any meds?

    Full disclosure, I am basically sedentary at this point, and I drink 3 beers a night during the week, and more at least one day per weekend. This will not stop.

    My schedule makes it difficult to work out, but I know I need to buck up and start. This is the right way to approach my issues, I know. But I know myself and I am not convinced I will work out enough to give the impact required to get down to 185lbs, get my BP in the normal range, and getting my T where it needs to be, natrurally, is the least likely of the 3.

    Any comments, insults, or slaps to the face are welcomed. But really I just needed to type all this stuff out. Because I think I know what I need to do. Leaning towards giving in to BP meds and heading to the Mens’s Clinic once BP is in a healthy range.
    Last edited by alphaman; 08-23-2019 at 06:31 AM.

  2. #2
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    It sounds like you know what you need to do, but you aren't committed to doing it. Not trying to be harsh, just laying it out there.

    That's a lot of beer, man. I definitely enjoy a good beer, but 3 a night is too many. That's effectively killing your T and raising your E. You say that won't stop, but that is the first place you should start, imho. AT LEAST cut back to one a night. My guess is this has become habit as much as anything else - break the habit and things will start to improve.

    I'm with you on BP meds. I've not had BP issues but I am presently on both Flowmax and Cialis daily for Prostate issues. Those both have a positive effect on blood pressure, might be that you can kill two birds with one stone if you have prostate issues.

    Peep the information at examine.com. Great source of unbiased info for OTC supps, some of which might help in your case. Listen, I know OTC gets a bad rap, deservedly so sometimes. Examine aggregates study info and ranks the supps in various categories.

    Plus THIS SITE RIGHT HERE is the best support network on the planet for the types of issues you are experiencing. You are definitely in the right place.

    Finally, yeah you are right: you know what you need to do. You will do it only when you get committed to doing so and not minute sooner. Good luck on your journey back!
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    Quote Originally Posted by alphaman View Post
    Hey there guys. I used to post here a lot. I will not be 40 for 4 months, but based on what I am posting about, Over 40 seemed like the best place. And although my chronological age is 39, the health meter thingy in the wellness program at work says I might as well be over 50 with my health stats.

    Used to work out a lot, did a couple cycles.

    A couple years before I stopped posting here, I started a new career. I have done well in that, and I have spent a lot of time developing my sons, but everything else in my life has been somewhat neglected and I am now...unhealthy.

    I have high blood pressure, I am over weight, I drink a bit, and I have Low T.

    I want to get back to feeling the way I did years back, and I want to be more healthy.

    I am 5’9”, 215lbs. Was 230, should be about 185.

    BP is 156/101. Been fighting being put on meds for years, have probably done a lot of damage as a result. Lot of heart disease and diabetes in my family. Always procrastinating, saying I am gonna get in shape and lower my BP naturally and it just hasn’t happened.

    My T was 220 when I had blood work done a year and a half ago.

    It is easy for me to put my head down, go to work, make money, take my boys to wrestling practice, come home drink a few cold ones, rinse repeat.

    And time just passes by.

    So....

    For some reason, lately I have really been thinking about resolving all of this. Maybe because I am approaching 40 and really want to be the best version of my self again before it’s too damn late.

    Want to go to a Men’s clinic and get a prescription, but am hesitant because I know test will probably raise my BP and I bet if I went to a clinic now, they wouldn’t give me a prescription because of my BP. Would probably say I have to resolve that first.

    So there is the situation.

    What should I do?

    Just go get BP meds and then go get a prescription for T?

    Or should I start working out and try to resolve my weight and BP naturally before getting any meds?

    Full disclosure, I am basically sedentary at this point, and I drink 3 beers a night during the week, and more at least one day per weekend. This will not stop.

    My schedule makes it difficult to work out, but I know I need to buck up and start. This is the right way to approach my issues, I know. But I know myself and I am not convinced I will work out enough to give the impact required to get down to 185lbs, get my BP in the normal range, and getting my T where it needs to be, natrurally, is the least likely of the 3.

