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Cleared for TrT by docs

T

Tyrantino

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SB Labs
So I have been a member for a little over a year. I was going to start personally managed TRT back in Feb ‘24.
Background - I was diagnosed with 2ndary hypogonadism about 8 years ago due to drug rxn. I went on TRT and then post-COVID kidneys starting deteriorating.

My Story:
I was on peritoneal dialysis when I was looking into restarting TRT. The literature shows beneficial outcomes for patients headed to ESRD and even post transplant who are on TRT.

I’ve been slow to get it going because this medical journey is wild. It’s exhausting to manage so much. But I’m almost back to normal. That’s also why I disappeared for months. I ran this by the head doc in charge of the transplant team.

They said it’s fine and probably beneficial. If you know Docs especially those at teaching hospitals - they are super conservative only sticking to clinically based evidence. So their soft support spoke volumes.

He said go through my PCP, but my PCP is not hearing it. And he puts everything in the chart. Soooo . . .

I’m looking at Test 120/wk administered every 3rd day. That’s Cypionate 25 mg/Propionate 15 mg each time. (I used this method with Dr. Mark Gordon - greatest spread that kept me even. Awesome results.) (Gordon is crazy expensive).

Arimidex on hand just in case I get itchy. But I doubt it. 1/8 of 1mg at a time if needed.

I want HCG just in case I need to drop off TRT. My medications list is dependent on my weekly labs and although the doc team are supportive of TRT, they have a mostly compartmentalized approach to post-transplant care: kidney’s life is the priority. So they expect me to drop everything if they need to pivot.

Please chime in. I’ve heated a lot here. And I truly appreciate the support (and criticisms).
 
I don't know anything about kidney conditions, but your math is off.
40mg of test every 3 days is not 120mg/wk.
40/3*7 = 93mg/wk
 
Also why mix test C and P? You might as well go with C for the schedule you mentioned.
 
Mcap said:
I don't know anything about kidney conditions, but your math is off.
40mg of test every 3 days is not 120mg/wk.
40/3*7 = 93mg/wk
Click to expand...
The way Mark Gordon set it up if I administer Sunday my next time is Wednesday, then after that Saturday. That’s 40 mg x 3x in one week = 120mg. The week being counted as next 7 days not fixed to a particular set of weekdays.
 
Mcap said:
Also why mix test C and P? You might as well go with C for the schedule you mentioned.
Click to expand...
Accusing to his clinical based research, adding pro at low dose keeps me even throughout the week along with the every 3rd day administering.

my experience may be out of the norm but it was the best protocol I have ever been on.
 
Tyrantino said:
The way Mark Gordon set it up if I administer Sunday my next time is Wednesday, then after that Saturday. That’s 40 mg x 3x in one week = 120mg. The week being counted as next 7 days not fixed to a particular set of weekdays.
Click to expand...
The following week you will have two injections and it will average to 93mg/wk in the long run. That's how people will understand it anyways. If you say 120mg/wk, they will think of something different than the dosage you mentioned and will result in misunderstandings.
Again not knowing anything about kidney conditions, 93mg/wk sounds low even for TRT. Most people start at 100mg/wk and work their way up.
 
Tyrantino said:
Accusing to his clinical based research, adding pro at low dose keeps me even throughout the week along with the every 3rd day administering.

my experience may be out of the norm but it was the best protocol I have ever been on.
Click to expand...
Propionate is a short Easter and with e3d injections, your test levels fluctuate quite a bit. If that's what you want, God bless. But mixing P with C with e3d injections will NOT make test levels more even as compared to all C.
 
I w
Mcap said:
Propionate is a short Easter and with e3d injections, your test levels fluctuate quite a bit. If that's what you want, God bless. But mixing P with C with e3d injections will NOT make test levels more even as compared to all C.
Click to expand...
I was speaking in lay terms about feeling even. The administration protocol is meant to more closely mimic the fluctuations so that I experience it more evenly.
 
Mcap said:
The following week you will have two injections and it will average to 93mg/wk in the long run. That's how people will understand it anyways. If you say 120mg/wk, they will think of something different than the dosage you mentioned and will result in misunderstandings.
Again not knowing anything about kidney conditions, 93mg/wk sounds low even for TRT. Most people start at 100mg/wk and work their way up.
Click to expand...
I see how you’re seeing it. I’m going by memory i started at 120 but I believe I had worked up to ~140 per 7 days. Most months are at least 30 days. So the math works out to 138-140 (within drawing error). So while some 7 days will have 3 administrations and others 2, after 30 days it works out.
My kidneys were cleared. But i want to start off conservatively. I’m managing a bunch of other stuff so there’s that.
 
