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TRT help please

Jmart87

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I've been on Trt for 8 weeks now at 50mg every two weeks and I have a checkup soon. My doc says levels are normal but don't feel any different. Low energy,lethargy, and low libido. I've been dieting and have slowly dropped weight due to good nutrition and training. My question is what should I be looking for in my blood work besides free and totals test?

Thanks
 

livint54

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50 every 2 weeks. Am I reading that right. Half life on test is only 5 days. You test levels will come back at like 100 with 50ecery 2 weeks. Usually trt is 100-150 every week
 

Jmart87

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50 every 2 weeks. Am I reading that right. Half life on test is only 5 days. You test levels will come back at like 100 with 50ecery 2 weeks. Usually trt is 100-150 every week



Yes thats correct 50mg twice a month
 

fever

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Yes thats correct 50mg twice a month

That is a horribly low amount Jmart, IMo I would look for a new dr. immediately or do your own trt with help of the great sponsors on this board. Hope this helps.
 

chocolatemalt

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Wear some steel toed boots on the next doc appointment so you can cause some damage when you kick him in the balls.
 

Cruefan89

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I've been on Trt for 8 weeks now at 50mg every two weeks and I have a checkup soon. My doc says levels are normal but don't feel any different. Low energy,lethargy, and low libido. I've been dieting and have slowly dropped weight due to good nutrition and training. My question is what should I be looking for in my blood work besides free and totals test?

Thanks

That's not going to help you at 50mg twice a month. Your doc is scared of trt. Get a new doctor.
 

Saltheart

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Agree with above comments, you need to find a responsible Dr
 

SUKS2BU

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You probably feel worse then you did before TRT at that dose. Everyone is different but I am currently doing 200 week. Sounds like you need a new doctor or look into picking up some extra and up the dose yourself.
 

Jmart87

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The thing is he's an endocrinologist so idk why he would be so cautious. I am checking up with him tomorrow so if he not concerned on how I feel I will have to go with someone else unfortunately.
 

Jmart87

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I should have mention this and don't know that it will make a difference but I was diagnosed with a benign pituitary adenoma but I've read that a lot of doctors will diagnose this.
 

heckler7

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first of all when you inject test you body shuts down natural test production, so 100mg a month isnt enough to replace what your body should naturally produce. 50mg twice a week is the the least amount you should be on, my doc has me on 75mg twice a week, but its not uncommon formpeople to be on 100mg twice a week. bottom line you are on 100mg a month and you should be starting at least 400mg a month
 

Jmart87

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I know how exogenous test will stop natural production but how does dosage correlate you test levels. It's not a direct correlation in the blood work correct? So let's say I'm at 287ng/dl and I want to be in the 500ng/dl range would I need 500mg weekly or monthly?
 

malfeasance

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200 mg every two weeks put me at 772 seven days after last pin.
 

chocolatemalt

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The thing is he's an endocrinologist so idk why he would be so cautious. I am checking up with him tomorrow so if he not concerned on how I feel I will have to go with someone else unfortunately.

Even endos will under-treat for TRT, as will urologists. They're usually better than other docs though. But the whole medical system is infected with an anti-testosterone bias that goes against the scientific evidence. It's stupid.

I know how exogenous test will stop natural production but how does dosage correlate you test levels. It's not a direct correlation in the blood work correct? So let's say I'm at 287ng/dl and I want to be in the 500ng/dl range would I need 500mg weekly or monthly?

Don't aim for 500. That's still well below average.