    Any comments, insults, or slaps to the face are welcomed. But really I just needed to type all this stuff out. Because I think I know what I need to do. Leaning towards giving in to BP meds and heading to the Mens’s Clinic once BP is in a healthy range.
    I think my first stop would be at the physician/ primary care Dr. for a comprehensive physical. If your Dr. is current on TRT protocol and testing, even better.

    Regarding TRT, I would do some heavy reading at the following link:

    https://forums.steroid.com/hormone-r...physician.html

    Self-education can help you recognize the quality ( or lack of) care you're receiving.

    No shame in taking BP meds, many of us require them. On the other hand, a diet and lifestyle change may do the trick.

    Glad to have an old-timer come back home to the forum.
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  4. #4
    alphaman is online now Member
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    Thanks for the replies, fellas.

    Thursday my BP was 174/114, so Friday I went to CVS Minute Clinic and was prescribed 10mg Lisinopril.

    Yesterday my BP was 138/87.

    I jogged for 40 minutes Saturday. Gonna do it again today.

    There is a gym right across from my office. I think I am gonna go check it out and sign up tomorrow so I can work out a bit in the middle of the day.


    Quote Originally Posted by cylon357 View Post
    It sounds like you know what you need to do, but you aren't committed to doing it. Not trying to be harsh, just laying it out there.
    Yes that is it, exactly. I have always liked to party. Stress of my career and family over the years has beat me down and I have dealt with it the wrong way.

    I have always had an “all or nothing” attitude. When I was lifting, everything was on point. Diet and all.

    And when I stopped lifting and eating right, everything went out the window. (That’s the “nothing” part)


    I'm with you on BP meds. I've not had BP issues but I am presently on both Flowmax and Cialis daily for Prostate issues. Those both have a positive effect on blood pressure, might be that you can kill two birds with one stone if you have prostate issues.
    No prostate issues here as of yet. I see from looking around here that lots are taking Cialis and I gather that there are other effects than resolving erectile dysfunction? Interesting.

    Peep the information at examine.com. Great source of unbiased info for OTC supps, some of which might help in your case. Listen, I know OTC gets a bad rap, deservedly so sometimes. Examine aggregates study info and ranks the supps in various categories.

    Plus THIS SITE RIGHT HERE is the best support network on the planet for the types of issues you are experiencing. You are definitely in the right place.

    Finally, yeah you are right: you know what you need to do. You will do it only when you get committed to doing so and not minute sooner. Good luck on your journey back!

    Thanks for the Examine recommendation. I will check it out.

    I have completed step one, which is get meds for BP. Now onto step 2. Which initially upon making this thread I said was heading to the Men’s clinic. But I think I am gonna start working out, and stop drinking every day. Maybe just my golf league day and Friday/Saturday. And see how I feel.

    And maybe I should set a date to go to a doc to get blood work pulled to find out what my T is after doing this for a while... a month? Two? Three? I guess I will have to give that some thought.
    Last edited by alphaman; 09-02-2019 at 04:47 PM.

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    alphaman is online now Member
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    Quote Originally Posted by almostgone View Post
    I think my first stop would be at the physician/ primary care Dr. for a comprehensive physical. If your Dr. is current on TRT protocol and testing, even better.

    Regarding TRT, I would do some heavy reading at the following link:

    https://forums.steroid.com/hormone-r...physician.html

    Self-education can help you recognize the quality ( or lack of) care you're receiving.

    No shame in taking BP meds, many of us require them. On the other hand, a diet and lifestyle change may do the trick.

    Glad to have an old-timer come back home to the forum.


    Thanks for the welcome back! Pretty sure I remember your username.

    Thanks for the link. Gonna read that with a cup of coffee now.

    Yes on the physical. I need to find the right doc. My current doc seems very unconscientious. In the past he just seems to shrug his shoulders about everything.

    Gonna spend some time this morning reading that thread and thinking about how to find the right doc for me.
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    A healthy testlevel will not set back your cardiatic levels. As a matter of fact, it will better them instead.
    Remember, low test leads to low e2, which is extremely unhealthy for your heart and arteries. Many experts suggest that is the main reason for the many heart attacks among men.
    So first thing i would do would be get my testlevels back and add 3 dl beetrootjuice every morning.
    Then add a little thing every week.

