re: Need Info on TRT

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I used DIM E

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You take it daily?

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Ok, scrolled through some, I see numbers all over the place. Looking for some advice.

64 years old, had my testosterone checked today, it’s 333. I have some fatigue issues, libido loss, things like that.

I see people starting therapy with higher numbers than me, but technically I’m within normal limits.

Should I talk to my md about starting?

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he prolly isnt going to want to start you if talking general md, not at those numbers and your age

but yes I would. assuming you are already working out(lifting weights progressively), eating a lower carb, higher fat diet and in good shape then yea i would

i would also ask about cialis 5mg daily and possible getting a script for 20mg for days you know you will have sex. the 5mg will help heart and prostate health.

you may need to see a good urologist or a clinic that specializes in it.

I would shoot for numbers in the 800-1000 range at your age. but if you feel better a little higher, go ahead and bump a little.

prolly start at 150mg a week split into 2 shots taken subq in the stomach.

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my wife's primary care doc had no issues prescribing TRT for her.

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This is my situation. The wife can get testosterone but I cannot. My total is at 400 and free is at 61. Even though I have some symptoms of low T (low energy, low libido, brain fog) I can't get it prescribed because my level is in the normal range. I've been to a urologist and an endocrinologist and I am batting zero.

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I've been to a urologist and an endocrinologist and I am batting zero

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Do like others and go to a local or online clinic, get prescribed, do your research and get dialed in on your dosage, then after all that, get UGL test and self administer TRT for pennies a day.

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Do like others and go to a local or online clinic, get prescribed, do your research and get dialed in on your dosage, then after all that, get UGL test and self administer TRT for pennies a day.

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This is the way.

Start at 150mg split into 2 dosages a week and take them subq. Go for 12 months and then check bloodwork and adjust based off how you feel

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I recommend dosing more frequently in order to avoid tall spikes and low valleys in dosage, but that's just me.

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agreed

smaller doses on a higher frequency schedule can also help keep your estrogen in the proper balance (excess T gets converted to estrogen through a process called aromatization) and eliminate the "need" for taking an aromatase inhibitor (which can usually be addressed through dosing protocol instead of taking another med). Personally I'd go EOD but some people have a hard time remembering which day they're on - speaking purely for myself I pin daily but some guys I know say "no way!".

Whatever dose schedule you use, stick to it for 3-4 month minimum before making ANY changes. If / when you do make changes, repeat the 3-4 month stabilization time. At first, I'd go 6 - 8 month to account for the honeymoon phase to end.

Also be aware that when you first start you'll go through the "honeymoon phase" where your body continues to produce your own T, albeit not enough, in addition to the T you're adding. After a while your body will realize it doesn't need to keep producing it and stop and then you're on 100% exogenous T. For these reasons and others, I highly recommend you keep a log of what dosage you pin, date you pin it, and how you feel physically, mentally, and emotionally as well as any unusual side effects like acne. For me it was a great tool to track my subjective feeling against where I was in the schedule and subsequently comparing that with lab results. I'm a nerd so I made a spreadsheet for this. In my case it was interesting that I noticed the most immediate change in my emotional well being, then mental, with physical as the trailing indicator. Again, expect a shift during and after the honeymoon phase. Additionally if you do go EOD a log will help when you have those "did I or didn't I pin?" times, just check your log.

If your doc gives you syringes you can probably toss them as they'll be large bore needles. Instead look online and get insulin syringes at Amazon or similar. I'm a fan of EasyTouch 1cc syringes with 29 gauge needles but anything similar should be fine. I get a box of 100 for $16. Since TestCyp is in an oil base, my previous doc tried to tell me you can't draw that through such a small bore needle - yes, you can but it helps to warm the vial first by putting it in your pocket or similar

For most people I agree with JackD, work with an HRT specialist who really knows what they're doing until you get dialed in and after that fly on your own and pull / interpret your own labs. After bouncing off a local HRT doc I ended up with Defy Medical - they offer telemed services and Dr Justine Saya is one of the biggest leaders in HRT. They're not cheap, but once I got dialed in I've managed my own care since then and UGL TestCyp is crazy cheap.

After following this thread and reading every page I decided to finally get my blood work done for the 1st time in my life. Quick background, 47 years old, having all the symptoms but was surprised by the results...

596 total ng/dl
77.7 free pg/ml
180 Bio ng/dl
34 SHBG nmol/L

Since I'm within the ranges for everything, any recommendations for other supplements that may help with my overall everyday health.

I’ve done both implants and shots
I started the shots in October
I’ll never do the implants again