And by "average" I mean a big study of French men from the 80's who worked for the giant phone company in Paris. So... urban dwellers, many of them at desk jobs, taking two-hr (minimum) lunches to fill up on red wine, arguing about Proust and Voltaire, etc. You get the picture. You gonna let these Froggies out-score you on T levels? NO! :D

Also, the only health condition besides being female or dead that disqualified anyone from the study was diabetes. That means any long-term opioid addicts, couch potatoes, fatties, genetic or tumor-caused hypogonadics, etc etc, they're all in the study and drag down the averages in a HUGE way... opiates, for example, are well known for taking a healthy T level and putting it into the gutter *permanently*. And, don't forget about more than a century (i.e. since the mid-1800's) of estrogenic hormone disruptors like BPAs, phthalates, herbicides, and pesticides that have steadily been accumulating in the environment and also dragging down natural test levels. I could go on with the details but better to keep it short. The point is, the TELECOM study averages are much too low as it is. So if you're well below those "averages" you're really screwing yourself.

Yes it'll be a big improvement over your very hypogonadic score of 287 but since you're going through the hassle of injecting test to begin with, why not demand a good level? That would be something in the 800-1,200 range. Still perfectly physiological. No reason not to aim for the 99% percentile on the T charts especially when they're corrupted by a huge drag-down effect anyway. Don't let an incompetent doc bully you into sub-optimal health.

Here's the TELECOM study results in easy table form along with pointed commentary:

http://www.menshormonalhealth.com/normal-testosterone-levels.html

As to your question of dose -> T levels, that's highly variable. To stay around 1,200 ng/dl while on TRT, I need 100mg 2x/wk. Others do well at 100mg/wk -- better responders. Bloods are the only way to know.
 

Jmart87

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The 500 was just and example scenario and I would like to be at optimal levels because normal levels is not optimal. The doctor won't just allow optimal to happen.
 

dadbod01

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I've been on Trt for 8 weeks now at 50mg every two weeks and I have a checkup soon. My doc says levels are normal but don't feel any different. Low energy,lethargy, and low libido. I've been dieting and have slowly dropped weight due to good nutrition and training. My question is what should I be looking for in my blood work besides free and totals test?

Thanks
Doctor says levels are normal, what were your levels?

You have dropped weight, what do you weigh now?

50mg every two weeks is not much at all. I take 150mg once a week. You're shutting down whatever natural test your making, and replacing it with a very low amount at a long interval. I think a 100mg a week is standard. You need to be injecting at least once a week, if not two times a week to even out your levels and stop the roller coaster effect.

You need to have your estrogen levels (E2) checked also. I'm not sure what else you need to be looking for, other than maybe a new doctor. Or take matters into your own hands and start buying from a source on this board.
 

Jmart87

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My initial levels were 187 and did another blood test to make sure about 2 months later it was 234. Got blood work done last week and received a letter this week saying my levels came back normal but didn't give me a number. About 6 wks ago I was 212-214 and now I'm hovering around 200lbs. I'm trying my hardest to cut cz I know my hormones aren't optimal so trying to build any muscle mass and extra calories will not be in my favor
 

Zyglamail

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yep, waaaay to low of a dose, probably keeping you crashed. You should be on 100mg a week to start and tweak from there.
 

Jmart87

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So doctors appointment was today. Test levels at 191ng/dl and he increased the dose to 50mg weekly of test C. He is being cautious to make sure Psa levels and RBCs don't increase from test. I won't have to see him until 10 weeks.
 

Romeburning

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So doctors appointment was today. Test levels at 191ng/dl and he increased the dose to 50mg weekly of test C. He is being cautious to make sure Psa levels and RBCs don't increase from test. I won't have to see him until 10 weeks.

50mg a week is still to low in my opinion for you to feel much improvement. If the doctor wants to take a slow cautious approach that's fine, but I would be telling him my quality of life is suffering and if he has no plans on getting me better in the next three months I'll look for someone else, or self medicate. See how it goes, but I wouldn't be waiting 10 weeks for him to get numbers that will be low again. Good Luck
 

heckler7

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if your test is low and you have to stick yourself with a needle why inject only enough to replace what you already produce. stick a little more in that needle and get your level up to what a teenage male should be and get that benefit of feeling good
 

Jmart87

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I feel ten weeks at a higher dose is not enough time before I have to do blood work and not test with high levels. Any opinions?
 
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