    Sent fra min BLA-L29 via Tapatalk
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  7. #7
    alphaman is online now Member
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    Quote Originally Posted by alphaman View Post
    Thanks for the welcome back! Pretty sure I remember your username.

    Thanks for the link. Gonna read that with a cup of coffee now.

    Yes on the physical. I need to find the right doc. My current doc seems very unconscientious. In the past he just seems to shrug his shoulders about everything.

    Gonna spend some time this morning reading that thread and thinking about how to find the right doc for me.

    E2 as in Estradiol? Estrogen?

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    Quote Originally Posted by alphaman View Post
    Thanks for the welcome back! Pretty sure I remember your username.

    Thanks for the link. Gonna read that with a cup of coffee now.

    Yes on the physical. I need to find the right doc. My current doc seems very unconscientious. In the past he just seems to shrug his shoulders about everything.

    Gonna spend some time this morning reading that thread and thinking about how to find the right doc for me.
    As AG said.

    I was hesitant to go on bp meds.
    Why though?

    The way I see it even if test did raise your bp, which is person dependant as there are many factors that can cause a rise in bp; you can take a bp med to offset that too.

    More is being discovered about the EPH6 receptor and testosterone signaling epinephrine response in concert. Which is just one of a million things that can increse blood pressure in some.

    So we cant generalize and say it will lower or increase or leave it the same.

    For this reason I think your best bet is to get the bp in check and then seek TRTor cycling or whatever you choose.

    Then monitor bp and adapt if necessary.

    I self medicated script bp meds because I cant stand or afford doctor visits. Usually just wind up with them saying something retarded and me leaving pist.

    I know nothing about bp meds.
    Neither do they.
    There are so many immeasurable factors tgat about all you can do is try things until something fits.
    You better do it though.

    I been hypertensive my entire life. Bad too.

    My fate is pretty much sealed, I will have a heart attack or stroke probably not too far out.


    Don't put it off.

    I already admire you for taking your boys wrestling.
    You are a great dad in a world where boys are being raised pussies. Better stick around for them.

    Almostgone is talking from experience.
    He was almost gone way too young.
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    alphaman is online now Member
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    Quote Originally Posted by Obs View Post
    As AG said.

    I was hesitant to go on bp meds.
    Why though?

    The way I see it even if test did raise your bp, which is person dependant as there are many factors that can cause a rise in bp; you can take a bp med to offset that too.

    More is being discovered about the EPH6 receptor and testosterone signaling epinephrine response in concert. Which is just one of a million things that can increse blood pressure in some.

    So we cant generalize and say it will lower or increase or leave it the same.

    For this reason I think your best bet is to get the bp in check and then seek TRTor cycling or whatever you choose.

    Then monitor bp and adapt if necessary.

    I self medicated script bp meds because I cant stand or afford doctor visits. Usually just wind up with them saying something retarded and me leaving pist.

    I know nothing about bp meds.
    Neither do they.
    There are so many immeasurable factors tgat about all you can do is try things until something fits.
    You better do it though.

    I been hypertensive my entire life. Bad too.

    My fate is pretty much sealed, I will have a heart attack or stroke probably not too far out.


    Don't put it off.

    I already admire you for taking your boys wrestling.
    You are a great dad in a world where boys are being raised pussies. Better stick around for them.

    Almostgone is talking from experience.
    He was almost gone way too young.


    Thanks—yea. Don’t know if you noticed in my last post, but I started BP meds on Friday.

    Yes, the world is pussified, for sure. All 4 of my boys have wrestled and that has a lot to do with it. Well 3 are wrestling now, oldest is a jr in college and he is not wrestling but he was positively impacted by his experience with the sport. Great sport to teach work ethic, self reliance, mental toughness, etc. So many benefits.




    Joined the gym across from my office yesterday.

    BP is down, but still high. 145/97 Some are saying it could take a few weeks for meds to have their full effect.
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    Quote Originally Posted by alphaman View Post
    Thanks for the welcome back! Pretty sure I remember your username.

    Thanks for the link. Gonna read that with a cup of coffee now.

    Yes on the physical. I need to find the right doc. My current doc seems very unconscientious. In the past he just seems to shrug his shoulders about everything.