Before my surgery, on TRT, my balls turned into pebbles. I’d like to keep them this time around.

There’s medial literature supporting HCG for teste’s health. Can clomid be used for the same? I understand they’re different and different pathways, but wondering about its use since I’ve known people that have used it alongside injectable to maintain size.

Also what is a good HCG protocol while on injectable TrT?
 
Tyrantino said:
Before my surgery, on TRT, my balls turned into pebbles. I’d like to keep them this time around.

There’s medial literature supporting HCG for teste’s health. Can clomid be used for the same? I understand they’re different and different pathways, but wondering about its use since I’ve known people that have used it alongside injectable to maintain size.

Also what is a good HCG protocol while on injectable TrT?
Click to expand...

HCG protocols are all over the board but a starting point for maintaining the size of your balls would be around 500 IU MWF

The dose for fertility is much more (easily 3x more)
 
Tyrantino said:
Thank you. I need to read more. Also, I don’t want any kids. Elon is doing that for the world.
Click to expand...
Kids are the most meaningful thing anyone will ever do with their life. You don’t have to agree. Just log that comment in your mind in case you need it later. If not, that’s fine.

If would bet that Clomid could fill the bill, but can’t be certain.
 
Tyrantino said:
So I have been a member for a little over a year. I was going to start personally managed TRT back in Feb ‘24.
Background - I was diagnosed with 2ndary hypogonadism about 8 years ago due to drug rxn. I went on TRT and then post-COVID kidneys starting deteriorating.

My Story:
I was on peritoneal dialysis when I was looking into restarting TRT. The literature shows beneficial outcomes for patients headed to ESRD and even post transplant who are on TRT.

I’ve been slow to get it going because this medical journey is wild. It’s exhausting to manage so much. But I’m almost back to normal. That’s also why I disappeared for months. I ran this by the head doc in charge of the transplant team.

They said it’s fine and probably beneficial. If you know Docs especially those at teaching hospitals - they are super conservative only sticking to clinically based evidence. So their soft support spoke volumes.

He said go through my PCP, but my PCP is not hearing it. And he puts everything in the chart. Soooo . . .

I’m looking at Test 120/wk administered every 3rd day. That’s Cypionate 25 mg/Propionate 15 mg each time. (I used this method with Dr. Mark Gordon - greatest spread that kept me even. Awesome results.) (Gordon is crazy expensive).

Arimidex on hand just in case I get itchy. But I doubt it. 1/8 of 1mg at a time if needed.

I want HCG just in case I need to drop off TRT. My medications list is dependent on my weekly labs and although the doc team are supportive of TRT, they have a mostly compartmentalized approach to post-transplant care: kidney’s life is the priority. So they expect me to drop everything if they need to pivot.

Please chime in. I’ve heated a lot here. And I truly appreciate the support (and criticisms).
Click to expand...
No sure about your overall health, age but no need to complicate things here. Been on TRT for 3 decades.

2 shots of test C is plenty. 60mg each.
I would not take any AI unless blood work showed estrogen level was very high, which at 120mg per week I doubt it.
No need for HCG.

Good luck.
 
Wiseguy said:
No sure about your overall health, age but no need to complicate things here. Been on TRT for 3 decades.

2 shots of test C is plenty. 60mg each.
I would not take any AI unless blood work showed estrogen level was very high, which at 120mg per week I doubt it.
No need for HCG.

Good luck.
Click to expand...

@Tyrantino this is very reasonable advice
 
Tom36 said:
If would bet that Clomid could fill the bill, but can’t be certain.
Click to expand...

I would've thought so too but I've seen mixed results in other threads talking about enclomiphene

Might come down to dose: 12.5 - 25 mg/d? Some use 25 mg EOD
 
SB Labs
Tom36 said:
Kids are the most meaningful thing anyone will ever do with their life. You don’t have to agree. Just log that comment in your mind in case you need it later. If not, that’s fine.

If would bet that Clomid could fill the bill, but can’t be certain.
Click to expand...
I don’t disagree. I’ve got plenty of them.
 
AlexDavis43 said:
I would've thought so too but I've seen mixed results in other threads talking about enclomiphene

Might come down to dose: 12.5 - 25 mg/d? Some use 25 mg EOD
Click to expand...
I think I was on 50mg MWF when I first started TrT. My balls were effin huge. Together with my dick I had to carefully choose what kind of pants I wore.

I don’t want the monster balls, but my partner would like me to keep my balls.
 

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