    Gonna spend some time this morning reading that thread and thinking about how to find the right doc for me.
    You might find someone in the A4M directory. Maybe there is some of them in your area? Worth a shot anyway.

    https://www.a4m.com/find-a-doctor.html
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    I would start with getting your diet dialed in better and some exercise. Take some weight off and if you hit 2 months of both these go get your bp checked. If you just go on trt your bp is going to be even worst. By getting yourself set before trt when you do go and get yourself medicated you will have a base diet and exercise already started then you can tweak things to what goals you are looking to achieve.
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    Disclaimer-BG is presenting fictitious opinions and does in no way encourage nor condone the use of any illegal substances.
    The information discussed is strictly for entertainment purposes only.


    Everything was impossible until somebody did it!

    I've got 99 problems......but my squat/dead ain't one !!

    It doesnt matter how good looking she is, some where, some one is tired of her shit.

    Light travels faster then sound. This is why some people appear bright until you hear them speak.

    Great place to start researching ! http://forums.steroid.com/anabolic-s...-database.html


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    Quote Originally Posted by alphaman View Post
    Thanks—yea. Don’t know if you noticed in my last post, but I started BP meds on Friday.

    Yes, the world is pussified, for sure. All 4 of my boys have wrestled and that has a lot to do with it. Well 3 are wrestling now, oldest is a jr in college and he is not wrestling but he was positively impacted by his experience with the sport. Great sport to teach work ethic, self reliance, mental toughness, etc. So many benefits.




    Joined the gym across from my office yesterday.

    BP is down, but still high. 145/97 Some are saying it could take a few weeks for meds to have their full effect.
    Sorry dont know how I missed that.
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    First off at 39, you are a young man & need to take steps now to ensure you’ll become an old man (assumably you want to be there for your sons).

    I don’t feel that the TRT is the answer yet.

    Even with your meds your BP is ridiculously high. Are there any other factors hat contribute (perhaps anxiety/stress)? Please get the BP addressed now.

    The diet and working out are a huge first step, congrats!!!

    3 or more beers is NOT a concern. Do they contribute to the weight and BP? MINIMALLY!

    Then after the meds & lifestyle changes start to normalize your BP, weight & overall health - then you treat/reward yourself with TRT.

    Just my opinion. You’re in capable hands with the dudes that replied already.

    Good luck to you.
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    alphaman is online now Member
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    Ok guys. BP is still a bit high, but doc wants me to take a few steps over 5-6 weeks before changing anything with meds.

    Test came back at 228. It was 237 last time it was tested on 2017. Lady who left the message said the doc said he will prescribe test and I have the choice between injections in the office and androgel .

    The men’s clinic here does HCG and injectables.

    I am going to supplement. What should I do?

    Edit: My doc thinks he can get insurance to cover. I called the men’s clinic a couple weeks ago to ask if they knew if insurance would cover their services and they were very vague and didn’t really answer the question... money isn’t really an issue but if I can get it covered, why not?
    Last edited by alphaman; 09-20-2019 at 06:41 AM.

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    I started off having to go to the Dr. office for my shots until she got to know me. I would check and see if your Dr. is going to allow self-injections at some point.

    Honestly, having to go to the office is pretty inconvenient, and ideally you will want to inject 2x/ week to minimize the swing between peak levels and trough levels.

    Nothing wrong with gels, but some guys do find that they experience transdermal fatigue after a while, so the gels become ineffective. Also, some report their DHT levels went up due to conversion by the 5-AR enzyme.
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    alphaman is online now Member
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    Quote Originally Posted by almostgone View Post
    I started off having to go to the Dr. office for my shots until she got to know me. I would check and see if your Dr. is going to allow self-injections at some point.

    Honestly, having to go to the office is pretty inconvenient, and ideally you will want to inject 2x/ week to minimize the swing between peak levels and trough levels.

    Nothing wrong with gels, but some guys do find that they experience transdermal fatigue after a while, so the gels become ineffective. Also, some report their DHT levels went up due to conversion by the 5-AR enzyme.

    Thanks. Yea—dht equals hair loss, right? I had that going for a bit. A bit of a thin spot in back, and receded hairline, but it seems to have slowed significantly—probably when my T dropped. Lol

    My barber has been trying to sell me a shampoo he claims takes the DHT out of your scalp. What do you think of that?

    I assume he is going to prescribe an oil based injectable (probably Enthanate, right?) and 1x per week injections. I wonder was dose he will prescribe. It’s been a while since I have had this on my mind but I feel like 1x a week was the norm when I was into this. Is 2x a week a newer thing?

    I know my doc pretty well so I bet he would let me do it at home.

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    Quote Originally Posted by alphaman View Post
    Thanks. Yea—dht equals hair loss, right? I had that going for a bit. A bit of a thin spot in back, and receded hairline, but it seems to have slowed significantly—probably when my T dropped. Lol

    My barber has been trying to sell me a shampoo he claims takes the DHT out of your scalp. What do you think of that?

    I assume he is going to prescribe an oil based injectable (probably Enthanate, right?) and 1x per week injections. I wonder was dose he will prescribe. It’s been a while since I have had this on my mind but I feel like 1x a week was the norm when I was into this. Is 2x a week a newer thing?

    I know my doc pretty well so I bet he would let me do it at home.
    2x/week or E3D really smooths out the process. I've been on about every protocol there is and more frequent injections of lesser volumes does the trick.

    Most Drs. are prescribing test cypionate which is virtually the same as enanthate as far as TRT is concerned.

    Never heard of removing the DHT from the scalp. Personally, I don't buy into it .

    I really encourage you to read the following thread:

    https://forums.steroid.com/hormone-r...physician.html

    ...and also just read in the TRT forum in general. It will really help you!:

    https://forums.steroid.com/hormone-r...nt-anti-aging/

    As far as dosage it usually will take some time to get dialed in so your free T is optimized and your levels are stable.
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    Ok. Gonna call the doc this morning and make another appointment.

    Going to:

    -ask if I can do home injections
    -ask for full panel on bloodwork including all the items recommended in the sticky thread.


    Should I?:

    -ask about HCG ?
    -ask about an aromatase inhibitor or novaldex? And which one, seems like Armidex is tough on cholesterol and I am already borderline on that.

    And since this is TRT and not a cycle, do I just forget about PCT? If so seems like I should get some HCG if I want to keep my balls at their current size, right?

    How often should I request bloodwork to see what is happening with the treatment I am receiving?

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    Well. Ok. Guess I asked the max amount of questions. Lol

    I know I seem lazy, just have a lot going on to read a bunch of threads to answer these questions but I have to do what I have to do. Lol

    Sorry and thanks for the input you guys provided.

  20. #20
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    Quote Originally Posted by alphaman View Post
    Ok. Gonna call the doc this morning and make another appointment.

    Going to:

    -ask if I can do home injections
    -ask for full panel on bloodwork including all the items recommended in the sticky thread.


    Should I?:

    -ask about HCG ?
    -ask about an aromatase inhibitor or novaldex? And which one, seems like Armidex is tough on cholesterol and I am already borderline on that.

    And since this is TRT and not a cycle, do I just forget about PCT? If so seems like I should get some HCG if I want to keep my balls at their current size, right?

    How often should I request bloodwork to see what is happening with the treatment I am receiving?
    I’d ask about HCG, it’s helps with cholesterol.

    You’re not going to need AIs or SERMs on TRT. If you do, they need to adjust things. Running AIs long term will destroy you. If 150mg of test a week creates issues for you i’d run 150mg of masteron along with it forever before I’d use an AI regularly. I don’t know if anyone actually does that, but I would do that.

    You won’t need PCT (post cycle therapy ) since you’re not coming off.

    I would try to get blood work every 3-4 months, and then once you get dialed in kick it back to every 6 months.

    Nobody really talks about it, but if you can afford it, getting an Ectocardiograph every couple years isn’t a bad idea.
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    Per the nurse, Doc wanted to start with 200mg Test Cyp every two weeks. I asked if he would allow me to do my own injections at home. He will.

    Nurse said it is 200 mg/ml. So I will be injecting 1/4 ml every 3.5 days.... does that sound ok? Seems like a really small volume.

  22. #22
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    Quote Originally Posted by alphaman View Post
    Per the nurse, Doc wanted to start with 200mg Test Cyp every two weeks. I asked if he would allow me to do my own injections at home. He will.

    Nurse said it is 200 mg/ml. So I will be injecting 1/4 ml every 3.5 days.... does that sound ok? Seems like a really small volume.
    100mg a week is on the low side, but he probably just wants to see where it gets you and adjust from there.
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    Quote Originally Posted by i_SLAM_cougars View Post
    100mg a week is on the low side, but he probably just wants to see where it gets you and adjust from there.
    Yes, that’s what I thought too. Lower than what I have heard others on TRT getting. But I have been low for years, so I am excited to get anything at this point. Plus I fought and fucked a lot back then and I don’t want to turn into the animal I once was, so I am happy to ease in.
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    I don’t know where you are, but if you are in NY, my guy is great. Insurance covers the office visit, and my test C comes from Walgreens pharmacy at $5 per ml with the good rx app on your phone . I inject myself at half a ml every 3.5 days and my T number went from 231 to over 1200.

    I feel great but I did gain weight from bloating. My E2 is too high, but I hate the anastrozole he wants me to take.






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    alphaman is online now Member
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    Quote Originally Posted by C27H40O3 View Post
    I don’t know where you are, but if you are in NY, my guy is great. Insurance covers the office visit, and my test C comes from Walgreens pharmacy at $5 per ml with the good rx app on your phone . I inject myself at half a ml every 3.5 days and my T number went from 231 to over 1200.

    I feel great but I did gain weight from bloating. My E2 is too high, but I hate the anastrozole he wants me to take.






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    Nice. So that is 100mg/wk? Are you on blood pressure meds? How is your blood pressure?

    I am in the Midwest, but thanks for the offer.

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    Quote Originally Posted by alphaman View Post
    Per the nurse, Doc wanted to start with 200mg Test Cyp every two weeks. I asked if he would allow me to do my own injections at home. He will.

    Nurse said it is 200 mg/ml. So I will be injecting 1/4 ml every 3.5 days.... does that sound ok? Seems like a really small volume.
    I'm scripted 150 mg/week (.75 ml) of Depo test, but injecting twice/ week I only need ~66mg(.3 ml) 2x/ week to put me at the top or over the top of the range on free T. I just bank back the little bit extra so I'm not enslaved to the pharmacy when they're out of test...yes, it occasionally happens.

    Yes on the HCG . Regarding an AI, steer clear if possible, however, there are some people that require it. Also, E2 @ the upper end of the range is better than bottom end.
    Remember, free T is what is important.

    Personally, I would pull my own labs prior to your Drs. labs because your trough value will definitely be higher injecting 2x/ week, so you may can even lower your dosage a tad and save the rest.

    100mg/ week split into 2 injections is a good starting point. Be patient, because it takes a while to get dialed in.
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    Alphaman, I'm going to move this to the TRT forum for more exposure.
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    Quote Originally Posted by almostgone View Post
    I'm scripted 150 mg/week (.75 ml) of Depo test, but injecting twice/ week I only need ~66mg(.3 ml) 2x/ week to put me at the top or over the top of the range on free T. I just bank back the little bit extra so I'm not enslaved to the pharmacy when they're out of test...yes, it occasionally happens.

    Yes on the HCG . Regarding an AI, steer clear if possible, however, there are some people that require it. Also, E2 @ the upper end of the range is better than bottom end.
    Remember, free T is what is important.

    Personally, I would pull my own labs prior to your Drs. labs because your trough value will definitely be higher injecting 2x/ week, so you may can even lower your dosage a tad and save the rest.

    100mg/ week split into 2 injections is a good starting point. Be patient, because it takes a while to get dialed in.

    After talking to the nurse, I could tell they were a little perturbed that I suggested something different than what they recommend, ie- more frequent injections. And in her reply, she basically said they basically prescribe Test Cyp and administer 1x every two weeks and that was it. So.... I know my doc and will have an appt with him in Oct. What should I say to persuade him to consider giving me HCG other that ball size? Lol I guess it is good to kickstart natural test production. It’s been a while but I thought clomid was what you use to kickstart natural rest production.

    If he doesn’t want to give it to me, I know there are other avenues, the local men’s clinic offers it.

    To pull my own labs, I guess I can just schedule an appt at a lab myself and tell them what I want? I assume it’s not crazy expensive.





    Quote Originally Posted by almostgone View Post
    Alphaman, I'm going to move this to the TRT forum for more exposure.

    Cool. Thank you.

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    Agree with most of the prior comments. You know what you need to do, particularly with the alcohol and the exercise.

    I also agree with the comments on BP meds, there's no shame in taking them. I resisted for years (decades), but finally went on one a few years back and now wonder why I was so resistant. In particular, you may wish to ask to be started on Losartan (generic for Cozar). I started at 50mg/day and then requested to be bumped up to 100 because I felt so much better. I like this med because it has no sexual side-effects (e.g., ED) and it has a particular side-effect that is actually useful to guys on TRT. It is documented to slightly reduce erythropoietin production. For most people this might be a concern for anemia, but high RBD production is probably the most common side-effect of TRT, so it actually works in your favor to help control RBC overproduction (if only to a small degree).
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    Hi Buddy,

    I started taking 5mg lisinopril several years ago, my BP is now averages 110/70 and I'm 62. It used to be in the 160/100 range and my weight is 165lbs and 5-10 height. Your basic problem seems diet, you just have to burn more calories each day than you take in. Beer as somebody said is more habit than a need. Try buying some alcohol free beers and wine. These actually taste really good now. Don't just rely on TRT to fix your problems as it won't, you need good diet and exercise. You may wish to try Clenbuterol for fat burning.
    Last edited by MICKY H; 09-26-2019 at 07:24 PM.
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    Quote Originally Posted by alphaman View Post
    After talking to the nurse, I could tell they were a little perturbed that I suggested something different than what they recommend, ie- more frequent injections. And in her reply, she basically said they basically prescribe Test Cyp and administer 1x every two weeks and that was it. So.... I know my doc and will have an appt with him in Oct. What should I say to persuade him to consider giving me HCG other that ball size? Lol I guess it is good to kickstart natural test production. It’s been a while but I thought clomid was what you use to kickstart natural rest production.

    If he doesn’t want to give it to me, I know there are other avenues, the local men’s clinic offers it.

    To pull my own labs, I guess I can just schedule an appt at a lab myself and tell them what I want? I assume it’s not crazy expensive.








    Cool. Thank you.
    Try privatemdlabs or discounted labs for your personal labwork. Usually there is a discount code floating around online that will save you at least 10%. You order and pay online, they will create an lab order you print out, go to the appropriate collection center, and then they will notify you when the results are in. You login to your account and print them out.

    If necessary don't push the injection frequency issue. Let them prescribe how they want, you can manage your injection frequency. That's why I recommended you pull labs on your own so you can make adjustments if necessary to stay in range.

    HCG is beneficial in many ways. I feel better when incorporating it than not using it. If your Dr. doesn't prescribe it, get it on your own.
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    On 150mg ew I was 736. I just bumped it up to 200mgs and Im going to see how the bloodwork comes back and see what the doctor says. Im with a new doctor and its been going on for 6-7 months now, it takes some time. Like AG said, he wants to get to know you and take things slow at first, kinda like an old fashioned girl! Have patience and you two will get things straight.
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    The information discussed is strictly for entertainment purposes only.


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    Well. Should be getting my first dose tomorrow morning. Been eating pretty well and exercising every day.

    Just had blood drawn to get a baseline on my panels. This is what I ordered from privatemdlabs:

    Male Athletic Anti-aging Panel

    Description:



    Includes:
    Lipid Profile: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculation); triglycerides; very low-density lipoprotein (VLDL) cholesterol (calculation).
    Complete Blood Count (CBC) with Differential: (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes)
    Estradiol, Sensitive
    Hemoglobin (Hgb) A1c
    C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)
    Thyroid-Stimulating Hormone (TSH)
    Gamma Glutamyl Transpeptidase (GGT)
    Insulin , Fasting
    Comprehensive Metabolic Profile (CMP) (includes eGFR): (A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum.)
    Luteinizing Hormone(LH)
    Testosterone , Free (Direct), Serum With Total Testosterone
    Sex Hormone binding Globulin, Serum (SHBG)
    Urinalysis, Routine Profile: Color, appearance, specific gravity, pH, protein, glucose, ketones, occult blood, leukocyte esterase, nitrite, bilirubin, and urobilinogen. These tests are done on all routine urinalysis ordered and if protein, leukocyte, occult blood, nitrite, and turbidity are all negative, microscopic examination is not performed; just the above parameters are reported. (If results are abnormal test will reflex to include microscopic examination).
    Follicle-Stimulating Hormone (FSH)
    Magnesium, Serum
    Thyroxine Free, Direct (FT4)
    Ferritin, Serum
    Prostate-Specific Antigen (PSA)
    Iron, Serum w/TIBC: Percent of saturation; serum iron; total iron binding capacity; unsaturated iron binding capacity
    Dehydroepiandrosterone Sulfate (DHEA-S)
    Prolactin
    Tri-iodothyronine Free (FT3)



    That was a lot of blood they took.
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    alphaman is online now Member
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    Going to inject 1/4ml—50mg twice weekly.

    Went into the office today and the nurse loaded 100mg shot even though we agreed on my protocol. She forgot. I just had her give me the 100mg. I could use a kickstart anyway.



    So... they got me a 1 use vial to start. I will use it 2 more times. Initially the nurse didn’t think it was safe, but the pharmacist told her it has preservatives so it’s good for 30 days.

    I should be good with that, right?

    They are apparently working on getting me a or 12ml vial she said.

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    Quote Originally Posted by alphaman View Post
    Going to inject 1/4ml—50mg twice weekly.

    Went into the office today and the nurse loaded 100mg shot even though we agreed on my protocol. She forgot. I just had her give me the 100mg. I could use a kickstart anyway.



    So... they got me a 1 use vial to start. I will use it 2 more times. Initially the nurse didn’t think it was safe, but the pharmacist told her it has preservatives so it’s good for 30 days.

    I should be good with that, right?

    They are apparently working on getting me a or 12ml vial she said.
    1ml vials are pretty common in TRT now, I get 9 every 90 days. Some guys still get the 10ml vials.
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    Quote Originally Posted by almostgone View Post
    1ml vials are pretty common in TRT now, I get 9 every 90 days. Some guys still get the 10ml vials.


    Mine says “single use”. This concerned my nurse. The pharmacist said it is ok for 30 days, but my nurse said the only reason they are going along with that is because I am doing the injections and it is less liability for the medical office.

    I imagine you use yours over multiple doses as well? Do yours say “single use” as well?

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    Quote Originally Posted by alphaman View Post
    Mine says “single use”. This concerned my nurse. The pharmacist said it is ok for 30 days, but my nurse said the only reason they are going along with that is because I am doing the injections and it is less liability for the medical office.

    I imagine you use yours over multiple doses as well? Do yours say “single use” as well?
    Yes sir, but how many people are scripted 200 mg per week?

    For instance, if you inject 3/4 of a ml/ week and are scripted 3ml/ month, by definition and mathematics, a 1ml vial becomes multiple use.
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    Quote Originally Posted by almostgone View Post
    Yes sir, but how many people are scripted 200 mg per week?

    For instance, if you inject 3/4 of a ml/ week and are scripted 3ml/ month, by definition and mathematics, a 1ml vial becomes multiple use.

    Well the standard script at my doc’s office appears to be 200mg every two weeks.

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    Quote Originally Posted by alphaman View Post
    Well the standard script at my doc’s office appears to be 200mg every two weeks.
    That's one of the old school universal protocols, but you see what I mean about 1 ml vials being multi-use. I'm scripted less than 200mg/week, so a 1ml vial is definitely going to be multi-use.
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    Quote Originally Posted by almostgone View Post
    That's one of the old school universal protocols, but you see what I mean about 1 ml vials being multi-use. I'm scripted less than 200mg/week, so a 1ml vial is definitely going to be multi-use.

    Good deal. Just wanted to check with an expert
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